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072-310-012
f�J C3 0 i v �a Q ' G U e M ' t - 5 A. - 72-31-12 7 LUNSFORD 2530`1<arbestown,Rd, Orovi..11e i FLEC - 2 4 2,o0A I GAS 2 -1-84 \ 31 � 3/q" LPA SUPPORT STRUCTURE REQ (W • COMPACTION TEST`S EQ 03-3448 72-31-12� 0A72-310-012 ��3 Permi t,5?3-83MHI 2530 FORBESTOWNRD, O aOVli.`b I� ef- �- �''� CONT: UNKNOWN FINALED DETACHED GARAGE 72-31-12 4002-90B,P,E KOONTZ, Richard 2530 Forbestown Rd, Oroville ( garage) 72-3 12 Permit#80-91B,P;R.;1i (new sf)Y - 072-31-0-012 t 92-07 6 KOONTZ, RICHARD CONTR: OWNER 2530 FORBESTOWN ROAD, OROVILL PERMIT TO COMPLETE/SF A 072-31-0-012 93-821 B KOONTZ, RICHARD 2530 FORBESTOWN RD, OROVILL-O COMPLETE/91-80 072-31-0-012 99-0471 B r GRADY, Mike 2530 Forbestown Rd, Oroville (replace stairs, move Door & add window) Larry West Const j V11311 Ij n77-z1n-nil -1 74 GRADY, Mike 2530 Forbestown Road, Orgville Contr: Owner �i < Add interior wall % in Q; f ��/ 072-310-012 03-13j GRADY, MIKE 2530 FORBESTOWN, OROVILL IN Cont: LARRY WEST DECK REPAIR 2 ■ 9 RESIDENTIAL ��` f FmONTZ, -12 a80-91B,P,g,M Richard 2530 Forbestown Rd ,(new sf Oroville ' r' i ' � 1 ,I is t a n -� 3 A_ r " OFFICE COPY t' Address hzf ��%J } GAS j Meter By—,—,,,'Date * LELECTRI Meter By Dat .' I` OFFICE COPY t I Address GAS Meter By �� DatelGy �' E CTRIC Meter^ y ate— JOB FINALED IDAQf ' Signature O = Not OK Not =NotReadyable MOBILE HOMES `v Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location -Clea rences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance 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. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7.* Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK - = Not Applicable RESIDENTIQI,L (E =Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. H Id Downs and Special Anchors 7. ab; Steel -Wrapped Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Oat t -qCard B- Date Card B-1 Date ^ Card B-1 Date Card B-1 Date PLUMB!(Permit) OK except #'s ater Htr.; Vent -Access -Combustion Air -Baffle 07-Wat6f Pipe; Test & Anchor -Nail Protection 18 D.W.V.; Test -Fittings & Anchor -Nail Protection 1QA-9hower-Panr-Test, First Floor -Tub Access est Tub & Shower, Second Floor -Tub Access 23) Gas Pipe; Size & Anchors Date -?-[l- j/ Card B-1 Date Card B-1 r Date Card B-1 Date Card B-1 Date ELECTR L (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu orgJ Oven Circ. /- /,ga. Cu or Al. I sulated Ne tral ❑ Yes B�No 36.�Service-Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Dat - / Card B-1 Date Card B-1 Date' -�TCard B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s ag's Is .Proper Material & Anchors 4 all .Studs -Nailing, Spacing & Bracing -Plates -Sound ti -Searing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub eaders & Beam -Size & Bearing ogle & Duplex) Date FRAMING (Continued) 5. angers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Bra s .-Rfng. 47. ireplace Ties or Type A Flue -Fireplace Throat clearance CiSMAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles r . Windows or Exiting Doors -Sill Hgt. & Dimensions SR"GaraRe Fire Protection Framing roperty Line Firewall & Openings t. Doors One 3' -Check Garage -3rd Story, 2 Exits 3. fairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer - /^ rip Screed -Fd. Vents-Underflr. Access azin Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ 51 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA Plans OK except #'s 1. Ext.Steps-Door & Sidelight Protection -Landings Smoke Detector urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection *4--ffe-droom Exiting e1T5_GeFmI. & Bath Fixtures & Tub Access -Spa e rim & Subpanel; Breaker Sizes & Labels tairs & Rails . irepla a or Stove; Clearances -Hearth ec. Outlets at Wood Panel; Int. & Ext. 7.9-KIF.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter rage EiLe Door; Swing -Landing -Closer 74,-9,-C_ Duc in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7 ., Elec. & Mech. Equip. Listed for Location lec. Receptacles in Garage; (G.F.I.)-Romex Protection 7 sulation-Foam-Looked in Attic 13 Yes and ils & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 13 Yes 3Q_&effavV56 instld.; Drive O Yes l!1'1 0-; /i�alks O Yes Planters D Yes ❑ No A.C. Unit; Disconnect, Electrical, Plumbing nts Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings nect, Electrical, Plumbing erior Elec. Trim; G.F.I. Receptacle -Underground 8 .entila 'on Throughout House ass Protection 88r-Gwections from Previous Inspections as Test -Meters Tagged; Gas -Electric 94!1145 r & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date3 -1l.4 I:Card B-1 i Date Card B-1 Date Card B-1 Date %- "Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) • C] ENERGY INSTALLATION CERTIFICATE Building Owner L6 8 ,-- T Z Building Permit # 9�'" 7 �6 Building Location L mew. (�T DESCRIPTION ROOF - Material Thickness(inche / EXTERIOR WALL Material— Thickness (inches) aterialThickness(inches) CEILING Batt or Blanket Type Thickness(inches) _ Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVAT Material Thickness inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) OF INSULATION Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) .Brand Name . Thermal Resistance(R Value)__ Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, ..,is consistent with- approved building department --plans--and attachments and- con- forms with requirements of Chapter 2-53 of State of California Energy Requirement FIRM NAE/OWNER SIGNATURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the required features, devices, and equipment, ab Building Department plans and attachments have been installed and ante standards and Chapter -2-53 of the State of California Energy C 14 A 9r) Z, UILDING CONTRACTOR/OWNER (Please Print) 'Z ZNL)- IGNATURE OF BUILDING CONTR TOR/OWNER HVAC -FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER shown on the approved conform to the appli- ,equirements. STATE CONTRACTOR'S LICENSE NO. AT E STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 PRIOR TO FINAL INSPECTION COUNTY OF BUTTE .x=R DEPARTMENT OF PUBLIC WORKS . Ya 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 y; 747 Elliott Road, Paradise, CA - (916) 872-6307 :~'w ,s CORRECTION NOTICE OWNER PERMIT NO. _dolt! r� t A routine inspection indicates that the following violations of Butte County Ordinances exist at s the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont -this office immediately. CDRJ ►J yt} Date 3` : Ynspector REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE - �D(�N'P�Z OWNER PERMIT N0. 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. n) P12- r , T j—" -c" C- r -c: - � � r �" � v oui /��- t �✓ r ve2�1oc� u/�s Plu�� 7-1,- 4 c C— :-%_.P 5 Date �i Inspectors COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 - 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE J 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. Ct_&-L� fl -'ice VTC DTrc �- yf� t Date / �/ Inspector J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONINsG 072-310-012 A-2 BUILDING PERMIT OWNER Richard Koontz TELEPHONE 589-2822 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2530 Forbestown Rd., Oroville 95965 Est. 500.00 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is _ LENDER'S MAILING ADDRESS - Filing Fee $ 15.00 Permit Fee $ 15.00 ARCHITECT OR -ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 30.00 9530 FnrhPRfnwn Rd-, e PLUMBING PERMIT Filing Fee 15.00 Each Trap Solar or heat pump water heater #20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent 7.00 USE OF STRUCTURE SF [IJ, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other® Describe work: NPrmi t- LO Cumplete Decking B P #80-91 (RPnpw R P #92-0786) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I'declare underenalt of p y perjury Iur y (Check One): El I am licensed under p provisions of Cha t. 9, Div. 3 of the BUslness and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) F1I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA1 37.50 NEW CONST. DWELLING OCCUP.81 OR ADDNS. ACC. BLDGS. 3.64 sq.ft. NEW CONSTP- ULTI-OUTLET _NON ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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 expe s which may in any way accrue aga' aid�c unty i equenc9, of the r of thisJpermit.l XDate �` AA Signature of Applicant — Owner Contra tar ElAgent 11 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 30.00 I HAz DFEES IMP I FLOOD CDF PARCEL I PD HD Iss This permit is hereby issued under the applicable provi- of the Butte County de and/or resolutions to do work Work indica b e r hich fees have been paid. D F PUBLIC WORKS By 1 ate S1Jr-r PERMIT EXPIRES Date s' Receipt No. - 135950 WHITE-D.P.W., YELLOW PINK -INSPECTOR, GOLDENROD -APPLICANT x;hyl.'ii�?'�g9 +,��`:rn��'�.' y'''1''�,+fwR�i!'�sRr .�Rl�..v�4.►:.Mi '"�",' t�r�yt�'P°'�fl�'�i%"R'�,'"�°'r'�`'�"�', :000NTYOF BUTTE - DEPARTMENTPF BEVELOPMENT..SERVICES BUILDING DIVISION . .. � .< ' 7 COUNTY CENTER DRIVE - OROVI E, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 �. PERMIT APPLICATION DATASHEET OWNER A. P. No. Proposed Building UseBuilding Inspector Date / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................... f .............. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required; prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of-'Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B)"Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...PR !Aeon reap est 20. Pre-inspection.for required. .. to Building Inapeaor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. -23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 3 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... -�^�-- 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows:- Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other ; Parcel Creation , Acreage r; Applicant 7� Date Copy of Fiat -Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By_ lThe following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. s 2. Additional items. required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou r by _ Date Plans checked by Date Plans approved by Date �Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works y COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete andreturn this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work.' 3. I have contracted with•the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan -to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner !� / Social Security Numper — Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and .19832 of the -.California -Health and Safety Code.- This ode.- This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - OEPARTMENIT OF FUBL!C WORKS PERMIT. VO, Y' 7 County Canter Orive - Orovole. California 95965 - Teleonone: 916/538-7541 APPIZXATaON AND PERMIT 3e33e11 L zoNrN Q 7BUILDING PE?�Mli'7,-)-3 /-d G/z Iz oNER _ - ELFPwONE „ I J0. F T . ! OCC. 9UILDlNG VALUATION I 1 VNER'S MAILING .+GOR 613 S 3N rRA R•� I TELEPHONE I 1 2NTRACTOR'5 MAILING AOORE33 Fireolace 2143TRUCTION t.ENOBR UNKNOWN Total valuation is Filing Fes S 15.00 ENOB.R'1 MAILING AooRES3 Permit Fee S r.U0 RCHITECCT OR £NGINIa6R LtCEN36 NO. Plan Checking Fee $ Energy Plan Checking Fee g RCHSTIMGT OR ENGiNB6R•2 MAILING ^OGRESS P enai tv S ulLaiNa wooRass � D � � Permit fee- $_ PLUMBING PERMIT Filingizee 15.00 Each Trap 5.001 Solar or neat pump water heater 20.001 •OT NW 3U801V9310NNwN6 PARCEL MAP • Water piping 7.001 Each bas water heater or vent 7.001 USMOF-STRUCTURE: Gas piping system 1 - 5 outlets 5.001 Building sewer 15.001 ;F OuplexQ MobilehameQ Other Spec: FY Mobile Home S I G W @ 15.001 TYPE -.OF -WORK' Vew (: Addttton C Remadei Q UtilitiesC: Installation Other l/II Permit Fee • S . 7esClibQ work:( -t— TU 11 Contractor EL ECTRICAL_PERMIT- Fling Fee- 15.0c main servicez0000AOORLLESS 18 �OI Main service 200ATO 1000A/ 1 .37 SOI CONTRACTORS UCF-VSE LAW* NEW CONST. OWELLING OCcuP.LI\ `3.S*satt. I dectare under penalty of perjury (check one): OR AOONS. ACC. 31-0135. R. I I@ 5-001 .I am- licensed under provisions of Chapt. 9. Oiv. 3 of the Business NON.RE510 9RANCl1 CIRC S (PO ER APPARATUS 8 �sINCLE I I I and Professions Code and my license is in full force dna eftect. OUTLET CIR. License No. Classification // Ex. Occuo( OUTLETS OR FIXTURES 20 76d Q I. as the owner, or my employees with wages as their sale camaen- ;rIXEO .aPP LNS. JR Ex. Occup. OUTLETs IResio.1 CA.) I 3.001 sation. will do the work.and the structure is not, intended or offered Temoorary service- 1 15.001 for sale. (Sec. 7044) mobile Home Facilities 1 15.00 Q I, as the owner, am exclusively contracting with- licensed contract- ',siring ors.. (Sec. 704x) misc. I 15.001 Q. I am exempt under Sec. Business and Professions Code 1 for this reason Permit Fee S Contractor WORKMEN'S COMPENSATTON- INSURANCE. I dectare under penalty of perjury (cneck ones: MECHANICAL PF—gMIT F;tingFae 1s.c� The permit is tar 5100.00 (valuation) or less. Heating 1 I I Cl I have•piacea on file with the -County of Butte Building Oeoartment -, a Certificate of Wontmen's Comoensat:ion Insurance or a Certificate of Consent to Self -insure. Cooling I 1 ral I snail not employ any person in any manner so as.tb become -subject Hooa I I 5i501 to the W. C. laws of California_ ventilation 1 Natice•to Applicant:- It atter making this statement. should you become -subject to the W: C. provisions at the Labor Coae, you must forthwith comply with such rt 1=+'e S provisions or this permit snail be aeemeo revoked. Contractor I certify that I have read alis application and state -mat tne-above•inrormatlon Mobile Home Installation Fee- ee•is iscorrect. I agree• to comely to ail County Ordinances ano State Laws refatinq to building construction. and hereby authorize representatives at the Cc untyot r energy Insaection Fee s Butte to enter upon the aaove-mentionea property tar, !nsoectton purposes. Jcc iCONSTTVPe I I also aaree-to save, inaemntiv and keeo harmless the County at Butte against I I TOTAL FBF—. $ S�r� all Iiacilities, judgments, costs. dna excenSes wnlcn may in any avaccrue ! -4! OFEES 1 imr I FL000 I COF I PARCEL I PO I n0 against said Caunty In consequence of the granting at this permit. I I ! ! i X _ C ate _ :ranetuee of AOOHconr - r)wner i_ •_onrractor n OSHA oorrnrr i, .�auune rnr puss .'0•' :vee oneoemorr iron or con'rrucr- nn nr 11ructuroa ...r .rosin• •• -rant. -his aeTmit iS nereav !ssuea unser the acouca'me orc% dons or the-Eutte County Coae anclar resatuuons to c= :�OfK Inoicoteo 3oove far `.vnicn tees have peen Gate. OIREC-OR OF PUBLIC 'WORKS =V -Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS v 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 72-31-12 ZONING U BUILDING PERMIT OWNER RICHARD KOONTZ TELEPHONE SQ. FT. OCC. BUILDING VAL TION EST 10,912 OWNER'S MAILING ADDRESS 2530 FORBESTOWN ROAD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 10,912 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 109.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2 530 EFORBESTOWN ROAD OROVILLE Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other as SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: PERMIT TO COMPLETE WORK STARTED UNDER B.P. #80-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense 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 Main service 200A TO IOOOA) 37.50 OCCUP.&\ NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. II 3.64 sq.ft. NEW CONSTR. MULT'-OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & SINGLE OUTLET CIR. Ex. p OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS ED (RESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g I Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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, judgmentA, costs, and expenses which may in any way accrue ag ai�C unty in n uence of a granti this per it. X G17�'le % 9 Signature of Applicant — Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAZ DFEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSU i This permit is hereby issued under the son of Butte County Code and/or Work ' dic ed a f which fe DIRE R F P BLI By PER XPIRE Date applicable provi- r olutions to do s ve been paid. RKS Date Receipt No. 11 n?94 1 ?n -nn WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L, COUNTY OF BUTTE - DEP.AF TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O I MsG _ - 2 BUILDING PERMIT OWNERR" j/ // TELEPHONE Cl ar Koo tZ SQ. FT. OCC. BUILDING VALUATION S OWNER'S MAILING ADDRESS g � f rbe 0/4)9 59GG CONTR CTOR'S NAME. 11dd�^I�' rroo TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 0j Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 0C) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS - - 2 �30 Ece i-duih Rd - Permit fee J l�l'�-�- PLUMBING PERMIT Filing Fee 15.00 - ( Ocnk` Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SIX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S 1 G! W I @ 15.00 TYPE OF WORK Nddition❑ Remodel.F—Utilities❑ Installation❑ OtherT Describe work: n F_,P_Ak " v _ Co/Liplefe wcwf:�-* S-A('-rro UNZ)C2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 O- Main service 200OR LESS 200AA OR LESS 18.50 Main service 20GATO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.&\ OR ADDNS. l ACC. I 3.6Q sq.ft. MULTI -OUTLET NEW RESIO, RANCH CIRCUITS) NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20 76d RA FIXED APP LNS. OF \ EX. Occup. OUTLETS IRESIO.) EA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 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 S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ /d20°`� HA2 1 7ES I IMP I FLOOD I CDF I PARCEL PD HO I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT E RMiT EiCPIRES Date applicable provi- resolutions to do have been paid. WORKS Date � 1 Receipt No. 0),W_ I2D� WHITE-D.P.W.. YELLOW-ASSES90R, PINK -INSPECTOR, GOLDENROD -APPLICANT ., i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive', Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916 -538 -7541 - Attention Property Owner: An "owaer-builder" building permit has been applied for in your name and bearing your- signature. Please complete and return -this information at your earliest opportunity to avoid unnecessary delay in.processing and issuing your building permit. No building permit will be issued until this verification -is received. 1. I personally plan -to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have--n ot) -f-& rc signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons.to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner �.Lw Social Security Number - Date o3-19- 9 a NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS x 7,Go4ty Center Drive - Oroville, Qalifornia'IS965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 80-91 ASSESSOR PARCEL NUMBER 72-31-12 ZOI`IING Al „ BUILDING PERMIT T OWNER 4 — Richard Koontz TELPHo S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2530 Forbestown Rd Oroville 95966 1408 R 56,320 1448 deck 7,240 CONTRACTOR'S NAME Owner TELE NE CONTRACTOR'S MAILING ADDRESS Fireplace "At' 1,000 CONSTRUCTION LENDER - UNKNOWN Total Valuation $ 54,560 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 328.00 ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ 164.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 15.00 Penalty $ BUILDING ADDRESS 2530 Forhestown Rd, Orovillp Permit tee $ 517.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 16,00 Solar or heat pump water heater20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF 5a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outletsi 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK NewX3 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 26.00• Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10V OR LE 00 AMP ORSLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification �C 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 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. ( OR AODNS. DWELLING OC ACC. BLDGS. �Z¢sgft 35.20 NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20&50C eALO 30 FIXED APLNS. EX. OCCUp. OUTLETS (PRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject IPJ to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6.00 Dual 3 ton Cooling 6.00 Hood 3,00 3.00 Ventilation 6.00 Permit Fee $ 31.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes.TOTAL 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 Cou y ' se enc of a granting of this permit. �� Date l— �`'-- Signature of Applicant — O r❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile.Home Installation Fee $ Energy Inspe tion Fee $ 30.00 o c I co ST PE FEE $ 65).20 HAz cA "— PARK SCHL FL PAR D D ISSUE This permit is nereby issued under sions of the Butte County Code work indicated above for which REPT O PUBLIC By PERMIT EXPIRES Date the applicable provi- and/or resolutions to do fees have been paid. WORKS Dat Z~ z --- r Receipt No. 83907 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .. , �ct�#}';,,,�lr��P�` �iChrtrt'',�`�=.3�t'v�r,.l+�ar j� �, 'at�;�,4�►-re'�;i'�•„�t� �``�'r,l�u"r; �' COUNTYtOF.BUTTE - DEPARTMLtf OF PUBtillC"VORKS - BUILDING DIVISION .'•7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMI:T,'A,PPLyEATION DATA SHEET Permit No. OWNER�C�/it i Z . y A. P. No. _;79L-3/_ o� . Proposed Building Use Ar 4�.Building Inspector Z -S. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been.submitted. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer, of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... CAEly 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .................................................... . ,10, Fees of $ ........................ 11.M°Chico Urban Area fees paid .....• :................................. 12. Park fees paid ..:....�...................................... )Jelo � C--� fiak� School District fees paid .............. pp Health Department 1 Sanitation approval from o2Qui�c:�� � - City of Chico plumbing permit ................................_ ... 16. Plot plan and business license approval from City of (see City for other requirements) ". .... f Planningapproval for(A)-Use:—,B)Parkin Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for r required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to„O,%yI:fR�F❑, Mail to owner ❑) ..... 24. Recorded copyofAgricu*tu1=a't A`c�cnowledgment Statement ......... 5 Letter of signature authorization ........................... — 44 When you issue the permit, rocss as follows: Mai I�toQQowner . Mail to contractor. - Telephone,and hold for pickup at office. Deliver w. /inspector. Other g 'Z�2 to A p p I icart Date Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dep(.,, Fire Dept. Other Date By. The following data must be submitted prior tc 1. Index permit for above items No. 2. Additional items required: coiecked above). Contractor, designer, own r, was advised of above required data by_ph � a�_counter bjr to Contractor, designer wner was advised�of above required data by phone—mal l—counter by date Plans checked by !)_ Date J Plans approved by Date Sets of plans on hold in File cabinet AP folder , Copy—DPW TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Q� Hold final for: Water Supply Final clearance O.R. for: Clearance for �L—bedroom mobile om Other Water Supply NOTE *** ate Sanitarian COUNTY OF -BUTTE - DEPARTMENT OF PUBLIC WORKS • t 7 County Center Drive ; Orovillrr CaliforrtTa 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - -. -- — --- __% -�— ZONI G_ ----BUILDJ.NG_PERM1T _ OWNER� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORES a-5 �a O - 117 �-� ? o. �® CONTRACTOR'S NAME r ^ G.9 i -r TELEPHONE CONTRACTOR'S MAILING A DRESS Fireplace I(,;+,( 6 ®, o p CONSTRUCTION LENDER UNKNOWN C Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ m 0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ are). Penalty $ BUILDING ADDRESS Permit fee $ , /e� _ Z ei -30 -Z-�'�'-o�.� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 06 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFeDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ p o. , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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) ❑ 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 Main service EA. ADD -L 100 AMP 2,50 ELLING o NEW CONST. //DWACC. SLOGS OR AODNS. l h Osgft 15. ' NEw CONSTR. -ULTI.OUTL T NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P 20(P 50 aAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESIO.1 EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Dp Cooling ®p Hood 3,00 p 43 Ventilation ,2 3vm 6 Op it Fee ee $ O ©. Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ . HAZ I CUA PARK SCHL FLD PAR PO HD I ISSUE Th's permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 3J 7 WMITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �� I: ,4� -. �- _- - f- - . .. �_ n -- -``ATE If i1M _.. » . ._.....-- - . - ...._ _. _ __�-....- ..._•_..__-_-� V � . -;itf,l4 y GER'..1,FJ--.,C'AT.E..-0_F � CONFORMANCE IHE UNDERS16NED MA NUFA C TURER HEREB Y CER TIFIES that the products identified below and on attached sheets Nos._._.r_ ._ are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/Al TC A190.1-•1983, Structural Glued Laminated Timber, and that such manufacture has . _ . been at our plant in V A 11 ghn,_Qr� o _ _ _ 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. *rhe manufacture of these members complies with the m ufacturin g g and fabricating provisions of Chapter. 25 of the Uniform Building Code. Proof 1 a d e d end Joints, Jo.NAMr ._._.......... stock) Georgi Pacific Job LOCATION S a c r a m e n t o, C Cl1STI1MER'S ONOER NO _-SAC 5291 4/1 6/9 0 54-4473 ._. —. OATc. : MFOR'S OROEN NO 67 - Ile. SIGNA,UR!'.�' Bohemia Inc. L. Pittman Su�er.YA sorADDRCSS Vaughn reg. n DATE 4/13 90 ...�.�:.KY,..•Zt2.�i.2.�1.,1Y.1•-T. �!�R!14S--Li.�. I AITC I-YERca Y eFf�TIFIf�s that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUC ION to use the AITC Collective Mark in respect of products which comply with applicable provisions said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with 'applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant -is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCA AITC CetrI/,care No 63435 A AMERICAN INSTITUTE* OF TIMBER CONSTRUCTION m 1963 AMERICAN INs 1171J'I F OF TIMBER CONST RUCTION i; i'r- .. � •rr••.-:.•—:....1 ,..o.wr. �..R•r ••wJnrrC4' yPiRi.drJl T• r�.J'. •:: a..:' •t.IJlllr�'atl Jll ... _._._.—_ •_. - • •. .;..".••.:'toot ifs: It-t:litl.ffo r 1.13" thmvtt ;1►• 11W IV1.?;cjl uuAlly milks lK•lo•t• is nut .Y- d • ;,t• 1 tt. mi 1.I.I-it ,lo .I o; •o••:rl qtly 1cK:11.• j!ur,>D t: OI illuRrratiOn A 01"YPICA1.116. CUS1*0m PA M K :_.. l ODUCT QUAL TY A • P.• /1 , r � 43 ....._�_...__.._. _...._» { »ITt: ds, rinattun of ett��li/ipt ii:u ;! plant J OUAi.ITY .. INSPECTED O ANSIIAITC ' A 190.1--1983 a /Id11'�.rr• I" !' •!Y.. �;,• ;1'J .J `N'Orl•.t•rf IJWI: lIt! i M� 1 ..plllt•r.Z•!'tl. tut 111.1�it•.•A:iur• ` i, 1''�•'l:a 1� yl. J. C•;�twlr'I T4l.,l•ity rC'ttr A I , t .'{ -� I.Id•Catt•3 Ccl fOlrrr4np, w ANSI A t: 1•}fl r�hu.:. ., 17r•1••►Iti.:;/tiy •r.,l•4'letl b�` irm A190.1'•198.3•`SISUClu►ai Glued Lar w attcl T;nouex A TYP1CAL NON -CUSTOM PRODUC"i QUALITY MARK IAmtlhca601`1 of sttuetural uv... c I .• � '181nt1 tr�,Vn1UAlS: ,. • • . , 8•-111,1lllt! ,pea bending ; .. .. i•.._... .........._.._........—w!•ri,n,Irf!3Vri1t Inlrr,IAr1, i-1:•'>'ipn • b Ler` cz.-ctirtnnurm M wnth/•,f•rf USE ARCH I1:nArrty rn••�n111:r 1 • '�'� .. U:••iy.l•rt•h dler••a1a►oeu ,Ilatla IN� ,. APIC14 •Areh;Metuif P.w I A 3 ; ir.Jua:rtl:. ]s PI'.L•Ai Nrumtunr r *,►�! • �•,.I,t'tl d.al 1.1:' Ih'1 cJNt1l1s11l.hh1@l�. ttSAECI E W14 1 ,lt�t►!!�!!1*' �! •i i i!INC10=1 sll�•4'.1 ri11M:.ra'• .6N I/illlir lilt• (11� 'WALl"PEC'r 000-oo oar=-xx t:fl,ttl `•� :' ANSI /A I TC • . , iV,::l.. INSPECTIO Itl ,YUt,.I 41"K."41"K."•� UkJ : ••. �' •� .� A190 1-1983 � n' �•�.•.. � y g1,'I',t>tr AMlwn•nitil • ,;r.,:iLt.�t:on tifNl COrf11JlMtks^ 1VtnlM ; iol t•,catnple: "I17.8b.2AF VJ". • tot ft Jr,•.I . Wti ISI 1.11.211 1:1 -,ill 1•nur�l::+ r.:rll.lfn_rrlt.r• to ANSI. Al l C iTi •lobo ♦!I 1•• tbrl;: r^1•, !ur rillallf;CJtu,n A100.1' 1;13;1• S1,vi litril •. ftia•�• / 214 . /"r.r•f„il!. I,t.all!� fr 'ltTbl �1r41 T 1•V:r to 11't.l. r. o•t/11N',.IIy .••,jw+ :..1. IrT _ ••� '• ,�•' .. ,p,.rt ..r.rr•tJf h dw'' ol• :;ra• I'••.''•....1 old• , :�•f1U•,l r ..tM;I.IJr:: r �..• i I',Ihla t�ttlnlcnts. �(', 10 qte own cusp tow prcw1uuts, essential drfa'I, art- includ.1! qn M” ft. mot c .. -VSTATE OF ALIFORNIA a COUNTY F_ C) , `J,On f said State, personally ar l }ss. me, the undersigned, a Notary Public in and for personally known to me (or proved to me on the basis of satis- factory evidence) to be the person(s) whose name(s) is/are sub ,•�.' o :.•� OFFICIAL7DELL scribed to the within'instrument and acknowledged to me that a•• I. LINDA he/she/thenhand d the same. Notary Publica YOLO COUNTY WITNESSnd official seal. /1 ` �.oa•`' My Comm. EXD. Aor. 15.1991 Signature I,,GT��'(.G(�� —Z (-/ v��(,C/� (This area for official notarial seal) END OF DOCUMENT � Y Return to D.P.W. �� ( f 06 Z (� w 91-006241 ; R e c F e e Cash Recorded i. Official Records ; County of ; Butte ; Candace J. Grubbs ; Recorder ; i 0:09am i ce►-Feb-9 i ; NOTICE OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A) (3) TO BE RECORDED BY OWNER (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant �i e- 1-ttq "2 22)✓>-DOr`1 i� Date: Zone AP# 7 ;2 3 - 2 Building Permit # I, /� C AR.D �. Kootvj 2 do declare, that the dwelling (Building Permit # ) at address.(present) 2530 )Co2ees-lbwN %2v�a7 on AP # '72,- 3/—) 2-- is intended for the sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does. not exceed 640 square feet. Said property is more particularly des- . cribed. inExhibit "A" attached hereto. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. Signed ` Dated 5.00 5.00 XX i .J� Rfpturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent ; 91-006240 : � Ree Fee 5.00 to land or included within an area zoned Cash for agricultural purposes, and residents '`"` ti Recorded of this property may be subject to incon- -Official Records veniences or discomfort arising from the County of— use use of agricultural chemicals, including, Butte 1 '! but not limited to herbicides, pesticides, Candace J. ' Grubbs 1 and fertilizers; and from the pursuit Recorder 1 ;! of agricultural operations including, 10:08am 19 -Feb -91 XX i but not limited to cultivation, plowing," - spraying, pruning, and harvesting which occasionally 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: Re) #4 LF 0S0Wry4FA5T 0uAr¢T£2 oP- To/F NORTiFE4ST &UAP -TE(, 0-P kAr-J&F -6- tA67-1 /y. D. Q, Date: SisG7-1DN / 3 f lownlsi••�i P / q :tea R7"� / 0 PROPERTY OWNERS: State of(On this the ILA day o ) SS. undersiAd Notary Pub County of ) 19 f, before me, the c, persona,ll appeared OFFICIAL SEAL Personally known to me. Proved to me on the basis I. LINDA DELL of satisfactory evidence. Notary Public -California to be the person(s) whose name(s) 0 YOLO COUNTY subscribed to the within instrument and acknowledged that •o•M' My Comm. Exp. Apr. 16,1991 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand nd official seal. Present A.P. No. Notary Public END OF DOCUMENT I L t AeLurn LO u:r.w. 91-006241 I R e c F e e Cash.; Recorded Official Records. County of ; Butte ; Candace J. Grubbs S Recorder ; 10109am 19 -Feb -91 NOTICE OF COMPLIANCE WITH COUNTY CODE SECTION 24-202 (A) (3) TO BE RECORDED BY OWNER .(ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant F e l,re4 R b 1). 14:�OOAJ i� Date: d Zone AP# 7 ;2 Z Building Permit # do 'declare, that the dwelling (Building Permit # ' ) at:address.(present) �53� FoR�� iaw�1 �7 'on AP # 7i - 3/-/ 2 is intended.for the sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not."exceed 640 square feet. Said property is more particularly des- .- cribed.:in.-Exhibit,'A" attached hereto. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. Signed W c - K 26, /moo v -^j 77 -,2 -- Dated -,2-- Dated STATE OF ALIFORM COUNTY F On said State, personally )ss. me, the undersigned, a Notary Public in and for personally known to me (or proved to me on the basis of satis- factory evidence) to be the person(s) whose name(s) is/are sub- .: o• , OFFICIAL SEAL scribed to the within instrument and acknowledged to me that I. LINDA DELL ® Notary Public -California he/she/thJeed the same.YOLO COUNTY WITNESSd official seal. ` i•oa"`My Comm. Exp. Apr. 15, 1991 Signature (This area for official notarial sea)) 5.00 ..5.00 XX i ... _.----------• --. . _ . -. .._ ...--- --- --- - __ - __.. _.. 5/89 • 1► RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) GENERAL - - oning requirements: (sideyards and number of permitted living units). aluation. Plans signed by designer. 4. Energy Design and Compliance. C Existing violations on property. 6. on data sheet. dV PLOT PLA Complete parcel size and dimensions. Setbacks, sideyards, easements, etc.. ' Other buildings or structures._ - Grading, fills, drainage. - Flood hazard. •' .:_.. ,f...>_" __ _ Special conditions on creation map or compliance' document. FAU & FAS road setback. _ r Complete to scale plan' with I dimensions. /Required windows, for. light and ventilation (Sec -...1205):. -" Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). "" --Human impact glass (Sec. 5406). —R-e-quired room sizes, ceiling heights (Sec. 1207)... �F'CIs in baths, garage, and exterior outlets.: (Ar-ticle 210-8) —Light fixtures, switches,- receptacles, and exterior'- receptacles for maintenance - : -of mechanical -equipment. _ Locations o waterheater heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. garage firewall, door size, and closer (Sec. 503(d)(3)). 7-1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and clearance. —Smoke detectors (Sec. 1210). z OnD PL N STRUCTURAL DETAILS -j4-,4--Foundation plan complete enough to construct building. "Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to constru t building. Roof construction details complete enough to construct building.- Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR rri irway details: landings, rise and run, head clearance, handrails (Sec. 3306). rdrail details (Sec. 1711 & 3306(j)). ck or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) .A!'Exterior plaster - weep screeds (Sec. 4706). ,roper roof pitch for roof covering (Chapter 32). -61"---Roof covering type - (fire hazard). 31-7 R or bearing ridge beam. Gara e doo or porch header sizes. equate bracing. .1 -0 --Living area over garage - complete 1 -hour /eparation required on garage side including supporting walls and posts, etc. ke.-TW-0 exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). Llk-.�ttic access and ventilation (Sec. 3205). --i'-r.-Underfloor access and ventilation (Sec. 2516).. �mbustion air for fuel burning appliances.. ,1 -Noise requirements on duplexes. +6---Wdobe soils - special foundation design. .-Retaining walls requiring design. 14 -. Unusual shape, size, or split level house requiring lateral design. _L9!51ashing at all exterior openings. * it; �; �- /�T Pry►"/ .-i, ._ -,1/0 0_a FEB 0.1 '91. USER SHCPiI1,1Ef'ITi_1, CN. P.2 Weyerhaeuser StrongLamTM Headers Garage Door Header %bles Single -Story Applications 9 7116' - MEADER-DEPTH IN !NCHES 123% NO SNOW 120% NO $NOW 116% ANOW 110ia $NOW 118% &NOW 20N L.L. ♦ ION D.L, gap 11.116l ,L M 200 D.L. 160 L•L, ♦ 10N O,L. JON L,L. 0 100 D.l. 40N L.L. ♦ 18N D.L. ROOF Tllal110& SPAIN ODOR ONYNINO 4001111OPIININQ 4OAR OPiNINQ DOOR 0►0111IYG DOOR 0011 NINO IN MY WITH 241N. " } i. e 4 e 9.7116" . 19 ty9" 1J27 Sba : j :p. `.•,:•. A SSU&OfflT • • Q�pr tai tai MEO p.a �A`a 1r� o•s temp re16a is ° 1�-::'Y�.�• :1`Y• :c '.�* 7.'. 5�,;,°,!t i`:};t. ;a'�t� " ' 1' -, 9.7116" x te" 2070 22• 8 10.6 12 7,6 12 12 7,S 12 12 75 12 13,9 7.6 13.3 1b :•':;,. '`if. _ --:135"` ; �±.,:•....' 3: ..,6'`: 26' 8 10.6 1.2 LB 12 --.( 19,6 1 ) 5 2 as.s�•• 1- 76 13.5• 15 ' 9• ,19 .:�8.8; Iry '� i1d8' ` , : ;tl , "•7' „„,�. '•A ;1tr --•-'-'^'- ,, s' . r,-.,;.� ':1x .,,• ...-n. �,i� �®-;131•• , t>a � Te s , �;ta, FIs•. '',s_d 30' 76 12 136 76 136 16 7.6 135 i 1F 7,S I 1)6 16 9 18 ,8.6' C.. :.17 -- (:6 9 iy.5,6 5;t; A ;1a.a' is 34' 7.B t2 136 6 3.6 15 7,6 135 l 16 9 ;6 18.8 9 18.6 18 } y j9 : 7p. "I 13: 4:;:: ,q .d1�:1'•: ;16.6:'• j! t'9 a rt. . . . . . . . . . �•i6 lab, .i0;6' ;,,e'ti . ,t6, NOTIS: Thij;aole to for naacar► oarryin0 tool Toad only, • OsBacilon limllad to :1240 aE Ilve loac or Ul,&� at total load. • Fe 2400 psi E • 1.6 x 108 pal ?i . 1861:6' Two -Story Applications Instruolion8 tor tlt:np: 1. (.`alcuist9loot loan (pa) :,y ,-'un!plyin0 112 vuea span ♦ 21601,11 x local:nao per 6q it 2, Calculala Poor !oad (014 cy m,:n,p:ying 112 span of floor 10.819 x total Ica; pet eq, A. (60 IrA. per aq. It. ,n moat c660e). 3. k1a Wei;hl of well (2S pit In rroat ausg) a. Aaa tool i0ea !plQ. flow loop {pip, and all !000 ;pll) to obtain total load (plp, . 6. Rom ch6n lalacl a header the:'Will catty the lolal 10413 (pll). 24' led P066n alga sns ad on hudsr ALLOWAIile COAD IN LOS. PER LINEAL FOOT (pil) DOOR OPENING 1=t •.,. ��� HGAUR812E tst!;'a � `n�p o.: •i.c>:g' tit::t'Ar:3.'',� a.;..;%. tie 178 124 fii`i:1. '�:;�: iA: .,'i��''',=`''%1'•°f2':1,i i.. 1 :t':131 >t r}rt 1a1°.9At \ 1,1�.•;it �rVt1 .P 14 �': 4 . •..: 1d1• of li':;�l 9.7116" . 19 ty9" 1J27 Sba 434 ':.$'•�' ".I;r:, , ;i ^;'�S;;d'. 7. i' a }'i'.t'1. C �'+i?'�' i' u1j" ,.il;�t}•�,5�`�' � �i�:`','. Si+�'t'' "^+^-•tt•'�i ""d;• i.,...'<y ti:'3;1, :..1„�•`R . t. '•;t:i':�N::St-,.11'•+:::':,:� 1, ,.i� a1� t :til:::: t ��` ,1 • . t 11'� •11'';,o-{;. :1`Y• :c '.�* 7.'. 5�,;,°,!t i`:};t. ;a'�t� " ' 1' -, 9.7116" x te" 2070 993 818 NOTES: • Oe%dCtion i:m::ed 10 L1240 ut ludd; should also to cnec�ad lot li360 uva load only. • Fb 2400 pal E . 1 8 x i0e psi F , - 168 pal • A!low9o!s oaoa i:a npvwd vam0 canter I ne Cr 6upp;rl io conte% drs of a,rpporl shaded porion m7k6tea arae of load 0n hoder Weyerhaeuser iZesidential/ Light Co' mmerciaf Ta: oma, WA 98477 di. 1613 to -67 V 1 F _�:; :,1 ' �,'� '�t�: _;� I.IE`,�E�'WHEu�ER �Hi=.PF•11Y1EfvT� ), (.H. Weyerhaeuser - „1. StrongLamTM Headers .Uniform Load Tables .Single -Story Applications Width = 37/1 is" Two -Story Applications Width = 37/,8" • OPAN ',"."?';., 13 ,' ,y.r't,gn''�'�:"'�!', 1 r, r� ti, •v:.;?4• '•�;: , ';'s�+!;+, v ,,^?4i��'�:'',,i. };al''e nt,• y ,t+�y ,,i;a..;,;.,.,e�,. _ ,,, �: �' ♦ 1 . , Jul ,t �:1A_ a r ',::'1�11A .e _ '.16 ti' ti 1 v18•, }fi; ;� a'. 21 133{,,..r'2 ZIA..„ , Z4 24° - 1502 1932 - - - - fled 16U :� .:184°,::: _1�r,.h'�7 3 ri :"��:;4•'°, :,•iv. ;.,.�cr:.,. "1�'^'Tr: r.. _ - a . i ' 1 -11 ,) �y 7 1 128 1413 1727 •- -- - 9 0 _ j�� 1BIt 1'. Ir+L , w :ryQ. :i•ji '",f"\ 4175151,•...'Oh'G.o- t\ 1 .l �1'f -atxie:i za "� los i <9 1479 »�8 ,s9i - y 110' S$8' 3. r' -:10 7Y. • M',.1 B `a :;16 s' :: fYa�1883;., :�_ \�— 0. 6T. 6 ^:1.4,. :.'V 11 417 897 950 1146 1329 1520 1723 1339 - 12 • ' 36 84 ., '"1119'.:�_� 113__ ���f��`' '7 �;:�'11 20'�, `fir"'::,^ J1 -1903 • 13 1, 206 497 8781881 1080 1229 1386 1549 1721 - s• :s., ' T' "''' : $ 1�" :•" i"'^ �,.- �'... , .. s 1 '1: ;'"`-: 1 , ,•` - �. s•�,-� ,,;.. ' �; z, :.Y., ;1407 �:• y''''ti'• 1 20 „ �:,; 1$ 221, 6y 1, 213 16 116'16 _ _," 184 922 501 664 $30 1015 1167 1288 1426 1669 1719 ' :264,.: 4222" `.�.:-.i'I?2..-._r 7.9� 69P' 1083'x. r= 1.581 '9 131 _ - 1"8142 116 1" 1876 1718 17 IR5 219 361 616 044 767 04.1 1102 1216 1334 1457 1884 1$ 1081%�t43 } ti: 2b4 ; - ,.492 G73' ➢O1'? - r 84o� T 92:6,,7 A y9 ;'81`231 1333' 1470 19 166 249 374 613 828 753 609 1036 1160 1264 1371 20 ;131.gY,r,, ?--r�- 1Zr -^--i 319 8168• i SdS':ra,! 7B roe,:-A00,f,,>2;,�'- rr!;'..t 1184':. 1284 21 113 ' 182 215 394 S12 614 725 844 472 1:09 1207 22 23 "!' 1.167.1 i + i ' _ 4 "•Sa 6 r ' 9, C�•' i �"� e : ,g0 9'':'.+'','• - :., 1L s:. :tirr'""T¢• 7 136 217 297 411 509 602 701 808 921 1139 1042 oa'.., ..,-.:..::..........-,� `'S�>;1�,,,4D::,i:c-:-- ,e •,T,`•cY.1' ;�rdr'.r,ag0 .7,7•748 162 261 392 559 25 104 159 22,9, 317 4228 507 58, eel 717 879 .. 26"!i 1." 1'di),'•�'�•..''+.''• •'• 2Qi:•., ` 1$0,•!7,j: X4$5 , �tr4��.rA �,N ... �.-,1:•66 B. �'�',•717`..Sj.4:i...,. 611 ' 27 2Bi,7:77-777777;•Y':. 124 179 249 339 81;;3 504 511 683 •""�',F:!'C, .:!+. . 10!1. :,^. ,1611^� 522 i� t'r':,-.4 � L'(�:'.''':'�:'.:'.'•';hf :': et :•,h+}i a•A:''..616•_: '.• - 751 6D7' 29 143 199 269 360 435 502 673 848 .. 90' :.•. .r e.�a,:ts•�:'T;;•;i:. ;,t�; '.t,g.: .,;�,. 17 `,•�;• ;t1�:s"43r�,1 ;,� 819.... -r-".;rte .� - .�..,..� �-..., 4 - _ ��...51�its� v,:i:`4�:./,.:r:`: .A�:ii,,1. ;894:,. •604 �115�160 31 - 216`- 284 364 437 466 565 32 u _+.1C9 ;46'.'1 1,'1;64 ) 237�.i'•nw•L �'�29 s:::-?' 406? 46T'.`' r• .. ,529 _ 33 >. y4. _ 131 177 233 298 376 438 w ,, ,,,i ;+rr'i^i.�rT,. :— :771. .�-:`-',•fr'Y+r•'T,.. +'•'S,.Tr^:'�,•�..?i•: r.;: >' h'�.: :;, t 9'.:,: 1161 ti•,:- ..Q<'1: a„� • : 2. ;,,' ;1, 498 466 35 - 108 146 193 248 312 367 439 08 _ -�-�---.r,r.• C'"r-.``”? "'?' :;19 �i7d%�+ 2pg.t.' ,.,:,. 6S^ -r, ::94:' 414 Two -Story Applications Width = 37/,8" • OPAN 't:• " `,�-rri' :71: 'i.;t-: ,, i:M1. ,r %`•�.5.'•',ar,P�'.- ,dYf,.,��.,.,. S,,i��>/.:j F:r{j?:I.yT:lc:., � , , !1!:::°' •E P'T"r1, , f;ptij 7 f :,, ,inti: 24° 6 0 1502 1932 - - - - fled 16U :� .:184°,::: _1�r,.h'�7 3 ri :"��:;4•'°, :,•iv. ;.,.�cr:.,. "1�'^'Tr: r.. _ 7978 1528 15C1 1601 — — — — — s,' ;: ,.';�t�.•�,,.,,::a,:�:;:r,`.`. ':,,:' <, ':r:r';s,_ — 9 629 899 1085 1261, 1496 1730 1980 - .i0 l4l0om 149 f .y-�; 11 t2 358 :•••.273 - 609 826 1+54 320 1467 1684 1884 - - ,.476 •:892's,'�?''"'%,8 ' j., 81'.119 6°T, ttgp`_"' �.}j394 - 13 213 372 666f_-938 1067 1202 1•�4•'6- 1485 166]2 tate 1894 114 '17_ 2se., :473:. 6;2 , t 625 00 rcfi:.ip N Y S e 7r;• 4 4 .- : 1 793 15 31 239 363 575 121 561 1004 1118 1238 1382 1492 1628 16 11 z• 1 2, 4 °. a, a ,.!,, ; , :,. is6 '" 632% -- r--� �— • �-*-----r-a- �--- n y-- 7•�' .926'.x:,+✓: '109f',.�i r ,1311': _ :�^b2•" 1366 14"al t> 162 261 392 559 663 819 8°7 11065 1156 1264 1375 i8 -,,- • ,�- 135, .,4,, 1 ,'-777T25—f7",.,.'."_" 471 •„1:. - �- -rrc�2 ;,•.; 6C8 0,,: A,:. • 880'<i; Q : 'a. 1077' t174-1-..'1276 19 114 184..—.— r 218 399 _ 544 663 771 898 1006 7098 1159 20 .- , . a07wr. 931 1028 1114 21 22 134 203 293 404 632 028 732732 843 - `r' ^" ®. 1 118 :1 8' ': r' 2St' '1. "a7E0 '"". fi*-: a_�6 yT .67.1 ;�- ':5 -, 797 982 875 1047 988 23 25 100 152230 ," ^^T ? Tt •:^---'T-_t-*�:,T- - 117 �iBB� 30? dog 521 606 700 r.':;• -'..`9R-8 , .r -t•: ,.', ,';r.:gr5.7r, te 35- 611 235 315 512 590- 799 732 073 903 92824 762 `r^ _412 1 '- 70328 27 _._..... - 132 7 t1i� 164 247 324 415 503 • • 574 b3 650 603 29 - - 104 lab 197 239 332 417 495 561 30 .` <62 623' TABLE 6PECIFICATIONB 1. Thes6 fablev OPPIV lo'•`vaysrneeuaer's st(alpht a!mp% span lam!na:ed beam hoadurs „nder 0r; 11,66 Wv,ce condhions. 2. 1060 vElaee are ±ot sppl!sd loading. Beam way,, of 35 pct f{bs/:u It) his DoO otrnuct86 from 10a6 -ca: rylnp capac!ty. DO SIGN VALUES FD - 2;400 pal lredacnd by Will facie% CI), E - 1,800.000 ps,. P, - 186 pet Duration of load - 1.15 DEFLECTION LIMITS Headets for single -story apolloauurrs: WOO 0l >,aen 16r telaf load. 86810 r for 1No-wort' 6pp1L46ti6nn: 11240 01 Baan I& total 1066. L r 7'�'Tnl i.......•j;.�yT `� .. t ' � , _ r •—w� .. ... -.. �: . _ y-,r..*1 T9 ..p,.�;-• T i --..- i .Y 4yyy-• •Yi `.y•f'Nr. ,BUTTE COUNTY SCHOOLS DEVELOPMENT�'FEE CERTIFICATION FORM (One Form per Building) A. P. -Number- "7a •-_3 /- jc� Building Department No. k - School District e3& r'�'� City D County r -M Jurisdiction Property Owner �r�1. �,rJ�� • ra Project Location/Address�'�n Subdivision Lot Number Residential Development: � Sq. Footage a # of Living MHI Addition (Group R) -r Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) - 9f Build jr�cYl� paxment Representative Date (Floor Plans reviewed by School District Personnel) District Id No. School District certifies that .(Applicant Name) (Phone Number) �� U r�0,,q,6 S TDtoAf k9oA (Street Address) 0.20y/[.1_E C4 q•J 7 6 6 (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ representing I qOD square feet. SMooljDistrict Representative Date PAID BY CHECK NO. ' REMARKS: BANK NO r X PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive', Oroville, CA 95965 Phone: 916=538-754.1 014NER-BUILDF.R VERIFICATION Attention Property Owner: . An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. �. I (have/have not) ��[� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to .provide the,proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone _ Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: �- Property Owner Social Security gumber - Date _!Z�%aAr NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California.Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit: January 13, 1991 County of Butte Department of Public Works 7 County Center Drive, Oroville, CA 95965 To Whom It May Concern, This letter authorizes Donald E. Griffith to act on behalf of Richard D. Koontz for purposes of obtaining permits necessary to implement construction of a structure at 2530 Forbestown Road, Oroville, California. Richard Roo tz 2530 Forbestown Road, Oroville, CA 95966 916-589-2822 wi ' ess 4/ Virginia Chiavola 351 Craig Access, Oroville, CA 95966 NOTES RESIDENTIAL 072-310-012 99-1124 PERMIT NO..- GRADY, Mike 2530 Forbestown Road, Oroville t Contr: Owner - ?Add interior wall t JOB FINALED (Date) Signature' ✓ = OK 0= Not OK = Not Applicable. ' MOBILE HOMES = Not Fjeady Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance 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. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. 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 r 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel y 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 2. r 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors I I 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 1 Date Card B-1 Date Card 6-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability i 3. Pool Structure; 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- Pane lboards-Ins. to Main in Conduit 1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 J ./= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 1. Zoning- Setbacks- Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., 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• Reg ulator-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 6 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 r, 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._,RO'ure & Transformer Clearance -Ins. Protection 4. EI eceptacles Spacing -Lights &Switches at Doors 76. Size xes & No. of Conductors Stapled 2 omex 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. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect r � r 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date 85. rd B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. 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 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card -1 Date Card B-1 Date FRAMING (Permit) OK except #'s L 4 41. is Proper Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound ✓ C41 42. 43. 44. 45. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll 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 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 6 . xt. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Ele Trim & Subpanel, Breaker Sizes & Labels r, 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. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes r � r 82. Following Instld./Drive 0 Yes ❑ No/Walks ]Yes ] No/Planters'] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 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 Dat and 13-1 Date Card B-1 Date tard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION D ` 7 County Center Drive • Oroville, California, 959665 • Telephone (530) 538-7541 PERMIT N_ . L 99 (Rev. 12196) - APPLICATION AND PERMIT l T ASSESSOR PARCEL NUMBER 072-310-012 ZONING U BUILDING PERMIT OWNER GRADY, MIKE 58E HO SQ. FT. OCC. BUILDING VALUATION 2000 rantir 1121 2 000 .OWNERS MAILING ADDRESS 2530 FORBESTOWN ROAD, OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 29.25 BUILDING ADDRESS Energy Pian Checking Fee $ $ PERMIT FEE $ 94.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition U Remodel ❑ Utilities ❑ installation ❑ Other ❑ Describe Work: ADD WALL JNTERIOR) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1 @20.001 1 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 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.PSING 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, 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING UP. OR ADDNS. ( a ACc. stns. SO 3.5¢FT: I,GµgESIDT MULTI.OUTLET CIRCUITS @7,50 8 E OUrLEr COWERLAPPARATUS IR. Ex. Occu OUTLET OR FIXTURES�0 p':00 Ex. Occup. o„T,EF°,S A6D.OE0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 those provisions. (' \ 0 r X L Date Signature of Ap licant - Owner 00 Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 137 5 HA D, ES IM FLO ° C'Jf ( PAR e E ' This permit is hereby issued under of the Butte County Code and/or indicattO above f4 which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. _ Date - 611n/99 6/10/2000 Date Receipt No. 265163/$137.25 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 951965 • Telephone (530) 538-7541 PER NO. (Rev. 12/96) APPLICATION AND PERMIT- ,"selsol"O"Nine ' O 7X--9 ©- 0l DD1MO11BUILDING PERMIT OWTAR Jrlk- 1ZA- ,(,( "t SO. FT. OCC. UILDING VALUATION oomr iORt NAIL � , _ _ ,�r� Tll1P1 oNe COMTWJCTM LEMMA ILNOUM UNUNG AWAUS ARCHITECT OR ENOI6EM ARCWMCT OR ENONEMI W AJNo ADDRae BULONOAWRESS � __ . LOT NO. I sueo"Iml wii! USEOFSTRUCTURE SF M//Duplex O Mobllehome O Other IPWFV / TYPE OF WORK New O Addition © Remodel O Wlities O Installation O Other Describe Work: Receipt No. WHITE -0.0.s Fireplace Total Valuation i Filina Fee S 20.00 Permit Fee i , 4 D Plan Checkin Fee $ Energy Plan Checking Fee i t PERMIT FEE : PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 Solar or heat ln-uhpwater heater 23.00 Water piping15.00 Each gas water heater or vent 15.00 Gas piping system t - 5 outlets 15.00 Buildingsewer 1 . 0 Mobile Home IS G W @20.00 PERMIT FEE S ELECTRICAL PERMIT MllngFeej 20.00 Main Service 200 oo"a LM 23.00 Main Service 2-A To 1oacA 46.00 Ex. Occup. ounET oR nmxtE! yz � .w Ex. OCCU 7o APPLJt' oR over rs aro. EAL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.001:::::A 23.00 I PERMIT FEE I _ ,Oa MECHANICAL PERMIT I Fling Fee 1 20.00 e.50 Ventilation PERMIT FEI: f Mobile Home Installation Fee = Energy Inspection Fee b occ CONST. TYPE TO AL FEE $ 11Az o. FEa y� a000 cof �oUE i I ^ 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 PERMIT EXPIRES ON In -1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMkNT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: l/ dft( ASSESSOR PARCEL NUMBER: D / Proposed Building Use:. a 77�5 A I_ Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit Orocissing and/or issuance: Date Received By ❑ 1. All iiems have been submitted.------------------------------------------------- `-------------------------------- - ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------ V . Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---, ------------------------------------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings. --------\ =----------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------. ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. Q 16. Plot plan and business license approval fro the Cityof Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking. - 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- 1:120. Pre -inspection for required Request to Building Inspector on 1121.'Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------- ----------- 023. Owner -Builder ----------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - ------------------------------- ❑24. Letter of signature authorization. ------------------------------- 025. ------------------------------ ❑25. Recorded copy of Agricultural Acknowledgment Statement. E126. Letter of intent on building use. -------------------------------- 027. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. ____________________ ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: S `Z2- When you issue the p ermit, process as follows ❑ Mail to owner, ❑Mail to contra or. ❑Telephone.�g7 -"O� and hold for pickup at Q U���:G office. ❑Deliver with inspector. (Date) Applicant: CDate: 5- a 99 Copy of Haz-Mat form sent ❑ Health Department, 13 Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D'vision counter, by D te: Plans reviewed by: Date: Plans approved by: Date: D Sets of plans on hold in 0 Plan Cabinet, 11 A.P. folder. Note transfer by: Date: OWNER -BUILDER VERIFICATION +r Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary dalay~ in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proppsed propertyimprovement :YES �, NO 13 2. I HAVE� •ap. T. HAVE NOT ❑ signed an application for a building permit for the proposed wn. 3. I have contracted with the following person (firm) to provide the proposed construction:°a NAME• ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this :work, but I have hired the "following person to' coctdinatie; .. supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PRONE TYPE OF WORK SIGNED: PROPERTYOWNER: V � DATE: o NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of* California Health and Safety Code. This verification must be -completed dnd returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property . improvements specified. For your protection, you should be aware that as "owner-buildee, you are the responsible parry ofrecord on such a permit.- 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 5300 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 register with the State and Federal Governments as an employer and you are subject to several obligations. including state and.federal income tax withholding, federal social security,taxes,: workers compensation insurance, disability insurance costs, and unemployment compensation contributions. J..�. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially,sedous with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information' about your obligations under State Law, contact the Deparvnent 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'lii. ted conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" 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. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. - Please complete the "Owner Builder Verification" �n 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. I4Mgger, ly, l C. Vi ira, C.B.O. Building Inspection NOTE: This Owner -Builder .Information is required by Section 19830 of the California Healdr and Safety Coda OVER 4k- --------------- 7 C-\ ��n;�,.�'-iii � — -- T_ ---------- _ --ALP -E. eo 0/2-il-0-012 99-0471 B 6RADY, Mike . 2530 Forbeatowo Dd, OrovilIe (replace stairs, move Door & add window) Larry West Const ' �: - I)--Ro COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530)'538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 9i'_ &4 �/�71 ASSESSOR PARCEL NUMBER 2 ZONING 1 BUILDING PERMIT OWNER TKR GRADY TELEPHONE SO. FT. OCC. BUILDING VALUATION rnwm . OWNERS MAILING ADDRESS MO MRRESTOW ROAD, 0P0VTJ.T.'P CONTRACTOR'S NAME LARRY Y WP.. T TELEPHONE CONTRACTORS MAILING ADDRESS 1 A 3ITSTA.flt T t7 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ .� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ w BUILDINCaA5D, O�iESs FORBESIMN ROAD, OROVI�}; 6.J.3� Energy Plan Checking Fee $ $ i PERMIT FEE $ r fin LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee"20.1)0 Each Trap 7.00 USEOFSTRUCTURE { j SF OX Duplex O Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Water as water heater or vent 15.00 TYPE OF WORK F New ❑ Addition ❑ Remodel ❑ Utilities O Installation O Other ❑ x i Describe Work: REPLACE STAIRS AND WMA IM- R ANT} AID f' r�INf�ld t .1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S T ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 c«y >! �. V rlC:ENSED 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, jand my license is in full force and effect. /�/ r �j \License Class Lic. No. [J/.�.7 er / / OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. O 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWL311NG OCCUP. SO OR ADDNS. ( a Acc. Bins. NON -ID. MULTI -OUTLET @7,50 POWER APPARATUS a ELE OUTLET UT ES20 Ex. Occup. OUTLET OR FIXTURES BAL @'.50 Ex. Occup. OFIx�EEDA A. DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor..Codde, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) w 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 orthw Rh comply with those provisions. X Date , Apl� ` /��9 �'SLg fit reo'Applicant - ❑ Owner Contractor ❑ Agent An, SHA permit is required for excavations over 5'0' dee and demolition or construction of structurs over 3 stories in height. P MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FESS Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 55.00 HAz. D. FEES IMP FLOOD . CDF PARCEL PD HD IS$uE 1L 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/J f PERMIT EXPIRES ONV 6 ` ate Receipt No.. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT d 4 • � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 gER IT NO. (Rev. 12/96) APPLICATION AND"PERMIT O ASSESSOR PARCEL NUMBER 072-31-0-012 ZONING BUILDING PERMIT OWNER MIKE GRADY TELEPHONE SO. FT. OCC. BUILDING VALUATION CONTR 1,500 OWNERS MAILING ADDRESS 991n FORRESTOWN ROAD. DROVILLE CONTRACTOR'S NAME LARRY WEST TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BLIILDITWFORBESTOWN ROAD, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 0. 0 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ X Describe Work: REPLACE STAIRS ANP MOVE DOOR AND Ann WINDOW Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A LESS OR 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 %3 Lic. No. wl2s � 71 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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'. c mpensation laws of California, and agree that if I should become subject to the rkers' compensation provisions of section 3700 of the Labor Code, I shall rthw h comply with those provisions. Date // WII /;I WWII - 4d, Applicant - ❑ Owner X Contractor ❑ Agent A permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service OOA 46.00 TO tOWNO NEW CONST. OWE3,5¢SO. ADDNS. N: OCCUP. U ( S. FT. NOR EW CONST. M�ou�TL NON•RESID. u @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FDMRES Br,L @ ,50� Ex. Occup. Gur,Et°TSA AEsLNs,D °En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 55.00 D FEES IMP I FLOOD I CDF PARCEL 1 PD HD UE 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. y( By Dat 1 � /917 PERMIT EXPIRES O YU (36-100 ID, t, Receipt No. S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT nil A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.1W6) APPLICATION AND PERMIT AISESSORPARMNUMM Q�a 3 D lQL zoHING BUILDING PERMIT OWNER TELEPHONE SO. Fr, OCC. BUILDING VALUATION owNFna MOULIN01 ADORM ;r0Af66J112)NNfes/ CONTk&j 7"' TELIDIgNe coNrRACToaaGIMULING ADDRESS/ f! CONSTRUCTIONLENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGIHEEA LICENSE No. Filin Fee $ 20.00 ARCHITECT OR FNONEIMS MAILING ADDRESS Permit Fee $ Plan Checking Fee b euaowGAooREss Energy Plan Checking Fee L S PERMIT FEE _ IOTNo. sueonrsloNaNAYE PARCEL YAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ji Duplex O Mobilehome O Other sP�sr Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remod O Utilities O Installation O Describe W rk: Other Ok Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service oo OOR LLEEses 23.00 ' • Receipt No. WHITE-D.O.S.-B.D.. SOR PINK -INSPECTOR • - GOLDENROD -APPLICANT Main Service 200A TO HSA 48.00 NEW CONST. DLYBL)Jfi OCCUP. 3.50F7 OR ADDNS. i ACC. SIDS. MW GUNS I. NON-REBID. YULTFOUTLET @7.50 POWER APPARATUS i SNGLE OUTLET CIR EX. Occup. ovnEr OR FNKREB 200 H'0° TUBAL. .30 Ex. Occup. (DAWLIO OR ounr:Ta ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 —Heating —Cooling Hood 8.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee b occ CONST' TYPE TOTAL FEE $ SS0 0 HIAZ D. FEE$ IMP I FLOOD I COF PARCEL PD 10 I $SUE 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 PERMIT EXPIRES ON I ro NOTES RESIDENTIAL 072-310-01203-1352 r - PERMIT NO.—.. GRADY, MIKE",,,,_ .- 2530 FORBESTOWN,.OROVILLE Cont: LARRY WEST DECK REPAIR SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature a CHECKED BY J=OK 0 = Not OK . = NotReadyJ MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements* 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 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. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements. 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals • ' 11.. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 • Date I • Card B-1 MISCELLANEOUS Date DECKSeCOVERS, CARPORTS, GARAGES (Plans) OK except #'s 1 g Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carpo 6; Windows -Doors 7. ric . Si I Is-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Ven( 10. Roof; Shthg-Roofin, 11. Ext.; Steps -Doors -L 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-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 Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 16. Insulation 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 23. Fire Sprinkler; Test 71. Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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 DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 04- i33 -Z ASSESSOR PARCEL NUMBER 72 . 31- o i Z ZONING BUILDING PERMIT OWNER TELEPHONE HON 5o SO. FT. OCC. BUILDING VALUATION . OWNERS DREv9�O V��Ng/ JGnV1GLf(,Cq-361 0 CONTRACT GG-Awrl TELEPHONE CONTRACTORS IU ADDRESS 3cY15K0bi �r- CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Z3 Plan Checking Fee $ BUILDING ADDRESS 7-530 �o�? 0 V Energy Plan Checking Fee $ O/Lau1 PERMIT FEE $ 3 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF PrDuple, ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 13Installation ❑ Other Describe Work: a QA, & Pe A - CSX/.S ",i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 800V OR LESS 20 OA OR LESS 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 44 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: ❑ I, 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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� 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 wo kerscompensation provisions of section 3700 of the Labor Code, I shall fo with comply with those provisions. X Date _reyoll - Sigu e of plicant - ❑ Owner ❑ Contractor ❑ Agent An OS permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUR SO OR ADDNS. ( & ACC. BLDS. 3.50FT NO. S'.T' MULTI.OUTLET @7,50 BRANCH CIRCUITS POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS @'.550FIXTURES0 Ex. Occup. OFuc"EEDAA Aa oEE.- 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE FEE $ 3 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD I IS UE 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 PERMIT EXPIRES ON ate ReceiptNo. 3 _701 !I, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Tta z PERMIT NO. 936-83P2E PERMIT EXPIRES L hiIJ� OWNER DOROTHY LUNSFORD CONTR. Owner ASSESSOR PARCEL 72-31-12 LOCATION 2530 Forbestown Rd, Oroville 6 OFFICE COPY s Address`y j,-: Mets,. ELECTRIC? ` �— Date MeteraBy Temp. Power Pole Called PG&E Temp. E9ec. Service 4 / .5� Called PG&E tit •- F Temp. Gas Service j Called PG&E t 1r JOB FINALED (Date) �� O t Signature t 't i J = OK 0 = Not OK - = Not Applicable = Not Ready 1 MOBILEHOMES MISCELLANEOUS —ca. Date MOBILEHOME UTILITIES ( ns) OK except N's o 'ng Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements s; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors I . � Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails kC-ater; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ ectricity; Location -Clea nces-Grnd. "/ Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures as:: Loc 'Tep4 :/ /"L"ft./ P'Nat.or /"L"ft.�"LPG 6, Carports; Windows -Doors tility Clearance _ 7. Elec. C rd -BI -Date 1°j-� Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. F ting ze- c' Marriage Line 2. Soils; Compaction -Structure Stability s; M e -Valve- jin or 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4 le !city; MH est- ssers-Bre es 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; Test -Fall Co 5. Elec.; Pool Lighting; 15 volts-GFI 6. Wat r; M ulaf' onnector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. -W er n ewer Connected- Gr - Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electric! �gge 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; I p S t 10. Cert. 0 upancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date I 9 V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Sin'gle and Duplex) Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements -48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access Glazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 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 -B1 Date Card -BI Date Card -BI Card -BI Date Date Card -BI ate Date Card -BI Date FINAL (Plans) OK except N's ' 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Card -BI Date _ Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection -- _- 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. _-_ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps -- 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - _ 27. _Insulated 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑Yes ❑ No; Walks ❑Yes E) No; Planters ❑ Yes ❑ No 76. Stucco; Brown -Finish -- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cord. Size -115V Outlet - 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing - ------------------------------ Card B -I _ ------.-- Date Card -BI Date --_ 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. 83. Glass Protection _ Corrections from Previous Inspections Date MECHANICAL (Permit) OK except N's 84. Gas Test -Meters Tagged; Gas -Electric --- 31. A.C. Ducts; Insulation & Support - 85. Water & Sewer Connected -C/O to Grade -HD Approval _ _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI _ Date - Card -BI __Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors _37. 38. 39. 40. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Puriin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions_ -- Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE - G.�l C)WAIFR 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. a S�ii/ly iLc 5 LL_ ADu S Inspector .(l�/l4?!' / Date-�� 1 Inspector .(l�/l4?!' / Date-�� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 Vtter, or need additional explanation, please contact this office immediately. It - r. Y Inspector 4 �-!� Date L//U ER 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 S Fe) � 4� 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. F-6 A* A�— FA12) ell/ 041i, Inspector U 0'z/ zZ—�/ �.Date �r �9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 '• APPLICA HOWAk PERMIT PERMIT NO. ASSESSO PARCEL NUMBER Z NING �_� I_ f H BUILDING PERMIT OWNER _ TELEPHONE S S0. FT. DCC. BUILDING VALUATIO OWNER'S MAULING A S 7.� CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER . ` UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DRESS S 5 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCE 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 el< 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities InstallationOther ❑ 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. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t 2h0sgft 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 ❑ 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.OUTLET 2,50 ea NON-RESID. BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. 20�s0c Ex. Occup(o XOR FIXTURES BAL030 . FIXEEDD APPLNSOR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service .10.00 Mobile Home Facilities 15.00 ^ o Misc. Wiring 15.00 Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Y� 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. 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 agree to save, indemnify and keep harmless the County of Butte against all Iililies, judgments, cos ,and expenses which may in any way accrueJJ/ again aid C y i nse ence oft gra 'ng of this permit. X Date V IF — — Owner COnrraOrar ❑ Agent ❑ Signature of AppliFrYou An OSHA permit i,ired for excavations over 5'0" deep and demolition or construct- ion of structures over stories inheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE of CONST. PARCE PD .ID/ 155u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT UBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date^��� 3 �� Receipt No. �.� 9.� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT NOTE:—All Materials & Workmanship $hall Be, Accordance with Recognized Good Practices ainc hn This et of plans and specifications MUST be d � kept on the job at all time d it is unlawful to of a quality prescribed for the Specified use in the make any changes or Iterations ame with- Uniform Building, Plumbing & Mechanical Codes. the Departm and the National Electrical Code. out written permissio �✓ Y Public Works, County of Butte. FS z A setback of 5 ft. from tine property lines and a setb of 50ft. from the road 7' .mnterline shall be clear o structures or equipment for a 2 ft. eave overhang Utility connections shall beJ\& 4 ft. of the mobilehome, eith directly behind or within the half of the roadside (left) & mobilehome. Ate 1-0 permit will lvhi n i stallation of than �r rea r required for the mobil home. I Q 5(o-- 2 3 BUTTE COUNTY BUILDING DEPARTMFNI APPROVEL. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,.Califotnia 95965 - Telephone 916/534-4541 40 APPLICATI0�1 AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWN _ _ ��P�/l�y. LuNsOeD EPHONE TC�.�37,% % 7 SQ. FT. OCC. BUILDING VALU TI OWN�3�/IL1FFSADDRESS 0�OV` L �j� / ^ V'� CONTRJRACTIOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDR SS Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee p $ /6 1,00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORES) LL//JJ, —` PLUMBING PERMIT Filing Fee 10.00 -� $ %�,��QW �• /%PiP. �Z� � �- d � Each Trap 2.00 Solar Water Heater 20.00 W"Px!�//U golleoV 14[� 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 [:1Duplex ❑ Mobi lehome ®�ther SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U 'lities ❑t IQ1�tiopOther ❑ Describe work: rloe_ ziT%L U �'!� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑1 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 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure isnot 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-OUTLET 2,50 ea NON.RESID BRANCH CIRC TS. NEW CONSTR / POWER APPARATUS &' NON-RESID, %SINGLE OUTLET CIR. Ex. Occu / 20®$0a P\o OR FIXTURES SAL®so 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 $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 agains said Coun i onse ence of the gran ing of this permit. X Date*10-/7-8� Signature of AppliAn — Owner [ Contractor El F1work 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 $ 42 TOTAL PERMIT FEE $ Or B -o OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND I IS E This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. e1197 WHITE-D.P.W.- YELLOW-ASSE SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT a, r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroyille, CA. PHONE: 534-4541 • r. MOBILEHOME INSTALLATION SHEET 1.' owner's name: 2. Installer's name: --------------------------------------------------- Yes !/ No 3.Is the site currently under permit? Yes / / No is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural -7-7 LPG 7,77- - /- 7—. 11. 11. What is the gas pipe length from meter or tank to (If yes, furnish permit numberOR 12. What is the mobilehome gas demand? ------------------------------ (BTU): Is the site an existing site? Yes !,ZZ No or less than,50 ft. on LPG.) (If yes, furnish two (2) plot plans.)/ "p 4. /�� Will the mobilehome be located at least 5 ft. awa froom-esJeptic tank and leach fields and clear of. all setbacks.and easements? Yes. No (If no, clarify ) S. -What is the mobilehome electrical rating? ----------------------- 50, Amps 6. What is the mobilehome site service rating? --------------------- C20 O Amps 7.. What is the mobilehome site circuit breaker rating? ------------- So Amps 8. Is there any other electric load to be served by the mobilehome V siteservice? --------------------------------------------------- Yes !/ No (If .yes, identify the load and size: (Load) c_ -A0 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural -7-7 LPG 7,77- - /- 7—. 11. 11. What is the gas pipe length from meter or tank to the mobilehome? 1jr�&W, (f t.) 12. What is the mobilehome gas demand? ------------------------------ (BTU): (This••information not required if pipe, length. less than 6 ft. on natural gas . or less than,50 ft. on LPG.) V MOBILEHOME SUPPORT DATA _ If ot�Tr than single wide, Mobilehome Mfr.6/ E/�-F ���r C furnish Setup Model No. Year /%S5 Width (ft.) Box Length rs (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) • Single 1. Wood either A pressure treated or U � foundation grade. x ---A (ft.)(in.) (in.) (in.) ❑ 2. Other: (specify) Center support locations* Center support footing sizes '. Supporta (check one) (in.) 1: Concrete oc . 2: Other. (a ecify) (ft.)(in.) (in.) (in.) n,N s�iiJ�o E ---Tagalong or Expando,' show support details. - (ft.)(in.) (in.) (in.) 6/7. � -- Typical Support in.) Footing Size (ft.)(in.) (in.) (in.) 6 - v -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) p BUTTE COUNTY BUILDING DEPARTMEN• APPROVED *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Rzct-iara YKoorntz 5:30 Forbestown Road Oroville, CA 1-916-589-'�E March 16, 1992 County of Butte Department of Public Works Mr. Rod Taylor 7 County Center Drive, Oroville, CA 95965 Dear Mr. Taylor This letter concerns building permit(s) 4002-90 B,P,E, expiration date 11/27/91 and 80-91 B,P,E,M expiration date 2/19/92. At this point, the two story home construction is on hold pending refinance. Permit 4002-90, the garage story, is 95% complete. Permit 80-91, the second story, is 75% complete. The. entire structure is water tight and work to be completed is primarily interior finishing. Inspector Bart League has issued a correction notice dated 3/3/92 stating a new permit must be obtained in 10 days to complete. Unfortunately, I must hold off additional construction until proper funding is available. Also, I have no intention of occupying the building until proper permits are reissued and the the final inspection is complete. Should you require additional information, feel free to contact my office at 916-589-2822. Respectfully, Richard Koontz COUNTY OF BUTT[ DEPT. OF PUBLIC WORKS MAR 17 1992 'vim ' Z-�5i-GZ R z c bard K.o'ori -t z 257-) Forbestown Road,+ Orgvi11e, CA 1-916-589-2822 March 4, 1992 County of Butte Department of.Public Works Mr. Rod Taylor 7 County Center Drive, Oroville,-,CA 95965 Dear Mr. Taylor This letter concerns building permit(s) 4002-90 B,P,E, expiration date 11/27/91 and 80-91 B,P,E,M expiration date 2/19/92. At this point, the two story home construction is on hold pending refinance. Permit' 4002-90, the garage story, is 95% complete. Permit 80-91, the second story, is 75% complete. The entire structure is water tight and work to be completed is primarily interior finishing. Inspector Bart League has issued a correction notice dated 3/3/92 stating a new permit must be obtained in 10 days to complete. Unfortunately, I must hold off additional construction until proper funding is available. Estimated completion date is not available at this time. Should you require additional information, feel free to contact my office at 916-589-2822. Respectfully, Richard Koontz A:OVLSftA 04-k November 17, 1990 County of Butte Department of Public,Works 7 County Center Drive, Oroville, CA 95965 To Whom It May Concern, This letter authorizes Virginia Chiavola to act on behalf of Richard Koontz for purposes of obtaining permits necessary to implement construction of a structure at 2530 Forbestown Road, Oroville, California. '-;�( � 7 ichard Koontz 2530 Forbestown Road, Oroville, CA 95966 916-589-2822 l witness Don Griffith 351 Craig Access, Oroville, CA 95966' w COUNTY OF BUTTE - Department of Public Works 7 Coynty.Center Drive, Oroville, CA 95965 Phone: 916-538-7541 Fr ' OWNER -BUILDER VERIFICATION Attention Property Owner: t An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I.personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have no0. #A V_ signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name -' Address City Phone Contractors License No. 5. 1 will provide some of the work but I have contracted (hired) the following parsons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number _ Date ii/O Y, 48i- d NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California -Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. `+ 066/ d'O Order No. 104698 EXHIBIT "ONE" The east half of the west half of the South half.of the Southeast quarter of the Northeast quarter of Section 13, Township 19 North, Range 5 East, M.D.B.&M. EXCEPTING THEREFROM: That portion as described in the Deed to the County of Butte recorded November 22, 1968 in Book 1544 of Official Records, at PageW 320; records of Butte County, California. Assessor's Parcel -No: 072-310-012 V= OK 0 = Not OK -= = Not�4eady Not Applicable RESIDENTIAL (; Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope t- 46. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth -t 5. Stemwalls, Main; Steel-Blockouts-Wrapped L`? 48. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 49. 7. Slab, Steel -Wrapped 1 8. Piers -Fireplace Ftg.-Steel 50. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test i 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 51. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 52. 13. Plenums & Ducts; Clearance -Material -Support -Ins. h t 1 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 53. 15. Access & Ventilation �1 16. Insulation 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 56. 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 57. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 58. 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 59. Shear Walls; Nailing -Bolts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 61. 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 62. 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. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 63. Ext. Steps -Door & Sidelight Protection -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 65. 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 66. 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 67. 39. Attic Access & Platform if Furnace in Attic 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 70. 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 71. 42. Bearing Walls over Girders & Floor Nailing I t 43. Draft Stop in Walls (rat proof) 72. 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs I 45. Headers & Beams -Size & Bearing Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rhr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance ' 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 1 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions i 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings h t 1 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits �1 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts t 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows t 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 r 65. Furnace 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. I t 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance I 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 -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive 0 Yes ] No/Walks 0 Yes Q No/Planters O Yes O No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing I r 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings i 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 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 1 j 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: ` I NOTES RESIDENTIAL 072-310-012 03-3448 PERMIT NO. - .OkJ� hEo2:.c�E 2530 FORBESTOWN RD, OROVILLE CONT: UNKNOWN DETACHED GARAGE SPECIAL CONDITIONS CHECKED BY SRA ._ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature t I S i t i t RESIDENTIAL 072-310-012 03-3448 PERMIT NO. - .OkJ� hEo2:.c�E 2530 FORBESTOWN RD, OROVILLE CONT: UNKNOWN DETACHED GARAGE SPECIAL CONDITIONS CHECKED BY SRA ._ FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature / = OK 0 = No1 OK = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / MISCELLANEOUS Date DECKS, COVE :,: AFI PORTS GARAGES (Plans) OK except #'s 40ozoning /'Nat. or/ /"L"tt./ PLPG / 2 7. Well Clearance & Disconnect Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 8. Utility Clearance 6. Carports; Windows -Doors 7. Electric 2. r Sills-Anchors-Studs-Rftrs-Trusses Date Siding; Nailing -Veneer -Stucco -Mesh f; Shthg-Roofing Card B-1 Date Card B-1 Date 4. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Pool Lighting; 15 Volts-GFI 1. Zoning Requirements -Setbacks -Easements Elec.; Enclosures; Conduit Entries -Terminals -Listed 2. Footings; Size -Spacing -Marriage Line Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 3. Gas; MH Test -Demand -Valve -Connector Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s-Panelboards-Ins. to Main in Conduit 4. Electricity; MH Test -Crossovers -Breakers -Clearances Health Department Approval 5. Drain; MH Test -Fall -Flex Connector Plumb.; Cir. Test -Water Supply Test 6. Water; MH Test -Regulator -Connector Light Niche 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cent. Card B-1 Date Card B-1 10. Exits; Insp.-Sketch Card B-1 Date Card B-1 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, COVE :,: AFI PORTS GARAGES (Plans) OK except #'s 40ozoning Requirements -Setbacks -Easements / 2 otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. 4. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 2. r Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh f; Shthg-Roofing . E .; Steps -Doors -Landings 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 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- Enclosure s-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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Orovill'e, Califbrnia 95965 • Telephone (530) 538-7541IT NO. 05_5T2 (Rev. 12/96) APPLICATION ANDPERMIT 3T l� +ASSEbO[ 2 ZONING BUILDINGPERMIT DWN�USSOW, GEORGE 408-928-1484 TELEPHONE SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2.5-30 PORRESTOWN ROAD OROVILLE CA 5966 780 U 14,040.00 CONTRACTOR'S NAME 14Y.SMITH CONT TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $14 040.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 162.00 Plan Checking Fee $ 105.30 BUILDING ADDRESS 2530 FORBESTOWN ROAD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 287.30 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DETACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600VOR UE Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is in full force an effect. License Class Lic. No. �� N -BUILDER D RATI 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, SO OR ADDNS. ( & ACC. BLDS. 3.5¢FT; NEW CONST. MULTI. OUT LNON-RESID. ET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FIXTURES e 0 @ 1.000 Ex. Occup. ouTLEEDTSA R� .oma 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for 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 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 FES $ Policy Number (The above sections need not be completed 4 the permit is for work of a valuation I one hundred dollars ($100) or less.) 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' ompensation laws of California, and agree that if I should become subject to the wo s mpensation provisions of section 3700 of the Labor Code, I shall f with omply with o Date Signat of A can - ❑ Owner ❑ Contractor ❑ Agent An HA pe it is r wired for exca tions over 5'0" de and demolition or c struction of ru/ctur r stor' s ' Receipt No. Mobile Home Installation Fee $ Energy Inspection Fee $ OCc co T�hryPE TOTAL FEE $ 287.30 HAZ. D. FEES IMP FLO CDF PARCEy V/ HD VIV ISs Ile 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. ' B Date PERMIT EXPIRES ON Date WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "COUNTY OF BUTTE-DEPARTMENT'OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CAT95965 Phone (530)538-7541 Fax (530)538-2140 1. IT APPLICATION DATA SHEET OWNER: "r, Y ASSESSOR PARCEL NUMBER Proposed building Use: L1 �� Counter Technician: Date:G- Items* required in order to apply for a peg - it, All llo,es MUST be checked OR ma&d NA in order to apply. Plot plans, 3 or 4 sets, signed by the preparer of the plans. )ff. Complete plans, 3 or 4 sets, signed by the preparer of the plans:-- :'3* plans, 3 or 4 sets, with wet signature on plans AND 2 -sets of stamped and signed calculations. _ 8'4. Engineered truss details and layouts in duplicate. No faxes! Scl�hrYtil�� +O� -' ❑ 5. 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 foundation plans, all in duplicate. ❑ 7.1 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 ❑ 8. Flood Efevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... 0. Letter of intent for non-residential buildings....................................................... � Detached Accessory Building Form filled out by the owner.. . 64A.. .. I� ❑ 12. Hazardous Ma eri Fo m............................................................................. fTJ 3. Other 'in' items needed to issue the permit. (May require additional plan review upon receipt of the744f/following items.)_ V Fees as shown on the attached Schedule of Fees Due Sheet ....................................... . e'\ W15. Statement of Intent for Non -heated and A/C Buildings.............................................I 6. Sanitation and plot plan approval from the Environmental Health Department in //—/ ❑ City of Chico Plumbing permit.......................................................................: E7 1�. California Department of Forestry plan approval ❑ paid. Sent by: 47J$ ........ff`0 T R'19. Planning approval for (A) Use: OIC (B)Parking: (C) Parcel Check: —Q3 t, ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). �*. OwnerBu der Verification for required ................ Contractor's license. information. (Number, Name Style, Classification) ...................... ration Carrier and Policy Number ............................................. ification (❑ Given to owner, ❑ Mailed to owner) ..................... e 26. Letter of Signature authorization.................................................................... ;0 27. Recorded copy of Agricultural Acknowledgment Statement .................................... '❑ 28.anuf ctured home utility clearance............................................................... 0 29 E ' g violations and/or expired permits......................................................... 0— ❑i rant Deed, ❑ M.H. T• le/Statement of Facts, ❑ Letter frqm Legal Owner, ❑ , H C.D. $ ` 3 ther: r �1 Wh sue Iep�oQe and hold for pickup. I have be i oiled ofe above items andr+gem a.i.ning a building perm'.t. s-� jam— Applicant: Date: �I 1. Index permitplilicatio for the above items numbered: lK Ian Check LLetter2. . Additional Mems req ' ed Contractor, designer, owner, was advised of the above, data by phone, ❑ mail, ❑ counter, by Date: 4" d�j Contractor, desi ner,'oEfi,,as advised of the a o e to b ❑ phone, ❑ mail, El counter Date: Plans reviewed by: V � , Date: • Plans approved by: �Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE GAILY Piot Poen AKechad J Flea? Man Ates ad seal to S.D. _! _ TO: Building Department 7/•�` FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well � Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: / )�1)—� Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULF.�OF OWNER PROPO �D BUILDING USE VBUILDING 1PERMIT FEES Balance Due ....................... $ ' Additional Fees Due ................. $ / Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 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 At time of permit applic rA�wasdvised the above fees are required to may be changed durin the pking process.„ APPLICANT A.P.# DATE REC IPT # DATE REC. prior to issuance of the building permit. These fees DATE / Pursuant to Govern m�ode�4"ection 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been , imposed on your pr ect. Yo 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) i $ V r PERMIT FEE $ '91) COUNTY OF BUTTE - DEPARTMENT'OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754 , PERMIT NO. PLUMBING PERMIT _3 APPLICATION AND PERMIT 5 IRev.,2/96) ASSESSORPARCELNUMSER"21 ZONING BUILDING PERMIT Owren GL S S D k1 TQC ONE Cj 1 f D D��C��i SO. FT. OCC. BUILDING VALUATION OWNI- _ 9 1 - CONTRACTOR NAME _ _ • TELEP NE 15.00 1 CONTRACTORS MAILING ADDRESS Gas piping system 1 - 5 outlets 15.00 CONSTRUCTI NLENDER Building sewer 1' �" Moble Home S G W Fireplace LENDERS MAIuNG ADDRESS Total Valuation $ ARCHUECr OR ENGINEER UCErLSE NO. Filing Fee $ 20.00 F'Le51,, JC. del"S0 S,P,cA ELECTRICAL PERMIT I Permit Fee S ARCWMCr OR ENGINEERS MAILING ADDRESS' Main Service mal n L= Pian Checking Fee $ BUILDING ADORE= Main Service 200A To IOWA Energy Plan Checking Fee $ $ V r PERMIT FEE $ '91) LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Firing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or ump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other Water piping 15.00 SPMFY Each gas water heater or ve 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑. Addition ❑ Remodel ❑ Uli ties ❑ Installation ❑ Other ❑ Building sewer 1' �" Moble Home S G W @20.00 Describe Work: A 41-1-44 JSP `i—O _ —�� — _ _ PERMIT FEE S F'Le51,, JC. del"S0 S,P,cA ELECTRICAL PERMIT I Filing Fee 20.00 Main Service mal n L= 23.00 Main Service 200A To IOWA 46.00 • /// \) _NEW NEW CONST. DWELLING OCCUP. OR ADONS. i ACC. DLDs. 3.SQ'c� ". / =Nst. MULn-OUTLET ,�/(/� PERMIT, FEE PAID $�� NON-RBfD. ANC C LOi7.5b � �WERAPPA�TT 6 SINGLE OIrRET CI0. _ IXT Ex. Occup. ouTLE-r OR FIXTURES aAL 20 La L 00 + .50.. Ex. Occup. o=M=30EA 5.00 SRA$ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23 0 SHERIFF $ PERMIT FEE $ �� MECHANICAL PERMIT Firing Fee 20.00 OTHER $ Heating Cooling Hood 6.50 ventilation PERMIT FEt S � Mobile Home Installation Fee $ Energy Inspection Fee $ clf - - coNST. TYPE TO AL FEE $ y FEEs OD I CDF pL H 65UE AMOUNT RECEIVED- This permit is hereby issued under the applicable provisions _ `1 of the Butte County Code and/or Resolutions to do work I 1 indicated above for which fees have been paid. DATE RECEIVED ^7 'Ifl' By Date RECEIPT �°# �� PERPoIIT EXPIRES ON mn.a . � _. .._--.`..... � ...-..�.._...� ; ,.........-.-�...,Y .,d .. � ..... � , .......-. ...- .... �`t--- •._ � rr'i�"!vu�- . • .sem+. � � .yr -, , .. - r. +� 'c, • • • iia � .. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSETI�13J!1v12 ZONING BUILDING PERMIT OWNS TSO Wt GEORGE - 408-928-1484 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 2530 FORBESTiOWN ROAD ORMUZ CA 95966 780 IT. 14 000 CONTRACTORS NAME IiS IAM�i CONT - TELEPHONE CONTRACTORS MAILING ADDRESS 0M E LIVE OAK CA 95953 CONSTRUCTION LENDER rr LENDER'S MAILING ADDRESS Fireplace ' Total•Valuation $14 040.00 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkinq Fee $ 105.30 BUILDING,AD_DRESS _ _ _ F RM '4)5J7Vrl �LY`/11�`3LJ1 OROVMU Energy Plan Checking Fee $ $ PERMIT FEE $ 287.30, LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.0,0 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK • t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work; rimam GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI WT @20.00 PERMIT FEE $ - ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".A OR LESS 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 it Igo ce and effect'No. /� License Class LIC. NO. �, • OWNER -BUILDER DECLARATION' • I hereby NMI. under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. w, ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO t000A _ 46.00 NEW CONST. DWELLING Occup. so OR ADDNS. ( & ACC. BLDS. r 3.5¢FT; NEW CONS ' MULTI -OUTLET �a 7,50 POWERINGL APPARAruS 8 SINGLE CIS. EX. OCCU OUTLET OR FO(TUREs 20 Q 1.00 R FIXTU BAL p so Ex. Occup. ouT>EED A AE�sID,DEn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 7. PERMIT FEE $ WORKERS' COMPENSATION DECLARATION ""t _ I hereby affirm under penalty of perjury one of the following declarations: "`�,k , ❑ 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. ', ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the 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 Fling Fee 20.00 Heating Cooling , Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed 0 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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with 'those pRdvislons.- "'""" —' _7 GJ X Date //..-z / _ Signature of�pp cant - ❑ Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction o�structres.o er 3 stoories heig"t` - Mobile Home Installation Fee $ ' Energy Energy Inspection Fee $ InspecCONSTtion Occ �PE . �~ V TOTAL FEE $ 287.30 . HAZ. D, FEES IMP FLOOD CD PARCEL PD° HD 'ISSUE - V t/ 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. /��� Date ����i By Y, ' f Y. r / r / PERMIT EXPIRES ON Datd- _ Receipt No. J •� / ..- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT National Pollutant Discharge Elimination System (NPD S) Phase II & SWPPP Non -Certification for Project # for Butte County Storm Water Permit Compliance' By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N. 01), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. I, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the BestManagement Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BMPs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BNTs must be installed, monitored, and maintained to ensure their effectiveness. If; at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in signifjqA&Tmn�ties and/or delays. Signed: Title: Date: / 11 - / By signing below, I, the project owner/owner's agent, certyi hat I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N. 0.1.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. 'This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan Stole of Coii(orrvo CONTRACTORS STAoE LICENSE BOARD' Alf.u. A.CTIV6 LICENSE tc:>Lr Irner791117 ��-:� zx�zv.. Buma�HarK:uITX, .CONSTRUCTION 4us�r:uuw>$ t„n,1r<a1:02 / 2 8/ 2 0 0 3 This document gives my consent to Jerry Mitchell, of Mitchell's Building Materia-1s,to pick-up any and all •p.ermits`, when -2 Rick Hys.mith, am not available to do so.. Date: Rick Hys ith • Lr (nQbl�h(�nc r � l 64vrall- A. Stole of Coii(orrvo CONTRACTORS STAoE LICENSE BOARD' Alf.u. A.CTIV6 LICENSE tc:>Lr Irner791117 ��-:� zx�zv.. Buma�HarK:uITX, .CONSTRUCTION 4us�r:uuw>$ t„n,1r<a1:02 / 2 8/ 2 0 0 3 This document gives my consent to Jerry Mitchell, of Mitchell's Building Materia-1s,to pick-up any and all •p.ermits`, when -2 Rick Hys.mith, am not available to do so.. Date: Rick Hys ith • Lr (nQbl�h(�nc r � l 64vrall- FROM: DATE: PACES: SUBJECT: 195 WASHINGTON ST.. GRIDLRY CA, MI`1'cHELL' S BUILDING MATERIALS PHONE (530) 846-4409 FAX ( 530) 84.6--0490 12-04-03 George and Kathy Wussow 9594.8 Job -Permit #03-3448 To whom it may concer, I`, _Kathy `Wussow., give Jerry Mitchell ^permission to pick up and sign off on buildin��ermits. in Butte- Co.,,-. Sutter Co.. andYuba Co. Also to act as went for anthinrelating _._._ _. _,,ti.�.._.�.., ..,� .�� 2530 Forbestown Rd. ! KathyWuCsow Owner RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 104698 -TR Title Order No. 00104698 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. George 0. Wussow, Jr. 2530 Forbestown Road Oroville, CA 95966 GRANT DEED The undersigned grantor(s) declare(s) a00a-007aaa4 Recorded I REC FEE 10.00 OffiCccial ROecords i TAX 279.40 BUTTE ANDACE J. GRUBBS 1 RubhmRY'DTCSm I / Assistant I AT rew 09:I ib -Oct -2003 I Pa e 1 of r RECO Documentary transfer tax is $279.40 C� ( X ) computed on full value of property conveyed, or �. [ ) computed on full value less value of liens or encumbrances remaining at time of sale, 4 ( X ) Unincorporated Area FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Michael J. Grady and Marylin E. Grady, husband and wife hereby GRANT(S) to George 0. Wussow, Jr. and Kathleen M. Wussow, husband and wife as Joint Tenants the following described real property in the unincorporated area County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: September 30, 2003 STATE OF CALIFORNIA COUNTY OF. _f�(�{Q� ON "0 3 before me, THE UNDERSIGNED NOTARY pgsonally appeared personally known to me (o6 proved to me on the basis of satisfactory evidence) to be the person(s) Whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the _same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. Signature 1, ASHLEY DASILVA COMM. 0 1282335 NOTARY PUKX • CAUPORMA-Iw. BUTTE COUNTY Comm. Exp. OG7.29 2004 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner:,,, j1L%P_P., Phone: Mailing Address a a z� 1 Site Address: _! 1 Assessor's Parcel Number:�--e9/y Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes &No 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. -Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No U' 7. Is any portion of the structure located closer than 20' to your front property Yline? Yes No 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have? 16. What type of wall covering will the building have? �� f �J� Ile I_o OVER 1 of 2 PROPOSED USE: (check only one boa) 1. ❑ Residential Storage Shed — I will be storing in this building and it will Bot be used for any other purpose (no bathroom and no heating or cooling). 2. A Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office❑ Workshop' ` ❑ Home Qccu ancy Z _ Other — Use �(= 1. Describe type of Wor�hop VQ / %�i�-�// :. bhut be approved by the Butte County Planning Division, Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. 1 `-VI, Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. O,omer's Name: Please Print lccl,(A (/eeh /_.J4 s.' 0 G ) Owner's Signature: ,/���0� /�i�A�,��.J Date:,1 2 of 2 Building Permit Number: 03 ` 31A�g Owner Name: Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to - make any changes or alterations_ on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached, Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required , Note: We will normally accept the following as compliance with the flood elevation requirements: ; 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: Q 3 - 3 qqe Owner Name: vju d,o,. e ; Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback of feet from the side and � feet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 1 fv c4.) 'Customer : MITCHELLSBLDGSUPPLY 05707706 1 Wed Mar 21 09:56:54 2001 Project M: MITCHELL Truss ID 26COM Family M 104 Span 26-0 Quantity i Top Pitch_: 4/12 votES-32 ver.2.0. Bla (3/30%1999) - TROJAI BOTT CHORD SPLICES:6-7-3X6: 12-0 6-11-9 13-0 r 19-0-7 26-0 .2-_0_4 6-11-9 6-0-7 6-0-7 6-11-9 3; 4X4 3 1VA IYA 3X4 3X4 F 8-11-5 17-0-11 26-0 8=11-5 8-1-6 8-11-5 3X5 5 L. HL TO PK: 13-8-7 R. HL TO PK :13-6-7 LEFT HEIGHT: 0-3-14 SPAN: -26-0 RISE: 4-7-14 RIGHT HEIGHT: 0-3-14 LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER PLATES:M20-220.190 L D TOP 1-2-0.328 �OP CHORO:2X4 No.16Btr GR OF -L TOP 16 10 BOTT 7-1-0.659 OT CHORO:2X4 No.16Btr GR DF -L BOTT O a LL.DEFL.@6-0.08 < L/240 WEBS :2X4 STANDARD GR DF -L STR.INC.: LUMB - 1.95 PLATE - 1.25 SPACING - 24.0 in. o. cUBC 97-ICBO.ANSI/TPI95 REPETITIVE STRESSES USED NO. OF MEMBERS - 1 DEFLECTION (IN.) L.L- 0.08, D.L-0.09, T.L-0.18 REACTIONS. SIZE: i--1010, 3.50 5--101.0.3.50 UPLIFTS (LBS) : 1-100, 5-100 TOP CHORD BRACING ® 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD HORIZ. (LBS) : 1-7 CONTINUOUSLY BRACED ® 10'0"O.C. UNLESS RIGIDLY SHEATHED. LATERAL FORCES - LOAD CASE #I* BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR TOP CHORD: 1-2--1927. 2-3--1701, 3-4--1701, 4-5--1926, ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS BOTTOM CHORD: 5-6- 1822, 6-7- 1259, 7-1- 1822. REQ'D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES WEBS: 2-7--322, 3-7- 521, 3-6- 521, 4-6--322, COMMENTARY AND RECOMMENDATION. TRUSS CHECKED FOR 80 M.P.H WIND, E_NCL.BLOG..WALL HGT. 10 FT, BLDG. CAT. I, EXP. CAT. C, 18(10+8) PSF DL, 100.00 MI FROM OCEANLINE(ASCE7-9: TRUSS HAS BEEN CHECKED FOR 10 PSF NON -CONCURRENT LIVE LOAD AND 8.00 PSF DEAD LOAD ON BOTTOM CHORD PER TABLE 16-B, UBC -94 UTTE COUNT -Y .13 gUILDINC DEPARTM A P P R V :gym. (�OF[5510 �Q.`4�` Fti�y MAR 2 3-200f A WARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE Design valid for use only with MITek connectors. This design is based only upon parameters shown, and is for an individual building component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of building designer — not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. nA Additiopal permanent bracing of the overall structure is the responsibility of the building designer. For general gul dance regarding fabrication, quality control, storage, delivery, erection, and bracing, consult OST -88 Quality Standard, DSB- 89 Bracing Specification, and HIB -91 Handling Installation and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719 ' MITek Industries, Inc. C049919 Symbols Numbering System A General Safety Notes ` 'PLATE LOCATION AND ORIENTATION Failure to Follow Could Cause Property 1 3/4 * Center plate on joint. unless Damage or Personal Injury dimensions indicate otherwise. Dimensions are in inches. Apply 1. Provide copies of this truss design to the plates to both sides of truss and J2 J3 J4 building designer, erection supervisor, property securely seat. TOP CHORDS owner and all other interested parties. 1/8' C2 C' J5 2. Cut members to bear tightly against each o other 0 �. Place 0 3. plates on each face of truss at each 3 joint and embed fully. Avoid knots and wane locations. 0 �" U at joint * For 4 x 2 orientation, locate CL 4. Unless otherwise noted, location chord splices C6 C7 C6 plates 1/8" from outside edge of at 114 panel length (t6" from adjacent joint.) truss and vertical web. BOTTOM CHORDS A J8 J7 J6 5. Unless otherwise noted, moisture content of lumber shall not exceed 190/. at time of *This symbol indicates the fabrication. required direction of slots in connector plates. 6. Unless expressly noted, this design is not applicable for use with fire retardant or JOINTS AND CHORDS ARE NUMBERED CLOCKWISE preservative treated lumber. AROUND THE TRUSS STARTING WITH THE LOWEST JOINT FARTHEST TO THE LEFT. 7. Camber is a non-structural consideration and 'For tabular plating format refer to the is the responsibility of truss fabricator. General MiTek/Gang-Nail Joint/Plate Placement Chart WEBS ARE NUMBERED FROM LEFT TO RIGHT. practice is to camber for dead load deflection. 8. Plate type, size and location dimensions shown PLATE SIZE CONNECTOR PLATE CODE APPROVALS indicate minimum plating requirements. 9. Lumber shall be of the species and size, and in The first dimension is the width 4 4 to slots. Second all respects, equal to or better than the grade x perpendicular BOCA 86-93, 85-75, 91-28 specified. dimension is the length parallel to slots. HUD/FHA TCB 17.08 10. Top chords must be sheathed or purlins provided at spacing shown on design. LATERAL BRACING ICBO 1591, 1329, 4922 11. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, unless Indicates location of required SBCCI 87206, 86217, 9190 otherwise noted. continuous lateral bracing. WISC/DILHR 870040-N, 930013-N, 910080-N 12. Anchorage and/or load transferring connections to trusses are the responsibility of others unless shown. TM BEARING 13. Do not overload roof or floor trusses with stacks of construction materials. Indicates location of joints at 14. Do not cut or alter truss members or plate without which bearings (supports) occur. MITek Industries, Inc. prior approval of a professional engineer. 15. Care should be exercised in handling, erection ® and installation of trusses. 0 TM HYDRO -A ® PANEL CLIP ©1993 Mitek Holdings, Inc. GANG -NAIL •l;jtl:tTl. !� 05707705 Customer^ :', MITCHELLSBLOGSUPPLY wed Mar 21 09:56:49 2001 Project *: MITCHELL Truss ID 26GE Family M 104 Span 26-0 Quantity 2 Top Pitch..: 4/12 ACEs -32 Ver.2.0. B10 (3/30/1999) TROJAN 1.2-0 T 6-11 13-0 19-1 26-0 .2-0 6-11 6-1 6-1 6-11 am 3: 4X4 3 3X6 8-11-5 17-0-11 _ 26-0 8-11-5 8-1-6 8-11-5 3X5 5 L. HL TO PK: 13-8-7 R. HL TO PK :13-B-7 LEFT HEIGHT:0-3-14 SPAN:26-0 RISE:4-7-14 RIGHT HEIGHT:0-3-14 LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER PLATES:M20-220.190 L D TOP CHORD:2X4 No.1&Btr GR DF -L TOP 16 10OT CHORD:2X4 No.i&Btr GR OF -L fl BOTT 0 B LL.OEFL.@0-0.00 < L/240 WEBS :2X4 STANDARD GR DF -L STR.INC.: LUMB - 1.?5 PLATE - 1.25 SPACING - 24.0 in. o. cUBC 97-ICBO,ANSI/TPI95 REPETITIVE STRESSES USED NO. OF MEMBERS - 1 DEFLECTION (IN.) L.L- 0.00, D.L-0.00, T.L-0.00 NOTES: 0) -Gable studs spaced at•16 inches o.c. (2) -Brace vertical studs in accordance with standard gable end detail (3)—Continuous bearing provided along entire bottom chord (4)—Provide iX4 plates at each end of gable stud unless otherwise noted TRUSS CHECKED FOR 80 M.P.H WIND, ENCL.BLDG.. WALL HGT. 10 FT, BLDG. CAT. I, EXP. CAT. C. 18 (10+8) PSF DL, 100.00 MI FROM OCEANLINE (ASCE7-9 } TOP CHORD BRACING @ 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED @ 10'0"O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS REQ'D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION. j3UTTE COUNT 90ILDING DEPARTME� 4P% P P OV A WARNING - Verify design parameters and READ NOTES ON THIS AND REVERSE SIDE BEFORE USE Design valid for use only with MITek connectors. This design is based only upon parameters shown, and is for an individual building component to be installed and loaded vertically. Applicability of design parameters and proper incorporation of component is responsibility of building designer — not truss designer. Bracing shown is for lateral support of individual web members only. Additional temporary bracing to insure stability during construction is the responsibility of the erector. va Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding fabrication, quality control, storage, delivery, erection, and bracing, consult OST -88 Quality Standard, DSB- 89 Bracing Specification, and HIB -91 Handling Installation and Bracing Recommendation available from Truss Plate Institute, 583 D'Onofrio Drive, Madison, WI 53719 * MITek Industries, Inc. NAR 2 3-2001 7--. Frss,o, NG y� Fti�2 ;O Ar�v or• :Symbols Numbering System A General Safety Notes PLATE LOCATION AND ORIENTATION Failure t0 FOIIOW Could Cause Property 1,3/' ' Center plate on joint unless Damage Or Personal Injury dimensions indicate otherwise. Dimensions are in inches. Apply 1. Provide copies of this truss design to the plates to both sides of truss and J2 J3 J4 building designer, erection supervisor, property securely seat. TOP CHORDS owner and all other interested parties, �/8 '/8+ C2 C3 J5 2. Cut members to bear tightly against each 0 other. 01 0Nplates , 3 0 3. Place on each face of truss at each joint and embed fully. Avoid knots and wane p at joint locations. For 4 x 2 orientation, locate a 4. Unless otherwise noted, location chord splices C, C,0 plates 1/8" from outside edge of at 114 panel length (±6" from adjacent joint,) truss and vertical web. BOTTOM CHORDS J1 J8 J7 J6 5. Unless otherwise noted, moisture content of ` lumber shall not exceed 19% at time of 'This symbol indicates the fabrication. required direction of slots in connector plates. 6. Unless expressly noted, this design is not applicable for use with fire retardant or JOINTS AND CHORDS ARE NUMBERED CLOCKWISE preservative treated lumber. AROUND THE TRUSS STARTING WITH THE LOWEST JOINT FARTHEST TO THE LEFT. 7. Camber is a non-structural consideration and 'For tabular plating format refer to the is the responsibility of truss fabricator. General MiTek/Gang-Nail Joint/Plate Placement Chart WEBS ARE NUMBERED FROM LEFT TO RIGHT. practice is to camber for dead load deflection. 8. Plate type, size and location dimensions shown PLATE SIZE CONNECTOR PLATE CODE APPROVALS indicate minimum plating requirements. 9. Lumber shall be of the species and size, and in The first dimension is the width 4 4 to slots. Second all respects, equal to or better than the grade x perpendicular BOCA 86-93, 85-75, 91-28 specified. dimension is the length parallel to slots. HUD/FHA TCB 17.08 10. Top chords must be sheathed or purlins provided at spacing shown on design. LATERAL BRACING ICBG 1591, 1329, 4922 11. Bottom chords require lateral bracing at 10 ft. spacing, or less, if no ceiling is installed, unless Indicates location of required SBCCI 87206, 86217, 9190 otherwise noted. continuous lateral bracing. WISC/DILHR 870040-N, 930013-N, 910080-N 12. Anchorage and/or load transferring connections to trusses are the responsibility of others•unless shown. TM BEARING 13. Do not overload roof or floor trusses with stacks of construction materials. Indicates location of joints at 14. Do not cut or alter truss members or plate without which bearings (supports) occur. MiTek Incrlustfles, Inc. prior approval of a professional engineer. 15. Care should be exercised in handling, erection and installation of trusses. TM HYDRO A/R PANEL CLIP ©1993 Mitek Holdings, Inc. GANG -NAIL CDF FIRE SAFE REQUIREMENTS AP# PERNIIT #' NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [X] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provide for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards [X] 1273.02 Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provide unobstructed access to conventional drive vehicles. Including sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03. Grade. Not to exceed.16 percent unless paved. 1273.04 Driveway Radius IN 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100- 200 feet. IN 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [X] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [X] 1273.06 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [X] 1273.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 t_ - '7i-31 AP# PERMIT# NAME [X] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [X] 1.Gate entrances shall be at least two feet wider than the roadway it serves. IN 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [X] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space [j 1. All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than .1 acre, local jurisdiction shall provide for the same practical effect. See other requirements on page 3. [ 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction,. of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. Page 2 of 3 lb 7z- 3;0, AN PERMIT # NAmE Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof and Enclosed Eaves [ ] If Building Setback is Less Than 15 Feet- Class A or B Roof with Enclosed Eaves and: Choose any 2 of the following: - Metal or no doors on the side toward property line with insufficient setback - Interior automatic fire sprinkler system per NFPA 13D Glass area not to exceed 10 % of wall area toward property line with insufficient setback Siding from the following list: Stucco .— 3 coat Hardi- Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 11-r3 -o3 Date Signature 61 Page 3 of 3 December 3, 2003 George Wussow 2530 Forbestown Rd. Orovill, CA 95966 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Assessor Parcel Number: 072-310-012 Building Permit Number: 03-3448 Thank you for submitting the plans for your building project. The plans have been reviewed, and the plan examiner's comments are listed below. Please respond in writing to each item by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Your complete and clear response will expedite the re -check and approval of this project. NON-STRUCTURAL COMMENTS: Provide proof of ownership of this parcel. Apply for a transfer of ownership of this application into the correct owner's name. Provide contractor's name. address, phone number, license number and workman's compensation number. :) Provide a letter of signature authorization for Jerry Mitchell to sign forms for application - this does not include the detached accessory building form. Enclosed is your detached accessory building form -this for is required to be filled out and signed by the property owner. No one else may be given authorization to fill out and sign this form. Please return directly to the department. Plan check will resume when the requested information is received: If you wish to discuss any of these requirements, please call (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. To discuss non-structural items, ask for Martha. Please refer to your Data Sheet for remaining non -plan check items. (You received this form when you applied for your permit.) The counter staff will answer any questions concerning the Data Sheet. Martha Christy Plans Examiner 1 of 1 6 1 ri PROJECT PROCESSING RECORD Applicant: PX P Owner: A.P. #: Permit #: Work Description: Date Description of Step or Status PL,-vn d . '- OY1 Z CJ 01 4--a-M U — J �Ck fo Sze Ccv� — rd cr c VoD-t— Df— &vj7UA�h:p P,vide- [ e4- c aDri za���n a r YJA_j �—G$VJU_ 4"Dr rr� n/ -t b cv�— Co r rick- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Gente'r as-ive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 1 4002-9 J ASSESSOR PARCEL NUMBER ► . c. '72-31-12 ZONI G A2 BUILDING PERMIT OWNER r Richard Koontz TELEPHONE SO. FT. OCC. BUILDING VALUATION 1408 M 1Q-719 OWNER'S MAILING ADDRESS 2530 Forbestown Rd, Oroville 95966 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ 140.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 70.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 251n FnrlIps-,town Rd, Orovillp ' Permit fee $ 220-75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 5.00 1 Each qas water heater or vent 5,00 5.00 USE OF STRUCTURE - SF ❑ Duplex❑ Mobilehome❑ Other Pvt detarage SPE CIP Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5,00 Mobile Home S I G W 10.00e TYPE OF WORK New n Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;0001 OR S AMP ORLESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑. I am licensed under provisions of Chapt. 9, Div. 3 of the Business( and Professions Code and my license is in full force and effect. (cense 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 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& NEA ENNS. ( A ) , 2/2OSgft 35.20 ULTBI OUTLET NON.R ESID, BRANCH CIRC ITS 2.50 ea POWAPPARATUS 6 (SINGLE OUTLET CIR. Ex. o p UTLETS OR FIXTURES 00500 B2AL®30 Ex. Occup. OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 45.20 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. FZP--l'shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C..provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agre to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, osts, and expe ses which may in any way accrue agar aid County/in uenc� oft ranting of this permit. C_ "''''jjjjjj'''"' �� Date Signatur/ f Applicant — Owner ❑ Contractor ❑ Agent [�r An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 295.95 HAZ CUA PARK SCHL 1F�PAR PD H Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC ey PER EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Z7—�� Receipt No. 84504 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �..rFr�. r.,.,ry.,�,�e;7,•Frr�s;,,F.'�tM+3f�'�7`r"�.� 1�� .- ,.�,,,..'�.� rr- "a -.r+;....�r.,.--- .. ,.� . m .. = vc COUNTY OF BUTTE QEPARTMENT.OF,.PUBLIC WORKS - BUILDING DIVISION 7 COLINTAENTER' DRIVE - OROVILLE, CACIFORNIA 95965 - TELEPHONE: 916/538-7541 / \. -PERMIT APPEICATION DATA SHEET '• LL Permit No. V1 t OWNER ' 1 C Ci *` CSD— A: N Proposed Building Use Building Inspector Date -t/ 24 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3,'Complete plans in duplicate/triplicate, signed I.y preparer. of plans 4. Complete engineered plans and calcs,, with wet signature on plans . . 5. Hazardous Material Form, ...... < ,e................ 6. Energy Design Compliance,and supporting documentation ......... 7. Statement of Intent for Non`Heated and AC Buildings ............... 8..,.Engineered truss details and layout in duplicate (required prior to plan check) •.rr YTR A. �... ..._�� n. 9. Mobilehome installation data including manufacturer's installation instructions......................................................... Fees•of $ ........................ rrr 11. Chico Urban Area fees paid ....................................... r.yo i �+ 12. Park fees paid .................................................... 13. chool District fees paid .............. ' /L14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... '1-6.' Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-inspec. request to Building Inspector (Datel; 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... v Letter of signature authorization ..................:....t 26. / 27. When you issue the permit, process as follows:: Mail to owner. Mail to contractor. Telephone f and hold'fortpickup at :-officer i+ver w/Jnspec16r: Other ',,I ' Appl ica�DateA +� � -,il le 11 -, Copy of Haz-Mat form sent Health Dept. FPgQepd AirPollut on Date Copy of plans sent Health Dept. _Fire Dept. Otf� r �� D to .,By The following data must be submitted prior to perrmml"t`ri an�e.A4Circle new-ifem •o.tfchecked above). 1. IQdex permit for above items No. 2. Additional items required: .i: Contractor, designer, owner, was advised of above required data by_phone! tial— counter b�e Contractor, designer, owner, was advised of above required data by—phone _rn; l oun ter by date Plans checked by- 't' Date Plans approved by Date -:Oz Sets of plans oliyaold in File cabinet AP folder Copy -DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 04lu e616 A/ T- 4��rp4l 31 Owner Location AP# 0& Plan Approved, for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for Other! Sanitarian "a`� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Centei Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. _940 -ASSESSOR PARCEL NUMBER G/ , .. ' ZONA G —7 -- BUILDING PERMIT _ OWNER I G A /-PD "V/Z/ TELEPHONE s k SO. FT. OCC. BUILDING VALUATION OWN oZR'S MAILING ADDRESS CO��C T�0�2�6 E ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS I Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2< Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS10 F0KA WN IZ^ %l/ v Permit fee $ D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 V � Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ;Water piping .00 Each qa ater heater r v t 00 USE OF STRUCTU SF ❑ Duplex❑ Mobilehome❑ Other_ 0ef (t%M0,41- SPEC Fv Gas pipin m 1 -5 o tlets .00 Building sewer 5.00 , Mobile Home S I G 0.00e �/ TYPE OF WORK New\j Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ r ❑ 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. ADD'L 100 AMP 2.50 CONTRACT SL NS A 1 declare under penalty of perjury check ): ❑ I am licensed under ovi f hapt. 9, Div. 3 of the Business and Professions Co e d icense is in full force and effect. License No. ''- '' lassification 7 ❑ I,`as the .owner; .or m.y:e plo ees with wages as their sole compen- sation, will do the wor ,an the structure is not intended or offered for sale. (Sec..7044)'�;=c .,-, ❑ I, as the owner, am -e ~`usively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ai OR ADONS. ( ACC. SLOGS. —? 73 /Z¢sq ft r2 NEW NST R_"UL TI.OUTLET NO N.RES10 BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 ( SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20@501 eAL&AL930 FIXED P(RESID )REA.) Ex. Occup. OUTLETS 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. Contractor . MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner F-1 • Contractor ❑. Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz CUA PARK I SCHL FLD I PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i RESIDENTIAL ori 72-31-12 4002-90B,P,E KOONTZ, Richard 2530 Forbestown Rd, Oroville y i (garage) I z7 h 1 _ J ' JOB FINALE Signature v=OK O = Not OK Not t Ready Applicable MOBILE HOMES Date, MOBILE 22ME UTILITIES Plans OK except #'s • f—ro—ning_j34ag-uirements-setbacks-Easements . oils; Special MH Support Sketch, 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete *t' 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ PV'ft./ /"LPG 7. Utility Clearance 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. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLA Date DECKS, CO S, PARPORTAii GARAGES lans (W. except #'s in irements-Setbac s ffaments otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn,;, Columns -Connections -Splice -Decal -Enclosures 6. Carp ; Windows -Doors ctric Si ls-Anchors-Stu ds-Rftrs-Trusses g; Nailing -Veneer -Stucco -Mesh 10. Roof; thg-Roofing Steps -Doors -Landings Date J2 -/p- ylfCard B-1 Date Card B-1 Date?j — (t-! j %,Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card 134 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UH3ERFL00R (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. CIng9Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / J ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. F6rnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearinq 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive 0 Yes O No; Walks 0 Yes ❑ No; Planters O Yes O No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 L Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 14 r, 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307°7 CORRECTION NOTICE /tlIl/A1CO _ o�nnuT �� '� A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office T when correction of work is completed. If you have any question pertaining to this matter, or need additionalplanation, please contact this office immediately. \houiT A-� �� u L� Date Inspect r" Am V t o7 pjans and sP ecitications MUST ,pt on +� e job tea. NSI tire+ ��a � � same w'iti OU' E�anctes or * pu6r ac le any tLe Department o Written pe"mission {rom 1/nAm C;ottnty r4 13110P X11 NAaterial.s & \{orl<nnanski'sp Shalt BO in -acttces and +lith - _ e in the F,cco, dance = r the >;��ci. ► d u ualit�` pre`.c ri e- '� , ech nic I Codes Cf a Plumbing & U i{o► m Building, r de no j tel,•<� `_�/ and -the National vlectrtca 6A7 � F_ _ __.�__.. m the 5 -"setback A setbacklones and a setback ( i'Jpropefw the road o{ 50ft {ram clear o sh{ centerline all belent except or equipm ;)p ( s 2 ft eave overhan Eora a VO/ Mob•L Flores - pp i! scPtc r Lt.acL WG 44 _,� �...._....._................_ 61-)o t.w!■ — e qo�i go o 25-30 Go_r6*F.s WA/ ({J _ot'ouL'lte r Written pe"mission {rom 1/nAm C;ottnty r4 13110P X11 NAaterial.s & \{orl<nnanski'sp Shalt BO in -acttces and +lith - _ e in the F,cco, dance = r the >;��ci. ► d u ualit�` pre`.c ri e- '� , ech nic I Codes Cf a Plumbing & U i{o► m Building, r de no j tel,•<� `_�/ and -the National vlectrtca 6A7 � F_ _ __.�__.. m the 5 -"setback A setbacklones and a setback ( i'Jpropefw the road o{ 50ft {ram clear o sh{ centerline all belent except or equipm ;)p ( s 2 ft eave overhan Eora a VO/ Mob•L Flores - pp i! scPtc r Lt.acL WG 44 _,� �...._....._................_ 61-)o t.w!■ — e qo�i go o 25-30 Go_r6*F.s WA/ ({J _ot'ouL'lte Xkr"t vj NOTE: See the attached ,S ppnirlprlf, I (;Qclign RN!jjieli1ents - Pages ELECTRICAL, MECHANICAL, AND PLUMBING CONSTRUCTION ( NOT PLAN CHECKED ) SHALL COMPLY WITH CURRENT EDITION OF NEC, UMC AND UPC. U17E C U -r R I H, � �.®ISG ®�PAR� A P P R 0 V ALL STRUCTURES AND EQUIPMENT MLUDIi OVERHANGS SHALL BE CLEAR OF ALL EASEMENT& A SET BACK OF vu FT. FROM THE SIDE ANIS --3—& FT FROM THE REAR PROPER$Y'LINES AND PROM THE ROAD CENTERLINE SHALL. Bla F STRUCTURES AND EQUIPMENT E)(Cera COR A 2 FT. L=AVE OVERHANG. �J W REVIEWED BY BUTTE CO. FIRE OEPT• CALIF. DEPT: of F I4ES T RY ❑ approv6d aS subMif d Egapprovod with of 66ti6m er attach d sh, Signatute '� 3 b y 93 ' BRACE WALL PANELS TO BE 7/1 G" 8" O.C. LP SMART PNL 51DING $ Vtn e C (o'' o • c At' o 'C Ft c(Ct FLOOR PLAN SCALE: 114"= i '-0" * 4" THICK SLAB * 12" X 12" FOOTING *GXGX IOX IOREME5H * I/?". REBAR 2 RUNS 4X 12 3065 112 x 10" ANCHOR BOLTS .G' O.C. W/ 2"X2"X3/ I G" 5Q. WASHERS, 12" , FROM ENDS AND JOINTS OR USE 51MP50N MAS FOUNDATION ANCHORS. 30' 0 GEORGE WU550W BUTTE COUN1 ULDING DEPARTMEN, 4 P P R 0, -V IF t 12 4 OVERLAP T.P. @ COKNER5 _ep5!i 2X4-TRfMMER TYP 2X4 P.T. _ SILL PLATE FIN. GRADE 4X12 i— TRU55E5 @ 24" O. C. i[�INpGdNAILING: 8d HD GALV. 4" CORNERS, 8" JOINTS, .I 2 FIELD WALL/ ROOF NAILING: 8d HD GALV. G' EDGE5, 12" FIELD TYPICAL SECTION FRAMING" SCALE: 114"= 1'-0" 2X4 5TUD5 @ I G" O.C. 2X4 P.T. 51LL 112110 X I O" FDT BOLT @ G" O.C. of— W/2"X2"X3/ 1 G" 5TL. PLATE WA5HE a z C1 m FILL #4 RE13AR N Fc=2500 psi 1,211 MIN. FOUNDATION DETAIL SCALE: I"= P-0" 20 YEAR ROOFING O/ 15# FELT O/ 7/1 G" 05D 2X BLOCKING - DBL. T.P. 2X4@ I G" O.C. CONCRETE FOUNDATION WE COUNT UILDING DEPART E:'° I ROOF PLAN SCALE: 114"= 1 '-0" 4/12 PITCH 2X4 OUT-RIGGER5 /1 n A II f (D 51MP50N H2.5 CLIPS AT EACH TRU55 TO TOP PLATE TRU55E5 @ 24" O.C. G" 05B 5HEETING STAGGERED I rW V 7/^11 [--'=I -r ^e%%llCA r] /-I-A e- r-- A I RIGHT ELEVATION SCALE: 1/4"= P -O" I A II i/ 1 Q II — A Q I C\/ C K IT REAR ELEVATION SCALE: 1/4"= 1'-0" �c COUNIPY RUILDING DEPARTM&- APV I LEFT ELEVATION 5CALE: 1/4"= P -O" 1 All ILI I C111 .4—AC2i %I=kl-r FRONT ELEVATION 5CALE: 1/4"= P -O" BUTTE COUNft , AUILDING DEPARTME.,,-- A P P R 0 V ONE mmmmpr-�-a Pill- 72— PLANNING DIVISION - BUILDING PLAN APPROVAL Use: C:b)<, Date: )1 -13—�3 Parking:— Landscaping: Other. I 6nV'r00177A?7talHealth Nntt P COUnty CL�, Oro , nter4)r,, Ville, Ca Pox t 4 4' 4' F RACE WALL PANELS TO BE /1 G" 8 O.C. LP SMART PNL SIDING FLOOR PLAN SCALE: 1/4"= P-0" * 4" THICK SLAB * 12" X 12" .FOOTING C * G X G X I O X I O REMESH o * 1 /2" REBAR 2 RUNS -i 4X 12 z N N 3068 - x 112" x 10" ANCHOR'BOLTS 6' O.C. W W/ 2"X2"X3/ 1 G" SQ. WASHERS, 12 FROM ENDS AND JOINTS OR USE 51MP50N MAS FOUNDATION ANCHORS. APPROVOO Butte Counrj E q vironmental Health e. dna u ao Ile 4' —30• GEORGE WUSSOW . j ,:.a¢Y► .. Aywr ..` `mow ,�jy,„".', p•.. . •-- - •Residential ... _........ . ......... _ _._._..... _.. ......_.. .. ___ . . __. . _ _. ..- • - ------ Certificate of ComPilance- Climate Zone- - - Mandatory Measures Checklist: Residential MF IR -- Lo -wise residential buildings sub' to the standard; m tres to these ar3aof thx Compliance Prolect TltlemaAc-.riN utersslt (• ma7 be bf mocc smngcnt liar+Ce toquicenfcna rtsu�d._ _. ._ - tldin P on the Ceruftcate of Compliarscc_ When Otis Checklist is incorponLed inn u,e peal[ aCcvnsvnns. the features Cant shalt, ect AEdress _....... •. C Documentation Author BUMDING DATA Condi ' b/Raised Floor [ ingle Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (Nff) . Telephone Number of Stories Number of .Units 1 [ ] Addition Alone—l— [ ] Existing Building (] Existing-Plus-Addidon u Qrntl -• _-- . . - .. --- - - - _ - .. ' �atsi-du+e:Qbr alt parties ss bindingmiruortm cornpones+t pafomurtoc spwGr•�:•,,•• for Ne mandatorp rtsriaiei..-.. __ ---- -- • :�._...... _--..___�.-.. _._.._., -myna- rreslw-•rrelx+Aveinthedoaeeasat:m4tiac!>edtisi--•^-..`•......=-=•-'"-'.•�•-•- _: .. ...--_ ... •-- ._. _... _ _— BUILDING SHELL INSULATION- Duct C aecited 13 y / Data ...Component Insulation Locatior;/Cotnmeats Type (fumace, air Efficiency Type R -Value (sada to garage, =i_r?, etc_) Enfotcernent Agency Use Only -.... _. . Glass Area % Glass (Btuh) (or approved equal) North - -Roof ............. 3� '31 fz 4*(117 O q t East - (0-0 .Floor ............. South 4A 1 Pe _ West --�O_ V-• 3 t i Skylight p Framing'Iype - ..0dentat]on (sf) (singk. double) Total (metaltwood) t I BUILDING SHELL INSULATION- Duct ; ...Component Insulation Locatior;/Cotnmeats Type (fumace, air Efficiency Type R -Value (sada to garage, =i_r?, etc_) Duct -.... _. . (attic, etc.) R -Valuer (Btuh) (or approved equal) - -Roof ............. 3� 6. 7- 4*(117 O q t -- - Roof ...........» r............. - . .Floor ............. =Slab Fdge..... ..... _ ...._.,GLAZING Shading Devices t i g '.- GIarin - : Area Glass Type - -- Interior Exterior Overhang Framing'Iype - ..0dentat]on (sf) (singk. double) (roller blind, etc.) (shadescreen, etc.) (yesho) (metaltwood) t I North I 'East ( ) ' I to ; East ( ) South -lie -s SOuch ( ) West ( )tj _ �' •� l West ( ) Skylight ....... _ t THERMAL MASS Type/Covering Area -Thickness (slab/extiosec, tile, etc.) (Sf) (inches) L0Cad0rV1)escripti0ct(kitchen, bath, etc.) t r S HVAC SYSTEMS Minimum Duct Type (fumace, air Efficiency Location Duct Output ' Manufacturer / Model # conditioner, hear pump) (SE, SEER,HSPF) (attic, etc.) R -Valuer (Btuh) (or approved equal) 6. 7- 4*(117 O q t � Maximurn Furnace Heating Output_ BtuhpEpA� HOT WATER SYSTEMS Tank Manufacturer/Model# �tl�©ING "System T (stores a as, etc.) Capacity or ata roved equal) `S pecial Feattt t SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) DE$CYUMON DFSIGNF]( I7rFDRCF?1FM _.. .. _ . Building Favelope Measures ' • 42.5352(3)t Minirnum calint insulation R-19.cithted aware. 42.5332(b): Loose fill insulation rnanufactu it s bbtW R.Vahw- • 42.3352(e): Minimum -call Ovulation in frarned walls R-1 I weighted average (does not apply as stertor mass walls). 42.5352(k): Slab edge insulation - .rater absorption rate no greater than 0.3%. water vapor uansmrssron rate no grater than 2A perm/uch. 42.5311: Insulation span fied or installed meet& California ErxM Cammission (CEQ quality standards. Indicate type and form - 42.5352(f): vapor barriers mandatory in Climate Imes 14 and 16 only. 42.5317: InftloationdEafiltradon Controls a Doors and windows between conditioned and unconditioned spaces desiped to limit air leakage b. Doors and "ndo-s certified_ e Doors and windows wothcrsm9pC& all joints and penea-aions caulked and scaled 42-5352(x): special inftlmtion baniet installed to comply, with 42.5351 meets CEC quality standards. 42.5352(d): Installation of Fireplace[ 1. Masonry and factory -built rueglaces cave a. Tight fitting. closeable meal or glass door b. Outside au intake with damper and conal e Flue damper and control 2. No condnuau burning gas pilots allowed. HVAC and Plumbint System Measures 42-5352(8) and 2.5303: Space conditioning equipment sizing: attach uktdations. 42.5352(h) and 2-5315: Scthxl, thannsut on all a [cable pfl1• heating sys,- y., 42.5316(a): Duca constructed, installed and insulated per Chapur 10, 1976 UMC. - - 42.5316(b): Exhaust systems have damper controls - 42-5314(c): Gas -fared :pact heating equipment has intermittent ignition devices 42.5314: HVAC equipment_ water heaters, showerheads and faucaa certified by the CEG 42.53520: water heater insulation blanket -12 or - (R gr+r�ter) or combined interiorksterioe .. , •-_:.. _.,...:.: _ :, •.:. .: .... ...... . insulation (R-16 or gteater)-. fust 5 Ret of pipes closest to ink insulated (R-3 or grater).- 42.53I2(Exccpdon Ir Pipe insulation on steam and ucam condeasatx rtxuro &.rocireulating _ 42.53I8(ft Swimming Pool Heating 1. Syucm has a. omroff switch on heater:. - b. weatherproof instruction plate on heater. 4. e Plumbed to allow for solar. 2. 75 percent thcrrial efficiency. - 3_ Pool co•u. 4. Time clock 5. Dircctiomi water inlet Lighting and Appliance Measures - - ' 42.53520'): Lighting - 25 lumenswatt or grata for general lighting in kitchcns and bathrooms. - 42.5314(c): Gas Curd appliances equipped with intermittent ignidoa devices. 42.5314(a): Refrigerators, refrigerator-frecrtrs. freezers and lluortscatt lamp ballasts certified by the CEC. Indicate make and model number. COMYLLkNCE STATEMENT This certificate of compliar= lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Craptcr 2, Subctapter 4, Article 1 of the California Administrative code- This certificate has been signed by the individual with overall design rmpcnsibiiiry and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the budding. Designer :•: Building Owner Name - Namc :. •.._ TttirJFtrm: Titk/Firm: � . Addx=x-. Addrtu:. _. Telephone -Tckphone (si6nacurt) (lava) '.- (signattsse) Documentation Author Enforcement Agency - T;dc/Fsm s'' :-Agency: 2. Wall Insulation Floor Insulation Number of stories Single- R -value . One Two Three R-0 -103 -0 32 R-19 -8 -t .2 R30 •2 .1 •1 1 R•19 8 6 4 U -value _ _._.0.50-...._._.. -176- ------,..�.. _,_,_.J4 . - 0.30 -102 9 0.50 -91' 0.10 •26 _ a 0.08 -18 -9 -6 Us -11 •5 •4 O.C4 -4 -2 •1 1 0.02 4 2 1 ' O.CO 11 5 3 1 2 1 O.CO 2. Wall Insulation Floor Insulation 9• Interior Thermal Mass Single- Single - R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R•19 8 6 4 U -value 13 0.90 0.80 -153 -114 -76 0.50 -91' a8 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.106 9 7 5 0.04 14 it 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation 9• Interior Thermal Mass Number of stories Insulation in Floor R -value one Number of stories Three R -value One Two Three R-0 -17 a -5 R-11 3 .2 •i R-19 0 0 0 R-30 3 1 1 U -value 13 0.90 0.60. .144. -70 a6 0.50 -120 -58 38 0.40 -95 •46 30 0.30 -69 -34 -22 0.20 -Li •21 -14 0.10 -17 -8 -5 0.08 Al -6 -4 0.06 -6 .3 .2 0.04 -1 0 0 0.02 1 2 1 O.CO 10 5 3 Controlled Ventilation Crawlspace - 9• Interior Thermal Mass Number of stories - Number cf Stories R -value one Two Three R-0 -11 -7 -S R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -i -2 .2 .4. Slab Edge Insulation - 9• Interior Thermal Mass 7 - Number cf Stories 42. Cooling 6yst.,M R -value One Two Three R-0 0 0 0 R•5 8 5 2 R-7 8 6 . 3 F2 factor- . Sterdard 10 13 0.90 -4 3 1 0.80 -i .1 0 0.10 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. lntutrauon (Air. Leakage).:-- - - - 9• Interior Thermal Mass 7 10 42. Cooling 6yst.,M 17 18 13 -12 SpeafCation 8 11 Points 18 interior -9 Slab Floor Raised Floor ` 15 19 11 -6 Sterdard 10 13 0 19 Mass /CFA One Sbdes Two Three One Stories Two Three 9 SEER (assume%ducts in attle) 10 13 15 17 20 8 2 12 0.0 •8 -5 1 -2 1 -i 2 Stm of 7.10 2 2 8 .:. 2 3 5 :. 2 2 7 1 - 2 _ --- --. -_ ._ __ � 3 4. ... 3 5 1 2 4 � or =2< bi-i4 b 1'ti +6 00 16 -or • 6. Glass Heat Loss 0 2 3 1 -0.3_7 _� 0 1 2 1 R. fess.. -•15 .1:1a _..+5 - .: 0 0 i 0 3 ._. •1 .1 •1 .1 2 0 •1 -2 .4 2 0 --. Total-_,..._._.._,....- Z 1 -9 1 t t t t -4 0 2 Percent 3 .5110 .41 to .31 to 0.30 or 0.9 -5 .1 0 2 3 3_ 85 .9 -7 -6 .5 .4 3 Glass Single Double .60 .50 .40 less 1.1 -4 .1 1 3 4 4 8.9 .5 1 .4 3 -2 -2 50 -121 -S3 •39 -24 -10 4 1.3 1.5 -3 -3 0 1 2 2 3 4 4 S 5 5 9.0 -t 3 -3 -Z •2 •1 40 -90 37 .26 -14 3 8 20 -1 2 4 5 6 7 9S 10.0 0 0 a 0 4 3 3 2 0 2 0 1 35 -75 .29 -19 .9 1 10 25 0 3 5 7 7 8 10.5 7 6 5 d 3 2 30 29 61 21 -58 -20 -13 12 -t 3 4 5 12 12 3.0 3.5 1 2 4 5 6 7 8 8 9 11.0 10 9 7 6 4 3 28 -55 •18 •10 .2 5 13 4.0 3 6 8 9 9 9 10 10 10 _. 120 13.0. 15 13 11 9 23 17 14 12 7 9 5 6 27 -52 -17 .9 .2 6 13 4.5 3 7 8 10 11 11 13 - 18 - - 26 25 -49 •15 -t6 -14 -8 -1 0 7 7 14 5.0 4 7 9 11 12 12 1.3 Erre%tare SEER 1.1 1.9 24 -43 -12 •7 -5 1 8 14 14 5.5 6.0 5 5 8 9 11 12 12 4.9 (SEER 7rduet enlelenq) 53 23 -10 -11 -t 2 8 15 6.5 6 8 9 10 10 12 12 13 13 13 13 17 Sun of 7-10 11 13 22 21 37 .9 34 3 3 a 9 15 7,0 6 9 11 13 13 14 Effecive-25 or -24 to •14 b -4 b +6 to 16 or 20 -7 31 a •2 0 5 10 10 15 is 7.5 6 10 11 13 14 14 SEER less -15 5 +5 +15 more 5.1 5.3 u S.7 5.9 5.1 8.0 7 10 11 13 14 i4 12 14 16 21 19 -29 -4 1 6 it 16 8.5 7 10 12 13 14 15 5.0 30 -25 -21 -17 -13 •9 18 -26 3 2 7 12 16 Z3 25 2.7 19 11 3.3 3.5 6.0 •12 •11. .9 -7 a a 17 -23 -1 3 8 12 17 5 96.1 61 6 S 6 1 90%' 1.5 6.6 .5 •4 .4 3 .. -2 .2 16 15 -20 0 -17 1 4 6 9 104 13 17 11 4.1 4.3 4.5 4.7 4.9 it 7.0 0 0 0 0 0 0 14 -14 3 7 10 1 14 17 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16: 18 20 7..Shading (Shade Open) Si)gle- Single. Sum of 13 ---Effective Percent Glass Family (Pem-eett glan x Sq Masa Effective (pvcceit giant x SC) Family Effective 0 0. % Glass North a Gins North East South : West Skylight 18 5 1 a 1 na 16 4 2 5 1 na i4 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 .:. 2 3 5 :. 2 2 7 1 3 4 2 2 6 1 3 4. 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 i 0 3 1 •1 .1 •1 .1 2 0 •1 -2 .4 2 0 na - not allowed Z 1 -9 H. Shading (Shade Closed) Si)gle- Single. Sum of 13 Effeetlre Percent Glass Family Family (Pem-eett glan x Sq Masa Effective Attached Family 0.00 0 0. % Glass North East South West Slry6ght 18 -14 _48. -69 -04 na 16 .12 -42 -59 -55 na i4 •10 35 -50 -46 na 12 a -29 •.to -37 nor it •7 •26 -36 -33 ria 10 -6 •23 31 -29 -74 9 -5 _G0 -27 -25 05 8 -5 -17 -23 -21 -56 7 .4 •14 -I9 -18 -47 6 -3 it -15 Id .38 5 -2 9 -it -10 -30 4 .1 0 -8 •7 •23 3 0 -4 -5 -t -16 2 1 1 Z 1 -9 1 t t t t -4 0 2 3 4 3 0 -5 -t 0.56 5.13 0 10. Exterior Wall Thermal Mass Exterior Si)gle- Single. Sum of 13 Walt Family Family Multi Masa Detsc:hed Attached Family 0.00 0 0. 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 .'4 0.80 10, 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 . . 1.80 10 12 12 200 10 11 13. i 11. Heating System SE or HSPF (assumes duets in ante) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 e 8.0 9 8 Sum of 13 5 4 3 9.0 16 _ •25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 More 0.72 6.60 0 0 0 0 0 0 0.75 • 6.88 3 3 3 2 2 1 0.80 7.33 8• 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 i/ 8 1.7 to 1699 Efrectfve SE or HSPF or moa 9. Interior Thermal Mass (SE or HSPF x duct eMciene7) Effective -25 or -24 to -14 b -4 to +6 b 16 or SE HSPF less -15 -5 +5 +15. more 0.30 275 -73 -84 -56 -47' a -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 •30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -t 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 '37 32 28 24 19 is-, Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 e 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 ' 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment I 10 8 7 6 4 3 No Cooling System Installed -Stories - 4 Interior MassICFA t rm : Mats l,redit 1179 "12M -or 1700 2200 2700 7. Shading (Shade Open) Type. Type • i b less ,1699 to 2199 to 2699 or more Saar POU SG None 0 0 0 0 0 a. North or HP Solar HWR 12 8 8 5 6 4 5 3 4 3 1t'7w1*e-t. 11 i eta. .IJI •td Wss 5 3 3 2 2 c. South - t rrPt t MASS - (ULC " 4.2, tet e:aed oo ,t -fib) SE None 37 24 -18 -15 •12 d. West MuIU•Famlry (individual Solar 0% 5% 10% iS'% -20% 2596 30% 3S% 40% 4SY. 5076 SS% 60% 6Sx ',V% 75% 8076 &Sr. 95x 1aoY. lost t10X11s7�120X_1zS , _ �_ POU- 0.6 . 0.8 1.1. 11.1._ I.S.- 1.7 to 1699 to 2199 or moa 9. Interior Thermal Mass TYPE 1 ;LASS AREA ' ' :a2'*0.4...Q6' --M''__43"'0.6 SG None 'O.d 0.8--'1_ 0 1.2...1.4 a •.1.!!:..1.9_.21:_.21 Interior WisuCFA .15....27.._29_.11...1 COND. FLOOR AREA or HP ...15_.17.4_.._4.2-4.4:•4.6•- 14 9- 7 S � 5 3 4 2 e6 S -:-S2--54 10. Exterior Wall Mass � r - TYPE 2 �tA55 ND. : L OR AREA i AREA i- 1.2 1.4 1.6 1.8 2 22 24 2.7 29 3.1 13 SS 17 19 4.1 4.3 4.5 4.8 S 52 5.4 30% QS 0.7 0.9 1.1 1.4 1.6 1.8 2 22 16 2.6 26 3 32 1S 17 19 4.1. 4.3 4.S 4.7 4.9 it 5.3 56 56 407E 07 Q9 1.1 1.3 1.5 1.7 1.9 12 14 16 18 3 12 3.4 16 18 4 4.3 4.S 4.1 4.9 it 5.3 is S 7 $6 59 So% 49 1.1 1.3 15 1.7 1.9 11 • t3 25 17 3 u 14 3.6 18 4 42 4.4 4.6 4,8 it 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2 12 16 2.6 18 3 12 IS 3.7 19 4.1 4.3 4,5 4.7 4.9 i1 53 S6 56 6 62 6076 11.1 1.4 1.7 1.9 21 23 ZS 2.7 29 11 13 1S 18 4 4.2 4.4 4.6 4.8 5 52 5.4 56 5.9 6 1 63 6S% 1.1 1.3 1.5 1.1 1.9 22 14 Z6 2.6 3 12 14 16 18 4 4,3 4.5 4.7 4.9 5.1 53 55 S.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 Z2 IS 17 Z9 11 13 SS 17 19 4.1 4.3 4.6 4.6 S 52 5.4 56 58 6 62 64 75% 1.3 13 1J 1.9 11 23 25 27 3 12 14 16 16 4 4.2 4.4 4.6 la 5.1 5.3 u S.7 5.9 5.1 6.3 65 607: 1.4 1.6 1.6 2 12 14 16 21 3 13 15 11 19 4.1 4.3 4.5 4.1 4.9 5.1 54 S6 S.8 6 62 64 66 85Y. 1.4 1.7 1.9 2t Z3 25 2.7 19 11 3.3 3.5 14 4 42 4.4 4.6 4.1 S S 2 S 4 5.6 5 96.1 61 6 S 6 1 90%' 1.5 1.1 2 ZZ 14 26 Z8 3 3.2 14 16 11 4.1 4.3 4.5 4.7 4.9 it 53 55 17 5.9 62 64 66 66 95Y. 1.6 1.8 2 Z2 2.5 27 29 11 33 15 17 19 11 4.3 4.6 4.8 5 5.2 5.4 5.6 5.1 6 6.2 6.4 67 59 100.1. 1.7 19 21 2.3 2.5 Z6 3 3.2 14 16 18 4 42 4.4 4.6 4.9 it 5.3 55 5.7 3.9 6.1 S3 6.5 5.7 7 105% 1.1 2 12 2.4 26 28 3 13 3.5 iT 19 4.1 4.3 4.5 4.7 4.9 S.1 5.4 56 5.8 6 6.2 6.4 so 6 8 7 1107. 1.9 11 13 2S 27 29 11• 13 3.6 3.8 4 4.2 4.4 4.5 4.8 5 5.2 5.4 S.7 5.9 6.1 6.3 65 6.7 69 7.1 115% 2 12 14 2.6 26 3 3.2 14 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 S.3 S.5 5.1 5.9 6.2 6.4 6.6 6.6 7•' 7 2 120% 2 Z3 15 2.7 29 3.1 3.3 15 17 19 4.1 4.4 4.6 4.8 S S.2 5.4 S.6 58 6 61 6.5 6.7 6.9 7.1 13 1257: 21 Z3 ZS 28 3 3.2 14 16 16 4 42 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.1 65 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4 ^Slab Ed a Insulatjon Measures or R -value [3381 U -value 10.0301 1 or R•v (11 ] U -value (0.0981 . . or v e (. l U -value (0.0371 One -5 -t a 3 .2 -2 ' g V. Two + 3 3 2 2 2 1 R -value (01 F2 factor 10.771 S. Infiltration Standard - Single -Family 1ktached and Attached 6. Glass Heat Loss 17 5 Unit Size (sl) Type (doublcl U -value 10.651 9.6 Total Glass (161 Water Heater l,redit 1179 "12M -or 1700 2200 2700 7. Shading (Shade Open) Type. Type • i b less ,1699 to 2199 to 2699 or more Saar POU SG None 0 0 0 0 0 a. North or HP Solar HWR 12 8 8 5 6 4 5 3 4 3 b. East •td Wss 5 3 3 2 2 c. South - POU 8 5 4 3 3 3 - SE None 37 24 -18 -15 •12 d. West MuIU•Famlry (individual Solar -1 •1 .1 0 0 e. Skylight 4 . HWR -18 42 •9 •7 -6 _ �_ POU- -18 - -12 -a -7 6 8. Shading (Shade Closed) % Glass SC lassSC Eff. % Glass G•O X = V XEL = - .31 IG None -5 .3 -2 -2 -2 -i5 •11 3b G 11. Heatin S stem g y SC Eff. oro Glass 1 Saar POU 7 3 5 2 d 1 3 t 2 1 a. North 3• q X PQU = oZ. oZ IE None Solar •28 -i9 5 •td -11 •9 b. East -2 X Soiar - 3 POU •11 0 a a 3 - 3 3 South 0 13. Water Heating IE None 30 IS MuIU•Famlry (individual units) d. West 18 x 6 d 4 . Water POU 699 Unit size (sq 7o0 1200 1700 2200 e. Skylight �_ X - Healer TYPO Gedd Type or fess b 1199 to 1699 to 2199 or moa 9. Interior Thermal Mass TYPE 1 ;LASS AREA ' ' SG None 0 0 0 0 a Interior WisuCFA COND. FLOOR AREA or HP Solar HWR 14 9- 7 S � 5 3 4 2 3 f 2. t . 10. Exterior Wall Mass � r - TYPE 2 �tA55 ND. : L OR AREA i AREA Mel POU 9 9S d +. 3 2 2 1 t feT337f•��t2 �•�72� SE None -4S .23 -i5 •11 - 4.9 i 11. Heatin S stem g y Solar 2 1 1 a o Zonal ConiroI? ( Y/ N) HWR WS3 .23 .25 •12 -13 .8 -6 a .6' .5 * 5; ' • + PQU -23 -a _t2 g S 1 12. Cooling System n None .4 3 .2 -2 ! %f 4 Zonal Control? ( Y / N ) Soiar 6 3 2 1 1 ! x POU 1 0. 0 0 0 13. Water Heating IE None 30 IS -10 -8 b Solar 18 9 6 d 4 . POU -8 -4 .3 -2 .2 1:ztenor Woad Noss - L'A- SE or HSPF (0.7716.61 �- Duct Efficiency (0.781 x Ya = Effective SE -or HSPF 10.5615. 151 3 SEER (9:51 Dua Efficiency (0.741 Effective SEER (7.031 Type (SGI :,: Credit (none]. Point Scores �L 0 Sum (b C 7 r Sum 7.10 ,0/ PnirltTntQL• 4_�i 4 / y -1AUILDING ®EPARTM 4PPROVED r 14,V le SA2% •F rjjv/ ��i0�./ y A(afer� a ! I ed No \ sept. A A S� �4, 3 -o'er d�C O/Q Apo - /l0 pt - Ceil,n /?oo? 0/,Pi`c4 3&J` ylYff'T-A,norW �APA S X -� "I - hof boas. c Pc�jxdp/C, ma.1, ar @ b S. a� 1` �n 6y I 1 3 JAcAes/ L•r�S r3y Vy s ca /e A /0;2 C�2r2 y� kl� Coves �fe S!� n zs3o /`,L�lLrrr% �pGN�2 Gardc'JT�/� 7Fo� ,, Ft ' IZZ k.ca -c r ffe,?J 2`7.0 Y. , P'P'OM C✓f%rjt;yp POUJI- r ��r�„uo2 o �� T ItIP '08 IV t�DY 2 54ory ,A/ Fa�uRe •, Nea�er`s �1 X i.Z �� ���F �L oQ M G p , Slugs 2''x 6 "?� �' ufC _/6 •'��o ��l0 9�=� F2�lN9 + Ce./ii`vp %pest A4L TAI L'A 4 e, ��..7�S PeN_f TPS $io%;yq A P4 r_- k • T/G F•w .v f F/o e it/iN�o W' Do k 6 rC ANN 3 lie I I q rye AP4 -a k ✓,�,�_�___ _ yrUP ANC�oa� 3 "he/ff FouN�� ion wa [L. i 10" anchor bolro x Provide /2 and -w.ithim 19 6' O.C. max. -and bf 101"""— i 1/gy Pa^ -2 o f d2 Gta:Qafe w/ s/a5 F/ao►- ��cka.-d i s f '; I • ` � �' , P vWe ad u bracin� '08 IV t�DY 2 54ory ,A/ Fa�uRe •, Nea�er`s �1 X i.Z �� ���F �L oQ M G p , Slugs 2''x 6 "?� �' ufC _/6 •'��o ��l0 9�=� F2�lN9 + Ce./ii`vp %pest A4L TAI L'A 4 e, ��..7�S PeN_f TPS $io%;yq A P4 r_- k • T/G F•w .v f F/o e it/iN�o W' Do k 6 rC ANN 3 lie I I q rye AP4 -a k ✓,�,�_�___ _ yrUP ANC�oa� 3 "he/ff FouN�� ion wa [L. i 10" anchor bolro x Provide /2 and -w.ithim 19 6' O.C. max. -and bf 101"""— i 1/gy Pa^ -2 o f d2 Gta:Qafe w/ s/a5 F/ao►- ��cka.-d IVIT% Provide 1/2" x 10" anchor bolt* Aq @ 6' O.C. max. and withid 1612"of joints. 42 � E COUNTY B BUILDI14G DEPARTMENT p.RO-VED A" SC &/e 4,e V /-rc ._Z5"30 Fppq f T_