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HomeMy WebLinkAbout073-180-026B07 -'O 1'89 073-180-026 MISCELLANEOUS Remodel REPAIR FIRE & WATER DAMAGE TC 19175 NEW YORK FLAT RD� FORT, RICKY & ADA J GOL E - -- t e •0-7 A.P. 73-18-26 L. K_ . LIGHT S/In1-oorrier'"of "Or6-Forbestwn. & Brownsville Cutoff;, Forbestown Permit 3309-73B,E /-,t,;r_ e o ---",s' (add storage rm. ro existing bldg.) AP 73-18-26 L.K. LIGHT .SW corner of Or Forbestown & 'Brownsville Cut -offer, Forbestown Permit# 3712-74B R (s D ora-iD ge & remodel) 7 I� AP -18-26 Permit# 1364-75B,E(e c, for 3712 & coUv. ex. bldg. to post office) \ AP 73-18-26 > Perfatt# 1733-7,5' ,E(for 1364-75 73-1,9-26` t*tRON & IAMDDAA COOPER Contr: Quality Const Permit#2847-84E(-e_p.lace fire damaged ele ser/SF &gro storep� X573 -1826 7/n/Z � Contr : DJ �Ra. Const Permit# 9T1-84B(demolish/fire dam gro 'o stage) - r p Contr:' ,J. Ray Construction Permit#1'' 6-85B,P,E,M(new groc ry and new singe family) .. 73-18-2 �ntr: RayConst, Forbestown 'Pe t# 96-85B(add' 1 ftg for decks/SF) 073=180-026 PERP4IT#94-2263 SOKOLIK,' PAUL (FORBESTOWN POST OFFICE) 19175 NEW YORK FLAT AD., FORBES OWN CONT: FOWLER ELECTRIC 7/,jr0 � 4' RAISE I'IEATHERHEAD/POST OFFICE -\ `l 073-180-026 PERMIT#97-2139 FORBESTOWN STORE' F;/1st 17-.3.Q-7 - ` 19175 New York Flat Rd,Forbestown , Ele Circuit for Propane/Store 073-180-026 PERMIT#98-0010 FORBESTOWN STORE 1.9175 New York Flat Rd,Forbes n Relocate Ex Canopy/Store 072-180-026 01-2479 GOLDEN, ADA 19175 NEW YO FLT, FORBESTOWN (� P CIRCUIT FOR PRO E DISPEN 073-180-026 0 -3115--3 FORT, R1CK & AD 19175 NEW YORK FLAT , FORBESTOWN GENERATOR & L G LINE B07-2218 073-180-026 MISCELLANEOUS Repair REPAIR TO BP 07-0189 19175 NEW YORK FLAT RD FORT, RICKY & ADA J GOLDEN B 0 ,70 COUNTY OF BUTTE BUILDING DIVISION _ . DEPARTMENT OF DEVELOPMENT SERVICES 7 County.Center Drive'* Oro -Ville', Cke (530) 538-7541 CORRECTION NOTICE 00a n OWNER �- 69 PERMIT NO'. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Department of Alcoholic Beverage Control State of California APPLICATION FOR ALCOHOLIC BEVERAGE LICENSES) ABC 211 (6/99) TO: Department of Alcoholic Beverage Control 1900 CHURN CREEK RD STE 215 REDDING, CA 96002 (530) 224-4830 DISTRICT SERVING LOCATION First Owner: Name of Business: Location of Business: County: Is Premise inside city limits? File Number: 503672 Receipt Number: 2018895 Geographical Code: 0400 Copies Mailed Date: September 21, 2010 Issued Date: REDDING BU I IE COUNTY ANDERS, NANCY THERESA SEP 2 2 20110 FORBESTOWN STORE & DELI 2 _ yC9 —/4EVELOPMENT 19175 NEW YORK FLAT RD �✓ /62pSERVICES FORBESTOWN, CA 95941 (�/r 6�2 BUTTE (J' No Census Tract 0024.00 Mailing Address: ___ _ _ _ P0_ BOX 1.15 . _ - _ . _ . __ (If different from FORBESTOWN, CA 95941-0115 premises address) Type of license(s): 20 Transferor's license/name: 457765 / MURPHY, DUANE EMMITT Dropping Partner: Yes_ NoX— License Type Transaction Type Fee Type Master Dun Date Fee NA STATE FINGERPRINTS NA N 2 09/21/10 $78.00 NA FEDERAL FINGERPRINTS NA N 2 09/21/10 $48.00 NA ISSUE TEMPORARY PERMIT NA Y 0 09/21/10 $100.00 20 - Off -Sale Beer And Wine PERSON-TO-PERSON TRANSFER NA Y 0 09/21/10 $50.00 20 - Off -Sale Beer And Wine ANNUAL FEE NA Y 0 09/21/10 $254.00 Total $530.00 Have you ever been convicted of a felony? No Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the Department pertaining to the Act? No Explain any "Yes" answer to the above questions on an attachment which shall be deemed part of this application. Applicant agrees (a) that any manager employed in an on -sale licensed premises will have all the qualifications of a licensee, and (b) that he will not violate or cause or permit to be violated any of the provisions of the Alcoholic Beverage Control Act. STATE OF CALIFORNIA County of BUTTE Date: September 21, 2010 Under penalty of perjury, each person whose signature appears below, certifies and says: (1) He is an applicant, or one of the applicants, or an executive officer of the applicant corporation, named in the foregoing application, duly authorized to make this application on its behalf; (2) that he has read the foregoing and knows the contents thereof and that each of the above statements therein made are true; (3) that no person other than the applicant or applicants has any direct or indirect interest in the applicant or applicant's business to be conducted under the license(s) for which this application is made; (4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an agreement entered into more than ninety (90) days preceding the day -on which the transfer application is filed with the Department or to gain or establish a preference to or for any creditor or transferor or to defraud or injure any creditor of transferor; (5) that the transfer application may be withdrawn by either the applicant or the licensee with no resulting liability to the Department. Applicant Name(s) „ Applicant Signature(s) NANCY THERESA `7 /r%,� ;.: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION I Site Address: 19175 NEW YORK FLAT RD Owner: Permit No: B07-2218 APN: 073-180-026 FORT, RICKY & ADA J GOLDE Issued Date: 10/26/2007 By KEJ Permit type: MISCELLANEOUS P O BOX 178 Subtype: Repair FORBESTOWN, CA 95941. Expiration Date: 10/25/2008 Description: REPAIR TO BP 07-0189 (530) 675-2716 Occupancy: Zoning: U Contractor Applicant: Square Footage: MCGRATH CONSTRUCTION FORT, RICKY & ADA J GOLI Building Garage Remdl/Addn 11 PLEASANT OAK LAME P O BOX 178 OROVILLE, CA 95966 FORBESTOWN, CA 95941 Other Porch/Patio Total (530)321-8080 1 (530)675-2716 FEE INFORMATION DBOMSCF Supplemental Inspectio $115.98 Total Charged: $115.98 Fees Paid: $115.98 Balance Due: $0.00 Receipt No: B5113 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License MCGRATH CONSTRUCTION 483851 / B / 12/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDE ENALTY OF PERJURY th I am licensed under provisions of Chapter 9 (commencing with Sect i 00) of sion 3 oft B iness and Professions Code, and my license Pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and a t. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X ? 10/26/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contrac ors S" ature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law down not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: AMERICAN CONTR/policy Number: 100009448 Exp. Date: Contractors License Law.). (This section need not a competed if the permit is or on�llars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: O{ CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS Oi ISSUED, I shell not employ any person in any manner so as to become subject to the Workers' Compensation, laws of California, and agree that if I should become subject to the workers'X 10/26/2007 compensation provisions of Section 370 of the Labor Cod shall forthwith comply with those Owner's Signature Date provisions. X 10/26/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building Signature Date WARNING: F URE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, permit. I hereb acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ny sidewa ,street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. ab e oned property for inspection purposes. I hereby certify that I am the a d t on the propertyowners behalf. � a, ,. <Gd16/2007 Welofftrmiftee CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM, UNDER PENALTY OF PERJURY that there is a construction lending agency for ee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner —0 Contractor OR; Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY oTr�0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o =J�y : o A FEE WILL BE REQUIRED AT TIME OFAPPLICATION o- -- o c - y website: www.buttecourity.net/dds OU �� *PLEASE PRINT CLEARLY" OWNER INFORMAT/O Last Name First Name Mailing Address City State Zip Phone Fax E-mail APPLICANT INFOR LA TION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail 14.9 Lic. # Class APPLICANT INFOR LA TION ARCHITECT/ENGINEER Name City "Address Zip City Fax State Fz1p Phone Fax E-mail State License Number APPLICANT INFOR LA TION Name %i Address City State Zip Phone Fax E-mail PROJECT LOCA TIPN API v Property Address City PERMIT NO. BIN # WORKS COMPENSATION Policy Number Carrier If hiring anyone other than licese contractors, a certificate of worker's compensation must be shown t the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: C� Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZonLType SRA Yes No Occ. nst AF, PROJECT LOCA TIPN API v Property Address City PERMIT NO. BIN # WORKS COMPENSATION Policy Number Carrier If hiring anyone other than licese contractors, a certificate of worker's compensation must be shown t the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: C� Scl FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZonLType SRA Yes No Occ. nst 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds i Permit No: B07-0189 Issued: 02/14/2007 Address: 19175 NEW YORK FLATArea: IRBESTOWN Owner: FORT, RICKY & ADA J (APN: 073-180-026 Applicant: FORT, RICKY & ADA J (Map Page: Permit Type: Remodel Description: REPAIR FIRE & WATER DAMAGE TO EX ALL PLAN REVISIONS MUST BE APPRO' Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 ShearwalLB.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Z 2 d Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Fina 802 Electrical Final 803 r Mechanical Final 809 Plumbing Final / 813 Pool Final 802 Mobile Home Final 802 Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: 11 D BY THE COUNTY BEFORE PROCEEDING Inspection Type I IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL j 801 j Lff- -rrolecr rmai is a i-ermicare of vccupancy for txesiaennai vmy) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy Z BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 19175 NEW YORK FLAT RD Owner: Permit NO: B07-0189 APN: 073-180-026 FORT, RICKY & ADA J GOLDE Issued Date: 02/14/2007 By TMP Permit type: MISCELLANEOUS P O BOX 178 Subtype: Remodel FORBESTOWN, CA 95941 Expiration Date: 02/14/2008 Description: REPAIR FIRE & WATER DAMAGE (530) 675-2716 Occupancy: Zoning: U Contractor Applicant: Square Footage: DODDS CONSTRUCTION CO FORT, RICKY & ADA J GOLI Building Garage Remdl/Addn P O BOX 272 P O BOX 178 415 CHALLENGE, CA 95925 FORBESTOWN, CA 95941 Other Porch/Patio Total (530)675-9454 (530)675-2716 415 FEE INFORMATION DBMSC Remodel -Residential $714.87 Total Charged: $714.87 Fees Paid: $714.87 Balance Due: $0.00 Receipt No: B1685 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License DODDS CONSTRUCTION CO C744804 / B / 01/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 02/14/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by (� T 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED IZJ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis oris or on�llars ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation, laws of California, and agree that if I should become subject to the workers'X 02/14/2007 IA 1i compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signat a Date provisions. X 02/14/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the props o er or am authorized to,aq on the property owner's behalf. Id 1pil 02/14/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) FUrOwner Contractor OR: ElAgent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE -COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE -WILL BE REQUIRED AT TIME DFAPPLICATION Website: www.buttecounty.net/dds , **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last Name go/ First Name ) Mailing Address 0)C City —beS Gtr e lti Zip Phone �3O _ . a � EFaSa Email 12 O . APPLICANT INFORMATION CONTRACTOR Name T10 ,(ER h 001> j M I tkKSe Address •�h Address City City State Zip .Phone Phone Fax E-mail E-mail Lic. # •7 AW 3641 State License Number Class APPLICANT INFORMATION ARCHITECT/ENGINE Name ,(ER h 001> j M I tkKSe eW� r ( � O Address City I„ 1 City State 11� State Zip Phone Fax5l, _ ( S_ a X788 Fax E-mail State License Number APPLICANT INFORMATION Namei 7 f1 R� ,/1 _ (t (r D v Address eW� r ( � O City I„ 1 No State 11� Zip L5ggl Phone O _U/75 5 a ) . Fax5l, _ ( S_ a X788 E-mail D► C IwQ@� of It i t- W rn APPLICANT SI NATURE PERMIT NO. PROJECT LOCATION API 073- I O• 2 Property Address 101 ) 7 s— uj Vink Q+ R City Tbt' bfsfDuj1,9_ql WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name �J Address DESCRIPTION OR SCOPE OF WORK: V( 14 rox (1 e o Da) r. Sq FT- Living Garage Open Cov ❑ , Structure Built without Permits . C1 Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone I XSRA t Y� No Occ. Type Const. ' ---• BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0189 Job Address: 19175 NEW YORK FLAT RD Contractor: Printed: 01/31/2007- 3:05 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBMSC Remodel -Residential 0010-4400014210500-1010 $714.87 01/31/2007 $714.87 714.87 $714.87 Printed By: Kourtni Graham Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 01/31/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). m h 31 January 2007 From: Rick Fort & Ada Golden Forbestown General Store 19175 New York Flat Road Forbestown, Ca 95941 To: Building Department Oroville, Ca We are requesting a building permit to repair fire and water damage to our residence and business. The building is a 3 -story structure. Two levels are residence and the lower level is the Forbestown General Store. The business was closed due to water damage and electrical issues. In order to reopen successfully we need the building permits issued as quickly as possible. At the present time we are without our home and the community without the store, not to mention the loss of revenue and three employees laid off until we are up and running. Since this is a hardship and we are not starting a building project, only repairing the damage done by fire and water, we ask for special consideration. Plus at this time the weather is still decent and we need our roof repaired before the rain and snow start falling. Thank you for your consideration. Rick Fort and Ada Golden Forbestown, CA BUTTE COUNTY JAN 3- 12007 RENT SE 11V ICES 31 January 2007 From: Rick Fort & Ada Golden Forbestown General Store 19175 New York Flat Road Forbestown, Ca 95941 To: Building Department Oroville, Ca We are requesting a building permit to repair fire and water damage to our residence and business. The building is a 3 -story structure. Two levels are residence and the lower level is the Forbestown General Store. The business was closed due to water damage and electrical issues. In order to reopen successfully we need the building permits issued as quickly as possible. At the present time we are without our home and the community without the store, not to mention the loss of revenue and three employees laid off until we are up and running. Since this is a hardship and we are not starting a building project, only repairing the damage done by fire and water, we ask for special consideration. Plus at this time the. weather is still decent and we need our roof repaired before the rain and snow start falling. Thank you for your consideration. Rick Fort and Ada Golden Forbestown, CA COUN'T'Y DE SERVICtsxAA rte:. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record 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 $500 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 government 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. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor 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 contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN TO VIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES 0 V G/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WIT T FOLLOWING ERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ?D 8E �eRmine� ADDRESS CITY PHONE CONTRACTORS LICENSE NO. 4. I PLAN TO PROVIDE PORTIONS OF THE 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 Description: REPAIR FIRE & WATER DAMAGE TO EX SF/STORE (415) Reference Number: B07-0189 Applicant Name: Signature of Property Owner: Date: ( 0;7 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0189 Location: 19175 NEW YORK FLAT RD Parcel Number: 073-180-026 Date: 01/31/2007 Owner Name: FORT, RICKY & ADA J GOLDE Phone: Description: REPAIR FIRE & WATER DAMAGE TO EX SF/STORE (415) Signature of Property Owner: . Date: 01/31/2007 FILE fir. Cpl , w 4IT6 073 - i90-02(, INCIDENT NUMBER 508', EVENT NUMBER 585' LOGGED BY Il -WI, LOCAL FIRE NUMBER RO ]KEEN f ,' STATE FIRE NUMBER 13,1.',air crarR Fire:; nrri o.a BI CASE NUMBER - a�,ca�te MEDICS LOCATION '119176 NEW YORK FLAT RD PRA l'-" ECC ❑ RP IJU NK l PHONE NUMBER I UNK i REPORT METHO 811 _J WILDLAND FIRES ❑ ESTIMATED ACRES rr o FIRE INFORMATION STRUCTURE FIRE OTHER COMMERCIAL FIRE INFO SENT HOW EMAIL BY MB ' TO STA i4, OTHER FIRE 7 -DAY LOGGED INITIALS TB MEDICAL AIDS INCIDENT NAME NEW YORK PSA/OTHER START DATE 1 /12/2007 START TIME 18:00; HAZ MAT DIAMOND # 2.0 Billable Incident ❑ CAUSE IIMISC COMMENTS LAND USE OTHER COMM. INDUSTRIES ; RESIDENCE AND GENERAL ACRES I 0: TYPE OF ACRES IrI a STORE ` l - - DIAMOND 6 ONLY $ DAMAGE TYPE DOLLAR DAMAGE 40000.00 SAVE 600000.01 INJURIES/FATALITIES ❑ T _ # CIVILIAN INJURIES I "' # CIVILIAN FATALITIES h "J EMD ❑ OES ❑ Interesting Event © # FF INJURIES II �' # FF FATALITIES 11 0 FC -40 INFORMATION ♦ ♦ New Incident FC -40 ❑ DATE OF FC40 INC � AGENCY INC # [ INC P# FC 40 COMP DATE FF FC40 COMP BY ' County Notifications ❑,/ EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ License Detail California Home Page 1 of 2 Wednesd Febru; License Detail CALIFORNIA CONTRACTORS STATE LICEN. Contractor License # 744804 DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments reported to the CSLB are disclosed. . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 02/14/2007 * * * Business Information * * * DODDS CONSTRUCTION CO P 0 BOX 272 CHALLENGE, CA 95925 Business Phone Number: (530) 675-9454 Entity: Sole Ownership Issue Date: 01/15/1998 Expire Date: 01/31/2008 * * * License Status This license is current and active. All information below should be reviewed. * * * Classifications * * * Class Description 113 GENERAL BUILDING CONTRACTOR * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 100015641 in the ai $12,500 with the bonding company http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 02/14/2007 License Detail Page 2 of 2 AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2007 Contractor's Bonding History * * * Workers Compensation Information This license is exempt from having workers compensation insurance; they certified that they employees at this time. Effective Date: 03/27/2001 Expire Date: None Workers Compensation History Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2006 State of California. Conditions of Use Privacy Policv http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 02/14/2007 C9& AD kap p/.N o� P�U, (.v eL o vc c- 5/ � du: N, otic P o r 7/2 &s Pr'UvLiC-1 5 s"~PERMIT NO. 1626-85B,P,E M PERMIT EXPIRES— OWNER XPIRES OWNER RON & LINDA COOPER CONTR. D J Ray Const ASSESSOR PARCEL 73-18-26 i LOCATION SW cor Or+oo Forbes Rd & t,- tc1 (C,A Forbestown OFFICE COPY i Temp. Power t+ ._Meter B� Y „- Called P y� Date f�� �+�ELECTRIC' Meter,g, - Temp. Elea ! �, Y —'Date CalledNle`er y. -4.olrx-4 t ELECTRIC Temp. Gas SI".-'MeterYBy ` - i r Dta�te z Called PG&E °JOB FINALED (Date) 113,VK, A?) r• Signature �i Address 0 GAS Meter By _ %Z1.:' � Date_ } ELECTRIC Meter By Date i Temp. Power t+ ._Meter B� Y „- Called P y� Date f�� �+�ELECTRIC' Meter,g, - Temp. Elea ! �, Y —'Date CalledNle`er y. -4.olrx-4 t ELECTRIC Temp. Gas SI".-'MeterYBy ` - i r Dta�te z Called PG&E °JOB FINALED (Date) 113,VK, A?) r• Signature �i [` J = OK 0 = Not OK – = Not Applicable =1 ot1f1eaV o RESIDENTIAL (Sinile.and Duplex) Date UNDE FLOOR Plans OK except #'s Date FRA G Continued oning requirements–Setbacks– asements 4 roperty Line Firewall & Openings tg., M , Soils–St –Ele d.– / Ftg. Depth 4 . Ext. Doors–One 3'–Check Garage -3rd story, 2 exits. 3. Ftg., Garage; Soils–Steel– / /' Ftg. Depth a' idth–Headroom–Rise–Run–Landing–Fire Protection 4. Ftg., Porches & Decks; Soils–Steel– / /" Ftg. Depth 5Y.,A6Jfwood on Roof Overhang–Attic Vents–Rafter Outriggers Stemwalls, Main; Steel–Blockouts–Wrapped–Slab 0tj. 6. Stemwalls, Garage; Steel–Blockouts–Wrapped–Slab IVSidog–Nailing–Veneer c esh–Drip Screed–Fdn. Vents–Underflr. Access iers–Fireplace Ftg.–Steel 5 ' Glazing Area–Glass Protection–Skylights–Plastic 8. D.W.V.: Fall–Fittings–Test-2 way C/O–Sewer Test ear Walls; Nailing–Bolts 9. Gas Pipe; Size–Anchors 10. Water Pipe; Test–Anchors–Regulator–Service Test ,11. Electric; Underground 12. Plenums & Ducts; Clearance–Material–Support–Ins. 13. Girders–Sills–Anchor Bolts–Joists–Vents–Cripples • o- Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card BI Date Card -BI Date Card -BI Date Date Plans) OK except #'s Card Date % S—Card-BI Date • Date PLU GING (Permit) OK except q's 7. �x s–Door & Sidelight Protection–Landings Any6e Detector IV Water Ht.; Vent–Access–Combustion Air 58. Fur e; Vents–Clearance–Comb. Air–Connector- rage; Above Floor–Ducts–Mech. Protection 1§/Water Pipe; Test & Anchors–Nail Protection 1��W.V.; Test–Fttngs & Anchors–Nail Protection 5 ., Becteom Exiting ig4skTer Pan; Test, First Floor–Tub Access 60. I. & Bath Fixtures & Tub Access 18' T Tub & Shower, 2nd Floor–Tub Access 61�E1 . Trim & Subpanel; Breaker Sizes–Labels 1%/Gas Pipe; Size & Anchors 62jeo6fairss b -flails 63... r ce or Stove; Clearances -Hearth 64. Ele tlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date t 65V i izt. & Appliance; Grnd.–Air Gap–Cooking Clearance Card -BI Date Card -BI Date 6 . lec. Outlets & Receptacles at Kit. Counter Date ELEC ICAL Permit OK except q's Garage Fire Door• Sw mpg–Land ing–Closer .C. Doel in Garage–Damper fixture & Transformer Clearance–Ins. Protection 69.Htr.; Vents–Clearance–Comb. Air–Connector–P.R.V.– In G e; Above Floor–Mech. Protection 2 ec, Receptacles Spacing–Lights & Switches at Doors 70 b., Elec. &Mech. Equip. Listed for Location 2 ze oxes & No. of Conductors–Stapled _• lec. Receptacles in Garage; (G.F.I.)–Rome tec. 2 x Installed Close to Edge of Studs & C.J. 2 quip. Ground made up w/Mech. Fasteners–Bond Gas & Water 72. Insula ' lsFoam d in Attic es 73 and Rails &Deck Construct Caps 2V 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl HolePoor–D age & Wood -Earth Clearance Looked under Floor - ee ire Size / / ga. u or AI–A.C. Wire Size / / ga. Cu or Al 7 nge Circ. /( / ga. C or�ven Circ. / / ga. Cu or At, rV ns lated Neutral es No 75. Following instld.: Drive es alks El Yes o; Planters El Yes LTNo rvice–Riser Conductors & Ground–Main Disconnect 7 rown– finish Equip. Clearances; Panels–Motors–Mech. Equip. 77,. it; Disconnect–Clrnces–Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light–Shower Light 7 egjS±bove Roof; Plbg.–Appliance–Firepl.–Clearance to Opngs. 7940'V5a`ter II; Disconnect, Electrical, Plumbing 80 t Elec. Trim; G.F.I. Receptacle–Underground Card BRIP Date Car -BI Date 81 8 e ' ation throughout House rotection Card B -I Date %/_ p. and -BI Date Date MECHANICAL (Permit) OK except p's rrectipps from Previous Inspections Ga –Mete agged; Gas–Electric acts; Insulation & Support 8 , er & S ir Connected–C/O to Grade–HD Approval 32 ent Fan; Exhaust above Insulation Compliance Certificate–Other ensate Drain & Overflow; Size & Grade 1Eertificates 3-4,qeP urnace–Vent; Access -Comb. Air–Return Air Vent -115V outlet _35_ -AU c_Access & Platform if Furnace in Attic Card -BI -pate' – Card -BI Date Card BI Date Card -BI Date Card -BI Date Card -BI Date Card Bl_ Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA G Plans OK except q's S' s; Proper Material & Anchors IIs; Studs–Nailing, Spacing & Bracing–Plates–Sound 38: Bearin alts over Girders & Floor Nailing 39 Stop in Walls (rat proof) 4 F' Stops; Furred Ceilings–Stairs–Chases–Tu b 4 ader & Beam–Size & Bearing - 4 ngers–Post Caps–Anchors–Connectors 4 Cing. Joist–Rftr. Ties–Purlin– Roof _Brac.–Truss–Shthn_g.–Rfn_g_._ !e 4 F' eplace Ties or Type A Flue–Fireplace Throat V Attic Access; Size & Romex Protection–Draft Stop–Ins. Baffles 4 %drm. Windows or Exiting Doors–Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time youvisit jobsite) J OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date COUNTY OF BUTTE - ;;,DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 ' 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 F CORRECTION NOTICE OWNER ' PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. '/ �.) �r ci✓r l� Gt CG C S / / ct // t,- -S A- i r - w ife Ar) Inspector Date A55 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 WNER 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. i �� tiV>t1f?1',1 Inspector. elDate_ COUNTY OF BUTTE , 4_ 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 1NE`R - % 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 correctionof work is completed. If you have any question pertaining to this matter, or need pdditional explanation, please contact this office immediately. Inspector — Date i -7 7 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 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector. Date—/ 7- r �3 t 4e- �as 6Q2 u �6 i� V) n I I Permit# INSULATION CERTIFICATION Forbestown Number and Street Clty County Forbestown Store Subdivision Lot Number DESCRIPTION OF INSTALLATION ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass Brand Name Certainteed Thickness (inches) Err Thermal Resistance (R Value) 19 CEILING 3at'i or Blanket Type Fiberglassgrand Name Cet�tainteed Thickness (inches) 1 o'r Thermal Resistance (R Value) 30 Loose Fill Type Fiberglass Brand Name Certainteed Minimum Thickness (inches) Number of bags Weight per bag 25 (p Area Covered (0) Thermal Resistance (R Value) FLOOR,ELEVATED . Material Fiberglass Brand Name Certainteed Thickness (inches) 3 . 5rr Thermal Resistance (R Value) 11 FLOOR, SLAB Material Brand Name Thickness (inches) Thermal Resistance (R Value) Width (inches) FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R Value) HEATING SYSTEM Gas Furnace Make Model Description Rated Bonnet Capacity DECLARATION 1 hereby certify that the above insulation was installed in the building at the above location ir conformance with the current regulations setting Energy Conservation Standerds for new residential buildings (located in Title 24 of the California Administrative Code). 4- 10 ?y�� G eral Contractor (bullder) t License Number �31& // Signature and Title +T— I Date — Hawkins I>!isulation Co., Inc. 378407 Sub. on ractor (lnsulat n )Applicator) License Number mar �n l AR ri .,.., Signature and Title. Date CERTIFICATE REVIEWED BY_ Date BIN -029 Building Inspection Office) r ii � ! , � s ., s 'I � ; ti . :�� . =t 1 y. duly 2, /9gS ._ �� ��_ -beam_Ic�e�pa pP,�.e.� �a n.�,_ 2e� — - t�-� �`.._�wa w,c.C.v.�w _.... __._ v —_. ._– _ � - F ..�__._ _I `_ -�..-..______.� -- - --I- -- -- -- �_ _��_..._� --_ 1 I � ' I 4' COUNTY OF BUTTE-- DEPA11-T EW�'OF•PUBL-IC WORKS PERMIT NO:, 7 County Center Drive - Oroville, Cali,fornia 95,965 - ?elephone 916/534-4541 APPLICATION AND PERMIT r ASS S OR F% C=L UMBER 4 ZONA G t ' , l , " °. BUILDING PERMIT r. OW R TE =P oNE SQ. FT. OCC. BUILDING VALUATION OW ER'S MAIL G ADDRESS/?1- 969I CONTFrACTOR A EW T� EPJONE ' � i D/1 C CO A TOR'S &IL NG ADDRESS D r O W pi 'Fireplace CONSTRUCTION LENDER UNKNO TOi1I VdIUati $ / Filing Fee $ 1 •OO LENDER'S MAILING ADDRESS Permit Fee $ A C ITEC11OR E GINNEERLI 7 L V( N . Plan Checking Fee $ '• ,P_enalty n $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ (p r(' BUIL ING ADDRESS o _ _LA q fi i2l PLUMBING PERMIT Fi.lingFee 10.00 © Each Trap / 2.00 Solar Water Heater 20.00 Water piping' 5.00 5 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Sj.O Gas piping system 1 - 5 outlets 5.00 or) USE OF STRUCTURBuilding ©C6PV t/ �©K,& SFCA Duplex❑ Mobilehome❑ Other�r_g SPE IFY sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New 7N Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS _ 600 AMP OR LES 10.00 00 Main service EA. ADD'L too A R_ 19 2.5011-50 NEW CONST. DWELING O OR ADDNS. ACCLBLDGS.CC & 21/20SQ ft ' 3 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 Profession Code and my license is in full force and effect. License No. O 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 ./ ^^ NON.RESID 250 ea / BRANCH CIRCUITS) � (JQ NEW CONST R. POWER APPARATUS &\\ h NON.RESID. �SINGLE,OUTLET CIR. / 0 Ex. Occup( 20050Q P�OUTLETS OR FIXTURES BAL®30Q FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pgrmit Fee $ Contractor MECHANICAL -PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance ora 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 Wnod tau 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 aid unty in consequence of the granting of this per it. _ X Date �j Signatur of App icanr – Owner❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresppo��v//e��r 3 stories in height. Mobile Home Installation Fee $ y �G OK TOTAL PERMIT EE $ OCCUP. GROUP 6-2 1,J9-3 TYPE of CONST. 1/— PARCE PD HD IBeuE This permit is hereby issued under This sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — Receipt No. T d�r7� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT X DESIGN-DRAFTING SERVICES rKEVIN E:fINCH 100 GOLD DREDGER DRIVE" P�O•,BOX 2443 ; BUS: (916),534-9587 , --;OROVILLE, CA 9,`,965 . RES:,.(916) 534-3872 ) P Q... 4ow,c4wf 6 ?s— 2 -la 9?7 fl=wv Fqr2-~lV#wRrfT47Tr -f S rR o a r. Aeov�t � f ,�/ x Aew,*, pzr� S/ze 7/- -5,,0~ lc j7� E 4/G gw#-- i - !SQ tj-?- S o , ' ti CIYIL P, GENERAL NOTES: (unless otherwise specified) 1. Installation is entirely the responsibility of the respective contractor. 2. All bracing temporary and pennane'rl. to resist lateral forces to be designed and provided by others. 9 Design assumes "dry condition" of use in noncorrosive environment. A Design assumes lateral bracing at 9'oc top chord. 12'oc bottom chord 5 Design assumes lull bearing at suppons Shim Or wedge If necessary. 6 Camber truss to L/720 between suppons. 7. Adequate drainage is assumed 8. Ix7 continuous lateral bracing required where shown.' 9 Impact bridging or ialeral bracing recommended where shown.• OVF.k4LL LENGTH OF 28' 21r SPACED 24.0" O.C. TRUSS LUAl')ING LL+UL 01, ItUOF o 23.0 PSF UL Ute CE 1L7NG = 10.0 PSF TOTAL DESIGN LOA[) : 33.0 PSF e a 5 PSF CETL1,rG NFI)IICTION T4XF..N(5/h11URT v.ALL) LOAD OUR A7JINN 1^.0 EASE = 1,25 STUB D LEFT Ll:Ar.TIOV o 771 RIGHT RFACTION a 771 ItW55 t4�k.3ER FORCES (CON 11 T 1 -1559 6 1 1479 w 1 -405 u 3 -d29 T 2 -1299 8 2 778 W 2 - 638 W O 603 T 3 -495 8 3 -0 1% 5 -750 LEF1 IIRh'G AREA REVD 2.52HF/ 1.h00F SM4 HIGh( IIHhG A,'EA REO'D 2.52HF/ I i oOF 5nI1+ STU5 E to 25'-2" LEF1 REACTION a 685 RIGHT REACTTON : 685 TGIISS MEMHER FORCES (CON 1) T 1 -1269 L 1 1223 w 1 -401 IN 3 -701 T 2 -1029 R 2 517 W 2 642 W 4 -149 T 3 -U 7 rushed as laaows: DIGITS INDICATE SIIE OF PLATE IN INCHES. tJ1� o.c. Holes eta in line. LUMBER: Shall air W m9j,"eo omnum aa 6 spes o noted IcIm" For may rR y 'S" a C. HOW we in trM. to sub5bmV where He -Fe a spw.d I ,Ww�Nr id. - 1tsula.'G"rgrc.Its to pa simi, used AN olnM tie 20 pa. e;- urdewoth wisenaid. [For awYe drYyrr -awes. tie I C 6 0 RR* 1607 and RRA 1439 7 a Slgnode I I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTSR�DRIVE '- OROVILLE,=GSL' IF'ORNIA 95965 -TELEPHONE: 916/534-4541 y PE:. RMIT APPLICATION DATA SHEET r Permit No. OWNER &)o /.. D,.� A. P. No. Proposed Building Use �� �` y^oCCSV- <� tit/ Permit Fee Based Upon: Complete Contract Price i� DPW Valuation , Other (EI ain) p I Building Inspector /I 1114b ,/r' Date %.11-.ff. - At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED. APPROVED 1./ All items have been submitted. . . . . . . . . . . 2,.. Plot plans in duplicate./t-rip�. . . . . . . . . . . 3. Complete plans in duplicate./trip'l'icate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . �6:. State Energy Forms No. i •. Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . 9. Letter of signature authorization.. . . . . o S —nd Sanitation approval from ✓• u,./�. Health Dept. �,�f-1�'C 11 Planning approval .for (A) Use: (B) Parking: ----- . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) ,� /14. Owner -Builder Verification (Given to owner, Mail to owner❑ .) 0� 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. .L •Pre-Inspec. request to 110 17. Pre -Inspection for Required. Building Inspector (Date) Recorded copy of Agricultural Acknowledgment Statement.! �,�19. Other _ 1 �`�.-44 A27� , O -Jr- d46"s eon ¢.4 r fee, �l S4Yerr 0 When you issue the permit, process as follows: Mail to owner. Mail to contractor. X Telephone / PS -J4 9'0 and hold for pickup at )"n office. Deliver w./inspector. Other Applicant Date 4A /Y It Copy of plans sent Health Dept., Fire Dept., Other Datee:-2/-1940 During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time ap 1ica io circle item.) 1. Index permit for above Items No. Ax A0 2. Additional items required: + r Contractor Designe(, Owner) was advised of above required data by Telephone Mail Other By Date SPS' Plans checked by Plans approved b, Other: Copy -DPW Date Date;S- $i:, -7 L � ^ �� � � ~� � . �`� .��' ' � ^°�-�� -� � . . � ^° , '` '. � �� � �� ' �� � �o� Boildi�� Deyartment / � ^ .� �rom, �nviroumcotml Bea]th _ ` ---��� Imoatinn x�� "~.^^^ � � ` . �lao ���roved �or: Sewa�e Di�posa ��ter GuuuI Kator SunnI�________' BoId �inaI �or� ^.^ � � gat Su�nL �ioaI CIeuruuce O.�. �or� __ ^_ , `G� hiIpbome or nthor �� . Note**� , ' � De ~ /' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 a,. APPLICATION AND PERMIT PERMIT NO. ASS SOR PA CEL NUMBER 1 - a zONI BUILDING PERMIT OWN V TELEPHONE SQ. FT. DCC. BUILDING AT N O R'S MAI NG ADD E S LO. -OW&AIOUA404 ?`!;_91� C O A C T O S N (F�1E `i T El! �jJ�/ CON AC OR'S ILING ADDRESS -� /(•-0 e k Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ / (, ARC/'HJhTECT OR ENGINEER ,(JO LICENSE NO. Plan Checking Fee $ / D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD Ess Permit fee $ 1001 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 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 10.00 ea TYPE OF WORK New ❑ Addition (X Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ 0 0V e c Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 (J Main service 100v OR LESS 1 00 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 ONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' S Cod a d my license IS In ful Orce and effect. License No. b 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 CONST. DWELLING OCCUP.N) 'h2sgft OR ADDNS, ACC, BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS /POWER APPARATUS 81 \SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20@50t eAL@3o Ex. Occup. our OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. . I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and,state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againAaidounty in consequence of the granting of this permit. X Date Signatucant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permi is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storieJs in height. Mobile Home installation Fee $ Energy Inspection Fee $ p TOTAL PERMIT FEE $ D -O� occuP. CONST.TYPE [_7;00fARCFLJ 1This P11 ND ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D) TO PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date I S Receipt No. �/ WNITE-D.P.W., YELLOW-ASSES30R, PINK -INSPECTOR. GOLDENROD -APPLICANT al I 1001 ® 1_11®I® ...fJ ,:L! —+4; y: t--:. •:af• _�-•tN`.!84ti1K: �.: •S��„ _ - ,y�{�"Y` ��15 -- - - `.:I •i�•.-3.1•'. CFS.—'S� al I 1001 ® 1_11®I® ...fJ ,:L! —+4; y: t--:. •:af• _�-•tN`.!84ti1K: �.: •S��„ _ - ,y�{�"Y` ��15 rail to be 36 in. high with • ,in !aafie rails to be not - t -- 4 _-_--- I ------------ �- �•.- -,,e�T . --- -- -- - -- •- -- - -- --- ---... _ _ � 14X4 09 m- - - -- ----- - -- ---- r, _ E -COUN ii ---- - - - ` -- COUNTY.-- i UiLDING DEPARTME_ BUILDING DE?ARTMEN� • - APPROVED APPROVED .n.-� - yU . /Q 9-.,r �n SCpTtG r i JAS AFFIDAVIT REQUESTING DUPLICATION OFPLANS (California Health and Safety Code Section 1985 1) The official copy of the building plans may not be duplicated without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner. I hereby request duplicate copies of the building plans on file with the Butte County Building Division for Permit Number-16z%"d e3 and the building known as ?� � -,g — (Residence or Business Name) I am aware of the following three provisions of the Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. Current Building Owner: Design Professional of Record: P1 V1 C O► G1 r' Signature of person requesting copies: Printed or typed name of person requesting copies: s Date:9 ��/�� 2 Address: Reason for requesting duplicated set of plans: A& , 24 r/i r^ G,��e,, Z4� For Building Department Use ❑ Owner Permission received - Date Sent: DateReceived ❑ Professional Permission received - Date Sent: DateReceived Receipt Number: 77 V - Address Reply to D.J. hay Construction P.O. Box 4 Forbestolm, CA 95941 - Dear Mr. Ray: 71 196 Memorial Way Chico, California 95926 Telephone: 916/89-2727 ZSy1- g� l���e C06d12��?3 i�-z6 0 DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH X 7 County Center Drive ❑ 747 Elliott Road Oroville, Californ o 95965 Paradise, California 95969 Telephone: 916/534-4281 Telephone: 916/872.2961, Ext. 58 July 5, 1.985 The plans for the Forbestown Store are approved by this department with the following corrections: Shelving on sales floor is to be smooth, sealed, easily cleanable, of light color. Bottom shelf is to be high enough to store products at .least six inches up off of floor. 2. Stainless steel utensil- washing sink is to have eighteen inches integral drainboards. 3. You must supply,hot and cold running water from mixing .faucet at utensil washing sink and jay),itorial sink. 4. This department must be notified whether or not ,you will_ have an ice machine and if so where it will be located. 5. Provide toilet paper from dispenser permanently affixed to wall. 6. Provide finish schedule to this office for floors, walls, ceiling, of walk-in refrigerator. Floor to walk-in must be self -coved 3/8", 6" high. 7. Provide finish schedule for walls and ceiling of restroom and utensil washing area. 8. Lighting in walk-in and utensil washing area must be adequate','easily cleanable and with shatterproof shields. 9. Provide area for storage of employee's personal. effects. 10. Provide Permit to Operate from this Department prior to opening. If I can be of any further assistance please feel free to contact me at the above listed address or telephone number. Very truly yours, Thomas Hughes, R.S. . z-y..,y��......r�...��. -.. �.n,.` ._.... .. �....-d,...- q..0 . -�..-•.--r.. ,,-....n,F• .�; �_>+.f` ` .." y�Y' 1'"�'', r'•r'�'*rcYwt'�y��`ti+.,�" ..;*'r :�y,.�'""'-n �..ty,,.l�`T�=�1 � �� _�'` S - j M � � i ' A .r r d � � � �� �.� � �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIA AN[b PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ' ZONING BUILDING PERMIT /1 OWNER r ll� TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME i }` •I J4 ♦ i�'�t.�a �. TELEPHONE CONTRACTOR'S MAILING ADDRESS I, � ->l fir, ► ��.—� 1 •) c� r1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ I BUILDING ADDRESS �^� , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 i 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 [IDuplex ❑ Mobi lehome ❑ Other �' ` J r 11, -1 r iy SPECIFY Building sewer 1 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ r Describe work: i in•' rt ° ► ) !•, U _ I v0 rl ' t � j r , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OR LESS 10.00 `I dt Main service EA. ADD -L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. I 2/22sgft 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. - 7 tl+ LI Classification i:t,�.t• 1 F]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 CONSTFL POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 20@50Q Ex. Occup(ourLETs OR FIXTURES BAL030Q LNS Ex. Occup. OUTLETS ED AP(RESID,)R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. `❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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. 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 11: 4`, Date /� Signature of Applicant 1 Owner ❑ Contractor 0 Agent ❑ An OSHA permit is r quired for excavations over 54" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ , r TOTAL PERMIT FEE $ 1 - - OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC •, BY � + PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS 1 01 Date I _ Receipt No. !•'ti WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �%il APPLICATION AND PERMIT LZ -17 ASSESSOR PARCEL NUMBE ZONING BUILDING PERMIT OWNER TELEPHONE ,S Q, FT. OCC, BUILDING VALUAffON OWNER'S MAILING ADDRESS C NT�1.0 'S NAME TELEPHONE C 1ACTOR' I ING ADDRESS t Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING DRESS � � � PLUMBING PERMIT Filing Fee 10.00 rb ex CJl7 J Each Trap 2.00 Solar Water Heater 20.00 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 STRUC �1RE SF ❑ Duplex ❑ Mobi lehome ❑ Othe " C 9i'p SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Inst lation ❑ Other ❑ De cribe work: l�aAy _1 I �� � 19,V% Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS . 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgft 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 Profession Code a d my license is in full force a ffect. License No. Classification FN• 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 &1 NON-RESID, SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 8AL®30 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 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 nconsequence of the granting of this per it. , against d C_o;a� l A ja f X Date / Signature of Applicant Owner [I Contractor® Agent An OSHA permit is r quired for excavations over 5'o deep and demolition or construct- of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ r OCCUP. GROUP I TYPE OF CONST, I PARCEL 1714. 1550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CT R OF PUBLIC (1(7ion By PERMIT EXPIRES D to the applicable provi- resolutions to do fees -have been paid. WORKS Date — Receipt No. 1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 3309-i3 A .~"PERMIT NO. 3712-744B P E M -MH UTIL. ?'PERMIT NO. PERMIT EXPIRES / �� .OWNER L.K. Light . .CONTR. OCATION (A.P. 73-18-26 ) SW corner of Oroville-Forbestown & Brownsville'Cut-off, Forbestown Temp. Power Pole T Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED `" 2_ S 1 (D (Signa re) 4 u COUNTY OF BUTTE — DEPARTMENTIOF PUBLIC WORKS �. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Forms ` Main Bldg. Footingsd Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE _ Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS MECHANICAL Heating Cooling Ducts Ventilation Final . REMARKS OR CORRECTIONS Motors Water Htr. Subpanels Grd. Fault Pro Service Temp. Pole Underground Permanent Final COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 Tel ephorpe: 534-4541 APPLICATION AND PERMIT 40 Jr BUILDING OwnerIfr le, Z - /:� SQ. FT. OCC. BUILDING VALUATION .2 Z . OO Mailing Address P0,Fpit� an d d d T le hone No. SaS�D Fireplace Contractor Total Valuation Mailing Address Permit Fee 9,1 00 Plan CheckingFee�er�e F� „rD Telephone No. Permit Fee $ C)✓1 $ Building Address,5,0V a S0.4 -PLUMBING No. @ I FEE PERMIT FILING FEE $2.00 6�D /4 Z_ ,Ce7"' f(/ ,elft[.) — Each Trap 1.50 ZTV I IL L C C.U O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — `/� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 S ti n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Im rove ents p Lawn sprinkler system 2.00 g. Plans Rec'd Po cel Approval r Pla Approval Permit Fee $ $ NEW ❑ ADDITION ® UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Range, Cook -top or Oven 1.00 T p�E--�' LQ O E Water Heater or Space Heater 1.00 Light fixtures (d 25 ba�l (n�llo Receps., switches & fix outlets 2025 z2 f t'/ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring s[LaI am.exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. X certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives. of the County of Butte to enter upon the above-mentioned propert for nspection purposes. 1� Date�z signature _-T P mitee or Ascent TOTAL PERMIT FEE $ J This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS Receipt No. & & a j White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant �Idingmit expires Date .................✓. COUNTY OF BUTTE – DEPAR-TMENT OF PUBLIC WORKS1733 —7 7 County Center Drive — Oroville, California 95965 Telephone 534-4141 APPLICATION AND PERMIT BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 g0 f Telephone No. N 7S Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address S"a lv� Lf'�d`'' PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 G`'U e/tp dj /�� �pu/ rorr/v1 Each Trap 1.50 SU /£ _ Repair drainage or vent piping 1.50 /,S-0 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration Parcel Ma p 60' R/W I Improvements p Lawn sprinkler system 2.00 BIT . Plans Rec'd Parcel Appr6j2L___J Plans Approval NEW ADDITION UTILITIES ® OTHER Single Family Duplex [J Mobil Home [:J Others 5a cZS zlpa3 PA` eAe, f' f£4 % 17/.2 — 7 y CONTRACTORS LICENSE LAW " I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Lic nse No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I h e placed on file with the County of Butte a certificate of rkmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of th County of Butte to enter upon the above -menti ed) property for i pection purposes. X 4zi r Dated'.&fy 9� nature of Permitee or gent 44 Receipt No. 1 U_$ � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1.meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven WateK-He ter or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee @ FEE $3.00 4 e"O 1.00 1.00 1.00 2002 1:00 1.00 5.00 5.00 $3.00 FEE TOTAL PERMIT FEE $ 9 4 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. 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Inside Surface Air Film , 6'P , 6,P cooling heating Outside Surface Air Film • z r -17 cooling heating C - HEAT TRANSFER COEFFICIENT Form 3 PROPOSED CONSTRUCTION ASSEMBLY. , Rev. 1 5/78) Sketch of Construction Assembly CeIG List of Construction Components R 1. O,},eecr d0 0, .L/hoc Eyi`1 Zo 2. /% /PLY, / 39 3. 4,1,e.�Prfe-,r- g r , d'4 a. /,vrvl- 5. s/� P�'rP. X30. s. /¢DJ0sr r—p,2 7. /9 fox . yv t /, 21-x/�Tx /0 8. /m0 9. 10. Inside Surface Air Film Check one: cooling heating Wall Outside Surface Air Film , Z r Roof / roofing heating Floor Vol' / Documeaftedm Fa m Form 4 KVAC Spsteias ComPliaaca r-7 r.. 7//��a�-- am > eD.now andemby Nott All items refer to a single air =nditfoning system• and the spaces served by this VM*m. Use additional forms for multiple sM ms, name. or number as DESIGN CONDITIONS. Building occupancy type (Table 1 of Appendix 1) ..... Project Latitude (Table 2 of Appendix n ... ........ Heating Degree Days (Table 2 of Appendix n ........ out on drawing HEATING LOAD DOCUMENTATION (Attach dations - Total Hat Losses ......... .......................... Stu/Mr. COOLING LOAD DOCUMENTATION (Attach Outdoor Design Temperatun, WIMer ................ F Indoor Design Temperature .......................... F Temperature of adjacent unheated spaces .......... ° F Transmission Heating Losses ......................... Stu/Hr. Infiltration Air ........................................ CFM Heat Loss From Infiltration .......................... Stu/Hr. Ventilation Air ......................................... Heat Loss From ventilation CFM .......................... Outdoor Air for Special Proaesaa ................... Btu/Hr. CFM NOW Loan From Proessa Air ......................... Btu/Hr. Other Nat Losses (describe) ........................ Btu/Hr. Total Hat Losses ......... .......................... Stu/Mr. t i i2S Ifs Y+�y FSA Yi �. - '� �.F�• 4 1J .,•.1'A- 3' i ..a.�,ni.� l` +- ..- �.., .L.l :.,. v S'K'Y �•li nt. �<iy 1,. . COOLING LOAD DOCUMENTATION (Attach .r`. .. Outdoor Design Temperatum asnnmer. dry bulb ...:. ,R Outdoor Design Temperature, summer. wet bufb. ":: =ft Indoor Design Temperatum summer, dry bulb 'R r ,rF.f7 Indoor Design Temperature, sw+nmer. wet bulb ... 'R Tmnsmission Heat Cain "� •�rk�l�.' �:c:�' InfBb'allon Air .............. ............ CFM...:.....: Neat Gain From In iltratfon ........................ 8tu/Ht. t � > E Outdoor Air for 8 peClal Processes •................. Heat Cain for Process Air .................Btu/Hr. CFM Solar Hest Goin Throughndsetc `: `� �• Neat Gain From tights, Equipment People, ett; .. Neat Gain Fran other 3ounas ...................... Btu/Hr. t i i2S Ifs Y+�y FSA Yi �. - '� �.F�• 4 1J .,•.1'A- 3' i ..a.�,ni.� l` +- ..- �.., .L.l :.,. v S'K'Y �•li nt. �<iy 1,. . —an —AM I& -W V Mb q—jt --o --mo/ Ioay mmawma oM *S mg MURA& "oN DwyjMl NW.L wog aoeg sop S" Una" MGM& • dwoo suplqsrj suipunit RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLEX & MISC. ONLY) n Bldg. Permit # 29 '— BY- OWNER SOWNER �diti CEY,i�E/.� A . P . # 176 GENERAL 1. Zoning requirements: (sideyar and number of permitted living units). ,2! Valuation. —P1 ned b designer. 4 . �iergy Design and Co Existing vilations on property. PLOT PLAN 1. Co a and dimensions. 2. Setbacks, sideyards, easeme etc 3 t er ui in s or s ructures 7".�i811.Ec,s rading, fills,drainage. 0&.." Flood hazard. Special conditions on creation map or compliance document. FLOOR PLAN ,,.e Com Tee to scale plan with dimensions.---.,,- - 3� Required windows for light and ventilation (Sec. 1205 . e. Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). o&- Required room sizes, ceiling heights (Sec. 1207). o,?'. G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ,,9-- Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. y6! Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). 1p' Fireplace and wood stove location. J,3-- Smoke detectors (Sec. 1210). STRUCTURAL DETAILS �Ci oS� 2l /coo n. .�j'• . Foundation plan complete enough:to construct building. S� k/� .2. Floor construction details complete enough;:to construct buildi494k' '�`�` Elevations and wall construction etas s construct building. Roof construction details complete enough to construct building. ��=construction details and calcs if necessar . ata and detai s o sa is y energy requirements (State Law) o��',. MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)).: Brick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. -4706). k- Proper roof pitch for roof covering (Chapter 32).. 7,o--"R'after ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 P MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) ,8! Garage door or porch header sizes. ,900'- Adequate bracing. ,.A' Living area over garage - complete 1 -hour separation required on -garage side . ncluding supporting walls and posts Two exits on t ree-story wellings (Sec. 3303 & see Mezannines 1716). Attic access an Underfloor access and ventilation (Sec. 2516). j Wood stoves, clearances, alcoves & 1 -hour shafts. r"• Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. X� Unusual shape, size or split level house requiring lateral design. Page 1 MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE Bldg. Permit # OWNER /� /LJ BB��sC_ A.P. # A. GENERAL 1. Zoning requirements (sideyardsparking, pecial conditions). 2. Valuation. ,3-.- Signgture by R.C.E. or Architect (if required). Calculations. 4.mprovements and ra nag - Land Dev.,DPW; City of Chico; City of Biggs. Complete plot pan w dimensions, easements sand other pertinent data. 6. See previous permits and plans in file for xpired permits, change of use, B. OCCUPANCY REQUIRIIMENTS 1. Building use. .,2!" Occupancy Class 3 Z Type of Constr.. Building floor area /G 3Z <,d-2 ) sq.ft. Occupant Load �. Total allowable floor area 2SQ2g2 sq.ft. Basic allowable floor area vdpe> sq.ft. Basis for increase .,&: Additions, alterations, and repairs exceeding 50% (Sec. 104). Compliance with occupancy group requirements (Chapters 5-13). ,J- Occupancy separations (Sec. 503). , Area separations (Sec. 505). Firewalls due to location on property (Sec. 504). Maximum height requirements (Sec. 507). Attic separations (Sec. 3025). Ventilation and special hazards requirements (Chapters 6-13). dT. Fire extinguishing systems (Chapter 38); Fire alarm systems (Sec. 809 & 909). Mechanical code requirements. (Grease Hood w/fire sprinkler system - Chapter 20). Health Dept. P an ev e a estaurant b) Commercial Pool. Smoke detection system. P Fire Dept. Plan Review and/or Fire Marshal Plan Approval. 1A-. Electrical Code Requirements (Pools or hazardous occ.) (Art. 680 & 500's). C. TYPES OF CONSTRUCTION REQUIREMENTS ,,1! .Fire retardant roof coverings (Sec. 1704). Parapet walls (Sec. 1709). �-' oilet room floors and walls (Sec. 1711). �! Physically handicapped (Sec. 1711 & Table 33A). Guardrails (Sec. 1716). Detailed types of construction requirements (Chapters 7� Proper roof pitch for roof covering (Chapter 32). 8e -"A ytic access and,ventilation (Sec. 3205). 9. Roof drainage (Sec. 3207). 1Skylights (Chapters 34 & 52). ] Stages and platforms (Chapter 39). Interior wall and ceiling finish (Chapter 42). kT. Fire resistive requirements (Chapter 43). ,140. Wal -1 and ceiling coverings (Chapter 47). .16�.TGlass and glazing (Chapter 54). . Building Materials - Check: Grade, Species, Allowable Example: (Glu -lam Beams w/ certif. 24F ext.grade). 17-22). Human Impact (Sec. 5406). Stresses, Ext. or Page 2 MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE (continued) D. STAIRS. EXITS, AND OCCUPANT LOADS General Exit Requirements (Sec. 3301) (Post occ. load, etc.). 2 O'Cc ,2. Number of exits, width and locations (Sec. 3302). Doors (Sec. 3303). (!-- Corridors and exterior exit balconies (Sec. 3304). ..e.' -Stairways, rise & run, width, winders, and construction (Sec. 3305). Horizontal exit (Sec. 3307). Exit and smokeproof enclosures (Sec. 3308 & 3309). Exit signs and illumination (Sec. 3312). Aisles & seating (Sec. 3313). 40. Exits for occupancy groups A-E (Sec. 3315-3319). E. ENGINEERING REGULATIONS, DESIGN, QUALITY, MATERIALS, AND DETAILED REQUIREMENTS Complete plans sufficient to show how building is proposed to be constructed and to verify conformance with Chapters 23-29. Plans must include plot plan, floor plan, foundation plan, elevations, and complete structural details. .2� Energy design, calcs, and necessary details (State law). �. Veneer (Chapter 30). Chimneys and fireplaces (Chapter 37). Engineered plans if required. jr Plastics (Chapter 52). Excavation and grading (Chapter 70). Continuous or Special Inspection (Sec. 305). Factory or other certification.' 9. Soils or compaction data. T0. Noise regulations. Footing reinf. Min. Two #4 bars (cont.). 12'. Engineering Calc(s) should include: (a) Roof - Ceiling. (b) Floor - Ceiling. (c) Foundation. (d) Walls -- Large openings? (consider lateral). (e) Lateral: 1. Roof Diaphram. 2. Shear Walls. 3. Anchorage & Tie -downs. 4. Connections thru-out. (f) Retaining Walls. $� RISF ) a R-�"- 7 - � .b dE•byr RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM Owner Climate Zone_ Permit No..��_-' Floor Area Compliance path: Package ❑ A ❑ B ❑ C LIPoint System []Budget ® Other MIN, R -VALUE DESCRIPTION REQ•=' D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling -3v ® W —/9 PS1 Floor Perimeter aised Floor C� ,(2) INFILTRATION: ® (A) A vapor barrier is required in climate zones, 1, 14 &(16) (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. , ® (C) All swinging,doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple j Total Bldg g 2 - North North East South 3 West (. 3. 3 X ❑ Skylights (B) Shading Shading Coefficient Description ❑ East ❑ South ❑ West ` ❑ Skylights (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass 4%7- COMC D -t- u. c 2 Acts, d/•� ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.z HC= R= MC= Location 7/83 C *1 0 rated slope Other lil/OOD Sn 1/% (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (seasonal EER) (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ® (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ® (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan -type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ® (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 FORM ..��- (4)•MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A)"Heating ❑ Central Gas Furnace % (brand and model number) SE. Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number) ACOP Btu/hr .(heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept C *1 0 rated slope Other lil/OOD Sn 1/% (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (seasonal EER) (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ® (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ® (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan -type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ® (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 • (6) DOMESTIC WATER SYSTEM (d) Gas Only FORK 1 Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 13 Active Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) .❑ 13 (backup heater type, brand and model number) (collector area) (collector.orientation) Location of Solar Panels Other (collector tilt) ft (Describe) ® :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water he and outside conditioned space shall be insulated with a minimum of R-3. Steam.and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). ® (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature 24°, elevation 3606 ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU W/ X/0 % R/�o Cooling: Summer design temperature °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE.INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing .of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNAT OF UILDING DESIGNERPR APPLICANT ,JOB It 51601/.. DA'rE -a 9- 36 PAGE 1 Of: STRUCTURAL DESIGN FOR 724--_ 1"OR0,5 07VALIAI INDEX PAGE Nancy E. Vonderhaar R. C. 1: 37 359 QOESS/ \1 0 Al CA= 4.4 r'Mv'A'1_ No.37359 SPECIFICATIONS: gjFOf CNO 1. Snow load -,:20 P sf 2. Concrete. -.A200 psi e 28 Days 3. Concrete Blocks - Grade 'A' Units & Grout all cells solid 4. Lumber - Douglas Fir grade as specified S. Re -bar - Mild 20,000 psi; Lap all splices 24" 6. Soil - As's,umed bearing psf. 7. Shear Plywood - 3/�8" Structural 11 cd exterior or as noted. These calculations are haled on plans drawn by 'ffleL Dated ,,7-22--85 DATE PAGE 2 of FOUNDATIONS: a. All foundations shall be placed a minimum of 18" into natural un- disturbed grade. b. All continuousfootingsshall be 16" wide with 2 #4 continuous unless otherwise specified. c. Retaining walls must not be backfilled until all concrete and . mortar has reached 28 day strength. d. All anchor bolts and hold downs specified must be installed in wet concrete. FRAMING: a. Minimum header size shall be 4" x 12" in 4" load bcaring walls and 6" x 10" in 6" load bearing walls. b. Use 2 trimmers minimum on all bearing wall openings 48" and over or as specified. c. All columns and posts to be installed with ICBG approved post caps and post anchors or as specified. (Simpson or equal) d. Where posts are called out for, beam support, the load is to be transferred the full length to the foundation via vertical grain members only. e. All rafters spaced over 16" apart bearing snow load shall line directly over studs. f. Studs shall be spaced a maximum of 16" O.C. g. Any shear connections specified are for the portions of the wall identified which are continuous from top to bottom plate. (not including windows and door area) h. Stair stringers are not part of these calculations and standard , framing techniques shall be used. + i.. All deck joists must bear on exterior wall of house, or be hung from a ledger which is bolted to the house, or hung from solid ,framing. (i.e. the rim joist)(Hangers and bolts must be designed) j. Use Si.mp. ST22 strap tics over rafters at r-idge, and Si.mp. A3S angles at rafters to bearing wall connections. ' LOADS: a. Shear stress loading has been eliminated at supports for a distance equal to the depth of the beam.'(U.B.C. 2506-c) b. Soil bearing pressures have been increased 20o for each additional foot of width and/or depth over 12". (U.B.C., Table 29-B, ftnt.3) H DATE PAGE 3 of GENERAL: a. Before ordering any material, it shall be the contractor's responsibility to verify all dimensions. b. It shall be the owners responsibility to insure that construction conforms to these calculations. c. Any field conditions found to be unusual or other than those used in these calculations shall be reported to this engineer. d. These calculations are considered to be valid only when an original signature is affixed in.brown ink. _ e. All construction shall conform to the provisions of the Uniform Building Code. Nothing in these calculations is intended to conflict with those provisions. Any conflict shall be brought to this engineer's attention. f. These calculations shall become a part of the plans and specifications for the proposed project. In the case of any conflict these cal- culations shall govern. OON NNN ZZZ' NNVI coo X20 Emineming LOA05 - /ATL , �2 a 51-/E-177 /A,, I 59Z, 75' .V o 5 /,0 G L4 /c000/Z le -17 � l�liP, o%O/SJR : R s/ TiIZ& 17 i 7V 1-04,0 7Z;P 75 r4s = gas 2. '7 Av v Enginwrin j and, esign 592.75' 2 ,Iowlro/ 4 Q �' =o;=59275t/25Z.7,5- F,? . 9�3. �� =p) q33 y2 Siri45` - i s S QS "-5GY> --o �.�-3 -�aCo . �/ Corin'✓ 2Z(D 3' 'a- �iC =U� X320 � ��fD• 3 / �i9�5 � F �1i7 �S-a o.x. . 1 f IG� � tS77Z4� P4Z N� LP scams <r) `J s Lwidm x-rk Engthu ring and. esign I �oo� ..,/oisrs .• aX/2'S / c = /off �� 7-5 44 933. ✓Z �,"T.,7 / Ylp s�- X/� @ /(�" {�� ✓osis o �. B75 7Z6' c 1319. 5L:T 9 big' 45-0 ;r �z = �'32o *7-. C5 #t (1O x � �3 = /.33.33 "-s/ N .:Z (is)7.s -7;z y 2 Aro : = /Oc3. // Al Cr, r Nov /0/yrs Engineering and COMBlr�/�: 05.96 1, S741. 0-9 , B25 /4750 8 2S � /a50 Uz'E �,rg Q 32 vO,G. i - �R- GY� ,: o 2Ir/2G9 /40," 9i/, 09rsi sus z �T Z3z. �s 09 6 25 /QSo SRO LA --(/47- ,CL.GZ: 2.Q , . o 0/5 • t2-281 50 SHEETS S SQUARE ®0® I 42.282 100 SHEETS S SQUARE 12-289 200 SHEETS SQUARE NAT/ONAL �"�.. we. I�PeF cc 107OW 15�WCVAIC; Rae,& and Des5 PI y r&AS. O'C& 9114 z Sx 8-K 4, ezo Pew-. POIm oil, ot x le COAlr. O'C& 9114 z 5y� Landin ark Engineenng and esign fo�516�, z- Pce = rlvdo)Z 00,,79 = /7-23/, f* i -75 NNN NNvI Hrr P xxx .. 7 !r / 3) 35, 5';R ' K NNN ` 000 NOO 35.59 0 //�J ✓ 2 58" � (9J C1.�Ouxdi'irrt.�, 5ik �r ="� 4 4fOV77 7740 =- 02 429) Ir,2 o &A uaG y 515 &lr5 ark Enqtneenng and �zoca� 1..C:ri8z. 1C241 -,-VZ S,V�r;L11AZ ► s A5-169 Z- �` G� Gv4l.L GOaf�s r 3304`x Q�'= �9�0 � . a Per, /O c33Uex /x/ sic = �'Qoli33) �5X a� = 40� 2 WOIW Me= ,ale 1 A/O IWO �Iao iso /y,P= X3.58 ,�-ter L8so A ,s ,q �� /1V � OP N07- 140ii z Z •' 7920 9 S' la' /3 q, 5- i TO oB; Q8 /C NDt not 61gl-= Vv Z @ 2 WOIW Me= ,ale 1 A/O 1311Engineeiin9 Desi. 5/�L � e A c. m • %� Q e Gt/,4LC Iff-OX/ELEN Fit/ 4Ar-1--oVi21 �l IW 49 4 I /Ode/?" %2 d�' 2 �2'O.C. A4/ Z E4 5/DE /ad��" Made/Z" /�� ' . AOW d @leo c. / I ON Ore= a-).9GL 9�' 3/e "F�GYuJl�O Off/ /(17�7Z/02 OF GlJ�I_L - Sj��50 •v 1-1-12 2 72 1. 70 5'.vi4C/NC; .Ei0�1�3• 2X �'Z 8 " M/iV, 11111= ILII MI II � wAG L 1P1?i4/it/ A?474r l• I . II II ��OWV4F� oil I 8 oil ojp ESSIp o•.,,.....,, ��c,•� voNo •9.Fyc/ 4" n(f,?F nim o .n 0. No. 37359 • • •'••.�IV1�.•'���Q' �I OF CAV\i J T avi. �..�624 JOWMOUNTY, '�flI1.D1N " MPARWENT '� 'APPR�':. 072-180-026 01-2479 GOLDEN,ADA 19175 NEW YORK FLAT,, FORBESTOWN CIRCUIT FOR PROPANE DISPEN 1 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 01-2479 ASSESSOR PARCEL NUMBER a��-iia-azo ZONING L BUILDING PERMIT OWNER I'r -) 0-44 ,i)A TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS P r) vr1ir 1 'i ii M1, 117 '-T.1 A A aiA 1 60RTRACTOii'S NAME w. --,-- � � -�_ - ✓ � - �• l r. If.k TELEPHONE CONTRACTORS MAILING ADDRESS 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 $ BUILDINGADDRESS 19M NEW YORK FLAT ROAD, F01U ri—J Energy Plan Checking Fee $ \, $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome b Other'OOlju. 4111 S11, ' SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TT WATT. CTWIITT R)P P901 A T1 t1TCza1 ' (t CTA d, lri �E' C pe r~ r f d 91 - I f 3 I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 s Mobile Home S G W @20.00 1v1V PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service p 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 in full force and effect.P 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: A E' 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.) Ep 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 compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /f/ X %�� i 41' i �ft //1: Date A Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. TO Main Service TO 1000A 46.00 NEW CONST. D* * OCCUR OR ADDNS. ( a ACC. "S. SO 3.50FT. NO q°�ID MULTI.BRANCH OUTLET @7.50, OWER APPARATUS a SINGLE 0UTLLT CR. y ' 20 I .00 Ex. Occup. OUTLET ORFDRURES B @ .SO Ex. Occup. ouTIEEDTS RE31SD.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ. D.FFEES IMP ... FLOOD .,. CDF — PARCEL CEL Pt PO HD ISSUE 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. 1 By � > Date /Dl Z G t r r PERMIT EXPIRES ON ate ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 073-180-026 PERMIT#97-2139 ` t - FORBESTOWN STORE 19175 New York Flat Rd,Forbestown El e Circuit for Pro ane/Sto e . 1 kq Cvv N6) c e- C— CIO s i -� Tt ;1 S yam., �, t ,� < _^_e..-. ..r •. , , .r•. }.ai a :� •tu • �L.'C .� • • ♦ 7 i1: 7' _ .'�. - ` • �. Ci �.} Vit,. .Of: 21, mit A7'� SY, ?'. ..f :ri1 ..•'` w��. rid i •��i:l `:_' PJ''' •! 4 - t r �' ItG." �'t'.'j„fid'' • S"'r'' r';•"I } J� _ t ,';. si � si'r � •.' :ri!a Ji „.i ti 1...� 9;'„,.,# 'i t:_. 1L., t � ;� i � '� i�? w �' in ` 1i.r <; ^r3i 153„ •(' t^ 1'-^. rte, _'�3.' i.: �n t _ ... `�t _ ���"ti'•....4:1-'3} F v:.. —$'tS+1t::Z ^..�� . • • . ix'n� '� �,._fi-�': �.7 9 _-'.. .. `Y J ! - ,nt �l,'rtOct e ..� '�' ,•w-a�w •.�v.-.�... •ri,�•.,a..u.+a.....�.....w. •rwn.rn.+..w..,�«-`•s. r.r' •w �.�.nr+n•'+..,.�, .�• ! _ . r iy:+�t.:�'.t. �.y �.�}'...�pya..+ !• r .��,.�r.T� ��~ �.4r.•C..,+= J t• Ci:.ff.•Y;T),1'V' �.. -w�.. � d-+ •?,+ter �v+. ww...nt.r r.t+"Y"'•+r•.+.. ..m•K.•., •.. .w.•..•w... rr++.r-.•ri�•v .� . .,.. .. •�-a.. .-wrwX.rrw . •ry , •` + .. 073-180-026 01-3165 FORT, RICK & ADA ' 19175 NEW YORK FLAT RD, FORBESTOWN GENERATOR & LPG LINE t f . S { 073-180-026 01-3165 FORT, RICK & ADA ' 19175 NEW YORK FLAT RD, FORBESTOWN GENERATOR & LPG LINE t f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7'County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ! P�RMIT NO to (Rev. 12/96) APPLICATION AND PERMIT (.J ASSESSOR PARCEL NUMBER Q(J-170-U ZONING BUILDING PERMIT OWNER //�� pp ee��AA y�+� 1UC1 & AM FViF,i. TELLRJ3 45 SO. FT. OCC. BUILDING VALUATION OWNER'S ; ILI°lr� iORBESMI CA (95941) COJ/'N�TTRRA�ACCT�/T,OOR�pR'S NAME \J�R�Ci� TELEPHONE CONTRACTORS MAILING ADDRESS 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 $ BUi,I ITEfle; I Ill i`�V , MM K)• � Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 , I USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: . SEREMM & TPANM 'SW & 111rML UG L= RR GEMR43IR Gas piping system 1 - 5 outlets 15.00 # Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 35.00 i j ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.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.I License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from. the Contractors License Law for the following reason: 11 I, as owner of the property, or my employees with wages as their sole compensation, 11.1 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. DwELUNG Occup. OR ADONS. a AGC. OCC. s° 3.50FT, NEW CONST. MULTI -OUTLET NO RESID. C @ 7.50 POWEPPARATUS a SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FDRURES 20 p 1.00 BAL @ .50 FUCLNS. Ex. Occup. o.ED E' APPR=-. OR EA 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 ire: Carrier t Policy Number ' t. F i ' (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. �� r/ !1 X _- �;t, {1.. r 1-- Date / l / c ° . % _ Signature of Applicant - 0 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" 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 $ 78.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the applicable provisions of �e Butte County Code and/or Resolutions to do work indid ted a ove f r whi h fees have been paid. By Date/ / / PERMIT EXPIRES ON Dale ReceiptNo. M7413 $78.00 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 95965 • Telephone (530) 538-7541. P MIT NO. (Rev.12/96� APPLICATION AND PERMIT f _5�co� ASSESSOR PARCEL NUMBER 073-180-026 ZONING BUILDING PERMIT OWNER RICK & ADA FORT TELEPHONE 675-9105 SO. FT. OCC. BUILDING VALUATION OWNER'SMAILING ILIDPO BOX 178 FORBESTOWN CA (95941) CONTRACTOR'S NAME OWNER 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 $ BUI�DjN�a��RES_S _ YORK FIAT M. FORBESTOWN 1(�1 ��i� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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: INSTALL GENERATOR & TRANSFER SWITCH -& INSTALL LPG LINE FOR GENERATOR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 600OR LESS Main Service 20OVA 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 Lic. No. 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. ❑ 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' 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 fortwith comply with th a provisions. X r Date Signa of Ap ant - Cr Owner -0 Contractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO tOooA 46.00so NEW CONST. OWE NG UP. SO WE OR ( 6 Acc. BLD S. 3.5Q FT. CNS. NEW RESID. MULTI -OUTLET @7.50 POWER APPARATUS & SINGLE OtnT..ET CR. 00 EX. OCCu OUTLET OR FDRURES BAS @ I 0 FIXED APPLNS. OR 5.00 Ex. Occup. ounETs RLSID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23.00 PERMIT FEE $ 43.00 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 $ 78.00 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD HD ISS This permit is hereby issued under the ofButte County Code and/or indi ted a ve for whiO fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date / f / D e ReceiptNo. 337413 $78.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I �»� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 Telephone (530) 538-7541 InEw 12i9e)- APPLICATION AND PERMIT ► rP +T0°� AS SESSOR PARCEL NULIUM _ 2ONIM0 OWNER BUILDING PERMIT /� SO. FT. OCC. BUILDING VALUATION CONTRACTOR? M&L AOORlSt Fireplace COPb TRUCTION LENDER UNDER MM1iO ADORE98 Total Valuation S Felin Fee Permit Fee $ 20.00 E ARCmrrECTORENOINEER LICENSE NO. APCWECT OR EH )&EER S YAUN0 ADDRESS OULO&O ADO MSS 4175 Plan Checking Fee S Energy Plan Checking Fee S $ PERMIT FEE PLUMBING PERMIT Each Trap7.00 t 00 Filing Fee 20Mventi .OTNO SUOMISUN1 KUW PARCEL YAP USEOFSTRUCTURE SF O Duplex ❑ Mobilehome O Other •PEC FV Solar or heatr Water piping Each as wat15.00New 23.00 15.00 TYPE OF WORK ❑ Addition model O Utilities O tion ❑ Other O Gas i in 1 5.00 — Buildin sewe15.00De cr'be Work: Mobile Home@20.00 4 / PERMIT FEE ! ELECTRICAL PERMIT Filln Fee 20.00 Main Service 8001 OR ss 200A OR LESS 23.00 Win Service 200A TO 1000A 48.00 NEW CONST, DWF1I OCCUP. OR ADONS. a ACC. OLDS.NEW 3.SQR. NON -AMO. @7.50 POWER APPARATUS A SlIOLE OUTLET CIR Ex. Occup. OUTLET OR FWTURES 20 0 1.00 BAS a .SO Ex. OCCU .RMO APKM. OR OLRLM ESIO. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ "PERAIT FEE PAID � MECHANICAL PERMIT Fling Fee 20.00 Heating SM� � �♦ SHERIFF�s � Coolin Hood 8.50 ventilation OTHER T PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Ill kXW RECEXWO -- Occ 0oNST. rrPE TOTAL FEES IMP I FLOOD COf PARCEL PO ND 6SUE This permit is hereby Issued under the applkable provisions of the Butte County Code and/or Resolutions to do work �% ( MEM" NMAW TO 8E � _ m Comm Indicated above for which fees have been paid. By oats PERMIT EXPIRES ON n OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide.the ajor labor and materials for construction of the proposed property imp ovement : YES ! NO 13 2. I HAVE HAVE NOT 0 signed an application for a building Permit for the proposed wok 3. I have contracted with the following person (firm) to provide the proposed construction: 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 coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: ROPERTYOWNER: NOTE: This Owner -Builder Verification is required by Section 19831. and 19831 of Me California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMIATION 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 -builder" you are the responsible parry of record 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 S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must 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. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing 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 contractors 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" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I4M9-er%Vuii1?ding y, .B.O. Inspection NOTE: This Owner -Builder Information is required by Section 19810 of the Calljornla Health and Safety Code. OVER 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' 01-2479 ASSESSOR PARCEL NUM BER 073-180-026 ZONING U BUILDINGPERMIT OWNER GOI DR,;, TELEPHONE SQ. FT. OCC. BUILDING VALUATION .OWNERS AID ADDRESS C• CONTRACTOR'S NAME TELEPHONE +• AC RAC ORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 19175 NEW YORK FLAT ROAD FORBESTOWN Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX other COPM MITY STORE SPECIFY Each Trap 1 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 ❑ Describe Work: IST T I���I� �Nq1 g�1VA-D E-DIS4PIS�STA 9'� " 2 f 3 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G WT_ Q20.00 ON PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa mss 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.PO 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: —• 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 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 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.) "0/ 1 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 forthwi comply with thW5e provisions. X - Date ©� Signatur of Appli t - Owner ❑ Contractor ❑ Agent' An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWa LUNG Or -CUP. S° OR ADDNS. ( ACC. S.3.50 FT. NON�R.,D ' MULTI.OLlTLET @7,50 APPARATUS 8 SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL O 1.50 Ex. Occup. ouTED s AEsin.LNS°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 27.50 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE. $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 27.50 L AZ. D FEES IMP FLOOD CDF PARCEL PD HD _ LSSUE 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 10 2 O e �o ReceiptNo. 31911/ RES' WHITE-D.D.S.-B.D. CANAR�SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT }a Uct Z. ZUU1 12:47PM ARB ELK HILLS 661 765-1486 .0 No -2582 F. 2/2 RETAINING WAIL MY YORK YMT ROAD —ORAYIN OY, W. WHO DATE: i/9/h6 -- OA/Qr- By' C•{L^-^^- APPROVEO DY: cX01, ORAryINO g 90/109A nu HARE: roR0E311Yw 5CAtC- 10 Hv10 ur O RPN-073, I$0--026 i 100 @J 1 i U O • 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 01— ,�9•7 a) ASSESSOR PARCEL NUMBER _73 _ Igo / r Ot ZONING BUILDING PERMIT OWNER - gioTELEPHONE 116./53n 6 frill SO, FT. OCC. BUILDING VALUATION OWN 5 MAJLLII.N,G ADDRESS L br �'S9 C� 'V ✓ 0 X "`I fir' 1 5 0 A.) CONTRACTOR'S NAME en L,4,A-j TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 0.0 0 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS I' -7 e-� o J -F � 14 Q 19 Energy Plan Checking Fee $ $ i�,OrbeS PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other &1110mid1,57eci—e -11 s IFY 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 PY Describe Work: N S 7La �� �/ 1'C Gi 11 / D GA ti e- �` e �. b d �✓ '- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 60. oR mss 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.PSINGLE 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: ❑ 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. ❑ 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 Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 6 ACC. BLDS. 3.50FT. pNEw._R6ID. ' MULTI.OUTLETrif 97.50 8 OUTLOWER APPARATETUOIR.S Ex. Occup. ounFr OR FUTTUREs Br,L 9 ,50 Ex. Occup.oUTIEEDrs R6ID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : p MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ 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.) 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. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. tr Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE 7, ,�0 HAZ. p. FEES IMP I FLOOD I COF PARCEL I PD HD I ISSUE 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 Receipt No. 7 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) OWNER -BUILDER VERIFICATION - ' Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. • No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES Ur'4 NO 13 2. I" HAVE 01`� HAVE NOT Wiigned an application for a building permit for the proposed work. 3. I have contract with the following person (firm) to provide the proposed construction: 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 coordinate,, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE: This Owner -Builder Verification is required by Section 198.31. and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property 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 -builder" you are the responsible parry of record 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. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing 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 contractors 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" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Irely, el C. Vi ira, C.B.O. 01-1ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER Oct [ 2001 12 46PM ARB ELK'41"LLS, 661 6:.5' 143t: .,.. • Dale: ��� --� G`I� Number of pages including cover sheet: - To: r . ATTN: t�5-_)/i L;2- C.0 From: RICK FOR'r llo•1582 P. 1/2 Phone: taw, K Phone: (66 1 ) 765-1739 Fax P61e: Fax Phone: (661) 765-`1486 [) Urgent For your review a Reply ASAP (] Per your request x2 te r- n, PLEASE RETURN VIA FAX, NO LATER THAN AM 1 PM ON .2001 T. 073-180-026 PERMIT#97-213,9;.;. FORBESTOWN STORE i 19175 New York Flat Rd,Fotbestown—, Ele Circuit for Propane/Sto e- 0 /ll��V.'• tr COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073--180-026 ZONING Bult6lNGPERMIT OWNER FORBESTOWN STORE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 19175 NEW YORK FLAT RD., FORBESTOWN CONTRACTORS SNNAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER UCENSE N0. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 19175 NEW YORK FLAT RD FORiiF.ST04iN Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE STORE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pumpwater heater 23.00 Water piping I in 15.00 Each gas water heater or vent 15.00 TYPE OF WORK t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELE CIRCUIT FOR FUTURE PROPANE DISPENSER 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 Filing Fee 20.00 / 800V OR LESS Main Service I, 20oA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License ,Lavt for the following reason: jkdV 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 ( To ,000A 46.00 NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADDNS. ( d ACC. BLDS. 3.50FT. NEWD9 NON-RESrIDT R UI 0cu CET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET ORFocruRE a4�@':w Ex. Occup. oui S A�Io.oEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ L 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.) "01 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / X /J_Ar1* Q (4r �Date /tJ �C/ _ –4 iahature of Applicant - Owner �❑T Contractor ❑ Agent An OSHA permit is require fo excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEE IMP FLOOD CDF PARCEL PD HD ISSUE v, 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. ByA4,, I Date / PERMIT EXPIRES ON � IDII Dale Receipt No. "7/n� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 / COUNTY OF BUTTE- DEPARTMENT OFDEVEL&MENTSERVICES -BUILDINGDIVI N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 PERMIT NO. (Rev. 12/96) APPLICArTION AND PERMIT ASSESSOR PARCEL NUMBER 073-180-026 ZONING BUjL'bINGPERMIT OWNER FORBESTOWN STORE TELEPHONE SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 19175 NEW YORK FLAT RD., FORBESTOWN CONTRACTOR'S NAME OWNER TELEPHONE - CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUN3 ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 175 NEW YORK FLAT RD., FORBESTOWN Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE STORE 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: ELE CIRCUIT FOR FUTURE PROPANE DISPENSER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Tyl G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2.'AOR'ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License a 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 I000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLD S. SO 3.50FT, NEW NON -R SrID. AST.ULCI OCUTCUET @7.50 APPARATus 8 SINGLE OUTLET CIR. PO" Ex. Occup. OUTLET OR FIXTURES 20 0'-00 BAL @ .SO Ex. Occup. OFIxUTETS AaDOEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 27.50 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 Policy Number i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 Yorkers' compensation provisions of section 3700 of the Labor Code, I shall -hwith comply Ith those isions. Date / V /_ re of Applicant -` Owner tractor ❑ Agent *AnSHApermit is require for excav ' ns over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling \ Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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/pp�� D to PERMIT EXPIRES ON ! D 1 Date Receipt No. WHITE-D.D.S.-S.D.� CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT C/imm OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES— NO ❑' I HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have con cted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S 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: PHONE: CITY: CONTRACTOR'S 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: XPROPERTYOWNE SOCIAL SECURITY NUMBER: > DATE: — 1 79� NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. _1 OWNER BUILDER INFORMATION 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 -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. Ify our 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 $300 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. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing 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 contrac1prs 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" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +irely, Vi ira,C.B.O. ,uilding Inspection NOTE. This Owner-Builder.Information is required by Section 19830 of the California Health and Safety Code OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville,YCalifornia 95965 - Telephone (916) 538-7541 PERMIT N0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER q 2 — ll J 6 U' ZONING BUILDING PERMIT OWNER Ty TELEPHONE S0, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRES V CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER U:NDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS/� /fes -••I Ot l) Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 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 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 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 Filing Fee 20.00 Main Service =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.PowER 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: ❑ 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.) 1 certify that in the performance of the work for which this permit is issued, I shall employ any person in any manner so as to become subject to workers'HAz. 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. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. SLDS. 3.5QFT: "NOON-RESID. m"T,' OUTLET @7.50 APPARATUS a SwGLE otmET as Ex. OCCU OUTLET OR FDCTVRES ekL®';50 Ex. Occup. .7ETS .) E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 119 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE❑ TOTAL FEE $not EOCCONST. D FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 073-180-626 PERMIT#94-2263 SOKOLIK,PAn(FORBESTOWN POST OFFICE) 19175 .N5FYORK. FLAT RD., F'ORBESTOA' CONT: FOWLER ELECTRIC RAISE WEATHERHEAD/POST OFFICE OFFICE COPY Address GAS Meter By Date ELECT 31 Meter By Da "77 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 ERMIT N0. APPLICATION AND PERMIT' ASSESSOR PARCEL NF 073-180-026 ZONING B LDING PERMIT OWNER OLIK (FORBESTOWN POST OFFICE) TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS '(.� j�j��j�J� YORK FLAT RD. FORGES OWN 95941 TELEPHONE CONTRACTOR'S19175 NAME TELEPHONE FOWLER E12MIC CONTRACTOR'S MAILING ADDRESS P 0 BOX 20 CLIPPER MILLS CA 95930 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 175 NEW YORK TIAT ROADs FORMSTOWN PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome ❑ Other POST OFFICE SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20'00 TYPE OF WORK New O Addition O Remodel O Utilities -N Installation O Other O Describe Work: RAISE WF.ATHERHM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS 00A0 LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLOS. ) so. 3.50 FT. NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force �"aande ff License No. Aj" Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occup. FIXED APPWS. OR ( p' OUTLETS (RESID.) EA. ) 5.00ct. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O -This permit.is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 1 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorise 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 Coun I onsequeTao of the granting of this permit. X� _ Date (f�� Sign to ure of Applicant - O Owner ^StlContractor O AgentIF fA, OSHA permit is required forxcavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST. TYPE TOTAL FEES 4300 HAZ. D. FEES IMP FLOOD CDF PARCEL I PD HD ISSUE 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. f/ J#K Date %19# j' PERMIT EXPIRES ON C19�.l i X19 lOerel ` 167187By Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI 7 County Center Drive - Orovirie,'California 95965 - Telephone (916) 538-75 l/ l �E MIT NO. APPLICATIOWAND PERMIT 7� ASSESSOR PARCEL NUMBER 073-180-026 ZONING U BIALDING PERMIT OWNER AUU S&OLIK (FORBESTOWN POST OFFICE) TELEPHONE SO- FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 19175 NEW YORK FLAT RD., FORBESTOWN 95941 CONTRACTOR'S NAME FOWLER ELECTRIC TELEPHONE CONTRACTOR'S MAILING ADDRESS P 0 BOX 20 CLIPPER MILLS CA 95930 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 19179 NEW YORK FLAT ROAD, FORBESTOWN PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome ❑ Other POST OFFICE SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 110 Installation ❑ Other ❑ Describework: RAISE WEATHERHEAD PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2100V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BL S. ) 0, 3.50 FgT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. License No. � Classification V10 O I, as the owner, or my a loyees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 1 & SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) @ 100 B20AL. . Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun i onseque of the granting of this permit. X P Date (/ Ign ture of Applicant - ❑ Owner ontractor ❑ Agent OSHA permit is required for xcavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated Ove for which tees have be paid. By Date PERMIT EXPIRES ON 8/ J /� (Dere! Receipt 167187 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .D. k j J;•. COUNTY OF.BlUTTE T' BUILD1 GbIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico; CA 1,(91`6) 891-2751 F:;• 7 County Center Drive, Croville, CA '(916) 538-7541 f 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER i PERMIT Nom' " A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address andjshould be corrected. Please notify this office when correction of work -4 is completed. If you have any questions pertaining to this matter, or need additional explanation, plea co tact thi oGice immediately. eo, ire h C: "< COUNTY, OF BUTTE BUIMING DIVISION �- DEPARTMENT OF DEVELOPMENT SERVICES .. 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO.. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,. "=y please contact is office immediately. D7A-%-- < T= `x t ..7 k Date ! Inspectorf,42 � t? REV 10/92 ^� L • COMMERCIAL / " € 6 �- MASONRY WALLS N E S W. sl Lift- 2nd Lift 3rd Lift 4th Lift . 5th Lift 6th Lift FIRE WALLS Q Gypsum Board Walls Ceilings 1st Layer 2nd Layer 1 CU �DCLJ-Q- J=OK O = Not OK = Not Applicable COMME = Not Ready Date 4VDplrko2P ns OK except #'s ` Zonin S acks- asements-Flood-Slope-Soil Report 2. Ftg., Main; Soils-Ufer Ground.-Ftg. Depth 3. Hold Downs -Bolts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. S b; Steel -Wrapped -Wire Mesh Piers -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, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date %- q 7 Card B-1fW , 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. Sinks -Floor -Grease Trap 20. Handicap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card 3-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 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. Wiring -901 -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. F(.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sils, Proper Material & Anchors -Hold Downs 41. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops; Furred Ceilings -Stairs -Chases 45. Headers & Beam -Size & Bearing -Support Fix. RCIAL Date ; FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors s 47. Roof Shthing-Nailing-Diap.Chord Splice 48. Firewall-Doors-Area-Occp.-Prop. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Glu -Lam cert. -Placement -Support 51. Steel Buildings-Purlin-Girders 52. Property Line Firewall & Openings 53. Ext. Doors -Handicap Access 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 -Fire Port. 59. Shear Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing 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. Exits -Size -Number -Placement 65. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Sprinklers -Placement -Test 67. Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. 68. Elec. Trim & Subpanel; Breaker Sizes & Labels 69. Stairs & Rails 70. Handicap -Door Levers -Fin. Floor 71. Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 73. Plb., Elec. & Mech. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic 0 Yes 75. Guard Rails & Deck Construction -Post Caps 76. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes 77. Stucco; Brown -Finish 78. A.C. Unit; Disconnect, Electrical, Plumbing 79. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 80. Water Well; Disconnect, Electrical, Plumbing 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground 82. Off Site -Parking -Handicap 83. Glass Protection 84. Corrections from Previous Inspections 85. Gas Test -Meters Tagged; Gas -Electric 86. Water & Sewer Connected -C/O to Grade -HD Approval 87. Energy Compliance Certificate -Other Certificates 88. Roofing Certificate -Fire Rating 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: Certificate of Occupancy (NOTE: An entry must be made each time you visit the job site) �.< .� ..r. �. d[,fyyy._ 1.,.r{rR�iie �.;, •:.�;.'�..:�R...,�:+: .. - .; *.rt :.�-:+cr+.+� •cs—,�,•,atii �T„y' .. ,1^A ik. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 • 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE iror ies 9 S- 04) / o OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. AAro 1/; J -e 50" se 11- LI/-- 7/0-S„ I L�...fer Date /— 7- 9 7 Inspectorig.1/ REV 10/92 COUNTY OF BUTTE i BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES. 411 Main Street • Chico, CA • (530) 891=2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is r' completed. If you have any questions pertaining to this matter, or need additional explanation, please -e ntact this office immediately. 7 v, L n Date Inspector, REV 10/92 1 • COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVISI 7 County Center Drive - Oroville, Califorriia 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 98-0010 ASSESSOR PARCEL NUMBER ZONING U BUI G PERMIT OWNER FORRESTOWN STORE TELEPHONE SO. FT. OCC. BUILDING VALUATION CONT 750. OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23 00 BUILDING ADDRESS 19175 NEW YORK FT -AT RIL 011FIESTOWN Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other STORE SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK yy New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ©X Describe Work: _ RE -INSTALL CANOPY Kp�=Go c+�m oAJ EX/ ST/ AM S Irt--J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ J X ELECTRICAL PERMIT Filing Fee 20.00 Main Service *'OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 TO 46.00 CCU000A W:U200A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( 8 ACC. B.S. 3.5Q FT. CONST. MULTI.OUTLET NNOW N•,ESID. ANC cu 97.50 9: POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS @ I: 0 Ex. Occup. oUr ETS REFS o.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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. ❑ 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 FEE $ 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. / p p� X J r Date _%" t0 ^ ! O Signa ure of A Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ '64.00 HAZ. I D. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work in 'cat above for w ' fee have been paid. By ate 1/6/98 PERMI EXPIRES ON 1/6/99 Date ReceiptNo. 2 �' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,,e,;-, • �' 44�y '�e�ti�r'�7 t;'P y COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIG DIVISION 7 COUNTY -CENTER DRIVE= OROVILLE„ C ��RNIA 95965 - TELEPHONE (916) 5 8=7541 PERMIT APPLICATION DATA SHEET OWNER: S-6llUh S ASSESSOR PARC ER: — Proposed Building Use: _ Building Inspector: Date: At time of permit application, I was advised t e ollowing data must be sub' ed prior to permit pi ces in d/or issuance: Date Received By ❑ 1. 4kiiems have been submitted .------------- . Plot plans, A ets, signed by the preparer of plans ----- ------ ------------------------------------ ---------- ❑3. Complete p ans, 3/4 sets, signed by the preparer of plans. -----------------------=-- -- ---- ------------------ ❑4. 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! ------------------ 116. ----------------- ❑6. Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. ufactured Home data and installation instructions including Tie Down Specifications .------------------ @� s of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- . ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval Lodi DHealth Department. ------------------------------------------- ❑ 15. Citv of Chico plumbing p rmit.-----------------------------------------------------------------------------= ---- ❑ 16. Plot plan and business license approval from the City of Biggs. -------------------------------------------- app . roval-for-(A) ---------------------------approval-for-(A) Use: ✓ (B) Parking: ----------=--------------- 8. Contact Land Development about "provements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 111. 9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------- ------------------ ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. --------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. ----------- 1126.. Letter of intent on building use.----------------------------------------------------------------;�=--------------- �. •n . ❑27. Manufactured Home utility clearance.--------------------------------------------------------- =----------------- ❑ 28; Existing violations and/or expired permits. ---------------------------------------------------- LL ---------------- E129. ❑30. When ❑Tel( 3 A, C3 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ tie the permit, process as follows ElMail to owner, ❑Mail to contractor.' and hold for pickup at office. ❑ Deliver with inspector. ' Applicant: %� Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: (Date) 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,' -oft er, 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: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES W, NO O / I HAVE A( HAVE NOT 13k. signed an application for a building permit for the proposed wor n3' ~ I have contracted with the following person (firm) to provide the proposed construction:. NAME: -� - - ADDRESS: CITY: - PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to provide portions of this work, but I have hired the following person to cooi+dil* supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. 1 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 PROPERTYOWNER: SOCIAL SECURITY NUMBER:_ PATE: z— to NOTE: This Owner -milder -Peri ication is required by Section Tg831 al d IIW�the. California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: i 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 -builder" you are the responsible parry of record 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: v ♦ 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: , ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing 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 contrac!prs 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" on the reverse side of this form so that we can conium that you are aware of these matters. The building permit will not be issued until the verification is returned. 4irely, l C. Vi Ira, CB.O. r, Building Inspection NOTE. This Owner-Builder.Informatlon is required by Section 19830 of the California Health and Safety Code- OVER ode OVER : An Mated & worknnnanstiip MW1 Be RC1 ,P.acordance with Recognized Good Practices and of a Quality Prescribed for the Specified use in the arm Building, Plumbing & Mechanic— Oodes and the National ElecUftEd Code. -Z- "ft net ofpb= s ad ep e�lems s kept on thojob at all times and h is unlawra to' make 0W chafes or alterations on same without Written permission i%m the Deputment ofpubUc wr4*a ommv of Witte. ALL STRUCTURES AND EQUIPMENT MMWN13 OVERKVM SHALL BE CLEAR OF ALL EASEMEt A SETBACK OF , FT. FROM THE SIDEk,� -� S 'Fi•. FROM THE REAR PROPERTY LINES AND' -'—'-INE SHALL* F-1. FROM rHSA0AQbEWrERI, CLEAR OF STRUCTURES AkD E UIPMENT EXCEPT FOR A 2 FT. EAVE OVER,HANG o D COPY 0 c I December 15, 1997 SURVEYING PLANNING 220 GRAND AVENUE. OROVILLE, CA 95965 (530) 533-2068 Butte County Building Department 7 County Center Drive Oroville, CA 95965 RE: Forbestown General Store This office has reviewed the old fuel station canopy cover that is now proposed to be used to cover a propane tank. This canopy, although old, is constructed of steel and is welded and bolted together. While the structure is in need of cosmetic attention, it appears that it is structurally sound. Sincerely, AK nLnethC. Lenhardt, P.E. GDA Engineering, Surveying, Planning KCL:dm File: 970981tr.1 encl. MIM(MIM B"119%2 'AR7MO* KENNETH,C. LENHARDT P.E. JOHN D. CHRISTOFFERSON P.L.S. GDA '' NGINEERING & SURVEYING 22U GRAND AVENUE OROVILLE, CA 95965 (916) 533-2068 . NM%—All Materials.& Wo*rnansrnp bnall Be In A6cordance with Recogniied Good Practices and of a quality prescribed for the Specified use in the Unitorm Building, Plumbing & Mechanical Codes and *e National Electrical Code .S7� 7;/4 Soi�so� lAf Starve- 4. = 9-65F 4- ^TAS Lk NoP,y 4' En►sr. S.4x7-7 cots, E S/ 'u LD, l Ps r C- 9301 'EXP. 03-31-99 9, 2- S 'X IY PS 1:'--: 29,5- $/,a lid CF C------------ A��FC� 7- �� �,S��i. = 2, 3y/ �3d / �.Fl. 9,c c goo x /,S z 34n1so =3,77 Z 2 P 1(l,j S4 -If R`t( SUILON v 000 71 BUTTE COUNTY BUILDING DEPARnMr A 0 V E ID AP P (Rev.12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASS%-SOR PARCEL NUMBER / A� IVI ZONING u BUILDINGPERMIT OWNER F ,r 4 I L)3 3& `y \\i�1-ll`J � TELEPHONE SO. FT. OCC. BUILDING VALUATION / OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ >� �. 60 ARCHITECT OR ENGINEERS MAILING ADDRESS IN Plan Checking Fee $ BUILDING ADDRESS 1./� C - ,�\J �� I Energy Plan Checking Fee $ $ LL:) Ll PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other t� r`e- SPECIFY 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 ❑ Utilitietsl ❑ Installation ❑ Other Describe Work: e — ' S `t.� l I/� Q 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 vR Main Service WOOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under, provisions of Chapter i . 9 (commencing wdh Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATU 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: ❑ 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 Main Service WELL TO IOCU00A 46.00so NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BLDS. SO 3.5¢FT, NEW CONST. MULTI.OUTLET NON-RESID. C D @7.50 a SINGLR AE OUTLET CSI R. Ex. Occup. OUTLET OR FIXTURES SAL @' 0 Ex. Occup.DUxTELETS gESIp.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) ❑ 1 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. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ -Energy Inspection Fee 1 $ Occ CONST. TYPE TOTAL FEE $ C I NAZ. D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1, .: Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT e` 0- ' ,8F wc�C�+l�l,`U i� 0; I CI� IPCORDS FOR RESIDENTIAL DEVELOPMENT OF BUTTE COUNTY. CALIFORNIA . AT THE REQUEST OF Section 26-8A of the Butte County Code requires this acknowledgement ' be recorded prior to issuance of a building permit. 1985 JUN 20 P14 3* 12 RAges The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of thikLEANOR M. BECKER property may be subject to inconveniences or discomfort arising frOPERK-RECORDER FEE - the use of agricultural chemicals, including, but not limited 'to herbicides, pesticidesR,Bs9 and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 4.n� lo 6-76 7 L4i 9 Date: (f 810 /S- E a q3. -1g 1 d0179 -7 '7 575f P0. 74b State of 60111L ) County of -N 6,77 ) nFrtC iAL SEAL gnRERT 'I SMITH CALIFORNIA -. PV TIT COUNTY 1987 my comm• expires MAY 24N^ V Box 177, Forbestown, C� 95941 PROPERTY OWNERS: On this the l2 day of 19J&-, before me,,the undersigned Notary Public, personally appeared. b # /9 Personally known to me.' Proved to -me on the basis of: -satisfactory evidence. 'to be the person(s) whose name(S) subscribed to he within instrument and ackndwled eO that xecuted the same.for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ' D Notary Public Present A.P. No. h1 �8-0� END OF DOCUMENT �i Ga O& 0 PERMIT NO. 1364-75B,E _ P E M ( MH UTIL. PERMIT NO. �PERMIT EXPIRES 17Z— ;4A" 7Z—Z`OWNER L. K. Light s_ �"��1 ��� .r'�• ,ter ,:�. .I. :� ' CONTR. OCATION (A.P.73-18-26 ) •SWcorner Oro-Forbestown Rd., & Brownsville �qq11 ' Cut off Rd., Oroville it Temp. Power Pole Called PG&E Temp. Elec. Serv.��" Z i Called PG&E Temp. Gas Serv. Called PG&E ,/JOB �.� 75 FINALED (Date) ,Signa re) �� �� COUNTY OF BUTTE — DEPARTMENV' 017 PJJBLIC WORKS BUILDING INSPECTION RECORD BUILDI G BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final % Sanitation Patio FIREPLACE Final t> %'j IS Footings Footing ELECTRICAL Masonr • Walls Throat Roucihr^— Reinf. Steel Final Fixtures Bond Beam . FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service 4 — 75— Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE .� RAMARKS OR CORRECTIONS J %/ / Gd Gl e- / / 6 w A "74--7' -)�O COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S 7 County Center Drive — Oroville, California 95965 Teleph6ne' 534-4541 APPLICATION AND PERMIT' authorize representatives of the County of Butte to enter upon the above -me oned property f f inspection purposes. n ,.J, r DateNEEM"We or Agent Receipt No. / W White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By I� Date .. % � Z11dirng permit expires Date ............................................ ' BUIL ING Owner SQ. FT. OCC. BUILDING VALUATION DO Mai I i ng Address 0 aZA,21— lephone No. Fireplace Contractor Total Valuation Mailing Address Telephone No. Permit Fee s:0 'S C7 Plan Checking Fee &/or Penalty rS0 Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 yl Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. --onl s Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Foes Saw4&6en Fire Dept. Fire Zone 'Use Permit Building sewer 5.00 EQA ParKing Parcel Declaration Parcel Ma p 60' R/W Im r vements p Lawn sprinkler system 2.00 Bldg. P a�nd s Recd Pions Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES,0 OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Main service incl. 1 meter Additional meters, 1.00 �each Sub -panel (12 orR-ss) (more than 12) ,� Q Single Family ❑ Duplex ❑ Mobil Home ❑ Others, Range, Cook -top or Oven 1.00 46 414� S Water 1­16ater or Spa eater 1.00 a,cjo Light fixtures /a bat 620 rOU ,7 V Weps., swiVW& fix outle,.49—,� , ONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex-libnorF.A. Furn. Motor ,Z 1.00 v Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Lic ..e No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ j fi MECHANICAL No. @ FEE ' " WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation . Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -me oned property f f inspection purposes. n ,.J, r DateNEEM"We or Agent Receipt No. / W White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By I� Date .. % � Z11dirng permit expires Date ............................................ I + - Permitik2847-84E' Ron Cooper Quality Const Forbes Rd & NEw Y Fla. T. ' OFFICE COPY I� Address M t r B Date -j 7— L IC pate7�! J eter BY COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI6IN AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER r•� �.� TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILIN )G ADD`REy(SSS7 ,fj, r3 V ' I CONTRACTOR'S NAME I �r, �, a , { -" -. � TELEPHONE I3�4 i',, CONTRACTOR'S MAILING ADDRESS j 0 r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �- PLUMBING PERMIT Filing Fee 10.00 1-- a Each Trap 2.00 Solar Water Heater 20.00 rn y �9S t+�1 I� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater Or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other S / f_ �» r r i . t r + SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑� Describe work: ` ` " �7 -�� T _-ZvY\ "VU7 ' 4 r , _� {/ I I 1�. h 1 �.:��1 /i^ h i'1'~.-: 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 I Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2tlzdsgft 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 ❑ 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 NO N.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. ) 2oeaoa Ex. Occup(ouTLers OR FIXTURES t L030Q EX. Occup. OUTLETS FIXED P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ;) Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said. County in consequence of the granting of this permit.. L X 1 • Date I —�. - �, 7/ Signature of Applicant — Owner ❑ Contractor 2 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 $ TOTAL PERMIT FEE $ OccuP. GROUP I TYPE OF CONST. PARCEL PD HD seuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC _7? / By ' ; , •/ , t PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS I Date r I w) + Receipt No. — WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAfloN ASID PERMIT PEFJMIT N ASSESSOPARCEL NUMBER - ZONING BUILDING PERMIT OWN (Ij_) a. TELEPHONE SQ. FT. OCC. BUILDING VALUATION O ER'S MAILING ADDRESS CONTRACTR• NAME 1 S L TELEPHONE CONT AC OR'S MAI ING AD RESS V Fireplace CONSTR CTION LE DER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD ESS � r.b � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 b S 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_Building SF ❑ Duplex❑ Mobilehome❑ Other S /— �flC� Z� SPECIFY sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New ❑ Additio Remodel ❑ U ' 'ties ❑ I tallation ❑ Other Describe work: i' -rill100 ply S I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS AMP OR LESS 10.00 47h Main service EA. ADO'L 100 AMP 2.50 NEW CONST. I DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2 0sgft CONTRACTORS LICENSE LAW I declarunder penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coe and my license is in full force and effect. 31rFIXED /�J 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 NO N.RESID BRANCH CIRC ITS NEW CONSTFL / POWER APPARATUS &1 NON-RESID. %SINGLE OUTLET CIR. EX. QCCUpI OUTLETS OR FIXTURES 9A 50 300 APPLNS. OR Ex. QCCUp. OUTLETS (RESID,) EAT2.00 .Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 liabilitie , judgments, costs, and expenses which may in any way accruey i against said ountn cons 'u nce of the granting of this permit. X Date Signature of 4plicant — Owner ElContractor 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOP OF PUBLIC By. PERMIT EXPIRES Ole— the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. of aeb WHITE-D.P.W.. YELLOW-ASSeSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .ry j •Y, Countyl of Butte DEPARTMENT OF PUBLIC WORKS Post job card in a safe, conspicuous place at front of lot. Do not remove until the required inspections are made and building is approved for occupancy by this department. Plans must be available on job. Eep m) is su 113 cantERISTIVO rmt ,active;nott iaspedor'if'aq �" aur:< a weerf;anspectrons Owner...........L.__K:-_Light ----------------------- Date --- 9&73 . Location S�W corner of Oro -Forbes lin.- Location -------------------------------------------- i0timer Cutof f Contractor ------------------------------------------ -- ---- -- PERMIT 3309-73 Approvals Of Following Must Be Dated Before Proceeding CONSTRUCTION . PLUMBING ELECTRICAL Setback Forms — Ground "Top Out Rg. Wiring Meter Loolk Rein. Steel Septic Tahk Wtr. Htr. Bond Beam Other Z Range Framing Furnace Fan Stucco Mesh Other Motor ' Lath Gas Pipi Temp. Po Fireplace Fixtures Fixt. Final Final Final Telephone 53/v-4541_ I: xt. 259 I 1 ' 3309-73B,E PERMIT NUMBER - B #� P E v PERMIT EXPIRES / ' % 7Y L. K. Light i OWNER ' 4' CONTR: Owner LOCATION (A.P. 73-18-26 S/W corner of Oro-Forbestwn. & Brownsville Cutoff, Forbestown Zoning' Foundation Rgh. Plumbing Rein. Steel_ Framing ^Wtr. Htr. x Firewall ELECTRIC Temporary Final DATE COUNTY OF BUTTE `w Department of Public Works ; BUILDING INSPECTION RECORD " .• `'r'' Setback Forms Piers & Girders Fireplace Bond Beam Lath & Plaster Gas Piping & Test Found. Vents Plmg. Topout Rough Elec. Furnace Kitchen Vent Garage Vents Sanitation & Water GAS BUILDING Temporary Cert. of Occup. Final Final REMARKS OR CORRECTIONS S ri COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 330� Telephone: 534-4541 APPLICATION ANCPERMIT authorize representatives or a County or tsutte to enter upon the above men 'one property for inspec on purposes. ` D ate ignature of er.0 e/rr gent Receipt No.— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Z L 73- I 04ildjng permit expires Date _.. ..- BUILDIN Owner -SO. FT. OCC. BUILDING V LUATION Mailing Address d Dr Telephone No. 5^ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Z Building AddressS `L PLUMBING No. @ FEE PERMIT -FILING FEE $2.00 460 o —f / 6 e Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -51' — G Zoning & Planning' Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W SihHe"n Fire Dept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W ImprovementsLawn sprinkler system ' 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ .NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ?o,Q osr� v Main service incl. 1 meter T ? Additional meters, each _ 1.00 Sub -panel (12 or less) (morethon 12) Single Family Duplex Mobil Home ❑ Others 2____ Range, Cook -top or Oven 1.00 d Water Heater or Space Heater1.00 Light fixtures 20 l_ 610 S"(� Rec ps.,swit es&fix tlets. 2D (d K1.00 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the' State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor1.00 Evap. cooler, gar. di sp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Lice a No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7s MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of kmen's Compensation Insurance. I certify that in the performance of the work for which this �—' permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling . Ventilation E2O Hood Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 7S authorize representatives or a County or tsutte to enter upon the above men 'one property for inspec on purposes. ` D ate ignature of er.0 e/rr gent Receipt No.— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Z L 73- I 04ildjng permit expires Date _.. ..- a-tomplaint-Date 6 �j tY� ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: A.P. #kS — Address. J Tsd X. 0-50 Date of Inspect ion Tenant: Building Location: Inspector Type of'Inspection requested: U 1. Housing ".2. Financing / / 3.. Change of Occupancy to 4. Work W/O Permit / / 5. Other (speci y) Present use of building: A. Sanitation (Housing) 1. Water closet: i 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: ' 5. Hot and cold water to fixtures: 6. Heating facilities: ' 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window'or door for second exit - 10. Infestation of insects, vermin, or rodents: 11. Connection,:to sewage disposal: 12. Connection'to water supply,: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR,Tole'ances,; 15. Comments: _ B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: i rails) 9 E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: S. Underfloor and attic ventilation: 6. Energy:. 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: S. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violatio (give complete description 00 �c 1 (P1✓ C U ' 1A 2. What action taken (give complete description): 3. What action recommended: Information only - file. Hold for ten days, then write letter. Write letter. Other: w __ll _ P_ L A N D O F N AT U P, A L WE A L T.H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D. McELROY Deputy Director January 21, 1986 Ron Cooper:.. RE: Certificate of Occupancy P.O. Box 250 AP #73-18-26 Forbestown, CA 95941 Dear Mr. Cooper: With reference to the above subject, we cannot issue the required "Certificate of Occupancy" to operate a grocery store until the following items have been resolved: t l.Z,vl ts'd� a) A letter indicating when the driveway will be installed and which` C� is approved by the Director of Public Works. The removal of two travel trailers,one cab -over, and a tepee which were installed without the required permits and inspections. ' Please contact this office within ten days of the date of this letter and in- form us of your intentions concerning the above items. Should you have any questions concerning this matter,please contact this of- fice. �� Yours very truly, �-i1 T tl William Cheff A�, Director of Public Works o ✓��t ` 1 Oreginel signed 6y 1 F. Glandw 4 JFG:am cc: Building Inspector - Oroville Director of Public Works J.F. Glander Chief Building Inspector � C:I_ .o. I v K BUTTE COUNTY (For Action 1, 2, 3, Public Works Dept. (For Information �e ) Director Dep.. Dir. Sec. Rd. & Br. Mtce. Shop &Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Tronsp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. Ir V D. Plumbing 1. Fixtures connected and 2. Gas water heater: 3. Gas heating vents: 1 4. Comments: , E. Other l C 1. Maintenance and repair: ( �� 2.' Fire hazards: 3. Safety hazards: 4. Weather protection: v 5. Underfloor and attic ve 4P,�. 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: I 5. Exits: t 6., Improvements: 7. Zoning: F. 8. Comments: M T G. Field Problems or Violations 1. Problem or violation,l/j'give complete des ription);�7�� • /l A //� • n ,. �- ///b �o i� �n e � , �✓ Ii �ilo� a_ ALS .•.. 2. What action taken (give cle�nplete description): 3. What action recommended: A. Information only - file. [� B. Hold for ten days, then write letter. C. Write letter. ". D. Other: i UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS Prtrtyew name, address, and ZIP Coda In the space betme: • Compklte Items t, 2, 3, end 4 on the revers. • Attach to front of article N apace parmfb, otherwise aft to back of article. • Endora wIlde "Return Receipt Requested" • adjacent to aumber. I~f , ; ,' r... C. U,U.S.MAIL {PENALTY FOR PRIVATE USE, SM RETURN TO Department of Public Works pFO�� (Name of Sender) Opp, O,c 7,County Center Drive /h �whF (Street or P.O. Box) ;0, Oroville, CA 95965, 19(95.—pity, State, and ZIP Code)---% ' �ttn: Building Department ,� �3 • SENDER: Complete items 1, 2, 3, and 4. Add your address in the "RETURN TO" space on reverse. (CONSULT POSTMASTER FOR FEES) 1. The following service Is requested (check one). ❑ Show to whom and date delivered ............... c ® Show to whom, date, and address of delivery .. t 2. ❑ RESTRICTED DELIVERY ........................... t (The mstilded delivery An /s charged /n addition to the return receipt tw.) TOTAL i 3.,ARTICLE AODR-ESSED TO: 1 tConalaa Cooper P.O. Box 250 Forbestown, CA 95941 4. TYPE OF SERVICE: ARTICLE NUMBER ❑REGISTERED ❑INSURED CERTIFIED ❑COD P367195794 El EXPRESS MAIL (Always obtain signature of addressee or agent) I have received the a cle described ��a-bb-,o�ve. \Addressee L7Authorized agent YSIGNATE F DELI RY POSTMARK (may be on reverse side) 6. ADDRESSEE'S ADDRESS (only U requested) 7. UNABLE TO DELIVER BECAUSE: 7a. EMPLOYEE'S INITIALS A GPO: 7882379-593 AP 4k73-18-26 4/23/85 P'.367 195 794 _ - RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL { (See Reverse) Sent to ! Ronald COO er Street and No. P.O., State and ZIP Code Forbest Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return Receipt Showingtowhom, eqDate, and Address of Delivery 00 -+ TOTAL Postage and Fees $ o k. Postmark or Date 0 0 ao m 0 w a AP #73-18-26 4/23/85 tic ; �___---- iinsula -R- Depth, ZONE 16 OitJ < D POINTS -16 2-3 PERMIT NO. �Z� �- ASSIGNED ACTUAL 5-6 1. SLAB - INSULATTON NONE - -8 -8 -8 2. RAISED :LOOP. - R- 19 W_1q -3 -2 3. CEILING - R- 38 A-30 --2 i i 4. WALL - R- 19_ -a Q 0 S. NO^TH GLAZING - 2.9-4.2I 2, j i 6. EAST GLAZING - 3.1-3.2% S-.5- -3 i O 7. SOUTH GLAZING - 0-4.2% 0,3 - Z ���1"''iiiL S. WEST GLAZING - 3.6-4.2% � -2 6.2- 7.2 9. SKYLIGHT - NONE -3 7.3- 9.2 -13 10. SHADING (Exclude Overhang) .9.3-10.3 -1.5 -10 -6 EAST 3'S- .42-.66 -19 -12 -8 11.3-12.4 SOUTH o-3 - UNLIMITED -14 -to,)- 12.5-13.2 -24 WEST 3.3 - .42-66 66 -I1 co�)_ -26 -18 SKYLIGHT - NONE 14.5-15.6 -29 -20 11. HORIZONTAL SOUTH OVERHANG - ANY -33 -21 -lb 12. MOVABLE INSi;_;TION 0-3.5% C2_ ADT 12.1-12.8 13. INFTLTR=,TI011 (Standard=0)(Tioitt=+12)%r% -20 y -.:5 14. THE;MAL AASS NONE 13.8-14.6 -50 -33 15. GAS zUP,:,ACZ 71-74% -54 -36 -27' 16. HEAT ?U111P (EER) N/A 17. DUAL PACK (SE, SE=R)N/A --- 13. ACTIVE SOL.=_-^, 60% :II21. 1101 -IE -- 19. ZONALLY CONTROLLED ELECTRIC --- 20. SOLAR ;UITH GAS 3ACKUP .9NSF --- 21. OTTER - NO ELECTRIC LcjOoo 07V vC t33 ITE:1S SHO1•i:1 = ZER0 ?OI:I^_'S 'f'Z7 O f c Table 3-2. Raised Floor Points tic ; �___---- iinsula -R- Depth, a:ue of Insulation 0 - 1 -16 2-3 -12 inches lr2 3-4 5-6 7+ D - 1: -8 -6 -8 -8 12 - 15 -8 -3 -2 -2 l6 =19 -8 -3- -1 0 20 + I -a -2 0 +1 7/7/03 R -Value of Insulation Points 0 - 1 -16 2-3 -12 4- 5 -8 6-8 -6 9-13 -4 14 - 18 -2 19 up 0 aauee -ra. "Ptltu. 1r/-'tC1un rts- Table 3-7. SOULh-F1rin^ Glazinz Pt, Table. 3- R -Value of Insulation Points 19 -8 22 -6 30 -2 38 0 49 0 T.M. 9-4a_ C.,11 Tn .1... __ -1- R-Value of Insulation Points 11 -R 19 0 24 +2 30 +3 Table 9-S_ N -h -F-4- r1-4__ o... Total 2 of Floor Glazing Type 0.8-! 1.6-! T - 3.7,-! 6.4-;R..- Area Srgl, Dbl, Trpl, 16.3 17.9 U - U - U - -3 0.66 0.42- 0.41 n 1.10 0.65 dovn o s7 +7 #7 up to 0.7 +6 +6 +7 0.8- 1.3 +3 e.4 i +5 1.4- 2.8 0 +2 +3 1.9- 4.2 -3 -6 +2 4.3- 5.2 -5 -2 0 5.3- 6.1 -8 -4 -2 6.2- 7.2 -10 -6 -3 7.3- 9.2 -13 -8 -5 .9.3-10.3 -1.5 -10 -6 10.4-11.2 -19 -12 -8 11.3-12.4 -21 -14 -9 12.5-13.2 -24 -16 -I1 13.3-14.5 -26 -18 -12 14.5-15.6 -29 -20 -15 Total Z of Floor Glazing Type 0.8-! 1.6-! T - 3.7,-! 6.4-;R..- Area Sngl, Lbl, Trpl, 16.3 17.9 11 U - U - -3 0.66- 0.42- 0.42 n 1.10 0.65 down O • T � +2 up to 4.2 0 0 0 4.3- 6.3 -3 -2 -I 6.4- 8.0 -6 -4 -3 8.1- 9.5 -9 -6 -5 9.6-10.9 -11 -8 -6 11.0-12.7 -16 -11 -9 12.8-14.4 -20 -14 -11 14.5-16.2 -24 -17 -14 T,ht• �-a_ veer-c.,�t,.p r.t,>t..- n.e Total 2 of Floor Glazirg Type 0.8-! 1.6-! T - 3.7,-! 6.4-;R..- Area Sngl, D'ol, Trpl. 16.3 17.9 U - U - U - -3 0.66- 0.42- 0.41 n 1.10 0.65 dou-n 1 O +10 +10 +lo up to 1.2 +7 +8 I +8 i 1.3- 2.0 +4 ( i +6 +7 2.1- 2.7 I +2 I +. I +3 + 2.8- 3.5 -1 1 +2 +4 I 3.6- 4-2 -4 i) +2 4.37 5.0 -7 -2 0 5.1- 5.7 -10 -4 -2 5.8- 6.4 -13 -6 -4 6.5- 7.0 -15 -8 -6 7.1- 7.7 -18 -10 -7 7.8- 8.4 -21 -12 -9 8.5- 9.0 -24 -14 -10 9.1- 9.5 -26 -16 -12 9.6-10.1 -29 -18 -14 10.2-11.0 -33 -21 -lb 11.1-12.0 -37 -24 -l8 12.1-12.8 -41 -27 -20 12.9-13.7 -.:5 -io -22 13.8-14.6 -50 -33 -25 14.7-15.5 -54 -36 -27' Table 3-6. Fast-Faelnp Glazinp Pts- Table 3-9. Skvli¢ht Points Total S of Floor Glazing Type 0.8-! 1.6-! T - 3.7,-! 6.4-;R..- Area Sngl, Dbl, Trpl, 16.3 17.9 U � U - U - -3 0.66- 0.42- 0.41 n 1.1U 0.65 down O ♦ 7 +7 '+7 up to 0.6 +6 +6 +6 0.7- 1.8 +5 +4 +4 1.9- 3.0 0 +2 +2 3.1- 3.2 -3 0 0 3.3- 5.4 -7 -12 -1 3. - 0. 5 -10 -4 -3 6.6- 7.5 -13 -6 -5 7.6- 8.5 -16 -8 -7 8.6- 9.5 -18 -10 -8 9.6-10.4 -21 -12 -10 10.5-11.7 -24 -15 -12 11.8-12.9 -28 -18 -14 13.0-14.0 -31 -21 -16 14.1-15.1 -34 -24 -18 Total Z of Floor Glazing Type 0.8-! 1.6-! T - 3.7,-! 6.4-;R..- Area Sngl, Dbl. Trpl, 16.3 17.9 U - U - U -3 0.66- 0.42- 0.41 n 1.i0 0.65 down up to 1.2 -3 -2 -2 l.3- 2.0 -6 -4 -3 2.1- 2.7 -8 -6 -5 2.8- 3.5 -Il -8 -6 3.6- 4.2 -14 -10 -8 4.3- 5.0 -17 -12 -10 5.1- 5.7 -21 -14 ,-12 5.8- 6.4 -23 -16 -14 6.5- 7.0 -I5 -18 -16 7.1- 7.7 -28 -20 -17 7.8- 8.4 -31 -22 -19 8.5- 9.0 -34 -24 -20 9.1- 9.5 -36 -26 -22 9.6-10.1 -39 -28 -24 FO C by rien- ation 1h3d:r.-. Ccc!flciect fnirt: Floor Area East 0- 0.8- 1.6- 3.2- 6.4-1 8., 0.7 1.5 3.1 F.3 7.9 I u - I =7- 0-.21 0.-15.21-.41 042-.66 0x%.85 0 ;.86 up 0 -!2 South All I All 0 I West 0- 0.8-! 1.6-! T - 3.7,-! 6.4-;R..- Area, Z of Floor 0.7 1.5 1 3.1 I 16.3 17.9 0 - .21 0 -1 -3 All i 22 - .41 0 n -i -3 G2 - .6 6 0 1 0 0 0 0 +1 0 I G +3 1 +i - 85 up 0 +l I +2 +5 +ln +i' 1 _1_ _ _. _. S's.ylight0.4-� 0- 0.°-! Ir- 0.3 0.7 1.5 3.: 13.9 '. 0 - .21 22 -.+1 - .661 J 0 0 I -1. 0 o -3 6 I -12 ^-15 -1 -3 -6 -7 r, 0 0 67 - .S5I 0 0 +, i.+3 I +5 86 up I 0 *1 +- i •i +I1. I - Table 3-I1. Horizontal South m -h- rnfnra South Glazing Length nut Area, Z of Floor fro. Nall f, 0-6.3 6.4 up i All i O 1-t7• 1!nvable insulation `loveable Insulation Net Solar Fraction (NSF), Z Area, T. of Flour Polats 0 - 3.5 0 3.6 - 7.0 +2 7.1 - 10.5 +4 10.6 - 17.8 +6 0.9 - 21.5 +9 21.6 - 25.0 +12 me 3-13. Infiltration Control Features Points Control Features I Points Standard r -7 0.9 air changes per hr Tlght 0 Q.6 air changes per hr .hle :1-15. Cas Furnace Points Seas: -,nal Effic.ency I Points (SE), t. I 1 65 - 67 I -4 68 - 70 -2 71 - 74 I 0 75 - 78 +2 79-82 +4 83 - 87 +6 83 - 93 +8 54 up +10 .i%;e 3-16. Active Solar Space Heatinv with Gai Points ;ec Solar Fraction Pointe (NSF), 0 - 9 0 10 - 19 +3 20 - 30 +6 31-40 !9 41 - 50 +12 51 - 60 +15 61 - 70 +i8 71 - 81 *21 22 - 92 +24 92 ui• +27 7/7P3 TA3LE 3-14 ve cc nur„ nic oca or nn - If TER101 THERMAL MASS POINTS A^.EA 1.000 Net Solar Fraction (NSF), Z perunit, 1.500 ft2 Solar with Electric 2,000 Meeting the Require- 2.500 ments in Part 2 0 Electric Resistance 3.000 10-19 20-29 30-39 3,500 I 4,000 60-69 70-79 600-799 4,500 +4 ; 5.055 +15 SQ. FT. F C D A 8 C 0 A 8 C D A B C 0 A B C 0 A B C D A 2 C D A d C _ G 0 " 1 50 _A z2 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 1 0 C G 01 1'50 4 4 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 0'0 +16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 150 6 6 4 2 4 4 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 2 0 2 2 0 0 2 0 0 0 0 'G 0 0 210 6 6 6 4 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 2 0 2 2 2 0 251 8 8 6 4 6 6 6 4 4 4 4 2 4 4 2 2 2 2 2 2 7 2 2 2 2 2 2 0 2 2 2 0 2 2 2 0 :co 110 to 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 4 2 2 2 2 2 2 2 2 2 2 2 I 2 2 2 0 350 10 10 10 6 8 8 6 4 6 6 6 4 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 2 2 2 2 2 2 2 2 2 1 470 12 12 10 6 8 8 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 4 2 4 4 2 2 4 4 2 2 2 2 2 2 450 12 12 12 8 10 10 8 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 4 2 4 4 2 2 4 4 2 2 500 14 14 12 8 10 10 10 6 8 8 6 4 6 6' 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 4 2 4 4 2 2 630 16,14 14 10 12 12 10 6 IU 10 8 6 8 8 6 4 6 6 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 4 2 709 116 16 14 10 12 12 12' 8 10 10 10 6 10 8 8 6 8 8 6 4 6 6 6 4 6 6 6 4 6 6 4 2 5 4 4 2 100 1 18 18 16 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 8 6 8 8 6 4 6 6 6 4 6 6 6 46 6 4 Z 901 120 18 18 12 16 14 14 10 12 12 12 8 10 10 10 6 10 10 8 6 8 8 8 4 8 8 6 4 6 6 6 4 5 6 6 1 1,010 I20 20 18 14 16 16 10 10 14 14 12 8 i2 12 10 6 10 10 8 6 10 8 8 6 8 8 6 4 8 8 6 4 5 6 6 t 1.100 122 22 20 14 18 16 16 14 14 14 12 10 12 12 12 8 12 10 10 6 10 10 8 6 8 8 8 6 B 6 6 " 3 6 6 c 1 1. -no ;22 22 20 16 18 18 16 12 16 14 14 10 14 12 12 8 12 12 10 6 10 1.0 1D 6 10 10 8 6 8 8 8 6 8 6 6 4 1 1.300 I24 22 22 16 20 18 18 12 16 16 14 10 14 14 12 8 12 12 10 8 12 10 10 6 10 10 R 6 10 10 8 6 8' 8 8 4 1.430 124 24 22 18 20 20 18 14 16 16 16 10 14 14 128 12 12 12 8 12 12 10 6 10 10 10 6 10 10 8 6 ,10 9 6 j 1.500 24 2e 12 18 20 20 18 14 18 18 16 12 16. 14 14 10 14 14 12 8 12 12 10 8 12 10 10 6 10 10 10 6 10 6 2. coli 24 24 22 16 20 20 18 14 18 18 16 12 16 16 14 10 14 14 14 10 14 14 12 8 12 12 12 '8 (10 1? 12 10 6 2.5•.0 22 22 20 16 20 20 18 14 18 18 1,6 12 18 16 16 12 16 16 14 10 14 14 12 10 111 14 12 6 3.000 22 22 20 16 20 20 18 14 18 18 18 12 18 18 16 12 16 16 i4 10 15 14 3.500 22 22 20 16 20 20 18 14 20 18 18 12 18 18 16 12 16 1616 I 10 4.003 22 22 20 16 20 20 18 14 21 18 11 12 :3 18 1 1. 12 1 4.500 5.000 22 22 20 14 20 22 20 22 IR 23 14 14 23 X20 11 20 ?L 12 14 1 A)1. 3Y' Concrete Slab: IIC=0.93; R-.29; Factor -7.11 2. 3 3/4" Thick Common Brick: HC=7.125; R=.13; Factor -7.8 8) 1. 5:" Concrete Slab: HL'=14.106; R=.458; Factor=7.5 C) i S" Solid Filled Block: HC=20.63; R=1.93; Factor -6.S • o" Solid Filled Block With Both Sides Exposed To Conditioned Air mote: Use all square footage directly exposed to conditioned air for Thernal Mass Area: HCr10.164; R-.965; Factor -6.5 0) 1. 1" Thick Concrete/Tile: HC -2.55; R-.083; Factor -4.0 Table 3-17. Zonally Controlled Electric Resistance Space Heating Points Points for this ocasure will be completed after the CEC ;las approved an Alternative Component•Paclwge for Resistance Heat. wood heat & 42 points (no backup) Casablanca fan=+1 point Multffamtly ( er unitpoints) Floor Area Net Solar Fraction (NSF), Z perunit, Heat Pump ft2 Solar with Electric Reststance Backup Meeting the Require- ments in Part 2 0 Electric Resistance 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 600-799 0 +4 +7 +11 +15 +19 +22 +26 800-999 0 +3 -�6 +9 +12 +15 +17 +20 1,000-1,499 0 +2 +4 +6 +8 +10 +13 +13 1,500-1,999 0 +1 +3 +4 +6 +7 +9 +10 2 C00 and uo 0 1 +1 1 +3 1 +4 +5 +7 +8 +9 All others (per building points) 800-399 0 +5.. +11 +16 +22 +27 +3Z +38 9OC-999 0 +5 +10 +14 +19 +24 +19 +34 0 +4 +8 +12 +17 +21 +25 +29 1,200-1,499 0 +3 +7 +10 +14 +l7 +20 +24 L:,000-1,199 1,500-1,999 0 +3 i +5 +8 +10 +13 +16 +18 2,000-2,999 0 +2 +4 +5 +7 +9 +11 +13 3,000 and tip 0 +2 +3 +5 +6 +8 +9 +11 Systeo Type Points ' Gas Only I 0 Heat Pump 0 Solar with Electric Reststance Backup Meeting the Require- ments in Part 2 0 Electric Resistance Only -40 CERTIFIED MAIL Ronald.Cooper P.O. Box 250 Forbestown, CA 95941 Dear Mr. Cooper: April 23, 1985 RE: 'Permits and Inspections AP #73-18-26 4 With reference to the above subject, we have been advised by one of our building inspectors-that�you'have not obtained the required permits and inspections from this office for converting an auto repair shop into a retail sales store. Since permits and inspections are required by both State -and County laws, please-, contact this office within ten days of the date of this letter, submit one•'plot planand'one floor plan, apply for a "Special Inspection," and pay the appropriate fee of $50.00., ; Wewere also advised that'you have installed a cab=over camper and four trailers. (one with a ramada constructed over the trailer) which could constitute a Special Occupancy Park under the jurisdiction of•Califotnia Department of Housing. i Please contact the Planning Department within ten days of the date of this letter to determine the status of placing the mobiles, than contact the appropriate agency, California Department of Housing or this office,. for the required permits and inspections. Should you have any questions, please contact this office. Yours very truly, William Chaff Director of Public Works Original signed Sy J. F. Glander J.F. Glander JFG:aj Chief Building .Inspector cc: Building Inspector - Oroville Planning Department Health Department Assessor Department of Housing, Division of Codes b Standards, 574 Manzanita, Chico 0 Co4i�r 12,4Y (' OAJs% //g Cci Uri / 1e� IA)s7,4tL MN- 0%/G/TiEs- �,� /xl S• eo . IV166 NOT 19)0e,110&/-uNDS T� iL 617/( p7-,O/M-/ /4 /-1(r"2UL . T,eLp-) !t)/LL �✓CJ ��l%UE� . Al lll� el+vt r/7AGT P all 7-W10 - File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. I . 1 I iI 3 - Ronald Cooper P.O. Box 250 Forbestown, CA 95941 Dear Mr. Cooper: November 7, 1984 RB: Permits and Inspections AP #73-18-26 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for converting an auto repair shop into a retail sales store. Since permits and inspections are required by both State and County laws, please contact this office within ten days of the date of this letter, submit one plot plan and one floor plan, apply for a "Special Inspection," and pay the,appro- priate fee of $50.00. We were also advised that you have installed a cab -over camper and four trailers (one with a ramada constructed over the trailer) which could constitute a Special Occupancy Park under the jurisdiction of California Department of Housing. Please contact the Planning Department within ten days of the date of this letter to determine the status of placing the mobiles, then contact the appropriate agency, California Department of Housing or this office, for the required permits and inspections. Should you have any questions, please contact this office. JFG:aj Yours very truly, William Cheff Director of Public Works Original signed by J. F. Glander J.F. Glander Chief Building Inspector cc: Building Inspector - Oroville Planning Department Health Department Assessor Department of Housing, Division of Codes b Standards, 574 Manzanita, Chico L,. d -A . W -�17� Cll/a f d�2 a�-• Ln t y/J a .✓c� BOJ` �> V �/ S � ` Ronald Cooper P.O. Box 250 Forbestown, CA 95941 Dear Mr. Cooper: November 7, 1984 RB: Permits and Inspections AP #73-18-26 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for converting an auto repair shop into a retail sales store. Since permits and inspections are required by both State and County laws, please contact this office within ten days of the date of this letter, submit one plot plan and one floor plan, apply for a "Special Inspection," and pay the,appro- priate fee of $50.00. We were also advised that you have installed a cab -over camper and four trailers (one with a ramada constructed over the trailer) which could constitute a Special Occupancy Park under the jurisdiction of California Department of Housing. Please contact the Planning Department within ten days of the date of this letter to determine the status of placing the mobiles, then contact the appropriate agency, California Department of Housing or this office, for the required permits and inspections. Should you have any questions, please contact this office. JFG:aj Yours very truly, William Cheff Director of Public Works Original signed by J. F. Glander J.F. Glander Chief Building Inspector cc: Building Inspector - Oroville Planning Department Health Department Assessor Department of Housing, Division of Codes b Standards, 574 Manzanita, Chico L,. d -A . W -�17� Cll/a f d�2 a�-• Ln t y/J a .✓c� BOJ` �> V �/ In I File No, BUTTE COUNTY'-' (For Public Works Dept, Action 1, 2 31 D irector (For Information ✓) DeP• Dir. ~� Sec. Rd. &B. Shop r Bldgs. & Grn s, Bldg. Insp. Admin. .I I Design Engr. Bridge Engr. ) Constr. Engr. Surveys Mopping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits . Addr. J s Owner D /� Address: Tenant: cz -P Building Location BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT W'a 6,02� w • 7 4 A. P. # Date of Inspe n ; --,26- Inspector Type of Inspection requested: /'l. Housing ".2. 2. Financing / / 3. Change of Occupancy to 44 4. Other (specify) 1 Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3:' Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground:. 2. Receptacles: 3. Fusing:- , 4. Comments: _ • . , D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: _ 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings_ 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete desqfriptio_n) ;om � C/riA .,//.. n . --1 ///h ts/ 1n O / - -✓ f, 1. in w _ "IL 2. What acti iesc�iption) 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. 3Z C. Write letter. / L.D. Other: wz' 11-t Pit; i J �+ A ., E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: _ 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings_ 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete desqfriptio_n) ;om � C/riA .,//.. n . --1 ///h ts/ 1n O / - -✓ f, 1. in w _ "IL 2. What acti iesc�iption) 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. 3Z C. Write letter. / L.D. Other: wz' 11-t Pit; i J �+ _� �... .. _ �� C� :.,., ' R � �.:: ��� ����P ��. y �1ar1 �0'►tls�. A'PPDX %5 t existing residential secti 6 building was built in ;84 and practices for that ime. Kisting" and no additi ns or ►art of this work, ext t to the exterior :youthI as damage to 'the rete ;fore they are not rt of sof sheeting and raft n south side of ridge. fibers and exterior fini iembers. 3ulation as required idows with same i2 led electrical. All rLp I CEC 2004. 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