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HomeMy WebLinkAbout078-130-012Wynoka Homes, Inc, 5778 Vista -Del Cerro, lot 19, 06#1, Oroville Permit #6418=77B(new single family & - garagel'A�'i'�Q 4 .' 36-72-12' L'UPe Y WHITESIDE Vista DelCerro, ORoville it#3440-82B(installfire lacee) SFL��� ^ 36-72-12 Peimit#1276-86B,E(conv garage to family room/SF) 078-130-012 06-2145 WHITESIDE, ' 5778 VISTA DEL CERRO, OROVILLE Cont: COMM ACTION AGENCY WATER HEATER'C'L /1 CV121 Y 078-130-012 06-2145` WHITESIDE , . _ 30,0: NOTES ( 5778 VISTA DEL CERRO, OROVILLE i- 'Cont: COMM'ACTION AGENCY i WATER HEATER RESIDENTIAL APN: Permit No. Owner. Site Address: Contractor. ' Type of Permit: t t. •c SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION "EMS VERIFY USE PERM" CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERM" REINSPECTION FEE PAID ENV HLTH CLEARANCE t y DATE JOB FINALED: �J SIGNATURE: CHECKED BY +=OK MANUFACTURED HOMES MISCELLANEOUS - DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easeinent Needed -Regulator 5 Elec Loctn-DImcs-Dmd 'Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q' or CPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers '----DATE D E C K S'C :O V E R S'C A R P O R T S •GARAGE S 1 ZoningSetbacks-Easements 2 `Ftgs; SoilsSz DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brc_ing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams4btrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors T Electric 8 Frmg; Sills-AnchrsStuds-Rfbs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10.Roof; Shthg-Roofing 11 Ext; Steps-Doors-Landngs 12 Braced Wall pnis DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptds/Lting; Distance -GR 5 Elec Pool Lting; l5 volts-GFl 6 Elec.Enclsrs; Conduit Entries Terminals -Listed 7Elec Bonding; Metal w/5-DrGtng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcling Eqp-Pool Ightg Boxer-l=.nclsr;-linlboardsansultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide d$ 90 tea' oqa mss' dA �a Pool Drawing RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Fig Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Fig Dpth ' 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalis Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgmd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Acc & VnUtn 16 Insulation o'`• o`er o+d d� DATE JFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders 8 fir Nailing 20 Draft Stop In Walls (rat proof) 21 Fire Stops; Furred Ceilings—Stairs—Chasers—Tubs 22 Headers & Beams-Sz &'Bearing' 23 Hangers-Posf*Caps-Anchrs-Ci nctns 24 Ceiling Joist-Rfii• Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type FI 25 Throat Clrnc 26 Attic Acc Sz &•Riaz Ortc*Draft Stop -Ins, Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctri Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng Attic Vnts_ M Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace IntiExt Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws 4 DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cirnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appine Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz ya Q CU or ❑ AL AC Wire Sz pa QCU or QAL 48 Range Circ w 0 CU or D AL Oven Circ ya 0 CU or ❑ AL Insulated Neutral QYes [—]No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cirncs pnts-Motors-Meth Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector DATE PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr. Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub Ace 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas Piping 41 DATE IMECHAN-ICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrfiw, Sz & Grade - 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 41 DATE DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFl ' Bath Fxtrs & Tub Acc-Spa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, int & Ext 76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Damper 80 Wtr Htr. Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFl) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clmc Dmge Planters Q Yes [:)No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 VnUtn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler � s DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530)538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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: �_ License Number: 17 2—c k Date: 1 Contractor: C (Lk A OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demollsh, 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 pursuant to the provisions of the Contractor's Slate License Law (Chapter 9• commencing with Section 7000) 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 the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, 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, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of properly who builds or Improves thereon, and who does such work himself or herself or through his ocher own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will . have the burden of proving that he or she did not build or Improve for the purpose of sale,). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does nut apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Conlraclors' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Buslness and Professions Code Dale: Owner. WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a cerlincale 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. Iy I have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code,'for'lhe performance of the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier: /tyT_e_ Policy #: ❑ 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 the workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisldns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: ✓ Applicant WARNI Failure lo' secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (8100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and allomey's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Name: BP062145 Issued Date: 09/07/2006 APN: 078-130-012-000 Site Address: 5778 -VISTA DEL CERRO ORO Map Index: Description: REPLACE WATER HEATER Owner: WHITESIDE, LARRY 5778 VISTA DEL CERRO OROVILLE, CA 95966 (530)534-8179 Applicant: COMMUNITY ACTION AGENCY OF BUTTE COUNTY INC. 2640 SOUTH 5TH AVENUE OROVILLE, CA 95965 (530)538-7559 Contractor: COMMUNITY ACTION AGENCY OF BUTTE COUNTY INC. 2640 SOUTH 5TH AVENUE OROVILLE, CA ' 95965 (530)538-7559 License #: 617201 Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 a Permit Is hereby Issued under the applicable provisions of the Bulle County Code and/or lullo t do_work Ind ca�leAd'abov for Mich fees have been paid. �.: Dale: , PERMIT EXPIRES ON: Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which reg ujale the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health &Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A, notification forms. ect, and that I am the owner or the duly authorized agent nt of owner, I agree to comply with I hereby certify that I have read this appllballon, that the above.lnformation Is corre of any official form or document of all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the substancButte County. I hereby authorize represen(allves of Bulle County to enter upon the above mentioned properly for inspection purposes. Signature: Print Name: Dale:y ". r . ❑ Contractor ❑ Agent for Owner XAgent for Contractor . , ©:Owner B. C. Building Permit 01-16.04 pg 1 DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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: � _ License Number. 4) 7 29 Date: ` .3 d Contractor: C ek A c'F ` e 9'2� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demollsh, or repair any structure, prior to its Issuance, also requires the appllcan( for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professlons 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 the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Dale: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor 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 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier: /tom -sem? iNlS Policy 0: I r_?c% O 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' compensation provisidns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: ✓ " 7 4 p' Applicant: WARN Faflure" lo' secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars (5100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Civ.) Address: BP062145 Issued Date: 09/07/2006 APN: 078-130-012-000 Site Address: 5778 VISTA DEL CERRO ORO Map Index: Description: REPLACE WATER HEATER Owner: WHITESIDE, LARRY 5778 VISTA DEL CERRO OROVILLE, CA 95966 (530)534-8179 Applicant: COMMUNITY ACTION AGENCY OF BUTTE COUNTY INC. 2640 SOUTH 5TH AVENUE OROVILLE, CA 95965 (530)538-7559 Contractor: COMMUNITY ACTION AGENCY OF BUTTE COUNTY INC. 2640 SOUTH 5TH AVENUE OROVILLE, CA 95965 (530)538-7559 License #: 617201 Architect: Engineer: Total Square Ft: Valuation: Census Code: permit Is hereby Issued lulior t� do work Ind �c PERMIT EXPIRES ON: 0 S. F. $0.00 pplicable-provisions-of the Butte County Code and/or _ for Vr5ch fees have been paid. Dale: O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which reguiale the storage, handling and use of hazardous materials. O Notification In accordance with Section 19827.5 of California Health & Safely Code is not appllcable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby cerilly that I have read this application, that the above Information Is correct, and that I the owner or the duly authorized agent of the owner. I agree to comply with all county and.stele lawsrelating to building construction. I acknowledge It Is unlawful to alter thee substance of any official form or document' of Bulls County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name�n Signature: - Dale: �.. ©Owner O Contractor ❑ Agent for Owner Agent for Contractor B. C. Buildinp Permit 01-16-04 pp 1 9 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X F r office use only: OWNER Last Name Name first Name - WA fa i Subdivision Name Address, Zip Phone ci? . - eel City State Address 4e C_ Phone ; 7c? Fax 3-Y— l E-mail APPLICANT SIGNATURE X F r office use only: ARCHITECT/ENGINEER CONTRACTOR Name Address Name C City Subdivision Name State Zip Phone Planner Fax c_ Address 4e C_ City State Fax Zip Phone_�- r Fax � � E-mail Lic. # , z_o Class bo APPLICANT SIGNATURE X F r office use only: ARCHITECT/ENGINEER Name Name Address Occ. City Subdivision Name State Zip Phone Planner Fax E-mail State License Number APPLICANT SIGNATURE X F r office use only: Zoning APPLICANT NAME Name SRA I Yes I No Occ. Address Subdivision Name Map Book Page Lot # Planner City State Zip - 4e C_ Phone Fax E-mail APPLICANT SIGNATURE X F r office use only: Zoning Property Address a 7T16 e I ' c'r- Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP &-" j BIN N LOCATION AP# 8_ ^� Property Address a 7T16 e I ' c'r- City Cross Street 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. Other LENDING AGENCY Name Address Description or Scope of Work: 4 cam► Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other Total OrA/ 7_7A_rlr. SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. O 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. O 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval to occupancy). ❑ 6. prior Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 .i PERMIT NO. PERMIT EXPIRES OWNER LARRY & SARA WHITESIDE c CONTR. owner s>M ASSESSOR PARCEL 36-72-12 ` LOCATION 5778 Vista Del Cerro, Oroville' k t r j M F. S� ♦I ;i Temp. Power Pole Called PG&E i Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALI Signatui V = OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N'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. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 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 - - B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V > OK 0 = Not OK = Not Applicable *r = Not Ready RESIDENTIAL Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAWNG�c.ontinued) 1. Zoning requirements -Setbacks -Easements 48. ty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 t. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth co Srairc w rttn_Hpadroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth &t 2J*wnod on Ueof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab - eneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. cco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing A!ea-Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. ails; 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 Card -BI aterd-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Es droom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access -6U--Tr1. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Accesslec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 637-1 7e lace or Stove; Clearances -Hearth Card -BI Date Card -BI Date &ArSlec. Outlets at Wood Panel; Int. & Ext. '1119--KTrFixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date -66.-Glec. Outlets & Receptacles at Kit. Counter - Date E EC AL Permit OK except q's arage Fire Door; Swing -Landing -Closer SQA G. Duct in Garage -Damper 2 .__Fixture & T_ransformer Clearance -Ins. Protection 997 tr. tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ---- 2 _ ec. Receptacles Spacing -Lights & Switches at Doors _xes & No. of Conductors -Stapled me Installed Close to Edge of Studs & C.J. -fp-Pl bec. & Mech. Equip. Listed for Location -74--&as-Rec_eptacles in Garage; (G. F.I.)-Romex Protec. 24. Ground made up w/Mech. Fasteners -Bond Gas & Water ton -Foam -Looked in Attic es - Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI irc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, \2*ance Circuits in Kitchen &Conductor Size dNeutral _,Yes �No -Riser Conductors &Ground -Main Disconnect�@c� Clearances: Panels-Motors-Mech. Equip.A,it; -49rf and Rails & Deck Construction -Post Caps y*--�". Vents & Crawl vole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -.-Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑No; Planters ❑Yes ❑No grown -Finish Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B -I Card B-1 30. Clothes loser Light -Shower Light _ -- ate Card -BI Date 7�z- Date Card -BI Date ens Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. a er ell'; Disconnect, Electrical, Plumbing xtertor fec. Trim; G.F.I. Receptacle -Underground Mian throughout House -P0'ection Date MECHANICAL (Permit) OK except 4's _ 8orrectios from Previous Inspections 94--138s Test -Meters Tagged; Gas -Electric Card -BI Card -BI 31• A.C. Ducts_ Insulation & Support _ _ - _ 32. Vent Fan: Exhaust above Insulation _ -- _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent_ -_115V outlet 35. Attic Access & Platform if Furnace in Attic - -- - -- -_- - Date Card -BI _ Date Date Card -BI Date 85. Wei & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates I ate - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date F NG(Plans) OK except H's Comments at Final: _ 36. s;Proper Material & Ancho_rs Its,Studs-Nailing, Spacing & Bracing -Plates -Sound /gyring Walls over Girders & Floor Nailing 3B' Dr Stop in Walls (rat proof) 4 tops: Furred Ceilings -Stairs -Chases -Tub _ _ -- 4 IjBad>sr &Beam -Size &Bearing - 4 Ha Lsrs-Post Caps -Anchors -Connectors 4 Cing. Joist- s- Purl in -Roof Brac.-Truss-Shthnp.-Ring. ep ace Ties or Type A Flue -Fireplace Throat s: ize & Romex Protection -Draft Stop -Ins. Baffles in ows or Exiting Doors -Sill Hgt. & Dimensions 47 Garaae Fire Protprron Framing (NOTE:Anentrymust be made each time youvisit jobsite) c COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891'2751 s • ,•sf 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE I z?& 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. 4— / 1 —j9— Owner: Gt r r uPermit No. /,� 76 - F( n, , ENERGY CERTIF ICAT ION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Mat erial Thickness() 3 /� CEILING Batt or Blanket Type Fj V -,e r 9 lasr Thickness(inches) q;� T- Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material N A Thickness(inches) Width(inches) FOUNDATION WALL Material 0 A Thickness(inches) A.P. No. Brand Name . Thermal Resistance (R Value) Brand Name Owe!ng Corn r`r72 Thermal Resistance(R Value) 'T_ Brand Name _A,. - e hS . o,' h.'n Thermal Resistance(R Value) , 3 Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name . Thermal Resistance.(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with.the State of California Energy. Requirements. FIRMjNAME/0 R STATE CONTRACTOR'S LICENSE NO. VWNAT&E OF INSTALLATION APPLICATOR b, kTE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. r StrGNATUA OF GWERAL CONTRACTOR OWNIER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MI NO. 7 County Center Drive - Oroville, California b5965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSE OR PARCEL NUMBER ZONIN BUILDING PERMIT WNER /,' N�N ci" krGl vll e S) C' TEL PHONE S _ SO. FT. OCC. BUILDING VALUATION OWNE S MAILING A6bR . .ot ES ✓ /` U C RA TOR'S NA -ME r TELEPHONE CONT ACTOR'S MAILING ADDRESS Fireplace CO TRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 L N ER'S MAILING ADDRESS Permit Fee $ ARCITECT OR ENGINEER LICENSE No. Plan Checking Fee $ odd Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS^ ` A Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 0 re t/L+ 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 SF Duplex❑ Mobilehome❑ Other X SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I W 10.00 ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Qther Describe work:�'a I, Odo row / _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L. 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ElI 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 ZI, 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 2Z OR ADDNS. \ ACC. BLDG , /20sq ft NEW CONSTR.ULTI-OU T NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) / SINGLE OUTLET CIR.) Ex. OCcup(OUTLETS OR FIXTURES 20®50c BAL®30 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 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 f Consent to Self -Insure. E ' 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 Filing Fee 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 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 s 'd Count in se uence o the granting of this per . Date Harare of Applicant — Owner Contractor ❑ AgeIf nt An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 169 occup. CONST.TYPE I I FLOOD RCEL P1 o ND 1990E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC PE#T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS X319Receipt No. WHITE-D.P.W., YELLOW-ASSF330 , PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT.,OF .PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,CAL,IFQANIA 95965 - TELEPHONE: 91J5534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �q r r V Sava l tJ kl I P S t P A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price n DPW Valuation Other ( x I ) Cy Building Inspector A Date At time.o) permit application, I was advised the following data must be submitted prior to permit processing and/or suance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . t 9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from . Health Dept. . . 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 ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . Pre-Insprequest to (Date)17. Pre -Inspection for Required- Building Inspector 18. Record maf to I Acknowl dgment State ent . 19. Other� onstruct�on approval required prior to occupancy When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone .�� � and hold for pickup at 01 0 office. Deliver w/inspector. Other Applicant Date /5 sr6 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Telephone Plans checked by Date Plans approved by Date Other: Copy—DPW _Mail Date Other COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 or no) x4as 2. I (have/have not) h o -Lr 2 signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit Num er Date S /S g - c NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT N0. 12 %``g` PACKAGE nAm (Additions) NAME 1AA61 4j#1rkjr^!L SQUARE FOOTAGE JOB ADDRESS 7 d D/SL� Existing Residence TYPE OF. WORK 644. rft * , New Addition 304 New Total ' The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Addi ti ons to dwel 1 i ngs I ncl udet room add ti ons, , converting garages and patios to l i vi ng areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. A. ZONE 11 ZONE 1 ZONE 6 INSTALLED' 'APPLIES TO NEW AREA CEILING R-30 R - Ur RR- 8 L R-11 Ry11 R19 FLOOR R-11. 11 R-19 SLAB R- 7 R-11 R- 7 AtLAZING 65 .65 .65 SHADING SOUTH OPTIMUM OVERHANG or .36 S.C. - _,WEST - .36 S.C. LOOSE FILL INSULATION (Densi'ty) ,,I'FILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) 0(JCTS PER UMC Ch. 10 - LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT `K<XIM1N1 GLAZING 16% OF .AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 ti. ❑ ❑ *2 e■ 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 rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump Btu/hr (cooling capacity at 95°F) Other (describe) EER DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *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 °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *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 ode. /vj� "L . GRIGNATURE BUILDING/DESIGNER OR APPLICANT *11313 ❑ ❑ *2 e■ 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 rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump Btu/hr (cooling capacity at 95°F) Other (describe) EER DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *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 °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *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 ode. /vj� "L . GRIGNATURE BUILDING/DESIGNER OR APPLICANT C f � - lficdosTh•s ef lan ads cus 'b�:i - � f•. . all tim s nd it is unl wf,l1 i _ kept o"'phi �o - - - - - - .I i I r Ite ati ns n s rn with�ui make . �- -- } wri#e -pe mis ion�fro t emerit Works un ( _ ' I _NOTE. 0 [�ilat rra s or all- _ n_I-__-- _ a d. V ' cor�an a �vith�R-cam d oo---��ac a �i_ `� -- ---- --� -- ► i or he IS cifi d se n tae 1 a- uaii-y-Pres�r�b -- P 1' ' - - - - 1 —_!-- if j6 ilding, IPlu big M�ch me I- ; solidi 4{ ---, t o al. lec�c I I 1 r — -- i oN i-_ , _� :_ - ---- I-- -- - - x & -f - /�-�-- 17, I < rb- _. 774 -- --i - - �-,-- . - -- _ ---�- -� --�-= — - -- - - - -- - - U_ - - _ -- Nom— 1 WING D. ME o -6, AN- 0 PERVAIT NO. 6418=77B PERMIT EXPIRES OWNER' Wynoka Homes, Inc, CONTR. owner LOCATION (A.P. 36-21-.18 ) ' 5778 Vista. Del Cerrolot 19, V01, Ormv111e t: )'k Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED ,(Da COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING Setback Z G 7 BUI I (t'd) Firewall PLUMBING Sol I Piping Forms Ducts Parapet 1st Floor Main Bldg. Permanen 7 Restroom Finish 2nd Floor Footings 7��'q— Windows 3rd Floor StemwaII Sewer Siding To out Slab Elec. Continuity Roof Sheathin Water Piping Piers Roofing Sewer ? —Garage Fdn. Vents Fixtures Footings Stemwal I — Garage Vents --Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure A 11 A liances Gas Piping & Test p. Gas Slab Final Sanitation Patio FIREF(LIACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough — Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. c Stucco / Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground/ Interior Lath Ventilation .% Permanen 7 Door Closer I Final '� Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. P - ds,-' Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS CORRECTIONS R , z �// t/f/ 7 9 (NOTE: An entry must be made on this form each time you vislt the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE -25, STATE OF CALIFORNIA, .IN THE BUILDING LOCATED AT: Lot 19 Street Lot Number Tract No. EXTERIOR WALLS Manufacturer Certainteed Thickness/Type 2�� R Value 11 CEILINGS Batts: Manufacturer Thickness R Valu,- Blown: alueBlown: Manufacturer Certainteed Thickness 8 3/4" No. Bags 24 Wt./Bag Sq. Ft. Covered 1170 R Value �9 FLOORS Manufacturer_ Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS Manufacturer Thickn ss Type R Value GENERAL CO CTO ` / . ��� LICENSE No. / � 2Yb BY- � TITLE — DATE 7S INSULATION CONTRACTOR: HAWKINS INSULATION CO., INC. LICENSE No. 215-925 BY,�� �, �T,nTI Owner DA. September 6, 1978 'Ile COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auulot 11w IupleSenLilt IVeS of the UUUnty or tsutte to enter upon me above -mention d property for inspection purposes. X Date 12-9-77 'gnature of Permitel/ee� or Age t Receipt No. ' 1 (Oa V 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. IRECT OF,� IC WORKS BY Date �� Building permit expires Date — '?Z�-1JZC� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Y Odw Mailing Address IMI,,# Telephone No. Fireplace P. U. Box 1600 Contractor 6 Total Valuation r7 59 : Mailing Address Permit Fee Plan Checking Fee&/or Penalty " Telephone No. Permit Fee $ is— Building Addi54r G/PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ` '577Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Zoning Verification Only Each gas water heater or vent 1.50 g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F /5 (on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma 60' R/W P Im vements Lawn sprinkler system 2.00 Bldg. PI n Rec'd 6 �� Por el App oval Plans Approval Permit Fee $ $ NEW ADDITION UTILITI ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LE LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OR Main service 100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST ( ACCLLING OCCUP. & BLDG ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business �Jijfq�yns�sc4�erq/+/�'}r� name Style of: w� �l d'ii�69d o "••�j� P. O. Box 1600 P� Ex. Occup(OUTLETS OR FIXTURES) BAL�1 EX. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Oroville, Calif. 95765 14 ythane: (9 O 8 License No. Classification Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ t $ 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. 0 1 have placed on file with the County of Butte a certificate of Workmen'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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 $ auulot 11w IupleSenLilt IVeS of the UUUnty or tsutte to enter upon me above -mention d property for inspection purposes. X Date 12-9-77 'gnature of Permitel/ee� or Age t Receipt No. ' 1 (Oa V 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. IRECT OF,� IC WORKS BY Date �� Building permit expires Date — '?Z�-1JZC� NOTE:—dill Materials & Workmanshi ofquality- prescribed for the Specified use in the Uni rm Building, Plumbing & Machanical Codes and the ational Electrical Code. 4 The Bldg. Setbacks side property line centerline of the roc mum of a 2 ft. eave out of all easemen --1 ""%A 3PvcffICavons MUST bs kept on the job at all times and if is unlawful to make any changes or alterations on same, without written permisson from the Department of Pubpc Works, County of . Butte. ■m i' 6 k- 7 See Master Plarflon file for buildi plans. �1A►-� 170 NR S'M , �- o - BUILDING D ARTME J_ 6'71 APPROVEDI SUBDIVISION CITY COUNTY LOT NO. 1-jo1 YNOK MOMES,INC. P.O. BOX IS JOB NO. SEWER owl- WATER SCALE 316.533-2738 OROVILLE, CAL. 969B6 A GAS ELECTRIC J _ - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �- 7 County Center Drive — Uroville, California 95965 Telephone: 534-4341 APPLICATION AND PERMIT Receipt No. Ib� C,0! :I _ % �y White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant ft§N" permit expires Date ,a S / 7 5 BUILDING Owner e SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace ContractorPa'�-coo Total Valuation Mailin Address ' Permit Fee Plan Checking Fee &/or Penalty vC phop N . le ' Permit Fee $ Building Address i /IS �r PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 C 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 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 BI ons ec d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Gq111V A— OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD -L loo AMP 2.50 Single Family P111, Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am lice d under the provisions of Chapter 9, Div. 3, of the State Ca Ifor 'a B ine s & P ofe----.--6e name o : Ex. Occup(OUTLETS OR FIXTURES BAL 104 FIXEstyle APPLES. OR Ex. Occup. (OUTLETS OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 I p�� License No. 1 ��.�"'/ %O Classification e _Sc Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 - Heating Cooling v Ventilation Hood 2.00 1© 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. R X �`�`-� " Date/��/ �� Signature of Permitee or Agent TOTAL PERMIT FEE 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 PUBWIC WORKS �T"1 By Date LQ Receipt No. Ib� C,0! :I _ % �y White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant ft§N" permit expires Date ,a S / 7 5 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Tel ephorie:' 534-4541 APPLICATION AND PERMIT 7 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date/_2 Signature of Permitee or Agent Receipt No. -114 11'J 1 -, 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. OF PUBLIC WORKS By(?_q.EQLT0RezZw_ -Date- 12-1161'77 If g,permit expires Date BUILDING Owner") SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor t. b y\0 �C_ Total Valuation Mailing Address �,� I S- Permit Fee Plan Checking Fee &/or Penalty e pho n No. Permit Fee $ Building Addressro PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ©p OVbtkIa Repair drainage or vent piping 1.50 Water piping 1.50 , - ; Each gas water heater or vent 1.50 A. P. No. 1 ! 1 ` l Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa1�i4afiarr I Fire Dept. Fire Zone Use Permit Building sewer 5.00 00 EQA Parking Plans Parcel Declaration Parcel Ma P 60R/W ' Improvements P Lawn sprinkler system 2.00 ,B Id9-P--bons-Rect-d I Parcel Approval I Plans Approvol Permit Fee $ iso $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ` 1 V D p ( 1 &I - Main service i°o°o AMP ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ✓^� Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 100 AMR oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CON S T. OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sq ft NEW CONSTR MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 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 st le of _ y Ex. Occup(OUTLETS OR FIXTURES) 50 BAL� Ex. Occup. FIXED APP LNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No :Z3/_ ClassificationCID-3--6 �� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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 Wo en's Compensation. I have placed on file with the County of Butte a certificate of Workmen'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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 $� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date/_2 Signature of Permitee or Agent Receipt No. -114 11'J 1 -, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. OF PUBLIC WORKS By(?_q.EQLT0RezZw_ -Date- 12-1161'77 If g,permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date J-17-729 i ature of P r i ee ent Receipt No. 1 1/ _A- !;L I$ 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. IR CTOR OF PUBLIC WORKS By Q' Date --khm-permit expires Date BUILDING Owner wC ' SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor C&C_ Total Valuation Mailing AddressPermit Fee Plan Checking Fee &/or Penalty DVLw I I yt Telephon o. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ©roU I to Repair drainage or vent piping 1.50 Water piping 1.50 ►✓ p Each gas water heater or vent 1.50 A. P. No. .r `1 _ o{ Fees W.C. Sanitation Fire Dept. Fire Zone Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements provements Lawn sprinkler system 2.00 nn Bldg. Pla s e9d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER (,g ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C - Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.0 22sgft NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 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 St le of: y Ex. Occup(OUTLETS OR FIXTURES) 50@25 EX. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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 for kmen's Compensation. placed on file with the County of Butte a certificate of Workmen'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. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 herebyZ17 TOTAL PERMIT FEE $ 1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date J-17-729 i ature of P r i ee ent Receipt No. 1 1/ _A- !;L I$ 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. IR CTOR OF PUBLIC WORKS By Q' Date --khm-permit expires Date Permit#3440- 2 8 Larry Whiteside f , a ' L 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �J/_401,, ; APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �. ZONING BUILDING PERMIT OWNER _ _ % / J / TELEPHONE SQ, FT. OCC. BUILDING VALUATION beOWNER'S-'7,MAILING/ADDRESS . S (/(// /} - - CONTRACTOR'S NAME �TELEPHONE NP K CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S 'tv1Al LING ADDRESS Permit Fee $ J5,0L ARCHITECT OR ENGIN- ER LICENSE NO.. Plan Checking Fee $ Penalty $ ARCHITEC('TT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS • PLUMBING PERMIT Filing Fee 10.00 ,yQ (� Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP /OpAv e .04 / Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S W G 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othe�V Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 / Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. t 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 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 MULTI -OUT LET NON.RESID. BRANCH CIRCUITS) 2,50 ea NEW CONSTR. ! POWER APPARATUS & 1 NON-RESID. \SINGLE OUTLET CIR. / A30,t Ex. OCCUp(OUTLETS OR FIXTURES .20@50tand 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. F, -J'' 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. �( `t ,� "'i dcia�c�-,t- Date r� Signature of Applicant — Owner F' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HDy ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �I D to ���� ,/ Receipt No. �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, Orovi Ile - Phone: 534-4541 Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57 CORRECTION NOTICE s I L//s 771- �,-D,: L 0_,_,. BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. InsP ector 461 & 9 � ,l Date //- X3 -S�4- GOUNT'Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95 965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PR EL NUMBER ZONING BUILDING PERMIT Al a re OWNER ..-C� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADDRESS Ionia) ! CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Q�� 0Q CONSTRUCTION LENDER UNKNOWN Total Valuation $ 49 D Filing Fee $ 10.00 LENDER'S AILING ADDRESS Permit Fee $ ARCHITECT OR EN 1 ER JA.0 14 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME J/;e 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 SPECA FY Building sewer 5.00 Mobile Home S G W 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OthekK Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 2I/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. [✓�)cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _NE w CONSTRULTI.OUTLET 2,50 ea NON.RESID. BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS &) NON-RES,D. SINGLE OUTLET CIR. P�o OR FIXTURES BAL@30Q Ex. Occu 20050Cand IXEDTs Ex. Occup. OUTLETS P(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 ZConsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X � �I. �/l Date / C%, (q p \/ �� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in hei t. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 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 DIR TOR OF ELIC Aion By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D te_� �� Y V - Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT