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078-220-011
FAILURE TO FINAL CONVERSION 11/3/99 ifAPF / Pearl Hoobler � � 22 Las Plumas Way, 0leCONTR: A-1 Masonry,lle Permit 5284-75B (EQ damage - fireplace) 4 3604-89B ! �' GRAMPS, Fred 22 Las Plumas Way, Oroville (reroof/SF) -��-�- 1506-91 B , E , M � � i : •ice GRAMPS, Fred & Suzie 22 Las Plumas Way, Oroville bi-/ 3 2 -- (garage (garage conv to living/sf) - - - 95-1202 BEM' .GRAMPS, Fred & Susan 22 Las Plumas, Oroville( (conv garage to living room)SF t00 i I { �r ifAPF / Pearl Hoobler � � 22 Las Plumas Way, 0leCONTR: A-1 Masonry,lle Permit 5284-75B (EQ damage - fireplace) 4 3604-89B ! �' GRAMPS, Fred 22 Las Plumas Way, Oroville (reroof/SF) -��-�- 1506-91 B , E , M � � i : •ice GRAMPS, Fred & Suzie 22 Las Plumas Way, Oroville bi-/ 3 2 -- (garage (garage conv to living/sf) - - - 95-1202 BEM' .GRAMPS, Fred & Susan 22 Las Plumas, Oroville( (conv garage to living room)SF t00 '. r� .i�,Y�i January 4, 2000 Fred and Susan E. Gramps 22Las Plumas Ave. Oroville, CA 95966 count, L A N D O F NATURAL WEALTH A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Building Code Violation A.P# 036-55-0-011 22 las Plumas avenue, Oroville Dear Mr. Gramps: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above referenced location: Failure to obtain approval of previous corrections and failure to obtain final inspection prior to occupancy and permit expiration for conversion of a garage to living room. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete the project and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have 30 days 'to voluntarily comply with the above directions or to present an acceptable plan abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford of this office at the address or telephone number listed above. ely Mic ael C. V eira, C.B.O. Manager, Building Inspection MCV:dms RESIDENTIAL i 036-55-0-011 95-1202 BEM GRAMPS, Fred & Susan 22 Las Plumas, Oroville, (conv garage to living room)SF JOB FINALED (Date) Signature COUNTY OF BUTTE 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 i — Zd PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. = / Lo ?-- t -w -S eN.<'V r, Date //— 1 '51 Inspecto REV 10/92 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT 19,5- 4��1_11;� ASSB%PAY�X zo"'"° r.. t BUILDING PERMIT OW BRED AI1D SUSAN GRAMf'S l"}-H2L►% SQ. FT. OCC. BUILDING VALUATION 484 1 9680 w2HMLSAPMS OROVILLE CONTRACTOR'S NAME T. TELEPHONE CO MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 117.00 ARCHITECT OR ENGINEER LICENSE NO. " Plan Checking Fee $ 76.05 Energy Plan Checking Fee $ 23.00 ARCHITECT OR.50GINEER'S MAILING ADDRESS Penalty $ BUILDING DREss 22�LAS PLUMAS OROVILLE PERMITFEE $ PLUMBINGPERMIT Filing a '20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑R Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ K Describe Work: CONV GARAGE TO LIVING ROOM — Mobile Home I S I G W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I ... A ) 46.00 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 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. ❑ 1, 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 NEW CONST. DWELLING OCCUP. OR ADDNS. 8 ACC. BLDS. ( ) n/� 3.50SFr". 7V 16 NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. ourLFT OR FIXTURES Ex. Occup. () 20 @ 1.00 BAL 50 FIXED TS Ij OR Ex. Occup. ( OUTLETS RES. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 36.90 Contractor 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 00 Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) j� 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 forthwitLcompywit those provisions. Q .,i X Date 6 —6 � / 1 Signatur o Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is 6.00 Occ CONST. TYPE tOTAL FEE $ 353.95 HAZ. D. F �% IMP FLOOD COF PARCEL PD HD su This permit is hereby issued under of the Butte County Code and/or indicated°above for which fees have a ' /,�_ By �+ –' PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date / //? 1q (Date) Receipt No. 176258 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I oft" 1 � 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 5/15/96 FRED AND SUSAN GRAMPS RE: Building Permit # 95-1202 22 LAS PLUMAS Expiration Date: 6/12/96 OROVILLE, CA 95965 A•P• # 036-550-011 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all conies of the application form. [X] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the DROVE TE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 J=OK O = Not OK =Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L'Yt. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card 6-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except If's Date 4FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope - 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ---------------- ---- ------------------------------- -------------- --- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------------ ---- --------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------- --------------- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water --------- ----------------------------------------------------------------- 27 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ------------------------------------- ------------- ------------------------------- 29. ---------------------------29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or At. Insulated Neutral ❑ Yes ❑ No --- ----- - - --------------------------------------- 30. ------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------------------------------- -------------------------------- ------ 31. Equip_ Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light - ----------- ------ -- 33. Smoke Detector -------------------------------------------------------------------------------- ------------------------------------------ ------------------------ ------------ --- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. -.A. -C.- Ducts Insulation & Support ------------------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation ----------------------------------------- ------------------ ------ - -- - - ----- - --- 36. Condensate Drain & Overflow: Size & Grade --- --------------------- - -------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------- 38 Attic Access & Platform if Furnance in Attic ----------------------------------- ------ -------------------------------------- Date Card B-1 Date Card B-1 --- --------------------- - --- ------ ----- ----- - ----- ---- -- ------ ----- - - - - ------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop_in Walls -(rat proof) - - ------------------- ----------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ----------------------------------------------------------- 44. Headers & Beam -Size & Bearing 0 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or'Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garaae Fire Protection Framina 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Head room -Rise -Run- Landing Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- -- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---- ------------------ --------- - Date Card B-1 Date Card B-1 --------------------------- - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air-Connector- In_Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exitina 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & S_ubpanel: Breaker Sizes & Labels _ 67. Stairs & Rails ---------------------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. - ------------------- ---------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing- Land ing-Close r ----------------------------------- --- - 73. A.C. Duct in Garage -Damper --- ----------------- ----------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection ------------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location ----------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --- --------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ------------------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------------------------- -------- 80. Followinginsttd.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco_ Brown_Finish---------- -- --82._ A.C. Unit: Disconnect, Electrical, Plumbing ------------------------------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ----------- --------------------- P -- --- 85. Exterior Elec. Trim; G.F.I. Rece tacle-Under9 round 86. Ventilation Throughout House -- -- -- -• - ----------------------------------- 87. Glass Protection 88. Corrections from Previous Inspections - - - ------------------------- -------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ------------------- ------------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------ - -- - ----- --------- ___ ------- 91. Energy Compliance Certificate -Other Certificates ---------------------------- Date - Card B-1 Date Card -B-1, Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's Htr.: Vent -Access -Combustion Air -Baffle -16.-Water 17. Water Pipe: Test & Anchor -Nail Protection ----------- 18. O.W.V.; Test -Fittings & Anchor -Nail Protection ----- ------------------ -------------- --------- Date ----------------------- Date ------- ---- ----------------- 19. Shower Pan: Test. First Floo--r-Tub Access ------- ---------------- 20. Test Tub & Shower. Second Floor -Tub Access ---------- ------ ----------- 21. Gas Pipe; Size & Anchors -------- --------------- ---------------------------------- Card B-1 Date Card B-1 -------- ----------- -------------------- Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ---------------- ---- ------------------------------- -------------- --- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------------ ---- --------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------- --------------- 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water --------- ----------------------------------------------------------------- 27 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ------------------------------------- ------------- ------------------------------- 29. ---------------------------29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or At. Insulated Neutral ❑ Yes ❑ No --- ----- - - --------------------------------------- 30. ------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------------------------------- -------------------------------- ------ 31. Equip_ Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light - ----------- ------ -- 33. Smoke Detector -------------------------------------------------------------------------------- ------------------------------------------ ------------------------ ------------ --- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. -.A. -C.- Ducts Insulation & Support ------------------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation ----------------------------------------- ------------------ ------ - -- - - ----- - --- 36. Condensate Drain & Overflow: Size & Grade --- --------------------- - -------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------- 38 Attic Access & Platform if Furnance in Attic ----------------------------------- ------ -------------------------------------- Date Card B-1 Date Card B-1 --- --------------------- - --- ------ ----- ----- - ----- ---- -- ------ ----- - - - - ------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- --------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop_in Walls -(rat proof) - - ------------------- ----------------------- 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub ----------------------------------------------------------- 44. Headers & Beam -Size & Bearing 0 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or'Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garaae Fire Protection Framina 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Head room -Rise -Run- Landing Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- -- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---- ------------------ --------- - Date Card B-1 Date Card B-1 --------------------------- - Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air-Connector- In_Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exitina 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & S_ubpanel: Breaker Sizes & Labels _ 67. Stairs & Rails ---------------------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. - ------------------- ---------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing- Land ing-Close r ----------------------------------- --- - 73. A.C. Duct in Garage -Damper --- ----------------- ----------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection ------------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location ----------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --- --------------------------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ------------------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------------------------- -------- 80. Followinginsttd.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco_ Brown_Finish---------- -- --82._ A.C. Unit: Disconnect, Electrical, Plumbing ------------------------------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ----------- --------------------- P -- --- 85. Exterior Elec. Trim; G.F.I. Rece tacle-Under9 round 86. Ventilation Throughout House -- -- -- -• - ----------------------------------- 87. Glass Protection 88. Corrections from Previous Inspections - - - ------------------------- -------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ------------------- ------------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------ - -- - ----- --------- ___ ------- 91. Energy Compliance Certificate -Other Certificates ---------------------------- Date - Card B-1 Date Card -B-1, Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-754j.�� %�� W NO. APPLICATION AND PERMIT �J of ISE SSO PARCEL NU B zoNING BUILDING PERMIT OWNERSQ. FRED AND SUSAN GRAMPS T N 247 FT. OCC. BUILDING VALU ON 484 @20 9680 OWNERS "UNG ADDRESS 22 LAS PLUMAS OROVILLE CONTRACTOR'S NAME nT.7 run TELEPHONE CO IUNG ADDRESS Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 117.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 76.05 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 22 LAS PLUMAS OROVILLE PERMITFEE $ PLUMBING PERMIT Filing F 00 Each Trap 7,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 XX USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY-- Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ X Describe Work: CONV GARAGE TO LIVING ROO114 Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service / 000V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 Y@w,for the following reason: LAI, 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 NEW CONST. DWELLING OCCUR ( 8 ACC. Bins. ) OR NS.16.90 SO. 3.5¢ FT, NEW CONST. MULTI -OUTLET C NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 BAL Q .50 Ex. Occup. ( OFI ELED APPLNS. PES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 36.90 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ 55-00 Contractor 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 forthwi comply wit those provisions. Q C,� X �Date 6 -6- /_J Signatur o 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 Is 46.00 Occ CONST. TYPE OTAL FEE $ 353.95 HAZ. D. F IMP FLOOD CDF PARCEL PD HD U This permit is hereby issued under the of the B tte County Code and/or indic ed a fo which fees have ,,` By �(/� PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Da (J ra ! / (Date) Receipt No. 176258 1 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 (916) 538-7541 _ PERMIT NO. APPLICATION AND PERMITS _S _ / ASSESSOR PARCEL NUMBER O 36, ZONING BUILDING PERMIT OWNER �i TELEPHONE SO. FT. O C. BUILDING VALUATION OWN 5 MAI AD S / CONTRA R'S 'TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 'S LENDERMAILING ADDRESS Permit Fee $7,0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.0 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater .00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or ve 15.00 Gas piping system 1 - 5 tlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: / Mobile Home G I W 920.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR ( a ) OR ADONS. ACC. BLDS. SO. 3.50 FT. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FOCTURES ) 20 Q 1.00 BAL eo Ex. Occup. ( FIXED ES DTs IO -. OR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 29.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 sub'ect to the workers' compensation provisions of section 3700 of the Labor C de, I shall forthwith comply with those provisions. X Date & Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agen - An OSHA permit is required for excavations over 5'0" deep and dem or construction Iition of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ` occ CONST. TYPE TOTAL FEE HAZ. I D. FEES IMP I FLOOD I CDF I PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have BY PERMITEXPIRES ON applicable provisions to do work been paid. Date (Date) Receipt No. WHITE-O.D.S.-B.D. C N Y-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY SCHOOLS DEVELOP.MFNT.FEE,CERTIFICATION FORM ( One Form pp'e-Edilding ) A.P. Number�'"S S — Building Department No. v School Districto-je-0M City D County Jurisdiction Property Owner G(� L1 G 4 �(� /% 61242z4 A Project Location/Address �.-�/ iJo/m ':j U Subdivision Lot Number Residential Development: Sq. Footage 4 # of Living MHI Addition (Group R) Units Commercial/Industrial: A a New Building/Department Representative aSq. Footage Addition (Including Exterior Roofed Areas) D to ******************************************************************* (-Floor Plans reviewed by School District Personnel) District Id No. Q -7 School District certifies that (Applie ant Name)` Ujw (Phone Number) �� -2 :;t / !� (Street Address) (City) (State) (Zip Code) has complied with the of Resolution No. V- by the paym nt of "requirements $ /v/ /a representing , 7 N9 square' feet. School District Repr entative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS : I,G �'i t 'SWe% .0"-7 . white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) r K COUTNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 P MIT APPLICATION DATA SHEET OWNER A. P Proposed Building Use Building Inspector Date G a 4C At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4 Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by�VfHealth is Engineer. . . �e14. Sanitation and plot plan approval Department . ............ 15. City of Chico plumbing permit ...... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ...Pr�!Asp* ;on request 20. Pre -inspection for required. .. to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .............................--:........ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When u issue the ermi , rocess as follows: Mail to owner. Mail to contractor. Telephone Other hold for pickup at office. Deliver with inspector. �/ _ Parcel Creation Acreage Applicant Date 4e5 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _�bate�f Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by l !3$ anlg Date _� ►-/2-�� Plans approved by o„iC Date _3 , Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works NOTE: --All Materick' � lommanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the 'Uniform Building, Plurn6ing & Mechanical Codes smid oZ6 x G S fhe National Electrical Code. .�oa2 this sot a plans gone! speci''1' ' «:r;5 s!%I t., j� 0, � kept on the ob at all tunes and 'N. is unlaN'1401 4s ' make any changes or alterations on sarno withoui written perm ssion from fhe Departrne:nt of Prrkti. , Works, County of Butte. J ID G' Zi istrt ,7-9 x 6 DDDK, • 'l.' 41 ` • � .1y�. v - �Sy x o .;,. SUITE COUNTY i. BUILQM DEPARwNr1 APPROVED /�f�^1 G 413 �s �¢ rnl` 10-12 -qs 2Z G/q$ PW/II �` eEI u.JG TO S.r; 2x'a A•r A -C t4 ,Zx ¢ 51'VD-5 Pt lb„ 0 c - -r'lfI e -AL .. pewide ad _ equate braeinq. I ��• R�� gTro17 vEkT i cA►-ALC l\ SAP S1D�N6 �� ' De yW& BUTTE COUNTY-'., BUILDING DEPARTM ;Ni A P P R 0 V E I V �flw! 2,4 BUTTE COUNTY I", . BUILINNG DEPARTMEN. APPROVED.a m W�5f E�.EV�,o� y :.: Iij A 15IG1 BUTTE COUNTY, BUILDING DEPAPTMEN,t' APPROVEOI*i,*.�'f. 0 t,q5-r-- EtfVATI BuTte-qPUNVi MM DE BUIL APP,R,-OV..5.1.' �I. 0 SOME EMENSOMMEMEMEMEMEM loom ONE EMMEMEMEMEME IN Emu ==I 0 11111MMEME immommom No ONE SEEN mommoommiloom N ME nommommoll I NEINMEMMIN MIN ME ME NO M mommomm mommom Jill sma ry- MEN ftD ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET O PACKAGE COMPLIANCE • Owner GRAA eS Climate 'one �L _ Permit 9 9 5 - �G�O� Floor Area y8 y The following data showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. tClimate Zones 11'and 16* Component <=100 sgft 101-499 500-999 >=1000 sgft Ceiling R-19 R-38 R-38 R-38 Ins. Wall Ins.' R-13 R-13 R-13 R-19, 21 Floor Ins. R-13 R-19 R-19 R-19 Slab Edge NR NR, R-7 NR, R-7 NR, R-7 Ins. I Glass (U) .75 ,75 .65, .60 .65, .60 Max. Glass 50 sq.ft. 16% + 16% + 16% Removed Removed Shading NR .66 .66 .66 Coeff(SbN) Shading . NR •.40, .66 :40, .66 .40, .66 Coeff(W&E) Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20% Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas I AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. • Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling -I SEER 10.0 SEER 10.0 SEER 10.0 SEER 10.0 Split Sys. Cooling -I SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased i Allowed w/ Allowed w/ Allowed w/ Allowed w/ of Wt: Htrs Icalculation calculation calculation I calculation x One entry/column = req both =ones, 2nd entry = req zone 16. SPECIAL FEATURES/REMARKS LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) BUTTE COUNTY VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 BU1LQ#NG EXPAWMENi LIGHTING KIT=HEN 1, SATE NOT LESS THAN 40 LUMENS/WATT APPROVED DESIGN COMPL:ANC= STATEMENT: The above buildinc desion meet_ the __-le ?;. °ar=- - anc 6 ,.c -ne _a_--or.._a -one or necui a=:.,.... . -utte Count, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 5/15/96 FRED AND SUSAN GRAMPS RE: Building Permit # 95-1202 22 LAS PLUMAS Expiration Date: 6/12/96 OROVILLE, CA 95965 A.P. # 036-550-011 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [X] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVTT T.F office. Thank you for your prompt attention concerning this matter. Yours very truly, Michhel C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 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 :°YESR, NO[ ]. 2. I HAVE] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: 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: PROPERTY OWNER: / Q � DATE: 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. OVER 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 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: 0 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. 0 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 tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 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. 0 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 "ownerbuilder" 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. Sincerely, YT Michael C. Vieira, C.B.O. ~ Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER al RESIDENTIAL 36-55711 1506-91B,E,M CRAMPS, Fred & SuziOroville 22 Las Plumas Way_, Cgarage conv to living/sf) Z� JOB FINALED (Date) Signature J=OK O = Not OK =tReay�leNdMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK - O = Not OK = Not Applicable ' RESIDENTIAL (Single & Duplex) ` = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors f 2. Ftg., Main; Soils-Elec. Grnd.-/ . /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - 20. Test Tub & Shower, Second Floor -Tub Access In Garage; Above Floor -Ducts -Meth. Protection 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. In Garage; Above Floor-Mech. Protection Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulated Neutral ❑ Yes ❑ No 77. Insulation -Foam -Looked in Attic ❑ Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 32. Clothes Closet Light -Shower Light -Spa Light Clearance Looked under Floor ❑ Yes 33. Smoke Detector 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes O No; Planters ❑ Yes O No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Date MECHANICAL (Permit) OK except #'s Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Fiurnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, CE Ilfornla *35965 - Telephone: 916/538-7541 / APPLICATION AND Pq`RMIT PERMIT NO. X1506-911 /' , -- ASSESSOR PARCEL NUMBER 36-55-11 ZONING 91-1 BUILDING PERMI OWNER Fred & Suzie Grams TELEPHONE 534-3247 SO. FT. OCC. BUILDING VALUATION 449 m — r 8 980 OWNER'S MAILING ADDRESS 22 Las Plumas Way, Oroville 95966 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING A.DORESS Permi t Fee $ 86.50 ARCHITECT OR LN ,INEEP. LICENSE NOPlan Checking Fee $ 43.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 22 Las m s Way,Oroville Permit fee $ 154.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Z(P- j Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF C& Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00 ea TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other El Describe work: garage cony to livinp, room 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 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N WOR ADDNS. ACC. BLDGS. ,/z¢sgft 11.25 NEW NON.RESID CONSTR. BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES .2z0@030 AL@30 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 9 15.00 Permit Fee $ 21.25 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating �/� j Cooling g Hood 3.00 Ventilation Permit Fee $ A; 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 agai st sai County in c sequence of the granting of this permit. X Date J'���' �/ �j� Sign ure of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30,00 occ 17= CONST TYPE TOT L FEE $ 222,00 I/ E , PARK scH FLD PAR PD I — ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do wo i dic ed a ov for which fees have been paid. DIR OF PUBLIC WORKS By D to levff P MIT EXPIRES Date Receipt No. 93638 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,r-�;.-„Yr«.. �`r..ti-.�+,+rL+"+F.•,s'.y'yem�s.:�-�. . � ,..j:l'�-,$ra i�,T 'iS.'r �'K• rpr -r. r. % .-'� ;a�'S R. YIF�"'._,�a"�,.7F _ ' COUNTY OF BUTTE - DEPARTMENT OF"P.U$LIC WORKS - BUILDING DIVISION ` 7 COUNTY CENTER DRIVE - OROVII!4 E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPUCXTION'�ATA SHEET J Permit No. -- OWNER L / e; A /cam ,t Iyl /` A P Ngo Proposed Building Use 657//c ��L/ Building Inspector Date �C Ll At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 6: —q 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation,..,.._. instructions ................................................. ..... 10. Fees of $ —11`Chico Urban Area fees paid ....................................... c/ Park fees paid .................................................... neA ���1M • School District fees paid .............. ? '2— Sanitation approval from Health Department 10 /ey 59:�,� 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mai lAo owner. Mail to contractor. t. -`Telephone and hold for pickup at �L,,. affice. Deliver w/inspector. j Other Applicant 4 71VtT#tate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri mit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: —v - Contractor, designer owne was advised of above required data by phone, mail counter by --".date Z-2 Contractor, designer, er was advised of above required data bYgM 0 _mail counter by 6” date Plans checked by Date b ll Plans approved by I --) Date : 5 9 Sets of plans on hold in File cabinet AP folder Copy—DPW �` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95465 - Telephone: 916/538-7541 t APPLICATION AND PERMIT ASSESSOR PARCEL N B R ZONING BUILDING PERMIT owNTELEPHONE S0. FT. OCC. BUILDING VALUATION OW 5�ZILINCy ADDRESS V.l\ ✓� C ftACT 'S A T EPHON CONTRACTOR'S MAILING A FireDlace 11 ( r Q CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee ' :0.00 LENDER'S mA`4LING ADDRESS Pe,mi! Fee S ARCHITECT OR LN.:INEEP, LICENSE NO. Plan Chesking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ." Penalty $ BUILD DDRESS Permit fee $ i 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 oas water heater or vent 5.00 USE OF STRUCTURE SF)< Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New❑ Addition❑ Remodel[] Utilities Einstaalllation❑ Other Describe wor ' �O� i2/46� �.�1/ �/�/i/� �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification. ❑ 1, as the owner, 'or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.s{ OR ADONS. ( ACC. SLOGS. , /20sgft NEWCONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20056t eALe3o \\ Ex. Occup. OUTLETS 4RESI0)RE A./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating G C6oling 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 _ Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in he'ght. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ r i�� tuz CUA PARK SCHL FLD coF PAR PD I HD. ISSUE This permit is hereby issued unaer the applicable provi- sions 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 PERMIT EXPIRES Date Receipt No. WHIT[-D.P.W., TELL W-A3eC730R, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 COUNTY OF BUTTE - Department of Public Works 7 County Center..Drive, Oroville,'CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete 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 improvement (yes or no) c` 2. I (have/have not) /7,o y= signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors. License No. 4. i plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Securityumber Date -/4t _Yl 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. FOR M 7 ADDITIONS TO RESIDENTIAL.$UILDINGS ENERGY SHEET PACKAGE "°'3, .(iditions-) Owner Climate Zone Permit # -I Z& '`31 Floor Area 3F39 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 APPLIES TO NEW AREA CEILING R-30 WALL R-11 FLOOR SLAB R-7 GLAZING U -.65(D au 1)• &SHADING SOUTH - OPTIMUM OVERHANG or .3.6 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 R-38 R-19 R-19 R-7 U-.65 (Dual) INFILTRATION CONTROL (Weatherstrip_doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS, SHEET. OTHER 12/85 *1 HEATING. VMIIATING, A. C(ii�-ITIONING SYSTEM (A) Heating r 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 *1 - �., r.. Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) _ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) 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(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load a 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 Code. SI A RE F BMIZINd tDrSIGNERfOR APPLICANT 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) 2 [3* 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) ❑ Iucation 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(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load a 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 Code. SI A RE F BMIZINd tDrSIGNERfOR APPLICANT 36-55-11- 3604-89B4-89B — ;4 GRAMPS, Fred . 22 Las Plumas.Way, Oroville (reroof/SF) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT —PERMIT NO. AS6 �S S O,+ARCEL tyU BER ZONING `,If,('``/f S' `f BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION //t� ' C2 O W'F ,NEIr AI L1 ADORE /4 j, �NG !�" Qwas k) d V C 'g1TRACTOR'S NAME TELEPHONE W h r =- CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ AR I'TECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' M ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy ecg Ener Plan Checking Fee $ Penalty $ BUILDING ADDR SS Permit fee $ Q PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF � Duple Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home is G W 10-00e TYPE OF WORK New ❑ Add i& ❑Remod I ❑ U -pities [__1Installation❑ Other Permit Fee $ Describe work r00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING a+ OCCUP. ADDNS. ) , /2Osgit I declare under penalty of perjury (check one): OR ACC. BLDGS. NEW CONSTR. MULT'-OUTLET 2,50 ea F -1I am licensed under provisions Of Chapt. 9, Div. 3 of the [Business NON•RESID BRANCH CIRC ITS POWER APPARATUS &) .� and Professions Code and my license is in full force and effect.SINGLE OUTLET CIR. License No. Classification I Ex. Occup(z0 OUTLETS OR FIXTURES ®50C 9AL030 21"l, as the owner, or my employees with wages as their sole compen- FIXED APPLINIS Ex. Occup. OUTLETS IIRESID IREA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. byirin 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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-Insu're. ��, r I Cool in g• - JZ' I shall not employ any person? in any manner so as to become subject ' Hood f 4_ - 3.00 to the W. C. laws of California. 1 Ventilation Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee - - i $ provisions or this permit shall be•deemed revoked. Contractor 1 .- I certify that I have re8d`tl�is application and.state that the above information Mobile Home Instal lation.Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee r $ to building construction; and hereby authorize representatives of the Countyot occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ 2 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 HAz CUA PARK scHL FLD PAR PD HD ISSUE agai sn t s_ id County in cc quence of the granting of this permit. Q Xw.�s�,.�►�--' �D "���-.HCl This permit is hereby issued under the applicable provi- Date sions of the Butte County. Code and/or resolutions to do Signature of Applicant - Owner Contractor ❑ Agent Elwork)*ndicated above for which�feffs have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIR 40 OF PUB LICrWORKS ion of structures over 3 stories in height. Receipt No. B Date WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date- t 4, ./ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californja 95965- Telephone: 916/538-7541 I APPLICATION AND PERMIT 3C, ASW SO R PA CEL ? BER ���;JJJ& 1 ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OW E 'S MAI NG ADDRES r0 V �l UC TRACTOR'S NAME 7 7TELEPHONE wV r CONTRACTOR'S MAILING ADDRESS Fireplace CO S RUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEERCENSE LINO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 aIn© V 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addi& ❑ Remodel ❑ U i lities ❑ Installation ❑ Other g Describe works—yaLw _W1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 1000 AMP V OR ORSLS.ESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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.a+ New CONSTR.(A LOGS.2/z2sgft , ULTC.BI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS h\ SINGLE OUTLET CIR. / p OUTLETS OR FIXTURES Ex. Occup( 20 eAL@ 30 Ex. Occup. OUTLETS ED APP(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. E' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 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 co7, quence of the granting of this permit. XThis Date �D Signature of Applicant — OwneR Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ HAZ CUA PARK PLD PAR. PD HD IssuE permit is hereby issued under sions of the Butte County Code and/or work icated above for which f DIR OF PUB B.411 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS Date % /� /% li/ i.L�T / Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION 'r Attention Property Owner: 'An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary 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 maiar labor and materials for construction of the proposed property improvement�yesor no) 2. I(tav /have not) signed an application for a building permit fo a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I 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 Footings Footing ELECTRICAL Masonry Walls Throat —' Rough Reinf. Steel Final r �— Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS PERMIT NO. P i E M MH UTIL. PERMIT NO. 5284-75B (EQ DAMAGE) PERMIT EXPIRES OWNER Pearl Hoobler CONTR. A-1 Masonry, Oroville LOCATION (A.P. 36-55-11 22 Las Plumas Way, Oroville F t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB -� FINALED ILI " ':4- 61 ` '7-3 (Date) (Signal e)` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 'Oroville, California 95965 Telephone: 534-4541 Lt APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - Date Ap %1 Signa re off rmitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Thisermit is hereby y 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 Date /0 7 �,Ii11— ng permit expires Date /o— 7.E BUIL ING Owner &)l ALSQ. s FT. OCC. BUILDING VALUATION O� Mailing Address Telephone No. Fireplace Contractor SU ytL Total Valuation Q Mailing Address 6qt Permit Fee Cr.tc��. Plan Checking Fee&/or Penalty 120(111,1'r Telephone No. I Permit Fee Gsn T - Building Address11-4(411111s, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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. 10 r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees Sw"atwa I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelLawn I Declaration I Parcel Map 60' R/W Improvements sprinkler system 2.00 Bl g3'P1ans'F3�e zl Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 L 6 06' /g 6- 4,14 06' Main service incl. 1 meter Ls�Q�/J 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 Water Heater or Space Heater 1.00 Light fixtures bal 0(d010252 Receps., switches & fix outlets 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: J e 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 or Temp. Power Pole 5.00 _ License No. , J � Classification 1. � g Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No.1 @ 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. rp 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. PERMIT FILING FEE J$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 $ G authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - Date Ap %1 Signa re off rmitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Thisermit is hereby y 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 Date /0 7 �,Ii11— ng permit expires Date /o— 7.E MITE UUUNTY PU DEPT. REQUEST FOR ALTH UAKE I1.. \SECTION /.. ) . Date ?- Name Telephone�yyy (last name) (first name) Address Direct i ITEMS OF CONCERN: ) ,/ --------------------------=-==II�SPECTION_Date' 6:-//- %5f-=-__________ NATURE OF DAMAGE: Danger: Action: � G � -07 InspectorL/) ""� r CLAIMANT: ADDRESS: eoutd* at 3uw OROVILLE, CAi LIFORNIA GENERAeL CLAIM Servamatic Solar Systems 10 Williamsburg Lane CITY & STATE: Chico, CA 95926 IMPORTANT: May 20, 1983 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work (Bldg permit appin. #1496-83P Receipt #00517, dated 5/19/83, AP #36-55-11)Owner: Reed Leon Mullett Total fees paid --------------- $30.00 Retain i ing fee------------- $10.00 TOTAL REFUND.DUE-------------- $20.00 $20 00 Y TOTAL $20.00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct ss stated. Dated this ........ tZD.. .... day of ... 19 et Lef.lA[.!.[ A.�..»... Calif. [[[ Signaturo of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above ve een performed or de. _livered and that there is a Budget Appropriation F] or Specific Board Approval E] (Check one) for the sam Dated this ............ 20th............. day of M�9.................. 19 $3, at ...Orov„„ills.... Calif . ... ...... »... e rtment Head or Authorize uty Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM .................. ............................. _................ ... ........ ...... ...... FUND DO NOT WRITE BELOW .THIS LINE - AUDITOR'S USE ONLY ' VENDOR CODE DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. t ' 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT )PERMIT NO. ASSESSOR PARCEL NUMBER ^ _ S_ ZONING BUILDING PERMIT OR e l `� TELEPHONE y-� - SO. FT. OCC. BUILDING VALUATION OWNER'S MAILG ADD /1" "m a CON RACTOR NA E J' /,C LEPHQONE''') CONTRACTOR'S MAILING ADDRESS O `Lawks a �Ld Fireplace CON r)!f_EN LENDER -"r�-' ll// UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENq /7S, n�LING ApDRESS Permit Fee $ ARCHITECT OR ENGINEER ✓%w` 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 fp�wr7 Foul l (� 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 � uplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ I 110-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatiq Other Describe work: �l'ft�LA� �DrJ"' `,1� — Permit Fee $ OLD Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 601V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS, l ACC. BLDGS. I 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 Professi s Code and m license is in full force a.d effect. %r i / 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 MULTI -OUT LET NON-RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR (POWER APPARATUS &) NON -RES,D, SINGLE OUTLET CIR. / 20@50C Ex. Occup(ouTLETs OR FIXTURES aALO 30Q FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 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 aga. aid County in consequence of the granting of this permit. X� Date �(�; Signature of Applicant — Owner Contractor ❑ AgenYy//J An OSHA permit is required for excavations over 5'0" deep and d/.emolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ //� TOTAL PERMIT FEE $ �Jr Gl�q OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND IssuE Thi ermit is hereby issued under si s f the Butte County Code and/or w rk is wove for which IR ToOF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date S-/9 8 _ Receipt No. �405/ 7 WHITE-D.P.W., YELLOW -ASS SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT