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HomeMy WebLinkAbout078-310-023A •fk AP 36-103-91- J. McCLENDON 2556 V-6 Rd., Oroville (FIRE: DAMAGE REPORT lontr,:s.,- �2on-Buneh-6.W"� - 1 Y. 8/Cbr Permit#1335-87B;P,E,M(repair fire dmg)'" 95 2243: P;:. THOMPSON,- Donald 2556 V-6 Road, Qrovii' e •-(replace water piping/SF)�.RI %� ' _ r 01-0745 7ETACHED LLE RAGE 646-193-623- 01-1235 THOMPSON, DON _ 2556 V-6 RD., OROVILLE ^�p� CONTR: OWNER GARAGE CONVERSION G n D'78 -ata roaft M.- Won lcqm NOTES . mw� c r• 'i tI t F ! JOB FINALED Signature RESIDENTIAL 0362103-023 01-0745 ITHOMPSON, DON 2540 V6 OROVILLE CONT: OWNER DETACHED GARAGE t I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE'.SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER V=OK' FINAL (Plans) OK except #'s 0 = Not OK Setbacks -Easements - = Not Applicable MOBILE HOMES • = Not Ready 3. Date MOBILE HOME UTILITIES (Plans) OK except #'s Elec.; Receptacles and Lighting, Distance-GFI 1. Zoning Requirements -Setbacks -Easements Elec.; Pool Lighting; 15 Volts-GFI 2. Soils; Special MH Support Sketch Elec.; Enclosures; Conduit Entries -Terminals -Listed 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer -Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cen. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date D CKS- OV CARPORTS GARAGES (Plans) OK except #'s b ing Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors /'7 -)Electric - Frmg.; Sills-Anchors-Studs-Rftr Trusses ,ding; Nailing -Veneer -Stucco -Mesh dof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12.,Braced Wall Panels Date ti% Card B-1 Date Card B-1 Date " Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK = Not Applicable = Not Readv RESIDENTIAL (Single & Duplex) Date FRAMING (Permit) OK except #'s Underfloor (Plans) OK except #'s Sills Proper Materials & Anchors 1. Zoning -Setbacks -Easements -Flood -Slope 42. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Draft Stop in Walls (rat proof) 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Ste el- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation- Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA • (530) 891-2751 - i`S - 7 County Center Drive * Oroville, CA 9 (530) 538-7541 CORRECTION NOTICE Z- -7e igg OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. -Z 'W - Date REV 1 0 A41 24 A'--- 511 ?'tom jV Inspector 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 ER 1 PERMIT NO. A routine inspection idicates that the following violations of butte county Ordinances exist at the above address an should be corrected. Please notice this office when correction of work is completed. ltoydu have any questions pertaining to this matter, or need additional explanation, please co ct this office immediately. � u COUNTY OF BUTTE -.DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 , %AIT NO. (Rev.12/96) APPLICATIONANDPERMIT�- ASUJIs R 1 ZONING - BUILDINGPERMITAR ; O OOMPlS10N(, ,DON 533-0748 SO. FT. OCC. BUILDING VALUATION U 11,520. 01�WV7VAT OROVILLE, CA 95966 . COONTRACTOR'S NAME WM TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER - [Fireplace LENDER'S MAIUNG ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Plan Checking Fee $ 87.75 BUILDINGADDRESS 2556 V6 RD.'OROVILLE CA 95966 Energy Plan Checking Fee $ PERMIT FEE $ 242.75 LOT NO. SUBDIVISIONS NAME - PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF X1 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water, piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition b Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DETACHED GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL' PERMIT. Fling Fee 20.00 Main Service 260oon as DESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed uAder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER • License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License wor the following reason: s 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 fog this reason Main Service 200A TO 1000A 46.00 _ NEW CONST. DWELLING OCCUP. OR ( SST 3.5Qso NEW CONST. MuirlC. NON-RESID. INRANCH CIRCUITS @7.50 APPARATUS 8 SINGLE OUTLEr CR. EX. Occu . OUTLET OR FIXTURES gq ® 1.00 OR Ex. Occu . ° �T°s A® E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. t I have and will maintain workers' compensation Insurance, as required by Section 3700 ,f the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ' Carrier ° MECHANICAL- PERMIT Fling F49 0.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number he above sections need not be completed if the permit Is for work of a valuation f 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 work rs'Jcompensation -provisions of section 3700 of the Labor Code, I shall fo ith comply wi those rovisions. X ; _ ,04, --- Date '— ^' ­91griatur-e of ppIi t -_9 O ner 0 Contractor • ❑ Agent - An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over.3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ TOTAL FEE $ 285.75 HA2 D. Es IMP, FL 000 CD PARC HD SU This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do, work indicatWaboveichfees have been paid. By Date 4-12-2001 PERMIT EXPIRES ON 4-12-2002 ate ReceiptNo. �����/NQS 1 S _ WHITE-D.D.S.-B.D. AN V -ASS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive a Oroviller California 95M • Telephone (530) 538-7541 PERMIT No. (Rev.,?A6) APPLICATION AND PERMIT - /,)/_0`�'��' a{seoar�caM+� La sa.a /2_ I BUILDING PERMIT 1 SO. FT. I OCC. BUILDING VALUATION Wm u000as rasa more" - --- Total Valuation = aaerrrteT OiOiM� 9 "o' Filina Fee S 20.00 ,Moersc� an ZMM92 V wuno ncorwa Permit Fee = S` 6D Plan Checkin Fee = a"OA00"�{ V_62 Energy Plan Checking Fee s �- ti 1 PERMIT FEE : {pTMO {{�OIVeDrrlrMti` ►MCG WAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE Each Trap7.00 Solar or heat um water heater 23 SF 0 Duplex O Mobilehome 0 Other Water piping UQP? MOT Each as water heater or vent TYPE O WORK Gas Tin tem 1 - 5 ts Now Addition 0 Remodel 0 Ullftm 0 Inzb&dion 0 Oder 0 Building sewor Moble S G W Describe Work: PERMIT FEE S ELECTRICAL PERMIT I Flip Fw 20.00 Main Service ao 00N t9i 23.00j. Main Service ( 20M To rooeA ) 1 4e.00 *PERMIT FEE PAID � SRA -' SHERIFF $ OTHER $ Am6VNT RECEIVED ► 3'14, IS "RECEIPT NVMBER Lz " TO BE PVT INTO COMPVTER Ex. Occup. ( Ounca""a ) I I aZ i ie i Temporary ice I 23.00 Moble me Facilities 20.00 Wirino 23.00 _77--d] PERMIT FEE j S `FCA- 5FV MECHANICAL PERMIT Fling Fee A Hood ■ In 6.50 Moble Home Installation Fee I i Energy Inspection Fee : occ CariT. TT►t TOTAL FEE $ MA2. 10. FED I YP I 9=0 I Ca/ ►MCLL /O �O Qu This permit Is hereby issued under the applicable Provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been pald. By PERMIT EXPIRES ON Date _� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER'/ I� �'yp , ' ' ASSESSOR PARC Proposed Building Use: Building Inspector: Date: At time of permit applichition, I Vvas advised the following data must be submitted prior to pe4nit0proeessing and/or issuance: .W Date Received By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ El 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- F-1 10. Fees of $--------------------------- ------------------------------------------------- ❑ 1 Impact fees as shown on the attached schedule. --------- - ------ . California Department of Forestry plan appro S. - - 13. Flood elevation certificate.----------------------� ----------------- '14. Sanitation and plot plan approval Health Department. Ell 5. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ---------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- 030. ------- ❑30. Other: � �s._ (Date) en you issue the Kermit p oces follows ❑ Mail to ownerdYnll��o�ce.El Mail toactor ❑Telephone �� and hold for pickup at eliver =ate:-- Copy or. Applicant: /I of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 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 budding permit will ' . be issued until this verification is received. 11.. I personally plan to provide the major lab -and materials for construction of the proposed prop/rty unprovement : YES[NO[ :]. I HAVE[lij HAVE NOT[ ] signed_ an'... 'Dation for :a:bu ding 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: SOCL-kL SECURITY NUMBER: 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. 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 -iecord 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 5300 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 tax 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 y obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial C 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 ov)iii 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, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Omer -Builder Information is required by Section 19830 of the California Health and Safety Code. (-.. , n,: 17 ?7 NOTES RESIDENTIAL 036-103-023 01-1235 THOMPSON, DON Ai 2556 V-6 RD., OROVILLE ` CONTR: OWNER I GARAGE CONVERSION A 'r i 'r iF d� V - SPECIAL CONDITIONS CHECKED o v. SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER t 1 1 7' JOB FINALED (Date) Signature . f, J = OK 0 = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date Underfloor (Plans) OK except #'s oning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Fig. Depth (Single & Duplex) Date MING (Permit) OK except #'s Sills Proper Materials & Anchors 4 alls Studs -Nailing Spacing & Braces -Plates -Sound 4 Baring Walls over Girders & Floor Nailing 43. D top in Walls (rat proof) 4�ire s, Furred Ceilings -Stairs -Chasers -Tubs 4 . eaders & Beams -Size & Bearing Date 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth e -Post Caps -Anchors -Connectors 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped AtticSize & Romex Protection -Draft Stop -Ins. Baffles 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Line Firewall & Openings 8. Piers-fO place Ftg.-Steel 10. 11. V.; Fall -Fitting -Test -2 Way C/O -Sewer Test UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test yw n Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground 42 3. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies Water & Sewer Connected -C/O to Grade -HD Approval 93--5n_&gy Compliance Certificate -Other Certificates ddress Posted Card B-1 Date Card B-1 15. Access & Ventilation Date 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s ater Htr.; Vent -Access -Combustion Air Baffle Ater Pipe; Test & Anchor -Nail Protection Test Fittings & Anchor -Nail Protection _ZPOOShower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection 24. . Receptacles Spacing -Lights & Switches at Doors SiSi2✓9 Boxes & No. of Conductors Stapled 26. Ro x Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Ap liance Circuits in Kitchen & Conductor Size GFI 29 ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation o to Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MING (Permit) OK except #'s Sills Proper Materials & Anchors 4 alls Studs -Nailing Spacing & Braces -Plates -Sound 4 Baring Walls over Girders & Floor Nailing 43. D top in Walls (rat proof) 4�ire s, Furred Ceilings -Stairs -Chasers -Tubs 4 . eaders & Beams -Size & Bearing Date FRAMING (Continued) 4 e -Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting. -Ring. e A Flue -Fireplace Throat Clearance AtticSize & Romex Protection -Draft Stop -Ins. Baffles 5 drm. Windows or Exiting Doors -Sill Ht. & Dimensions n Framing 5&4'Prope_rty Line Firewall & Openings xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits oom-Rise-Run-landing-Fire Protection 57. 58. yw n Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date_,,FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings moke Detector Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting & Bath Fixtures & Tub Access -Spa 68-ETe-c Trim & Subpanel, Breaker Sizes & Labels us & Rails 7 replace or Stove, Clearance -Hearth y,i@lec. Outlets at Wood Panel, Int. & Ext. ance; Ground -Air Gap -Cooking Clearance 70. Files, Receptacles at Kit. Counter r; Swing -Landing -Closure �- hr8-arage-Damper 2ts-Clea rance-Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Z7�Pf��., Elec. & Mech. Equip. Listed for Location 7 E Receptacles in Garage (F. F.I.)-Romex Protection 79' Insulation -Foam -Looked in Attic Burd Rails & Deck Construction -Post Caps Win. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ollowing Inslld./Drive J Yes D No/Walks J Yes J No/Planters J Yes J No ish 84r-,46-11ni-DYTconnect, Electrical -Plumbing @ ents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings ater Well, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House 89-,G a s Protection orrections from Previous Inspections as Test -Meters Tagged, Gas -Electric Date Water & Sewer Connected -C/O to Grade -HD Approval 93--5n_&gy Compliance Certificate -Other Certificates ddress Posted Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V= OK DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 0 = Not OK 1. - = Not Applicable MOBILE HOMES = Not Ready 2. Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /" L'ft. / P Nat. or/ /"L"tt./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ... may► , Jrb.L � ti -met,--yr wr�4�q r..�►.�xsYAc7 `7car►;R T r+c..�...e v COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA • (530) 891-2751 Y 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE' r R C PERMIT NO. Asa 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. .r REV 10/92 i +7 REV 10/92 Caput; -.�... ..;;.y3 ,;.. ;.�k, �,`.;,�.•.�1 .�. _i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA •030) 89172751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 71-1 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasecontact this office immediately. Z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT i9 / --/aa ASSESSOR PARCEL NUMBER''ff m— —AR ZONING BUILDING PERMIT OWNER- _ 533-0748 SQ. FT. OCC. BUILDING VALUATION 308 U R 16 632.00 .OWNER'S MAILING ADDREIISS 2 40 11,11,11_/ORWiLLE CA 9959-66 CONTRA �C��T7I O��RR'��S77��N��AME OWLVWli1\ TELEPHONE CONTRACTORS MAILING ADDRESS pa i CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ j ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 180.00 - ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 117 oo BUILDINGADDRESS 2556 V-6 RD., Energy Plan Checking Fee $ $ PERMIT FEE $ 340-00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF � Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15 00 Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: GARAGE CONVERSION J �, Gas piping system 1 - 5 outlets 15.00 15.00 Buildin sewer 15.0015.00 Mobile Home S G W @20.00 PERMIT FEE $ 86.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 ? LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license 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 La for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 2ooA TO lOooA 46.00 NEW CONST. DWELLING OCCUP. OR ( 3.SQ F°; 10.75 coNs . MLIACC NON RESID. @7.50 POWERNGLE APPARATUS 8 SI OUTLET CIR. Ex. Occup. OUTLET BAIL @ I.50 FLXED APPLNS. OR Ex. Occup. ounETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 30.75 MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ ' Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wo rs' compensation provisions of section 3700 of the Labor Code, I shall f h ith Com w h those provisions. X Date^ Signature of Applic ❑ O ner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories 'n height. Mobile Home Installation Fee $ Energy Inspection Fee k6.00 occ R 11TOTAL CONST. TYPE FEE $ HAZ. D. FEES IMP FLOOD X CDP PARCELpD HD ISSUE This permit is hereby issued under of the Butte Couode and/or irAh fees have Indic Al By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. �j O Date 61 ®� r e e ReceiptNo. Zay lQ 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541J1 �M NO. (Rev. 12/96) APPLICATION AND PERMIT �Il ASSESSOR PARCELNUMBER i/ J ZONING BUILDINGPERMIT OWNER OCC. BLING VALU•-rION OWNER1 `5 J\ COM OR'S ' � i� TELEPHONE COM TORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ "r ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ � BUILLIING ADDRESS +`�� ` Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 �i Solar or heat pump water heater 23.00 Water piping 15.00 -� Each as water heater or vent 15.00 TYPE OF WORK ❑ Addition ❑ Remodel `❑ Udnnlidess 0 Installs' ❑ Describe Work: yG��/Cil _�l������J Other ❑ �CJ/L1 Gas piping system 1 - 5 outlets 15.00New Buildingsewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 . /�� ✓ � / � / -771 ReceiptOZ / �� WHITE-D.D.S.-B. D. CANARY -ASSESSOR INK -INSPECTOR � ✓� ENROD-APPLICANT(Date) Main Service 200A TO 1000A 46.00 NEW CONST.OWEWNG OCCUP. 3,5¢SO. OR ADDNS. ( 8 ACC. OCS. FT. NEW CONS . MULTI.OUTLET NON•RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CP. 20 EX. Occup. OUTLET OR WTURES SAL O 1.50 Ex. Occup. our E°rs (RM DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating r /S— Cooling Hood 6.50 Ventilation PERMIT FEE S -� Mobile Home Installation Fee $ Energy Inspection Fee $ T. TOTAL FEE $ HAZ. D. FEES IMP D CDF PARCEL I PO 11 U This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON X —V : f M'NA-.... Y i" -n.. -.^.mss School District 1,7 r ti A.P. Number rx � Property Owner i Property Location/Address Subdivision ..rt., ....+ ..rr�l�..-r'T•Sr"ri�.•%�'�+'1' �'`L.»^.!''7�k{':i..J�i"'*...-.+r•t.y"!ti,r•r`.+� y� w.,•4 y .-1'MJ•�,•i�+t'^H'w�""Y� G�"..ii .ry'j F.S .SJ.:J'l;'S'w..h _ ..w.:-.. �ry ... BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM • t (One form per Building) Building Department No. ®County Lot No. ................................................................................................................... Residential Development € Sq. Footage No of Living Mobile Home Addition/ *Supplemental to Units Installation Conversion Permit # '(No foundation inspection): Q91- 023 Building Department Representative } (Floor Plans reviewed ( School District Personnel) District Identification No. 51 3 '7 Sq. Footage (Including Exterior Roofed Areas) (DDate OroJ. ��\Qtn. School District certifies that"'j`�,� J (Applicant) � 5 S � V � ELS �d � 3.3 .► 0 •l �� ;r< (Street Address) (Phone Number) J► l (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing 30S square feet. l 0 i i 0$ by payment of $ -4a""_ AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: Jo A ft Q1" -- Notice: You may protest the imposition of the fees identified above by submitting a written protest to the,District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to ubmit a t melyswritten protest will prohibit you from challenging the imposition of the fees in any court action. +� If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district)feeform.xls 1101981drtirri' a r; f . Ir + + r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 x�. PERMIT APPLICATION DATA SHEET OWNER. ASSESSOR PARC ER: Proposed Building Use: _ i Building Inspector Date: —. At time of permit application, I was advised the following data mu//st 14 submitted prior to permit processing au or issuance: Date Received By ❑ 1. All items have been submitted.------------------------------------------------------------------------------------- 4lot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ omplete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! El 6. Energy Design Compliance and supporting documentation. ---------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ Fees of $----------------------------� - ----------- r� . Impact fees as shown on the attached schedul . -�'- ��------� - -��� ' � �7i% 12. California Department of Forestry plan approv ees. --------------------------------------------------------- lood elevation certificate. ----------------- =-------------------------- -- - - - - --� / - Sanitation and plot plan approv ' ealth Department. 1� -�--�' --------------------------- 'o =------------------- City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- - O 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - ------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- 026. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.--------------------------------------------------------------- ❑29. 043 A, ❑Grant Deed, ❑ M.H. Title, Cl Check to H.C.D $ 030. Other: (Date) Pen you ielss as follows ❑ Mail to owner, 1 to on t r. elephon2w.rXg andhold for pickup at office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisrion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Miv'sion counter, by Dat Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .... ........................ $ L 2. SCHOOL DISTRICT FEES -y (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ —x—=$ # Units Amt. Commercial (Sq. ft.) ............. x =$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE L-�7� RECEIPT # DATE REC. At time of permit applicatiom I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed duringlan checking process. !! AAPPLICA�T-�—� �/�!►�l/.�1H � ��--�' DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 18, 0 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ Li—NO[ J. :2.?1 HAVE[Z,J� HAVE NOT[ J 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: In 5 S: ADDRESS: 6z4Q //- l 1;�,(. PHONE:: , � o 1 CONTRACTOR'S LICENSE NO. - - 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." 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 DATES � � 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 tax 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 vour 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. Sine -rel Micha 1 CL.lVieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER I (Ps I ALL -r-SJ�'rt r f r- AND EQUIs OOT CLUDMG f= At .•-.:A,.�1,11:fi•.1i?"•R.F ��i��.'di.:: `r.�7• ... e � c u P I (SG rd 24 I 6ovGge' (3 p-1-.3 v 21 . Res, (OL c a W-14 - (o-7- 87 (4 z 34 = 474 34 �i d (I.9 2- x X a 27 339 Cc p •. r4 C x 1Z _ 72. 5b 128 GAP ' 4 x -6 14 4 E 14LAUNDR KITCHEN E BEDROOM AREA1 0E BREAKFAST NOOK 25 1 BATH 25 ONE CAR LIVING — 35 GA AGE 15 0 ROOM STOVE 11 E -- —BEDROOM 44 G 14 DIAGRAM SCA!.E: 1" —10' FT INTERIOR WALL LOCATIONS ARE APPROXIMATED. TIIEY ARE FOR REFERENCE ONLY AND NOT WARRANTED TO RE TO SCALE TO RESIDENTIAL BUILDINGS ENERGY SHEET ,-r, PACKAGE COMPLIANCE - -- -- - 7 1, j Climate Zone Permit 0 Floor Area Tie fiollowltg data showing atattdatory had ee9ukW features shall be Installed for addition to dwaUlnss. Additions to dvMjjgW Include rows► additiotu, converting garages and patios to livtog area% house moves that add lbotage and aeric eenvatsl any sparoe 60 Is Witin8 noa-coadidoned space dist is converted to conditioned spaea. Remodeling of ext g 000dI apace is not indvded. chinate zona 1 I and 160 t Component Cetlug Ins. Wall Ins. Floor Ins. Slab Edge W. Glass (L) Max. Glass ShadinS CoeB(S&N) Shading Coeff (W&E) Thermal Mau Heat, Elect Resistance Heat, Gas Heap Pump Split Sys. Heat Pump Package Cooling Split Sys. Cooling Package Increased 8 of Wtr Htrs *One entry/column — <-100 sgft R-19 R 1S �R-19 NR .7S 50 sgft NR Not Allowed AFUE 7$V# HSPF 6.8 HSPF 6.6 SEER 10.0 SEER 9.7 Allowed w/ cafes. req both za4es.2nd 101-499__ R=3d R 1S R-19 NR R-7 .7S 161/6 + Removed .66 A0,66 S% Raised 20% Slab Not Allowed AFUE 79% HSPF 6.8 HSPF 6.6 SEER 10.0 SEER 9.7 Allowed w/ cafes. 300 <1000 sgft R-38 R-13 R-19 NR, R-7 651.60 16%+ .66 .40, .66 1 5% Raised 20% Slab Not Allowed AFUE 78% HSPF 6.8 HSPF 6.6 SEER 10.0 SEER 9.7 Allowed w/ caks. lass RH Wwarron (Density) tafilttatlaa Ceamor (waatberstrip dom.eertitied �rbdowa, aalcinV Vapor outior (bone 16) Ouets Per Uniform moebndeal Code - Ck 10 Luling Kikhen and Darin not km den 40 LwnaWWan Du;p Compliance Sftftm mt: TM *on buildial dear n ,ta 114, tequiremen" Titk 2+. Parts I and 6 of the CdifomW Code of Rcpfm;oar. ta•./ (Property owner/contractor) 7tCocaoacC oo 1 un_u Is oau n0172 -c- a nue 0e-07-"nr • "+ IJ� � �.'� Q 1) r +� � .... � ,�• �..-,�.- .`.`' � . � OHOMPSON;ODon_ald +95-22'43. P- 6-1073 i V-6 Road, .Oroville. (replace water , pi ping/SF) Y y=/V7C i Pefe-; A iF 1 �. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIOW 7 County Center Dive - Oroville, California -;95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMITT ASSESSOR PARCEL NUMBER 036-103-023' ZONING AR BUILDI PERMIT OWNER DAN= THOMMIN T°f'-'C0748 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2540 "- 131 V L RD OROVILLE {{ CONTRACTOR'S NAME - O� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2556 V-6 RDPERMITFEE I $ ti OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARC L MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15 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 ❑ Ublities ❑ Installation ❑ Other IN Describe Work: REPLACE OLD. RON WATER PIPE W/PUC Mobile Home S G W 920.00 PERMITFEE_ Contractor ELECTRICAL PERMIT Filina Fee 20:00 ti Main Service ( 2OOA OR LLEESS ) 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 Law fpr the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SD OR ADDNS. ( d ACC. BUDS. ) 3.50 FT.. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWGLE ER APPAROUTLEAT TU' ) 8 SIN Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .SO Ex. Occup. OUTLETSEl(RESID.) R ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE $ 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 $ 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 dhe Labor Code, I shall forthwith comply ith those provisions. / X-'¢�'.'�a?. Date _Lrr _ y_ Signature of Applick t - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov for which f shave been paid. C/ p T/ < Date �7 J r PERMITEXPI ESON e (Date) Receipt No. - 185372 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 .County Center Drive - Oroville,�Califania 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �- ASSESSOR PARCEL NUMBER 036-103-023 ZONING AR BUILDI PERMIT OWNER DANALD THOMPSON T 533'0748 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2540 V-6 RD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 2556 V-6 RD PERMITFEE $ OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SF EK 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 Describe Work: REPLACE OLD IRON WATER PIPE W/PUC Mobile Home I S I GI W 1 920.00 PERMITFEE g 35 00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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. Class Lic. No. OWNER -BUILDER DECLARATIONI hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Or 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 OCCUR OR ADDNS. ( A. ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS / @7.50 (• POWER APPARATUS ) 8 SINGLE OUTLET US . Ex. Occup. (OUTLET OR FIXTURES)V20 1.wLicense Ex. Occup. (OUFIXED TLETS (RESID.) RA.00 Temporary Service .00 Mobile Home Facilities .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 Fee20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number one hundred dollars ($100) or less.) /1he above sections need not be completed if the permit is for work of a valuation -cfertifythat 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 -- fort h comply h those provisions. X�� Date L/� �— ��_ Signature of Appli nt - ❑ ner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. 1 D. FEES IMP I FLOOD COF PARCEL PD HD sSUE This permit is hereby issued under the of the Butte County Code and/or indicated abo for which f s have od PERMITEXPIRESON Fhv_2� applicable provisions Resolutions to do work been paid. d 1 Date1011/r 44 (ate) Receipt No. 185372 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - Attention Property Owner: An "owner -builder" building. permit has been applied -for in .your name -and bearing your : - - ' signature. Please complete and return .this -information at your earliest. opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. . '1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES [r_�NO[ ]. 2. I HAVE[ t, -r 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: 4/ U x, - 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: /V,, 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 NA u/�r SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: - DATE: 1,4 -- 'F f-) NOTE: This owner -Builder Verification is requiredby 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. 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 5300 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 tax 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. Si crel Michail C. Vierra, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER 1 Q PERMIT NO. PERMIT EXPIRES OWNER Bill Mc'cj,-nrjon CONTR. RGA. Bunrh ASSESSOR PARCELS =1 ng—)'1' LOCATION 9956 V-6 Id. 0royi116 OFFICE COPY Address GAS Meter By D6te ELECTRIC Meter By Dat OFFICE COPY rj Address GAS Meter By C e ELECTRIC Meter By Date Temp. Power Polo CalledPG&E it Temp. Eloc. Service Called PG&E Temp. Gas Service f Called PG&E -- 41 JODFINALED(Jale)--�,- Signature — (1 c Q I( 0 Nol OX r - . Not ApplrCahle ..Not 1beady RESIDENTIAL (Sin®0® and Duplox) Dale. UNDERFLOOR (Plans) OK except O's 1. Zoning requuementa-Solba_cks-Easements% Ftp., Main; Soils -Stow! -Flet. Ornd,- Fig:. Depth _— I _ 3. Ftp., Garage; Soils -Stool- Ig. Depth f� — —_4. F19., Porches A Docks; Soils- el- / /" Fig. Depth Siomwalls, Main; Sioel-81 -uls-Wrapped-Slab 6. Stemwalls, G_arage;_Sloe _ 10CkOela-Wrapped-Slab - 7. Plers-Fir_eplac_o FI Steel_ D.W.V.: Fall-Fil ' gs-Test-2 way C/0 -Soarer Test 9 Gas Ptpo; Siz Anchors - - Water Pipe eat-Anchors-Regulator-Servico Test 11. _Elect_ric' nderground -- t2. Ple s 6 Ducts; Clearance-Matorial-Support-Ins.' 13. Girdors_Sills-Anchor Bolts -Joists -Vents -Cripples Card -81 Date Card -81 Date Card -81 Date Card -81 Date Oats PLUMWO jWrrmit) OK except a's Sb! t ipe: Test 9 Anchors -Nail Protection Test-Ffings Q Anchors -Nall Protection Shorvr Pan: Test, First Floor -Tub Access 1 uD 8 Shower, 2nd Flow -Tub Access 194, as Pipe: Size 6 Anchors Card_DI % Date Card -81 Date Card -BI Date !Card -BI Date Uate ELECTRICAL (Permit) OK except a•s W. Fixture 8 Transformer Clearance -Ins. Protection /y -etc. Receptacles Spacing -Lights 6 Switches at Doors _ 22 5kWB0xeS 6 No. of Co_nductora-Stapled 2�• Romex ln,mllea Close to Edge of Studs 6 C: i. D• Ground made up wrMoch. Fasteners 2 Appliance Circuits in Kilc hen 6 Conductor Size Wire Size / ga, Cu or A.C. Wire Size i r ga. Cu or AI a,! R e Circ. / i ga. Cu or AI -Oven Cuc. / l ga. Cu or Al. nsulawd Neutra' Yes ;No -- _ S ice -Reser Conductors g Ground -Main Disconnect 2 Egmp. Clearances: Panels-AAotwa-Meth. Equip. -SO-C Mes Closet Light -Shower Light - ---_ — Card B•1 Date Caro -BI Date Card B-1 _ Dale Card•BI Date ----• - • ----• Date MEC LAICAL (Permit) OK except a•a ffin C. Ducts, Insulation 6 Support Venl F.ln. Exhaust above Insulation nsate Drain b Overflow. S_iz.e_8 Grade ---_-- Fdrnace-Vent. Access -Comb. Air -Return Air Vent -115V outlet '9• A7trt-Acc"s 6 Platform If Fu`nace in Attic -- Clld•DI to Date Caid-81 Dile Caid-81 Dale Card -81 Date fl.lte FR ING11'I.Insi OK except n';: ills. Proper Kiwi tol 6 Anchor,, ill; Sludl,-N.ulnly, Stim-m:l IS Ul.tC mg-1!Lucs-:found (1r:u sly C:Alls nvgr (iutler:a & Flim" Nao,m; lu, Mill Stop nl Nulls (lat pitlul) f c Slop. Funt•J Cellulys--SLw S_Ch.1sPs- Tuh 1 1 aJc•i rt lic,un--S1:a 8 Ur;unly •I 11, 111111 •r\. l'11111...1{71-A111'tlnr`. .. (. Vllill`l lens .I.. .Iur,,i -Mt.. l las- I'mim - Noel lied(.-T-wo; -yht hnu.-Nh�l. .1. LIr r l n•i o1 1 apo A 1'hu•-F urpi.lic Ihn1.l1 .161K."',11•>•, !i,r F IIunL•� P'olpl-I�Jn--lh.ell Slup-111% . ILII Ut)1 J"4YA. Ai 11rrr,llr,,> lu l .11nn) 111 erns -5111 liyt, K lllmrusrt•.r� Dale FRAM Continued perry Line Firewall 6 O -s —xt.on s-One X -Chock Oorage-3rd sten - _ Nidlh-He9_dloom_ Y. 2 axils _..- - - RI�-Run-Land! _, ng_Fire Protection - ---51,,001ywood on Roof Oveltwtg-Attie'— _�__ � � rq-lvanmg-veneer --- ucco sh-Dn reed-Fdn. Vents-Undertlrgigl 5 Glazing Area -Glass PrOleClion-Skylights-P lastiC heerpalls; ling -Belts Card -81 /� r Dato Card -BI Date Card -81- r Date Card -BI Date Card -BI Date Card -81 Date Data FINAL Plans OK oxc t a'e §/Ext. Steps -pow 6 Sidelight Protection -Landings f/57y Smoke Qeteetw rumoce; vents-t.ieurarlt In Garage; Above Flow -1 Bedroom Exiting 0-F.I. li Bath Fixtures a Etec. Trim 8 Subp Fireplace or Stove Hec. Outlets at ►y 2;_UM1n Int. 6 Ext. onnector- mactinn Rlt, rlxt. 3 Appliance: Grnd.-Ali Ga-Cookin Clearance Elec. Outlets & Receptacles at Kit. Counter . Garage Fire Door: Swing -Landing -Closer e -Da r 69. Mr. Mtr.: Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage: Above Flow -Meeh. Protection 0. Plb.. Elec. 6 March. Equip, Listed for Location LYI� Iec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2. Insulation -Foam -Looked in Attic 2 -es ck Co truclion-Post Caps Great dole Door -Drainage 6 Wood -Earth Clearance _Looked under Floor E Yes _ 75. Following insild.: e os [; DrivNo: Walks [ Yes Planters 'r :Yes _- 0 t Disctmnact-Clrnces-Brkr. 6 Cond. Size -115V Outlet yIo• Vents Above Root: Plbg.-Appliance-Firepl,-Clearance to Opngs. e_!t, Efeclricali Plumbing _ 8erior Elec. -Trim: G.F.I. Receptacle -Underground W1. 'Venitlatlon throughout Mouse ` 2_ Glass Protection rBJ. Corrections from Previous Inspections _ s Test—Motors -god: Gas -Electric Sewer Connected -C/O to Grade -HD Approval ni rgy Compliance Certrtieate-Othor Certilicates Clyd-81 Dat �r. Card•81 __ Dato ---- Card•81 -_ -•_Date .�5:_-�_Card•81^___Date__ ._—_.__ am -B1 Cale Card -81 Date Comn•entc .It Fin.tt — - Not Applicable * v Not Ready t Y t J �,7 MOBIIEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except tr's Date DECKS, COVERS, CARPORTII. ETC. fPlans) OK except a's 1. Zoning Requirements–Setbacks–Easements /, Zoning Roqulroments–SetbacIts– Easement s 2, Soils; Special MH Support–Sketch 2, Footings; Size–Depth–Spacing–Connectors y 3, Sewer; Location–Test–Fall-C/O--Concrele 3. Decks: Girders and/or Joists–Docking–Bracing–Stairs–Rads 4, Woter; Location–Test–Easement Needed (Sketch) _ 4, Wood Awn,; Posta–Beams–Rttre.–Connec.–Shing.–Rfg.–Bracing S. Electricity; Location–Clearances–Grnd.–/ / Amp–Concrete 5, Alum, Awn,; Columna–Connections–Splice–Decal–Enclosures 0. Gas; LacatlorrT03l-1Vrap:/ /•'L"It./ /"Nat.tx/ /"L"ft./ /"LPG — _ . ... 8, Carports; Windows–Doors 7, -Utility Clearance 7, Elec. Card -81 Date Card -BI Date Card -BI Date Card -BI Date Cord -BI Date Card -81 Date Card -BI Date Card -BI Date Date, MOBILEHOME INSTALLATION (Plans) OK except n's De to POOLS (Plans) OK except a•a 1,Zoning Requirements–Setbacks–Easoments I. Setbacks–Easements 2. Footings: Size–Spacing–Marriage Line 2, Soils; Compaction–Structure Stability ---" 3. Gas; MH Teat–Demand–Valvo–Connectar 3, Pool Structure; Steel–Connections–Thickness–Dead Men–Linin 4. Electricity; MH Teat–Crossovers–Breekors–Clearances 4, Elsc.; Receptacles and Lighting: Dlatances–GFI S. •Oraln: MH Test–Fell–Flex Connector S. Elm-, Pool Lighting; 15 volts–GFI 8. Water; MH Test–Regulator–Connector 8. Elec.; Enclosures; Conduit Entries–Terminals–Listed 7. Water and Sewer Connected–C/0 to Grade, -HD Approval 7, Elec.; Bonding: Metal w/5'–Circulating Equipment–Heater 8, Gas and Electricity Togged S. Elec.; Grounding; Equip. w/5'–Circulating Equip.–Pool Lgntg, , 9, Exile; Insp.–Sketch Boxes–Enclosures–Panel boards–Ins. to Main in Conduit 10. Cart. of Occupancy 9, Health Department Approval 10. Plumb; Cir, Teat–Water Supply Test Card B -I Data Card -81 Date Card BI Date Card -BI Date Card B -I Date Caro -81 Date Card -BI Date Card -BI Date M OWNE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive,.Oroville — Phone: 538-7541 - 747 Elliott Road, Paradise— Phone: 872-6307 RRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office Inspector!' + V `T // Dated �� ` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ` ORRECTION NOTICE c l3 VNER PERMIT NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this rat r, or need -additional explanation, please contact this office immediately. � �Q 0 I II _ IVIG- _ o si l ��V► a Fm -inspector Date— �! ~ P-7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE /0 /&2-3-4;0 OWNER PERMIT NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact'this office immediately. 1fi -0- Inspector�2' 90:zl Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico - Phone: 891-275.1 _ 7 County Center Drive, Oroville - Phone: 538-7541 747 Elliott Road, Paradise- Phone: 872-6307 CORRECTION NOTICE OWNER- 5 -PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. s,udJe' t4 0 l- n i r1-G —�i�✓�,��� iii>s. "J-?\ CCSI /I (e kdu(:r LA.V7 O"t" .0, 4f_ wv/k /1 e , A' f- 1 _2 113 G -17 X9 Inspector Date //_7 Owners- Ron Bunch Permit No. E N E R G Y C 1- R'T I F I C A T I O N A 2556 V-6,'Oroville, CA- ` LOCATION LOCATION A.P. No. ;•` DESCRIPTION OF INSULATION ROOF T . Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL `Material Fiberglass Brand Name Certainteed Thickness(inches) 3 •l? Thennal Resistance(R Value) R-13 ' CEILING Batt or Blanket Type N/A Brand Name Certainteed , Thickness(inches) Thermal Resistance(R Value)44 1 Loose Fill Type Insul-Safe III Brand Name Certainteed 'F Minimum Thicknesi(Inches) 11" Number of Bags Wt. per,bag _lb Area covered(ft. ) 1145 Thermal Resistance(R Value). R_30 FLOOR, ELEVATED 'Material Fiber lass Brand.Name Certainteed Thickness(inches) Thermal Resistance(R Value) FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) ";;; Width(inches) ,tet FOUNDATION WALL" Material Brand Name ti Thickness(i.ncl{as). Thermal Resistance(R Value) r" I hereby certify that the above insulation was installed in the above building. ",t, in conformance with the State of California'Energy Requirements. Shasta Insulation # 272941 FIRM NAME/OWN -R STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE L I hereby certify the above insulation and all required items as shown on the Building Department approved•plans and attachments have been installed as required by the State.of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State -of California. F SIGNATURE OF lease print) L STATE CONTRACTOR'S LICENSE NO.. DATE :THIS CERTIFICATE MUST BE ON FILE WITH TELE BUILDING,DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL,BE POSTED WITHIN THE BUILDING. JanWr4s 1984 s �. J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ARID PERMIT PERMIT NO. ASSES PAR EL UMBE �-9 ( -' ZONIN BUILDING PERMIT owN r e J'l © TELEPHONE S0. FT. OCC. BUILDING VALUATION ✓' i O 'S MAIL A D ESS C RACTOR'S AMEr/ D jT TELEPHONE RAT MAILING ADDRESS CW 3 Fireplace CONS UC TION LE DE_R 1 EAS `O UNKNOWN Total Valuation is Filing Fee g $ 10.00 LENDERS MAILING ADDRESS' Permit Fee $ o ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ � Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 100 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 , Q USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑. Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S (� Building sewer 5.00 S� Mobile Home I S J G I IL_ 0.00 ea TYPE OF WORK New ❑ Addition ❑ model ❑ Uti I,i.I)es ❑ Ins ation❑ Other 1 Describe work: 0 �i'1 _ Permit Fee $ L Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare er 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.,::K2,rul3 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 OC , OR _AD_DNS. 1 ACC. BLDGS. �ZQSQtt , NEW CONSTR. MUETI-OUTLET NON.RESID BRANCH CIRC ITSM ea 12.50 /POWER APPARATUS a ' ISINGLEOUTLETCIR. ) �? 20050c EX, Occup(OUTLETS OR FIXTURES 5AL@30 FIXED APPLNS. Ex. OCCUp. R OUTLETS ((RESID IEA.1 2.00 Temporary service 1 10.00 Q,d Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ` Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ve 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. MECHANICA PERMIT FiIingFee 10.00 Heating (. rQ Cooling Eva Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, s, costs, and expenses which may in any way accrue again sai con se nce of the granting of this permit. XD Z�%7 Signature of Applicant — Owner ❑ Contractar 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 $ Co (� TOTAL PERMIT FEE $ , Q OCCUP. CONST.TYPe I r<JO o f WRCEL PD I HossuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PEROT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS � 3 Date -� R %�"V Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PI -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,CALI ORNIA 95965 - TELEPHONE: 916/534L541 PERMIT APPLICATION DATA SHEET F! ---- �Permit No. 4_ A P No Proposed Building Use F Building Inspector Date"/ () At time of permit application, I was advised the following data must be submitted prior to permit processing i and:/ori suance: DATE RECEIVED APPROVED i 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. f . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance.! 13. Contractor's License Information (no., name style, classif.) ' 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), —15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to (Date) . Building Inspector 18. Recorded copylof Agricultural Acknowledgment Statement. 19. Driveway' Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, ---Xil to contractor. Telephone and hold for pickup at — offi!ce, Deliver w/inspector., Other t Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS -ENERGY SHEET PACKAGE "A" (Additions) Owner /?7 e CLon-livex Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package 11A" 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 C ZONE -16 APPLIES TO NEW AREA r CEILING WALL SLAB GLAZING SHADING R-30 R-11 --a_—,�—;-;-- R-7 U-.65 (Dual) SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) -38 R- R - 7 U-.65 (Dual) INFILTRATION CONTROL (Weathersttip'doors, certified windows, caulking) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT ) MAXIMUM GLAZING 16%.OF•AREA PLUS REMOVED GLAZING .S, -0&,W 4/ 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 *I HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) , , ! SE o Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated ?lo 13 Other .. (describe) *I. (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) • :j Other ��//4-10 (describe) DOMESTIC WATER SYSTEM • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *I Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU "• *2, Submit T.I.P.$.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building desi the requirements of Title 24, Part 2, Chapter 2-53 of the California n• s on Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT F -1 -Complaint -Date _ ❑ Other -Date BUTTE COUNTY DEPARTMENT - OF PUBLIC WORKS SPECIAL INSPECTION REPORT Z 0; IG%2. Owner:— 4 C �L. !(06� A.P. # Address: 52-:2 � to J 4, (eOAD Date of Inspection Tenant: Inspector Building Location: (95-51- 0/0 d4"() Type of Inspection requested: 1. Housing ".2. Financing / / 3.. Change of Occupancy to �[ 4. Work W/0 Permit' . / / 5. Other (specify) l i2fZ� Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerance�,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles:, 3. Fusing: 4. Comments:, 0 G 4 r � IM E. F. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: / / A. Information only - file. / / B. Hold for ten days, then write letter. T7 C. Write letter. / /.D. Other: .= Ak BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: f Reet cIUDO/l Address:- 25560 • V- 6 �'0/4 D . 0262 t L -L-15 C% . Tenant: A . # 36 -103-23 Date of Inspection Inspector Building Location: 25 SCo V6 20AD 020 I%/L CAL/'O�iV/- Type of Inspection requested: 1. Housing 2. Financing 3. Change of Occupancy to 4. Other ( specify) Present use of building: = A Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating'facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water -.supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Cocmnents- C. Electrical ' 1. Service -le ground: 2. Recept� c. As: ' 3. Fus9.119:- 4 . Comment s D. .Plumbing 1. fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments ' l..n.tintuA nn ht�ekl . E Other 1. Maintenance and 2. Fire hazards:. 3. Safety hazards:' 4. WeaV!er protection: 5. Underfloor and attic ventilation: 6. Conments: - F. Conmercial Buildings 1. Roof covering:_ 2. Distance to property lines: 3. PIrysically handicap -ped: 4. ftest"oom floors and walls: 5. Exits: 6. Tinprovements: 7. Zop,),.r.g:-. 8. Commerft.-=: G. Field Proble2,is or Vicla'ions, 1. Problem' 'o -Z, violation (give coinplete. description): 2. What action taken (give complete -Jescriptlon):_ 3. What ao-r.:-,;,:.%n recommended: 77 A. nformation only - fi.1,­ / /. B. Hold for tcn (10.) days, then writ -u letter. . - / /. tf' — Wzite letter. /7D D. Other: fa 1 ORDER NUMBER .u. INC REG.I'R.U. JINCIDUIT NO. r TTIR r " .211 11 - '-d% D1113 FIRE NUMBER mm R REO.NO 1 R.U. f'm P 1 1 . . -1 W thru FC-18 (1/80) At 7, NO DAMAGE IN R GIN LOCATION' TOWNSHFb�.+,JRANGE E -1 FILES MILES IRECTIO ®FROM [:]IN �� %3S WiLDLAND VEGETATION L (Other than I a T G) 1. ........ .4 TYPE ACRE PINCIDENT IRI E]FA0LSE ALARM SA TO GO TO -AGENC 8/OR CONTENTS OTHER STRUCTURES RESPONSIBILIT Y (AT ORIGIN), 5+ 4 4BCDF IRE 1. PROT, R S STATUTORY ,i4�AAM VEHICLES & CONTENTS Ref. RESPONSIBILITY STATE ZONE WILDLAND BURNED OR THREATENED J 2 []SCHEDULE A D.P.R.• STATE E OTHER 3 UNPROTECTED,.!.'- DISTRICT OTHER AGENCY D.P.R.•.'-. CITY TOTJ •LOCAL ZONE COUNTY SCHEDULE A D.P.R. OTHER AGENCY D.P.R. (Un '16corp El a LM' as �11 $I FEDERAL ZONE SI; -1 nFEDERAL(except Military).O.P.R. E N.P.S. EISCHEDULE A D.P.R. 0 OTHER FEDERAL 4.26 �4 o MISInOTKERVZONE-) [E] OTHER IN <� OR<�ONLY). El c 164, ,`-%CAUSE(8TART8 Did not start im�> 0 EQUIPMENT SMOKING D 100' 0 LIGHTNING0 DEBRIS' - 0 PLAY WfFiRj F!O E 300- ARSON CAMPFIRE OTHER/MISC. - 100'1 LAND USE(STARTS IN �>" 0 A ONLY) F�G 600C ❑ Old not start In 601 <6�2e055 01 0 E3FOREST INDUSTRY DOMESTIC f-IRECREATION ......... ......... ......... ............ E] RANCH -FARM DOTHER INDUSTRY-COMRCL. .......... ............. .................. ❑ DUMP E3WILDLAND ❑ROAD [:]NON-WILDLAND UTILITY, RAILROAD []OTHER UTILITY, ELECTRIC —NDAMAGE(W2 <pOR<pONLY) NO DAMAGE IN R umber of Vbh/DwIg TIMBER &/OR YOUNG GROWTH ..... . WiLDLAND VEGETATION (Other than I a T G) 1. ........ AGRICULTURAL PROD (Other than T&YG) DWELLINGS 8/OR CONTENTS OTHER STRUCTURES &/OR CONTENTS VEHICLES & CONTENTS �DAMAGE wrest $10W 8/or 8 5 I lo 4w. r. s ter voll TATE EAR 1MCOUqTY,- N FIRE NAME: t,f. - Lv [NATIONAL FOREST, FIRE DIST., CITY& STREET NO.. JET� ' ON ARRIVAL C/0417VEGETATION FIRE OTHER, GO TO 10 SIZE DISTANCE (Origin to head) ACRES FEET if WEATHER '(ESTIMATE AT SCENE) WIND, DIRECTION FROM' TEMPERATURE PE ATURE M. P.H. 10 OVER -PLEASE CDF 7640-130-01 74453-M 1-00 161U' d0 rp . �Nq0 qo 4-.