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HomeMy WebLinkAbout078-370-005Lw _ ';,. rt�c. c;4'd•' Yt� 3: a �3.-79-5 r;l �X,.... d� O `, B ,/0 . �� B. R. Pt, D DEVELOPMENT _ n� 8.8' r I.a.•4 50 Shadow Oak Ct, lot S,.Oroville. PErmit#3748-87B,P,E,M(new4single-family) i Y�jzr3� 9 - 05 ` Permit,#12.1=3-8_B(add - ��vered:-pato)SF •- CHERYL ANN GLz 36-79-)5 111 # ENN _ `' } �,50'Shadow Oak Ct, Or8' 'ille ia�7 21b`F: Permit #38 2-88B(woodburning;stove)SF<, n - y Y a kl OFFICE COPY rAddress GA M ey Date ELEC RIC Meter By Date 1 . Temp. Power P ' Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E u JOB FINALED (Date) Signature Gil/ PERMIT NO.3748-87B,P,E,M PERMIT. EXPIRES B R & D DEVELOPMENT 'OWNER Owner CONTR. ASSESSOR PARCEL 36-79-5' LOCATION 50 Shadow Oak.Ct,'.lot 5 Oroville J Y. i kl OFFICE COPY rAddress GA M ey Date ELEC RIC Meter By Date 1 . Temp. Power P ' Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E u JOB FINALED (Date) Signature Gil/ = OK Not OK - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOSILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector r 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector, 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting; Distances-GFI' 10. Cert. of .Occupancy . 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date n = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready - Date UND FLOOR (Plans) OK except #'s oning requirements -Setbacks -Easements /&,C2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P, 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Deptl 4. Ftg., Porches & Decks; Soils -Steel-/ /111 5. Stemwalls, Main; Steel-Blockouts-Wrappec 6. Stemwalls, Garage; Steel-Blockouts-Wrap; 7. Slab: Steel-Wraaoed ®' .W.V.; Fal -Fitts Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Dat iZ2 and -81 Date Card -61 Date _ and -81 Date 11 Date PLUMBING (P it) OK except #'s 1 ater W. Vent- ccess-Combustion Air �i -p-G-TAest & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 19:tShawvf Pan, Int,"First Floor -Tub Access Shower, 2nd Floor -Tub Access ve"21. Gas Pipe; Size & Anchors Card -B1 Da Card -B1 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection �Elec. Receptacles Spacing -Lights & Switches at Doors 4. a Boxes & No. of Conductors -Stapled R mex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water W. 2 Appliance Circuits in Kitchen & Conductor Size e ze / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 0 -SON 29. Range Circ. / / ga. CuA ven Cir a. Cu or AI. /Insulated Neutral s No $010. Service -Riser Conductors & Ground -Mai onnect CLaaran es Panels-Motors-Mech. Equip. V32. Clothes Closet Light -Shower Light -Spa Light Card -B1 &r., DatQ= Card -B1 Date Card -B1 Date T Card -131 Date Date MECHANICAL (Permit) OK except #'s 3./A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet_ Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Sills, Proper Material & Anchors alls Studs -Nailing, Spacing & Bracing—Plates-Sound 40. Bearing Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) Wf-F're Stops; Furred Ceilings -Stairs -Chases -T Header & Beam -Size & Bearing Date FRAMING (Continued) 44,,kiangers-Post Caps -Anchors -Connectors Lef& Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. replace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 40.10arage Fire Protection Framing Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 5 . - Vn-Rise-Run-Landing-Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ceding -Nailing Veneer 52Jrip Screed -Fd. Vents-Underflr. Access " lazing Area -Glass Protection -Skylights -Plastic 7 Shear Walls; Naili -Bolts j. ' 8. Insulation -Walls Clg,,-;< 59. Infiltration-Walls-Wndws Card-Blgp Datea Card -B1 Date Card -B1 Wn Date -1--) 1X¢Card-B1 Date Date PINAC (Plans) OK ps-Door & Sidelight Protection -Landings Detector ); Vents -Clearance -Comb. Air-Connector- ge; Above Floor -Ducts -Mach. Protection WF.I. & Bath Fixtures & Tub Access -Spa . Elec Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails ce or Stove; Clearances -Hearth &S'EtWl Outlets at Wood Panel; Int. & Ext. Ki . t. & Appliance; Grnd. -Air Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer : 1: . Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Iq,.Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location c. Receptacles in Garage; (G.F.I.)-Romex Protec. W. Insulation -Foam -Looked in Attic ❑ Yes G and Rails & Deck Construction -Post Caps . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth oo Clearance Looked under Flr ❑Yes 79. Following instld.; Drive es ❑ No; Walks s ❑ No; Planters ❑ Yes ❑ No -rtiQ"3 u o; Brown -Finish C. Unit; Disconnect, Electrical, Plumbing 62. -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. r Well; Disconnect, Electrical, Plumbing erior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House . GI ss Protection rections from Previous Inpections est -Meters Tagged; Gas -Electric AqeWee-r & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -B1 Dat - Card -B1 Date J' Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date i (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico ' — Phone: 891-27.51 7 County Center Drive. Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER ERMIT 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. Inspector --Date 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 '4 r,-, ER T 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> completed. If you have any question pertaining to this matter, or need p4ditil*r xplanation, please contact this office Immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 -Memorial Way, Chico — Phone: 891-2781 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. 2 Inspector- Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 -Memorial Way. Chico — Phone: 891-2751 7 County Center Drive, Or'bville — Phone: 538-7541 747 Elliott Road, Paradise— Rhone: 872-6307 CORORECTION NOTICE R 4 Y51 --(V RMIT 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. 11 ;2- Inspector- Date Owner: Permit No. ENERGY CERT IF ICAT ION G� s' Svw�aL 36 LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material ' S Thickness(inches) 3 CEILING Batt or Blanket Type Thickness(inches) /" Loose Fill Type PLS Os-e�, Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Val&6) 77-3,b Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)_ Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. 14 72V FIRM NAME/,OWNER STATE CONTRACTOR'S -LICENSE NO. yk SIGNATURE OF INSTALLATION APPLICATOR DATES y I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments, have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S.LICENSE NO. SIGNATURr OF GENERAL CO CTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO.FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. ' January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, Californra 95965 - Telephone: 916/538-7541 V APPLICATION AND PERMIT f/ ASSES MBE1� �`J ZONING BUILDING PERMIT OWN R �J T LEP O E SO. FT. OCC. BUILDING VALUATION OWNER'S M I'LING ADDR S �,{j� /�% CONTRACTOR'S NAME T PHONE A7 L9 0 CONT ACTOR'S MAILING ADDRESS Fireplace CONSTRUCT N LENDER UNKNOWN Total Valuation $ Filing Fee. $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ Permit fee $ PERMIT Filing Fee 10.00 AdIPLUMBING Ate 616— Each Trap 2.00 04 U Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Std 93 Water piping 5.00 (o Each qas water heater or vent 5.00 S USE OF STRUCTURE SFTA Duplex❑ Mobilehome❑ Other SPECT FY Gas piping system 1 - 5 outlets 5.00 S' Building sewer 5.00 Mobile Home S I G I W 0':00 ea TYPE OF WORK New Addition❑ emodel❑ Utilliij- El Installation❑ Other Describe work:Q.j'j.// /l� Permit Fee $ ,620 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS I00 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under enalt of perjury (check one p y p I y hk ( )• ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full fo%jand effect. License No. 29O fS Classification G/��e 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , OR ADDNS. ACC. .LOGS. �20sgft NEW CONSTR. U TI -OUTLET NON-RESID BRANCH CIRC 3 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp�OUTLET3 OR FIXTURES Z0030t e ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 7,s WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building DepartmentAeUtly 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. Not ce to Applicant: If after making this statement,, should you become subject. to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6., U Cooling Hood 3.00 (1 Ventilation V 3 0 Permit Fee $ 0 6 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accruev again id oun 'n consequence of the granting of this permit. X— Date �iz 1T % Signature of Applicant – Owner El Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ Q, fT0 TOTAL PERMIT FEE $ 19 Occup. CONS E JS,CI1OOL aryD PAR ND Is90all This permit is hereby issued under sions o the Butte County Code and/or wor n icated love for which R CTOR OF PUBLIC By f'��rL EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Na L—AM Receipt No. �� �%J. ��� -41 a (1,V, L� WHITE-D.P.W., YELLOW-ASSE390R. PINK -INSPECTOR, GOLDENROD-APPLICANT,PERMIT T�^.,rs,r- -r3r•Y 1-,� r ar�':�a—•+..-r «Z,r+Y`-..-„'+Q4�7 � ..�'.':N!'. iG.^�'.,'�'`'+�,,v:rs�:y�i�y ”` '`'tT— , T;: '�' • 'ri . ;`t .;. `i F� } Y • Y Tl{ , Oil COUNTY OF BUTTE - DEPARTMENT.�OF' P.UBLIC WORKS;al.b;LDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ��r/ / F Permit No. OWNER �t // A. P. No. Proposed Building U,se �S�✓ Build.ing Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED A?2.AII items have be.�=� bmitted. Plot plans ilE/dupli�el riplicate, signed by preparer of plans. U& _ 3. Complete plansinduplicate/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. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 00. . Letter. of signature authorizat'on. 14 7,73 San itation.approvaI from ealth Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14" Owner -Builder Verification (Given to owner❑, Mail to ownerE]) _.__..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 7. Pre -Inspection for _____-_ _ _ Required. Building Inspector 8. Recorded copy of Agricultural Acknowledgment Statement. �%l 9. Driveway Permit. — 20. Plot plan approval from city of _ 21. - - 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor_ 11C' Telephon6'j-X-9JC,/!Z and hold for pickup atO Ed) office, Deliver w/inspector. S Other AppIicaA'_21�/��' Date Copy of plans sent Health Dept.; Fire Dept., Other Date r ` 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---nail—counter by date Contractor, designer, owner, was advised c? above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy-DPW��G.�„� Date 6- 7 This set of plans and specificr;tions MUST bb kept on the job at all times and it is unlawful fc make any changes or alterriflons on same without written permission from the Department of Public Works, County of Butte. FO i Z07, j _ ,S//A Do ry 0,4,kS u.Jp 1 See Master plaii on file for building �� . PRoPcxSEv -1- / A set ack of 5 ft. from the grope ty lines and a setback MASTEIt 4(a, -R'l � � vimof 501 t. from th_e road cente line shall be clear of structt tres or equipment a_xcept for a ft. eave overhang. Telephone 533.2000 , North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 80-87 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department' of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: B R & D CONSTRUCTION Applicant Address: 2295-B Feather River Blvd., Oroville, CA 95965 Applicant Phone No.: 534-9614 Property Location (s): 50 Shadow Oak Court Shadow Oaks Lot 5 A. P. No. (s): 36-79-05 Fees ii' Due:, NBPUD Connection Fee $250.00 & SC -OR Facility Charge $900.00, Y Application for service approved: November 12, 1987 North Burbank Public Utility District Inspection(s) made and successful tests) observed: Location: Date: By: North, Burbank Public Utility District. release to close permit: Date: By: C cc 0 ca E 'a oo cy) 0 0 STATE OF CALI FORN IA COUNTY OF - said State, personally appea I �ss. before me, the undersigned, a Notary Public in and for personally known to me (or proved to me on the basis of satis- factory evidence) to be the person that Fecuted the within instrument as partner(s), OFFICIAL SEAL on behalf o JCZ 4eJ44 DANIEL F. HUNT NOTARY PUBLIC - CALIFORNIA' PRINCIPAL OFFICE IN t rtn ship BUTTE COUNTY therein named an ackn/wled t me that' rtn rship MY.COMMISSION EXPIRES OCT.1, 1986 executed it. f 4.1 # r WITNESS my Sig (This area for official notarial seal) &M0F00CWEW 856W13690* Fc7gQR;,:. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 54 T ; is COUNTY•-CA04 FOR RESIDENTIAL °DEVELOPMENT `�' �d S'' P TED � o i `r QWN z 4 Section 26-8.1 of the Butte County Code requires this acknowledgement MAY 60 S oa W, 085 be recorded prior to issuance of a building permit. CLERK - IIE'U; oUil The property described herein is adjacent to land or included FEE. within an area zoned for agricultural purposes, and residents of this property may be subject to.inconveniences or discomfort arising from the use ofagricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including; but not limited. to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept -such inconvenience or disconform from normal, necessary farm operations. All that real property situate t Cou of Butte, Sta of Cali nia described as follows:, L.1 -s # JJ' J ilii i, S ? /-, ' �� 1. ) � �7 yZe-, (M v4, -r c_I.\ ��, 1 g S 00 k Ct u� �Ma-Q S ► �,� des 3 o� 3 q, bate: -s`` %--�5— PR RT OWN RS: . I" 4,L09 VA State of dtgZt() On this the ��+ day of Glf1- 19 before SS. me, the undersigned Notary Public, personally appeared. County of .q Personally known to me. Proved to me on•,•the gib. sis of satisfactoryvce. iden e to be the person('sy whose name( su1bs6ribed to the within instrument and ack w edged at executed the same.for the pur os s th e n co a' IN WITNESS WHEREOF, I hereun o s t my ha d an1(7 ial seal. tary P6bl ;R Present A.P. No. r 19 Owner: BRAD .I,PA;N Permit No. ENERGY 'C E R T I F ICAT ION .SHADOW OAKS = LOT # 5 - OROVILLE _ LOCATION A.P. No. DESCRIPTION OF'INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value). EXTERIOR WALL Material Fiberglass Brand Name CPrra;nrPPd 'Thickness(inches) 3P Thermal Resistance(R Value) R-11 CEILING Batt or Blanket Type Rarrc Thickness(inches). 10". Loose Fill Type' TnQ„i safe IIT Minimum Thicknesi(Inches) 11" Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Brand Name r�tee� Thermal Resistance(R Value) R-30 Brand Name rprta;nrPPd Number of Bags Wt. per bag 1b. Thermal Resistance(R Value)' g -In r; Brand Name .Thermal Resistance(R Value) { Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above in conformance with the State of California Energy Requirements. building SHASTA INSULATION 272941 ar FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE.NO. [.ey gg SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print.) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR OWNiER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 3748-87 PERMIT NO. 1213-88B" h6 A7 PERMIT EXPIRES OWNER B 'R & D DEVELOPMENT CONTR. Owner ASSESSOR PARCEL 36-79-05. LOCATION 50 Shadow Oak Ct, lot 5, Oroville Temp. Power Called P1 Temp. Elec. Called P, Temp. Gas S Called P, JOB FINALE Signatun 1 = OK 0 Not'OK Not Not Ready MOBILE HOMES. MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / P' ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /".Nat. or/ PV ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date Card -61 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -81 Date Card -61 Date Card -B1 DateCard-131 Date 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead. Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir. Test -Water SuoDly Test Card -81 Date Card -131 - Date Card -B1 Date Card -131 Date =OK 0 = Notnw RESIDENTIAL (Single and Duplex) - = Not Applicable Not Ready IV Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material-Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub &Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -61 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Liqht Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -81 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -81 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO . 1' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. 3_ e APPLICAbON AND PERMIT AssoR PA c Nu© zo Gid BUILDING PERMIT OWNLEP(H�ON� 5314 _4? Q. FT. OCC. BUILDING VALUATION Vy€R'S MAIL( ADOrSS c7(/JJ` CONTRACTOR' AME ELEPH N CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ �d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Penalty $ BUILDING ADDRESS G V Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. Q5 SUBDIVISION NAME PARCEL MAP MAP Water piping 5.00 Each as water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W O.00ea TYPE OF WORK New ❑ AdditionRemodel ❑ Utilities [IInstallation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00• Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one p Y r p I Y hk : ( ) 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 2-9'42Classification � El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code . for this reason NEW CONST, DWELLING OCCUP.9 OR ADDNS. ACC. BLDGS. , h¢sgft NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC S 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX, Occup(OUTLETS OR FIXTURES eL0 zALO 30 Ex. Occup. OUTLET S P(RESID FIXED APLISIS 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. f�f I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,; should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling n g Hood 3.00 I Ventilation Pelt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again Id Count in consequence of the granting of this permit. >/ 22 `$'� Xl Date r Signature of Applicant — Owner ElContractor EDAgent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE ISCHOOLIFLOOOVARCELIPD' ND 33 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which (RECTOR F PUBLIC BY PERM XPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date I^' Receipt No. 6 WHITE-D.P.W.. YELLOW-ASDL330R, PINK -INSPECTOR. GOLDENROD-AP►LI CANT qx !d T SrRhP y PGST ANcNGC Xe w �%So�CTS hi Shall Be Ail Materials & Workmans p ®TC e with Recognuevl Good Practices and ped use in the b.c,OrT,c for the Stpecif' s rescr:we- & Mechanic. ^ -odes and Ul a qu.tii:U1 p pluv"aing �nioarn Building �X/Sr/uG Fhe Neational Electrical Code. = 7'Rcu s s YYV Pcs �T "�xY oi J� n�hQ{k � s P�gr�s /C' Cv/,'c1?ErE s,A: A 6 I y ,v I%M's 5ei+ bf 11 kept on the iob make any ghailc written permissi, Works. Cc6untV i r�lE-T�1'as q jI3v_�rsr j< /.2 , 4L,55 ,9x1.5 r!4 'A/o u, S It and specifications Mt it all times and it is unlar s or alterations on some w from the ®epartmont Of A Butte. 79 .� �D P4 4 �l?A�N146� %is�ix�►Vr 0 ani d P t`i \\r®$' ro$\ear o� o p tope <°m \\\0e o erN ex Ci' ok tV\\e a� cep ,,\3,es ea.� NJO kol s �Oc 1315-1 a .. rX/S7` bE � to W� �� L -')P /-� / 3 O Cheryl Ann Glenn Permit #3822-88 Q COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESQR PA NUMBER ♦ i /i ZONING BUILDING PERMIT OWNER - T.ELfiPHOOJE SQ. FT. OCC. BUILDING VALUATION OWN R'S MArI`LI G ADDRESS /` ? / o J l CO�,T_ AC TO 'S NAME / % r )/ 1 ,0 T LEPHONE CONTRACT R'S MAILING ADDRESS Fireplace •r i f%QU CONST UCTION LENDER r-Filin UNKNOWN Total Valuation Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ f) 5 N ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ AR/C,/MITE T OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 Permit fee $ !� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP - Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 110.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U ilities,.Q�1 Installation❑ Other �K Describe work: f P 1/7 l� 1 f� (%� 4. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification (�FIXED I N 1, as the owner, or my employees with wages as their sole compen- �T*l� sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , ort ACDNS. ACC, BLDGS. h2sgft NEW CONST R. U TI.OUTLET 2,50 ea NON -REBID BRANCH CRC. RC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES eA 0 0 APPLNS. OR EX. OCCUp. OUTLETS IRESID,1 EA.) 2.(]0. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE yf declare under penalty of perjury (check one): .S ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate `! of Consent to Self -Insure. .• I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and:keep harmless the County of Butte against all liabilities, judgments, costs, rand, expenses which may in any way accrue against said,County,inconsequence of:the.granting'of this permit. X�k��A�>� �� /�`� �' Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.TTPE SCHOOL FL.00 PARCEL I P11 ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do r which fees/have been paid. work indicated above for 6lRECTOii ✓. PUBLIC WORKS By 4 �JADate`4 r, zz�Receipt PERMIT -EXPIRES Date '/ /� / 0 over No.rJ 4. WHITE-D.P.W.. YELLOW-ASe ESSOK, PINK -INSPECTOR, GOLDENROD -APPLICANT —S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville CaliforAia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PE MIT NO.,,/ ASS R P NU B — —� ZONING BUILDING PER T OWN �r TEG,EPFrONE SO. FT. OCC. BUILDINGUATION OWNER'S M G AD ESS CO RACT •S N''A^^ME / I' TELEPHONE C TR TO S MAILING ADDRESS Fireplace � o CON T UCTION LENDER _ UNKNOWN Total Valuation $ LEN ER•S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS&haI © (2-17 Permit fee ,$' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 __JSUBDIVISION Solar or heat pump water heater 20.00 LOT NO. NAME PARCEL MAP • Water piping 1 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New❑ Addition [J Remdel❑l Utilitie Installation❑ Other Describe work: ti �T19C/ (=1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.IW AUC New , ft CONSTR.� TBI.OUTLET NON-RESID .BRA CH CIRCUITS- IRC ITS . 2.50 a 50 ea ea POWER APPARATUS D (SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES 200'JOS 5AL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 10 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 Iia) ludgm s, osts, xpenses which may in any way accrue agai Oe�glt+rof this permit. %� Date Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE 1 $ �� OCCUP. CONST.TYPC J.0 ... L FLOOD PARCEL PD ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work ed above f r hich f IREC PUB Y 4MXRES Date the applicable provi- resolutions to do s have been paid. ORKS Dat Receipt No. L7 WNITC-D.P.W.. YELLOW-ASD(7301r. PINK -INSPECTOR. GOLDCNROD-APPLICANT (-'" _ ..F .i"' .L - y`.-'i'�.,tf - P , -..✓ ,7�� , +.: - F :' �� 1a rti.,. � f.. 'i.� � , .;,� ` ; 1,./ ,, � .Y, * . w . - - COUNTY OF BUTTE - DEPARTMENX� OF JPIUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION' DATA SHEET Permit No. OWNER I A. P. No. Proposed Building Use ` Building Inspector Date At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ...................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) . . Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 2. Owner -Builder Verification (Given to owner ❑, Mail to owner') ........ 3.. Recorded copy of Agricultural Acknowledgment Statement ............ Letter of signature authorization .................................... . 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for ickup at office. Deliver w/inspector. Other Applicant A at'e 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: .1. i Contractor, designer, owner, was advised of above required data by_phone---nail4counter by date Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, groville, CA 95965 Phone: 916=538-7541 OWNER -BUILDER VERIFICATION . Attention Property Owner: An "owner -builder'' building permit has been applied for in your name and bearing your signature:. Please complete and.return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be.issued until this verification is received. 1. I personally plan to ,provide the major labor and mate ials for construction of the.proposed property improvement (yes or no) 4--S 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone. Type of Work Signed: Property Owner Social Security Number Date \\ - a`i -`6% NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. pppp- o S� a,�PQw adk Ail . z. 1 T I� � f . � 1 i � r i { i j t I' J 1 I ail IJ 1 i� r I I