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Home My WebLink About078-380-013e ori= a; 2373-91B; ,,- z .r LEAGUE, 'Bart. _ '� '✓ 4990.'V7,E"A`ve',"Oroville f'S; (addition/sf)" LEAGUE, `Barts ,. 4990' V-E.'Ave, Oroviile, t .open 'deck/sf , .2`�.9,Z" 93-[480 7 P'M LEAGUE, BART 4990,•VE. AVE, OROV�ILLE W.A`TER HEATER & FURNACE/SF —•`W'r'PERMIT#.97-04124 LEAGUE,' Bart 0 �/� �61 4990 VE Ave.,.Oroville Cont: Skyline .'Ent sit�f Install New AC/SF r 00-0647 LEAGUE, Bart r°4996 V -E Rd., Or6ville Add Stg/SF(1:-:0769, 01 LEAGUE, BART 4990 VE AVE. OROVILLE��` CONT: OWNER CONVERT STORAGE/ BEARING WALL 02-0767 LEAGUE, BART INALED .4990 VE AVE, OROVILL CARPORT LEAGUE, BART 03-2046 4990 VE AVE, OROVILLE Cont: OWNER REPAIR/SF :03-2294 ,LEAGUE, =BART A 4990 VE VE, �OROVILLE ,! Cont:'ARTIC AIRE-'` -� � T.�� ,7_.. _.4n .'m: ...� .. - fit .- ..-. .-._. ., rr r?•W w 04-0275 LEAGUE, BART 4990 VE AVE, OROVILLE Cont: OWNER DECK CONV/REMODEL KTCHN —I*s COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 y' PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT - ASSESSOR PARCEL NUMBER n ZONING BUILDING PERMIT OWNER TELEPHONE SO. Fr, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 40, E 95966 es ` 3000.00 CONTRACTOR'S NAME nwNEE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 54.00 Plan CheckingFee $ 9 BUILDINGADDRESS 4990 VE :AVE, ORO ILLS Ener Plan CheckingFee $ Energy $ PERMIT FEE $ Q-7 nn LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTUWE + SF 4 Duplex ❑ Mobilehome ❑ Other t SPECIFY Each Trap 7.00 7 00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel fl Utilities ❑ Installation ❑ Other ❑ Describe Work: ��i T�l'fF1] • Gas piping system 1 - 5 outlets 15.00 Building sewer .15.00 15.00 .Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service OOOV OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P tY P I N P Law for the following reason: MoOl`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, em exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLIAccNG OCCUP. OR ADDNS. a . sins. so 3.50FT; NEW °OSIS MULTI.OUTLET NON•REsID. 97.50 POWER APPARATUS 8 SINLE GOUTLET CIR. Ex. Occup. ounEroRFaruREs SAL9 .50 Ex. Occup. FixEDAPPLNs. oR ourit�s REslo. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin • 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE I: $ Policy Number I one hundred dollars ($100) or less.) Ghe above sections need not be completed if the permit is for work of a valuation 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' compensati provisions of section 3700 of the Labor Code, I shall forthwith com wi ose provisions. •.t�+O� X Date vL Signature of AppVcaiW-'1?01DwhJ ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ � o TYPE TOTAL F E $ 154.00 HAz. D FEES IM oP P/1Rc HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees ave be paid. By }Date PERMIT EXPIRES ON / /z Dale Receipt No. I 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) 538-754, �J, aaPEP�T No. (Rev.12/96) APPLICATION AND PERMIT [ESSOR PARCELNUMBERrL o36 ` I �' O`� mw G BUILDING PERMIT oNE SO. T. OCC, BUILDING VALUATION r(/C Naas MU -MM ADDRESS _ . r— w a – -.r . / S - ADDRESS CONSTRUCTION LENDER LENDEn MAdUNG ADDRESS ARCHnEGT OR ENGINEER ARCWTECT OR ENGINEERS WJUNG ADDRESS eU6DUIG ADDRESS , LOT NO. 1 SUBONISIDNS NAME USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other sPECWy / TYPE OF WORK New 13AddL'6'on Ef Remodel ❑ Utiffes ❑ Installation ❑ Other ❑ Describe WOrk;08N e+ i&:�- -m PERMIT FEE PAID SHERIFF OTHER AMOUNT RECEIVED $ DATE RECEIVED i4--: $ 20.00 Permit Fee Energy Plan Checking Fee $ $ PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping r Each gas water heater or vent Gas piping system 1 - 5 outlets ai Building sewer Mobile Home I Si G W PERMIT FEE $ ELECTRICAL PERMIT OO6V IESS Main Service =OROR LEGS Main Service 2000, To IOWA NEW CONST. OR AODNS. a AOC. DS. DWEWNO O�.CCUP. NEW GUNST. MUL71.OUTLET NDNRESm. CUITS -ORANCH (POWER APPARATUS a swGtF ovrLF7 dR Ex. OCCUP. ( OUTLET OR MURES 7 / — ring Feel 20.00 7.001-7,,6C 23.00 15.00 15.00 15.00 15.00 @20.00 .50 5.00 23.00 20.00 23.00 I PERMIT FEE 1 S MECHANICAL PERMIT I Firmg Fee 20.00 6.50 PERMIT FEt S Moble Home Installation Fee $ Energy Inspection Fee $ C= -NST-T`("- TOTAL FEE $ NAZ 111 FEES I IMP I FLOOD I COP r PARCEL I PD I ND I SUE 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 O.B.-1 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. I personally plan to provide the major labor and materials for construction of the proposed QDproperty improv went : YES 0 I HAVE .� HAVE NOT O signed an applicati on for a building pennrt for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction: NAME: JHL-UxLVJ00: 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: may. PHONE: CONTRAC'TOR'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: PROPERTYOWNE DATE: —� NOTE. This Owner Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible 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 yoursel& 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 Ifyou 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. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administradon). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building pennit, 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 masters. The building permit will not be issued until the verification is returned. `. re y2 Mic 1 C. Vi ira, C.B.O:. ger, Building Inspection NOTE: This Owner-Buflderinformadon is required by Section 19830 of the California Health and Safety Coda OVER BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number Jurisdiction: City County Property Owner A2YV / 1 'ZeA--6W— Property Location/Address 140, AiA. (731� Subdivision Lot No. ...................................... Residential Development Sq. Footage No of Living Mobile Home "Addiction/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ...................................................................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage Now Addition (including Exterior Roofed Areas) e; Building Department Representative Date District ldbntification No. School District cerfilli es that (Applicot) (Street Address), (Phone Number) ok 6(6 (City). (State) (Zip Code) has complied with the requirements of Resolution No. D 1—O 11 1 C1 by payment of $ /C— representing 0 square feet.26: $ MITIGATION GATION $ Y School District Represebtative Date Paid by Check # Ps C Remarks: 0,0 Notice: You may protest the Imposition of the fen Identified above by submitting a written protest to the District, In compliance with Government Code Sectloo 66020(a), wffldn 90 days from the date fees are paid. Failure to submit a timely written protest will'prohlbit you from chalWVlng the Imposition of the fen In any court action. N, subsequaid to the School District Representative signing this Butte County Schools Impact Fee Certification Farm, the School District li atift by the applicable Local Planning Agency that this project Is being ravlraed under the Calftmla Environmental Quality Act (CEQA� this pjt may be subject to additional school fees to fully mitigate, its Impact an On school distrieft admb. White (applicant), Yellow (building department), Pink (school district) feeform.)ds (10/03)dmm 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 03-2294 ASSESSOR PARCEL NUMBER 036-111-018 ZONING BUILDING PERMIT OWNER BART LEAGUE TELEPHONE SO, FT. OCC. BUILDING VALUATION . OWNERS "UNG ADDRESS 4990 VE AVE, OROVILLE 95966 CONTRACTOR'S NAME ARTIC AIRE TELEPHONE 895-3330 CONTRACTORS MAILING ADDRESS 2350 PARK CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 990 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 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: IIs Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service•oov oR LEss 2o0A OR LESS 1 23.00 ' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,NOµq�°S,p and my license is in full force and effect. License Class - L' -to Lic. No. r °?id 12.) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING oocUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT; MULTI -OUTLET BRANCH CIRCUITS I @7,50 POWER APPARATUS 8 SINGLE OUTLET CIA. EX. OCCLI OUTLET OR FUTURES ' BAL 20 �.50 PP Ex. Occup. ourLEEDTSA RRa.oFR.n 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereb affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier - %? Policy Number—u'i-yZ L<13g (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �-y X Date - f 3) L09 Signature of Applicant - ❑ Owner ❑ Contractor Q-�gent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. li!y MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt$ 65.00 $ Mobile Home Installation Fee $ Energy Inspection Fee occ CONST. TYPE TOTAL FEE $ 65.00 HAz. D FEES IMP FLOOD CDF PARCEL PD HD ISSUE XX This permit is hereby issued under of the Butte County Code and/or indica ed jatbqlve for which fees have PERMIT XPIRES N the applicable provisions Resolutions to do work been paid. Date -31 G O Date Receipt No. 385022$65.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f^OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75�PERRMI� r, APPLICATION AND PERMIT `JJr QI AS SESSOR PARCEL PWUSEAOI�) L BUILDING PERMIT OWNER / Le zA SO. FT. OCC. BUILDING VALUATION OyvNETtS NG ADDRESS2 COM R ` ` _ � iELEPNONE Y CO R ADD Cj LJ-' 1� C.ONSTiiUCr70N LENDER Fireplace LENDER'S "UNG ADDRESS Total Valuation t+ ARCNOTECT OR ENMNEER LICENSE NO. Filing Foe S 2D.00 Permit Fee S MANG ADDRESS ARCNrTEf:T GR ENGWEEits RJ Plan Checking Foe S WILDRIG ADDRESS U • Energy Plan Checking Fee S ' S PERMIT FEE S 1.0'r NO. suaDNmiomsWmE PARCEL MAP PLUMBING PERMIT Feng Fee 20.00 Eads Trap 7.00 ---- USEOFSTRUCTURE SF Duplex ❑ Mob1ehome ❑ Other EPEORFr Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 1 5.D0 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UoTi6es ❑ Installation ❑ Other Describe Work: Gas piping syrtem 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Firing Fee 20.00 Main Service o°oi oa LL .s 23.01) 1} ` SPS TTTT �� MEOW Aw4wAuft; ed [ ' J/1 a ��0 tll�tnal Main Service 20" TO IDWA 46.DD NEW CONST: Ow BUNG 000W.090. OR ADDNS. ( a ALC. ELDS. 3.5 NEW W . NULTFDUTLET 7.50 NON•RESLA FpwER APPoLmFrARATUS sso�oLF em Ex. Occup. OUTLET OR FWMIRES SAL Ex. Occup. vnFTs SND) E& S.OD Temporary Service 23.00 Mobile Home Facilities 21).00 Misc. Wiring23.00 PERMIT FEE s MECHANICAL PERMIT Filing Fee 20.D0 Heating U— Hoodling 6.50 Ventilation HEEE_ PERMIT FE[_ S Mobile Home Installation Fee S Energy Inspection Fee S occ CON Vr. TYPE TOTAL FEE S K&Z. D. FEES WP FLOOD CDF PMCEL PD i 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 -(D6g..l,9 6 gas Artic Aire Lic. B -C20 -C2 #234913 2350 Park Avenue Worker's Compensation: Chico, CA 95928 Lumberman Mutual (530)895-3330 #5BA1 65241 -00 Fax (530)892-9930 Permits To Be Pulled Permit Information ' Job Name:Sh' _. 1Ir Job Address: $ MeaAnw- -1 City &Zip Code: C�ro�n112. 'IsLAP Phone Number: S_%?) -N A Gln Type Of Job: Change Out Type Of Equipment: acka e U ' Heat Only Heat Pump Split System Equipment Size: BTU Cooling: 3 �� BTU Heating: Type Of Permit'Required: Mechanica Location: ' Roo. Closet Notes: Cut — In Move Unit Split System A/C Only Heat Pump Package Unit Plumbing Electrical Attic Ground Hall Basement Y Artic Aire 2350 Park Avenue Chico, CA 95928 (530)895-3330 Fax (530)892-9930 .11\ Job Job City Permits To Be Pulled Permit Information Lic. B -C20 -C2 #234913 Worker's Compensation: Lumberman Mutual #5BA1 65241 -00 Phone Number: 534 E)4 Type -Of Job: Change Out /Cut - In Move Unit Type Of Equipment: Package Unit plit System - A/C Only Heat Only Heat Pump Package Unit Heat Pump Split System Equipment Size: BTU Cooling: Q - ay-% BTU Heating: Type Of Permit Required: Mechanical Plumbingectrica Location: J:Roof Attic Ground Closet Hall Basement Notes: 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 D3 ASSESSOR PARCEL NUMBER 036-111-018 ZONING BUILDING PERMIT OWNER LEAGUE BART TELEPHONE 534-5436 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 4990 VE' 0 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 4000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 72.00 Plan Checking Fee $ BUILDING ADDRESS 4999 VE AVE. Energy Plan Checking Fee $ $ PERMIT FEE $ 92.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: _-REPLACE RAFTER (20) 2"'X8"' REROOF 27 SQ, NEW FOOTING FOR DECK, NEW FT FCTRTCAT SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 V OR Main Service 200, OR LESS 23.00 91.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, Wdo the work, and the structure is not intended or offered for sale. � B_ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. So 3.52FT: NEW CONST. MULTI.OUTLEi NO REBID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES SAL @00 ':50 FlXED APPLNS. OR Ex. Occup. ovrL.(RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 2_3 00 PERMIT FEE $ 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (T above sections need not be completed If the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwith cc ly those provisions. X Date -6_ Signature of App nt- Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 155.00 HAZ. -- D. FEES IMP --- --- FLOOD ---- COF PARCEL -- ------ PD HD — ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ate PERMIT EXPIRES ON Dere Receipt No. 3 T WHITE-D.D.S.-B.Cr.' C NARY•ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES x FO3 41-1-018�'='� O.M767 PERMIT NO. _GUE,iB-ARTr. aw4990`VE AVE; OROVILL-E�•-• t. i` CARPORT i'. ` t t.� f� �c t a SPECIAL. CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER • P . � - r J SPECIAL. CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easements-Flood-Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils-Steel-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers-Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall-Fitting-Test-2 Way C/0-Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access 11. Water Pipe; Test-Anchors-Regulator-Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance-Material-Support-Ins. Brace Interior/Exterior Wall Panels 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent-Access-Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor-Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor-Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor-Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor-Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance-Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing-Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service-Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive 0 Yes ] No/Walks Q Yes J No/Planters J Yes p No 33. Clothes Closet Light-Shower Light-Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except We 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 Date FRAMING (Permit) OK except #'s Date 40. Sits 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 Ungle & Duplex) 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-Undertlr. 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-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. 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.)-Romer. 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 ❑ Yes 82. Following Instld./Drive 0 Yes ] No/Walks Q Yes J No/Planters J Yes p 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-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ✓ = OlK DECKS, COVERS ARPORTS GARAGES (Plans) OK except #'s 0 = Not OK il�oTo2iRg!!Tquirements-Setbacks-Easements - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P 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 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 ARPORTS GARAGES (Plans) OK except #'s il�oTo2iRg!!Tquirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; w4ers and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts- Beams- Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Car , Windows -Doors Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh pe,Froof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date A. Date Card B-1 Date Card B-1 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 rEgp�IJ No (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-111-018 ZONING AR BUILDING PERMIT OWNER BART LEAGUE TELEPHONE - SQ. FT. OCC. BUILDING VALUATION 280 C 33640.00 . OWNERS MAILING ADDRESS 4990 VE AVE., OROYEIR CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 3.640.00 ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $40.95 BUILDING ADDRESS 4990 VE Energy Plan Checking Fee $ $ PERMIT FEE $123.95 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF (X 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 (X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CARPORT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OV OR LESS Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law foythe following reason: GYI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation o"rte hundred dollars ($100) or less.) Cruel 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ Date Signature of App icant - ❑ Wwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 rCU000A NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( DV; V; ACC. Bin S. 3.50 Fr. NEW CONST. MULTANCI.0UTLEr @7,50 8 OUTLET OWER APPARATUCIR.S 20 � ''0O Ex. Occu oun.Er OR FocruREs SAL @ .50 Ex. Occup. DFIx�EEDA A ooR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 1 23.00 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTYPE V VE' TOT L F E $A6645 H D. FEES IMP FLO CD P EL This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. %L Date 0,.3 ete Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET /n OWNER: & q ASSESSOR PARCEL NUMBER 36 -o% dl 8 Proposed Building Use: Counter Technician: Date: _j/3/,4, Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.......................................................... ❑ 1.1. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other .... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 4015. Statement of Intent for Non -heated and A/C Buildings ..................................... 16. Sanitation and plot plan approval from the Environmental Health Department in 0 �- " 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: pK (B)Parking: (C) Parcel Check: Ll -Z2 W1- 0 -❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ....................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... 0 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been inf med of th 'above items and requirements for obtaining building permit. 6Qcant: Da j : 4/- ;i _ 2 1. Index permit application for the above items numbered: _ 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Plan Check Lettera ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ count , b Date: _ Plans approved by: Date: _Structural approved by: Date: . Yellow: BuildDivision iing 92-29412 • . ,. 8hibit "W" (Bart L. League) this Guarantee is d6scribed as follows: The land referred to in All tliat certain real property situate in the County of Butte, State of California, described as follows: art of ]..ot !i in B.l.ocic 29, as shown on that certain Map entitled, "HAP OF VILLA A p Cali..for.nia", wl'icli map was filed in the office of the Recorder VL•'ItONA, Butte County, 18£19, more particul.alry des - of the County of Butte, State of California, January ll, cribed as follows: le enter Beginning at the Southeast corner of. said Lot a, whirl► poitl►enceis lWest ealong tlthecSouth line of V -E Avenue, as s•lioWn on the Official ile thereof; line of said I.ot. �, a distance of 1913 feet; Chence Plorth and parallel to the )vast line line of of said LoC 4, a distance of 220 feet; thence East and •parallel toitl, the So!'thnt in the East line of said Lot , being in said Lot 4, a distance of 198 feet to a poi the center line of V -C Avenue; thence Soutll along the Last line of said Lot �i, a dis- the point of beginning. tance of 220 feet to Exhibit "W" A� 92-29472 EXHIBIT LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT VILLA VERONA SEWER PROJECT CWG PROJECT N0. C-06- 2987-110 AP1l 5(, -III -18 ADN 403 I LEGEND —•-- r,DPr_rrrV LINe EA. -Se mr-"T ` PIPct.ING/F,-GILlTIcS 5T RUCT URG ^.p W. A55e550RS PARC -e - ►�• /_S5eS5mr-"T DIAGRAM NO. _...-- C0UwrfY C161+T OP wrY 15/ V -E ROAD Q Exhibit "W" m '• I CIIARFUR, MARTIN &. ASSOCIATES 104 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 unnecessarydeky 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 imprroo went : YES 2 --'NO O 2. I HAVE; HAVE NOT 13 signed an application for a building permit for the proposed WO& 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: NAINIE: ADDRESS: CITY: PH0N`E: 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: PROP) SOCIA DATE: NOTE: This Owner -Builder Verification is required by Section 198.31 and 198.32 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, X6k Mic el C. Vi iia, C.B.O. M ger, Building Inspection NOTE: Tris Owner -Builder Information is required by Section 198.10 of 1be Californla Health and Safety Code - OVER �v A� _5 F4(E D N ! ►y, ------- a �o v r Ail. STRUCTURES AND EQUIPAAENT INCWDNM OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF S FT. FROM THE SIDE A?A) S FT. FROM THE FMR PRGPE13 TY LYNES AND 1—FT. FROM THE ROAD CENTERLINE SHALL BE QLEAR OF STRUCTURES AND EQUIPMENT EXCEPT POLI A 2 Fr. E�TOVERHANG. i ygySQ�T ADD GrV t3G a Roco- m ANtJ 34rI4 1� n Lo J y iNG. ®EPAR3"O -- — — .: s w 6-7 ffft. J d c CL a Q z � g m J N 0 _2 O Z gf ` Z m g t a a 25 FRO NY 14' APPROVC-CYA Nr TI -� cy--N <) a C - ti UN VA UZ, 4w 4 J� seta � rw� Y. NOTES I rl RESIDENTIAL - 036-111-018 01-0769 LEAGUE, BART 4990 VE AVE. OROVILLE CONT: OWNER CONVERT STORAGE/ BEARING WALL 11 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER I JOB FINALED (Date) 0z_ Signature V = OK 0 = Not OK - = Not Applicable = Not Ready 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.-/ P' Ftg. Depth 45. 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-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_,x,4&"& & rleils Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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/Meth 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 ❑ Yes ID No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels -Motors -Meth. 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 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 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 & Bearino 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. PI on Roof Overhang -Attic Vents -Rafter Outriggers ding -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-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s teps-Door & Sidelight Protection -Landings Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Et�cem 6uitinQ Bath Fixtures & Tub Access -Spa Le-Elec. Trim & Subpanel, Breaker Sizes & Labels 69_,x,4&"& & rleils p aceor Stove, Clearance -Hearth lac. Outlets at Woo a 1; Int. & Ext. 7 nd-Air Gap -Cooking Clearance Elec. Outlets & Receptac s at Kit. Counter 7 - losure 75 7 omb. Air Connector-P.R.V. in Gar"; Above r -Mach. Protection 77. EIec. A_tMj EAuip. Listed for Location (F.F.I.)-Romex Protection nsulation- Foam- Looked in Attic ion -Post Caps 8 iainage & Wood -Earth ` Clearance Looked under Floor ❑ Yes 82. Followino Inc_tld /Drive -1 Yes No/Walks J Yes J No/Planters J Yes J No 83 84. ctrical-Plumbing 85. ppliance-Fireplace-Clearance to Openings 86. isconnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground ntilaI, -hroughout House ass Protection 9 rom Previous Inspections 92. r ewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates J_Addreec Pncted Dateand 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 0 = Not OIC - = Not Applicable =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts -Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Rooting 11. 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 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert, of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche 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 -Bea ms- 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-Rooting 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-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 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -A E.H. USE ONLY Plot Plin4A,rtachad Floor Plan Attae eS Sant to 8.0. i Owner Location AP# Plan Approved for: Sewage Disposal':;, -4 Water Supply: Public Private Well Clearance for—dwe"ig. Other 24 41)' Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 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 I/ tzceq ASSESSOR PARCEL NUMBER 036-111-018 ZONING BUILDING PERMIT OWNER LEAGUE BART TELEPHONE -436 SO. FT. OCC. BUILDING VALUATION 60 UR L200.00 . OWNER'S MAILING ADDRESS 4990 VE AVE. OROVILLE, CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1 200.00 ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 4990 VE Aw ngoyTT.T.F., CA 95966 Energy Plan Checking Fee $ PERMIT FEE $ 72.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: COVERT STORAGE, REMOVE BEARING WALL 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 Feel 20.00 Main Service aOOV OR LESS 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo a following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall 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' comp nsation provisions of section 3700 of the Labor Code, I shall forthwith com with those provisions. _ Date "� -V re Si natuof App (cant- Owner ❑ Contractor 13Agent An OSHA permit is require for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST. DWEwNo OCCUP. s0 OR ADDNS. ( 6 Acc. BLOS. 3.5QFT: T. NON-ROERIIDD. "LTI.O cu 97.50 PDWER APPARATUS 8 SINGLE 011RET CIR. :0050 Ex. Occu OUTLET OR FIXTURES BAS @' 50 FIXED APPLNS. OR Ex. Occup.. olm. RESID. EA 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 25.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ c TOTAL FEE $ 97.00 HA2. D. FEES IMP FLoo CDF PARC �D HD This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abo for hich fees h e been paid. By Da to 4/13/0) PERMIT EXPIRES ON Dete Receipt No. 315216/97.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4, 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 w _ be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ ] NO[ J. 2. I HAVE[ j HAVE NOT[ ] signed an application for a budding permit for the . proposed work.. J ' 3. I have contracted with the following person. (firm) to provide ,. Aeproposed construction: NAME: ADDRESS: CITY: , PHONE: CONTRACTOR'S LICENSE NO: - r. ':3•: F 4. I plan to provide portions of this work, - but I have hired the following pension, 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 followin&.P r ns to provide the work indicated: NAME ADDRESS PHONE TYPE OF7w6ttk W SIGNED: PROPERTY OWNER: SOCIAL SECURITY.. NITNIBER: DATE:�o� NOTE: This owner -Builder Verification is required by Section 1983.1 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 wner 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 -per'sonally 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 (mclnding 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 9aarrity taxes, workers compensation insurance, disability insurance costs, and unemployment compensation ons. f 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 informition `about your obligations under State Law, contact the Department of Benefit Payments and the Division -at 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. , , /I* 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. ly, N InspectionC.B.O.CVrN ger, Building NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Insulation Certificate BUILDING OWNER: BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) BUILDING PERMIT #: Brand Name Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name =J Thickness (inches) /� Thermal Resistance_(R-Value) 3U Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL p Material Thickness (inches) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Brand Name - Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) , ..rmal Resistance (R -Value) . Declaration I hereby certify .that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the rnia Adminis e Code.: (Builder j License Number Signature and Title Sub-Convactor (Insulation Installer) Date License Number S ignature and Title Date THIS CERTIFICATE MUST .BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 ADDMONS TO RESIDENTIAL, BUILDINGS ENERGY SHEET PACKAGE COMPLIANCE climate zone Permit M I -%G _ Floor Area Q Thc following dots ehowinB mandatory and mgttltod features shall be Walled for addition to dwW1np. Additiar>: to dweJllnp tnelode room addidt;tta, eonvcrtlag gorges and to livtnt patios areas, house moves that add lbotage and attic eonveralon,aad i any JPwg dtat 12 =lstinS not. conditlw►od space that is converted to conditioned R odding of Vdsdug conditioned i space is not mduded. Climate Zona I l and 160 Component ti100 s9R 101-499 500 <1Q00 sgft Cetlutg Las. R-19 R-38 R 38 WaU Ins- R-15 R 1S R-13 Floor Las. R-19 R-19 R-19 Slab Edge Ins. NR 'NR, NR, R-7 R-7 Glass (Ll) .75 .75 65, .60 M Gtsu SO s9ft 16%+Removed 16%+Removed Shading CoeB(S&N) NR .66 .66 Shading Coeff (W&E) NR A0,66 -40,66 Thermal Maw NR S% Raised S%Raised 20% Slab 20rY• Stab Heat, Elect Resistance Not Allowed Not Allowed Not Allowed Heat, Gas AFUE Me AFUE 79% AFUE 78% Heap pump Split Sys. HSPF 6.8 HSPF 6.8 HSPF 6.8 Heat Pump Package HSPF 6.6 HSPF 6.6 HSPF 6.6 Cooling Split SYS• SEER 10.0 SEER 10.0 SEER 10.0 Cooling Package SEER 9.7 SEER 9.7 SEER 9.7 Increased 8 of Wtr Htrs Allowed w/ talcs. Allowed w/ talcs. Allowed w/ cake. *One entry/column — req both Zones 2nd Special FestureVRemarks Loan Fin lnsukdon (Densipr) urfiltratlon Control (Waadorsa;P Qoas.eatiRed winao.s. aaDcin a) VVW Buticr (Zero 16) Duet; Per Uniform Meehudeal Code - CIL l0 Liahiina Kirehen and Bob not Im than 40 Lwnent/Watt Daign COmplimee Statunent TN Awre budding daW* , is the roauiremenu of T' k +. Parts 1 and 6 of the Californpl Code of Reptsdeas. (Property owner/contractor) 3a. 1—DING, DEP j q ° " E I 2A •.a 7LC4ccoaCC oo I u^►_uz � nau num mac• � nu, oc_c7_-�nr• JN �O"0, m 7 � r 5L C- R S Ys -re YL -1 ?tA LAJ 0 �Q DccK NOTES: ` . 'RESIDENTIAL • :.,I'{ _ i x �(f, � 036-11-1-018 00-0647 PERMIT NO. _ ! / ;r "LEAGUE, -4990 V -E Rd., Oroville% Add Stg/SF,' '. " � •y V 1� SPECIAL CONDITIONS SRA - I FLOOD CERTIFICATE REQ: FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY JOB FINALED (Date) v O { Signature f I _w SPECIAL CONDITIONS SRA - I FLOOD CERTIFICATE REQ: FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY JOB FINALED (Date) v O { Signature V=OK 0 = Not OK - = Not Applicable = Not Ready 65. RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 3. Ftg., Garage; Soils- Steel- Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-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 83. Card B-1 Date Card B-1 Date 84. Card B-1 Date Card B-1 Date 85. Card B-1 Date Card B-1 Date 63. 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 93. Energy Compliance Certificate -Other Certificates Date 94. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Date 23. Fixture & Transformer Clearance -Ins. Protection Date 24. Elec. Receptacles Spacing -Lights & Switches at Doors Comments at Final: 25. Size Boxes & No. of Conductors Stapled 26. Ramex 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 AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes O 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 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits 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 jingle & Duplex) Date 65. 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 82. Following Inslld./Drive ❑ Yes 0 NoMalks ❑ Yes 0 No/Planters 0 Yes ] No Date 83. Card B-1 Date Card B-1 Date 84. Card B-1 Date Card B-1 Date 85. 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 Q Yes 82. Following Inslld./Drive ❑ Yes 0 NoMalks ❑ Yes 0 No/Planters 0 Yes ] 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-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ,/ = OK 1 0 = Not CK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Size -Spacing -Marriage Line 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Drain; MH Test -Fall -Flex Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Gas and Electricity Tagged 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance 8 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 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, COVE S, CARPORTS GARAGES (Plans) OK except #'s 4. )1 Z ng Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel Elec.; Pool Lighting; 15 Volts-GFI 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 7. 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 10. 6. orts; Wi dows-Doors Light Niche . Electric rm ; SiII j*- 6 -Stu�,S.R� - Qssee--- Card B-1 Date Card B-1 Date i ; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings raced Wall Panels Date,Card B-1 Date / . O b Z_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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Ordville, California 95965 • Telephone (530) 538-7541 pP MI/NO (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-111-018 ZONING AR BUILDING PERMIT OWNER BART LEAGUE TELEPHONE 534-5436 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 4990 VE AVE OROVILLE CA 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 10 39 �7' §UjLQ�Nf.TAQD ssAVE, OROVILLE Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBONIS ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF XX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition XX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STORAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Is121 WE -+@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 V OR Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: [' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( SO . 3,5QFT. NEW CONST. MUAcc. �ET NON -REBID. @7.50 POWER APPARATUS a SINGLE. c,R. Ex. Occup. OUTLET OR FIXTURES @''00 SA20 L @ .50 PPLNS Ex. Occup. ounFis RES D.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = 24.20 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com Mwith those provisions. X Date ^� It Signature of App (cant - 719wner ❑ Contractor ❑ Agent�j�, An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in h i ht. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $/ 113.3 HAz ES I C P Iss This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By `a�W "I r V►� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. o j 5/6D "! �t✓/ ✓ D` D e ReceiptNc WHITE-D.D. .-B. D. CANA -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 ivkt be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of -the := proposed. property improvement :YES NO[ J. 2. I HAVE . HAVE NOT[.....] sipan :application foc .a budding permit for the proposed ork. 3. I have contracted with the following " person (firrii) to .. provide" "the "proposed construction: NAME: ADDRESS:._... _ CITY: PHONE:._-. —:--- 4:" 1 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+ersons to provide the work indicated: - .. NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: D ATE • " 3 - 3 1 - - 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. May 1995 2.26 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-buildee, 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 unemployrnent compensation contributions. 0 There may be financial risks*for you if you do not carry out these obligations,"and these risks areespecially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the IntehW Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information, about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbuilder" building permit, erroneously implying that the property owner is providing his or her -own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This O- ner-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 f BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: Building Permit# 00-0647 Expiration Date: 4-5-01 A.P. # 036-111-018 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: kA Permit work started, but not completed. Permit may be renewed for '/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ J A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yrs very truly, C. Vieira, C.B.O. -, Building Inspection MCV:lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 Counig LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: Building Permit# 00-0647 Expiration Date: 4-5-01 A.P. # 036-111-018 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: kA Permit work started, but not completed. Permit may be renewed for '/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ J A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yrs very truly, C. Vieira, C.B.O. -, Building Inspection MCV:lt Attachments Chico Office - 411 Main Street, Chico / 891-2751 Loaft r41 (ASUludon (Density) Inr,kMtbmcoaw(w-----Cr*dom.enti&d--h WN.CauStina) vapor Barrier 16) Ducts Per Uniform mecha*d Code - CIL to Lighting Kifthan and Bo not Im dan 40 Lurnc"LpWan Design Compliance SWunent 1U AW4 budding duiP mm" The mquiremcnLt 0T )-VOd of the caliromial code of Rep"ju. S O 17Fu (Property o'Mer/contractor) �-UUNTY r)CM A f,,. w A P P k3 oy'� r5 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET Owner PACKAGE COMPLIANCE limate zone Petrait 11 Floor Area 'Z-0 The 111110wIng daps bowing tawdatoly and requirod fkam shall be Installed (Or AddWom to dwaffinp. Additions to dvW,410 include to= additions, converting &WMCS and patios 10 "vtng uu% house moves that &otop Sony JpwC dW Is exbtag pus is not indwe& add and attic emve"jou4uW r'"-'condItIOned SPWC dwt is converted to Conditioned spa=. Remodeling ng of odsting conditioned Climate Zones I I and 169 Component 7— <-100 sqft — �101499 1000 500 <1000 sqft Ceffing InL R-19 R -38 Ef — R-39 Wall hm R-15 R-15 R-15 Flo" hu, A-19 R-19 jsq11 R-19 Slab Edge kL NR NR, R-7 .7 NA, R-7 Glass (U) .75. .75 65,60 Max. Glass so sqft 16% + Removed 16% + Removed Shading Coeff (S&N) NR .66 .66 Shading COeff (W&E) NR 1.40,66 .40,66 Thermal Mau NR 5% Raised5% Raised 20% Stab 20% Slab Heat Elect Resistance Not Allowed Not Allowed Not Allowed Real, Gas AFUE 78% AFUE79%AFUE 78% Heap pump Split Sys. HSPF 6.8 HSPF 6.9 HSPF 6.8 Heat Pump Package HSPF 6.6 HSPF 6.6 HSPF 6.6 Cooling Split Sys. SEER 10.0 SEEK 10.0 SEER 10.0 Cooling Package SEER 9.7 SEER 9.7 SEER 9.7 Increased # of Wtr Htrs Allowed */ cafes. Allowed W/ Cale$. Allowed w/ cales. *One entrylcokum - mq both zonez. 2nd Loaft r41 (ASUludon (Density) Inr,kMtbmcoaw(w-----Cr*dom.enti&d--h WN.CauStina) vapor Barrier 16) Ducts Per Uniform mecha*d Code - CIL to Lighting Kifthan and Bo not Im dan 40 Lurnc"LpWan Design Compliance SWunent 1U AW4 budding duiP mm" The mquiremcnLt 0T )-VOd of the caliromial code of Rep"ju. S O 17Fu (Property o'Mer/contractor) �-UUNTY r)CM A f,,. w A P P k3 oy'� r5 rA W ' _ r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVII ON' 7 County Center Drive - Oroville, California 95965 - Telephone (916)538- 5�1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Q7` C41Q.. ASSESSOR PARCEL NUMBER 36-111-018 ZONING AR B ILDING PERMIT OWNER BART LEAGUE "' "�� '_a -- 534 5436 SO. FT.: OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4990 VE AVE OROVILLE CONTRACTOR'S NAME SKYLINE ENTERPRISES TELEPHONE 933-2773 CONTRACTOR'S MAILING ADDRES 2011 HIGIMNAD BILLS DR EI DORADO IIILLES CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4990 VE AVE Energy Plan Checking Fee $ OROVILI.E $ PERMIT FEE S LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00' USEOFSTRUCTURE SF ❑� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation C#. Other ❑ Describe Work: INSTALL 11EW A/C Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license's in full force and effect.19®/ License Class /, L 241 e12 'I Lic. No. '� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( s ACC. S. SO 3.50FT. NON-gESjpT MULTI.OUTLETCIRCUITS @7.50 POER APPARATUS & SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDRURES 20 Q 100 BAL @ .50 FIXED APPINS. OR Ex. Occup. oU ETs RESID. EA 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 25000 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. i� I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 'r��z` /��' MECHANICAL PERMIT Filing Fee 20.00' Heating Cooling 3 T JT.tt Hood 6.50 Ventilation PERMIT FEE $ ' Policy Number GAG'/!i Z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X __ Date ��/C/ _ Signature of Applicant - ❑ Owner ,F ConUacto_r ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of struc-ures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE - TOTAL FEES 60.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have boon paid. .: rl� �%�Q �,� 3— 7 S - By _rS tTW Date / _ PERMIT EXPIRES ON 3 5 j? DatO Receipt No. L y`� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 1L97 -PERMIT (Rev. 12/96) APPLICATION AND PERMIT (j�- ASSESSOR PARCEL NUMBER 36-111-018 ZONING AR ILDING PERMIT OWNER BART LEAGUE TELEPHONE 534-5436 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4990 VE AVE OROVILLE CONTRACTOR'S NAME SKYLINE ENTERPRISES TELEPHONE 933-2773 CONTRACTORS MAILING ADDRESS 11 HIGHLNAD HILLS DR EL DORADO HILLES CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4990 VE AVE Energy Plan Checking Fee $ OROVILLE $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation lX Other ❑ Describe Work: TNSTAT.T, NRW AI('. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE i ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service . 'OR V OF'LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license 'M in full force and effect. •� License Class G� el, L - Lic. No. S� 9 / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BUDS. So 3.52FT; NEW CONSY. NON-RESID. ANCH CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20@ 1.00 BAL Q .SO Ex. Occup. OUTELE S RESID.oea 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 25.00 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' co �insurance carrier an I policy number are: Carrier ry MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number d ®2. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with th6se provisions. Date ��% _ Signature of Applicant - ❑ Owner ,Contr_actor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 60.00 HAZ. D. FEES IMP FLOOD CDF PARCEL - HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees, have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been°paid. �_ 7 Date 3 -r Date Receipt No. 210099 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r� - RESIDENTIAL '036-111-018 92-2523B ;LEAGUE, Bart 4990 V -E Ave, Oroville open deck/sf 1 JOB FIN u Signati J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL, (; ' = Date UNDERFLOOR (Plans) OK except It's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.; Vent -Access -Combustion Air -Baffle ------------ -------------------------------------- 17. Water Pipe; Test & Anchor -Nail Protection ---------------- ---------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------------------------- -- ------------------ 19. Shower Pan: Test. First Floor -Tub Access 20, Test -Tub & Shower. -Second Floor -Tub Access ------------------------------- ------------------ - 21. Gas Pipe: Size & Anchors ---------- ------------------ -------- ------- -------------------------- DateCard B_1 ---- Date - Card B-1 -------- - -- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. Protection - - - - -------- 23. E-lec. Receptacles - Spacing -Lights & Switches at Doors - ------- --- ------------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled - -------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. - - - --------- -------------- 26. Equip Ground made up w/Meth. Fastners-Bond Gas & Water --------------------------------------------------------------- --------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ! ga. Cu or AI 29 Range Circ 1 i 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 Light -Shower Light -Spa Light ----- -- ---------- 33. Smoke Detector --------------------------------- ---------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support -------- ----------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------- -------------- ----------------- __________ 36. Conden=ate Drain & Overflow Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- ------------------------------------------ ----------------------- ------------ - Date Card B-1 Date Card B-1 - ----------------------------------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except fr's 39. Sils. Proper Material & Anchors - - ..---------- ------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing -- - -- - ---------------.------------------------------------ -- --- 42. Draft Stop in Walls (rat proof) -- -------------------------------------- ...... . ................. . ...... 43. -----------------------------------.------------------------ 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub ------------------------------ ------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors - 46. Ong. Joist-Rftr. ties-Purlin-roof Bra c-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 -Ceilings 60. Infiltration -Walls -Windows ---------------- ------------------------------- - Date ___________ Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedro_om Exiting 65. G F.1' & 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 -Meth. Protection ------------ -------------------- 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------------- 77. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------ - -------------- 78. -Guard -Rails 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 Cl No; Planters --O-Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Unit Disconnect, Electrical, Plumbing -------------------------------------- 83. ------ --------------------83. Vents Above Roof; Plbg.-Appliance-Fireplace.-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 Inspections ------ --------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval -- 91. Energy Compliance Certificate -Other Certificates ------ .------------------------------------------------------ Date Card B-1 Date Card B-1 --------------------------------------- - - --- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK " O = Not OK Not ApplRe4dyable MOBILE HOMES ' Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS; COVERS, CARPORTS, GARAGES, (Plans)OK except #'s . Zoning Requirements -Setbacks -Easements ootin s; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Steps -Doors -Landings Date /C 2,i 9ard B-1 Z,4 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 (_ COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Salifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-2523 ASSESSOR PARCEL NUMBER ZONING 036-111-018 BUILDING PERMIT OWNER BART LEAGUE T 53+ ~5436 SQ. FT. OCC. BUILDING VALUAT N OWNER'S MAILING ADDRESS 4990 V—E AVE OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 1,008 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE ND. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4990 V—E AVE OROVILLE 95966 Permit tee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent' 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF E� Duplex❑ Mobilehome❑ Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: OPEN DECK Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA) CONTRACTORS LICENSE LAW / DWELLING OCCUP.q\ NEW CONST.OR _37.50 3.6Q sq.ft. I declare under penalty of perjury (Check One): ADDNS. \ ACC. BLDGS. II NEW CONSTR.ULTI-OUTLET @ 5.00 ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS NO ESID BRANCH CIRC ITS /POWER APPARATUS hl and Professions Code and my license Is In full force and effect. 1 SINGLE OUTLET CIR, I License No. Classification EX. Occup(20 U OUTLETS OR FIXTURES 76 I, as the owner, or my employees with wages as their sole compen- FIXED Ex. Occup. OUTLETS PRESI C.)REA.J I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. bVirin g '15.00 ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g (jam I shall not employ any person in any manner so as to become subject '--WW Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. occ CONSTTYPE 1 also agree to save, indemnify and keep harmless the County of Butte against TOTAL F E $ 59.00 all liabilities, judgments, costs, and expenses which may in any way accrue HA2 DFEES IMP FLo CDF L PARCEL PD IS against s County in consequence of the granting of this permit. r ` Date /'� 7- �7 Z L r This permit is hereby issued under the applicable provi- Si Signature of Applicant — O r ❑ Contractor ❑ Agent ❑ sions of the Butte Co my Code and/or resolutions to do An OSHA permit is required For excavations over 5'0" deep and demolition or construct- work indicated b for which fees have been paid. ion of structures over 3 stories in height. D R LIC WORKS BY D e Receipt No.117731 PMNIT EXPIRE Date - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT „Y_-_ w' COUNTY O� BUTTE.,,-, DART EN . F'USLIC W BUILDING DIVISION 4.a -y 7 COUNTY CENTER DRIVE - OROVILLE, C.AWFORNIA 95965 - TELEPHONE (916) 538.7541 PERMIT APPLICATION DATA SHEET OWNER �G r f A- P. o. Proposed Building Use __4P V1 lPc =Building 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 BY 1. All items have been submitted. ...........�! ......... . ................. 2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans...... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated and A/C Buildings. ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer. ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit.......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . uest 20. Pre-inspection for to Building Ins re t required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .............. 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use.......................................... 28. Mobilehome utility clearance.............. ....:....................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits....................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and old for picku t office. Deliver with inspector. Other O 0 Parcel Creation Acreage - Applicant �` _Date -7- r`7' Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (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 mail Coynter by _ Date Contractor, designer, owner, was advised of above required data"by _ phone _ mail C6unter by _ Date Plans checked by Date Plans approved by Date _ Sets of plans on hold in File cabinet A AP folder Copy - Department of Public Works .. COUNTY OF BUTTE'- Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature: :Please complete and return.this information at your earliest opportunity to -avoid unnecessarydelay 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 constructioq of the proposed property'improvement (yes or no) 2. I (have/have not) ✓ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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: �Q Property Owner U/9264Gt/E Social Security Number (/ -?- Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. T4 -PLYWOOD `CC ETF T_ utyp L+j . . . . . . . .•YYOFBUTTE DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 I4%14"MIN. F-067-IN6 Telephone: 538-7541 Oe Z r - IF FRMN G. 2p , . . . . . . . .•YYOFBUTTE DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 I4%14"MIN. F-067-IN6 Telephone: 538-7541 FRMN G. > STAIR 0.0. MAX. 12 12"PlEgS r "TDF VIEW H AUDIZZAIL, NOT SHDWM FOP, C1_KIZ1T\(. L X4",x b" D F 2 Ty.,VDECKING 3/0 e 0 LT GIRDERS I Ys' T4 (S PLYWOOD C 11. EXT... MOBILE HOME'' MAX .1 h Mi -L. FRK MAX, CLT PE (Ek. q,MIN. 4 4%G., GrUARPRAIL. Tx 12 *'ZID17. ><. 2,x4„ PRESSURE' FA rn oR .r DOLTS OD PLATE Pj "j L7'r NTMEr" PRECAST 4"x4" POST PIER -AD504TE- 0060NAL- % mi'll. , 1 13RACING:. TYPIN 'ife,41 12 Fq /DF'A1r1.4Z',67,,Z-P < J9 . . . . . . . .•YYOFBUTTE DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 I4%14"MIN. F-067-IN6 Telephone: 538-7541 t'. .��, •_.. ra,r •`Y:='d Y'tS"-,-ai `k.:.r�'siti"'•{iF'``w�,.-iy.w?t iT'+'t..` •sn'atk,`ia' a' ; „yw*'1:r4 1: i"`'5v�,d'a�^ai+Y1'`f'k+'S.,,r.' AM i t\ 036-1`1`-1-018' ' {8 '. LEAGUE 93- p'M t BART ' 4990 VE AVE, 'OROVILLE ; WATER, HEATER & FURN 4 ;CE ' S + t � , .a. '••°`r•i a •. • Ld C 1 , .'rp�sna"�.�� :.v�>'ter:�,t:�,"•°�r�m,''�',-`'�'�„'P-'w.`�'�'i�:'�,•mower.�„�;;�"'t`-'";;mar-r-�-�fg"r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 19 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-111-0119 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 90 V Ave. Oroville 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 155.00 Permit Fee $ ARCHITECT OR ENGINEER N LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 4QM VF Ave,, Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.001�yO LOT NO. SUBDIVISION NAME PARCEL MAP Water piping j 7.00 .O Each qas water heater or vent j 7.00 7.00 USE OF STRUCTURE SF g Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets j 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition❑ Remodel ❑ Utilities ❑ Installation❑ Other [N Describe work: Water Beater & Furnace Permit Fee $34.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) F1I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A1 37.50 NEW CONST. ( DWELLING OCcuP.yd\ 3.64sq. OR ADDNS. ACC. BLDGS. // ft. NEW C - NSTNON-RES D R BRANCH CIRCUITS 5.00 (POWER APPARATUS IN SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20S760 LL_ ARA FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.� 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Forced Air 1 9.001 99cu— Cooling Hood 6.50 Ventilation permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this permit. X N 7 1 ^ ' 1 1Date 2- t ' 3 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. uc Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 58.00 HAz 1 0FEES I IMP I FLOOD I CDF PARCEL PD HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR �OF PUBLIC WORKS BY Date -3/Y/" J� PERMIT EXPIRES Date 2 4, /:,/rt -,r `f Receipt No. 1352 WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 036-111-018 ZONING BUILDING PERMIT OWNER ue Bartea TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING DDRESS p VE Ave. Oroville 95965 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NOnp UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER Nnnp LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 499n HE Avp-, Orovillp PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7,00 Each qas water heater or vent 1 7.00 7.00 USE OF STRUCTURE SF[J Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe work: Water Heater & Furnace Permit Fee $ 34.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification IdFIXED 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) ❑ 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC, BLDGS. I 3.54 sq.ft. NEWCONSTR U TI -OUTLET NON•RESID BRANCH CIRC ITS @ 5•00 (POWER APPARATUS e1 SINGLE OUTLET CIR. I EX. OCCU p(OUTLETS OR FIXTURES 20 @ 75 APPLNS. OR EX. Occup. OUTLETS (RESID,) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 FiIirig Fee 15.00 Heating Forced Air 1 19.00 9.00 Cooling Hood 6.50 Ventilation Permit Fee $ 24.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agaipsygaid Count in consequence of the granting of this permit. X &c. Date �- / - 9f•3 signat a 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 S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 58.00 HAz 1 DFEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees RECTOR OF PUBLIC By A PE IT XPIRES Date applicable provi- resolutions to do have been paid. WORKS Dat(;,/3 9� Receipt No. 135482 WHITE -D. P.W„ TELLOW-A33f930R, PINK -INSPECTOR, GOLDENROD -APPLICANT ,`. guy f Ir-•+t�'jr-�, ��,�.•,•.,c`1+�. (.�,,,� �✓i•`{�..i'��1"�--•�"��4..--..-.,.rr+,../......t..4n,,•�..-. � 1.../'f �"",..v. T. -....y .,, , ,r , . ... +P t. _ `a'1COUNjYOF BUTTE - DEPARTMENTOFDEViELOPMENT SERVICES - BUILDING�DIVISION f . 7 COUNTY CENTER DRIVE - OROVILLE; CALF F6FiZk& 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER C'all A. P. No. Proposed Building Use Building Inspector Date At timeof p Emit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $........................................ . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. o a�,a �9 nspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _ ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. ' 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hd for pic atI office. Deliver with inspector. Other Parcel Creation Acreage Applicant ` Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date , By The following data must be submitted prior to permit issuance: (Circle new item not checked above) 1. Index permit for above items No. i 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder • `'" '., "'" �" "`Y' Copy - Department of Public Works 7r l %° COUNTY OF BUTTE - Deparement`of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and -return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed. property improvement (yes or no) 5 2. I (have/have not) k.(a J�'_ signed an application fora building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: r /� Name t�f 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 I 1 Signed: Property Owner Social Security dumber /-/ Date 3-Y3 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. RESIDENTIAL 36-111-18 2373-91B,P,E LEAGUE, Bart „Y 4990 V -E Ave, Oroville (addition/sf) 0 • i, Q. ,p j f.yG K 1 JOB FINALE Signature J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL = Date UMERFLOOR (Plans) OK except k's 1. Zoning-Setbacks-Easements-FNd-Slope Ftg., Main; Soils-Elec. Grnd//,�g. Depth 3. Ftg., Garage; Soils -Steel -Flet. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped +9"-STemwalls. Garage; Steel-Blockouts-Wrapped --6a-Hold Downs and Special Anchors 7. 'li; Steel -Wrapped 8. Pi Fireplace Ftg.-Steel jPO'D.W.V.: Fall -Fitting -Test -2 Way C/O -Sewer Test -.19-3F. Gas Pipe; Size -Anchors - yard gas piping: size -test ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. P' ums & Ducts; Clearance -Material -Support -Ins. Aof'Gigs-Sills-Anchor Bolts -Joists -Vents -Cripples 15olIA-ccess & Ventilation_ Insulation Dat - -`r Card B-1 Date Card B-1 Date,//— Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except P's 'T6 dater Htr.: Vent -Access -Combustion Air -Baffle ------------ - --- — ---------------------- - a ipe; Test & Anchor -Nail Protection _- Test -Fittings & Anchor -Nail Protection-- ---- ----- hoover Pan: Test• First Floor -Tub Access Fir -------- ----- ------------------------------- est Tub &Shower. Second Floor -Tub Access - ------------------------- -------------- Pipe: Size &Anchors --------------------- -- ------ ---- - - - --- -- -- - -- -- ------ --- - Dat4/4-----Card B-1 ate Card B-1 -- ------------------- ---------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except P's X33 -Pix ure & Transformer Clearance -Ins. Protection --------- le -- ece tacles Spacing -Lights & Switches at Doors ----- ---- - -- ----- -- - iz xes & No. of Conductors -Stapled o Installed Close to Edge of Studs & C.J. quip. Ground made up w/Meth. Fastners-Bond Gas & Water -------- ----------------------------------------------------------- ----------- pliance Circuts in Kitchen & Conductor Size!GFI - --- --------------------------------'-------- ---------------- .01208. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI .,age Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------------- - --- ------------------------- -- ------ -- rvice-Riser Conductors &Ground -Main Disconnect ------------------------- - - -- - --- - -- - - - - -- -- ----- -- --- ------ -- - --- ---- ----- Clearances Panels -Motors -Meth. Equip. ----------------- ?- -- ---- Closet Light -Shower Light -Spa Light ----------------- ---------- 3. Smoke -Detector ------ -------- -- - --- --------- — - - -- - -- - ---- ---- -- rd ------ ----- - Date' - Card B-1 a Card B-1 Date card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except fr's 34. -A. -C. -Ducts Insulation & Support ------------------------------------------------- 35. Vent Fan Exhaust above insulation ------------------------------------------ - --------------- ---------- I ------------- 36. Condensate Drain & Overflow: Size & Grade 37.-Furnance Vent: Access -Comb Air -Return -Air Vent -115 outlet 3d. Attic -Access-&- Platform if Furnance m Attic ------------------------------------------ -------------------------------------- Date Card B-1 Date Card B_1 . --------------------------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's is oper Ma - - terial & Anchors -------------------------------------- ------ -- Wa uds-Nailing, Spacing & Bracing -Plates -Sound ------------------ --------------------------------------------------------------- Bear ails over -G - irders & Floor Nailing raft Stop in Walls (rt proof) ------------------------------- -- ----------------- w+/9--PI7� ops: Furred Ceilings -Stairs -Chases -Tub ---------------- ----------------------------------------------------- Headers & Beam -Size & Bearing Single & Duplex) Date FRAMING (Continued) �Han -Post Caps -Anchors -Connectors -C4� Ing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Rfng. ireplac ies or Type A Flue -Fireplace Throat clearance flit ss: Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing ----- -_ roperty Line Firewall & Openings _ xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits -----,5�3_Stairs idth-Head room -Rise -Run- Landing -Fire Protection - --- plJ� ywood n Roof Overhang -Attic Vents -Rafter Outriggers _ ing-Nailing Veneer --- -----&&-,3tmi;j esh-Drip Screed -Fd. Vents-Underflr. Access - -- 5_- lazing Area -Glass Protection -Skylights -Plastic alts: Nailing -Bolts _ Q A-- Ins n- oWalls-Ceilings cr/ Infiltration -Walls -Windows Date 4-1 Card B-1 Card B-1 ----------- - - - Date 1 Card B-1 to Card B-1 Date FIN (Plans) OK except ft's - - _ 1. Ext. Steps -Door & Sidelight Protection -Landings L522-15-moke Detector ace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection -6.edroom -Ex iting & Bath Fixtures & Tub Access -Spa -------- - ----------- - rim--- & Subpanel: Breaker Sizes & Labels ------------ "Ffails __ _ _ _ 6 ace or Stove: Clearances -Hearth Film e�Outlets at Wood Panel: Int. & Ext. & Appliance; Grnd.-Air Gap -Cooking Clearance c. Outlets & Receptacles at Kit. Counter - -- 72.-4'�Fire Door; Swing -Landing -Closer 73w -A C -7uct in Garage -Damper ------------------------------------------ 7 r.; ents-Clearance-Comb. Air-Connector-P.R.V. I Garage: Above Floor -Meth. Protection ---------- --- - ----------------------- - _ ________ ___ 5. Plb., Elec. & Mech._Equip. Listed for Location 76<f1ec'-REreptacles in Garage; (G.F.I.)-Romex Protection _ nsulation-Foam-Looked in Attic ❑ Yes ---------_78. is & -D--eck- Construction -Post Caps - ----- --------------- -- 7 dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - - -- -- - ----------------------- ollowing instld.; Drive ❑ Yes ❑ No: Walks CIYes ❑ No; Planters ❑ Yes 11No bt-Stucco: Brown -Finish 2-{tn t: Disconnect_ Electrical, Plumbing --- 83.6ve Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings _�- Disconnect, Electrical, Plumbing - i�65/Exterior Elec. Trim: G.F.I. Receptacle- Underground — "iG Ve tilation Throughout House— ------- -------- _ Glass Protection — ----------------------------------------- 4a--6erreCllons from Previous Inspections ------ -- ---- -------------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric - - - 90. Water &_ Sewer Connected -C/O to Grade -HD Approval — �T En Jergy Compliance Certificate -Other Certificates -- ----1� -/- - -=�- V- -- -- — -- — ------ --- D�-Date �ard Card B-1 ------------ _Date Card B_1 .. - __Date —_ Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK O = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME'LITILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements _ 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap: / /"L"ft. - / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance i. 'w Date Card B-1 Date Card B-1- Date Card B-1 Date Card-13-11 Date MOBILE HOME INSTALLATION (Plans) OK except #'s . - 1. Zoning Requirements-Setbacks Easements 2. Footings; Size-Spacing-Marriage Line 3. Gas; MH Test-Demand-Valve-Connector 4. Electricity; MH Test-Crossovers-Breakers-Clearances 5. Drain; MH Test-Fall-Flex Connector 6. Water; MH Test-Regulator-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability' 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip.-Pool.Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water SUDDIV Test Date Card B-1 Date Card'B-1 Date Card B-1 Date Card'B-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND'PERMIT PERMIT NO. SSESSOR PARCEL NUMBER 36-111-018 ZONING - A—R ' BUILDING PERMIT OWNER BART LEAGUE TELEPHONE 534-5436 SQA FT. OCC. BUILDING VAL ATION IR OWNER'S MAILING ADDRESS 4990 V—E AVE OROVILLE ' CONTRACTOR'S NAME OWNER TELEPHONE CONTRAC MAILING ADDRESS Fireplace ct7 CONSTRUCTION LENDER GREAT WESTERN UNKNOWN � � __gyVpp Total Valuation $ -24r,-6844 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ORO DAM BLVD Permit Fee $ 170.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 85.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4990 V—E AVE OROVI LE Permit fee $ 280.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 6,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 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 5,00 Mobile Home S I G I WT 10-00ea TYPE OF WORK New ❑ Addition [ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ 26.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. , /z¢sgit 12.10 NEW CONSTIL MULTI -OUTLET NO N.R ESID BRANCH CIRC TS 2.50ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eALo 2AL030 FIXED APPLNS. Ex. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 9 15.00 E_ I Permit Fee $ 99 in 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. 91 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 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County i co.sequence ranting of this permit. o � ' Date ,�� /� Signature of Applicant — 0 ner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 .j TPE TOTAL FEE $ HAz. Cun PARK SC H F CDF I 7,AA :1: P -Er I I H • ISS This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated a ve for which fees have been paid. D TOR IC WORKS JZ N G BY Date PERMIT EXPIRE A Date - d Receipt NO. 94557 358.85 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � .;.r �:.w y^'�r+. S:r-. ..'. t..". _�,iy IT, �q -'. —_ � t^ --- -�,�. i•,. :w. �..y-�.t,"r' ..,� -.. �..�s M . r S• 1' F' COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,:gALifOANIA 95965 - TELEPHONE: 916/538-7541 1 /- PERMIT APPLICATION DATA SHEET _ Permit No. OWNER 6AL� T � 11/103 01 '4 LG T?AS,. P..No. _� 0 I Proposed Building Use Building Inspector dTf2- Date -/2,--`/i At time of permit application, I was advised the following data must be submitted prior to 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................................ 13. ��/�z_��'� School Dis'ct fees aid .............. 14. Sanitation approval from La - Ith Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking,: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 2. Certificate of Workmans Compensation Insurance .......... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... .f2 Z1 4 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. I 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. ✓ Telephone A and hold for pickup at office. Deliver w/inspector. Other Applica .r Date/_Q_ D Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No 2. Additional items required: EV V411 Contractor, designer, owner, was advised of above required data by_phone ��nail_counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_counter b date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW BUTTE COUNTY SCHOOLS DEVELOP�i4ENTFEE'*C.ERTIFIC'ATION FORM (one Form per Building) Building Department No. A.P. Number 36 School D i s t r i c f- city county isdiction a__j__ur A( Property Owner Proj.eQt Location /Addre s s Subdivision Lot Number Residen+_,�al,Development: Sq. Foo�age # .'f Living MHI Addition .o (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Ar \,sentative Building DeOrr jint Repre DaVe (Floor Plans reviewed by School District Pdrsonnel) District Id N.o.� School-Disti�ict' certifies that (Applicant NanaM), all (Phone Number) V E_ (Street Address) 'A 14 kulty) has complied with the�r by the payment of State 5:kr�'(/o 46 �ip Code � uirement8 of Resoluti on No. RO-C)6 representing square feet. Sdhdol District Repre:�entative I Date PAID BY CHECK NO. REMARKS Z4446< 60'!:2 BANK NO PAID BY CASH white -applicant, yello�i-building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) (:LLA' 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 Q -v 6 P- � 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: 26�4 Property Owner Social Security Number Date '%-- /6o -mil 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: �9/16-538-7541 DATE 2`� L l4�uC A. P. # 3(0—m- 19 With reference to the above subject: / Attached is: Application fo permitMobilehome Utilities Installation Sheet Building P1ansUl Copys> Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and.completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact 90,9 i417_9 of this office. Yours very truly, JFG/aj William Cheff Director of Public Works J.F. Glander Chief Building Inspector FO R M % ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE '(A(iditions) Owner Climate Zone / Permit # Z37Floor Area 4 Oa The following data showing mandatory and required features of Package"A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. 'Remodeling of existing conditioned space is not included. ZONE 11 APPLIES . -MO NEW AREA QEI R-30 W R-11 R=11 SLAB R-7 GLAZING U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 R-38 R-19 R-19 R-7. U-.65 (Dual) INFILTRATION CONTROL (Weatherstrip_doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT.LESS THAN 25 LUMENS/WATT p MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING �(/�}C. 1 t g NEW HEATING, VENTILATING, AIR CONDITIONING ff YSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE IN T ON BACK OF THIS SHEET. dUILDING DVARTMGN 12/85 *1 HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/Yr (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 ❑ Other (describe) *1. (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other .(describe) 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) [3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form IN) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form /)5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of yTitle 24, Part 2, Chapter 2-53 of the CaAATURE10F Administration Code. B LDIN. DESIG R OR APPLICANT Building Owner Building Location ROOF Material Thickness(inches) ENERGY INSTALLATION CERTIFICATE L Building Permit # DESCRIPTION OF INSUTATION EXTERIOR WAL Material „/e1.0 Thickness(inches L.1 CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type ee Minimum Thickness(Inches) /,L - Area ,L -Area covered(ft.2) FLOOR, ELEVATED lr Material Thickness(inches) let FLOOR, SLAB Material Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) r - Brand Name &I-,�✓ _ Thermal Resistance(R Value) 1 Brand Name Thermal Resistance(R Value) Brand Name . / r Number of Bags Wt. per ba lb. Thermal Resistance(R Value) 3j�1 Brand Name G( 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, -1s consistent wit -h --approved building depart -t -men -t -plans --and -attac-hments,--and- con- forms with requirements of Chapter 2-53 of State of California Energy Requiremen FIRM X&NE/OWNER SIGNATURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the required features, devices, and equipment, az:i shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. A-97 '01- 6-r- A -G 41 e -"- BUILDING CONTRACTOR/ WN (Please Print) (FIRM NAME) 'STGNATURE OF BU NG NTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. DATE . STATE CONTRACTOR'S LICENSE NO. - SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE PNST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 0�inn O�� e7 46J4 a x s d 10 6N Ul Ll le � c� ............... . ....... L. ITAi ITJ mV 6N Ul Ll le � c� ............... . ....... L. ITAi lans.and s ped 11 S unlawful ,This set of P l to s and it kept on the job at all tim n same � ' make any changes or al rations aP artment of out written permisn°no Suttee Public Works, County i3Ocation of sVuctura shown equipment shah be &ta, of all easemef*s. 80%...—All Materials & Wo n`0 iS611 Be M Accordance with Recognized Good radices. and of a qudlity prescribed for th 3 Sppeci�fi d ase in the Uniform Building, Plumbing -4( echani Codes and [+116 taional Electrical code. a \o BCOUO�WTY BUILDING D6PARiN4E19* APPROIlED H P'. BUTTE COUNTY 3UIL®ING DEPARTMENT 4 PPP()®/Cr) -)- - -# 4 Cb kvT- '�{s 1; t i '�{s 1; t AO N 73 - IJ Z UA k4- UO,- cl� alli3 Z 3 A AO N 73 - Z UA k4- UO,- cl� Z 3 h _ ,. .-- -._.. � . - . ' . -.-. -A,, n[al Heath 0 3 SL _..._.. ...... ..:��.._.... ..3. -.... .............. - .. R hi Califo 114 i BRACED WALL PANEL BRACED WALL PANEL 5/8 8" O.C. DURA -TEMP SIDi S R bW0 WALL PANEL =r 5 Environmental Health L/6 5/8' 8" O.C. DURA -TEMP SIDING APR - 9 2001 Chico, Ca -h , is 1/20 x 10" FDT BOLTS 6' O.C. AND NO MORE THAN 9" FROM PLATE ENDS OR USE SIMPSON MAS I-r)T ANCHORS J g CED WALL PANEL 5/$ 8` O.C. DURA -TEMP SIDING. >D ��vda LOOK pi FOUNDATION PLAN ,4� St.AB , ` • I`ZY� -+2 FOOTING •6x6x10x10REMESH • �/2" REBAR 2 RUNS O bW0 WALL PANEL =r 5 Environmental Health L/6 5/8' 8" O.C. DURA -TEMP SIDING APR - 9 2001 Chico, Ca -h , is 1/20 x 10" FDT BOLTS 6' O.C. AND NO MORE THAN 9" FROM PLATE ENDS OR USE SIMPSON MAS I-r)T ANCHORS J g CED WALL PANEL 5/$ 8` O.C. DURA -TEMP SIDING. 0L .T\lp