HomeMy WebLinkAbout079-140-009Bob Bond
8b Fairhill nr., Lot 42, Copley Acresi'''
Oroville
CONTR: Butte Const.,OrovilleVJ`���3
Permit 893-73 (new single f ly)
Permit 291-77 B i/'lalory
(2 patio covers & private detached
storage building/sf) -
Permit #490-78B(lstn�al J291-
7 7) S F.�%' / :
s.. .-- -
Permit #632-79B(2n r newal/
291-77) - -- - 7,o"
3-6 =fr3-9�
Permit#822-8OB43r r w 91-77
Permit#3312CONVERSI
shed)
o�39-"* 61-0801''KEY,D86 FAILLECONT: nGARA1" I M %fie,
OMS TT
SEE ATTACHED, OROVILLE
O
PLACE CAT POWER SUPPI
_KEY, DOUGLAS
86' FAIRHILL DR, OROViLLE
SLJPP INSP FOR04-0020'
I
M10
04-3614
1—�
UP?- / L-FLVA - D 0? '
s
NOTES
RESIDENTIAL
PERMIT NO.
im ry-\
U�VtC�c-�S,Orov'�1�
0-19- 90-00°+
6 6 ? o8(O-r-a%rh',1 I
11 SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED
Signature
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMr NO.
(Rev. 12/96) APPLICATION AND PERMIT 2 a
ASSESSOffrWLq!� ^(-,HM
J 11(j
ZONING
BUILDING PERMIT
OWNER
�� T
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
°W"mss +' 0 PELL DR SACRAMENTO Ca 95838
°°"T` ' TIAST COMMUNICATIONS
T343 2473
CONTRACTQR,'SOMAILING ADDIi9s STREET CHICO CA 95928
�
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Permit Fee
$
Plan Checking Fee
$
BUILDING ADDRESS
9 OROVILLE LOCATIONS/ SEE ATTACHED
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.CO
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: PLACE CATV POWER SUPPLY
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service eoov oOR LESSR LEss
200A
9 23.00 207. CO
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 license6n in full force and effect n /— r�
License Class — Lic. No. 1 6, 5 / 1 Lo
OWNER -BUILDER DECLARATION
1 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
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the'
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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' compensation pro . ions of section 3700 of the Labor Code, I shall
forthwit c ply ' tho a isions.
X Date t (�
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionAJJU
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( a ACC. BLDS. 3.5¢FT:
NEW CONS . MULTI.OUTLET @7,50
NON-RESID. RCUITS
POWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDRURES e� @';50
Ex. Occup. ounF°Ts�aEslD.1 E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 227.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 227.00
HqZ
D� IMP
I FLOOD
CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated ova for which fees have
By
PERMIT EXPIRES O
the applicable provisions
Resolutions to do worts
been paid.
gl CC
Date
to
Receipt No.
WHITE-D.D.S.-B. D. CANARY-ASSESSPR PI -INS ECTOR GOLDENROD -APPLICANT
OROVILLE POWER SUPPLY STATUS lQf27r2oD3
lf-�-Sft-CTtc)P 9ACktT . IS IN T9 I OF 1
11
.T
NUMBER.
....
.... .. .ERfAFTTED....
. Al, NU
13
14
25
OROVILLE
OROVILLE
OROVILLE
OR07
OR13
OR13
Pol
Pol
P02
NO
NO
NO
AER
AER
AER
COUNTY
COUNTY
COUNTY
PG&E
PG&E
PG&E
036310-170
0
036440-047
LOV --R WYANDOTTE RD 2 POLES WEST OF PANO L
"ADJ 2621 OROVILLE GARDEN RANCH RD
4461 SEACREST DR
28 OROVILLE OR14 P01 NO AER COUNTY PG&E 036330-009
16 FAIRHILL DR
27 OROVILLE OR14 P02 YES AER COUNTY PG&E 036-620-034
61 FA]RHILLL DR COT
28
OROVILLE
ORIS
Pol
NO
AER
COUNTY
PG&E
036-430-032
109 GREENBANK AVE d
29 OROVILLE OR15 P02 NO AER COUNTY PG&E 036-140-013
2840 OROVILLE GARDEN RANCH RD -34
30
OROVILLE
OR17
Pol
NO
AER
COUNTY
PG&E
065-350-015
3948 HILLDALE AVE
33 OROVILLE OR17 P02 NO AER COUNTY PG&E 068343-D15
4742 HILLDALE AVE
11
BUTTE.000NTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.netldds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class: _ License Number:
Date: Contractor.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. 'Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees with wages as their
/ \ sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 'I am IEJxeem I under Article 3 he Business and
%Professions Code
Date:. Owner:'—;t �Lt�
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is Issued. My workers' compensation
insurance carrier and policy number are:
Carrier.
Policy #:
I certify that in the performance of the work for which this permit is
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith coply with those provisions.
F1
Date: V L
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000); In addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit Is issued (Sec 3097 Civ.)
Address:
PERMIT NO.
BP043614.
Issued Date: 12/27/2004 APN: 036-630-009-000
Site Address: 86 FAIRHILL DR ORO
Map Index:
Description: supplemental insp for bp04OO2O
Owner: KEY DOUGLAS
86 FAIRHILL DRIVE
OROVILLE, CA
95966
Applicant: KEY DOUGLAS
86 FAIRHILL DRIVE
OROVILLE, CA
95966
Contractor:
License #:
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
N
0 S.F.
$0.00
�0 q_8
This permit is hye6y issued under the ap Iicat
Resolutions Wdo work Indlczatedbabove rQr w Ii
By:
b�-
Dvisions of the Butte Cnunty Cody anrVor _
m have been paid.
"-4 n�ro• /,2/2 7/6
O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
6 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that'I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo 0
) 4 9:e4
Print Name: 5 I 'Signature:
Date: 1Z/j7I f/"`1
0 Contractor
❑ Agent for Owner ❑ Agent for Contractor
NOTES
' RESIDENTIAL
PERMIT NO. 036-630-009 _ _: 04-3614V
3 KEY, DOUGLAS
86 FAIRHILL DR,_OROVILLE
SUPP 1NSP OR04-00201
i
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
}
JOB FINALED (Date)
Signature
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel- Bloc kouts-Wrapped
6.
Stemwalls, Garage; Steel- Bloc kouts-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
23.
Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or At
Insulated Neutral O Yes O No
Date
32.
Service -Riser Conductors & Ground Main Disconnect
_
33.
Equip. Clearances Panels-Motors-Mech. Equip.
48.
34.
Clothes Closet Light -Shower Light -Spa Light
49.
35.
Smoke Detector
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baff es
Date
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
Card B-1 Date Card B-1
Date
Garage Fire Protection Framing -RC Channel
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
59.
Card B-1 Date Card B-1
Date
60.
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Brace Interior/Exterior Wall Panels
41.
Sills Proper Materials & Anchors
Insulation -Walls -Ceilings
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Infiltration -Walls -Windows
43.
Bearing Walls over Girders & Floor Nailing
Card B-1 Date Card B-1
44.
Draft Stop in Walls (rat proof)
Card B-1 Date Card B-1
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baff es
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
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
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (FF.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_
Clearance Looked under Floor ❑ Yes
83.
Following Instld./Drive 0 Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 3 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Oper ings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
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:
v=Q;e
0 Not OK
Not
. NotReadyable
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
Card B-1 Date Card B-1
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Card B-1 Date Card B-1
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
Date
5.
Card B-1 Date Card B-1
Date
6.
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except ft
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
1.
Zoning Requirements -Setbacks -Easements
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
2.
Footings; Size -Spacing -Marriage Line
Health Department Approval
3.
Gas; MH Test -Demand -Valve -Connector
Plumb.; Cir. Test -Water Supply Test
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Light Niche
5.
Drain; MH Test -Fall -Flex Connector
Enclosure; Fencing -Alarms
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Card B-1 Date Card B-1
8.
Gas and Electricity Tagged
Card B-1 Date Card B-1
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
rt -
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
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, 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 Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
rt -
JOB FINALED (Date) kb
Signature
i
NOTES
i
RESIDENTIAL
PERMIT NO. _.036-63,0-009.1----,--...;-04-002-0.-*
.L LIZ,
-
KEY, DOUG
86 FAIRHILL DR, 'OROVILLE
to
-
-
Cont: OWNER
!
it
tKITCHEN&DININGADDMAINSERV
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SPECIAL CONDITIONS
- y
-
't
CHECKED
BY
r.
"
SRA
FLOOD CERTIFICATE REQ.
'
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
a
SUB -STANDARD HOUSING LETTER
e
+
OFFICE COPY
Address
GAS
Meter By Date-
ELECTRIC
By D�Z 0
ter
JOB FINALED (Date) kb
Signature
i
= OK
= NotOK
Applicable
= Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date UND LOOR (Plans) OK except Ws
Hing -Setbacks -Easements -Flood -Slope
Ft 2., Main; Soils-Elec. Grnd.-// �11/" Ftg. Depth
3 tg., Garage; Soils-Steel-Elec. Grnd.-/% JyFtg. 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. Pier fireplace Ftg.-Steel
19. . .V; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. OF as Pipe; Size Anchors -Yard Gas Piping; Size Test
ater Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
irders-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 ELECTRICAL (Permit) OK except #Ps
fixture & Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31. Rpnge Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
sulated Neutral ❑ Yes ❑ No
SX Service -Riser Conductors & Ground Main Disconnect
i . Clearances Panels-Motors-Mech. Equip.
1114 -'-Clothes Closet Light -Shower Light -Spa Light
X85. Smoke Detector
Date
Card B-1 Date
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except Ws
Date
er Htr.; Vent -Access -Combustion Air Baffle
L4Eter Pi est Anchor -Nail Protection
A.C. Ducts Insulation & Support
ust above insulation
3 . 08 n�Tensaf-e_`Drain & Overflow, Size & Grade
D.W.V.; Test Tittings & Anchor -Nail Protection
. Shower Pan; Test, First Floor -Tub Access
/yi!Test Tub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
er; t
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #Ps
fixture & Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31. Rpnge Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
sulated Neutral ❑ Yes ❑ No
SX Service -Riser Conductors & Ground Main Disconnect
i . Clearances Panels-Motors-Mech. Equip.
1114 -'-Clothes Closet Light -Shower Light -Spa Light
X85. Smoke Detector
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
Date
MECHANICAL (Permit) OK except Ws
A.C. Ducts Insulation & Support
ust above insulation
3 . 08 n�Tensaf-e_`Drain & Overflow, Size & Grade
en ccess-Comb. Ait-Return Air Vent 115 Outlet
ccess & atform 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 Ws
ills Proper Materials & Anchors
W, -Walls Studs -Nailing Spacing & Braces -Plates -Sound
43el5e-aring Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
ire Stops, Furred Ceilings -Stairs -Chasers -Tubs
eaders & Beams -Size & Bearing
Date
ers-Post Caps -Anchors -Connectors
Clinq. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shtinq.-Rtnq.
e Ties or Type A Flue -Fireplace Throat Clearance
or Lxaing uoors imensions
by Garage Fire Protection Framin -RC Chan
wall & Openings
Wit: Doors -One 3' -Check Garaae 3rd Storv. 2 Exits
59-Sfairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Ivwood on Roof Overhana-Attic Vents -Rafter Outriaaers
5�.-3idhTg'ldaflhtg Veneer
tucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
&ge-G ming Area -Glass Protecti Skylights -Plastic
ear a s; ailing -Bo
_ 61. Brace Interior/Exte4efWall Panels
62. Insulation -Wal Is-Ceilin
63. Infiltration all indows
Date Card B-1 Date ! Card B-1
Date A'i Card B-1 Date Card B-1
Date FINA Plans OK except Ws
W. Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
Furnace Vents -clearance%, omb, Air -Connector -
In Garage; Above Floor - Ducts Meth. Protection
edr m Exiting 11
F.l. & Bath Fixtures & Tub Access -Spa
99.1TIec. Trim & Subpanel, Breaker Sizes & Labels
Z> -It -airs & Rails
71. earance-Hearth
Outlets at Wood Panel, Int. & Ext.
it. Fixt. &Appliance; Ground -Air -Gap -Cooking Clearance
d lec. Outlets & Receptacles at Kit. Counter
arage Fire Door; Swing -Landing -Closure
-Damper
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Gara e; Above Floor-Mech. Protection
Ib.; Elec. & Mech. Equip. Listed for Location
11 ec. Receptacles in Garage (F.F.I.)-Romex Protection
AD, -Foam -Looked in Attic
uard Rails & Deck Construction -Post Caps
dn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor ❑ Yes
8 in nye eso/Walks ❑ Yes ❑ No/Planters ❑ Yes C No
84. Stucc Brow - Dish
8 ctrical-Plumbing
ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
nnect, Electrical, Plumbing
L.58—Exterior Elec. Trim, G.F.I. Receptacle -Underground
Ventilation Throughout House
ag-ffi—ass Protection
Corrections from Previous Inspections
Test -Meters Tagged, Gas -Electric
93-W/ ter & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
96.-k6dress Posted
96+. Fir�Sprir+kfer
Date/2&A. Card 13-1 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-
0 = Not OK
. = NotReadyable
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
8.
1. Zoning Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2. Soils; Special MH Support Sketch
3.
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
Date
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Card B-1 Date Card B-1
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
MISCELLANEOUS
Date
7.
Well Clearance & Disconnect
1. Zoning Requirements -Setbacks -Easements
8.
Utility Clearance
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
7.
1.
Zoning Requirements -Setbacks -Easements
8.
2.
Footings; Size -Spacing -Marriage Line
9.
3.
Gas; MH Test -Demand. Valve -Connector
10.
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
Date
8.
Gas and Electricity Tagged
Date
9.
Tie Downs -Type -Installation Cert.
Date
10.
Exits; Insp.-Sketch
1.
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test*
6:
Water; MH Test '
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9. Exits
10.
License Decals
11. Verity #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
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, 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 Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
. �....-,,.r.�.-,d.._.,,,ti,,,...,...•^...—�.... � r � ..,yam -... , ,. .. _ _--..,-�,,. _ _`.��-,� .-.'--� ....M<
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • j530) 538-7541
CORRECTION NOTICE
lze�K O S/ Ord �a
ER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
/ dG-j✓�( 6-11-1�6r coot Ate
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
•x., CORRECTION NOTICE
R
c/-- o d .- C>
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact. this office immediately.
/11
Date/A-7///—k> G Inspector - � �d
REV 10/92 w
i
_ .�„t-'+.{•::,,.��;�_'ic�-:'tom' � . F:..'{.-.-SW-.-.=-..,w,=-_�'re�.��-I;:.,-ti-. -.y1-,..+--•=:a i• _.y:�¢�
1
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751 �...
7 County Center Drive • Oroville, CA • (5 30) 538-7541 -
CORRECTION NOTICE
OWNER r PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
pleaseecontact this office immediately.
4/'�
/ r• / r A / 1 /� A
0
U
Date Inspector
REV 10/.92
INSULATION CERTIFICATE Job Number:::::::::::::'::'5.01*0:::::::'::::::
W ....................
.. . .......... . ............................................
.. .......................... ...... * ... ......... .. ..........................
..86:Eaich l;. ..............11e .....................................................................
Contractor/Owner Name Job Address (street, city, state)
Butte
County Subdivision Name Lot Number
DESCRIPTION OF INSTALLATION
1. ROOF
.... .........
Thickness (inches):
...............................
3. EXTERIOR WALL
Frame
........ .......................
A. Cavity insulation
Material: F.
Thickness(inches):3.1. ......... . .... .....
B. Exterior Foam Sheathing
Material: J01
Mate
.......... .. ...............
Thickness
...................... .
4. RAISED FLOOR
Material:V1.
Thickness (inches):
........................................................
5. SLAB FLOOR/PERIMETER
..............................
Thickness (inches):
.....................P ............... erimeter Insulation Depth
hes:
.......................
6. FOUNDATION WALL
.......... ;_;�WW047
Thickness (inches): ...........
.................
Brand Name::::::::::::-
....................
Thermal Resistance (R -Value)::':':':':*:*::
.......................................
Brand Name: fJohnsManvillefKuauf
. .. .........
........................
......................
Thermal Resistance
.............
hiiMiMM!
Brand Name:' s:
....................
inches
Minimum Thickness::::::::::::::::::::::::::::
..........
achieve Thermal Resistance (R -Value):
Brand Name: JotinsMauytelKuauf
Thermal Resistance
.........................
Brand Name: :j'.9...k..h ....'a"ny'.U.. ."I ... .. ...
Thermal Resistance
............. - .......................................
Brand Name: 'Nhis:
Thermal Resistance......
.
.........
.............................................. ........
Brand
................. aw_
Thermal Resistance (R -Value)::::- ............ ........
...........................
Brand Name:'::*:::::::'::':::::::::::::::::::::::::
Thermal Resistance
.......................................................
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance with the current
Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the
Certificate of Compliance, where applicable.
.
...................................................2: ....... a.A
........
.................................
...........
Item Number'sS&atuik and Date
V_ Installing Subcontractor (Co. Name) or
Item Number's Signature and Date
General Contractor (Co. Name) or Owner
Installing Subcontractor (Co. Name) or
General Contractor (Co. Name) or Owner
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541��II PJ�`+j/�
(Rev.12/96) APPLICATION AND PERMIT 04 (J
ASSESSOR PARCEL NUMBER `
C
ZONING
A
BUILDING PERMIT
17
T ONE
SO. Fr, OCC. BUILDING VALUATION
.O IMAKESS
' n
CffP . '� 9R., . GA 95966 TELEPHONE
236 R 12,744-00
L
72 coo 935.00
L' 7 �00 , 00
C 5 MAILING ADDRESS
n 2,400-00
FFi,,pil.c,
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
-
Filing Fee $ 20.00
Permit free $ o
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
11lT T
IR
Energy Plan Checking Fee $ 23.00
436 za
PERMIT FEE $
IAT NO.
SUBDIVISIONS 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 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: UTC:NF.N R nTNTNC, ROOM AT)DTTTnN
NF.,,J RQQF nN FvTSTTNC; PATTn, C'nN FRT C.ARPnRT Tn (.ARAC;F
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ij/QEFTC'F Q- RFTOC'ATF MAIN SFRVIC'F. PANFT.
ELECTRICAL PERMIT Filing Fee 20.00
Mein Service ao.A 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 (commencin 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
1 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 t000A 46,00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. ( & ACC. BLDS. 3.50F Q
NEW CONS . MULTI.OUTLET
NON-RESID. @7.50
POWER APPARATUS
a siNG. ouT. C..
Ex. Occup. OUTLET OR FIXTURES BAL Q 1:50
Ex. Occup. ouT,Et°� RL D °EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
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 (ling ee 20.00
Heating
Cooling
Hood 6.50
Ventilation
e!,,tend &iete1 CZ nn
,
PERMIT FEE $ CZA
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.)
je( 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
w rs' in ens tion provisions of section 3700 of the Labor Code, I shall
f rth ith compl h ' ose provisions.
X Date /
Signature of plicant -dd Owner ❑ Contractor ❑ Ag t
An OSHA permit is required for excava IS over 60" d d'TDiemolitio or on ction
of structures s i
Receipt No.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TY
TOTAL FEE
HAZ.
I o ES i P
FL
c F
p CEL
HD
SS
This permit is hereby issued under the applicable provisions
of the utte Coun Code and/or Resolutions to do work
indi to abo for hich fees have been paid.
y Date 2/ Z
PERMIT EXPIRES ON Z Z
ate
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPEOTOR GOLDENROD -APPLICANT
U�_00 0
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
0
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER:.. .+ ASSESSOR PARCEL NUMBER
r'6-osed-13uiIding Use: L Counter Technician: Vl Date: /7quired in order to apply for a permit. All boxes MUST bechecked OR marked NA in order to apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. 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. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate '
❑ 11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ b14. Hazardous Material Form _
Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
19. Soils Report and/or Engineered Foundation required ...........................................
20. Erosion Control Plan Required........................................................................
21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
22. City of Chico Plumbing permit.......................................................................
R" 23. California Department of Forestry plan approval paid. Sent by: ......�.- -O -
❑ 24. Planning approval (A) Use: CNS (B)Parking: (C) Parcel Check: 1- - D
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number .......................................:..
n❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
32. Letter of Signature authorization....................................................................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other:
❑ 39. Other: �y
When issued Telephone�and hold for pickup. 5Ol
I have been j forme of the abov items and requirements for obtaining a building permit. ��4p
° r
Applicant: �LA✓� / Jb Date:
1. Index permit application for the above items num ered: S : Ian Check Lette
t=oat items required
, designer, owner, was advised of the above data by one, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by ate:
Plans reviewed by: Date: Plans approved by: Date
Structural reviewed by: Date: Structural approved by: Date: 4-1
Note transfer by: Date:
Yellow: Building Division
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE,, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER
PRO OSED BUILDING USE / L,,(—
BUILDING
,,GBUILDING PERMIT FEES 1
--- Balance Due .....................
--- Additional Fees Due........... $
--- Revised Plan Checking Fee....
2.5CVOOL DISTRICT FEES
ISRIFF
D' 'c Of c(f 1 er Pl O
FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg
4. URBAN AREA FEES
A. P. # 0564
DATE /-
7—
J
1
.
e 1M
(paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
1�l $510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #.
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ........
10. OTHER
At time of perrpft ap lication, I was
may be changed d g the ply
APPLICANT
X =$
Sq. Ftg. Amt.
;d the above fees are required to be paid prior to issuance of the permit. These fees
process.
DATE / -O
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
16CLA10477AJ I�Yoq.
"T
=may
AC115—
-5
Job Name: bnperry
Truss ID: K
Qty: 2
BRIG X -LOC REACT SIZE REQ'D
1 0.2-12 5001 5.50" 2.67"
TC 2x6 DFL #2
BC 2x8 DFL #2
Plating spec : ANSI/TPI -I995
This truss Is designed using the
2 9- 4.9 3708 3.50" 1.98"
WEB 2x4 DFL STANDARD
THIS DESIGN IS THE COMPOSITE RESULT OF
MULTIPLE LOAD CASES.
UBC -97 Code.
Bldg Enclosed = Yes
TC FORCE AXL OND CSI
Lumber shear ailowables are per NDS -97.
PLATE VALUES PER ICBO RESEARCH REPORT If 1607.
BEARING REQUIREMENTS shown are based ONLY
on the truss material at each bearing
Truss Location = End Zone
1-2 -814 0.00 0.14 0.14
+ + + + + + + + + + + + + + + + + + + + + +
Loaded for 10 PSF non -concurrent BCLL
Hurricane/Ocean Line = No , ECategory = B
Bldg Length
2-3 -814 0.00 0.14 0.14
Nail pattern shown is for PLF loads only.
Concentrated bads MUST be distributed to
Drainage must be provided to avoid ponding.
= 90.00 ft, Bldg idth = 9.53 R
Mean roof height = 15.79 ft, mph 80
BC FORCE AXL BND CSI
4-5 0 0.00 0.78 0.78
each ply equally. On multi -ply with hangers
use 3 nails min. Into the ca ng member.
Permanent brad nrgg is required ( others) to
prevent rotatioryto 8.111. See HIB -91 and
ANSI/TPI 1'-1995; 10.3.4.5
UBC Standard Occupancy, Dead Load = 26.0 psf
---------LOAD CASE #I DESIGN LOADS --------------
S6 0 0.00 0.36 0.36
For more than 29, use addhlonal fasten-
and 10.3.4.6.
PLATING BASED ON GREEN LUMBER VALUES.
Dir L.Plf L.Loc R.Plf R.Loc LUTL
ers as Indicated fiom the back plys, or use
End verticals designed for loads
TC Vert 100.00 0- 0- 0 100.00 9- 6- 5 0.68
WEB FORCE CSI WEB FORCE CSI
any other approved detail (by others).
axial on
Extensions above or below the truss
BC Vert 26.00 0- 0- 0 26.00 9- 6. 5 0.00
1-0 -2552 0.915 2416 0.53
1-5 2456 0.916 -2506 0.93
+ + + + + + + + + + + + + + + + + + + + + +
profile
of any) require additional consideration
Type lbs X.Loc U /TL
R Vert 2231.0 0.11- 8 0.54
2-5 -4850.18
2-PLYI Nail w/IOd BOX, staggered (NDS -97
Sect 12) in: TC- 2/ft OC- 2/R WE 2/R
by others) for foriz. bads on the bldg.
g
BC Vert 1810.0 2-11-8 0.54
BC Vert 1508:0 4-11-8 0.54
MAX DEFLECTION (n)
BC Vert 1174.0 6-11-8 0.54
L/999 IN MEM 4.5 LIVE)
BC Vert 785.0 8-11-8 0.54
L= -0.04" D= -0.04 T= -0.08"
®LUMBER
4445 Northpark Dr.
Colo Springs, CO 80907
TrusPlus 6.0 Ver: T6.3.9
2-PLYS 1 2 3
REQUIRED
4-4 2-4 4-4
13 13 5-6
2.6 2-6.
10-10
9-6-5
a4 5 6 -
moss
Trullwal Systems Plates are 20 ga. unless shown by "18-(18 ga.), "H'(16 ga.), or "MX"(rWMX 20 ga.), positioned per Joint Details Report.
Circled plates and false frame plates are positioned as shown above. Shift gable stud plates to avoid overlap with structural plates (or staple).
Read all notes on this sheet and give a copy of it to the Erecting Contractor.
WW done In accordance with the cu rent versions of TPI and AFPA design standards. No responsibility Is assumed tar dimensional accuracy.
ached. unless otherMse noted. Bracing showrh is for term$ support of ennrhponents member only to reduce buckling length. This oomponem
all not be placed In"erwlorhmord that will cause the mold" content of the wood to exceed 19% and/or cause connector plate corrosion,
bricate. handle. Install old brace this lase In eatordmhoe with 'JOINT DETAILS' by Truswal,'ANSI1TPI 1', WTCA 1' -Wood Tens Council
America Standard Design Responsibilities, 'HANDLING INSTALLING AND BRACING METAL PLATE CONNECTED WOOD TRUSSES'
fIB-91) and 'HIB -91 SUMMARY SHEET' by TPI. The Tnns Plate Institute (TPI) Is located at D'Onofrio Drive, Madison, Wisconsin 53719.
e American Forest and Paper Association (AFPA) Is located at 1111 19th Street, NW, Ste 800, Washington, DC 20036.
a
R f ESS
q
� Ss9rF
d 0045982 ;a
Exp: 12131/06
CIVIL �P
' Of CAL%"00
3/25/2003
Cust: da
WO: Drive_C-bnperry-L00005-300001
Dsgnr: me
#LC = 14 WT: 17411
TC Live
34.00 psf
DurFacs L=1.15 P=1.15
TC Dead
16.00 psf
Rep Mbr Bnd 1.00
BC Live
0.00 psf
O.C.Spacing 2- 0- 0
BC Dead
13.00 psf
-
Design Spec UBC -97
TOTAL 63.00 psf I DEF.Ratio: L/360 TC: L/360
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
no form per Building)
School District Building Department No.
A.P. Number 0 �V V Jurisdiction: city' County
Property Owner c// � // X 1^ .
Property Location/Address
Subdivision
Residential Development Q
No of Living Mobile Home
Units Installation
''•-B II
ndustrial ® Q
Department Representative
Lot No.
Sq. Footage
Addition/ *Supplemental to (Group R)
Conversion Permit #
*(No foundation inspection)
.................... ................................................... ........................ _....
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
(Including Exterior
Roofed Areas)
Zz
Date
District Identification No. �, $ O o
(DY -64v -
✓Y -O4t (�, CA School District certifies that
(Applicant)
(Street Address) c(Phone Number)
(City) (State) Rip Code)
has complied with the requirements of Resolution No. U l - O 2 -L P by payment of $ t G
representing 23 !.6 square feet. 2926 $
FULL MRIGATION $
School District Repres#' ntative Date
Paid by Check # C. Remarks:
IMotlea: You may protest the Imposition of the fess Identified above by submitting a written piotast to the District, In compliance with
Government Code Section 66020(a), within 90 days from the data teas are paid. Failure to submit a timely wil n protest wlll'prohfbk
you from challenging the Imposition of the fees in any court action.
N, subsequent to the School District Representative signing this Butte County Schools impact Fee Certification Form, the School District is
nothfiad by the applicable Local Planning Agency that thio project Is being revl wed under the California Environmental Quality Act (CEQA),
this protect may be subject to additional school fees to fully niigets. its Impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.hds (10/03)dmm
OW E R -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 thero osed
property ' rovement : YES( NO 13p p
O�IHANM)yHAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have con*acted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIG!�
.
ROPERTYOWNER.
DATE: �—• �— ��
NOTE. This Owner -Builder Verification is required by Section 19831 and 19532 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
QB•_I
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 ofrecord on such
a permit Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself; you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information. for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ 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.
rely,
Mc 1 C. Vi ira, C.B.O.
ger, Building Inspection
NOTE: This Owner-Bu0crinformadon is required by Section 19830 of the California Health and Safety Code
OVER
PERMIT NO. 3316-82B
� PERMIT EXPIRES
OWNER __- BOB BOND
-CONTR. owner
ASSESSOR PARCEL 36-63-9
LOCATION -86 Fairhill Drive, Oroville
Q✓S,
Temp. Power Pole
Cal4lowed PG&E
TeV. EElec. Service
Called PG&E _
Temp. Gas Service
Cal led PG& E
JOB FINALED (Date)
Signature
= 0K
= Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec. i
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10, Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK -
- = Not Applicable
�k = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except N's ' '
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / ' /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
-
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
_
8.
_
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolis-Joists-Vents-Cripples
Card -BI
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.: Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting -
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
_
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -Bl
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Perrrit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
---
-
20.
21.
22.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
-__
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
--
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails &Deck Construction -Post Caps
26.
S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
---
-
27.
_Insulated
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Neutral `-'Yes ❑No
Service -Riser Conductors & Ground -Main Disconnect
75.
Following mstld.: Drive Yes No; Walks
g ❑ ❑ ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
___29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
--
30.
Clothes Closet Light -Shower Light -_
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
- --
Card B -I
Card B -I
Date
-
----------------------------
_ --Date -__ _ Card -BI _-- Date --__
Date Card -BI Date
MECHANICAL (Permit) OK except q's
31_ A.C. Ducts; Insulation &Support --
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent -Fan; Exhaust above Insulation
_Condensate Drain _& Overilow, Size & Grade
86,
Energy Compliance Certificate -Other Certificates
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI_
Card -81
- - - - __ -- -----------.--_ -_-_ -
Date- - Card -BI Date_
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
37.
38.
39.
40.
Sills; Proper Material & Anchors_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound_
Bearing Walls over Girders & Floor Nailin_g___ _
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _
Bdrm. Windows or Exiting Doors-_Sill_Hgt. & Dimensions_
Garage Fire Protection Framing _
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE - DEP44RTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
03 A/,
ASSESSOR PA�EL NfE�li ZONING
I _ (0 — 0
. V
BUILDING PERMIT
I INIR IR 0_0J MELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER A NG A
JEfl
CONTRXCTOR'S NAME ITELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ .265-1 up
ARCHITECT OR ENGINEER ____[E_�SE
Lo
NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING AbDRESSw
Permit fee
$ Kb
BUILDING ADDRESS
42 S_alA I
PLUMBING PERMIT
F i I i ng Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
rC)
Water piping
5.00
LOT NO.
UBDIVISION NAME
is
ARCEL MAP
1P
Each Qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
e 'U -1
SF[:] DupIexF_J Mobilehorn 0 Other -S - - f! 03 dn
\I SPECIFY Ir=
Building sewer
5.00
Mobile Home I S I G JW I
00ee
TYPE OF WORK
NewEJ Addition RpmodelEl Utilities In tallationD Other
Describe work: ew op
Permit Fee
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V OR LESS
100 AMP OR LESS
10.00
tMain service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS.
2/20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 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
rV 1, as the owner, or my employees with wages as their sole compen-
'I"
0 sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
Fl 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW ONSTP UL '_OU LET
N.N-RESID,
C ("BRATC. CTIRCUITS)
2.50 ea,
NEW CONSTR. IPOWER APPARATUS &
NON-RESID. % SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIX 0@50c
TURES 1.2ALO 300
FIXED APPLNS. OR
Ex. -Occup. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
1
Permit Fee
$
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100.00 (valuation) or less.
E] 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-Inslure.
1 shal I 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Venti lation
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 Countyol
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep haEmless the County of Butte against
all liab I ilitL'Qs, judgments, costs, and e*Wnsps which may in any way accrue
again 4id) unt n conse e the nting of this pqj�mit.
X 2V=,(4 :; vz:�,2= Date � !ij:�-
i "'. rur. of Appilcon't 1 Owner Contractor 0 Agent H
S gn i
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE
occUP. GROUP I
TYPE OF CO T.
JP7LJ
SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECM OF PUBLIC
Bv
P ��K EXPIRES
MKT Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—Date Z__
9— 7 T
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMEN7�F PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE: 916/534-4541
PERMIT APPLICATION., DATA SHEET
OWNER
Permit No.
A. P. No.
Proposed Building Use
Permit Fee Based Upon: —Complete Contract Price k'-' DPW Valuation
Building Inspecto -xpria1b) Date
At time of p , ermit application, I was advised iythe following data must be submitted prior to permit processing
and/ suance: DATE RECEIVED APPROVED
'or III',
- All items have been submitted . . . . . . . . . . . .
2. Plot plans in duplicate/triplicate . . . .. . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calts . . . . . . . . . .
5. Plans with Energy Design Compliance Statement . . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization . . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: — (B) Parking:— .,
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner-Bui Idn Verification (Given to ownerE], Maj I to ownerEl)
15. Improvements'may be required . . . . . . . . . . . .
16. Mobi,lehome Installation Data. . . . . . . . . . . .
I Pre-IrTspec. request to
17. Pre -inspection for Required- B.ildir�g Inspector (Date)
18. Other—
When you issue the permit, process as follows: Mai I to owner. —Mail to contractor.
Telephone and hold for pickup at —office. —Deliver w/inspector.
Other
Applicant Date.)/,
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Desigi(er,lowner) w#
- ,,advised of above required data by —Telephone —Mail —Other
Plans checked by'
Plans approved by
Other
Copy—DPW
By Date
Date - m 10%
Date. It - 7- BE
COUNTY OF BUTTE - Department,of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-534-4541
An "owner -builder" building permit has been applied for in your nameand bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1: 1 personally plan to provide the major labor and mat for construction
of the proposed property improvement (yes or no)
2. 1 (have/have not) signed an application for a building
permit for the propo's'ed work.
3.---I,have contracted with the following person (firm) to provide the proposed
con-'s,truction: 1-1
4.
Name `-,
Address
Phone
Contractors License No.
I plan to provide ortions of this work, but I have
��k
C
person to coordinate",,-_7ervise, and provide the ma
N e 1-11*'
--Address I','
Phone 'tRntractors L�a4nse No.,
5. 1 will provide some of the work
persons to provide the work in
Name Address, �
S igned:
Property Owner
Social Security'nu%iber
Date
City.
�dd the following
work:
C ity.
have contracted (hired) the following
Phone Type of Work
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
permitted to issue the permit.
A,
PERMIT NUMBER B 893773 B�;2� E M
P
E
PERMIT EXPIRES -7
OWNER Bob Bond
CONTR: Butte.Construction, Oroville
LOCATION (A.P. 36-63-42
86 Fairhill Dr. (Lot 42, Copley Acres Sub.)
Oroville
'Ile
'j�
Zoning
Foundation
Rgh. Plumbing 171w A/
Rein. Steel t
Framing a>
Wir. Htr. z-,;z:5a -7,5
Firewall. C904f �?—,oZZtT--
ELECTRIC
Temporary.
Final
COUNTY OF�BUTTE
Department *I-Pub�!,c Works
BUILDING INSPECTION RECORD
Setback 40.4-1 -1-7 �T
Piers & Girders
Bond Beam
Gas Piping & TestG</- r--Z-�-2 �1
Plmg. Topout
Furnace etvze
Garage Vents C34:f -7
GAS
Temporary
Final
Forms --7;S'
Fireplace
Lath & Plaster
Found. Vents
Rough Elec.
Kitchen Vent 7-S
Sanitation & Water
BUILDING
Cert. of,Occup.
Final ; 7
DATE REMARKS OR CORRECTIONS
4�-
4fC- P,w .,( 7
Atj
j
-2 -;7
12
7Z�
Owner
Mailing Address
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive * - - 6*vi Ile, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
SO. FT. I OCC
BUILDING
Of 19:-73�
ILDING VALUATION
ITelephone No.
Contractor de,2 LP7? 5 14' ell
ireplace
Total Valuation
Mailing Address lzl(el ire__
4d
T lephone No.
Permit Fee
PlanChecking Fee&/orPenalty
Permit Fee
$
r
$
Building Address
P- 1 4--
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
00
d- 0- 1-4 ra oe 4- e 5-
Each Trap 1.50
a6a il�
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heatw�e 1.50
A. P. No. 3 4; %9-4;—L
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
J
Each additional outlet .30
F e f�s
W. C.
-a i o
FireDept. FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
I Declaration
Parcel Map
--F—Plons
60' R/W
I Improvements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approv I
Approval
Permit Fee
$
NEW ADDITION UTILITIES OTHER
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
.110
Main service incl. 1 meter
Additional meters, ftach
1.00
Single Family Duplex EJ Mobil Home Others
Sub -panel (I orl�.S) (morethanl2) J
Range, Q221S�or QZen 1.00
Water Heater or Space Heater
1.00
LiW4�ures, . -1' 1 -) 2.01,12
, __ Qb
Ret're-11s., swi,(ct?es & fix 6ut7ets 20
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the'
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
a
1.00
Evap. gaWg."ar. di sp. or D.W. 1.00
)%ir conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License Nol,&Z�,?" Cl assi fi cation
I I
Misc. wiring
I amexempt from theContractors License Lawsof the State of Cal ifornia.
Permit Fee
$
$ 176
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
T-1-1 have placed on file with the County of Butte a certificate of
A�2/workmen's compensation Insurance.
certify that in the performance of the work for which this
El plermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and S : tate Laws relating to building construction, and hereby
MECHANICAL
No.1
@ I
FEE
PERMIT FILING FEE $3.001
.310V
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
TOTAL PERMIT FEE
uLiL Or Ze repfeSefletativeS uI mt: kumily ai tnuiie To enter upon The
above-Zntioned property for inspection purposes.
X Date
ii g n a t 7ue a f PI&M�', e gent
ceip
t 0. :__ Z12
White -D.. W. Y, S, ink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
- DIRECTOR OF—PUBLIC WORKS
BY. _X Date -/_ /0 - 7zz
Building permit expires
12WI-----.�11'-'l;ll.'W' 14AF -7-ww
036-630-009 02-0642
KEY, DOUGLAS
j
T86 FAIRHILL DR, OROVILLE
I N
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 C,49", 062 (4,2
ASSESSOR PARCEL NUMBER
03151 -63.0 -WO
ZONING
BUILDINGPERMIT
OWNER DOUGLAS KEY
TELEPHONE
SQ. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
65 FAMIM DR., OPOVIME, CA 959(A
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace "AS
1;00
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ 35 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS 66 FAIMIM DR.. ORMMIX
Energy Plan Checking Fee
$
___TFA�
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
MAP
PLUMBING PERMIT
Filing Fee 2 b -6-0
USEOFSTRUCTURE
SF lb Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
1 7.00
—
Solar or heat pump water heater
23.00
Water piping
15.00
gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: INSTALL 16'OODSMVE
—Each
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service *.A Oo,, 'S.'
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
L",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.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, forthe performanceof workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 0 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
W'oikers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply With thos pr I n
X I !A �' VP1114k _JDate _
1 X
PA AL J — 0 Agei�t
,,Signature of 9pplicti - 0 Owner 13 Contraolor
An OSHA permit is required for excavations over 60" deep and d4nolitio4or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. %E�U.NG UP. so
OR ADDNS. S. 3.50FT.'
. . ff
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
97.50
'POWE.RAPUPARATUS
. 0 T. CIR.
20 @ 1 00
Ex. Occup. OUTLET OR FIXTURES SAL @ :50
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALFEE$ 35.00
HAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL I PO
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.
B y D t, Z' J /J
PERMIT EXPIRES ON �(, "!,
(Dt,) I
ReceiptNo. :71, !1.3 t� I ;;–
WHITE-O.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, California 95965 * Telephone (530) 538-75416"Iel ERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
036-630-009
ZONING
BUILDINGPERMIT
OWNER
DOUGLAS KEY
TELEPHONE
532-0264
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
86 FAIRHILL DR., OROVILLE, CA 95966
CONTRACTORS NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace 1 9nn
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER 756��__
E NO.
Filing Fee $
20.00
Permit Fee $
3500
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 86 FAIRHILL DR ORDYTT.T.F.
Energy Plan Checking Fee $
PERMIT FEE $
55 00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
IPLUMBING
PERMIT
Filing Fee 2 b._0 0
USEOFSTRUCTURE
SF 11 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap 1
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 0 Addition 0 Remodel 0 Ufilities 0 Installation 0 Other 0
Describe Work: INSTALL WOODSTOVE
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G1 W1
920.00
1
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '."."A RR :s'
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
ihrebrythaffirm under penalty of perjury that I am exempt from the Contractors License
fo e 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST DWELLING OCCUP
OR ADDNS. & ACC. BLDS.
3.50 so
- FT.
NEW CONST LTI 0
NON-RESID r, C� �CU ITS
97.50
DWELL AP=US
( PSIN. E 0 C.. )
Ex. Occup. ( OUTLET OR FD(TURES )
20 @ 1.00
SAL @ .50
..FMED A NS OR.
Ex. Occup. PPES16.) E
5.00
Temporary Service
—
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performance of work for which this permitis 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.)
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'
corpensation laws of California, and agree that if I should become subject to the
ork rs' compensation provisions of section 3700 of the Labor Code, I shall
rth h comply th tho pr I n
I �s /
I
X it PA-& —Date
ature o KpplictWt - 0 Owner 0 'Contrador 0 Agent/
An VOSHA permit is required for excavations over 60" deep and cli#nolit*4 construction
of structures over 3 stories in height.
1 1
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEiE $
Mobile Home Installation Fee $
Energy Inspection Fee $
I
Occ
CONST. TYPE
TOTALFEE$ 1;,; nn
7—
HAZ-
D. FEES IMP
FLOOD
I CDF
PARCEL
I PD
HD
H
ISSU
E
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicateq above for which fees have been
D
9 C"
P RMIT EXPIRES ON
I / (D.,
provisions
to do work
paid.
e 3 /,:2—voq
t,)
ReceiptNo. 6 '11.__,?
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
OWNER -BUILDER VERIFICATIO
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 unne.cessary delay
in processing and issuing your building permit. No building permit will be issued untU this
verification is received.
I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YFES AT\ NO 13
I HAVEA HAVF, NOT 13 signed an application for a building permit for the proposed WO&
3. 1 have contracted with the following person (firm) to provide the proposed consbuction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
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:
P H 0 NNE:
CONTRACTOR'S LICENSE NO.
5. 1 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
NGNED'
PROPERTYOWNER:
DATE
JV TE:
9 1-;�12
This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be -completed and
returned to our office before we are permitted to issue the permit.
OVER
I OWNER BUILDER INFOPUNIATION I
Dear Propem 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 parry 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 fhmily. and the work (including materials
and other costs) is S300 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 includina'state and federal income tax withholding, federal social security taxes,
0
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.
+ F6r more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business AdminisQion). 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 ffequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' 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.
a
I rely,
1(6A-1
Mic el C. Vidira, C.B.O.
C
M el 4
specl
!Mlic rge e'rC,i Vui il d�i �ngg I n 'sp e c t i o n
NO M Th is 0 w n e r- B u ilde r Info rm a I io n is re q u ired by Sectio n 19 83 0 of th e Califo rn la Health an d Sa/eV Code -
OVER
036-630-009 01-2494
KEY, DOUGLAS
86 FAIR HILL DR, OROVILLE
CONT: RICHARD HEATH ASSOC
�NEW HVAC
COUNTY OF BUTTE - DEPARTMER7 OF DEVELOPMENT SERVICES - BUILDING DIVISION
1
7 County Center Drive 9 Ciroville, California 95965 9 Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 4
ASSESSOR PARCEL NUMBER __ /,
j
ZONING
7�_E—NE
BUILDINGPERMIT
OWNER
SQ. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
C,� rzi ;-A
CONTRACTOR'S NAMIf
TV L
CONTRACTOWS MAILING ADDRESS'
- 141
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filinq Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER�S MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 4 f 411, 12if,? C11,; v//, i
Energy Plan Checking Fee $
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 111,odOuplex 0 Mobilehome 0 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
TYPEOFWORK
New 0 Addition 0 Remodel C3 Utilities 13 Installation C3 Other 13
Describe Work: ;31 111�el-
Of
7 1. 4
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W -F—'
14
PERMIT FEE $
—ELECTRICAL PERMIT
Filing Fee 20.00
Main Service '..*Av o.R
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:
0 1, as owner of the property, or my employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
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.
Q- 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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DW
ftING UP- so
OR ADDNS. S. 3.50FT.'
... ff
NEW CONST .0
=,I CLTgrLE,.r @7.50
_NON-RESID.'
PSOMAP= US
0 CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FOMRES BAL 0 .50
O.FIXED APP . OR"
Ex. Occup. tFin .) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
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.)
0 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
Sigpature of Applicant - 0 Owner 0 Contractor 0 Agent
OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
VU
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$
HAZ.
I D. FEES
IMP
I FLOOD
I COF
PARCEL
This permit is hireby Issued under the applicable provisions
of the Butte' 96unty Code and/or Resolutions to do work
indicated abihe for which fees have been paid.
Date
PERMIT EXPIRES ON
(Date)
ReceiptINO.
WHITE -D
L� D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN -APPLICANT
A6 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 - \fq 4�
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER f2 1��t y
17 LZ
TELEPHONE
n,;z oyi?,r,
SO. FT. OCC. BUILDING VALUATION
OWNER & 9w olzolle'l, c,
CONTRACTOR')q 422ZZ( il
ITM 27
N;�
CONTRACTORI MAILING RIESS"
:!�!(O
.�7-
CONSTRUd,ndN LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
UCENS NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS Yy 6, /- 2, re 01 * t //z 4
Energy Plan Checking Fee
$
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
I
PARCEL MAP
I
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Do,"Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work:
All z A
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
( aO.O.V OR LIE s
Main Service . OR. :s
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:
0 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
,,_12'- 1 have and will maintain workers' compensation Insurance, as required by Section
3700 ofthe Labor Code, forthe performance ofworkforwhich 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.)
0 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' coWensation provisions of section 3700 of the Labor Code, I shall
forth i h dim ly4kth those provisions.
Date
X �0
2S'Wlture of Applicant - 03 Owner CO3 Conit�rLtor 13 -Agent
n OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DW:WIQ OCCUP. So.
OR ADONS. C. S. 3.50FT.
.0 ON ST *
I. MULT.10
BRANC = 97.50
OWER AP=US
PSINQLE 0 CR.
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES SAL @ .50
MD APP . OR.
Ex. Occup. IS (.a .) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20,00
Heating A)
Cooling
Hood
6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ -�
1i
IMP
I FLOOD
I CDF
PARCEL
I 'PO
HD_[��
This permit "reby issued under
f h:teB bf;ounty Code and/or
V
oindtic e ve for which fee ave
By �L
ERMIT EXPIRES 6/N
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptlNo. ?,1;;? 0 1
WHITE-D.D.S.-B.D. - CANARY -ASSESSOR It PINK -INSPECTOR GOLDEN ROD -APPLICANT
z
NOTES
RESIDENTIAL
036-630-009' 01-0801
KEY, DOUGLAS Z —
86 FAIRHILL DR.'PROVILLE
On'Mrr nAlrXTUD
��ERSf6N
141k a,/
SPECIAL CONDITIONS
CHECKED
— SRA . BY
— FLOOD CERTIFICATE REQ.
— FIRE SPRINKLERS REQ.
— �PECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date�_!!!�/� //7j/
Signature
V= OK
0 = Not OK
- = Not Applicable
* = Not Ready RESIDENTIAL (Single & Duplext-
Date Underfloor (Plans) OK except #'s Date FRAMING (Continued)
1 . Zon i ng- Setbacks- Ease me nIs- Flood -Slope I IA,6' HapgIrrs-Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel./ P' Ftg. Depth
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearino
&?*.-Cling. Joist-Rftr. Ties- Purlin-Roff Brac. -Truss- S hti ng. - 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 T -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
5.
Stemwalls, Main; Ste e I- Blockouts-Wrapped
Sidi��iling Veneer
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped
58.
6a.
Hold Downs and Special Anchors
Shear Walls; Nailing -Bolts
7.
Slab, Steel -Wrapped
61.
8.
Piers -Fireplace Ftg.-Steel
1 nfiltratioiT -Wal Is- Windows
9.
D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
Date "
DaUapo,
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
FINAC(PlAs) OK except #'s
11.
Water Pipe; Test - Anchors- Reg u lato r -Service Test
165.
12.
Electric Underground
Exiting _
13.
Plenums & Ducts; Clearance -Material- Su pport- Ins.
168--Elec.
14.
Girders -Sills -Anchor Bolts -J oists- Vent s -C rippies
a �is
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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixjwe & Transformer Clearance -Ins. Protection
UA**'Elec.
Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / /ga Cu or At
30.
Range Circle ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral Q Yes Q No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels- Motors- M ech. Equip.
33.
Clothes Closet Lighl-Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Dale Card B-1
Date
MEgHANICAL (Permit) OK except #'s
A5,
-';CC. 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 �� Date Card B-1
Date
,-FRAMING (Permit) OK except #'s
$476.
Sill;J>ro'
per Materials & Anchors
L44'�Walls
Studs -Nailing Spacing & Braces- Plates- Sound
42.,
Bearing Walls ov er Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearino
&?*.-Cling. Joist-Rftr. Ties- Purlin-Roff Brac. -Truss- S hti ng. - 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 T -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.
Sidi��iling Veneer
ZA;
5t.cco Mesh -Drip Screed -Fd. Vents-Underfir. Access
58.
Glazing Area -Glass Protection- Skylights- Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior �ZPane.U_
61.
lnsulatiR�� �g
62.
1 nfiltratioiT -Wal Is- Windows
.4
Date "
DaUapo,
Card B-1 Date Card B-1
Card B-1_,Xl- ,N_ Date Card B-1
FINAC(PlAs) OK except #'s
4P�-rxt. Steps -Door & Sidelight Protection- Landings
La*-S'5ok. Detector
165.
Furnace Vent ir-Connector-
arage; Above Floor- Ducts- Mech. Protection
�J�bm
Exiting _
_LZ,-G,F1-%_9_athFixtures
& �ub Access -Spa
168--Elec.
Trim & Subpanel, Breaker Sizes & Labels
'6�
a �is
���I.ve �Cle �cce-Hearth
J_L_Slec-15�utlets at Wood Panel, In't. & Ext.
�2,-K �.. AZppliance; Grou�cl-Air Gap -Cooking Clearance
73..EteL-JDAWe-tr�&-RecvPlTc-res-at Kil. Counter
74.-Garagg'Pffg'D-o-o-r-7-wi-n-g-L-a-n-din-g-�Ctosure
7,5-k-(- �0..n Ga�,.geDamper
7fi.�_ �ens- le'arance-CEImb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
4_17-.7_AL- Elec. & Mech. Equip. Listed for Location
78.__����ge (F.F.I.)-Romex Protection
4 -n --ins uiatio n- Foam- Looked in Attic
-4Q-1&U5-rd'A_aiIs & Deck Construction- Post Caps
8t_EdA_A4Ben?9'&-C_rawI -'Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82_��nve _j �Yes _j No/Walks �] Yes j No/Planters :j Yes No
Lae- - - -Eiec!rical- Plumbing
--8A--A.e. tMTrTYisconnecr
Appliance- Fireplace -C learance to Openihgs
8t. WatgL.WaU_Mwmpnezj_EIectricaI, Plumbing
132. E�� �,. . �.eceptacle-Unclerground
WVe-nlilation Throughout House
_0,9�-GlTss Protection
9C�-GerrectM-ns-Tr-o-m--Pre-vibus Inspections
91. C
ai��aggecl, Gas -Electric
92. e onnected-C/0 to Grade -HD Approval
bqa__SD-�Compliance Certificate -Other Certificates
44W -Address Posted
?_'��ate
Da!e!��" Card B -I ;41,1 Card B-1
Date/' Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
V= OK
7.
0 = NotOK
2.
- = Not Applicable MOBILE HOMES
* = Not Ready
Decks; Girders and/or Joists- Decki ng -Bracing- Stairs- Rai Is
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
5.
1. Zoning Requiremenis-Setbacks-Easemenis
6.
2. Soils; Special MH Support Sketch
7.
3. Sewer; Localion-Test-Fall-C/0-Concrete
4. Water; Location -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
P Nat. or/ /"L"tt./ PLPG
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
7.
Well Clearance & Disconnect
2.
8.
Utility Clearance
Decks; Girders and/or Joists- Decki ng -Bracing- Stairs- Rai Is
4.
Wood Awn.; Posts- Beams- Rftrs.-Connecto rs
Shthg. - Frg- Bracing
5.
Alum. Awn.; Colu mns-Connect ions -Splice- Decal- Enclosures
6.
Date
7.
Card B-1 Date Card B-1
Date
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except Ws
FINAL (Plans) OK except Ws
1.
Zoning Requirements -Setbacks- Easements
Setbacks- Easements
2.
Footings; Size- Spaci ng- Marriage Line
Soils; Compaction -Structure Stability
3.
Gas; MH Test -Demand -Valve -Connector
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Elec.; Receptacles and Lighting, Distance-GF1
5.
Drain; MH Test -Fall -Flex Connector
Elec.; Pool Lighting; 15 Volts-GFI
6.
Water; MH Test- Reg ulator-Connector
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Gas and Electricity Tagged
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards- Ins. to Main in Conduit
9.
Tie Downs -Type -Installation Cert.
Health Department Approval ,
10.
Exits; Insp.-Sketch
Plumb.; Cir. Test -Water Supply Test
11.
Cert. of Occupancy
Light Niche
12.
Permanent Foundation Only; License Decal
Date
Date
Card B-1 Date Card B-1
Date
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 -S ize- Depth-Spaci ng-Connecto rs- Steel
3.
Decks; Girders and/or Joists- Decki ng -Bracing- Stairs- Rai Is
4.
Wood Awn.; Posts- Beams- Rftrs.-Connecto rs
Shthg. - Frg- Bracing
5.
Alum. Awn.; Colu mns-Connect ions -Splice- Decal- Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps- Doors- Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except Ws
1 .
Setbacks- Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GF1
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
(Rev. 12 . /96) 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 ak 6179IN 0.
APPLICATION AND PERMIT -
ASSESSOR PARCEL NUMSER
036-630-009
ZONING
BAR -
BUILDING PERMIT
OWNER
KEY, DOUGIAS F.
TELEPHONE
512-0964
SO. Fr. OCC. BUILDING VALUATION
456 U -R 9120.00
OWNERS MAILING ADDIRESS
86 FAIR HTTL D'R_ CIROVITLE, CA 95966
CONTRACTORS NAME
OWNER
TELEPHU-NE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS -
Fireplace
Total Valuatlon $ ql?o-oQ
ARCHITECT OR ENGINEER
LICENNSE 0.
Filing Fee $ 20.00
Permit Fee $ 117.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 76 05
d
ING DRESS
BUILD 86 AD FAIR HILL DR. OROVIUE, CA 95966
Energy Plan Checking Fee $ 23 -on
PERMIT FEE 21c)_05
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF N Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other IX
Describe Work: GARAGE CONVERSION
Gas piping system I - 5 outlets 15.00
Building sewer
Fii�
Mobile Home W=
PERMIT FEE $
ELECTRICAL PERMIT Filing Feel 20.00__
Main Service '. *.' '..R ' s. ss 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Layv Pr the following reason:
K1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
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.
[3 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. DWELLING OCCUP. 0.
3.5,s
OR ADONS. & ACC. ELDS. Fr. 15.95
=.C.ONST.
I. �U.LTHI %ZET
97.50
PSOWE.RAPIPATUS
ING . ET CI..
Ex. Occu OUTLET OR FDcrURES 20 @ 1.00
BAL @ .50
FIXED APPLNS. OR
Ex. Occup., OUTLETS (RESID.) EA 5.00
—Ternporary Service 23.00
—Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE _15-95
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FEPE $ �5. 00
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'
;rC m nsa on laws of California, and agree that if I should become subject to the
fo wi comp it hr MS.
�)orkpe compeWation provisions of section 3700 of the Labor Code, I shall
X Date _5112kol
Signature of Aporic—ant- 0 Owner 0 Contr—actor 0 Age, r
An OSHA permit is required for excavations over 60" deep and aernoli4on or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ 353.00
CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby Issued under the applicable provisions
of Ps Code and/or Resolutions to do work
Butte �uf I` *hich fees have been paid.
'C' a
Date 9tlq /40/
PERMIT EXPIRES ON 7,
(6ate)
ReceiptN 315238/307.00 324220 $ 46.00
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
"tOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
T "PLIC T
00),%bATA SHEET
ASS SS81MARCEL NUMBER:
g U - I I _a ,
Building Inspector: Ditc.- 4141A-1
At time of permit ap lication, I was advised the following data must be submitted prior to pe ssing and/or issuance:
s
3,�
1 t��Date Received By
El 1. All items have been submitted --------------------------------------------------------------------------------------
APlot plans, 3/4 sets, signed by the preparer of plans - ------------------------- ---------------------------------
Com
c, plete plans, 3/4 sets, signed by the preparer of plans. --H6t7-s9C--- P-Ans --------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - --------
):1 5.,Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
NWEnergy Design Compliance and supporting documentation. --1-/;: ----------------------------------------------
117. Statement of Intent for NXI-leated and A/C Buildings - ---------------------------------------------------------
118. Hazardous Material Form - -------------------------------------------------------------------------
Manufactured me d installation instructions including Tie Down Spec ations/-
IS
I �,
M, "P
. ees of $ & I -------- ( ---------- ------------------
+1 -:s fshom
Impact fees s own on th
lz� -----------------------------
El 12. California Department of Fo $- It 0 &0
I ppro s - -- ------------------------------------
El 13. Flood elevation certifica e - ------- ----- -
W4'.
Sanitation and plot plan approvay--j", Health Department - --------------------------
0 15. City of Chico plumbin pe . t - ------------------------------------------------------------------
El 16. Plot plan and business li al from the City of Biggs - ------------------------------
0 17. Planning approval for (A) Use: (B) Parking: ---------
0 18. Contact Land Development about 0 Improvements, El Drainage-,:2�,egal Parcel - -------
C1 19. Encroachment Permit for driveway (construction approval prior to occupancy) - -----------
020. Pre -inspection for
required. Request to Building Inspector on
El 2 1. Contractor's license information. (Number, Name Style, Classification).
f0 Workers' Compensation carrier and policy number - -----------------------
3;-
61�3—ewner-Builder Verification (Given to owner El, Mailed to owner EI). -
024. Letter of signature authorization
025. Recorded copy of Agricultural Acknowledgment Statement - --------------------------------------------------
026. Letter of intent on building use - ------------------------ ------------------------------------------
027. Manufactured Home utility clearance - --------------- I --------- V ------- --- -------
028. Existing violations and/or expired permits.,-. --- ------- - -----------
0 29. 0 43 3 A, 0 Grant Deed, 0 M. to H.C.D $ V
H ,titljO Check
030. Other: J) // -01
LI-Ifo-oi
(Date)
Wel,Wh you issue the permit, process as o I A to owner, C]Mail -to Coffftctor.
eph
one 0' 0 for pic p at ffice. 11 Trie or.
-tl ct'
42A,�� Applicant Z— .Oe 1�
Date: lwle
op o az- at orm s t ealthD artment,11Fire epartment, 0 Air Pollution Date: By:
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: By:
1. Index permit application for the above items numbered: Check List
2. Additional items required: —j=�# f, I 1 0 Plan
Contractor, designer, owner, was advised of the above mquired data by o phone, o mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter,' by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date:
Contractor, designer, owne�, was advised of the above phone, 0 mail, 11 Building Division counter, b Date:
required data by o y
Plans reviewed by: Date: J� H, F� * 0 1 _ Plans approved by: Y-VVQ D �te— AL. -�� _�-C
Sets of plans on hold in 11 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
I
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
Omo
E texvi
School District Building Department No.
A.P. Number 03P -b3o - 10 01 Jurisdiction: city County
Property Owner da/3 Ke�
Q) I
Property Location/Address So rb-;r- V� br- (Oro v, I I C,
Subdivision Lot No.
........... . .....................................................................................................
S69Residential Development Sq. Footage
No of Living Mobile Home Addition/ *Supplemental to (Group R)
Units Installation Conversion Permit #
*(No foundation inspection
................................................................................................................
Commercial/Industrial
New AddRion
(Floor Plans reviewed by School District Personnel)
District Identification No.
School District certifies that
A
Sq. Footage
(including E)derior
Roofed Areas)
Date
(Applicant)
(Street Address) (Phone Number)
/7 A
C==,!�)
(City)
has complied with the requirements of Resolution No.
representing *sq.uare feet.
School District Representative
Paid by Check #
Remarks:
(State)
JZip Code)
e z— by payment of $ WA.
IAB 2926 $
FULL MITIGATION $
Date
"IF I WR a
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), wlthin 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form. the School District is
notified by t . he applicable Local Planning Agency that this project is being reviewed under the Califomia Environmental Quality Act (CEGA),
this project'may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis 0 0/98)dmm
Attention Property Owner.
An "owner-buildee' building permit has been applied for mi 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. 1 personally plan to provide the major labor and materials for construction of the
proposed property improvement :YES VJ No[ ]. .
2. 1 HAVE[)(] HAVENOT[* signed an Application for a building permit for the
proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction-
NAMEE: Doo6LAc-7)
ADDRESS:
PHONE: 5--3a-MW CONTRACTOR'S LICENSE. Nb'
4. 1 plan to provide porfions of this work, but I have hired the following'personJo
coordm*ate, sunervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE- CONTRACTOR'S LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
NAMT ADDRESS PHONE TYPE*OF WOAK`��
SIGNED:
PROPERTY OWNIE
SOCIAL SECURITY NUMBER:— V
DATE:
NOTE: This lownkr-Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.,
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
roff,31MM
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 yourselt 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 p�rmits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, YOU
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials'and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation cpntributions.
0 There may be financial risks for you if you. do not carry out these obligatigns,'and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, -contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under . State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are Olowed 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.
Sinarely.
Nhchagl C. Vieira, C.P.O.
Manajer, Building I*ectl6n"
NOTE: This Owner -Builder Information.is required by Section 19830 of the California Health and Safety Code.
71WO
PRC -ECT PROCESSING
AUM WANT ?
VVVj1ZJ%:
PLIMM
A. P. #:
WORK DES I
RF-r.ORD
q, /q, o /
i M��
v
Pw W5
Insulation Certif�gate
I ) V BUILDING PERMIT #:01—D90j
BUILDING 6RCER: ------ O'U^l
M=ING LOCATION: 6 D� �
Description of Installation
ROOF
Material Brand Narrie
Thickness (inches) Thennal Resistance (R -Value)
CEILING /q -3e //; 6 le Wd A f U/
BattorBlanketType Brand Name /C� T
Thickness Onches)' 12 Thermal Resistance..(R-Value) -5G
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,
Material np lber 6- 1,,q,5 5 BrandName Vvilult);4I ;:p
Thickness (inches)
/A7 Thermal Resistance (R -Value)
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Brand Name
Therinal Resistance (R -Value)
Material BrandNarne
Thickness (inches) Thermal -Resistance (R -Value)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Declaration
BrandNarne
Wrmal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conforTnance with
0
the current Building Energy Eff iciency Standards for new residential buildings contained in Title 24 of the
California Administrative Code. -
General Contractor (Builder) License Number
S ignarure mid Title Date
Sub -Con ulation Installer) cense Number
Irn 0 / ----------
ignAure and Title Date
NSpECTIO
THIS CERTIFICATE MUST.BE PROVIDED. TO ITE BUILDING DEPAR11 a PRIOR TO FINAL I
A.PPROVAL AND A COPY SHALL BE POSTED UrITHIN THE BUILDING.
JANUARY 1993
PLANNING DIVISION -BUILDING PLAN APPROVAL
Use: Date: 9 -1 L - e) -1
IAPPROVAL
e)]
Parking: Landscaping:
Other:
Signature:
'n, c7tto
C(
C
DEPASTMEN.
99
a I -
m
"V�
c
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I _-4 go 70
C -7--D
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30
fit
R". -,r.MG DEPAAIWEN'
^PpRovF-n
Nil
m
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C -7--D
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^PpRovF-n
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I
TABLE OF CONTENTS
TOC
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
Project Address ........ 86 FAIRHILL DR. -------
-) 0/
OROVILLE, CA. 95966 *v5.10* ig,__
Documentation Author ... Barry Rubanoff Bui in Permit #
Endeavor Homes 11?�-O/
P.O. Box 1947 Plan Check / Date'
Oroville, CA 95965
530-534-0300 Field Check/ Date
Climate Zone ........... 11
Compliance Method ...... MICROPAS5 v5.10 for 1998 Standards by Enercomp, Inc.
MICROPAS5 v5.10 File -KEY Wth-CTZ11S92 Program -TOC
User#-MP1829 User -Endeavor Homes Run -KEY
------------ ------------- ----- -------
TABLE OF CONTENTS
-----------------
Report
Page
FORM CF -1R ................ 1
FORM MF -1R ................ 4
FORM C -2R ................. 7
HVAC SIZING ............... 10
V,
cosTonic-� copt-f
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
Project Address ........ 86 FAIRHILL DR. ---------------------
OROVILLE, CA. 95966 *v5.lb*
Documentation Author ... Barry Rubanoff Building Permit #
Endeavor Homes
P.O. Box 1947 Plan Check / Date
Oroville, CA 95965
530-534-0300 Field Check/ Date
Climate Zone ........... 11
Compliance Method ...... MICROPAS5 v5.10 for 1998 Standards by Enercomp, Inc.
MICROPAS5 v5.10 File -KEY Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1829 User -Endeavor Homes Run -KEY
------------ ------------- ----- -------
GENERAL INFORMATION
--------------------
Conditioned Floor Area .....
266 sf
Building Type ..............
Single Family Detached
Construction Type .........
Addition Alone
Building Front Orientation.
Front Facing 0 deg (N)
Number of Dwelling Units ...
0.17
Number of Stories ..........
1
Floor Construction Type ....
Slab On Grade
Glazing Percentage .........
9.4 % of floor area
Average Glazing U -value ....
0.51 Btu/hr-sf-F
Average Glazing SHGC .......
0.65
Average Ceiling Height .....
8 ft
Component
Frame
Type
------------
Type
Wall
-------
Wood
Roof
Wood
SlabEdge
n/a
SlabEdge
n/a
Door
n/a
BUILDING SHELL INSULATION
-------------------------
Cavity Sheathing Total Assembly
R -value R -value R -value U -value Location/Comments
--------
R-13
--------
R-0
------- -------
R-13 0.088
R-11
R-19
R-30 0.031
R-0
R-0
F2=0.760
R-0
R-0
F2=0.510
R-0
R-n/a
R-0 0.330
FENESTRATION
Attic
Over -
Area U_ Interior Exterior hang/
Orientation (sf) Value SHGC Shading Shading Fins
-------------------- ----- ------ ------ --------------- -------------- -----
Window Front (N) 25.0 0.510 0.650 Standard Standard None
MJ I -TE CWNi
DEPARTMEN,
ro IV
(2ERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
MICROPAS5 v5.10 File -KEY Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1829 User -Endeavor Homes Run -KEY
------------ ------------- ----- -------
Equipment Type
----------------
Furnace
NoCooling
Minimum
Efficiency
------------
0.630 AFUE
10.00 SEER
SLAB SURFACES
-------------
Area
Slab Type (sf)
---------------- ------
Standard Slab 266
HVAC SYSTEMS
------------
Duct Duct
Tested Duct
ACCA
Thermostat
Location R -value
------------ -------
Leakage
---------
Manual
---------
D Type
None R-n/a
n/a
n/a
-------
Setback
None R-n/a
n/a
n/a
Setback
SPECIAL FEATURES AND MODELING ASSUMPTIONS
-----------------------------------------
Items in this section should be documented on the plans,
installed to manufacturer and CEC specifications, and
verified during plan check and field inspection.
This building incorporates non-standard Duct Location.
REMARKS
dU I -TE COUNTv
�OkQWG DEPART140%
APPROVED�!
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
MICROPAS5 v5.10 File -KEY 'Wth-CTZ11S92 Program -FORM CF -1R
User#-MP1829 User -Endeavor Homes Run -KEY
------------ ------------- ----- -------
COMPLIANCE STATEMENT
--------------------
This certificate of compliance lists the building features and performance
specifications needed to comply with Title -24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is varied is indicated in the Special Features
Modeling Assumptions section.
Name ....
Company.
Address.
Phone ...
License.
Signed. .
Name ....
Title ...
Agency..
Phone ...
Signed..
DESIGNER or OWNER
DOUG KEY
OWNER/BUILDER
86 FAIRHILL DR.
OROVILLE, CA. 95966
ENFORCEMENT AGENCY
(date)
DOCUMENTATION AUTHOR
Name .... Barry Rubanoff
Company. Endeavor Homes
Address. P.O. Box 1947
Oroville, CA 95965
Phone ... 530-534-0300
Signed. . 14.19 .0 �
(date)
JU I -TE COUNI N
'r-�NQOMWG DEPAHTMEP,1�
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
Project Address ........ 86 FAIRHILL DR. ---------------------
Documentation Author...
Climate Zone ...........
Compliance Method ......
OROVILLE, CA. 95966
Barry Rubanoff
Endeavor Homes
P.O. Box 1947
Oroville, CA 95965
530-534-0300
11
MICROPAS5 v5.10 for
*v5. 10*
Building Permit #
Plan Check / Date
Field Check/ Date
1998 Standards by Enercomp, Inc.
MICROPAS5 v5.10 File -KEY Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1829 User -Endeavor Homes Run -KEY
------------ ------------- ----- -------
Note: Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*) may be superseded by more stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the
permit documents, the features noted shall be considered by all parties as
minimum component performance specifications for the mandatory measures whether
t . hey are shown elsewhere in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
Design- Enforce -
*150(a): Minimum R-19 ceiling insulation. er ment
150(b): Loose fill insulation manufacturer's labeled R -Value.
*150(c): Minimum R-13 wall insulation in wood framed walls or
equivalent U -value in metal frame walls (does not apply
to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors.
150(i): Slab edge insulation - water absorption rate no greater
than 0.3%, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
1. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
2. Fenestration products (except field fabricated) have
label with certified U -value, certified solar heat gain
coefficient, and infiltration certification.
3. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply wit,*' E L
Sec. 151 meets Commission quality standards. W W NI)
150(e): Installation of Fireplaces, Decorative Gas Appligii "MU NG _DEPAFrrME4
and Gas Logs
1. Masonry and factory -built fireplaces have:
PPR0%MD
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF-lR
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
MICROPAS5 v5.10 File -KEY Wth-CTZllS92 Program -FORM MF-lR
I User#-MP1829 User -Endeavor Homes Run -KEY
-----------------------------------------------------------------------------
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
--------------------------------------------------------------
Design- Enforce -
110 -113: HVAC equipment, water heaters, showerheads and er ment
faucets certified by the Commission.
150(h): Heating and/or cooling loads calculated in accordance
with ASHRAE, SMACNA or ACCA.
150(i): Setback thermostat on all applicable heating and/or
cooling systems.
150(j): Pipe and Tank insulation
1. Storage gas water heaters rated with an Energy Factor of
less than 0.58 must be externally wrapped with insulation
having an installed thermal resistance of R-'12 or greater.
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
3. Back-up tanks for solar systems, unfired storage tanks, or
other indirect hot water tanks have R-12 external
insulation or R-16 combined internal/external insulation.
4. All buried or exposed piping insulated in recirculating
sections of hot water system.
5. Cooling system piping below 55 degrees insulated.
6. Piping insulated between heating source and indirect
hot water tank.
*150(m): Ducts and Fans
1. All ducts and plenums constructed, installed, in-
sulated, fastened, and sealed to comply with the ICBO
1997 UMC sections 601 and 603; ducts insulated to a
minimum installed R-4.2 or ducts enclosed entirely
within conditioned space. Openings shall be sealed
with mastic, tape, aerosol sealant or other duct closure
system that meets the applicable requirements of UL181,
UL181A, or UL181B and other applicable specified tests
for longevity given in Sec. 150(m).
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers.
114: Pool and Spa Heating Systems
1. System is certified with 78%�
switch, weatherproof operatin
resistance heating and no pil
2. System is installed with:
a. At least 36 inches of pipe
for future solar heating.
and Equipment
thermal efficiency,
g instructions, no
ot light.
on -of f
electric
o�J F I E COL4�j -i )
between filter and liuter
..;EMG DEPARTMEN
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 6 MF -1R
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
MICROPAS5 v5.10 File -KEY Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1829 User -Endeavor Homes Run -KEY
------------ ------------- ----- -------
b. Cover for outdoor pools or outdoor spas.
3. Pool system has directional inlets and a circulation
pump time switch.
115: Gas-fired central furnaces, pool heaters, spa heaters or
household cooking appliances have no continuously burning
pilot light (Exception: Non' -electrical cooking appliances
with pilot < 150 Btu/hr).
LIGHTING MEASURES
-----------------
150(k)l: Luminaires for general lighting in kitchens shall
have lamps with an efficacy of 40 lumens/watt or greater
for general lighting in kitchens. This general lighting
shall be controlled by a switch on a readily accessible
lighting control panel at an entrance to the kitchen.
.150(k)2: Rooms with -a shower or bathtub must either have at
least one luminaire with lamps with an efficacy of 40
lumens/watt or greater switched at the entrance to the
room or one of the alternatives to this requirement
allowed in Sec. 150(k)2.; and recessed ceiling fixtures
are IC (insulation cover) approved.
Design- Enforce-
er ment
du I- `� COLWI
0�
APP AR?Wr4%
Ro VLtrr)
COMPUTER METHOD SUMMARY Page 7 C -2R
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
Project Address ........ 86 FAIRHILL.DR. ---------------------
OROVILLE, CA. 95966 *v5.10*
Documentation Author ... Barry Rubanoff Building Permit #
Endeavor Homes
P.O. Box 1947 Plan Check / Date
Oroville, CA 95965
530-534-0300 Field Check/ Date
Climate Zone ........... 11 ---------------------
Compliance Method ...... MICROPAS5 v5.10 for 1998 Standards by Enercomp, Inc.
MICROPAS5 v5.10 File -KEY Wth-CTZ11S92 Program -FORM C -2R
I User#-MP1829 User -Endeavor Homes Run -KEY I
----------------------------------------------------------------------------
MICROPAS5 ENERGY USE SUMMARY
Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
-----------------------
Design
----------
Design
Margin
Space Heating ..........
36.99
----------
35.33
----------
1.66
Space Cooling ..........
20.02
--------
7.72
12.30
Total 57.01
--------
43.05
--------
13.96
Water Heating not calculated
GENERAL INFORMATION
Conditioned Floor Area ..... 266 sf
Building Type .............. Single Family Detached
Construction Type ......... Addition Alone
Building Front Orientation. Front Facing 0 deg (N)
Number of Dwelling Units ... 0.17
Number of Building Stories. 1 '
Weather Data Type .......... ReducedYear
Floor Construction Type .... Slab On Grade
Number of Building Zones ... 1
Conditioned Volume ......... 2128 cf
Slab -On -Grade Area ......... 266 sf
Glazing Percentage ......... 9.4 t of floor area
Average Glazing U -value .... 0.51 Btu/hr-sf-F
Average Glazing SHGC ....... 0.65
Average Ceiling Height ..... 8 ft
dU
0 APR
'0
COMPUTER METHOD SUMMARY Page 8 C -2R
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
MICROPAS5 v5.10 File -KEY Wth-CTZ11S92 Program -FORM C -2R
I User#-MP1829 User -Endeavor Homes Run -KEY
--------------------------------------------------------------------------
BUILDING ZONE INFORMATION
-------------------------
Floor # of Vent Vent Air
Area Volume Dwell Cond- Thermostat Height Area Leakage
Zone Type (sf) (cf) Units itioned Type (ft) (sf) Credit
-------------- ----- ------- ----- ------- ----------- ----- -------- ---------
HOUSE
.Residence 266 2128 0.17 Yes Setback 2.0 Standard No
OPAQUE SURFACES
---------------
Area U_ Insul Act Solar Form 3 Location/
Surface (sf) value R-val Azm Tilt Gains Reference Comments
-------------- ------ ----- ----- --- ---- ----- ------------ ----------------
HOUSE - New
1 Wall 127 0.088 13 0 90 Yes W.13.2X4.16
2 Wall 112 0.088 13 90 90 Yes W.13.2X4.16
'3 Wall 134 0.088 13 180 90 No W.13.2X4.16
4 Wall 112 0.088 13 270 90 Yes W.13.2X4.16
* 5 Roof 266 0.031 30 n/a 0 Yes R.30.2X6.24 Attic
8 Door 18 0.330 0 180 90 No None
PERIMETER LOSSES
----------------
Length F2 Insul Solar
Surface (ft) Factor R-val Gains Location/Comments
------------ ------ -------- ------- ----- ----------- 7 ----------
HOUSE - New
6 SlabEdge 47 0.760 R-0 No
7 SlabEdge 19 0.510 R-0 No
FENESTRATION SURFACES
---------------------
Area U_ Act Exterior Shade Interior Shade
Orientation (sf) Value SHGC Azm Tilt Type/SHGC Type/SHGC
---------------------- ----- ----- ----- --- ---- -------------- --------------
HOUSE - New
1 Window Front (N) 25.0 0.510 0.650 0 90 Standard/0.76 Standard/0.68
SLAB SURFACES
-------------
Area
Slab Type (sf)
---------------- ------
HOUSE
Standard Slab 266
A_
COMPUTER METHOD SUMMARY Page 9 C -2R
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
MICROPAS5 v5.10 File -KEY Wth-CTZ11S92 Program -FORM C -2R
User#-MP1829 User -Endeavor Homes Run -KEY
------------ ------------- ----- -------
System Type
----------------
HOUSE
Furnace
NoCooling
HVAC SYSTEMS
------------
Minimum Duct Duct Tested Duct ACCA Duct
Efficiency Location R -value Leakage Manual D Eff
------------ ------------- ------- --------- --------- -------
0.630 AFUE None
10.00 SEER None
R-n/a n/a n/a 1.000
R-n/a n/a n/a 1.000
SPECIAL FEATURES AND MODELING ASSUMPTIONS
-----------------------------------------
Items in this section should be documented on the plans,
installed to manufacturer and CEC specifications, and
verified during plan check and field inspection.
This building incorporates non-standard Duct Location.
REMARKS
47
HVAC SIZING Page 10 HVAC
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
Project Address ........ 86 FAIRHILL DR. ----------------------
OROVILLE, CA. 95966 *v5.10*
Documentation Author ... Barry Rubanoff Building Permit #
Endeavor Homes
P.O. Box 1947 Plan Check / Date
Oroville, CA 95965
530-534-0300 Field Check/ Date
Climate Zone ............ 11 --------
Compliance Method ...... MICROPAS5 v5.10 for 1998 Standards by Enercomp, Inc.
MICROPAS5 v5.10 File -KEY Wth-CTZ11S92 Program -HVAC SIZING
User#-MP1829 User -Endeavor Homes Run -KEY
------------ ------------- ----- -------
GENERAL INFORMATION
-------------------
Floor Area .....
Volume ....... * :**'**'*
Front Orientation ..........
Sizing Location ............
Latitude ...................
Winter Outside Design ......
Winter Inside Design .......
Summer Outside Design ......
Summer Inside Design .......
Summer Range ...............
Interior Shading Used ......
Exterior Shading Used
Overhang Shading Used ......
Latent Load Fraction .......
266 sf
2128 cf
Front Facing
OROVILLE RS
39.5 degrees
30 F
70 F
104 F
78 F
37 F
Yes
No
Yes
0.20
HEATING AND COOLING LOAD SUMMARY
--------------------------------
Heating
Description (Btuh)
--------------------------------- ---- 7 ------
Opaque Conduction and Solar ...... 4096
Glazing Conduction ............... 510
Glazing Solar .................... n/a
Infiltration ..................... 1210
Internal Gain .................... n/a
Ducts ............................ 0
Sensible Load .................... 5816
Latent Load ...................... n/a
0 deg (N)
Cool ing
(Btuh)
-----------
1415
332
275
497
357
0
2875
575
----------- -----------
Minimum Total Load 5816 co
Note: The loads shown are only one of the criteria affec se d0ion
of HVAC equipment. Other relevant design factors nah MM4, flow
Rip
requirements, outside air, outdoor design temperat SP,
c -1
availability of equipment, oversizing safety margin, etc .,. m s� o -1 ge
to
considered. It is the HVAC designer's responsibility
considqr fall
.1 IV
HVAC SIZING Page 11 HVAC
Project Title .......... DOUG KEY Date..04/19/01 21:15:02
MICROPAS5 v5.10 File -KEY Wth-CTZ11S92 Program -HVAC SIZING
I User#-MP1829 User -Endeavor Homes Run -KEY
-------------------------------------------------- 7 -----------------------
factors when selecting the HVAC equipment..
Am 'Rr4 - I
e
291-77B
PERMIT NO.
4- PERMIT EXPIRES Y
Robert Bond
OWNER
oxmer
CONTR.
LOCATION (A.p. 36-63-9
86 Fairhill Dr., Oroville
(Lo t 42, Copley Acres Sub.)
/*
IT
24
/Temp. ower Pole
C led PG&E
emp - ow�
C I ed
Tem. Elec. Serv.
ailed PG&E
Te p. Gas Serv.
Called PG&E
0 0
B
FINALED- Itl1w
(Date) /In fer
(Signatuw<.Y'
COUNTY OF B'UTTE'— DEPARTMENT,OF PUBLIC'WORKi
1,
BUILDING INSPECTION REOR' D
BUILDiNG BUILDING (Cont'd) PLUMBING
Setback -,-;Lff -2 2 4(.--
Firewall
Soil Piping
Forms
Parapets
Ist Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor'
Stemwa 11,
Siding
Topout
Slab
Roof Sheathing Y--11/ tz 4/1 110
Water Piping
Piers
Rooting
Sewer
-Qm"e 5-T,9vrA64F- ONW— aipb A$
Fdn. Vents
Fixtures
Footings :9
Stemwall S
Garage Vents V
Insulation –�-
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handicappey
P-4--ance of ex.
-=!) a
Appliances
Gas Piping & Test
Temp. Gas
.Slab
&/F14Z
Sanitation
Patio
(-� - . -/FiIiEPLACE
Final
Footings
Masonry Walls
Relnf. Steel
Bond Beqm
Framing lkv
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DA TE
Footin
MECHANICAL
Heatina
Cooling
Ducts
Ventilation
Final
REMARKS OR CORRECTIONS
ELECTRICAL
Rough
Fixtures
Motors '
Water Htr.
Subpanels
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
TielephoneF: 534-4541
APPLICATION AND POMIT
authorize representatives of tne uounty of Butte to enter upon the
above-mentioned property for inspection purposes.
2-3v
V
j�4 & w-- L� I Date
Signature oP%rmit_ee or'lgent
Receipt No. -3 2-5-64/
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
By g DlRf��TOR OF PUBLIC WORKS
Date 2- Z 0 9-0
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUAt1_0N
Mai I i ng Address
Telephone No.
Contractor
Mailing Address
Fireplace I I
Total Valuat ion
T lephone No.
Permit Fee
Building Address
Plan Checking Fee &/or Penaltyx??��
Permit Fee A$
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No.,' 376-4 ?-9 Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fe&�WA<S&,4a4km�
FireDept.
—
FireZone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
IParking
Plans
I Parcel on
I Declarati
I Pqrr--Pl Mnn 1
60' R/W
I Improvements
—
Each additional outlet .30
Building sewer 5.00
Bldg. Mans Rec U- I
Parc6l Approval
Plans Approval
Lawn'sprinkler system 2.00
NEW ADDITION UTILITIES [J. OTHER Z[
Permit Fee $
1$
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
600V OR LE
main service 100 AMP ORSLESS 5.00
Single Family Duplex Mobi I Home Others
Main service EA. ADD -L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST DWELLING CCUP. V
0. A..NS. ACC.BLDGS. 20 sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTP_ -OUTLET
.0..RES'.. (MULTI
BRANCH CIRCUITS .50ea
NEW CONSTR. POWER APPARATU5 8
NON . RESID. (SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTI1REc I so @ 25C
BAL@11
FIXED APPLWS-. OR
Ex. Occup.(OUTLETS (RESID.) EA 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring
+�.25
IV I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
rV1 I certify that in the,performance of the work for which this
LCU permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
I TOTAL PERMIT FEE
'lee, lot
authorize representatives of tne uounty of Butte to enter upon the
above-mentioned property for inspection purposes.
2-3v
V
j�4 & w-- L� I Date
Signature oP%rmit_ee or'lgent
Receipt No. -3 2-5-64/
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
By g DlRf��TOR OF PUBLIC WORKS
Date 2- Z 0 9-0
Building permit expires Date
J.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone:,534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
abo S.
, ( ��ignature of F�e'rrnlitei"�\,*_§'�n_t
Receipt No. 3A !z
V
White-D.P.W. — Yelllaw�messor'_Yink-lnspecior — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above which fees have been paid.
AE%C)XOF- P��IC WORKS
B q
Building permit expires Dat
BUILDING
Owner AMPA-4- A�7J
SQ. F T. OCC. BUILDING VALUATION
Mailing Address .0,0
oe=
Telephone No.
Contractor
Mai I ing Address Ly%oov VLA-- L,-
Fireplace
Total Valuation
lephone No.
Permit Fee
Building Address (09 4194�44
Plan Checking Fee Vor Penal ti?,
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F &�
4 Sanqa&LQ&_
Fire Dept.
I F ire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
IPairking
Pians
Parcel on.
Deciarati
I Parcel Map]
60' R/W
I Improvements
—_
Each additional outlet .30
Building sewer 5.00
8 1 d I
Parcel_App
Plans Approval
Lawn sprinkler system 2.00
NEW. F1 ADDITION [] UTILITIES OTHER
Permit Fee $
4-11- 7 7
ELECTRICAL FEE
No.1 @ I
&LA" 7
yAna .9
PERMIT FILING FEE $3.00
Single Family Cg Duplex Mobil HomeE] Others 1:1
600V OR LESS 5.00
Main service 100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. Si)l
OR A.D.S. BLDGS. 120sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
_ACC.
NEW.CONSTR. (MULTI -OUTLET
NON RESID. BRANCH CIRCUITS) 12.50ea
NEW.CONSTR. (POWER APPARATUS.6, I
NON RESID. SINGLE OUTLET CIR
8 259�
Ex. OCCUD(OUTLETS OR FIXTIIRES r.OALL @ I
(FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
EJ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
IqI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation —
Hood 2.00
Permit Fee $
$
1 certify that I have read this Application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
1A
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
abo S.
, ( ��ignature of F�e'rrnlitei"�\,*_§'�n_t
Receipt No. 3A !z
V
White-D.P.W. — Yelllaw�messor'_Yink-lnspecior — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above which fees have been paid.
AE%C)XOF- P��IC WORKS
B q
Building permit expires Dat
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Tel ephone4 534-4541
APPLICATION AND PERMIT
��� -�Olp
ZIZ
authorize representatives of the County of Butte to enter upon the
above-mentioged property for inspec . u oses.
X /� =nate
Signature 'of PermitIt-lor Agent
OR
Receipt No. — /0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above f hich fees have been paid.
4W
,F,CT7P9r-RUBLA1WORKS
Building permit expirits Date
JW47-Z
BUILDING
Owner
SQ. FT.- OCC. BUILDING VALUATION
Mailing Address
Tele ho N
9�03
Fireplace
Contractor 0 F 1., 02 rl
Total Valuation
Mai I ing Address (Y(/j
Permit Fee 0&
Plan Checking Fee &/orP�enatlt—y-
Telephone No.
Permit Fee $
Building Address
PLUMBING No. @ J FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
AAq 437 -f 0--
Each gas water heater or vent 1.50
A. P. No. 34;01
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
441s
*<f'
SMMTfi`on
I Fi re Dept.
Fi e Zone
Use Pennit
Building sewer 5.00
EQA
1 Parking
Plans
I Parcel
Declaration
I Parcel Map
1 60' R/W
J Improvements_
Lawn sprinkler system 2.00
Bldg-P-Lano-A"vLd.
Parcel Approval
Plans Approval
Permit Fee $
K71
NEW ADDITIONE] UTILITIES OTHER VX_
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
14 z� 6mu4tdt dz4& 21 -7 77
main service 6001 OR LE SSESS 5.00
100 AMP OR L
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex Mobi I Home OthersEl
Main service OVER 600V 0
100 AMP OR LESS 25.0
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. I DWELLING OCCUP. &
OR ADDNS. % ACC. BLDGS. 20sq ft
NEW CONSTR. (MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW_CONSTR. (POWER APPARATUS &)
NON RESID. SINGLE OUTLET ::,R.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) 50 @ 251
BAL@100
FIXED A PLNS. OR \
Ex. Occup.(OUTLETSP(RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Califomia.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
PaI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
ISO as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioged property for inspec . u oses.
X /� =nate
Signature 'of PermitIt-lor Agent
OR
Receipt No. — /0
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above f hich fees have been paid.
4W
,F,CT7P9r-RUBLA1WORKS
Building permit expirits Date
JW47-Z
i 13w, . .- - - . .- . _
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR
7 County Center Drive — Oroville, California 95965
Tel ephone7 534-4541 7
APPLICATION AND PERMIT R%N* CL_
BUILDIAG %
Owner SQ. F T. OCC. BUILDING VALUATION
/,2 3 q IT cro
Mailing Address P-0- BOX 56,.Z I
0 Ko
Contractor
Mailing Address
Building Address
C C%q &J A
Telephone No.
Ao.
I
A. P. No. 3 6,- 4,3" - CY Zoning & Planning
F fi�< W. Fire Dept. I FireZone Use Permit
ing Pa rc P
s cl
rl a
EQA I Plarking Parcel
Plans Declar _tiDn arcel Map 1 60' R/W I Improvements
Bldg. Plans �ec'd ff: P0JVr`A`pproVoI Ries -A `pp r . v . I
NEW ADDI TI ON UTILITIES OTHER
Single Family bQ Duplex
hAnhil W�rn. M nth.r. M
Fireplace I I
Total Valuation
Permit Fee
PlanChecking Fee&/orPenalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 1,00V OR LESS
100 AMP OR LESS
Main service EA. ADD -L 100 AMP
main service OVER 600V
100 AMP OR LESS
Main service EA. ADD -L 100 AMP
H CIRC
IkPPARA'
DUTLET
�3.00
1.50
1.50
1.50
1.50
1.50
—.30
5.00
2.00
$3.00_
5.00
2.50
25.00
1.00
20sq ft
2.50ea
FEE
FEE
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
Ex. Occup(OUTLETS OR FIXTURES)
WBA@L @�ttOq
style of:
(FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
License No. Classification
1
1 1
.11
11*_�_am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL No.
@ FEE
WORKMEN'S COMPENSATION INSURANCE
PERMIT FILING FEE
$3.00
1 am aware of the provisions of Section3700 of the California Labor
Heating
Code which requires every employer to be insured against liability
for Workmen's Compensation.
M I have placed on file with the County of Butte a certificate of
Cooling
W2,ckmen's Compensation insurance.
certify that in the performance of the work for which this
Ventilation
pI ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Hood
2.00
California.
Permit Fee
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-ment'i ed property for i pection purposes.
LAX Date
Signature of Permfitee or Agent
/'_�Receipt No.k! r6 -� 5 __3 /
P.W. – Yellow -Assessor – Pink -inspector – Golden rod-Appl i cant
TOTAL PERMIT FEE 1$:31Z 1 c6
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
B11 D ate 2-
18/�Uil/din'g permit expires Date
`f
��
-
• �
• �
M•
_
.�.
VILE T&mo
AP NO.'36_401*",3_
At time.,of permit application, the applicant was advised the following data or information
must be submitted prior to �ermit processing and/or issuance:
I All it-ame hnx7a hoon a"'km4f-t-ad
By.
2. Plot plans in duplicate/triplicate.
3. Complete plans in duplicate/triplicate.
4. Complete engineered plans and calcs.
5. Fees of $
6. Letter of signature authorization.
7. Sanitation approval.
8. Planning approval
9. Workmen's Compensation Insurance Certificate.
10. Contractors license information.
11. Parcel declaration.
12. Access declaration.
13. Aunt Minnie information.
14. Deed of access.
15. Deed of parcel creation.
16. Parcel map.
17. Pre -inspection request for
18.' Other
/ -Y
Date / A6 2Z
Bldg. Inspector
When permit is issued, process as follows:
Mail to owner.
I -
2.
3.
4.
5.
Mail to contractor.
Deliver with inspection.
Telephone
Other
and hold for pickup.
During plan checking process, the following data or information must be 'submitted prior to
permit issuance:
1. Index permit for items numbered above.
2. Applicant advised by telephone we need
3. Send letter to applicant. We need
4. Pre -inspection for NOT verified. (Index)
5. Other
PlaR!:c��Ife`cked and/or appr6lle_d by Date
Additional Processing or Notes: 1_?!r_--7 7
... .... ...
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ow
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IV
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1.4
ta C, Qf
cb
lit
JA
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Vt
oo(*
V,
14
Dep
,6000 ?QvAID
149,
Ot F
I
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ly
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I ! f I I T