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079-240-062
TAC K- CROSS ,/S pri dirt rd, 350'N Pinecrest R ipp 2 mi e Upper Pal Rd, Palermo )ermit#2976-81E (ele ser jjrrfor well & suture lot development) f;noIg14 Permit #41,12-81B,E(new pr(i..diet. garage) �•�QI ��.�� � 0� Permit #1024-823,P;E(add//bathroom/pri. garage) Permit#385-83B,P,E(convg�rt pT'i vate garag to single family) Permit#2635-83B,E(addition/SF�, Permit#379-84B(lst renewal/ 85-83�gar 0 - 91-3747 CROSS, JACK CONTR: OWNER 37 SELF LN, OROVILLE ADDITION/SF �O2-20�89 CROSS, JACK Iq 37 SELF LN., OROVILLE CONT: ECONOMY BUILDERS - GARAGE B08-0742 Se'APPtO 079-240-062 MISCELLANEOUS Re -Roof RE -ROOF (18 SQ) 37 SELF LN HSBC BANK USA NA TAX DEPT cQ ti,7 V u Q-' 'c. 1 Maq Com+ _�. �■+�_ Mme; :, �5 NOTES RESIDENTIAL' = PERMIT NO036-310-092 02-2089 ? . �I r CROSS'JACK- 37 JACK 37 SELF LN., OROVILLE CONT: ECONOMY BUILDERS I t GARAGE SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i JOB FINALED (Dat q— A Signature ✓ = OK 4. O=Not OK 3. Not Applicable MOBILE HOMES = Not Ready 4. Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 5. 1. Zoning Requirements -Setbacks -Easements Well Clearance & Disconnect 2. Soils; Special MH Support Sketch 8. 3. Sewer; Locatio:t-Test-Fall-C/O-Concrete MISCELLANEOUS Date 4. Water; Location -Test -Easement Needed (Sketch) 3. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 4. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or; /"L"ft./ - /'LPG 5. 7. Well Clearance & Disconnect 6. 8. Utility Clearance 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Date Siding; Nailing -Veneer -Stucco -Mesh Card B-1 Date Card B-1 Date Roof; Shthg-Roofing Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. _ Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-`nstallation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit Date 9. Card B-1 Date Card B-1 Date 10. Card B-1 Date Card B-1 11. Light Niche MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 3. oni Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date 46. Underfloor (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 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 Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Meth Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral O Yes 0 No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date 46. Card B-1 Date Card B-1 Date 47. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date 55. Card B-1 Date Card B-1 Date 56. Card B-1 Date Card B-1 Date 57. FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive D Yes NoMalks 7 Yes D No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. _ Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 E (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-31.0-092 ZONING AR 1/2 BUILDING PERMIT OWNER CROSS CK T t HO E SO. FT. OCC. BUILDING VALUATION 576 U 10,368 .OWNERS MAILING A6DRO P-0- BOX 584, PATEIRM0, CA 95968 CONTRACTOR'S NAME ECONOMY RUILDERS TELEPHONE 589-3820 CONTRACTORS MAILING ADDRESS P -n- BM 150, OROVILU, CA 9596-5 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 10,368 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S 227.90 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 1A Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New RJ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NW GARAGE /4 X 24 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f I force and effect. License Class Lic. NO. (� �] Z,] 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( a ACC. BLAS. SO 3.50FT: =R.,.T BmULTI.OUTLET @7,50 FOWEPPARATUS a SINGLER AourLET C.. Ex. Occup. OUTLET OR FIXTURES 20@''50 BAL tg .SO Ex. Occup. OUTUTLEEDTS REESIo°ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION Iy affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insjuance carr and policy number are: Carrier V Policy Number < L (The above sections need not be completed IMe permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall /tprthwith comply with those provisions. V -P/( X (J—_ Date _ � -- �� Sign ure of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 227.90 HAZ. _ D. FEES IMP _ _ FLOOD X CDF _ PARCEL - PD HD - ISSUE X This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ind- d ve fo which fees have been paid. Dat PERMIT EXPIRES ON 8 fet Receipt No. 360838 $227.90 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY �• 'Flat Ran Attached Floor Man Attached Sent to B.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Sac (C C�-os—�' ; "Z Se C 4�- Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well !� Clearance for dwelling. Other e a ruu�,,p — A% g2(umI. c�2 Hold final for: Final clearance O.K. for: NOTE: Environment Health Specia st 8/96 A"� Q1©a . . .................. B -moo a - Date !�r.�S�si�'+rfa'�{,:7Rifi•'ti11�.'ti„'s.a.�v�wwfiy "T'��rM� ��1i�'�'.. .. re / 1�' T^Tr'��1i�i'. ��"�. �''r7�!"�i�M`�'i��'�.;..r'�%L+y++N COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION • �"i'' - ,t .. ti' ,Ira . 4 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET C �3 -3/a -D9�- OWNER: s`' ASSESSOR PARCEL NUMBER ,Proposed Building Use: �7Ma ct Counter Technician (/l Date: y:Items required in order to apply for a permit. All boxes MUST be ch!ecke ,, O marked NA in order to apply. .. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. . Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! % ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. r (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. I f, 'Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be -indexed and returned to the plan review line-up when required items are received. �.: Date Received By '40 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ...........:.................... El 9. Plot plan and business license approval from the City of Biggs .................................... = B10. etter of intent for non-residential buildings.....................................................:.. .'Detached Accessory Building Form filled out by the owner ................. (...... .............. y , ❑ 12. Hazardous Material Form...........................................................`.................... ❑• 13. Other . ter, a :.Remaining ' ms needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ ees as'shown on the attached Schedule of Fees Due Sheet ..................... Y q• I tatement of Intent for Non -heated and A/C Buildings ......:.....::.. Sanitation and plot plan approval from the Environmental°Health DepartPent in '•o?'G C'ty of Chico Plumbing permit ......................... �! ............... �.. alifornia Department of Forestry plan approval aid. Sent. by: o ...................... �. 19. Planning approval for (A) Use: (� l< (B)Parking: (C) Parcel Check:.2 s`,' ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage............ t .................. "r ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy): ' ❑ 22. Pre -Inspection for required ................ ' ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... El 24. -,Worker's Compensation Carrier and Policy Number ..............:.............:................ ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ........:............ ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits.......................................................... ❑ 30. , ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: ' When issued Telephone and hold for pickup. 1 I have been informed of the above items and requirements for obtaining a building permit. Applicant: �� Date: U `— 0- 1. Index permit application for the above itemsnred: G1 -I- Plan Check Letter 2. Additional items required_ j Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner was advised of the abo d a by ❑ phone, ❑ mail, ❑ counter by Date: Plans reviewed by: (Z-0 Date: �2 Plans approved by: Q.�j, Date: -� d'L- Structural reviewed by: Date: I I Structural approved by: Date: Note.transfer by: Date: Yellow: Buildine Divisinn Io IM AD PLANNING DIVISION- BUILDING PLAN APPROVAL Oq 6q Use: O Date: 6—,q— Q 2 D Parking: Landscaping: s �c 0 2 1 n o J ' � o L 6- a 2 AD PLANNING DIVISION- BUILDING PLAN APPROVAL Oq 6q Use: O Date: 6—,q— Q 2 D Parking: Landscaping: �c �c J J 6- C) rJ � k I Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the.Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: ,� A L' K C. R o S S Phone -:t;--3 0 - -s 33-/-(91 J-- Mailing Z Mailing Address PQ . _Ro X. 5`9 H FA eA , VW � Cl,� ( C?S 9&9 , Site Address: �0013D ("7 Ile- O,4 95 Assessor's Parcel Number: Q 3 G- 3/— 902 f Zone: 19 o a t t Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes E No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 2- 5. Will anv advertising, on or offsite, be associated with the use of this building? Yes ❑ No [� SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No [� 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No R' - r8. 8.Do you plan to add a driveway or modify existing access to a county maintained road? Yes Q No B" 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No [Ej- CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No [)" 11. Will this building be heated or cooled? Yes ❑ No [� 12. Will this building have a water closet/toilet? Yes ❑ No ff� 13. Will this building have a sink? Yes ❑ No -- 14. Will this building have a water heater? ; , Yes ❑ No Q� , 15. What npe of floor,coveting will the building have? 0 �e— . r; • � � 16. What type 6f wall covering will the building have? �1 O Iii �- OVER 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. Q nvate Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirelv open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room E3Private.Office C3 Workshop C3 Home Occupancy 2 ❑ Other—Use = 1. Desenbe type orworlahop 1. Ntust be approved by the Butte Courcy Plaming Division Explanations: This area is for explanation of any""yes" answers on questions 2=14. Please indicate the question number.before the explanation. Additional Information: 'Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Owner's 2 of 2 RESIDENTIAL 036-31-0-092 91-3747 r CROSS, JACK CONTR: OWNER 37 SELF LN, OROVILLE ADDITION/SF i JOB FINALE Signature J=OK O=Not OK Not Applicable MOBILE HOMES ' =Not Ready � � ' Date MOBILE HOME UTILITIES (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) - -5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. - / /"Nat. or/ /"L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance + Date Card B-1 Date Card B-1- Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector, 6. Water; MH Test -Regulator -Connector 1 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 `IN MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability' 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel -boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK • = Not Applicable Not Ready RESIDENTIAL (Single • = Date UNDER OR (Plans) OK except # s oning-Setbacks-Easements-Flood-Slope g., Main; Soils-Elec. Grnd.-/f Ftg: Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth & Duplex) Date FRAMING (Continued) /Hangers -Post Caps -Anchors -Connectors Joist-Rftr. ties-Purlin-roof Brac- t fZ9__�� r place Ties or Type A Flue -Fireplace Throat clearance -4&.fttdc Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped ---- 6. Stemwalls. Garage: Steel-Blockouts-Wraooed-49ZFire Protection Framing __ 'j-PIroperty Line Firewall & Openings ------- -- -Doors-One 3' -Check Garage -3rd Story, 2 Exits fairs; Width -Headroom -Rise -Run -Landing -fire Protection ----------------------- dSA-plilwood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------------ S&-GietKg-Nailing Veneer -------------------------- --66..-6 ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic ---------- - - ear Walls, olts _ 59 ✓Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ag EWrm. Windows or Exiting Doors -Sill Hot. & Dimensions 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric: Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. moi- Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 5. Access & Ventilation 16. Insulation Date IC ard B-1 Date Card B-1 Date - Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------- ------------------ 19. Shower Pan; Test, First Floor -Tub Access ---- - 20. Test Tub & Shower. Second Floor -Tub Access - --- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 --------------------- ------------------- - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's - - - - 22. F1 e & Transformer Clearance -Ins. Protection -- - --=------------------------- -- - - lec_Receptacles Spacing -Lights & Switches at Doors - - Boxes & No of Conductors -Stapled - -- Romex Installed Close to Edge of Studs & C.J. ------------J- -- -------- -------- -- - ------------ ---- -------- -- 6. ip. Ground made up w!Mech. Fastners-Bond Gas & Water ---------- -- ----------------------------------------------------------------- 7. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ----------------- -------------------------------------------------------- u feed Wire Size i r ga. Cu or AI-A.C. Wire Size / ga. Cu or Al ------------------ ---------------------------------------------------------- ange Circ. i / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0- No ------- ------------------------------------------------------ 3 ice -Riser Conductors & Ground -Main Disconnect ------------ .-1�Edt>ip Clearances Panels-Motors-Mech. Equip_------------ ----- --------------------------------------------------- othes Closet Light -Shower Light -Spa Light -------- ------------------------------------ r33�5-moke Detector ----- ----------------------------------------------------------------- ------------- - - --- ---- - - -------------- ------------------------- Date •• � J Card B -i Date Card B-1 - ---3- - ................................................... Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except R's 34. -.A. -C.- Ducts Insulation & Su ort ------ ----- 35. Vent Fan: Exhaust ab a insulation - 36. Condensate Dr &Overflow Size & Grade- - 37. Furnance- nt: Access -Comb Air -Return Air Vent -115 outlet 38 Attic ccess & Platform if Furnance in Attic ------ ------------------------------------------------- ----------- ---------- Date Card B_1 Date Card B-1 ------------- --------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except s's Is, roper Material & Anchors alts Studs Nailmg. Spacing & Bracing-Plates:Sound - ---- Walls over Girders & Floor Nailing --------------- -------------------------------------------------- ---------------- aft Stop in Walls (rat proof) --- -- -- - ----- ----------------------------------------------------- 4� S s: Furred Ceilings -Stairs -Chases -Tub ............... -----------. ...---- --------------- g - ------------------------------- 4 aders & Beam -Size & Bearing Dates _:/✓lard B-1 Date Card B-1 Dat �"vzard 1 Date Card B-1 Date FIN! tans) OK except #'s Steps -Door & Sidelight Protection -Landings 2. Smoke Detector urnace: Vents -Clearance -Comb. Air-Connector- _�n-Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting - _G F.I.& Bath Fixtures & Tub Access -Spa Trim &Sub-anel_Breaker Sizes &Labels ----------- --- ___4;-Stairs & Rails -------------------------------- - Fereptace or Stove: Clearances -Hearth -- - - - -- -- - -- - - - ----------------------- - �� melee-Outi8ls at Wood Panel: Int. & Ext. - t_Fixt_& Appliance: Grnd.-Air Gap -Cooking Clearance 'r-�--• utlets & Receptacles at Kit. Counter -- Z2 rarage Fire Door Swing -Landing -Closer - -3-A-a-Du`ci in Garage -Damper A4* -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----•----------- --------------------- -�5- PttfEre. &Mech. Equip. Listed for Location 76. c. Receptacles in Garage: (G.F.I.)-Romex Protection 7-,. In_sulation-Foam-Looked in Attic ❑ Yes T --------1 1&Deck Co-nst-r-u-ction-Post - Caps d --- ----- FVs & Crawl Hole Door -Drainage & -Earth / Cjoargnce Looked under Floor es ...... _------ ----- - - - Following instld. Drive es o: Walks ❑ Yes No; Planters ❑ Yes z. No ..------------------------------------- - �it--SA+s66• Brown -Finish -------------------- �A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings Water ell: Disconnect, Electrical, Plumbing erior Elec. Trim: G.F.I. Receptacle -Underground a6 i ation Throughout House - 87. GI s Protection ---------- - - ... .... _ - - --- ----------------- - ------ " Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric . _ . _ewer Connected -C/O to Grade -HD Approval-- - 91. Energy Compliance Certificate -Other Certificates Date % rd 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 Owner • Permit No. �i 7 SQL LOCATION E N E R FY C P /1 % R T I F I C A T I 0 N DESCRIPTION OF INSULATION ,(� — l � P. No. ROOF Material Brand Name .. Thickness(inches) Thermal Resistance (R Value) V -EXTERIOR WALL /� Material 49A� %S Thickness(inches) �. ,,,-CEILING Batt or Blanket Type ,D -/%S Thickness(inches) %,- Loose Fill Type .Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVAT Materials Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R-Value) -L Brand .Name Thermal Resistance(R Value) - Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name '-14:s Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Enerff. Requirements. J.4 FIRM NAME/0 R STATE -CONTRACTOR'S LICENSE NO.' -'SIPqATURE OF INSTALLATION.APPLICATOR DATE I hereby certify -.the above insulation and all required items as shown on -the Building Department approved plans and attachments have been installed as required by the State. of'California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are - specifically approved by the State.of California. J4 Cee- C' ° o '' - FIRM _ /OWNER ease print) STATE CONTRACTOR'S LICENSE .NO. SI OF GENERAL CONTRACTOR OWNER DATE THIS -CERTIFICATE MUST.'BE ON FILE WITH THE BUILDING DEPARTMENT-PRIOR.TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. -January 1984 i� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 91-3747 r+ ASSE`SOR PARCEL NUMBER 36-31-92 YD"I"G ARMH 2.5 BUILDING PERMIT OWNER Jack Cross TELEPHONE 1533-7624 SO. FT. OCC. BUILDING VALUATIO 00 R 20.,400 OWNER'S MAILING ADDRESS P 0 Box4 Palermo 95968 CONTRAC TORS NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 180.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 90.00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 37 Self Ln, roville Permit fee $ 305.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 93 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK New ❑ Addition NX Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe worklivina room Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM $.6asq.ft. 14.00 OR ADDNS. l ACC. BLDGS. NEW CONSTR ULTI.OUTLET NO N•RESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 @ 760 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 29.00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating exlStin woodstove Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against ail liabilities, judgments, costs, and expenses which may in any way accrue against said Count in cos uence of the granting of this permit. X Date 10-41-51 Signature of Applicant — Owner ® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 40,00 i co TTVPE TOTAL FEE $ 374.00 HAz DF E IMP FL c F PARCEL PD H ISS This permit is hereby issued under the applicable provi- provi- sions of the Butte County Code and/or resolutions to do woaiivefor which fees have been paid. OR OF PUBLIC WORKS By Date/ -AO—'- 23_ PERMIT EXPIRES Date & - 2-3 -QZ_ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Buildina Department e FROM: Environmental Health SUBJECT: Sanitation Clearance croS 5 sed f L,-, :- -- --3 C 3i- 7")" Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply ^incl clearance O.K. for: Aj Water Supply Other h NOTE _ Date San4tari COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAWFORNO 95965 - TELEPHONE: 916/538-7541 PERMIT A O'tICATION DATA SHEET D,.,�. / •Permit No. OWNER C( 0, rI"\ 0 trO S • 1-41 A., P. No. 34 -J 1 7 Q Proposed Building Use S Building Inspector Date ; 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .............................. ...................... . 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. P fees at ............................................ ►') S ool Distr+'¢t fees paid ............. . Sanitation approval from I^©� 11 Health Departmen 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to +Y Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... V 26. 27. When you issue the p rmit, process as follows: Maio owner. Mail to contractor. Telephone and hold for pickup at (`p office. Deliver w/inspector. Other Appl ican .Date /o - ! q Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: l +C Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mail_c ter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder t�f Copy—DPW COUNTY OF BUTTE - Depaftment of Public Works 7 County Center Drive,' Mroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) h.e de— signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address' City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone. Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner <�2A,41_z Social Security Nu er Date /O - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 'r�"'g�'?'ru''',+`S.�d ���'z'ci'+ �is�,�..k*ryf,;•^F'��Ar�+v��{��.,�.''-Y�y7r"'Rv�'-'"`;c�'�-=i�,�r*"a�if'�-�nr.r=•:�•(..-F1*,,:...�,Y r 't M BUTTE COUNTY -SCHOOLS DEVELOP'MFNT•F`EE CERTIFICATION FORM (One Form._per' Building) A.P. Number 0 Buildin D a tment No.� 3Lo -.� ! r) - 09d2 g p. School DistrictKu A IQN }�cj City D County® Jurisdiction Property Owner ,4C C roSS Project Location/Address �% �P.1� j�/.� Orbyt Subdivision Lot Number Residential Development: Sq. Footage Q 0 # of Living MHI Addition (Group R)... Units Commercial/Industrial: "Sq. Footage< New Addition (Including Exterior Roofed Areas) 9z Date (Floor Plans reviewed by School District Personnel) District Id No. 0 % ✓' School-iDistrict certifies that (Applicant N me) (Phone..Number) d Street Aaa+ress j -(City) ( State) (Zips Code)�� has complied with he requireme t of Resolution No. by thepayment of $ representing square feet. 9,91 Sc ool Dist�tRepresentative Date PAID BY -CHECK NO. REMARKS,( j , BANK NO 'PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner 4ACIZ Cte_s Climate Zone Permit # 247 Floor Area 490 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ) ZONE 16 APPLIES TO NEW AREA CEILING ---R-30 R-38 WALL R-11 R-19 FLOOR R-1 R-19 SLAB R-7 R-7 GLAZING U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip_:doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. ORMT? 12/85 *1 HEATING, VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas FurnaVe, brand find model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid.or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept sort.. -Vv E3 her (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at•95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/EldctricBackup (brand and model number) Gallons 2 (tank size) (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart `or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 21 Chapter 2-53 of the California Administration Code. SI ATURE OF B ING DESIGNER OR APPLICANT a i ' f PERMIT N0. 2635-83B,E { / PERMIT EXPIRES a/ 1 OWNER JACK CROSS CONTR. owner ASSESSOR PARCEL 36-31-92 LOCATION 34 Self Lane, Oroville 4 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service 't Called PG&E * JOB FINALED (Date) t Signature —& x� C 4 � t 4 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service 't Called PG&E * JOB FINALED (Date) t Signature —& x� J =OK O Not OK - - Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS y Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1• Zoning Requirements -Setbacks -Easements _ 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-Rftrs.-Connec.-Shthg.-Rfc.-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. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except #'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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date A = OK r .. = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDE FLOOR ns) OK except N's Date FRAMING (Continued) Zoni g requirements -Setbacks -Easements 4 wall & Openings oors-One 3' -Check Garage -3rd story, 2 exits g., Main; Soils -St -Elec. Grnd.- //Z/" Ftg. Depth 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. �t"ei - adroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth ood on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; St el-Blockouts-Wrapped-Sielf 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab g -Nailing -Veneer reed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel Ing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. - _ 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 Bolts -Joists -Vents -Cripples I ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date fiefcT81509 Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 5 Ext. a Door & Sidelight Protection -Landings oke Detector 58. Furnace earance-Comb. Air -Connector - Mara ei Above Floor -Ducts -Meeh. Protection _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection a room Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 60: s & Tub Access rim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors -- -` -- 63 Clearances -Hearth --- 64. anel; Int. & Ext. Card -BI Date Card -BI Date 65• Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Receptacles at Kit. Counter Date ELEC AL Permit OK except N's 67. wing -Landing -Closer 68. A r �t In (ara0p nRO�r, i x I & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents- 0 -Comb. Air-Connector-P.R.V.- Ir1�aa bove Floor-Mech. Protection - ._ ec ceptacles Spacing -Lights & Switches at Doors Elec. & Mech. Equip. Listed for Location 2 e B es & No. of Conductors -Stapled 71. Ed age; (G.F.I.)-Romex Protec. u ation-Foam-Looked in Attic [�Ke me�yletalled Close to Edge of Studs & C.J. - _ uip. Ground made up w/Mech. Fasteners -Bond Gas & Water _ 2 in Kitchen & Conductor Size 73.-6t,acd-Ra+le-&-Beck Construction -Post Caps 74. Fdn. Vent yawl Hole Door -Drainage & Wood -Earth Clearance L under Floor ❑ Yes 26 re Me / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range ga. Cu or AI -Oven Circ. / / ga. Cu or Al, _a_ted Neutral `Yes ❑No___ �tj 28. r-Cw4* ctors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes alks ❑ Yes [allo;-" Planters Oyes ❑No 76 �rnces-Brkr. -quip. Clearances; Panels-Motors-Mech. Equip. - 30.-f'tnthpc ringpt I Light -_ -and BI Date Card B -I Date Card -BI Date 77, & Cond. Size -115V Outlet 78. -Appliance-Firepl.-Clearance to Opngs. 79. ert Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground t ation throughout House 82 Date MECHANICAL (Permit) OK except p's 8 _ ons from Previous Inspections 84 ters Tagged; Gas -Electric 31. A.C. Ducts: Insulation & Support - 32. Vent Fa; Exhaust above Insulation _n __ _- 33. _Condensate Drain _& Overilow; Size & Grade 34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet 85. ected-C/0 to Grade -HD Approval ergy Compliance Certificate -Other Certificates 35. Attic Access & Platform if Furnace in Attic - -- - - --- - -- - -- -- - --- Card -BI- Date - Card -BI Date rd Ca -BI Date Card -BI Date Dat Card -BI Date r Card -BI Date Card -BI Date Card -BI Date Date FR (Plans) OK except q's -- -: 6. Sills per Material & Anchors _ -alls _ _s -Nailing, Spacing & Bracing -Plates -Sound arIng Walls over Girders -&-F I oo-r Nailing 39. Draft Stop in Walls (rat proof) Comments at Final: _ _ rred Ceilings -Stairs -Chases -Tub atler Beam -Size & Bearing +ngers-Post Caps -Anchors -Connectors 4 g. Joist-Rftr. Ties- Purlin -Roof Brac.-T hthng.-Rfng. 4 or Type A Flue -Fireplace Throat tic Ac ss: Size & ROmex_Protection-Draft Stop -Ins. Baffles rm. Wmdovs or Exiting Doors -Sill Hgl. &Dimensions -- - - 47. - - a on Framing -- - -- _ -_ _- - (NOTE: Anentry must be made each time you visit job site) i" COUNTY OF BUTTE - DEPARTMENT -.OF PUBLIC WORKS PERMIT NO. -7 County Center Drive - Oroville%Califotriia %965 - Telephone 916/534-4541 �4 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER a6.-3,_ Z ZONING BUILDING PERMIT OWNER (aA:?_0 TELEPHONE Z -1 - SO. FT. OCC, BUILDING VALUA I N OWNER'S MAILING ADDRESS " D, Ste¢Amin CONTRACTOR'S NAMq ©WA/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ fteo ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ `- ----' $ S ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ SZ, BUILDING ADDRESS �o �� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ®,W11%1%1,C Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF K Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ AdditionK Remodel❑ Utilities ❑ Installation[] Other ❑ Describe work:_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING 0 OR ADONS. ACC LBLOGS.0 U 21�20.Sq ftO CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CQN5T(MLJL_TI-QUTNON-RESID R BRANCH CIRCUITS 2.50 ea NEw CONSTR. (POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. P Ex. Occu ( 20050e P Ts OR FIXTURES BAL®30 FIXED APP LHS, OR Ex. OCCUp. FIXED OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to'Self-Insure. k2/f-shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' conseque - of the granting of this permit. %� DateQGte�• f/ 83 of Signatur Applicant — Owner — Contractor ❑ Agent F1 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 $ pr f TOTAL PERMIT FEE occu=BOOP TYPE of CONST. �A�V// r PARCE 7 PD (/ HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT9"F PUBLIC By Date PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �` Q Receipt No. WHITE-D.P.W., YELLOW-ASSg9 OR, PINK -INSPECTOR. GOLDENROD -APPLICANT FOR M "7 ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. 5" PACKAGE "A" (Additions) NAME A JOB ADDRESS TYPE OF WOR ADD B�'D�r.�al SQUARE FOOTAGE Existing Residence New Addition New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 01�t INSTALLED APPLIES ,T�JEW AREA CEILING R-30 R -3O R-38 WALL R-11 R-11 R-19 FLOOR R-11 R-11 R-19 SLAB R- 7 R-11 R- 7 GLAZING .65 DUAL, .65. • 65 SHADING SOUTH OPTIMUM OVERHANG W 14 iTE ¢.ol.l.G� 5 H�D E5 or .36 S,C, tgAp; Gh G WEST - .36 S.C. IOU L � w 1+1rE 20..u�t- LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UMC - Ch, 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED' GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 HEATING. VENTILATING, AIR COi7DITIONING SYSTEM (A) Heating aw-b-nNLI Central Gas Furnace 7 ' (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar_ type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other - (describe) *1 (B) Cooling C—XISTI NSG 1Electric Air Conditioner (brand and model number) (seasonal EER) Stu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ' ❑ Other (describe) • DOMESTIC WATER SYSTEM C X! STI IJ . ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) * Active Solar (collector brand and model number) (rated y -intercept) (rated sloke) (solar fraction) ' ft (backup heater type, brand and model number) (collector area). (collector orientation) (collector tilt) ❑ location of Solar Panels ❑ Other (Describe). *1 Submit documentation of sizing heating"and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature_', elevation ', heating load BTL' elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature L_°, cooling load BTU *Z Submit T.I.P.S.E. chart"or other approved system (form #5) to document sizing of solar panels. . ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGN URE OF BUI ING DESIGNER OR APPLICANT *1 ❑ El HEATING. VENTILATING, AIR COi7DITIONING SYSTEM (A) Heating aw-b-nNLI Central Gas Furnace 7 ' (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar_ type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other - (describe) *1 (B) Cooling C—XISTI NSG 1Electric Air Conditioner (brand and model number) (seasonal EER) Stu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ' ❑ Other (describe) • DOMESTIC WATER SYSTEM C X! STI IJ . ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) * Active Solar (collector brand and model number) (rated y -intercept) (rated sloke) (solar fraction) ' ft (backup heater type, brand and model number) (collector area). (collector orientation) (collector tilt) ❑ location of Solar Panels ❑ Other (Describe). *1 Submit documentation of sizing heating"and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature_', elevation ', heating load BTL' elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature L_°, cooling load BTU *Z Submit T.I.P.S.E. chart"or other approved system (form #5) to document sizing of solar panels. . ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGN URE OF BUI ING DESIGNER OR APPLICANT 4 77- g� r ti I ' noe ono PERMIT NO. F PERMIT EXPIRES OWNER JACK -CROSS CONTR. owner ASSESSOR PARCEL 36-31-92 LOCATION WAS pri dirt rd, 350' N Pinecrest Rd, app 2 mi E Upper Palermo Road, Palermo i i .r t f f •1 Temp. Power Pole S� Called PG&E Temp. Elec. Service !!!F Called PG&E A { Temp. Gas Service r Called PG&E t JOB FINALED (Date) [ Si 4) . gnature J OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Suppo't-Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -Connectors _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except q's V 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 -Regula -or -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. • Gas and Electricity Tagged 8. Ele•c.; 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-1 Date Card -BI Date - Card -BI Date Card -BI Date J = OK 0 = Not OK t = Not Applicable Not Ready RESIDENTIAL )Single and Duplex) Date UNDERFLOOR Plans OK except k's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. -Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic 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 Bolts -Joists -Vents -Cripples 1 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (P OK except hi's t. Steps -Door & Sidelight Protection -Landings 57• Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's _ 14. Water Ht.: Vent -Access -Combustion Air 58. Furnace - earance-Comb. Air -Connector - rage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. _ Shower Pan; Test, First Floor -Tub Access 60. C1,17.1. & Bath Fixtures & Tub Access _17. 18. Test Tub & Shower, 2nd Floor -Tub Access �61�Erf c. Trim & Subpanel; Breaker Sizes -Labels/ f -- 19. Gas Pipe; Size & Anchors 62-_St'&ws-&-Rafls- - 3: Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64.rE+��eka atWood Panel; Intim Ext. it. Fix liance, arance Card -BI -- Date Card -BI Date 6 ec. Outlets & Receptacles at Kit. Counter Date ELEC CAL Permit OK except H's 6 arageire oo , g-Landin -Closer 68. age -Damper 4e7 -F e & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In GarageyAbove Floor -Meth. Protection = � - _ le eceptaSpacing-Lights &Switches at Doors T• Elec. & Mech. Equip. Listed for Location - Boxes & No. No. of Conductors -Stapled 71-. ' Garage; (G.F.I.)-Romex Protec. sm ex Installed Close to Edge of Studs & C.J. -__ quip. round made up w/Mech. Fasteners -Bond Gas & Water 72 2k on- Foam -Looked in Attic �].1Ges o ppliance Circuits in Kitchen &Conductor Size 7_ja ails Deck Construction -Po 26,,,, e / Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents ole Door -Drainage & Wood -Earth Clearance under Floor ❑ Yes - 27. Range Circ ga. Cu or AI -Oven Circ. / / ga. Cu or AI, _Fnsffl ted Neutral Yes ❑No 28. - i er Conductors & Ground -Main Disconnect -� 75. Followinginstld tf Yes No; Walks pt ❑ No ❑ ❑ ❑ Yes ❑ No; Pla Yes 76.-Staeee-BrawneFin'Y5fT - aq' Clearances: Panels-Motors-Mech. Equip. 77 onnect- Irnces-Brkr. & Cond. Size -115V Outlet 30"C7am'es-Rlasatsl_inhh-Sbcw r fight - ents A Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------------------ ----- and-BI Date jd a 9F; -i�-`(- -- Card B -I Date Card -BI Date er W isconnect, Electrical, Plumbing er' Trim; G.F.I. Receptacle -Underground entilatio ghoul House 8 s Protection Date MECHANICAL (Permit) OK except q's 31_ A.C. Ducts; Insulation & Support - 8 revious Inspections adb Test-MTagged; Gas -Electric er Connected -C/O to Grade -HD Approval 32. Vent_ Fan_ Exhaust above Insulation _- Condensate Drain _& Overilow; Size & Grade 86rgy Compliance Certificate -Other Certificates erg4-1 -__ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet PP i� - 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI 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 FRAhklNG(Plans) OK except q's Comments at Final: _ _. Siils material _ aterial & Anchors 5 _al Is; . Stud_- ailing, Spacing & Bracing -_Plates_ -Sound :% aring Walls over Girders & Floor Nailing _ S. proof) - 40.L s -Stairs -Chases -Tub_ _ er & Beam -Size & Bearin 42 ngers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnp.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 4 Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors-Sill_Hgl. & Dimensions___ _ 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFO CE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT <� �� �/� ' �1/e _ (location) BU ILD ING PERMIT NO. 8'$ 6l P, c�f , A 'P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER'APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Al A Fdn. Walls A1A Floors w _4 Walls r/ Ceiling/Roof t/ Ducts tVA Circulating Pipes n//-1 APPROVED HEATER [� APPROVED WTR.HTR. t/ GLAZING: Single Glazed AIA Special (Insulated) t/ CERT. & LABELED WDS. & SLIDING DRS. I/ WEATHERSTRIPPED DRS. BACK DAMPERED FANS IL/ INTERMITTENT IGNITION DEVICES AIA CERT. APPLIANCES — I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name - _ Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name (pleaa)print) Signature of General Contractor/Owner _ Date_ State Contractors License No. �.: THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL'INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION r WITHIN THE DWELLING. F '. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrUville, California, 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUM Rpm ZONING BUILDING PERMIT OWNERO')`• TELEPHONE T ��S SQ. FT. OCC. BUILDING . LUATION SMA LING ADDRESS lER'f CONTRACT 'S AME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ` ARCHITECT OR ENGINEER 42- LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ^ 19a BUILDI G AD ESS _ �1 S T PLUMBING PERMIT Filing Fee 10.00 � Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas waterheater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRU URE SF L`�l" kDuplex ❑ Mobi lehome ❑ Other �� SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition❑ NSemodel Utilities [:J Ins allation❑ Other Describe work: �P/Y�c�L.� t`c�� 3 K42S3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 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 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUT LET NO N.RESID BRANCH CIRC ITS. 2.50 ea NEW -CONSTR. (POWER APPARATUS &) NON RESID. SINGLE OUTLET CIR. Zo®soe Ex. Occup(OUTLETS OR FIXTURES SAL®3o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you miust forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgment osts, and expenses which may in any way accrue against said Coui o equence of the granting of this permit. _ �_ �c f Date Sign ure of Applicant — Owner El .Contractor ❑ ,Agent ❑ A OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.�7 Mobile Home Installation Fee $ �© TOTAL PERMIT FEE $ -�• OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD sSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which WTRjOF PUBLIC By PERMIT EXPIRES the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 4– COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilley Cglifornia 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT PERMIT NO. ASSESSP,U PAR EL U BER ZONIryG BUILDING PERMIT ow�{jiR TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION O ER'S AILING DDRESS ^� W C NTRACTOR"S NATAE ID TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace a 1' CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S11 Do Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI D SS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Im Solar Water Heater 20.00 Water piping 5.00 ^ 10 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCjkf(iE SF ❑ Duplex ❑ Mobi lehome ❑ Other_J1-J—C SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition Remodei—El Ut' ities ❑ Ins Ilation ❑ Other Describe work: ,fbN1JQAr_ ,• � � — Permit Fee $ /7, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 .1 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 2thQsgft CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check One): ElNON-RESID. 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 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT' -OUT 2,50 ea ^ NON-RESID BRANCH S NEW CON ST F;L I POWER APPARATUS & SINGLE OUTLET CIR. 20@50C Ex. Occu Ts OR FIXTURES eAL�30Q P�o X IED Ex. OCCUp. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judg ents, costs, and expenses which may in any way accrue against said Count n sequence of the granting of this permit. X Date 1-1 5ignotur of Applicant — Owner❑ Contractor ❑ • Agent An OS A 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 CONST. PAR L P HD ssu� f•�/ Thos permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE O OF PUBLIC By PE IIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date - Z—� Receipt No. t7fn� WHITED. P. W., YE -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT C CC 3 cn . 3 (D n 0 N Oi N 0 (D S -(D+ ca :3 r)-4 0 3 c0 n, a C y. y } O a, ~ . CL C M-� CD a -v- N n A of / p O v d C (D C C: 7 C: > Z O m `°3w�-� a> w N N rt s rn c� 2 < n N C Q 0 . 0- o, 3 0 Q° 0 :3 S -, 'N CL (D Q 7r rD Q°oG)3 01 (D 0 lD N 0) �$ Q o, N d C n d (D n _ _ (D -_ Ca CD 0 a r�6 A 0 0 N . N 0 7r (D Q m 0 cD 0 CZ N Qoscb/e glued S/,d;ng 9/sss aeon I t, O k 0 1101C •t6/d IWO i6/0 or Y.O The minimum STATE RESIDENTIAL ENERGY REQUIREMENTS for this building CoNV. GOO Qvol • 3 ooea Z of........................sq. ft.,_.._.__.... ----....._...Degree 1), -vs, and ...__ .._.- Design Temp. are: Insulation: Glazing: Slab edge -_ allowed; sq. ft. Fdn. Walls - - - - - R_�. — Single -acinar; sq. #. Floors - - - - - - - R Sp�ciai-akwed; sq. ft. Walls - - - - - - - - R—;1. s-0- SFS .ia%.actual; sq. ft. •00 Ceiling/Roof Y Vapor Barrier not re aired C_ IFCirculating pipes - 211M MAAJ fg. Wds. & Drs.cert. & labeled vp / r op Ducts Table 10-D UJ C. Swinging. Doors weatherstripped. � L 0 C w Ht . & A.C.: Exhaust Faris back damper.ed kb'� Z Type Gas Pilots inicrmittent ignition rn , BTU Max. All Appliances certified O M Wfr. Htr. Type EXIST1_061. Other: 2 (A < 70 2 tN lT-1 3 .a. ^ERMIT NO. 4112-81B,E PERMIT EXPIRES_ OWNER Jack Cross CONTR. owner ASSESSOR PARCEL 36-31-92 i LOCATION W/S pri.dirt rd.,app.350'N.of Pine, t — i crest Rd.,app.2 mi.E.of Upper Palermo Rd., Palermo i t r I i ' I k Temp. Power Pole Called PG&E Temp. Elec. Servi i ' Called PG&E + 1 I Temp. Gas Service Called PG&E JOB FINALED (Date)r V Signatur J = OK, O = Not OK - = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS 1. Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) i, .:xcept 1. Zoning Requirements -Setbacks -Easements _ 1• Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size-Depth-Spacing=Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails t 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg. Bracing 1 5. Electricity; Location-Clearances-Grnd.-/.. / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enc us.,res 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI _ c .Date. _ 1 Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date t POOLS (Plans) OK except N's 1. Setbacks -Easements x' 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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test " l Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date - Card -BI Date Card -BI Date I F V = OK 0' = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR P s OK exce t#'s Date FRA G Continued ning requirements -Setbacks -Easements 4 P operty Line Firewall & Openings 2. Ftg. Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / /" Ftg. Depth -Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab . Siding -Nailing -Veneer emwalls, Garage; Steel-Blockouts-Wrapped-Slab -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel WGlazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts 9. 13as Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 1 Plenums & Ducts; Clearance -Material -Support -Ins. 13.1 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C -BI Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C d -BI Date Card -BI Date Date FINA (Pl.K except q's 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-Mech. Protection 59. Bedroom Exiting 15. Water Pipe; Test & Anc -Nail Protection 16. D.W.V.; Test-Fttn Anchors Nail Protection Shower Pan; Te , First Floor -Tub Access 60. G.F I. & Bath Fixtures & Tub Access ______17. 18. Test Tub & S006wer, 2nd Floor -Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels _ Gas Pipe; Siz & Anchors 62.-6ta'fM& Rails _ _1.9. 63._64rep;Ace or Stove; Clearances -Hearth Ue Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date rd -BI Date viii -717 "& Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI . Date Fif__E4et-6utlets & Receptacles at Kit. Counter *i'-. je- re Door; Swing -Landing -Closer AB—A-e -Mt'in Garage -Damper Date ELECTRICAL (P-16�-Itl OK except q's 36-'6g Fixture &Transformer Clearance -Ins. Protection w� .;-`lents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection E . Receptacles Spacing -Lights & Switches at Doors ec. Mech. Equip. Listed for Location . Si a Boxes & No. of Conductors -Stapled Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2 . Ro ex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water *��enk+l;arr=Foam-Looked in Attic F] Yes 7 ' s & Deck Construction -Post Caps Circuits in Kitchen &Conductor Size 2C1-Subfeed Wir 2 Subfeed Wire Size / / ga. Cu or A.C. Wire Size t ---Y ga-Cu or Al 74 ents awl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes / 27. Range Circ. / g g . Cu or M - Oven Circ. / a. Cu or At, I ated Neutral CYes ED No " 75. Following instl . Drive es ❑ No; Walks es ❑ No; Planters Yes ❑No � -ice-Riser Conductors & Ground -Main Disconnect Z6 &oGGa; a Finish Equip. Clearances; Panels-Motors-Mech. Equip. 73�.CUaii;-Bisconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 ore Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. er Vell; Disconnect, Electrical, Plumbing — — KQOr2t6thes'Closet Light -Shower Light rior Elec. Trim; G.F.I. Receptacle -Underground ard' C B- Date , rd -BI Date . Ventilation throughout House Card B -I Date Card -BI Date Glass Protection Date MECHANICAL (Permit) OK except k's _ Pr -Corrections from Previous Inspections 84,--GeaT€9r-_1Tv�e ers Tagged; Gas -Electric —_ 31. A.C. Ducts; Insulation & Su t&&v-Wvter-&-&Gwer Connected -C/O to Grade -HD Approval - -- ._ 32. Vent Fan; Exhaust abo nsulation gy lance Certificate -Other Certificates _ __33. Condensate Drain - verflow; Size & Grade _ 34. Furnace -Vent; ccess-Comb. Air -Return Air Vent -115V outlet 35. Attic Access Platform if Furnace in Attic C d -BI DateAr Card -BI Date Card -BI Card -BI -- - - -- -- --- - -- ---- Date_- _ and -BI Date Date rd -BI Date Card -BI Date Card -BI Date Card -BI Date Card BI Date Comments at Final: Date FRA AG(PIA<11K except q's Sills; Proper Material & Anchors _ �e� /Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound kk Bearing Walls over Girders & Floor Nailing__ Draft_Stop in Walls (rat proof) _ 497' -Tire Stops; Furred Ceilin s -Stairs -Chases -Tub 4 Bader & Beam -Size & Bearing_ 42--�+»gers_Post Caps -Anchors -Connectors - _ Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 4 ce Ties or Type A Flue -Fireplace Throat s.eccess: Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46i�Mddo_ws or Exiting Doors -Sill Hgt. & Dimensions _ 44-Ge+a9a-Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS , PERMIT NO. 7 County Center Drive - Oroville, California 95965 -Telephone 916/534 41 4APPLICATION AND PERMIT J^ ASSESSOR PARC NUM R - —�/ ZONING BUILDING PERMI OWNER ick. EPHONE.S FT. OCC. BUILDIN VALUATION 0 OWyFyR'§ SAILING .ADDR 01-0 VE �` ' ���/� / /y CONNTTR(T/ACTOR'5 NAME `�v� to&//VU _ T/E✓LEP ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION L UNKNOWN Total Valuation $ 0,0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ SD ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee ,$ Z Penalty $ ARCHITECT OR EN NEER'S MAILING ADDRESS Permit fee $ Bul ING ADDRESS � � 07= Pel. %/� Ali 3�O , /V / PLUMBING PERMIT Filing Fee, 10.00 / , /EC�7. �141601. n n �/, C` umne, N /T L /'^G,�� Each Trap 2.00 Repair drainage or vent piping 5.00 y� FML,�F-/i�� ��A L� Water piping LOT NO. SUBDIVISION NA E PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE, / SF ❑ Duplex❑ Mobilehome❑ Other PP— ' PC� 1/142— SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New [Y—Add i t i on ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA..ADD'L 100 AMP 2.50 NEW CONST. DWELLING OC OR AODNS. ( ACC. BLOGS. .z /� , �jsq ft t OC) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON -RESIT R BRANCH CIRCTITS 2.50 ea NEW CONSTR. / POWER APPARATUS 9 NON -R ESID. %SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES 50 BAL@1 FIXED APPLNS. OR \ Ex. Occup.(OUTLETS (RESIT,) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , 00 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have -placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. rXiT I shall not employ any person in any manner so as to become subject 11193 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 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju Mgme., costs, and expenses which may in any way accrueaga' aid Co nsequence of the granting of this permit. Date /�� Si ature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ gq, occuP. GROUP I TYP OP C NST. I PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC 9:]e PER I EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date //--3- J? Receipt No. 581KBY WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD- PPL I CANT COUNTY -6F BUTTE - Department of Pub -1 is Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 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: i 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) GIA Ve— signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Al DVI, �- Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person.to coordinate, supervise, and provide the major work: Name VL o N e_ Address City Phone Contractors License No. 5. I will provide some of the work but -I have contracted (hired) the following persons to provide the work indicated: Name Address Phone 'Type of Work M S igned : �I Property Owner �c/ - Social Secu ity tuber , Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTEt.- DEPARTMENT OF PUBLIC WORKSP R NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / -APPLICATION AND PERMIT ASSESSQR PARCEL NUMBER ZONIjV BUILDING PERMIT .._ OWNER T EP3 E SO. FT. OCC. BUILDING VALUATION OWERZ&AILII4 /rDDRESS I V e / • .� LL E7((/`,rV/ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuati $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN LICENSE NO. Plan Checking Fee ,$' Penalty $ ,ARCHITECT OR ENGI'NEER'S MAILING ADDRESS Permit fee $ 9Uy DING A�DgRESS �t/ S te/• AP10 .5190 /t/ • ,OF AWE PLUMBING PERMIT Filing Fee 10.00 D• n Al I�S �` �P Each Trap 2.00 Repair drainage or vent piping 5.00 A41, 01/j(J �J(//LL.� Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ ��� • Mobilehome❑ Other!S�� t//G- SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Q�Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: L CT._ r wt`s -t'O- Z)f5tla0 p1L-�aJ7— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OOV OR Main service 100 AMP ORSLESS 5.00 QL7) Main service EA. AOD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.51) OR ADDNS. \ ACC. BLDGS. / 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason CONSTR A 1.OUTLET 2,50 ea NEW NO N•RESID BRCH CIRC ITS NEW CONSTR ( POWER APPARATUS d NON•RESID. (SINGLE OUTLET CIR. / 50 a 29¢ Ex. OccupOUTLETS OR FIXTURES BALPIoe EX. OCCU IXED APPLNS, OR \ P•�OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 fAiee-Wttit:g IA15 iq 1 7.50 1 -7_!g�_(7 D Permit Fee $ Z Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County'of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ' Cc u i sequence of the granting of this permit. agains;eof X Date �� Signal Applicant — Owner ❑ Contractor [IAgent ❑ An SHA 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 $ 2 'r' 5 -o OCCUP. GROUP I TYPE OF CONST. I PARCE PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC B � y PE EXPIRES DateL- the applicable provi- resolutions to do fees have been paid. WORKS y'� 7_19/Receipt Datety, No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r ' y ENERGY SHEET FORM i FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. „ 'i' 3 PACKAGE "A" (Additions) NAME JOB ADDRESS TYPE OF WOR A IM S SQUARE FOOTAGE Existing Residence New Addition %4 New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 0 INSTALLED AP LI S,T NEW AREA CEILING R-30 R-30 R-38 WALL R-11 R-11 R-19 I FLOOR R-11, R -ll R-19 SLAB R- 7 R-11 R- 7 GLAZING——' , 65 DUAL .65 .65 SHADING SOUTH -OPTIMUM OVERHANG or .36 S.C. * t)tAW.- GL WEST - .36 S.C. 1(A 4L & LA1*1NG � LOOSE FILL INSULATION (Density) �J (� 1TE Q.OI.I.G� s HPrb E5. w 14 1rE Mot-L61L_ s E+'°►�ES INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UMC - Ch, 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OP THIS SHEET l F 7/83 - *I HEATING VENTILATING AIR CONDITIONING SYSTEM (A) Heating . ❑ Central Gas Furnace 7 (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump _ (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other (describe) *I (B) Cooling EX116JUS4 ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) FM ❑ *2 DOMESTIC WATER SYSTEM &X( STI (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) -(solar fraction) ft (backup heater type, brand and model number) (collector area). (collector orientation) (collector tilt) Location of Solar Panels Other (Describe). *I Submit documentation of sizing heating'and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following. Heating: Winter design temperature Z -t—°, elevation ', heating load BTL' elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature L_°, cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGN URE OF BUI ING DESIGNER OR APPLICANT 0 PERMIT NO. 1024-82B,P,E �. yy I PERMIT EXPIRES J I-� OWNER Jack Cross ` f' CONTR. owner ASSESSOR PARCEL 36-31-92 .. LOCATION WIS pri.dirt Rd.,350'N.of Pinecrest r " Rd.,app.2 mi.E.of Upper Palermo Rd, Palermo t r I } ' t r r , Temp. Power Pole Called PG&E I i Temp. Elea Service i Called PG&E I Temp. Gas Service �4J Called PG&E JOB FINALEXe) ✓/ I Signature i V = 10K 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zonfng Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N'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/0 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 1 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test - Card B -I Date Card -BI Date I Card -BI Date Card -BI Date Card B -I Date Card -BI Date I Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable * - Not Ready RESIDENTIAL (Singlb and'Duplex) Date UND LOOR PI s OK exce t#'s Date FRAMI Continued Z ' g requirements -Setbacks -Easements 48,�,'ropWA-y-Line Firewall & Openings gp�td, Main; Soils-Steel-Elec. Grnd.- /11'/" Ftg. Depth 4yil5t. Doors -One 3' -Check Garage -3rd story, 2 et;its 3. Ftg., Garage 'Soils -Steel- / /" Ftg. Depth 5 th-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51VTIywood on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped-S)@I3,— S Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53..-S4neeo-MBSirDrip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54-6farinTArea-Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test ailing -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 Bolts -Joists -Vents -Cripples d -BI Date % Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C -BI /Dat d -BI Date Date FINAL✓ P s) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 5 . Ext. Steps -Door & Sidelight Protection -Landings 5•?"'9n+eke Betector 14. Water Ht.; Vent -Access -Combustion Air 58:--Fnrneee; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 5 W ter Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protectiondreera-Exiting 1j/4hower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 8f-3tairr Rails Uard-BI ft;& DateZq C-66rd-BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Pe it) OK except q's 2 Fixture & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors ze Boxes & No. of Conductors -Stapled Z#,"Rqmex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25..._2-Arpp iawe Circuits in Kitchen & Conductor Size 2 Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 2&r-1er7rcV--'TFi9er Conductors & Ground -Main Disconnect . rances; Panels-Motors-Mech. Equip. vn CA+iMWjoset Light -Shower Light GW B -I �/ Date 6 -I (-aZCard-BI Date Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insul & Support 32. Vent Fan; Exhauft above Insulation _ 33. Condensate DrainN& Overflow; Size & Grade 34. Furnace -Vent; Ac ss -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Pla form if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date // Card -BI Date Date FRAMING(PIO_S)OK except p's 3y_ Sills; Proper Material & Anchors 31/Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound ;Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _ op urred Ceilings -Stairs -Chases -Tub eader & Beam -_Size_& Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-_Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. _ or Type A Flue -Fireplace Throat 4_ Aeeess; Size & Romex Protection -Draft Stop -Ins. Baffles or Exiting Doors -Sill Hgt. & Dimensions /4Y�F.ife'Protection Framing 69. firepfne"r Stove; Clearances -Hearth 6V Elec. Outlets at Wood Panel; Int. & Ext. q&-XU_Zj41,& Appliance; Grnd.-Air Gap -Cooking Clearance ,66__EJsz__QuUst&& Receptacles at Kit. Counter 8i-6ecage�Door; Swing -Landing -Closer 68_A_C.48dst-ig Garage -Damper 64 tr- ents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. u a ion- am -Looked in Attic ❑ Yes .;a. 6tiardltafts ck Construction -Post Caps le Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instl . Drive Kyes ❑ No; Walks es ❑ No; Planters K Yes ❑ No inish eCMnect-CIrnces-Brkr. & Cond. Size -115V Outlet 7 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Rater Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground entilation throughout House Glass Protection -6errecttorts from Previous Inspections s est -Meters Tagged; Gas -Electric W. Water & Sewer Connected -C/O to Grade -HD Approval ompHance Certificate -Other Certificates C�Eirtl-BI K�fj Date ✓//✓,mrd.BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE:Anentrymust be mad; each time youvisit jobsite) - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 O _ ' APPLIPATIQN AND PERMIT ?'1 ASS ESSO PA C L UMBER ZO IN �j2, x—G BUILDING PERM( OWN ERv Cy(\� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS CONTRACTOR'S NAMEELE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER r LICENSE NO. Plan Checking Fee $ 9, OT Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ _ BUILD( AD ss rI bNAT-',d 3 2) I IN e-0-1121 PLUMBING PERMIT Filing Fee 10.00 i � 1 r Each Trap '3 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUC RE SF ❑ Duplex❑ Mobilehome❑ Other. 1e. SPECIFY Building sewer 0 Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition R model [,Utilities ❑ Installation❑ Other ❑ Describe work: \vvvv����� `' 1, V �K _ µ ,r A Permit Fee $ °off I© Contractor ELECTRICAL PERMIT FiIingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST.(DWELLING OCCUP.EI OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR. OUTLET NON -RE BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS D1 NON-RESID. (SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES BA0250 L@ IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 1 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor ' 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte a aiyynuust all liabilities, judgmen , costs, and expenses which may in any yv against said Co ty i c sequence of the granting of this perm '�jL X Date Sig ture of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCcuP. GROUP 4 / TY�P/yoF co ST.7PAVRC ✓ /� PD FD ssu This permit is hereby issued under wo, the Butte County Code and/or wor i icated a ove for which t CTOR OF PUBLIC BY/it) G��w PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date SIS -43 ,ion Receipt No. C2 � WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Depotrtment of Public Works 7 County Center brive, Oroville, CA. 95965 OWNER -BUILDER VERIF ICAT ION Attention Property Owner:. Phone: 916-534-4541 An "owner -builder" building permit has been -applied for in your name -and 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. I.personally plan.to provide the major labor -and materials for construction of the proposed property improvement (yes or no) VeLS 2. I (have/have not) h4u L signed an -application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide.the proposed construction: Name %? o n e, Address City Phone Contractors License No. .4. I plan to provide portions of this work, but I have hired the following person to -coordinate, supervise, and provide the major work:. Name .Address City Phone Contractors License No. .5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work .Signed: Property. Owner Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 . and 19832 of the California Health and Safety Code.' This verification must be completed and returned to our office before we are permitted to issue the permit. NOTE. --AH Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and - the National Electrical Code. This set of plans and specifications MUST be + satin »kept on the job at all times and it is unlawful to h % E/e v.w % /O n make any changes or alterations on same without C,4 /c yy °� / ' written permission from the Department of PubiiC Works, County of Butte. EX�sl.n' PAOPosed -- Adof1Ti o/l Provide ad quate bracing. SCA /G j � � S lD 4 s fRonT E/aTio/7 PAOPosed -- Adof1Ti o/l Provide ad quate bracing. SCA /G j VIM- lD wM- z7 4 ' VIM- 4 y i]i �'(( 1 I:v, a /•�.. t ( �t�1'' C .t y :- � 7 rig .�5 Y ' ?1 L�} •}e + y i tf c- :. 5 q +� 5'. .1.} r'' ..{ } t .fr� ) � 4n-`1�A�4 •}y P era'. t �� >i � + xl w�i i .k y. J�.,y ts�y yrff� 4 f'ft r d �.�:fy � ,� �,+��{ . , 6 �if>• - ,+f'+i „ �+ �j,{s Cyt ��;, �� yt+ ,r,;� { - a;p " S . � o � nCLfoZA a• ( (Lrri s oy �"���✓��1`",.:i4� �t1 `:y J`�, i' �+g� �.r `��4 7�`��rt � JY�!'�iy� Jf .. -.'h." � i , ... - � • ..F.- hV1+we: . _... P..+K++ti�+a w. .. wYrw� wrrrw .. _. _. Q 3 1 1 1 o� a � a c.a O ha . 4 . � 1 Q 3 1 1 1 o� . v .c 0 0 M ^Q 0�-IM0 r tA va OR,'v� wA y EXisti'nS ST R x - Re- 9z, e- t A setback of 5 ft. fromthe property lines and a setback �^ of 50ft. from the road o centerline shall be clear' of structures or equipmen except m E -for a 2 ft. eave overha g; 1 r , W 209..z g, BUM AP'PIq