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079-340-005
r Wayne Carlson Y14Y17p 1004 Mt: Ida Rd., Orovill'e atio)S Permit #1144-77B,E(add covered p Permit #580-79B(add carport/SF) _. 92=2331 B,E ' CARLSON, Wayne .,1004;Mt Ida -Rd, Oroville. ; , coriv -patio to., & add sv rage rj I 21 c"'l I) RESIDENTIAL x036-670-005 — 92-2331 B,E CARLSON, Wayne 1004 Mt Ida Rd, Oroville ccW patio to living & add storage JOB FINALE Signature J=OK O = Not OK jl = Not Applicable, Not Reac'ry MOBii.E HOMES = I s 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; Locatiori-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 6-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I MISCELLANEOUS Date DECKS OVERS, CARPORTS, GARAGES, (Plans)OK except #'s 19,�oning 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 ectric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh oof; Shthg-Roofing Steps -Doors -Landings Date-?-- ward B-1 Date Card B-1 Datei Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (: = Date UN ERFLOOR (Plans) OK except k's . Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ---------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------ -------- -------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------- ---------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------------ -------------- I -- ----------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------- --- ------------------------------------------------------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ga. Cu or Al ------ --------------------------------------------- 29. ------------------------------------------- 29. Range Circ r / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral D Yes ❑ No -------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------- --------------------------------------------- -------------- 31_ Equip_Clearances Panels -Motors -Meth. Equip. ----------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------- --------------- ------------------------------------------- 33. Smoke Detector --------------------------------------- ----------------------------------- --- Date Card B-1 Date Card B-1 ----------------- ------------------------------------------------- - ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. -.A. -C.- Ducts Insulation & Support ---------------------------------------- -------------- 35. Vent Fan: Exhaust above insulation ------ - -- -------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ---------------------------- .-...-.. 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - --------- -- -- - --- - -- .------------ 38. Attic Access & Platform if Furnance in Attic ------------------------------------------- ------------------------------------- Date Card -B-1 Date Card -B-1-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- ------- ----------------------------------------------------- 40. -------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ - ----------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --------------- ----------- -------------------------------------------------------- ---------- 42. Draft -Stop - in- -Wall.s- (rat- proof) ---- - - ------------ --------- ----------------------- 43. ----------------------- 43. Fire Stops: Furred Ceilings-Stairs-Chases-Tub -------------------------------------------------------------- ----------------- 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ ------------------- __ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------- - - - 57. Glazing Area -Glass Protection -Skylights-Plastic --------- 58. Shear Walls: Nailing -Bolts ------------ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------- Date Card B-1 Date Card B-1 ------------------------ -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's -------------- 61.- Ext.- Steps -Door & Sidelight Protection -Landings -------- -- 62. Smoke Detector ------------------------ - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------- --------------- 64. Bedroom Exiting ------------------------------ --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - - - ----------- 67. Stairs -&-Rai-Is 68. Fireplace or Stove Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. -- ----- - - - - ---------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ------ - --------------- - ------ 72. Garage Fire Door: Swing -Landing -Closer ------------------------------------- - 73. A.C. Duct in Garage -Damper ---------------------------------------- ----- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection ____75._Plb. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.1.)-Romex Protection --------------------------------------- 77. Insulation -Foam -Looked in Attic 0 Yes 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive ❑ Yes O No; Walks ❑ Yes Planters 1:1 Yes ❑ No ❑ No; -------------- -- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - - - -- - - --- -- ---- ------------------- --- -- 83. Vents Above Roof; Plb9 APP liance-FireP lace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ---------------------------------------- -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -..... ... ..-. -- ------------ ---------------------------- 86. Ventilation Throughout House .. ... . ------------------------------------ 87. Glass Protection ... --..------------------------------------------ 88. Corrections from Previous Inspections ------ -------------- ----------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ---. ...... --------------------------- ------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval-------------------------- _ 91. Energy Compliance Certificate -Other Certificates --------------------------------------- ---------- ---- --- Date Card B-1 Date Card B-1 -------------- -- --------------------------- -- ---- Date Card B-1 Date Card B-1 ------- ----------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection - - --- --------- --- - ---------------- Shower Pan; Test. First Floor -Tub Access ---- -- -------- Date -------------------- Date --19. 20. Test Tub & Shower, Second Floor -Tub Access ------------------------------------ 21. Gas Pipe; Size & Anchors Card B-1 Date Card B-1 ------------------- -- - ----------------- Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ---------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------ -------- -------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ----------- ---------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------------ -------------- I -- ----------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------- --- ------------------------------------------------------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ga. Cu or Al ------ --------------------------------------------- 29. ------------------------------------------- 29. Range Circ r / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral D Yes ❑ No -------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------- --------------------------------------------- -------------- 31_ Equip_Clearances Panels -Motors -Meth. Equip. ----------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------- --------------- ------------------------------------------- 33. Smoke Detector --------------------------------------- ----------------------------------- --- Date Card B-1 Date Card B-1 ----------------- ------------------------------------------------- - ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. -.A. -C.- Ducts Insulation & Support ---------------------------------------- -------------- 35. Vent Fan: Exhaust above insulation ------ - -- -------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ---------------------------- .-...-.. 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - --------- -- -- - --- - -- .------------ 38. Attic Access & Platform if Furnance in Attic ------------------------------------------- ------------------------------------- Date Card -B-1 Date Card -B-1-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- ------- ----------------------------------------------------- 40. -------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ - ----------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --------------- ----------- -------------------------------------------------------- ---------- 42. Draft -Stop - in- -Wall.s- (rat- proof) ---- - - ------------ --------- ----------------------- 43. ----------------------- 43. Fire Stops: Furred Ceilings-Stairs-Chases-Tub -------------------------------------------------------------- ----------------- 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ ------------------- __ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------- - - - 57. Glazing Area -Glass Protection -Skylights-Plastic --------- 58. Shear Walls: Nailing -Bolts ------------ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------- Date Card B-1 Date Card B-1 ------------------------ -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's -------------- 61.- Ext.- Steps -Door & Sidelight Protection -Landings -------- -- 62. Smoke Detector ------------------------ - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------- --------------- 64. Bedroom Exiting ------------------------------ --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels - - - ----------- 67. Stairs -&-Rai-Is 68. Fireplace or Stove Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. -- ----- - - - - ---------------------------------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ------ - --------------- - ------ 72. Garage Fire Door: Swing -Landing -Closer ------------------------------------- - 73. A.C. Duct in Garage -Damper ---------------------------------------- ----- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection ____75._Plb. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.1.)-Romex Protection --------------------------------------- 77. Insulation -Foam -Looked in Attic 0 Yes 78. -Guard -Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive ❑ Yes O No; Walks ❑ Yes Planters 1:1 Yes ❑ No ❑ No; -------------- -- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - - - -- - - --- -- ---- ------------------- --- -- 83. Vents Above Roof; Plb9 APP liance-FireP lace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ---------------------------------------- -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground -..... ... ..-. -- ------------ ---------------------------- 86. Ventilation Throughout House .. ... . ------------------------------------ 87. Glass Protection ... --..------------------------------------------ 88. Corrections from Previous Inspections ------ -------------- ----------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ---. ...... --------------------------- ------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval-------------------------- _ 91. Energy Compliance Certificate -Other Certificates --------------------------------------- ---------- ---- --- Date Card B-1 Date Card B-1 -------------- -- --------------------------- -- ---- Date Card B-1 Date Card B-1 ------- ----------------------------------------- - Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. t 7 County Center Drive - Oroville, Callfornla 9§965 - Telephone: 916/538-7541 t APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-670-005 ZONING AR 5 BUILDING PERMIT OWNER WAYNE R. CARLSON TELEPHONE 533-1850 SID. FT. OCC. BUILDING VALUATI N 452 COV—R 18 532 OWNER'S MAILING ADDRESS 1004 MT IDA ROAD OROVILLE 152 M 2,736 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace i "At' 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 22,768 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 195.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 97.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS O Permit fee $ 327.50 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 ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation[--] Other ❑ Describe work: CONVERT SCREENED PATIO T0�@P� _ & ADD STORAGE (ALREADY DONE) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO t000Al 1 1 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. l ACC. BLDGS. I 3.64sq.ft. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IVirin g '15.00 t I Permit Fee $ 36.10 Contractor — WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 FiIingFee 15.00 Heating WOOD HEAT 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 all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou in nse uence of the granting of this permit. X ' �-�-- Date I " 2 f pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excava ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in he Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P 40.00 occ CONST TYPE TOTAL FEE $ 403 60 I HAz I DFEE IMP I FLoo I CDF I PA7 PD HD I ISSU This permit is hereby issued under the sions sions of the Butte County Code and/or work indica a or which fees abh OF PUBLIC By PER EXPIRES Date — Z applicable provi- resolutions to do have been paid. WORKS Date 7_z —i3 Receipt No. 1 1 /^7 766 Z S% t, WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-INSPIECTOR. GOLDENROD -APPLICANT fir. '�,'.t"'�"'"'��y0�y•`a'�.rsi�fYy.^(r�li:�(�i�+'"'1r�;`="''i7.7�'�+'t'��^r��'�r�1+r�r'-�tj4Wti1+"^�1F� `''�'.^r...,r�.-JY- �-. ;�. t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE�,.CALIFORNIA 95965 - TELEPHONE (916) 538-7541 .-�t-""``"" S PERMIT APPLICATION 'DATA SHEET OWNER 0G V /i el r1,5041_.41 . o.►D Proposed Building Use ©h V a ) C) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. -�L 2. Plot plan/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets,'signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome Ji Land anufactur'gis installation instructions, 2 sets. . 10. Fees of $ , /0 0 PA -f 0.# .1.!.7.76.6..r I �} J �- `11. Impact fees as shown on attached schedule. (SO. pr , �/iti91 t tqf 0.0 �2- - 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... - 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about J'A)I avements (B) Drainage. .......... . 19. Driveway permit (construction ap0ffv;al,regSic�ed prior to occupancy). .... . Preanspedfon requeis 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license inforr-n5tion. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. .......... ............................... . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Whew you issue the errit, pr ce s as follows: Mail t owner. Mail to contractor. Telephone and hold for pickup at � ro office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. AUPollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted ri to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail _o er by _ Date Plans checked by74 Date Plans approved by Date Sets of plans on hold in il File cabinet AP folder Copy - Department of Public Works ;r,.. -�c r• sa'`".u,�dS.w�����"�+�R%%�1t6.*.�-w:�'�pa";�'7+q�'�r-�4.7P3"'...�s ^vt _ _ _ i BUTTE COUNTY SCHOOLS -IMPACT FEE CERTIFICATION FORM (Qne Form Per Building) School District_0 ►l0�F YY�__��Q_�______.___ Building Department No. A.P. Number Jurisdiction �_ J City FNA County Property Owner_I�f�_�G d` �� Q ✓� __/_ Property Location/Address o0 � _ — A)f 1 Subdivison Lot No. Residential Development No. of Living MHI Addifion Units s' Commercial/Industrial New Addition (Floor Plans reviewed by School District Personnel),,. e_ Sq. Footage 1-15(� - (Group R) Sq. Footage Date (Including Exterior Roofed Areas) District Identification No. School District certifies that (Applicant) (Street Address) F (Phone Number) (City (State) (Zip Code) has complied with the requirements of Resolution No. _ 9— fes' —� �o by payment of $ . A lz9 representing _��--._ square feet. School District Representative Date Paid by Check Number __ _ Remarks: 7jp Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow,(building department), Pink (school district) feeformmkl (4/92) " COUNTY OF BUTTE - Department of Public Works 7 County Center.Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. .Please complete -'and return this information at your earliest opportunity to. avoid unnecessary delay in processing and issuing your building permit'. No. building permit will be issued until this verification is received. 1. I. personally plan to provide the major labor.and materials for construction -of the proposed property improvement (yes or no) 2. I (have/have not 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. .!'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 Contractors. License --No.- .. .. . .,... _ ... -Phone' - _T... ....:.. _..: ... - _ 5. I will provide some of the work but I have contracted (hired) the following per to -provide- the work indicated: "Name Address Phone Type of Work Signed: p Property Owner Social Security Numb r Date 7 -2 - 'Z 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. W FOR M 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Climate Zone Permit.# Floor Area 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 WALL R-11' FLOOR IR -11 SLAB R-7 GLAZING U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST. - .36 Shading Coefficient LOOSE FILL INSULATION (Density) R-38. R-19 R-19 R-7 U-.65 (Dual) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT 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. OTHER 12/85 *1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Q Central Gas Furnace T (brand and'model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity At 47°F) Q Active Solar type (liquid or air) Collector brand and ft model number 'solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling Q Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Q Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM Q •(A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) Q * 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) Q 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 a maximum outlet capacity gas furnace BTU Cooling: Summai 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 2, Chapter 2-53 of the California Administration Code. 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(d'W.5, ((3110 n 31YO 3000 ' 101 A d0 NO hV SSI ' dN3 31VO 40 CE 1,Vo 0! ) 30Oa 31 V0 300 3WVN 1S813 3WVN 1SV1 I8d lV1S lalS 3011ON 1af100 '110 3000 '1X.3 IVIS 101A 1S11 NOI1V10114 lN3WJ.MVd3C ONIOU(1, J,INnOD hing /ir,!;- .nm Agri PERMIT NO. 580-79B_ PERMIT EXPIRES OWNER WAYNE CARLSON CONTR. �q�ncr LOCATION (A.P. 36-67-5 ) 1004 Mt. Ida Rd, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E /FOB /I NALED (Date) (Signa re y PLUMBING Reinf. Steel COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Bond Beam Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing / Water Pi Inc Piers - Roofing 00--' Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Carport p Footings Prov. for phsically handica ed Conformance of ex. i structure Appliances( Gas Piping Temp. Gas Slab zzFinal -02 Sanitation Patio FIREPLACE Final Footings Footin Masonry Walls Throat Rough PLUMBING Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECH XNI Al- Grd. Fault Prot. Scratch Heating Service Brown Cooling V Temp. Pole Finish Ducts ( Underground Interior Lath Ventilation ( Permanent :Door"Closer Final Final tl MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping (DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) JCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drir.,Orpville, California 95965 - Tel ep'riolte: 534-4541 APPLICATION AND PERMIT / Owner (I> Mailing Address Contractor Mailing Address Building Address e No. —2 4 o. A. P. 34417— '5-1 r, d&('P1 lQ ����--�i�i,� �" Zo & anni Flies I %*It. LE&JIWJUa 'Fire Dept. I Fire Zone I Use Permit E, Parking Parcel Parcel Ma R/W Im roveme Plans Declaration p p Bldg.)Vans Recd Parcel A r al Plans Aprovol NEW fa ADDITION ll'o UTILITIES ❑ OTHER ❑ Single Family IN Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of rkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sign ure o Per�mit��ee or Agent Receipt No. J %_2_ ra White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant _ BUILDING SQ. FT. I OCC, I BUILDING VALUATION Fireplace BAB a@L1 Total Valuation ELECTRICAL No. Permit Fee PERMIT FILING FEE Plan Checking Fee &/or Penalty Main service Permit Fee zx -- PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee BAB a@L1 FIXED ALISIS OR Ex. Occup. (OUTLETS PIRES(D. I EA) ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORLESS5.00 6.25 Main service EA. ADD'L too AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service( EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. C ACCLBLDGS LING CCUP. 4'\ /\ 20sq f1 NEW CONSTR. .MN-RFtIn- MULTI-OUTL T BRANCH CIRCUITS/ 2.50ea Ex. OCCUR OUTLETS OR FIXTIIRES BAB a@L1 FIXED ALISIS OR Ex. Occup. (OUTLETS PIRES(D. I EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL Notl$3. @ PERMIT FILING FEE00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE Isz-,— This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F PUBLIC WORKS By Dater Iding permit expires Date Z� �� e PERMIT NO. 1144-7TB,E ... J PERMIT EXPIRES � ./ _ ;/ $OWNER Wayne Carlson CONTR. owner • COCATION (A.P. 36-67-5 ) 1004.Mt. Ida Rd., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Cay(ed PG&E Temp/ Gas Serv. /OB alled PG&E FINALED 0/7 (Da Signature) FIRE SPRINKLERS I M btucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final. MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION AL - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CO�TIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING -INSPECTION RECORD t . ., BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out . Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. forph sically handica ed Conformance of ex. structure A llances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL FIRE SPRINKLERS I M btucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final. MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION AL - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CO�TIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF-BOTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 // / Telephone: 534-4541 /� 7� �/[ APPLICATION AND PERMIT /r/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date �— % Signor/ooff Peermitee or Agent Receipt No. y�,33,J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date Buding permit expires Date—/J 7 BUILDING Owner ��' SQ. FT. OCC. BUILDING VALUATION Mailing Address Teph-ne No. Fireplace Contractor Total Valuation d Mailing Address Permit Fee OU Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ O Building Address B�% PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 D�•/% Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No./ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s I jQkGr Saftke"In FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg.. Pl�ec'darcel Approval Pla provcl Permit Fee $ NEW ❑ ADDITION UTILITIES ❑ OTHER ElPERMIT ELECTRICAL No. @ FEE FILING FEE $3.00 QQ £d Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 25.00 100 AMP O OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLINGO & OR ADDNS. ( ACC. BLDGS. 22sgft o NEW CONSTR. MULTI -OU L T NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BA@,2@510 FIXED ALNS. Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 1690 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date �— % Signor/ooff Peermitee or Agent Receipt No. y�,33,J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date Buding permit expires Date—/J 7 Y l ]j )Y \P Ly kr- /f 60 6 -5UPER ROOF 16 1704 Ale 2'X Iq 3CRLFN -d 6 0 m I PATIO CON VD97L) (1) 43' C47tA 1; 70 5 TORA R O Go 3 )D-5TovE *0 7 TIP DYER, 1 RAP6,ULA� �,.` LA UNPRY ,� I a A I a 5T I IV� i" 00, 000 3PILT- (IMR iG am n . B 6 EXOTIM6� PAVC41Z69 RXF ENT Y 94rc `tib � \ 18 X 24 PRINTER ON NO. IONN CLEARPRINT �Qm 1 . SCALE: DATE: APPROVED BY: DRAWN BY REVISED I DRAWING NUMBER �Z- 2.33 I