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079-340-019
t Hilton Simmons ;peW7 / { IS Mt. Ida Rd . ;, app . 'k mi. E. of La Mirad; Simmons Sub, lot,5, Oroville ermit #1749-76B,P,E,M(new single_family) ` HARVEY &VICKI ANGLE 1176 Mt, Ida Rd, Oroville , 7/?0 Permit#1485-86B,E(add family room & (deck)SF PERMIT#96-0357 AIELLO, Ken:•- - 1176 Mt Ida Rd:, Oroville ` M • Cont; Quailty Const:. Add Covered Deck/ SF ✓ ��� RESIDENTIAL 036-670-019 PERMIT#96-0357 AIELLO, Ken 1176 Mt Ida Rd., Oroville Cont; Quailty Const. Add Covered Deck/SF V=OK 0 = Not OK Not '=Not Ready MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except #'s 7. Well Clearance & Disconnect 1. Zoning Requirements - Setbacks - Easements 8. Utility Clearance 2. Soils; Special MH Support Sketch Decks• irders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/O -Concrete LAew#76od Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 4. Water, Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap; / fVft. MISCELLANEOUS Date ./ /Nat. or/ PL'ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Decks• irders and/or Joists -Decking -Bracing -Stairs -Rails LAew#76od Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 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 S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector Data 7. Water and Sewer Connected -C/0 to Grade -HD Approval Dat 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater MISCELLANEOUS Date DECK COVERS, CARPORTS, GARAGES(Plans) OK except #'s equirements-Setbacks-Easements 0 ngs; Soils-Size-DepthSpacing-Connectors-Steel Decks• irders and/or Joists -Decking -Bracing -Stairs -Rails LAew#76od Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric S. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Data Card B ,47- Date Card B-1 Dat Card B -1 ,&j4 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 4 O O = Not OK = Not Applicable Not Ready RESIDENTIAL (: = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elea Grnd.-/ /" Ftg. Depth j 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -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 ft'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. 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 wrMech. Fastners-Bond Gas & Water ---------------------------------------------- - ----- -------- ._....- 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI -------------------------------------------------------------... _ .- -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Sze r ga. __ Cu or AI 29. Range Circ r / ga. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral 0 Yes 0 No -------- ------------------------------- ---------- --- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------_-.....----......_--------- -- .... 31. Equip Clearances Panels-Motors-Mech. Equip. ---------- ------------------ - ----. ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light ---------- - - ------. ----- ---- ............... 33. Smoke Detector ------------------------_---- .... - -- ----- ....... ... ... ....... . .... .. Date Card B-1 Date Card B-1 ------- -----......_..._ .............. .... Date Card B-1 Date Card B-1 Date MECHANICAL.(Permit) OK except P's 34. A C. Ducts Insulation & Support ------------------------ ------------- --• _................ 35. Vent Fan: Exhaust above insulation ------------------------------ ....... ............... .. 36. Condensate Dram & Overflow: Size & Grade - - - -- --................ 37 Furnance-Vent: -Access- Comb. Air -Return Air Vent -115 outlet 38 Attic Access & Platform if Furnance in Attic ------ -- ---- ---------- - - -- Date Card B-1 Date Card B-1 -- -- --..... ....... ....... ... ..._. ... . ... . . .. Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39 S Is. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... ... ... .. .. ...... --1 ... ...... . 41 Bearing Walls over Girders & Floor Nailing ...... ... _......_. __..... ... 42 Draft Stop in Walls (rat proof) ...... ........ .. 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. -Ring. 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. -------------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-1Date Card B-1 -------------- ---- ------ ----------- ----- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except P's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ------------------------------------------- 64. ------- ---------------------------64. Bedroom Exiting ---------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------ --------------------------- 67. Stairs & Rails ----------------------------------- 68. Fireplace or Stove: Clearances -Hearth ....._..------------------------------- - 69 Elec. Outlets at Wood Panel: Int. & Ext. ------------------ - ---------- --------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance - - - - ------------------------------------ -- - 71 Elec. Outlets & Receptacles at Kit. Counter . ... ... ... .... - -. ----- -- - ---------------- --------- 72. Garage Fire Door: Swing -Landing -Closer ....... --- .................... -- -------=---- - 73. A.C. Duct in Garage -Damper ...... .................... --•------------ ------------- ------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection .....------------------------------ ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location _..---------------------------------- -------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------- ----------- 7,. Insulation -Foam -Looked in Attic 0 Yes - ----------------------------- --------- ------- - 78. Guard Rails & Deck Construction -Post Caps . -- ---------- ----------------------- 79 --------------------79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes ------------------- -- 80. Following instld� Drive 0 Yes 0 No: Walks 0 Yes El No: Planters 0 Yes 0 No . . .- --------------------------- -------- 81. Stucco: Brown -Finish .. ... .-. -.... .------------------------ D --------- --------- 82 A C Unit: isconnect. Electrical. Plumbing . -- - - - - - ---------- ------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ....... I -- - - - -- - - - - --- -- --------------------------- 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-CrO to Grade -HD Approval ..------------------------------- 91 Energy Compliance Certificate -Other Certificates -- -- - ------------------------ Date Card B-1 Date Card B-1 . _ .. . ------------------------------------ Date ----------------------------------Date Card B-1 Dale Card B-1 --------- -------- -- - ------ Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION — ' Bounty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT % -03S ASSESSOR PARCEL NUMBER 36-67-019 ZONING ar BUILDING PERMIT ( 7_ OWNER KEN AIELLO TELEPHONE SO. FT. OCC. BUILDING VALUATION 404 COV 5252.00 OWNERS MAILING ADDRESS 1176 MT IDA RD OROVI CONTRACTOR'S NAME QUALITY CONSTRUCTION TELEPHONE 534-648 CONTRACTOR'S MAILING ADDRESS 559 QAKVALE AVE Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 91 -no ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 99-69 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1176 MT TDA Rb PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF A Duplex ❑ Mobilehome JD Other COVERED DECK SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New EK Addition 'A Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �� /a S` G License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( & SIINWXE CUTLETTUS C R. ) Ex. Occup. (OUTLET OR FIXTURES) 2e 9 I•50 BAL .SO Ex. Occup. (ounEtDrs RES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compe sation insuranc carrier and policy number are: Carrier L 7 91r- tfj �(,i,P MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall ith co pl with those provisions. X_ __ ___ Date� / 7 _ Si Applicant - ❑ OwnerContractor ❑ Agent T� Anature An OSHA permit is required for excav I s over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 153.65 HA2. _ I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD ISSU This permit is hereby issued under of the Butte ounty Code and/or indicated ve for w ees have B PERMIT EXPIRES �- .)�F— the applicable provisions Resolutions to do work been paid. Date �C 27 (Date) Receipt No. 191088 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. .. . ..� � .. t .'r' ti.. .rr—Yi�� .-.. � �.V'lY'.nAl-.����,i.T1'��.«'�i`�I'_r'YY'N'rf'F it✓L-.. .M r .. . � COUNTY OF BUTTE - DEPARTMENTOF DEVE4-OPMENTSERVICES -BUILDING DIVISION t 71 7COUNTYCENTERDRIVE-�OROVILLEf1CALIFORNIA95965-TELEPHONE(916)538-7541 � PERMIT APPLICATION DATASHEET J G. %— aOWNER e ��0 P.No. �J 4d« Building Inspector Proposed Date -X_X t —57,4 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: f, DATE RECEIVED BY All items have been submitted ...... . 2' ._Plot plans, 3/4 sets,4signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by)preparer of plans. . 4. Engineered plans "and calcs, 3/4 se , with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ........ ............................... . --- 11. Impact fees as shown on attached schedule. 1 ifornia Department of Forestry plan app}oval/fees. ....................... . 3. Flood elevation letter (100 year flood by lif�ia Engineer. .. ............ . 14. Sanitation and plot plan approvals 'e- Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . Preanspection requ5W_ 20 Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, CI �fkation) 22 Certificate of Workmans Compensation Insurance. Q. k,; A. .............tea- 6 Owner -Builder Verification (Given to owner ,Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28, Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . .......................................... :.......... 33. 34. When yqu issue the permit process as follows: Mail to owner,. Mail to contractor. Telephone5g4;9§7 and hold for pickup at Or 0 IJ' office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date a �' 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 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by 6; 10 3 a.y/ 5 Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1485.1-86t -Z� PERMIT NO. PERMIT EXPIRES 7-7 OWNER HARVEY &/VICKI ANGLE owner CONTR. 36-67-19 ASSESSOR PARCEL LOCATION •.1176 Mt. Ida Rd, oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E ri JOB FINALED (Date) 5 Signature V OK 0 = Not OK Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 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 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Aftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-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 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 a's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability , 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 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-1 Date Card -BI Date ==A Card -BI Date Card -BI Date V = 0K O = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) :4: = Not Ready Date UNDE LOOK Plans OK except #'s Date FRAMING (Continued) Hing requirements -Setbacks -Easements Orly Line Firewall & Openings Ftg., M , Soils-Steel-Elee--fFtg. Depth .49-07r Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth O. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection . 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth lywood on Roof Overhang- flit Vents -Rafter Outriggers I L . Stemwalls, Ma6K-78te -Bteefeeet5-Wrapped-� S?_ Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. S o M sh-Drip eed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel G ng Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors a. 'FftINJ I p r ra 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 BI ate - Card -BI Date Card -BI Date r Card -BI Date Card -BI Date Card -BI Date Card -BI Date J'2^- Card -BI Date Date FINAL (Plans) OK except q's 56.E . Steps -Door & Sidelight Protection -Landings Card -Bl- Date Date Card -BI Date PLUMBING (Permit) OK except Ws. 14. Water Ht.; Vent -Access -Combustion Air 7-8. Smoke Detector F Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59' _ 17. Shower Pan; Test, First Floor -Tub Access =ixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Iiiiellflec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe: Size & Anchors tls - 63. v learances-Hearth Card -BI - -- Date Card -BI Date lec. Outlets at Wood Panel; Int. &Ext. 65. rr Q. Sox p �ance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Eteeteceptacles at Kit. Counter 67. Gauge-F4iy175OT; Swing -Landing -Closer 68. A.G.amper _ - fixture &Transformer Clearance -Ins. Protection EI eceptacles Spacing -Lights & Switches at Doors xes & No. of Conductors -Stapled 69. Wtw,ilr;c.j "awls Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. P ech. Equ .Listed for Location 71. E age; (G.F.I.)-Romex Protec. _ t/�G --- _�_ Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water -.2-1-9 Appliance Circuits in Kitchen & Conductor Size --22f�-5�bfeed_Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At '2TRang2 Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated_ Neutral _,Yes ]No _e_r_vt'_ce-Riser Conductors & Ground -Main Disconnect _ quip. Clearances: Panels-Motors-Mech. Equip. tion) Foam -Looked in Attic ❑Yes 7 4. uard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl !-tole Dmage &Wood -Earth Clearance Looked under Floor eM'S s 75. Following innsstl4.: Drive es ❑ No; Walks �s ❑ No; Pla rs GYes ❑ tucco; Brown-Fi 77. Clrnces-Brkr. & Cond. Size -115V Outlet Card _ Card B -I �8.-6ivttres Closet Light -Shower Light - - ate r- Card -BI Date - Date �;/ and -BI Date ants Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. ct, Electrical, Plumbing 80. 80.G.F.I. Receptacle -Underground entilation throughout House . Glass Protection Date Card -BI Card -BI MECHANICAL (Perrr,it) OK except N's 31. A.C. Ducts_ Insulation & Support _ _ - _- 32. Vent Fan: Exhaust above Insulation _ _ - 33. Condensate Drain & Overflow: Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -_115V outlet 35. Attic Access & Platform if Furnace in Attic - Date Card -BI _ Date Date Card -BI Date _11Card-BI orrections from Previous Inspections 84. s es - agged; Gas -Electric ter & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Dat Card -BI Date Date Card -BI Date Date FRA G(Plans) OK except it's Comments at Final: _ 3 S' : Proper Material & Anchors _ ds -ailing, Spacing & Bracing -Plates -Sound B��W uN ing Walls over Girders &_ Floor Nailing 38� D St p in Walls (rat proof) 49 F' St Is : Furred Ceilings -Stairs -Chases -Tub er & Beam -Size & Bearing Qk Ha rs-Post Caps -Anchors -Connectors 4 Ing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _44_F..ife ce Ties or Type A Flue -Fireplace Throat tic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ •46.7-B7rM--Windows or Exiting Doors -Sill Hgt. & Dimensions e -•Fire Protection Framing (NOTE: Anentrymust be made each time you visit jobsite) Owner:. Permit No. ENERGY C ERT" -IF ICAT ION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material , Thickness(in-hes) EXTERIOR WALL Material r-l®b Thickness(inches) PG Y14, CEILING Batt or Blanket Type A1; Ili C-LLASS Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Psw_ 6Lh5ct' Thickness(inches) &4 FLOOR, SLAB Material. !U Thickness(inche ) Width(inches) FOUNDATION WALL Material nt Thickness(inches) Brand Name ?,' 1' �. '-' �•� -_ Thermal Resistance (R Value)�i Brand Name Thermal Resistance(R Value) LI Brand Name Thermal Resistance(R Value) 3 D Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name ol.JC_jk_-)S_ CZYLiUt ^ �� Thermal Resistance(R Value)_ Brand Name Thermal Resistance(R Value) Brand Name .Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requiirements. FIRM NAME /OWNER STATE CONTRACTORS LICENSE NO. SI TURF Of INST T ON APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER . (Ple a print) SIGNA OF l�.NE CONTRACTOR OWNER r STATE CONTRACTOR'S LICENSE NO. Val—Sc L. DATIK THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,,Chico — Phone: 891-2751 7 County Center Drive, Oroville -- Phone: 534-4541 Skyway and E41iott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector_ �1-11 \��� Date R - �_ _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and E•Iliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A AAG UT OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / (--27- !a -,<- Gc> Ll - 0 - 0 /� 7-D /,q -)S61 L,* Inspec Date �_--- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT N J� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 `/QQ�/ APPLICATION AND`•PERMIT ASSESSOR PARCEL NUMBER _ (� -�. ZONIN BUILDING PERMIT NER ' �� TEL Ho E (Ls SQ. FT. OC . BUILDING VALUATION W++NER' MAI ING ADDRESS I1 CONTRACT R'S NAME T ELE P H NE CON RACTOR'S MAILIN1G ADDRESS Fireplace CONST LIDO L DER UNKNOWN Total Valuation $ Filing Fee $ 1100 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee !$ $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water ater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heAfer or vent 5.00 USE OF STRUCTURE SF V Duplex❑ Mobilehome❑ Other SPECIFY Gas piping syst 1 - 5 outlets 5.00 Building sew r 5.00 Mobile Hom6 I S I G JW I 10.00ea TYPE OF WORK New ❑ AdditionX Remodel[] UJilitiesQ Installation0th r ❑ Describe work: �' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busine$$ 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 OR ADDNST ( 0WEACCLBLING LDGOCI/Z0Sgft NEW CON5TR ULTI.OUTLE 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20950t DALoso FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.1 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. 'IUI I shall not employ any person in any manner so as to become subject l64 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PER Filing Fee 10.00 Heating Cooling Hood 3.00 VentiIatio Permit $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the ling of this permit. ._ h �C� X ' Date c� Signrure of A rant — Own Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.T7PEJ I I I F PA PD ND sup This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO"F PUBLIC BY PE T EXPIRES Date- the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 1. r COUNTY OF BUTTE - DEPARTMENT O .PUBLIC WORKS - BUILDING DIVISION r' 7 COUNTY CENTER DRIVE - OROVILLE,•&,krP_OARNIA 95965 - TELEPHONE: 916/534-4541 : PERMIT APPLICATION DATA SHEET% OWNER IYR ✓'V Proposed Building Use. Permit Fee Based Upon Building Inspector_ h 9 /to Complete Contract Price Other (Explain Permit No. n _ A. P. No. DPW Valuation Date At time of 'emit application, I was advised the following data must be submitted prior to permit processing and/or i uancE.".'i DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot p'lans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ i�Letter of signature �authorizat'/�� SanitNion approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required- BuildingPre-Insp request to (Date) p q Building Inspector 18. Recorded,' � u Acknowledgment Statement . 19. Other Monstruction approval required prior to occupancy) Whou issue the permit, rocess as follows: Mail ��t-*oo��owner. Mail to contractor. Telephone and hold for pickup at C�✓O office. Deliver w/inspector. Other Appl ican e,0 X Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following dat u t be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by By Plans checked by_ Plans approved by Other Copy—DPW Telephone Mail Date L Date Date lEeK o L99� Other WEST - .36 S.C. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT 4IM1N1 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 FO le M7 '-ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. PACKAGE nA" (Additions) NAME SQUARE FOOTAGE JOB ADDRESS Existing Residence" TYPE OF WORK New Addition 'yo% New Total 720 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 add itions ,.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 ZXR Z NE S TO NEW AREA INSTALLED APXCILING v-30 _ L R-11 19`FLOOR R-11. R 19SLAB R- 7 R - GLAZING ,65 .65 .65 SHADING SOUTH -OPTIMUM OVERHANG or .36 S.C. WEST - .36 S.C. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT 4IM1N1 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 *1 HEATING VENTILATING.•AIR O&NDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (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 rated slope ❑ Other (describe)' *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump • EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ *2 a _ ❑ (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form 464) 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 465) 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 CaliArnia Administration Code. DOMESTIC WATER SYSTEM (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 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other i A OR APPLICAP "k . ...... SA Ss. set of plans -and specifications MUST be on the -job of all times and if is unlawful to - -mae.any.c6anges; or alterc4lons. on some without written permission from the. Department. of Public M4rks, . County of Butte. aq N WWO"o-'k 4WA iproperTyi "Te i Ot 5ptt. tro nierlinibe In - ■�■MIIEMIKE MEN! INSIONNEEMENINIE NEEMIS■ ENINININININININE■ IIINE 0 MEN WARON No ■iii■■moi■■■■�■■■ ■ 'ZORYAPIUM-1, NEAIMI An i0vM■�■�■�i■■■■vi■■■■■■■a�Ew e■■■® n ... _ 6.. to. �. _.._. _ . __ .. NOTE —tk,-11–MafeK I --& - Workmanship ' ShaJl _._ _ .._.._.._ ..... _ . Azcbrdance --with'- Reco --"' d :Good 'Practices _ d y prescribect--#or-}hied' - - Pied use in the - - _- - ---..._-----I Iff6r�i Buifidm-g umbirig-&-Ma'chanica� Codes -- - -- - i #rice Code:._..._ _ ... . 77 I , .�_ tea__.__. _ _ . .. .... _ _.... _.-_ - ...__ _ _ • —�_ • __L� __- ,s ■■■ri�i�����ic��r�rig♦s-'-��s�.��.,n�,i�.i%�;, �r X - �� _. _ ► ► . ► . t _ ■■■■>.... �■■■■■■■■■■■■■■■■■■■■ w■ ■ moi■® �■■■■■■■■■■■■■■■■■■ ■■ iN . . .. Ii. i - - -- - --•- -+- � .rte; i . -j - � � � i i i � .i �� � i _ _ —�._i �� -� I I -i-- — -- ---- - —•' � i _ i "� 1'' Qom. � _' tj rj 171 ff t TI -i- - -- -- Z F.1 17:' LP U i h IV . Ki ::.:::.: . 0.1 _ i- C-5� Jkl . . . . . . . . . . 1749-76B.P,E,M RMIT NO. PERMIT EXPIRES OWNER Hilton Simmons r. CONTR. owner LOCATION (A.P.. 36-67-19 Mt. Ida Rd., app. 4 mi. E.of LaMirada, Simmons Sub, lot #5 Temp. Power Pole r7 41-7C Called PG&E Temp. Elec. Serv. Called P6&E Temp. as Serv. lied PG&E JOB 7L FINALED (Dare) (Sign tu TO COUNTY OF BUTTE — DEPARJI�ENT OF PUBLIC WORKS ' V BUILDING INSPECTION RECORD B ILDING Setback % Forms 7 Main Bldg. Footings Stemwal I Slab Piers Footings Stemwa I I Slab Carport Footings Slab Patio Footinas BUILDING (Cont'd) Firewall Parapets Restroom Finish Windows -d'3 '7 Siding - - Roof Sheathing 3-76 Roofing �- 1 3 -7L. Fdn. Vents Garage Vents Prov. for physically handicapped handicapped Conformance of ex.� structure Footin FIRF7PLACE Soi I Piping 1st Floor 2nd Floor 3rd Floor Water Piping Sewer Fixtures--./ Water Htr. ^- Heaters Appliances Gas Piping & Temp. Gas Sanitation Final / / _ El - 1 PLUMBING 7-!J - 7(< f -/3--7 //-/-7(oA,,4-w Reinf. Steel Final / - 7(- Fixtures Bond Beam FIR SPRINKLERS Motors - Framing 9-0-74- Test Water Htr. Stucco Final Subpanels / - 74 - Mesh ° - Z- -7 MECHANICAL Grd. Fault Prot. / — / _ 7L. Scratch` - Z -'74i Heating l -/-74 Service % Brown - Z,76, Cooling i -/ ` 7C Temp. Pole Finish - Ducts _ Underground Interior Lath cc Ventilation % -I , Z Permanent Door Closer .24 1 - 7 L Final I. If -1 - 7C Final % / 7 DAa'E a REMARKS OR CORRECTI S 5,004;= �,`graze ��ux-�✓f GyiuCI,/`��y,�/ }V � �a�Ov.ct°G Zo R fuS<�• ia�� zp� 'l O OP /f�d� ��o`Y� L° - 71�- -4,. � .� Q �'rau•�% ajo�ov�� q� �ls�;.p 7 sc���¢ �e Qj�t 6S ��a� . ;� �d^O rs <` � h"/�` � Si G.i//7i�s sli v� c / h � � - p /1 e wo'-- /�, 4 0410 iti ci lee Ls yL `r� C'Ji/GGT:>� /-74`45 �„j,�eG�� �-`1�e - �css /� �>C !/rc� �`arr�� /tel 7� / N � s v /'/5ge!C40eav�c��/ q� ?e- Shiw� ,bGlwdtilf-eery[ JocS2�1 . �-� -!L• �.�Y,�. Sf(/�a�" �c �'��"�� Ql�� ,r,Za�S! l% ^/�s N/' c''ci-a�r G n- #vo"r y 2. (NOTE: An entry must be made on this form each time you visit the job site.) Fiber Glass Insulation BUILDERS INSULATION STATEMENT BLOWN INSULATION Manufacturer's minimum thickness to provide the level of insulation resistance (R) Values as shown: R Values are determined in accordance with ASTM C-687 and C-236. Conforms to Federal Specification HHI-1030A. This insulation has been installed in mendations to provide a value of R, tion to cover ' square feet of Insulation Contractor (Sign) Company Name BATTS AND BLANKET ce with the above recom- Igbegs of insula- R INSULATION R INSULATION VALUE THICKNESS VALUE THICKNESS R-22 61/2" R-13 35/a" R-19 6" R-11 31/2" mpkf+y Na e /, -/ D 7! Meets Federal Specification HHI-521E Fiber glass batts or rolls have been installed in accordance with the manufacturer's recommendation to provide an R -Value of in the ceiling, //in the exterior wall! perimeter. Ins lation Contractor (Sign) Z; Company Name CSG -32-11-C CERTAIN -TEED PRODUCTS CORPORATION. P.O. BOX 860, VALLEY FORGE, PA. 19482 CE CERTAINTEED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive , —�'Oro�yjiFe, California 95965 , / Telephone: 534-4541 / 7L,/ 9-7� APPLICATION AND PERMIT authorize representatives of tJe County of Butte to enter upon the above-mentioned proper!for spection purposes. R Date Signature of Permitee or Agent Receipt No. '�! C->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 p id. DIRECTOR OF BLIC WORKS By Date" — B /ding/permit expires Date —�'7 7 BUILDING t Owner ,L �>D✓ tit Mohs SQ. FT. OCC. BUILDING VALUATION ,on Mailing Address /(, J b 674 RyG ysT- . E7 O v + L G �, Tel ephoneNo. 3 — 36 /00 eCA Bp•O Fireplace . 0-0 Contractor Total Valuation 00 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address 1V F PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3106 1. 4 A4, L —AS T OF .L f r.4 Q1 p Each Trap IL 1.50 / 1, o O I JRepair i — x4 a r•/ .c. u �- O r drainage or vent piping 1.50 Water piping 1.50 Jr O Each gas water heater or vent 1.50 A. P. N [, �- �. 1 f Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F C. N Fire Dept. Fire Zone Use Permit Building sewer 5.00 S Oa EQA Parking Plans Parcelparcel Declaration Ma 60' R/W Prove Im tints Lawn sprinkler system 2.00 Bld ans Recd Parc4, pproval Pla Approval Permit Fee $ V,SO $ ( c� NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL 'No.1 @ FEE PERMIT FILING FEE J$3.00 > o Main service 600V OR LESS 5.00' 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family � Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELLING 0 OR ADDNST ( ACC. BLDGS.0 ©&) / 22sgft NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) '2.50ea NEW CONST R. (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 st le of: %� Ex. Occup(OUTLETS OR FIXTURES) BAL21 Ex. Occu FIXED APP LNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 '3.,00 Heating yoo.00f Cooling j Ventilation Hood ( 2.00 -,-010 Permit Fee $ 1-310-0 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE authorize representatives of tJe County of Butte to enter upon the above-mentioned proper!for spection purposes. R Date Signature of Permitee or Agent Receipt No. '�! C->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 p id. DIRECTOR OF BLIC WORKS By Date" — B /ding/permit expires Date —�'7 7