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1070-91E PACIFIC MORTGAGE 4200 Foothill Blvd, Oroville 0F-7 D 5 Cont: Webster Elec 1 NZ (replace elec subpanel & misc wiring/sf) 328 8 WENTWOR'TH, S. AYNE, MICHAEL 4200 FOOTHILL BLVD., OROVILLE Ix (REPLACE ELE.-WTR HTR/SFjr420.0 Foothill Blvd., Oroville. CONTR:William Garrett, 1085 _ B u tte - Ave 403iikkIT#95-0439 COOP, David-& Kay, (aluminum siding & remodel) y, L4200 Foothill Blvd. 0rov1lle- 9 ! a Cont: Quality Co'n'st. '.Enclose Porch for livirig 3L 9-3-6-320-622L— 024037 BIDLOC.K, BRAD & LISA 4200 FOOTHILL BLVD'., 0) CONT: J. CARTER CONST SF ADDITION. t NOTES RESIDENTIAL ' 036-320-022 '02-1037 Y B PERMIT N0. IDLOCK,,BRAD & LISA 4200 FOOTHILL,BLVD., OROVILLE CONT: J. CARTER CONST. SF ADDITION ,i t f �3 I - t w 1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER _ y INALED JOB FINALED (Date) C Signature .i = OK 0 = Not OK - = NotApplicable 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) MISCELLANEOUS Date 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 1. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or/ /"L"ft./ PLPG 2. 7. Well Clearance & Disconnect 3. 8. Utility Clearance 4. Wood Awn.; Posts- Beams- Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Date Carports; Windows -Doors Card B-1 Date Card B-1 Date Electric 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 Date 6. Water; MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal 5. Elec.; Pool Lighting; 15 Volts-GFI Date 6. Card B-1 Date Card B-1 Date 7. Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rttrs.-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 ./ = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water _,Underfloor (Plans) OK except #'s 28 --'Appliance Circuits in Kitchen & Conductor Size GFI Z ing-Setbacks-Easements-Flood-Slope Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. 4. WV 5. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped 34. Smoke Detector 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Date 6a. Hold Downs and Special Anchors Card B-1 Date Card B-1 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 36. Vent Fan, Exhaust above insulation II -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 39. Attic Access & Platform if Furnace in Attic 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Card B-1 Date Card B-1 1,3--Ptenums & Ducts; Clearance -Material -Support -Ins. 1s -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access 8 Ventilation 16. Insulation Date Date Card B-1 Date Card B-1 Date 40-- Sits Proper Materials & Anchors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle ullf"re Stops, Furred Ceilings -Stairs -Chasers -Tubs 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixtu & Transformer Clearance -Ins. Protection ae'bec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. Date FRAMING (Continued) Wingers -Post Caps -Anchors -Connectors Joist-Rttr. Ties- Purlin-Roll-Brae.-Truss-Shtfng.-Ring. pe A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles �rm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits e -L_. 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers r/.� iding-Nailing Veneer 'tom 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazina Area -Glass Protection-Skvliahts-Plastic fig, hear Walls; Nailing -Bolts 60. Brace,Werior/Exterior Wall Panels 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 . Ext. Steps -Door & Sidelight Protection -Landings 64. Smokq Detector 6 u -mace Vents -clearance -Comb, Air -Connector- , In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G.F Bath Fixtures & Tub Access -Spa J Elec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails ce or tove, Clearance -Hearth e Msat ood Panel, Int. & Ext. V_181rPer . ppliance; Ground -Air Gap -Cooking Clearance ,Z3 u ets & Receptacles at Kit. Counter wing -Landing -Closure Oe -A -C. Duct in Garage -Damper 70 -Comb. Air Connector-P.R.V. in Garage: Above Floor-Mech. Protection ech. Equip. Listed for Location tacles in Garage (F.FI.)-Romex Protection nsulation-Foam-Looked in Attic eck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearqaae, Looked under Floor Q Yes B owing Instld./Drive Q Yes Q No/Walks Q Yes Q No/Planters Q Yes Q No 68-vn-Finish 94-Pe641i,A-Disconnect, Electrical -Plumbing 80, Ver 1%-AV67Mof, Pibg-Appliance-Fireplace-Clearance to Openings e I, sconnect, Electrical, Plumbing xt 'or Elec. Trim, G.F.I. Receptacle -Underground sa-Venwation Throughout House 8 ass Protection orrections from Previous Inspections st-Meters Tagged, Gas -Electric ewer Connected -C/O to Grade -HD Approval 90-oTn-ergy Compliance Certificate -Other Certificates ess Posted Date V 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: 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28 --'Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40-- Sits Proper Materials & Anchors ,41 --'Walls Studs -Nailing Spacing & Braces -Plates -Sound 4;,-6earing Walls over Girders & Floor Nailing 43.16aft Stop in Walls (rat proof) ullf"re Stops, Furred Ceilings -Stairs -Chasers -Tubs 4.%.Ifeaders & Beams -Size & Bearing Date FRAMING (Continued) Wingers -Post Caps -Anchors -Connectors Joist-Rttr. Ties- Purlin-Roll-Brae.-Truss-Shtfng.-Ring. pe A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles �rm. Windows or Exiting Doors -Sill Ht. & Dimensions Garage Fire Protection Framing Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits e -L_. 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers r/.� iding-Nailing Veneer 'tom 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazina Area -Glass Protection-Skvliahts-Plastic fig, hear Walls; Nailing -Bolts 60. Brace,Werior/Exterior Wall Panels 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 . Ext. Steps -Door & Sidelight Protection -Landings 64. Smokq Detector 6 u -mace Vents -clearance -Comb, Air -Connector- , In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting G.F Bath Fixtures & Tub Access -Spa J Elec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails ce or tove, Clearance -Hearth e Msat ood Panel, Int. & Ext. V_181rPer . ppliance; Ground -Air Gap -Cooking Clearance ,Z3 u ets & Receptacles at Kit. Counter wing -Landing -Closure Oe -A -C. Duct in Garage -Damper 70 -Comb. Air Connector-P.R.V. in Garage: Above Floor-Mech. Protection ech. Equip. Listed for Location tacles in Garage (F.FI.)-Romex Protection nsulation-Foam-Looked in Attic eck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearqaae, Looked under Floor Q Yes B owing Instld./Drive Q Yes Q No/Walks Q Yes Q No/Planters Q Yes Q No 68-vn-Finish 94-Pe641i,A-Disconnect, Electrical -Plumbing 80, Ver 1%-AV67Mof, Pibg-Appliance-Fireplace-Clearance to Openings e I, sconnect, Electrical, Plumbing xt 'or Elec. Trim, G.F.I. Receptacle -Underground sa-Venwation Throughout House 8 ass Protection orrections from Previous Inspections st-Meters Tagged, Gas -Electric ewer Connected -C/O to Grade -HD Approval 90-oTn-ergy Compliance Certificate -Other Certificates ess Posted Date V 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: REQUEST FOR ,IN, 7GU E��ION Location: • Owner: Comment: No. 4 Contractor: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipinglrest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Verify Utilities Woodstove Sewer Piping Well Circuit Ex Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche orP ons C:� Corrections Corrections Final Final Corrections Ready for Final Inspec. on: Date: Call L] Phone: y COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (53�j891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE Date 0 Inspector REV 10/92 > OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when .correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, - Please contact this office immediately. 01 rP �(4'z"'� 1 ^ _ Date 0 Inspector REV 10/92 > Insulation Certificate BUILDING OWNER:* , D& BUILDING PE OUT Pb? --/63? BUILDING LOCATION: F--d`�-/c-cL Description of Installation ROOF r' Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 3 CEILING Bau or Blanket Type Brand Name Thickness (inches) Thermal Resistance. (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/h lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL Material Brand Name Thickness (inches) �/ Thermal Resistance (R -Value) / RAISED FLOOR Material Thickness (inches) 7ge" SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name 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 building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administradve Code. signature and Title �S37— License Number Date License Number Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 ;'A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �EBMIT NO. (Rev. 12/96) o APPLICATION AND PERMIT '�� l 3 y ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER nimock, BRAD & LISA TELEPHONE SO. FT. OCC. BUILDING VALUATION 233 R 12 582.00 OWNER'S MAILING ADDRESS 4200 FOOTHILL BLVD. OROVMU Cont Est 10200.00 CONTRACTOR'S NAME J. CARTER CONST. TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation 1$13,782.00 ARCHITECT OR ENGINEER UCENSE NO. Fee $ 20.00 —Filing Permit Fee $153.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4200 FOOMILL BL Energy Plan Checking Fee $ 23,00 $ PERMIT FEE $ 295.45 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF Ig Duplex ❑ Mobilehome O Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition IN Remodel O Utilities ❑ Installation O Other ❑ Describe Work: SF ADDTION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AOR. 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 licenseA in full 19rce and effect. -'7 License Class – Lic. No. 3� Q'S I 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 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. ®1I"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' conlipensation, insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. eLnS. 3.5¢FT; NEW ONST REBID MULTI -OUTLET 97,50 POWER APPARATUS a DvnffT aR. OUTLET OR FD(TURES O 1'50 Ex, Occup. OUTLET 20 00 FIXED APPLNs. OR Ex. Occup. DUT,�{g REBID. Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 19 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Policy Number r5y-- (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com/ with those provisions. X Date Z �G' _ Signatur !'of Ap icant - ❑ Owner EPContractor ❑ Agent i An OS14A permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ YPE TOTAL FEE $ COFID. HAZFEES P FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of th Butte County Code and/or Resolutions to do work in ' ate b for which fees have been paid. t✓1�/� 01� Date PERMIT EXPIRES ON 0 Date Receipt No. 353336 $300.75 3 53 3 r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �. 10v oaf, vd� !�` COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville,'CA. 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ,l I A to c Br Ad j b S Q ASSESSOR PARCEL NUMBER Proposed Building Use: sT !`' I C d i 7 O n Counter Technician: 1•V- ' Date: "7 - ,�S—d -- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 04. Engineered truss details and layouts in duplicate. No faxes! 1pp 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. (D) Floor plans in triplicate. All of these must be stamped and wet-si ng ed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs ................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ' ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other . Rema' ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ V. Statement of Intent for Non -heated and A/C Buildings ................................... ( Sanitation and plot plan approval from the Environme al Health Department in { `)(*6, 1 f� VI7. City of Chico Plumbing permit..........................................8. California Department of Forestry plan approval paid. Sent b.......... ❑ 19. ❑ 20. ❑ 21. ❑ 22. ❑ 23. ❑ 24. ❑ 25. ❑ 26. ❑ 27. ❑ 28. ❑ 29. ❑ 30. Planning approval for (A) Use: C)'K (B)Parking: (C) Par el C ck: _3 _ Contact Land Development about ❑ Improvements, ❑ Drainage .............................. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for :r required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement .......................... :......... Manufactured home utility clearance............................................................... r Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement ofFaets, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: `+ When issued Telephone and hold for pickup. I have been informe of th bov items and requireme tsifor obtaining a building permit. �� Applicant: '' rDate. I. Index permit application for the above items numbered: `t , Plan Check Letter 2. Additional items required �T�� Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date:�0� Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division .r E.H, USE Qidl,Y Ro: Plantech Flews ttasri®d Z -,.Sant Yao 13 Ate.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 615id ICA �Z olS l�oc�T��%% 1,%yoG' 1 ;36-320 - azz. Owner Location V AP# Plan Approved for: Sewage Disposal X JWater Supply: Public Private Well X Clearance for--dvvQ4li vq. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 G7•— /4 —0Ii Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM form per Building) School District f �Vf' I� Building Department No. A.P. Numbery ✓u' ✓ �Q " Q Z ZJurisdiction: City County Property Owner L �(�1 Property Location/Address I —1 200 Subdivision Lot No. ................................................................................................................... Residential Development No of Living Mobile Home Ad �ffi on 'Supplemental to Units Installation Conversion Permit # '(No foundation inspection); Commercial/Industrial New Addition Building Department Representative Hans reviewed by School District -District Identification No. _529.,7 '7 (, &7C�1Q� School District certifies that Sq. Footage 2 3 3 (Group R) Sq. Footage (Including Exterior Roofed Areas) 0 Z Date 1_4 (4c"� (Applicant) 00 (Street Address) IPhone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. 9 9-1O -Ds— by payment of, $ representing X33 square feet. AB 2926 $ FULL MITIGATION $ School District Representative Paid by Check # Remarks: Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by 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) feeform.xls 110/981dmm /.9 r fro �°�l e C � ; �- C. I RESIDENTIAL 036-320-022 : PERMIT#95-0439 --r COOP, David &Kay 4200 Foothill Blvd., Oroville I Cont: Quality Const. Enclose Porch .for living rm/SF JOB FINALED (Date)�(v Signature J=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s f 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 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- Beam s-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-Panelboa rds-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 Date UND FLOOR (Plans) OK except #'s Z ing-Setbacks-Easements-Flood- Ftq., Main; Soils-Elec. Grnd.-/ RESIDENTIAL (Single & Duplex) I 3. Ftg., Garage; Soils -Steel -Elect Grnd.-/ /" Ftg.-Depth 4. Ftg., Porches & Decks; Soils'Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. tjpld•'Downs and Special Anchors 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 Dat 55 Card B-1 YVZ 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 &_Ar1oaor-Nail Protection 19. Shower Pan: Tes first Floor -Tub Access 20. Test Tub & ower, Second Floor -Tub Access 21. Gas e: Size & Anchors Card B-1 - Date Card B-1 Date ELEC ICAL (Permit) OK except #'s -- - Fix Transformer Clearance -Ins. Protection -- ----- ---- -- - - - - ----------- - Elec. ceptacles Spacing -Lights & Switches at Doors ------- -- --- --- - -- -- - - --- --- - - - i Boxes & No. of Conductors -Stapled --------- --------------- ---------------------------------------------- Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------- -- ---------- - 26. Equip- ect. Fastners-Bond Gas & Water --------------------- --- ----------- ------------------------------------- ^' ucuts in Kit hen & Conductor Size/GFI ----------- �F�..----- -------------------- ---------------------------------- 2a--c*A 4eed-d0re-S�ze r ! ga. Cu or AI-A.C. Wire Size / / ga. - Cu or At 29. alage or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------ ------------------------------------------- - - ------------------------- 30 - ctors & Ground -Main Disconnect ----- ------- -------------------------------------------------- ra s Panels -Motors -Meth. Equip. --------- --- 3 ight-Shower Light -Spa Light - -- - -- - - - - - - --- - 33. moke Detector -------- -- -- - - - - -- --- - - - - - --- ---------- - - - Date�f F Card B_1 Date Card B_1 Date ii f! Card B-1 Date Card B-1 Dat MEC ICAL (Permit) OK except #'s A.C. Ducts Insulation & Support ----------------- -- ---------------------------------------------- ---------- 5. Vent Fan; Exhaust above insulation .............. Drain & Overflow; Size & Grade - - -- 37. F--urnan ent. Access -Comb Air -Return Air Vent -1 -15-outlet -------------- --------------------------- 38. Attic Access & rm if Furnance in Attic ----- - - - ar--- ------ -- - - -- - - - -- - - Date C d B-1 DaCad-1 Date rB -------------- ------ -- ----- --- ------ -------- ---- - - - - --- ----- ---- ------ -------- ---- -- Date Card B-1 Date Card B-1 Date FR ING (Plans) OK except #'s 9r--2.Draft Sils Proper Material & Anchors - ---------------------------------------- uds-Nailing. Spacing- & Bracing -Plates -Sound -------- ---------------- ------------------------- Walls over Girders & Floor Nailing ----------------------------------- opin Walls(ratproof)-------------------------------------------------------------- ir tops: Furred Ceilings -Stairs -Chases -Tub _ ----------------- ---- --------=-------- ---- Headers & Beam -Size & Bearing Date J&RAMING (Continued) Caps -Anchors -Connectors _ - LAe"CIng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ype A Flue -Fireplace Throat clearance 4 Romex Protection -Draft Stop -Ins. Baffles 4i ing Doors -Sill Hgt. & Dimensions 5 n Framing U-?rUPUPI '-Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 63 Stairs Width-uo;lrernom-Rise-Run-Landing-Fire Protection ---- ywood on Roof Overhang -Attic Vents -Rafter Outriggers ------- ---- - -'1&#h-.-'Siding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58 Shear Walls: Nailing -Bo - (�nsuIaIio eilings _t 60. Infiltration -Walls -Windows Da -t ---- -- '//{�te9 -Card B_LDate Card B 1 e Card B-1 Date Card B-1 Date FINAL ans) OK except #'s Ext.Steps-Door & Sidelight Protection -Landings ----------------- -- Smoke Detector 63. Furnace: Vents -Clearance -C9 Air -Connector - we In Garage: Above en --Mo r -Ducts -Meth. Protection ------------------------------- room xi mg ------------------------------ Tub Access -Spa ------------- ----------------- rim u pane , reaker Sizes & Labels ----------- ------ --- -- ---------- - rances-Hearth 6 . lec. Outlets at Wood Panel: Int. & Ext. -------- ------------------- - .' , Grnd.-Air Gap -Cooking Clearance 4L -& Q Wt A- Racaptacles a- Kit. Counter 762-�i anding-Closer ----------------------------------------- uc ------------iner------------------------ -- Ccmb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ----- ------------------------------- h. Equip. Listed for Location --------- ----------------------- f6w.--Etec. -Receptacles-in arag_(G_F.I.)-Romex Protection 7; m Attic ❑ Yes ------------------------------------------ - -- - nstruction-Post Caps ---= -- -ri Frl "--}-A r--- �,� - 7 rainage &Wood -Earth Clearance Looked under Floor ❑ Yes 80 Following instld.; Drive ❑Yes No; alks ❑ Yes ❑ No; Planters ❑Yes ❑ No ------------------- ee-B on------------- - _ nit_ Disconnect_Electrical, Plumbing ppliance-fireplace.-Clearance to Openings Ex�lecFnm, rival, Plumbing �FR eceptacle-Underground-- - - -- - - Vei ' Throu hout House --------------- - lass Protection ----------------------------------- 8Ek-F'nrree t' - p vious Inspections ----------------------------- 89.e --------9----- ----------- st- a ed; Gas -Electric er 7ewe to Grade -HD Approval ---------------------------------- -- 91. Energy Compliance Certificate: Other Certificates - - Date Z SCard B-1 Date Card B-1 - --------------t -+------- -- ----- - ----- 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 (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 5 -_ ASSESSOR PARCEL NUMBER 36-32-22 A5 ZONING BUILDING PERMIT OWNER DAVID &KAY COOP TELEPHONE SO, Fr, OCC. BUILDING VALUATION 360 R 41 14,760.00 � OWNERS MAILING ADDRESS 4200 FOOTHILL BLVD OROVILLE CONThACTOR'S NAME QUALITY CONSTRUCTION TELEPHONE 534-6489 CONTRACTORS MAIUNG ADDRESS 559 OAKVALE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 162.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 105.30 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 4200 FOOTIILL BLVD PERMITFEE $ 316.30 OROVILLE PLUMBING PERMIT Filing Fee 20.00 --Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 1 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ENCLOSE PORCH FOR LIVING ROOM Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main ServiceOOOV OR LESS ( 200A OR LESS / 23.00 Main Service ( 200A TO 1000A ) 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 fu force and effect. License Class Lic. No. �f`a sCJ 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. ❑ 1, 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 SO. OR NS. ( 8 ACC. ) 3.SQ FT. NEW CONST. MULTI-OUUTLETLE T C NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 SINGPOWER APPARATUS ) LE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ IAO BAL so EX. Occup. ( OUTLETS RESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 32.60 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. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating DUCT 15.00 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 w rkers' compensation provisions of section 3700 of the Labor Code, I shall f hwith comp wit those provisions. _ X Date 3=e�� Si ature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is /h CON s lYP ' TOTAL FEE $ 423.90 HAZ. D. FEES IMP FLOOD CDF PARCEL PD D y� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON % 5 k (D ,e) Receipt No. 175545 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 1. 7 County Center Drive, Oroville, CA - (91 53875.41' ` 747 Elliott Road, Paradise, CA (916j'872-6307"- CORRECTION 916)872-6307 CORRECTION NOTICE OWNER PER' IT NO. - A routine inspection indicates that the following violations of Butte County Ordinances exist pt the above addre and should be corrected. Please notify this office when correction of work. is complete you have any questions pertaining to this matter, or need additional explanation, - Mpleahis office immediately. /J f i 4-1 i I , Date Inspector , REV 1019 w-- COUNTYOF BUTTE - DEPARTMENTOFPVEWOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET' OWNERL�� A P. 2 Proposed Building Use Building Inspector Date At time of permit application, I was advisjehe following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted. .......................... _ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. . 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. ........... - TCalifornia ees of$mpact fees as shown on attached.scheduleljC� v6 ................. Department of Forestry plan approval/fees.P6.E6 N. or.�- 13. Flood elevation letter (100 year flood) by California Engineer . ................. . _ 14. Sanitation and plot plan approval fl A-0 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). ...Pn�!A.e.Ilo; r6quest 20. Pre-inspection1for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . `22. Certificate of Workmans Compensation Insurance . .......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ...... 24. Recorded copy of Agricultural Acknowledgement Statement. ..............*...... 25. Letter of signature authorization . ........................... .............. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 'Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... rj 29. Documentation of legal access . ...................... 4" 30. Documentation of 50% subdivision developed or (A) Road improvements completed 4 and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... . 32. Plan check list . ..................................................... . 33. 34. When ou issue the permit, process as follows: Mail to -owner. Mail to contractor. Telephone and hold for pickup at ©� office. Deliver with inspector. Other i Parcel Creation Acreage Applicant Date 3- `n 97S 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 permitis an � (Circl, w ite t 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 Counter by _ Date / Plans checked by I Date Plans approved by t Date =3 2�7j Sets of plans on hold in File cabinet AP folder. Copy - Department of Public Works .. _ B.H. USE ONLY Plot Plm Attacbad Ploor Plan Armed Seat to B.D: VC/�` TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 2V qoaw Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedrQem--rebde-home O��er/,;� .3® / Hold final Final clearance O.K. for: NOTE: Environmental Health Specialist 8/92 AP# Private Well —Y - --2 oz wlelo-el -11-D Date Certificate of Compliance: Residential lw-kc;y1 ► 41�0�� Project Title \\1IiJ Pj�w91- (Page 1 of 2) CF -1 R Iop14 Building Permit N Plan Check/ Date Field Check / Date Compliance Method (Package, Point system or computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: �Al� ft2 / Building Type: Single Family ✓ Addition (check one or more) Mufti- amity Existing -Plus -Addition Front Orientation:� East / South / West / All Orientations .. nput orientation in degrees and circle one.) Number of' Dwelling Units: I . Floor Construction Type: a / Raised Floor (circle one or both) BUILDING SHELL INSULATION Construction Component Insulation Assembly Location/Comments Type 14 -Value U -Value (attic, to garage, typical, etc.) Wall..............1li0Li Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge .... FENESTRATION Shading Devices Fenestration Area Fenestration Interior Exterior Overhang Framing Type Orientation (sf) U -Value (roller blind, etc.) (shadescreen, etc.) (yes/no) (metal/wood/vinyl) Front..... ( ) Front..... ( ) Left....... ( ) Left ....... ( ) Rear..... (I)) 1 ��—y— Rear..... ( ) Right..... ( ) -!E'G�t! 7�javi f iD Right..... ( ) Skylight ....... Skylight ....... a THERMAL MASS Type/Covering Area Thicknessi slab/ex sed, tile, etc. sf inches Location/Descri ti tA etc. �Q0 Revised December 1992 Certificate of Compliance: Residential (Page 2 of 2) CF -1 R HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Heating Equipment Type (furnace, heat VGmp, etc.) Distribution Minimum Type and Duct or Efficiency Location Pir)ina Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location h amt pump, evap. cooling) (SEER) (attic, etc. WATER HEATING SYSTEMS Water Heater. Distribution Type TVDe alue Duct R -W Rated' Tank Number Input (kW Capacity in System or BUM fnallnncl Thermostat Thermostat Type Energy' Factor or Recovery Loss Heat Pump Configuration (sDlit or Dack� Configuration (split or package) External Tank Insulation 1 R -Value For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input 2 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) I A COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business & Professions Code) Name: Title/Firm: Address: Telephone: Lic. #: (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature/stamp) (date) Revised December 1992 Documentation Author Name: I-1 Title/Firm: Address: I Telephone: (signature) (date) Mandatory Measures Checklist: Residential MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (')Jmay be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures * §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. * §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). * §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and InfiltratioNExfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and. Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue.damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150(1): Setback thermostat on all applicable heating systems. §1500): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank. §150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36' pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) Ughting Measures §150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. Revised January 1992 DESIGNER I ENFORCEMENT F"'f'.e'M1"`^.;.s. i�r..,mq%7ra$yr.�•yr .M1 7�r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District R-0_�% I Building Department No. A.P. Number ?�� o� /"� Jurisdiction 0 CityCounty Property Owner Z?"l%%jam Property Location/Address /J'7 ��JC� r�� Subdivison Lot No. Residential Development Commercial/Industrial No. of Living Units t �q. Footage MHI Addition (Group R) New 0 Sq. Footage Addition (Including Exterior Roofed Areas) rilk. s Date (Floor Plans reviewed by School District Personnel) District Identification No.. () yeian chool District certifies that o-' d 4 Ktt�j Coop (Appli nt) >kia 4 (Street Address) ,.+C -.a &ICI , Y, — b t o -t (Phone NUmbef) 0 (City) (State) (Zip Code) has complied with the requirements of Resolution No. =!214 2% t by payment of $ representing 3 10 0 square fee. School District Representative 3 Date Paid by Check Number ' Remarks: t .L s •oao �(y 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) eeuni* OROVILLE, CALIFORNIA - GENERAL CLAIM CLAIMANT: Michael Payne ADDRESS: 4200 Foothill Blvd. CITY 3 STATE: Oroville CA 95966 IMPORTANT: - 7/8/93 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Application #93-181 , Receipt #143258, dated 6/14/93, A.P. #036-320-022). Total fees paid----= -------------------------- $22.00 Retain filing fee----------------------------- $15.00 Refund due --------------------------------- -------------- $7.00 $7. 00 t TOTAL $7. 00 I, the undersigned, declare under penalty of perjury that the service or articles claimed hav open performed r delivered, an at this claim is true a %corre t as stated. /'�g - Dated this ri-� ... day of .... .. z. .......... 19� at W...YCellf. ......... . L Signature of ant 1, the undersigned, 'here Cy Certify tnat. to the hest of my Knowledge, the services or articles specifle� hev en �Edormed Of de- livered and that there is a Budget Appropriation O or Specific Board Approval O (Check one) for th Dated this 8th da or July 19 93 at Oroville , Calif. .................................... Y ............................. ......, ............. ... ................................................................. .. ... .. ............... ...... . ............. ........... ... ........ epartment Head or Authorized Deputy Dept. e ................... 440-002..... Exp. 4210500...........PAYABLE FROM Const. FUNDd,,,,,,,,,,................................................. DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i 0 u lJ COUNTY OF BUTTE 7 DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. 93- JRl0 ASSESSOR PARCEL NUMBER 036-320-022 ZONING A5 BUILDING PERMIT OWNER MICHAEL PAYNE TELEPHONE S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 4200 FOOTHILL BLVD., OROVILLE CA 95966 CONTRACTOR'SNAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filin Fee 15.00 g $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4200 FOOTHILL BLVD., OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 115.00 Each Trap 1 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 I W @ 15.00 TYPE OF WORK New a Addition D Remodel ❑ UtilitiesIX Installation❑ Other ❑ Describe work: REPLACE ELECTRIC WATER HEATER _ ELE WTR HTR 1 7.00 Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 200A TO IOOOA) 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 LJ 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 fos. (Sec. 7044) r sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- r ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&\ 3.64 sq.ft. OR ACDNS. ACC. BLDG S. I NEW CONSTRULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d Ex. Occup. OUT ETS (RESID )REAJ I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject 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 Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and y a r)ze representatives of the Countyot Butte to enter upon the ab ane mentioned p perry for inspection purposes. I also gree to save, in emnify and keep armless the County of Butte against all li ilities, judgme ts, costs, and a enses which may in any way accrue agai a&dn i consequ"ee granting of this permit X Date r ! Sign to f Applicont — Owner ontrector ❑ Agent ❑ An OSHA permit is required for excav ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEES 22.00 HAz 0FEES IMP FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under the applicable provi- sions o he Butte Count Code and/o resolutions to do hich �e have been paid. // DIR UB FORKS wor in� Gated ab �&P B Date PERMIT EXPIRES Date Z / t /t✓+ 77 Receipt No. 143258 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y�r;�','�t��E"�.%,,3i!jYy�i[?�`�i.r'"„i'.�'V�"'�y*F��'P�w'£'�'�'��7!�%''`r, a`.?`c,F�'':'r.��+icM"`�'.`:E~'-".`•»^..""y*'t�" .. `�'`Y,,1� E 36-32-22 1070-91E PACIFIC MORTGAGE 4200 Foothill Blvd ; -.• Cont: WebsterElec ' Oroville . fireplace elec subpanel & mi sc wiring/sf) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California P5985 • Telephone, 818/538.7541 APPLICATION AND PERMIT __V38]r1_ 11 'NO r 36-112-22 ZONING A5 BUILDING PERMIT OWNKR 800— Mortgage _ SO. FT. ' OCC. BUILDING VALUATION O WF .' 3 bene t1ng ' , 2377 W. Shaw Suite 101, Fresno 937,11 CONTRACTOR'S NAME Webster Elec, TELEPHONE 533-8522 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARsCC,jHITECT OR ENGINEER one LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4200 Foothill Blvd. Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities g Installation[] Other ❑ Describe work: replace sub & misc wiring Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u.Wer 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. 74` yyL /y License No. Classification. C'� ❑ 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 OCCUP.. OR ADONS. ACC. BLDGS. , 20sq ft NEW CONSTR. U TI.OUTLET NON.RES'D BRANCH CIRC ITS 2,50 ea POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex.000U o Occup(OUTLETS OR FIXTURES 20050c SALO 30 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15 *70T pre-linspection Permit Fee $ • 00 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 nsent 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. MECHANICAL PERMIT FiIingFee 10.00 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 in consequence of the granting of this permit. XnDat 5V 'Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee' $ OCC' CONST TYPE TOTAL FEE $ 4o•oo HAZ. I CUA I PARK I SCHL I FLD I CDF PAR PD ) HD• ISSU This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRE B �' ` CTO OF PUBLIC WORKS ��y - y , I _ �� Date 91 4_ � �^— �� PERMIT EXPIRES Date 88644 Receipt No. WHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT .. COUNTY OF BUTTE - aEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Ori vllle, dallfornia 96985 - Telephone: 918/538.7541 APPLICATION AND PERMIT ASSESSOR 36-32-22 N AS BUILDING PERMIT OWNER 800— Pacific Mortgage Co T /P�y� SO. FT, OCC. BUILDING VALUATION DW r.g�eneN�Binghafn1 2377 W. Shaw Suite 101, Fresno 93117 CONTRACTOR'S NAME Webster Elec. TELEPHONE 533-8522 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4200 Foothill Blvd., ville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFE2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities E3 Installation[] Other ❑ Describe work: replace sub & misc wiring Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 oR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u r penalty of perjury (Check One): D__11'am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �p�'�U License No.�� Yl' -'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 OCCUP.N) OR ADONS. ACC. BLDGS. +/zQsgft NEW CONSTR. OUTLI-T2.50 NON•RESID BRANCH CIRC ITS ea POWER APPARATUS tr SINGLE OUTLET CIR. EO x. CCup(OUTLETS OR FIXTURES SOS 5ALAL030 FIXED APPLNS Ex. Occup. OUTLETS (RESID )REJ 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 - pre—inspection 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 nsent 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. MECHANICAL PERMIT FiIingFee 10.00 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 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 againstHAL. all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X��� h� Dat �� ��— Ignature 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 $ Energy Inspection Fee $ Occ 1 CONST TYPE TOTAL FEE $ 40.00 11 I CUA I PARK SCHL FLD I CDF I PAR PD ) HD. ISSU This permit is hereby issued under the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT OF PUBLIC WORKS By Date—y—,41— Q PER T EXPIRES Date — I — Receipt NO. 88644 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAAT01ENT OF PUBLIC WORKS - BUILDING DIVISION ' 7 courvTv cENTPERMIT APPLICATION CALIFORNIA NE. s,siss8-�sa, DATA SHEET Permit No. OWNER IC f' V C� �l� A. P. — 3 Proposed Building Use[�(�i �� A 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 APPROVED 1. All items have been submitted. ............� ...................... . 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18.. Improvements may be required. Contact Land Development Section DPW 1 Driveway permit (constr ction approval required prior to occupancy) 0. Pre -Inspection for �i required . Pre-Inspec. request to /� / —� 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 ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. etter of sicinature authorization '26 �,/_1. CS . x 27. When yo ssue the permit, process as follows: Manlrn er. Mail to contractor. Telephone 5:3 ^Z�nd hold for pickup at office. Deliver w/inspector. Other I / Applicant Date — Wlol / f Copy of !-Idz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone___rnaiI counter by .date Contractor, designer, owner, was advised of above required data by—phone—mall `counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW PRE -INSPECTION OWNER: �� DATE 1 LOCATION: ll'J A . P. #� CONTRACTOR:.— ZONING _4 ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- PRE-INSPECTION FOR: i DATE TO INSPECTOR PERMIT HISTORY: TYPE OF OCCUPANCY ...) ---------------------- NONE E( AS FOLLOWS: FIELD - INFORMATION BUILDING USAGE: TENNANT: Q OCCUPIED Ej,-_-"HAS ELECTRIC F�] HAS GAS ES SANITATION FACILITIES IEATED-COOLED F-1 PERSON CONTACTED OTHER COMMENTS: r ACTION ECOMMENDED: ISSUE Q HOLD FOR OTHER: BY DATE L-� �( i". COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PBRMIT NO, 7 County Canter Drive-0;ovIII@ California 06066 - Telophona: 916/630.7641 APPLICATION AND PERMIT ZZi BUILDING PERMIT _aWN111 MZ9:G 30. FT. OCC. BUILDING VALUATION —TW—P41111-111 12 N V i J CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 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 $ 13UILDIN ADDRES Permit fee $ . PLUMBING PERMIT FIIIngFee 10.00 . ro v ,I I Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition E]Remodel ❑ Utilitielnstallation❑ Other ❑ Describe work: �--101C_f-,7 Sy IS CAI I X Tf— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.0 Main service 1001 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 Business and Professions Code and my license is in full force and effect. License No. Classification. El 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) ❑ 1 am exempt under Sec. , Business and Professions Cade for this reason NEW CONST. ( ACC. BLDGS. DWELLING OCCUP.aI OR ADDNS.NEW , ,(tsq ft CONSTR U I.OUTLET NON.RESID BRANCH CIRC ITS 12.50 ea. ^- POWER APPARATUS tr SINGLE OUT CIR. ( Ex. Occup\OUTLETS OR FIXTURES 209301 eAL930 Ex. Occup. OUTLETS IIRESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 W' Misc. in 15.00 Permit Fee $ 00 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 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. 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ - occ CONST TYPE — TOTAL FEE $ DC7 HAL. I CUA PARK SCHL FLD CDF I PAR PO 11-H ISSUE This permit is hereby issued unaer the appiicabie provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No.VV WHITE-D.P.W., TILL-ASeES30R, PINKfINSPECTOR, GOLDENROD -APPLICANT �J. n w N T � _ 40014 X41 W rrN we*/, 14 DVA 404 5d3 or jam*" 03& 3Z_ px�gv' z v i _-_ - Qv I I r i ogn _to'G 7' YOV4 L�YG!! 14 -LJ G 0 10 14 4 rplef AM( �LE VIOL# o 144wp VP0 W. % NaNS li , S, \ J Tv --------- sutte Count- Z�K v✓OVL i �, ` � i � I ental 4e1i (n nw G nv�ronm ®ate S - ,, 5a5o - i 4MHv%- - tQ=(p { 'moo �oTl�iw i7 `( r��tw�E (�►, q, s�1 G Ci na Icy s •1' G ort✓o