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063-190-011
63-19-11 O • �9� _ Jim nd son ���p(��1 J NE end of ew- Cu eSsac, app.4�0'N.of Schott Rd., app. 17.0. 'W.of Hwy 32, rest i Ranch � ontr: D & D Const., Durha Permit #6966-79B,P,E L+ new si e3 a�il}� f AP 63-19-11 Permit �2'-80B (deck/sf) CO D&D Constr.,Durham 063-190-011 02-1685 WILLIAMS, SUE 15890 CABOT PLACE, FOREST NC CONT: WOOD HEAT Esc SPA ALE GAS STOVE & HEATER 063-190-011 KONSTENIUS, AMANDA 06-1503 -- 15890 CABOT PL, FOREST Cont: BAIRD ROOFINGRANCH RE ROOF Il -06 a// i I 63-19-11 O • �9� _ Jim nd son ���p(��1 J NE end of ew- Cu eSsac, app.4�0'N.of Schott Rd., app. 17.0. 'W.of Hwy 32, rest i Ranch � ontr: D & D Const., Durha Permit #6966-79B,P,E L+ new si e3 a�il}� f AP 63-19-11 Permit �2'-80B (deck/sf) CO D&D Constr.,Durham 063-190-011 02-1685 WILLIAMS, SUE 15890 CABOT PLACE, FOREST NC CONT: WOOD HEAT Esc SPA ALE GAS STOVE & HEATER 063-190-011 KONSTENIUS, AMANDA 06-1503 -- 15890 CABOT PL, FOREST Cont: BAIRD ROOFINGRANCH RE ROOF Il -06 a// MIL Icn 063-190-011 _ -a-- .' • _06-1 1 NOTES KONSTENIUS, AMANDA f 15890 CABOT PL, FOREST RANCH o�N Cont: BAIRD ROOFING RE ROOF APN: Permit No. Owner. Site Address: Contractor. _ Type of Permit: CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE Wv . — �w - I U0 DATE JOB FINALED: S — l i'O(o SIGNATURE: U PA Y«i2.Q +=OK MANUFACTURED HOMES MISCELLANEOUS DEL j Lj PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements. 2 Soils; Special MH Support Sketch- 3 Sewer; Loctn-Test; Fall/CIO-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Cirncs-Grad 'Amp -Concrete 6 Yard Gas; Loctn Test -Wrap Nat O or LPO Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Une 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs 10 Drain; MH Test -Fall -Flex Cnnctr 11Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancy41 16 HUD Label/Insignia Numbers Serial Numbers —DQE D E C K S'C O V E R S'C A R P O R T S'G A R A G E S 1 ZoningSetbacks-Easements 2 Ftgs; SoilsSz 3pthSpacing-CnnctrsSteei 3 Decks, Girders/Joists-Ocking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams4btrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice,Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds4btrs Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IP O O LS 1 Setbacks=Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Ung; Distance-GFl Elec Pool Lting; 15 volts -GR 6 EIec.Encisrs; Conduit Entries Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcitng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Egp-Pool Ightg 9oxes-En6lsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvi 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide #40, r5 �°' Pool Drawing RESIDENTIAL (Single & Duplex) DATE JUNUERFLOOR DATE IPLUMBING 1 ZoningSetbacks-casements-FloodSlope 2 Ftg Main; Soils-Elec Gmd Ft4 Dpth 3 Ftg Garage; SoilsSteel-Eiec Gmd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Btockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgWService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr BoltsJoists Vnts-Cripples 15 Acc & Vntltn 16 Insulation oa s. 41P 0s. DATE JFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs-Nailirig Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders .& fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops,•FUrred CeilingsStairs-Chasers-Tubs 22 Headers & BearimsS &'Bearing 'Caps-Anchrs Cnnctns 23 Hangers-Posf 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TnusShthg 25 Frplc Ties or Type A Flue=F'rplc Throat Clrnc 26 Attic Acc; Sz & RmX PrtctnArafi Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtetri Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landi'ng-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace IntUExt Wall pnis 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws 40, s' s DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz pa OCU or DAL AC Wire Sz pa [—ICU or DAL 48 Range Circ Qa D CU or ❑ AL Oven Circ oa OCU or DAL Insulated Neutral ❑Yes El No 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr.Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Arc 57 Test Tub '& Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs ' 59 Fire Sprinkler; Test 60 Yard Gas Piping o� ds oa• .. fid` DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltftm if Furnace in attic FINAL 66 Ext Steps -Door & SldeLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-DImc-Comb, Air-Dnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, GuardlHandrails 74 Frpic or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper. 80 Wtr Htr; Vnts-ClmcCom Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters D Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgmd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler o'�• o�� o' os• BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT . 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 536-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP061503 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 06/22/2006 APN: 063-190-011-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ProfessionsCode, and my license is in full force and effect. 3q 6 3 b� License Class : License Number: Site Address: 15890 CABOT PL FRN / Date: Z� 06 Contractor. CI Vd 00 ` Map Index: Description: REROOF W/COMP (23) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. .7031.5 Business and Professions Code: Any city or county which requires a Owner: KONSTENIUS AMANDA ETAL permit to construct, alter, improve, demolish, or repair any structure, prior WILLIAMS SUE LYNNE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PO BOX 780 the Contractor's State License Law (Chapter 9 commencing with Section FOREST RANCH, CA 95942-0780 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): O 1, as owner'of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Applicant: BAIRD ROOFING CO intended or offered for sale (Sec. 7044, Business and Professions pp Code:. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 11025 MIDWAY such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA 95928 sale. If however, the building or improvements are sold within one 530-342=1631 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: BAIRD ROOFING CO not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 11025 MIDWAY pursuant to the Contractors' State License Law.). CHICO, CA 95928 ❑ I am Exempt under Article 3 of the Business and Professions Code 530-342-1631 Date: Owner. License #: 631460 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are::: FUAd Total Square Ft: 0 S. F. Carrier: Q�Q Valuation: $0.00 — 36 % Policy #: Census Code: ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith mply with those provisions. Date: Applicant: ALI WARNING: Failur secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand. dollars ($100,000), in addition to the .cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. y 17.5-c CONSTRUCTION LENDING AGENCY This permit:is hereby iss ed under the applicable provisions of the Butte County Corin ?nrvor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do ' ark i ted abo a for which fees have been paid. Name: B (1 y: Date: --i CJ PERMIT EXPIRES ON:� " �t Y7 Address: Date O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is carred, and that 1 am the owner or the duly authorized agent of the owner. ree to ply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of a official form or document of Butte C unt . I her y authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: K n Q Ir (� Signature: Date: 0 Owner Contractor O Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP061503 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 licensed under provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of Issued Date: 06/22/2006 APN: 063-190-011-000 the Business and Professions Code, and my license is in full force and effect./ License Class: 3q- License Number:l/ 31460 Site Address: 15890 CABOT PL FRN ` Date: 6 Zr7 Ofp Contractor. Qct rd ROO Map Index: Description: REROOF W/COMP (23) OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: KONSTENIUS AMANDA ETAL permit to construct, alter, improve, demolish, or repair any structure, prior WILLIAMS SUE LYNNE to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of PO BOX 780 the Contractor's State License Law (Chapter 9 cornmencing with Section FOREST RANCH, CA 95942-0780 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner'of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: BAIRD ROOFING CO Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 11025 MIDWAY such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA 95928 sale. If however, the building or improvements are sold within one 530-342=1631 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: BAIRD ROOFING CO not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 11025 MIDWAY CHICO, ' CHICO, CA 95928 ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: 631460 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: S�4 uAd Ir• Total Square Ft: 0 S. F. Valuation: $0.00 Z 3 _ 6 -7 Policy #: Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued. I shallnot employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' - compensation provisions of Section 3700 of the Labor Code, I shall forthwithmply with those' provisions. (3 6 Date: Applicant: WARNING: Failur secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby iss ed under the applicable provisions of the Butte Cnunty Cale ?nrt/or I hereby affirm that there is a construction lending agency for the Resolutions to do "ork ' led ab o a for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: //D,,ate: EXPIRES ON: �� V Date Address:PERMIT Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. ree to ply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a official form or document of Butte C un . I her y authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes . Print Name: Q ^ ` (� t %— V Signature: Date: 0 Owner Contractor O Agent for Owner 0Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name ; Q M S Address b 2 ` d 4,-a First NameJ u Address - O ' G -70 Cityr—Or24 RQAC State Zip4 R 2. II Phone ' R _ _I 933 Fax E-mail Fax CONTRACTOR Name ectl`rd g oo P,%A o Address b 2 ` d 4,-a City C k t CO StattA Zi S .Z Phone S 30 3 Z _ 16 ( Fax 3y Z _ 6 -7 qo E-mail Lic. # ONO Clast3j APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Addre City State Zip Phone Fax E-mail WOMEN , P11 � &W,, A UK I WE Fo ffice a only: Zoning Flood Zone City e f P4111 SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NffO,, . / e� :4. ! 63 BIN # LOCATION AP# 6 -3' U- U Property Add ess o Co b©c'ec City e f P4111 Cross Street SC 1 0 / IL R WORKER'S COMPENSATION Policy Number 2 3 p _ 3,67 Carrier S�G'�Q �-U✓lGP If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: vVP_r cc r/l rQo Sq. Footage Z 3 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan -check fees for work plan checked and other department costs are not refundable. Received b Receipt #: (fSS9 1 Amount: 1:37, -e-YADI Bldg Mr Sheriff SMIP Date:, n I��/ b 6 `� j l Other `-r 1 � I • �y Total REV 2-24-05 W , V+ SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations'in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) , , • ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 .:. Pr"' "+t•' x; ,v �-..... --•� j•-w•'�"'.r..vyy,�^'arti `tY.:T..;�:'. ^s,•� fi're*."�.�-+„+...•;.�✓'�•d: ?e r .y. i.. ,,a•:Ya ..y�-K. _/// �//�� (^/'� .. H �., . 063-190-011 02-1685 WILLIAMS, SUE, 15890 CABOT PLACE, FOREST RANCH CONT: WOOD HEAT & SPA ` GAS STOVE ass HEATER w i ti t F J 1 1-,-s i cl on. OFFI E COPY Address v� GAS t/� Meter By Dat ELECTRIC Meter Date F, i r A.: .. . 1 ' f i r A.: .. . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,�.California 95965 • Telephone (530) 538-75 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ),p ""1�Z5- ASSESSOR PARCEL NUMBER 063-190-011 ZONING BUILDING PERMIT OWNER SUE TELEPHONE RQG- RR's SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 780 FORFST RANM, CA 8949 CONTRACTOR'S NAME WOOD fIFAT A TELEPHONE 99 CONTRACTORS MAILING ADDRESS 6426 SKYW_AY PARADISE, ' :A AS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS' 158 CAM PIALE FDRE-ST RANCH. CA 95 Energy Plan Checking Fee $ PERMIT FEE $ LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF (4 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other`,O Describe Work: CTAS SMW AND GAS HFATM Gas piping stem 1- 5 outlets 1 5.00 5 Building sewer 15.00 Mobile Home I S I G W 020.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service oav=ss 23.00 LICENSED CONTRACTOR'S DECLARATION i 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 fuA force and effect. License Class Lic. NO. G i 3y3/.. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO lOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLDS. SO 3.50FT: T. ppµgOG,EIp MULTIIM-OUTLET P7.50, POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES Zo @ 1.00 SAL Q .50 FIXED AF(I NS. OR Ex. Occup. ounFrs REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 erformance of the work for which this permit is issued. 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' compensa on insurance carrier and policy number are: Carrier r.... -e MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation GAS HEAT 1 15.)0 15.( PERMIT FEE $ 35.00 IVA4, Policy Number W(. - `/Yynr+-G .,C,,0 ,0° 1 (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, comply with those provisions. ' / X� Date ' til Z G Signal re 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 $ Occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. p. FEES IMP FLooD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By J..1/1 1 Date PERMIT EXPIREgO- ( � 'CA �J Dafe Receipt No. e:/ri el Ar1. /) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 PERMIT _�� MITNO. (Rev. 12/96) APPLICATION AND PERMIT �� � ASSESSOR PARCEL NUMBER 063-190-011 ZONING BUILDING PERMIT OWNER WILLIAMS SUE894-7833 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 780 FOREST RANCH, CA 95942 CONTRACTOR'S NAME WOOD HEAT AND SPA TELEPHONE 1877-0799 CONTRACTORS MAILING ADDRESS 6426 SKYWAY PARADISE, CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS 15890 CABOT PIACE FOREST RANCH, CA 95942 Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others] Describe Work: GAS STOVE AND GAS HEATER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is inf I force and effect. /i License Class Lic. NO. V 7 / 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 Main Service 200A TO 1000A 46.00 NEW CONST. DW -LINO OCCUP. SD OR ADDNS. ( a ACC. S.3.5¢Fr: T. RMULTI- ESINEW D OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. o IX�°SgM-.DEA.5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the ,performance of the work for which this permit is issued. � 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' compensa o^n, insurance ca ier and policy number are: Carrier 51 72 ,,n Policy Number '-S0n/j—QGtro0,1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation pro ' ions of section 3700 of the Labor Code, I shall forthwi ly with s rovisi ns. X _ Date Z GZ Sign re of Applican - ❑ wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heigh MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation GAS HEAT 1 15. 0 15.( PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 70.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 1� By rrDate PERMIT EXPIRE O Date Receipt No. 'S5 L O. WHITE-D.D.S.-B.D. CANAR -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t I 6966-79B'P'E'b� PERMIT NO. PERMIT EXPIRES 1I?WY1, Jim Anderson OWNER CONTR' D & D Const.,'Durham 63-19-11 LOCATION (A.P. NE end of cul-de-sac, app.400'N.of Schott Rd app.1700'W.of Hwy 32, Forest Ranch i. Temp. Power Pole Calle'do PG&E -T,-ew*. 'lec. Ser% C I le ied PG&E Te p. Gas Serv. Called PG&E \t /OB FINA -3 LED (Date) -Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEtHAN'IGAL Grd. fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity ' Water Piping Drainage Gas Piping 09 2 vii DATE REMARKS OR CORRECTIONS d t (NOTE: An entry must be made on this form each time you visit the job site.) 5oc d COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS --�. BUILDING INSPECTION RECORD 7S lll� BUILDING BUILDING (Cont'd) PLUMBING Setback P Firewall Soil Piping Forms Parapets 1st Floor ` Main Bldg. Restroom Finish 2nd Floor) Footin s Windows 3rd Floor 4 Stemwaii Siding, y To out 3 .,Slab Rodf Sheathingi Water Pi in v l /-/---q,d Piers Roofing Sewer Garage Fdn. Vents Fixtures �tootin s Garage Vents Water Htr. Stemwa I Insulation Heaters Slab pehysically Appliances Carport handicar Conformance of ex. Gas PI ing & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final -Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MEtHAN'IGAL Grd. fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity ' Water Piping Drainage Gas Piping 09 2 vii DATE REMARKS OR CORRECTIONS d t (NOTE: An entry must be made on this form each time you visit the job site.) 5oc d _.------ ---- ---- ALL OF ABOVE CG`MPLETED Lr1 EXCEPT _ S igi2ed : Date ABOVE LISTED CORRECTIONS COMPLETED Date: Z,1, ELE SCA? --Above Floor Permit Pao. 1. Cied6 Znce&nsulation Pr ection Flush Lia. L{tLres 2. Elec. Rec_el5tacles Spgpt6--L' s & S.jit6,�at Doors 3. Size DoeCes & No. of Conductors --Stapled, A- R6. -ex Installed C� e to Ed e of Stcds & C.J. Equip. Ground, -,nil -de u w/Mech. Fasteners _ y 2� Circuits in Kitchen, & Co_n ct.or Size 7. Sub Feeders --Wire size Q ga. Cu or'FU, Breaker Size In�.ulated. Neutral -Yes UQ_ E77 et - 8. Range Circuit hfflL ga. C o Breaker Size Circuit ga. Cu o- ti Breaker Size 9. Service --Riser du •ors & G_ d 10 �,,TaZQ s 11. C1oth2s-C1Qa_ Light --Show aht _ 12. Sign Job Card ALL OF ABOVE CO.TLETED �_/ EXCEPT : -._ ----- _... Signed: Date kBOVE LISTED CORRECTIONS COMPLETED Date: MECIL'A CALL --Above Floor .. _ Permit No. ti. 51Qn Job Card T L OF ABOVE COMPLETED EXCEPT � 1,\ 1 ` \ Sigm d Date• ABOVE LISTED CORRECTIONS CGMPLETEI? Date: -3- PLU'BDl40-•-Above Floor Permit No_� 1. ?dater Heater --Ven` ccess-•- ombustion Ai-.--A�q,/ 2. Water Pi e--& -iiai1 P - tion rain Pit)e- L --F' _ ngs ys--;iai7_ 42" Test ?iouer --Te. _, Firs tf To -or- -Tub 'Access _ Test Tub & Shower, second floor--Tub-Access_< _ 6. ..:. -_lze i ncc _.------ ---- ---- ALL OF ABOVE CG`MPLETED Lr1 EXCEPT _ S igi2ed : Date ABOVE LISTED CORRECTIONS COMPLETED Date: Z,1, ELE SCA? --Above Floor Permit Pao. 1. Cied6 Znce&nsulation Pr ection Flush Lia. L{tLres 2. Elec. Rec_el5tacles Spgpt6--L' s & S.jit6,�at Doors 3. Size DoeCes & No. of Conductors --Stapled, A- R6. -ex Installed C� e to Ed e of Stcds & C.J. Equip. Ground, -,nil -de u w/Mech. Fasteners _ y 2� Circuits in Kitchen, & Co_n ct.or Size 7. Sub Feeders --Wire size Q ga. Cu or'FU, Breaker Size In�.ulated. Neutral -Yes UQ_ E77 et - 8. Range Circuit hfflL ga. C o Breaker Size Circuit ga. Cu o- ti Breaker Size 9. Service --Riser du •ors & G_ d 10 �,,TaZQ s 11. C1oth2s-C1Qa_ Light --Show aht _ 12. Sign Job Card ALL OF ABOVE CO.TLETED �_/ EXCEPT : -._ ----- _... Signed: Date kBOVE LISTED CORRECTIONS COMPLETED Date: MECIL'A CALL --Above Floor .. _ Permit No. ti. 51Qn Job Card T L OF ABOVE COMPLETED EXCEPT � 1,\ 1 ` \ Sigm d Date• ABOVE LISTED CORRECTIONS CGMPLETEI? Date: -3- FI\AL Permit No. 1. P1 ` n S 2. Entrance Stens. Door & Sidelieht Protection. 3. Smoke Detector / .4. Furnace--Ver,ts, Clearances, Combustion Air, Conaectory'�z Garage -Height & llech.Protecti.on 5. Bedroom Exiting 6. G.r.I & Bath Fixtures 7. Electric 7r Lm & Sub Panel ---Labels 8. Stairs & Rails 9. Fireplace or Stove --Clearances, Hearth 10. Electric Outlets at Wood Panel --Int. & Ext. 11. Fixtures & Appliances in Kitchen--Grounded--Air Gap --Cooking Clearance 12. Electrical Cutlets & Receptacles at Kitchen Counter 13. Garage Fire Door--S*.,ring.& Landing, Closer -14. A.C. I?jct in Garage --Da_m-ger 15. t,..Iater Heater --Vents, Clearances, Combustion Air, P.R.V., Connector ,- Garage -Height & Z'1ech.Protec t ion "16. Fi=..alls & Openings --Area Separation Walls 17.. Electrical Receptacles in Garage (G,F.I.) Romex protect 18. Insulation--Foam--Looked in Attic 11-7 Yes 19. Stens at E�7.t. 'Doors & Landings 20. Guard Rails and Deck Construction 21. Foundation Vents & Crawl hole Door --Drainage & Wood -Earth Clearances-- Looked tinder Floor -f-7 Yes 22. r^o11cwiao Installed: Drive Lj Yes 1_,j No; Walks .4_j Yes j_,,j No; Planters or [Jin, Walls %7/ Yes %7 No ---Creating Drainage Problems 7-7 Yes = No 23. A.C. Unit --Disconnect, Clearances, Breaker & Conductor Size --115V Outlet 24. Vents Above Roof --Plumbing, Appliances, Fireplace --Clearance to Openings 25. Water :ell -Disconnect, Electrical, Plumbing 26. Exterior Electrical Trim & C.F.I.Receptecle 27. Ventilation Throughout House 28. Glass Protection 29. Corrections from Previous Inspections 30. Gas Test --Meters Tagged -Gas & Electric �r 31. Plater Sum -ply & Sewage Connected 32. Energy Compliance Certificate 33. Sign Jab Card ALL OF ABOVE COMPLETED / / EXCEPT Signed: Date: ,ABOVE LISTED CORRECTIONS GO'IPLETED SIGN JOB CARD 7A3 A66 ��7(Bd -4- -1- UNDERYLOOR Permit No. 1. Plans .. •2, Setbacks --Easements. _ 3 Soils --Footings & Stemwall--/ /" Fill Required - -Steel ---Block-outs--El,c-,,Ground Piers --Fireplace Footing & Steel S. Phnnbing--Drain=-Fall-F ittings--Wrapped in Conc,rete• � 42"' test/ / _ 6. Gas Pipe --Size & Test _ 7. Water Pipe --Test & Anchors --Regulator 8, Electrical 9. Plenums & Ducts--Clearance---Material & Support & Insulation 10.-Girders--Sills--Anchor Bolts--Joists--Ver:ts--Cripales. 11 Sign Job Card ALL OF ABOVE COMPLETED / / EXCEPT aigned• Date• .. ,: ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB- CARD, *' - 'Signed: Date:- -1- 1. P 2. S 3. w FRAMING )er Mal 7. Header & Be -.6- --Si 8. Hangers --Po Ca s 9. Ceili Joists a 10 F irea&� `or 11. Attic Access --Size 12. Bedroom, -Windows or 'ming .s --Connectors �-.-2 hr, Fire 15. Ex s --One 3' - Check Ca -rage 16 -Width Headroom Rise Run, ,LLanding - it i 17. P1 Roof ` erhang--Atti "ed--tents--Ra-Eterriggers 18 Nailing-- er i9. Sturm Moc}+9 D 'p Seeeed & Foundation Ven,'Cs & Underfloor Access 20. Glass Protection if required 21. Sign Job Card L C EXCEPT -2- Signed: / ate•�`�J/��./ SIGN JOB CARD l rAg/s iQned:' / Date://+ COUNTY OF BUTTE ,DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 CoGnty Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 add�a�4xpianatiW �pase c2Mact th,*office immediately. Inspector U Date COUNTY OF BUTTE .DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 / j(� Skyway and Elliott Road, Paradise — Phone 877-343K967 CORRECTION NOTICE -- BUILDING OR PROPERTY ADDRESS 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. Iy have any question pertaining to this matter, or need additiop¢I explanati ease contact this office immediately, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 ' Telephone: 534-4541 _[/ — o APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mai I i ng Address Building Address APP 4 D CW -S -r" crib �✓ 0 AO)( -75- de: 75- VC aw-D 0-,1- cvc. o e I A) dr ` cawrr APP i A. P. �o. ��— ���" ` ! Zoning & Planning Fevs I C. Fire Dept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im rovements Plans Declaration p p Od I Na`pLAHi 8 g. Plans rcec'd Parcel A royal Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Me_ A 01 GG6(, Single Family Ef Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cali nib Business & Professign$ ode uq �ihe name style of: / �� License No.i� 5—�� Classification Fireplace Total Valuation Plae2kiiaa g /or Penalty Kermit Fee PLUMBING PERMIT FILING FEE Each Trao Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee IZW BAL iC9 I ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVERsoov 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. DWELLING OCCUP. S ACC. BLDGS. NEW CONSTR NnN-RF51 n. (MULTI -OUTLET BRANCH CIRCUITS =0 $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE FEE EX. OCCUP(OUTLETS OR FIXT11RES� IZW BAL iC9 I EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.001 1 Temporary service 10.00 -Mobile Home Facilities 1 15.00 Misc. Wiring 6.25 U I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heatinq Code which requires every employer to be insured against liability for Workmen's Compensation. �'saced on file with the County of Butte a certificate of Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California: I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating_ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above -me 'oned property for inspection purposes. X Date 2 �7' 7J L Signature ofermit 'e or Agent r/ Receipt No. ( 7x 2— White-D.P.W. White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ Land Development Fee $ TOTAL PERMIT FEE is q CQ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for ich fees have been paid. DIR CT R OF PUBLIC WORKS By� Date_ /� �� Building permit expire ate �d f � ,.. COUNTY OF BUTTE —• DEMRTMENT OF PUBLIC WORKS 7 County Center Drive ,r- • Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner �iYi�) V� �Jt.JINy SQ. FT. OCC. BUILDING VALUATION 3 Mailing Address 42' 4 C, 0 4P Telephone No. 4 Contractor p CDAPM C 7-1 QIJ Mailing Address o P)O)( -7 Is Fireplace RD t&11500 Total Valuation DL)2i+A,-" C- A Telephone No. Permit Fee Building Address VE EA)0 0r C0(_ Oa (;A< --Plan Checking Fee&/or Penalty Permit Fee U. So � /�ffeoi'( Li00t N 0 F Suaorr Rd PLUMBING No. @ FEE O/CC' 1P0,•W,4 3.2— PERMIT FILING FEE $3.00 Each Trap '2130 ,00 Repair drainage or vent piping 1.50 �j r ( A. P. o. J Zoning 8 tanning Water piping '�i,$060 Each gas water heater or vent 1.50 Wes .C. S I on Fire Dept. Fire Zone Use ermit Gas piping system 1 - 5 outlets 1.50 EQA Parkingrcel pans Declaration Parcel ap 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 Bldg. <1ans 54c'd Parce A proval Plans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ,Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00 Main service 600V OR LESS 100 AMP OR LESS 5•D� Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.NG OCCUP. 5 20Sgft OR ADDNS. DGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW RESID. BRANCH CIRCUITS) NON-RESID, � BRANCH CIRCUITS)TLET 2.50ea NEWCONSTR. POWER APPARATUS 9 NON - RES ID. (SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES) 6 L@; Ex. QCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. -316 sy Classification G / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ SIS WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor ' ' ' ' MECHANICAL No. @ FEE PERMIT FILING FEE $3.0013,00 Heating (Jnl4/r� �7Dnp C,,Dv Cd hh I o e w Ic requires every emp oyer tbd b o a Insure aga(nst Ila Illty for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. A X CA lei Date Signature of Permitee or Agent Receipt No. ,��� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Cooling 1�iT 1 17, 511 11. :;00 1 Venti lation Hood 1 2.00 Q() Permit Fee $ /7, 50 $ 12 150 Land Development Fee $2,S-100 TOTAL PERMIT FEE [$7Z -3-75-S This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date B Ilding permit expires Date OWNER RESIDENTIAL PLAN CHECKING GUIDE ,(S.F., DUPLEX, & MISC. ONLY) /� Bldg. Permit # Gq(P(v-Tj A.P. # (03- (q- II A. GENERAL ;�oning requirements (sideyards and parking). --V a I u at ion. &r" -Signature by R.C.E. or Architect (if required). B. PLOT LAN . complete -parcel size and dimensions. a/ Setbacks, sideyards, easements, etc. 3,--9ttreT buildings or structures. g, fills, drainage. C FLO ALAN Complete to scale plan with dimension's. ���� Required windows for light and ventilation (Sec. 1405). �3. Required windows for second exit (Sec. 1404). rllowable glazing for energy requirements (20% max. per.State law). b. Human impact glass (Sec. 5406). • Required room sizes, ceiling heights (Sec. 1407). $ • G.F.C.I.'s in baths and exterior outlets (Sec. 210-85. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. M Garage firewall, door size, and closer (Sec. 503(d)(4)). Irl! 1 - 3'0" exterior exit door (Sec. 3303d). t2% Fireplace location. 10 -."'Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS /Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. 3* ----Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 4:--+6kr-e'tace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. M ELLANEOUS ITEMS TO LOOK OUT FOR 1. CCX plywood on exposed locations and overhangs. 3-.'� Stairway details (Sec. 3305). gl.-IGuardrail details.(Sec. 1716). A,�-'Brick or stone veneer (Chapter 30). Exterior plaster -- weep screeds (Sec. 4706 & 4708). '/ Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. fi! Garage door,or porch header sizes. dr"' -Adequate bracing. 70'."' Living area over garage - complete 1 -hour separation required.including supporting walls and posts,. etc. Ldp---Two--(-2) exits on three-story dwellings (Sec. 3302). RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE INSTALLED IN CO ORMANCE Wj�T CURRENT ENERGY CONSERVATIOP RW I (location) / ° (/ BU ILD ING PERMIT NO. &1766 `-` '71:FJ5 jdo,* A : P . NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls. Floors IQ" 11 Walls Ceiling/Roof Ducts !/ —�-t Circulating Pipes tv APPROVED HEATER APPROVED WTR.HTR.� N. GLAZING: 'J Single Glazed N Special (Insulated) - CERT. & LABELED WDS.. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of - (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name JDau ea a rint)` Signature of General Contractor/Owner Date -% State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. D & D Const / Anderson Res PermiL'y/ `j �o 2 INSULATION CERTIFICATION Schott Road Forest Ranch Number and street Clty _ County ubdivlslon Lot Number DESCRIPTION OF INSTALLATION DECLARATION _ 1 hereby certify that the above insulation was installed in the building at the above location ir. conformance with the current regulations setting Energy Conservation Standards I for new residential buildings (located in Title. 7.4 of the California A nistrative Code). Gene al' ontrac or (, wilder) - License Number Signature and Title Date Hawkins Insulation Co.. Imo. 378407 Sub -Contractor (lnsulatlon Applicator) License Number u= !� _—, Pres. 3-28-80 Signature and Title Date CERTIFICATE REVIEWED BY Tate BIN -029 (Building Inspection Off ice) ROOF Material Brand Name Thickness (inches) Thermal Resistance (R Value) EXTERLOR WAt-L. Material Fiberglass Brand Name Certainteed Thickness (inches) 3 Ztl Thermal Resistance (R Value) 11 1 CEILING Batt or Blanket Type Fiberglass Brand Name Certainteed Thickness (inches) 611 Thermal Resistance (R Value) 19 Loose Fill Type Brand Name Minimum Thickness (inches) Number of bags Weight per bag Ib Area Covered (ft 21 . Thermal Resistance (R Value) FLOOR, ELEVATED / Garage Floor Material Fiberglass Brand Name Cer.tainteedx Thickness (inches) 3,1611 / 3-L,11 Thermal Resistance (R Value) 11 19 FLOOR,SLAB Material _ Brand Name Thickness (inches) t Thermal Resistance (R Value) Width (inches) FOUNDATION WALL,. Material Brand Name Thickness (inches) Thermal Resistance (R Value) HEATING SYSTEM Gas Furnace Make Model_Gescr-iption <<__. _ Rated Bonnet Capacity _ DECLARATION _ 1 hereby certify that the above insulation was installed in the building at the above location ir. conformance with the current regulations setting Energy Conservation Standards I for new residential buildings (located in Title. 7.4 of the California A nistrative Code). Gene al' ontrac or (, wilder) - License Number Signature and Title Date Hawkins Insulation Co.. Imo. 378407 Sub -Contractor (lnsulatlon Applicator) License Number u= !� _—, Pres. 3-28-80 Signature and Title Date CERTIFICATE REVIEWED BY Tate BIN -029 (Building Inspection Off ice)