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042-590-007
Z. i . A 42-59-07' 3787=8 ii,P.,E,M' LUNGRli1I, Daryl- Lan' 621 Breana, Lane;; Chic contr. John 'Linhart I farri lu ). y, f ' r 1.1 i'iR,P,F(ti'Jw ui��il�3f�i�;P/ 042-590-007 06-0241 SEKO, MICHAEL, KEENAN 621 BREANNA LN, CHICO Cont: FOUR SEASONS ROOFING RE -ROOF PORCH (14) B07-2085 042-590-007 MISCELLANEOUS Fireplace/Wood Stove. INSTALL GAS STOVE & GAS LINE 621 BREANNA LN CARTER, MARK M-2.1,601 (sicann0j) O �12.5go=ad'7 Cr21 gftainm Ln • (`,hico QAr'{er , Mark a ao>*r: i�mkkrn Emmj s Roof- N OUM Solar cn Garage , . FA J 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.net\dds _PROJECT INFORMATION' Site Address: 621.BREANNA LN Owner: Permit No: B07-2085 APN: 042-590-007 - CARTER, MARK Issued Date: ,10/08/2007 By KCG Permit type: MISCELLANEOUS 621 BREANNA LN Subtype: Fireplace/Wood Stove CHICO, CA 95973 Expiration Date: 10/07/2008 Description: INSTALL GAS STOVE & GAS LINE '(530) 566-9073 Occupancy: Zoning: SRI 0 Contractor Applicant: Square Footage: HEAL DANIEL PLUMBING HEAL DANIEL PLUMBING Building Garage Remdl/Addn 12206 MERIDIAN ROAD 12206 MERIDIAN ROAD CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total _(530) 345-2142 (530)345-2142 FEE INFORMATION DBMSC Fireplace Pre-fab/Metal $116.00 ..LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires HEAL DANIEL PLUMBING 393518 / C36 / 09/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencin Section 7000) of Division 3 of the B siness and Professions Code, and my license s i, full f, an effect. X 10/08/2007 Contrac s Signature Date I' WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ Lection AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by HAVE 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier. State Fund Policy Number: 238782-05 Exp. Date.01/01/2007 (This section need not be completed if the permit is for one hundred dollars ($100) or less.) I ❑ 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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' competelion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those X (�&�� 10/08/2007 Si ature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND - ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip r Balance Due: n Receipt No: 16.00 OWNER / BUILDER DECLARATION r. I I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License' Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior 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 the Contractor's License Law [Chapter 9 (commencing with Section 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]; Please check one of the following: ❑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 Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's Signature 10/08/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use oydMipancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte Co y to ter the above me coned property or inspection urposes. I hereby certify that I am the P rty o er or am autho dj�a ory�e roperty o e behalf. il"�l /,�� 10/08/2007 �.mnc �n r¢nu�uoc p�w�.J rruR J uale di l 4e Owner 1:1 Contractor ' OR. Agent for Owner Agent for FILE COPY T BUTTE COUNTY �o " o DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION ° ° OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o o A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds SUN **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last Name City F' Name - Mailing Address 7 / CJ/ City State Sti Zip Phone Fax E-mail State License Number APPLICANT INFORMATION CONTRACTOR Name City Addre !2 Z-6 (61 - City St State Phone •� Z /q Z FaxesJ , S . Z� E-mail Lic. # 39 3 S l 8 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name k)alt�L�;z Address City State Zip Phone? yS . Z/4_/2 / J `� Fax E-mail APPLICANT SIGNATURE X PERMIT NO. Wu PROJECT LOCATION API Property Address City BIN # WORKER'S COMPENSATION Policy Number D 0 0 0 7 Carrier hring anyone other than license contractors, a cert► date of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 PERMIT NO. BP060241 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 02/02/2006 APN: 042-590-007-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./ License Class : C34"7 License Number:65 5 D Site Address: 621 BREANNA LN CHI Date: Z z � Contractor: 5;,,•5o,, rood, Map Index: Description: re roof porch 14 sq OWNER -BUILDER 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 aSEKO Owner: MICHAEL R & KEENAN M permit to construct, alter, improve, demolish, or repair any structure, prior 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 621 BREANNA LN the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 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 95973-8771 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 Code: The Contractors' State License Law does not apply to an Applicant: FOUR SEASONS ROOFING owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for #11 COMMERCE COURT sale. If however, the building or improvements are sold within one SUITE #1 95928 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 530-895-0418 . sale.). ❑ 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 not apply to an owner of property who builds or improves thereon, Contractor: FOUR SEASONS ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). #11 COMMERCE COURT ❑ I am Exempt under Article 3 of the Business and Professions Code SUITE #1 95928 Date: owner: 530-895-0418 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License M 659073 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. Architect: ❑ 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: % Z— Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 (j O I certify that in the performance of the work for which this permit is Census Code: 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' i1 v compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (77 l� L Date. Z Z U V Applicant: WARNING: Fail re to secure workers' compensation coverage is l� 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 i ere_ y sued der the a licable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti s to d6 rk Indic ted abov or which fees have been paid. / performance of the work for which this permit is issued (Sec 3097 Civ.) Z 6 BY Date: Name: 7 Address: PERMIT EXPIRES ON: (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. ❑ Wotification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ 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. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offs ' tcorni4aocument of Butte County. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. upon Print Name: � `f� h Signature: ~ Date:. ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 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 OF APPLICATION Website: www,.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANT INFORMATION CONTRACTOR OWNER INFORMATION Last Name 5(fko Address irst Name `n^ r v / Address 6 6 1 f 3 City G� .CD Zip State Zip Phone 2 Phone Fax E-mail E-mail APPLICANT INFORMATION CONTRACTOR Name City ; ov Address Address City Fax State City C� , Phone State Zip E-mail v State License Number 2 Phone =Oq(2/ Fax E-mail Lic. # 1 ClassC,.9 07_? APPLICANT INFORMATION ARCHITECT/ENGINEER Name City ; ov Address lip �5"��• City Fax State Zip Phone Map Book Fax ' E-mail Planner State License Number APPLICANT INFORMATION Name c: Address City ; ov State GA lip �5"��• Phone S 6 L(r c/ Fax E-mail APPLI ANT SIGNATURE X For office use only: Zoning Property Address 6 z Flood Zone rr07SSS,reet SRA Yes INo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS s< -Nr 1RMC\RI III nmir: FrIRMC\RIrinAnnl.4uhRnmtc rinr. PERMIT NO. BPO. 66, 2q BIN # PROJECT LOCATION AP# Oy2_ "Lq_ Property Address 6 z City rr07SSS,reet WORKER'S COMPENSATION - Policy Number � 9 Carrier 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 Paae 1 of 2 Description or Scope of Work: e,— r JY s p��f,a ( W� o Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): 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 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 y: Amount: lJ Bldg SRA Receipt Sheriff Vtv� (�SMIP Date: Other Total REV 8-12-05 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 AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fndplans, 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). El9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 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). El 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. ❑ Legal. description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 11 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 42-59-07 7- P E,M PERM , Daryl & L•anie ' 621 Breana Lane, Chico PERM Contr: John Linhart . (nef- OWNI CONTR. ASSESSOR PARCEL LOCA ION Temp. Power Pole Called PG&E Temp. Elec. Service Called PC Temp. Gas Se Called PG .r JOB FINALEC Signature t9p 3 42-59-07 7- P E,M PERM , Daryl & L•anie ' 621 Breana Lane, Chico PERM Contr: John Linhart . (nef- OWNI CONTR. ASSESSOR PARCEL LOCA ION Temp. Power Pole Called PG&E Temp. Elec. Service Called PC Temp. Gas Se Called PG .r JOB FINALEC Signature / \ _ • Owner JOHN LINHART Permit No. ENERGY CERTIFICATION ABEANNA LANE- 04Trn _ cau 9 926 LOCATION A.P. NO. DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL A EXTERIOR WALL MATERIAL Fiberglass BRAND NAME Certainteed THICKNESS THERMAL RESISTANCE (R .VALDE) CEILING BATT OR BLANKET TYPEFTRFRGT,ASS BRAND, NAME Certainteed THICKNESS 1011 THERMAL RESISTANCE (R VALUE)���0 LOOSE FILL TYPE INSUL-SAFE Iii BRAND NAME Certainteed THICKNESS THERMAL RE A CE R VALUE, FLOOR, ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED •THICKNESS THERMAL RESISTANCE FLOOR, SLAB SUB FLOOR MATERIAL grRFur,A�c BRAND NAME CERTAINTEED THICKNESS_ THERMAL RESISTANCE (R VALUE) —R-49 WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. SHASTA INSULATION #530235 FIRM NAME/OWNER STATE CONTRACTOR"S LICENSE NO. I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specificallY app ed. by the St4te of California. -- a K Lu e4,0�---------- ---- � � �� � ----------------- FIRM 'AME/ R (P A. P INT) STATE CONTRACTOR"s .LICENSE NO. -- -- - -- ------- ------------- SI NATURE OF GENERAL CONTRACTORiOI+'NER DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 = !JK w w 0=Not OK' - = Not Aoolicahle = Not Ready MUBILE HUME5 MISCELLANEOUS - Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel t 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails x 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. } 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures P � f / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors f 7. Utility Clearance!. 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses _ 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing ' Card -B1 Date Card -131 Date + 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s -• 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector Card -B1 Date Card -B1 Date i z 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements _ 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability- ) 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining ; 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI•. 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI ' 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -61 Date Card -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. { Card -B1 Date Card -B1 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit ' 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test i - _ Card -B1 Date Card -B1 Date- --- - - Card -B1 Date Card -B1 Date a Y - - __ __ ..». ` • tee' i�� �, Y. f t .r c•=NrtOK - _•NWpplicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNpf'RFLOOR (Plans) OK except #'s __ Date MING ( ed) ler Zoning -Setbacks; -Easements -Flood Slope nge Post Caps "nchors- _ 2. Ftg._dain; Soils-Steel-Elec. Gr -V,4—P' Ftg. Depth onnectors . CIng. Jois - ies-Purlin-Roof Bra _ !3!ITg., Garage; Soils -Steel-/ �L�- Ftg. Depth ss hthng.-Rfng. *i'- 2pPace Ties or Type A Flu ire lace roat Clears ., Porches & Decks; Soils -Steel -//.I- /"Fig. Depth _ 5. Sterrywells, Main; Steel-Blockouts Wrapped nce tic Access; Size � e roe ' n -Draft Stop-IWi- A2-00'fWindows or ftrn -ill Hgt. & DimeCemwalls, _ Garage; Steel-Blockouts-Wrapped Slab;Steel -Wrapped _ 5@-Gafage-Fire Protection Framing si P, roup-dy Line Firewall & Openings ireplace Ftg.-Steel _ D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test _ _ 10. Gas Pipe; Size -Anchors _ Water Pipe; Test -Anchors -Regulator -Service Test (.�xt.-Doors-One 3' -Check Garage -3rd story, 2 exits T53, ifs: Width -Headroom -Rise -Run -Landing -Fire Protection 'U_214.waod on Roof Overhang -Attic Vents -Rafter Outriggers . iding-Nailing Veneer — 12. Electric; Underground _ o. Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Mate rial-Supprt-fns. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples azing Area -Glass Protection -Skylights -Plastic IIs; Nailing- Its 15. Insulation I ulation-W - . _54. Infiltration-Walls-Wndws Car d-BlL4uAJ Date1--;2 • p Card -131 Date Card -131 Date MW Card -131 Date Card -B1 Card -B1 ate S, Card -B1 Date 19& Dat t Card -131 Date Date PL ING (Permit) OK except #'s ter Ht. Vent -Access -Combustion Air -Baffle 4. Ker Pipe; Test & Anchors -Nail Protection Date FI (Plans) OK except #'s t. Steps -Door & Sidelight Protection -Landings — je.W.V.; Test-Fttngs & Anchors -Nail Protection Smoke De for l7UoShower _ Pan; Test, First Floor -Tub Access _ urnac, V Clearance -Comb. Air -Connector - IRGara ove Floor-Ducts-Mech. Protection Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size &Anchors 6"4. B room Exiting .F.I. & Bath Fixtures & Tub Access -Spa — 9. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B Date Datef �/ Card -B1 Card -B1 _ Dat Card -B1 Date •��.-�girs &Rails Date — EL CAL (Permit) OK except #'s replace or Stove; Clearances -Hearth 5e. Outlets at Wood Panel; Int. & Ext. jKfitotrre & Transformer Clearance -Ins. Protection Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance ec. Receptacles Spacing -Lights & Switches at Doors Eiec. Outlets & Receptacles at Kit. Counter S' Boxes & No. of Conductors -Stapled ex Installed Close to Edge of Studs & C.J. image Fire Door; Swing -Landing -Closer �`JC Duct ' rage -Damper Equip. Ground made up w/Mech. Fasteners -Bond Gas & Wati;r Htr. learance-Comb. Air-Connector-P.R.V.- InAarage; Above Floor-Mech. Protection liance Circuts in Kitchen & Conductor Size/G.F.I. - ubfeed Wire Size / g r AI-A.C. Wire Size / /ga. Cu or Al 40'151b., Elec. & Mech. Equip. Listed for Location . Receptacles in Garage; (G.F.I.)-Ro ex Protec. ac .,&-y- Circ. / / ga. Cu or AI -Oven Circ. / V ga. Cu or PI. Ins lated Neutral Yes No _ lation-Foam-Looked in Attic Yes d Rails & Deck Construction -Post Caps 36!5m a -Riser Conductors & Ground -Main Disconnect IKFdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes w 3a,-ffquip. Clearances Panels-Motors-Mech. Equip. —727CTOihes Closet Light -Shower Light -Spa Light ORITollowing ins .; Drive s ❑ No; Walks ples ❑ No: Planters es ❑ No 't't Smnka netector - _ B3T�cco; Brown -Finish Card -81 _ to - ibtj(ard-81 Date f!A�. Unit; Disconnect, Electrical, Plumbing Card -61 _ Date Card -61 Date 8@!Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. - Date MEQKANICAL (Permit) OK except #'s gfer Well; Disconnect Electrical Plumbing 64o.o'A. . ucts Insulation & Support V?Extenor Elec. Trim; G.F.I. Receptacle -Underground t Fa ; Exhaust above insulation entilation throughout House Co ensate Drain & Overflow; Size & Grade 07o."Glass Protection 3 ulpace-Vent; Access -Comb. Air -Return Air Vent -115 outlet 8 . Correction�A*6m Previous Inpections Card-81%!6k4ates714 •` oCard-B1 Date Card -81 Date Card -B1 Date Date FR NG (Plans) OK except #'s Proper Material & Anchors Valls Studs -Nailing, Spacing & Bracing—Plates-Sound ea ing Walls over Girders & Floor Nailing - c�a iayycu, uaa-ocGu�G ter & Sewer Connected -C/O to Grade -HD __,Energy Compliance Certificate -Other Certificates yz. Mooring e Card-B1't'-4 'gDDat and -B1 Date Card- 1AAqi3 Date Card -B1 Date Card -131 Date Card -61 Date Comments at Final: .Stop in Walls (rat proof) >tops, Furred Ceilings -Stairs -Chases -Tub er & Beam -Size & Bearing (NOTE: An P.ntry rnimt hp r•,iAfio oarh limo .. ci• i 1 . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMIX NO. ASSESSOR PARCEL NUMBER Z _ Co -)BUILDING S-9_ ZONING PERMIT O NER ,4A L ZA Z v.✓'R ) ./ TEL �g / - yy SO. FT. OCC, BUILDING VALUATION Sym 2 3 1'60. DO OWNER'S MAILING ADDRESS 2 l .t3 1� 1,�, Cr�� Cid 9r�2 r;, s M t 0 s z. 0 �J CONTRACTOR'S AME /Ha TELEPHONE - 5osa3663 J OVt1 �ry V CORT ACTOR'S MAILING ADDRESS �� 9 ���/ ✓B C'y1G,7 C,4 '1rf 2 Fireplace CONSTRUCTION LENDER 04K4o w^f UNKNOWN Total Valuation $ ��ryry V Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 2.1 5-1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee �0 $ 1 / `•Lii Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q.©O lr H1 Lp C - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 00 Each gas water heater or vent 5.00 S. USE OF STRUCTURE S plex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets X 5.00 Building sewer 5.00 S Mobile Home S I G I W 0.00e TYPE OF WORK New t' Addition ❑ Remodel[] Utilities ❑ 7 Instal la lion ❑— Other ❑ Describe work: 'p- ''"' _ 0000L 40t7S�� Permit Fee $ 311 eta Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declarer penalty of perjury (Check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in fu force and effect. License No. 2 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. OR ACDNS. ( ACC. SLOGS. , �2QS(jft 3 . 00 NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 ®30t SAL030 FIXED APPLNS. OR Ex. Occup- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 so Permit Fee $ -5 79, Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The ermit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating x /7 L- Cooling ` 3 g Hood 3.00—,--j' Ventilation 3-pci 6 Permit Fee $ ,QJ 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 CountyotPE 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 liabiliti Ud t$, CO and j g pe ses which may in any way accrue against ) ou n co u c t granting of this permit. /� I/^�j} X Date ! a Igno a of Applicant — Owner ❑ Contractor A"Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DI on of structures over 3 stories in hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ iJ TOTAL F E $ S/ 7-f HAZ CUA PARK SZ FLD PAR PD H ISSU G This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees CTO O PUBLIC By PERMIT EXPIRES Date the applicable provi. resolutions to do have been paid. WORKS Date �� p 01) ✓ Receipt No. 7 8 2-5' 1 Isl o WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT • COUNTY OF BUTTE - DEPARTMENT•OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTDDRIVE - ERMIT APPLE, CALIFORNIA 95965 -TELEPHONE: 916/536-7541 PERMIT ICATIO14 DATA SHEET Permit No. U OWNER A. P. No. Proposed Building Use 14.40>9AW_ Building Inspector GS 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 .............. I i)elEngineered truss details and layout in duplicate (required prior to plan check)/ f 9. Mobilehome installation data including manufacturer's instaflation instructions ..11 .................................... ......... -10. Fees of $ .................. ' ... . paid....................................... spal .................................................... School District fees paid .............. — Y Sanitation approval from e 10 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 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for 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 ......... Letter i ature horiza ion ........ .... .. . -2 o 1 o /'I-9 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. _ Deliver w/inspector. Date /— Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted ri to ermit 'ssu (C i' new ' em not checked above). 1 • Index permit for above items No. 2. Additional items required: Plans checked by Date lata by Zpo all counter bytu-date Plans approved by � L� Date 12-1k -q)- .✓ ._(_Sets of plans on hold in V File cabinet AP folder Copy—DPW /4�C- TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# r Plan Approved for: Sewage DisposalWater Supply CtrGZ�o��l/ Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for _ bedroom mobile home. Other 64 NOTE *** Sanitaria ate 5/89 RESIDENTIAL PLAN .CHECKING .GUIDE (S.F.,'DUPLEX & MISC.•ONLY) Bldg. Perm'.t #-3767-65' OWNER Ly r�G-R i hI A.P. # Zoning requirements: (:sideyards and number of permitted living units). Valuation. Plans signed by designer. Energy Design and Compliance. Existing violations on property. Items on data sheet. t omplete parcel size and dimensions. etbacks, sideyards, easements, etc.. ther buildings or structures. rading, fills, drainage. lood hazard. pecial conditions on creation map or compliance document. AU A FAS road setback. FLOOR PLAN omplete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 &'Sec. 5207). Human impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). 8 Light fixtures, switches, receptacles, and exterior receptacles for maintenance mechanical equipment. km...arage cations of water heater, heating and cooling equipment., other electrical or s equipment, and plumbing fixtures. Locations firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (Sec. 3304(e)). replace and wood stove location, alcoves, and clearance. oke detectors (Sec. 1210). undation plan complete enough to construct building. Tloor construction details complete enough to construct building. levations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. . Fireplace construction details and calcs if necessary. LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 33.06(j)). Brick or stone veneer (Chapter 30). RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) 1�.Proper xterior plaster - weep screeds (Sec. 4706).; roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). ,7—.1after ties or bearing ridge beam. AAdequate arage door or porch header sizes. bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. tel�• Two exits on three-story dwellings (Sec. 3303 & see Mezannines /1G• Attic access and ventilation (Sec. 3205). p!Underfloor access and ventilation (Sec. 2516). ombustion air for fuel burning appliances. �ise requirements on duplexes. k�Adobe soils - special foundation design. Y% Retaining walls requiring design. R;. on garage side - 1716). X8: Unu ual shape, si or split level house requiring lateral design. L_11 19-R,Wt, alY Wer r openings. eI COUNTY OF BUTTE - DEPARVUENT OF PUBLIC WORKS 7 County Center Drive, C!roville, CA 95965 PHONE: 916-538-7541. Caryl & Lanie Lungrin DATE November 9,19§9 621 Breana Lane .._.___......._...._......__...._._�........E- : -- g - ..._..__....Cfico;_•-CA--...9S92.6`_._......._...- .---._--__............._.__. _. RE. Buldin_-._.Pe"rmit���3787._89...------------_....__:.�.... A.P. # 42-59-07 With reference to the above subject: /97 Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form .List of..Codes. Enforced._.._..._._.._... . OTHER affidavit of ComDliance L�[ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural.details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes -marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. X OTHER 1. Affidavit of Compliance, signed & notarized 2. Items noted on permit application data sheet. Should you have any questions concerning the above, please contact this office. JFG/a j Yours very truly, William Cheff Director of Public Works 62 .F. Glander Chief Building Inspector . ,, -IV L -j _y V C - BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION0FORM (One Form per Building) I '' 4,X - S91_ / ' A.P. Number Building Department No. School District (�_ Af c b City [::] County Jurisdiction 'V Property OwnerOnVWJ Lc4r\ d pr I n Project Location/Address �Pa4 'BQ•eA Q i�✓n Subdivision Lot Number Residential Development: [z] Sq . Footage -57417 # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior R@Va$6nv. Heatfh 7 J /�-' 21990 13'u-ilding Department Representative/Date o, California (Floor Plans reviewed by School District -Personnel) 0 District Id NO.' 90� 373 School District certifies that 3q; -6a4v (Applicant Name) (Phone Number) (oC n GI)a u (Street Address) �Qt) Y) . tate has complied with the requirements of Resolution No. by the,,payment ofd$ -306,3,R. representing -54/7 School Distric L Representative PAID BY CHECK NO. REMARKS: BANK NO i5c,a (::� (Zip Code) &�(?- (f.y _square feet. i -aa -�10 Date PAID -BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) R ID NTIAL 42-59-07 473-90B,P,F LUNDGRIN, Daryl 621 Breanna Ct, Chico Contr : Sunshine Pools (new pool/sf) JOB FINALED (Date) Signature �. 1 J=OK O = Not OK , -=Not Applicable =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. 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 Oate 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-Beams-Rftrs: Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frma: 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 POO Plans OK except #'s el_SqW6ks-Easements Soil ompaction-Structure Stability pefool Structure; Steel -Connections -Thickness Dped Men -Lining eEiec,.Receptacies and Lighting, Distances-GFI eq,Pool Lighting; 15 volts-GFI e nclosures; Conduit Entries -Terminals -Listed ec.; Bonding; Metal w/5' -Circulating Equip. -Heater lec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards- Ins. to Main in Conduit 9. Health J"Iumb.; Cir. Test -Water Supply Test Date i --- tZard B-1 Date Card B-1 Date Tn Card B-1 5 Date Card B-1 UsF_ C4 104� J=OK 0 = Not OK - = Not Applicable ' =Not Ready RESIDENTIAL (Single o & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning-Setbacks-Easements-Flood-Slope 45. Hangers-Post Caps-Anchors-Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue-Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils-Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel-Wrapped 52. Ext. Doors-One T-Check Garage-3rd Story, 2 Exits 8. Piers-Fireplace Ftg.-Steel 53. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 9. D.W.V.; Fall-Fitting-Test-2 Way C/0-Sewer Test 54. plywood on Roof Overhang-Attic Vents-Rafter Outriggers 10. Gas Pipe; Size-Anchors 55. Siding-Nailing Veneer 11. Water Pipe; Test-Anchor-Regulator-Service Test 56. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area-Glass Protection-Skylights-Plastic 13. Pienums & Ducts; Clearance-Material-Support-Ins. 58. Shear Walls; Nailing-Bolts 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 59. Insulation-Walls-Ceilings 15. Insulation 60. Infiltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent-Access-Combustion Air-Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor-Nail Protection 61. Ext. Steps-Door & Sidelight Protection-Landings 18. D.W.V.; Test -Fittings & Anchor-Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor-Tub Access 63. Furnace; Vents-Clearance-Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor-Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access-Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances-Hearth 22. Fixture & Transformer Clearance-Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing-Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance 24. Size Boxes & No. of Conductors-Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing-Landing-Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage-Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI-Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation-Foam-Looked in Attic ❑ Yes 30. Service-Riser Conductors & Ground-Main Disconnect 78. Guard Rails & Deck Construction-Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light-Shower Light-Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes ❑ No; Walks 0 Yes ❑ No; Planters O Yes ❑ No 81. Stucco; Brown-Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle-Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access-Comb. Air-Return Air Vent-115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test-Meters Tagged; Gas-Electric 90. Water & Sewer Connected-C/O to Grade-HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate-Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs-Nailing, Spacing & Bracing-Plates-Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings-Stairs-Chases-Tub 44. Headers & Beam-Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE° EPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi e, C•sifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 14 ASSESSOR PARCEL NUMBER -7 G V"! BUILDING PERMIT/ OWNER 'O� bA� L LC/�d �!� TELEPHONE SO. FT. BUILDING VALUATION ,,/OCC. UQo -71 00 �l ` OWNEIR'S MAILtr� A RESS tv2/ ae,94"1/ 1 { /165' o737.1- 2S C TRACTOR'S NAME C �"e./�c/S5-5�L TELEPHO E S CONTRACTOR'S MAILING ApDRESS '70 �.4"(/ IbR Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation pr $ !a,000 Filing Fee $ 10,04 LENDER'S MAILING ADDRESS Permit Fee $ 5950 ARCHI ECT OR ENGINEER �qe1-147,41V 14550(2, LICENSE NO. Plan Checking Fee ,$ , 00 5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 0 PLUMBING PERMIT Filing Fee 10.00 2) Q�� 4410- �U �� Each Trap 1 2.00 Solar or heat pump water heater20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:1Duplex❑ Mobilehome❑ t[� her f3 ��0 1 tj SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation[]Other❑ Describe work: �' j!J&fi"- SD y 0" I& �b _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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.3� / �ft29� Classification -�� F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR AODNS. CONST. ( ACC. BLDGS. DWELLING OCCUP.8i , �20sgft NEW CONSTR. ULTI.OUTLET BRANCH CIRC ITS 2,50 ea _NO POWER APPARATUS &) (SINGLE OUTLET CIR. ( EX. OCCup\OUTLETS OR FIXTURES 2SOC aAL O 30 FIXED APLNS Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring OO 15.00 S Permit Fee $ "Z 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 FiIirig Fee 10.00 Heating Cooling g 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili 'es, judgments, costs, and expenses which may in any way accrue i s agat ai county) cj!1eqLftce 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 $ HAz CUA PARK SCHL 1:��AR PDJV ISSUE 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 R OF ELIC WORKS QQ BY DateJ2��� PERMIT EXPIRES Date J Receipt No. �y 71 WHITE -D. P. W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT TO Building Department r FROM: Environmental Health SUBJECT: Sanitation Clearance - (��. &- %�s- T). .' - r A I 3!3� -- -�M Z_ -9'k!C Owner V.Location, . Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Clearance for _ bedroom mobile home. Other Water Supply Water Supply Water Supply NOTE Sanitarian D e -ol Contractor, designer, owner, was advised of above required data by_phone_-naiI-counter by "date Contractor, designer, owner, was advised of above required data by -phone _maII-counter by date Plans checked by Date - Plans approved by Date.,27,2 lam' Sets of plans on hold in File cabinet AP folder Copy -DPW Ar 7v • • COUNTY OF BUTTE - DEPARTM�IT�OF PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORi�IA 95965,- TELEPHONE: 916/538-7541. PERMIT APPLICATION DATA SHEET 7 Perm -it No`. OWNER I � .� ,.��`(L L Unl0W'/ v A: P. No. Proposed Building Use d[ Building Inspector C S -J Date 2_.146 -5 � 1 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 . .................................... b 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ y 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 .............. / G J 14. Sanitation approval from g.- Health Department 2'ZI- 4.0 15. City of Chico plumbing permit ..................................... }` 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW ` 19. Driveway permit (construction approval required prior to occupancy) ' 20. Pre -Inspection for required . Pre-Inspec. request to 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. Letter of signature authorization ................................... 26. L. r 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor.. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date 4 - a Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). ,A 1, Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-naiI-counter by "date Contractor, designer, owner, was advised of above required data by -phone _maII-counter by date Plans checked by Date - Plans approved by Date.,27,2 lam' Sets of plans on hold in File cabinet AP folder Copy -DPW OWNER'S NAME: d2n�✓L L Un/GRl1/ RECEIVED PERMIT NUMBER: A. P. #: 2 - 5-�' C DATE I c 9 d bfESIDENTIAL F� NON RESIDENTIAL RECEIVED BY CS TIME S ' 3 O --------------------------------------- REQUIRED PRIOR TO PERMIT ISSUANCE FROM DATA SHEET F] REQUESTED BY PLAN CHECKER OTHER X1;4 o✓I �j LC �Gh.ed✓ C L �SF2 /�' /tpS pwti --------------------------------------- REQUESTED BY CORRECTION NOTICE r-1 YES M NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: --------------------------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner (Address Mail to contractor (Name Address) Call and hold for pickup at Deliver_,wi<h next inspection. office. REVISED PLAN CHECK FEES PAID: $15.00 $30.00 Additional Fees Not Required .n -:� __ _ _ _ � _ _ i r � .� ,. ' IIIIfIIItIIitIIIIIIIItiItIIIftitIItIIIIIIIIIIItIIIItIIItIIIIIitIIIIft14