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055-490-006
0 ACL •_ 55`49 6` (RenncorgStatement')y, 1Y i ki1 55-49-06 3116=89B P E MOr a f 1 � MILLER Dave 5073 Lago Vis Way, lot,2 ," aradise } Contra ;MillerEnterprises } (new' -single family)1 V •, J y �r�yY S •MISCELLANEOUS, µ,. Re-R6of �• -. _TEAR -OFF AND REROOF-35 SO",► ." 5073 LAGO VISTA NAY4 , , .` ., ` ", DOSSETT FAIvIILY,TRUST, r c NOW A BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds FEE INFORMATION DBMSC Re -Roofing $204.50 f LICENSED CONTRACTOR'S DECLARATION_ Contractor (Name) State Contractors License No. / Class / Expires GREENE & SON ROOFING 275057 / C-39 / 5/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 7/16/2008 Contractor's Signature Date 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. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, forth performance of the work for which this percnit is issued. Workers' Compansation insurance carrier and policy number are; Carrier: STATE FUND Policy Number. 1753692 Exp. Date:10/1/2008 (This section nee not a completed if the permit is for onehun r� llars ($100) or less. r_1I 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 comply with those provisions. n X 7/16/2008 Signature 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 50 Balance Due: $0.00 Receipt No: B7984 OWNER / BUILDER DECLARATION 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 Contractor's 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.). ❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors 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 reason: X 7/16/2008, Owner's Signature Date 1 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 or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the ove mentioned property for inspection purposes. I hereby certify that I am the propertt wrier or authorized to act onthe roperty owner's behalf. 7/16/2008 Owner Contractor OR: for Owner ❑ggent for Contractor FILE COPY PROJECT INFORMATION ^ Site Address: 5073 LAGO VISTA WAY Owner: Permit No: B08-1352 APN: 055-490-006 DOSSETT FAMILY TRUST, Permit type: MISCELLANEOUS 5073 LAGO VISTA WAY Issued Date: 7/16/2008 By GLB Subtype: Re -Roof PARADISE, CA 95969 Expiration Date: 7/16/2009 Description: TEAR -OFF AND REROOF 35 SQ (530) 872-9396 Occupancy: Zoning: ARMH Contractor Applicant: Square Footage: GREENE & SON ROOFING GREENE & SON ROOFING Building Garage Remdl/Addn P O BOX 2467 P O BOX 2467 PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530)873-3940 (530)873-3940 FEE INFORMATION DBMSC Re -Roofing $204.50 f LICENSED CONTRACTOR'S DECLARATION_ Contractor (Name) State Contractors License No. / Class / Expires GREENE & SON ROOFING 275057 / C-39 / 5/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 7/16/2008 Contractor's Signature Date 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. AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, forth performance of the work for which this percnit is issued. Workers' Compansation insurance carrier and policy number are; Carrier: STATE FUND Policy Number. 1753692 Exp. Date:10/1/2008 (This section nee not a completed if the permit is for onehun r� llars ($100) or less. r_1I 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 comply with those provisions. n X 7/16/2008 Signature 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 50 Balance Due: $0.00 Receipt No: B7984 OWNER / BUILDER DECLARATION 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 Contractor's 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.). ❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractors 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 reason: X 7/16/2008, Owner's Signature Date 1 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 or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the ove mentioned property for inspection purposes. I hereby certify that I am the propertt wrier or authorized to act onthe roperty owner's behalf. 7/16/2008 Owner Contractor OR: for Owner ❑ggent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT, BUILDING PERMIT APPLICATION" NO. CL OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 l� A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds BIN # PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Na First NXne Mailing Addr s , City p State Zi f Phone Fax E-mail --- CONTRACTOR Name (� Name Address Address City � Stated! Occ. Phone _3 Fax E-mail Lic. # 2 {%6a Class C _3 APPLICANT SIGNATURE X PROJECT LOCATION AP# O Property Address,32� �� q I� City Y s WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than.lice-ns�e-d contractors, a certificate of t worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION ORS OPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name ,R,2-, 2-, [Y Address I Yes City Occ. State Zip PhoneFax Fax E-mail State License Number APPLICANT SIGNATURE X PROJECT LOCATION AP# O Property Address,32� �� q I� City Y s WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than.lice-ns�e-d contractors, a certificate of t worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION ORS OPE OF WORK: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name ,R,2-, 2-, [Y Address I Yes City Occ. State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION AP# O Property Address,32� �� q I� City Y s WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than.lice-ns�e-d contractors, a certificate of t worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION ORS OPE 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 ZoneSRA I Yes I No Occ. Ty C t. re - " F0 ;10 g - __ - ---� 14 49-06 .3116w-89B,P ,M -F M� `MILLER,- Dave -5073 Lago Vista Way, 1 0 2, Paradise 4' Contr: Miller Enterprises PI (new single family) PI OWNER t CONTR. ~ ASSESSOR PARCEL ' LOCAPPN 47 I . ff }' Temp. Power Pole )� Called�G&E �1-. Temp. Elec. Service 'r• Called PG&E Temp. Gas Service L" Called PG&E JOB FINALED (Date) �y Signature /•s-�— = OK 0 = Not OK ° - = Not Applicable = Not Ready MOBILE DOMES , ! MISCELLANEOUS {. Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (PlaV.0K 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 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete' 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses - 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date '0.1 10. Roof; Shthg-Roofing Card -131 - Date Card -131 Date %,. • 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line T Card -B1 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector .4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector t 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 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -B1 Date Card -B1 Date Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date M Card -131 Date Card -B1- Date p = VK, 0 = Not - = Not Applicable RESIDENTIAL (Single and Duplex) Date _N FLOOR PI OK except #'s Date FRAMING (Continued) zoning etba ;-Ease ents-Flo -Slope *c45. Hangers -Post Caps -Anchors -Connectors t ., Main; Soil I EI -3p /" Ftg. Depth 6CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. tg., Garage; Soil eel /31 /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance . Ftg., Porches & Decks; Soils -Steel-/ 1 2_/"Ftg. Depth #18:)Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Stemwalls, Main; Steel-Blockouts-Wrapped . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions temwalls, Garage; Steel- Blockouts-Wrapped SB'Zarage Fire Protection Framing Slab; Steel -Wrapped „J . Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52'€x Doors -One 3' -Check Garage -3rd story, 2 exits ,9' D.W.V.; Fall -Fittings -Test -2 wa - e est irs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors lyvidod on Roof Overhang -Attic nts-Rafter Outriggers �*, Water Pipe; Test -Anchors -Regulator -Service Test . S" ing-Naili g Veneer 12. Electric; Underground tuc esh-Drip S ed d. ent Unde ess 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57'Glazing Area -Glass Protectio -Skylights-Plastic (9`4� C irders- ills-Aq.¢tior Bolts-JoigC-Vents-Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation V Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 G6 Date0--5.86j Card-B1g(, Date Ia, Card -1311---m Dater?! -AG Card-B1re- Date. -a Date PLUMBING (Permit) OK except #'s Water Ht. Vent -Access -Combustion Air -Baffle 11. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 2,X. Gas Pipe; Size & Anchors Card -131 r,(_- Date Z 07,SpCard-B1 Date Card -Bt Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Flxt e & Transformer Clearance -Ins. Protection grEle2,,ece c es pacing- ights & Switches at Doors ZV'Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. GroyKd made up w/Mech. Fasteners -Bond GKs e P7. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28-Sabfeed Wire Size / / ga. Cu or AI-A.C. Wire Size 16 /ga. ;�Oorg> Range Circ. /6 / ga. Cu oven Circ./ ga. Cu or Al. Insulated Neutral Yes 30z- ice -Riser Conductors & Ground -Main Disconnect 3,3AEquip. Clearances Panels-Motors-Mech. Equip. 3e Clothes Closet Light -Shower Light -Spa Light Smoke Detector Card -B1 GG DateCard-B1 Date Card -131 C.C. Date3,1-4 f5 Card -81 Date Date MECHANICAL (Permit) OK except #'s ,4. A. Ducts Insulation & Support ent Fan; Exhaust above insulation 'A Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet (38% Attic Access & Platform if Furnace in Attic Card -131 (-_G Datea-g7 yqp Card -131 Date Card -131 (' Datey j Card -B1 Date Date FRAMING (Plans) OK except #'s p"Sills, Proper Material & Anchors ,410 Walls Studs -Nailing, Spacing 8C racin Plates -Sound 4V Bearing Walls over Girders & Floor Nailing ¢2 Draft Stop in Walls (rat proof) 49. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Card -B1 izC Dated Z j_cl Card -131,P,77,0. Date 7— T - Card -B1 D 'ate Card -131 Date Date FI L (Plans) OK except #'s Ext. Steps -Door &,Sidelight e'c s 01 Smoke Detector .48. Fum ce; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection room Exiting G. .I. & Bath Fixtures & Tub Access-Spe' W. c. Trim & Subpanel; Breaker Sizes -Labels tairs & Rails Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int..& Ext. 0. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance _Elec.-Outlets & Receptacles of -Kit. Counter Garage Fire Door; Swing -Landing -Closer -19: A.C_Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Conne - In Garage; Above Floor-Mech. Protectioat 7 .,Plb., Pec. & Mech. Equip. Listed for Location 7 . Elge Receptacles in Garage; (G.F.I.)-Romex Protec. s tion -Foam -Looked in Attic Yes and Rails & Deck Construction -Post Caps 7 . Fd . Vents & Crawl Hole Door -Drainage & Wood -Earth QlltarAe Looked under Flo ❑ Yes 8 . F o ng instld.; Driye es 13No; Walks 13 Yes o; a rs 11 Yes O'N cco; Sse+wn-Fin' !?L<1 ` c9 C. U it; Disconnect, Ele rical, Plum ng 83f Ven Above Roof; Plb .-Appliance-Firepl.-Clearance to Oueninas. 5 E r' r Elec lW'm; F.I. Receptacle -Underground til tion throw out House W"G,ia<s Prot on . 0 ons from Previous Inpections st-Meters Tagged; Gas -Electric 9 . ater & Sewer Connected -C/O to Grade K. Energy Compliance Certificate -Other Certificates 92. Roofing Certifi ate Card -131 ate /H Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) .. �'�- v,-.�. -- %-- i -:WWW COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 S 747 Elliott Road, Paradise — Phone: 872-6307 /FCORRECTION NOTICE 6/V/ (e -r PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mat er, or need additional explanation, please contact this office immediately. r -u v r 4fQ -e_ � 4 k Date6 Inspector !/"A � .-=;=,... �:..: . '"i`�.`'�-'. _fi- a47y2.-•"'.�e+�'ii.:yr;•tk�.J'^+'',�y,�'-iv'K"`-�..:N��,- . •'.ter ,., rt _„tik .- _Y , COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone:. 891-2751 �7 C%unty Center Drive, Oroville — Phone: 538-7541 • 747=EI:I-iott Road, Paradi'se'- Phone: 872-6307 CORRECTION NOTICE - N R PERMIT NO. y; A routine inspection indicates that the following violations of County Ordinance exist at the above. address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. L a c { { r4 c/h 622 Aj4Z U_/ 5����-�/ G� mss/ -•(� /l � j= .1 Inspector ��' / _ Date ✓ —/�� �v 'L COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 's 747 Elliott Road, Paradise— Phone: 872-6307 a _ CORRECTION NOTICE '`r MALI r.2 �II[/n-�SG OWN R o PERMIT NO. _ A routine inspection indicates that.the following violations of County Ordinance " exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this m er, or need additional explanation, please contact this office immediately. tp.`. `d1,oC1_ij G v G N 2 G" �d,,,na nn c n L '/sIttAl/L 4`V8 -•I -A1 \,\l, 30"r 0'TTI( crt_SS aL 3 d �J A ►etc \ L o IL 1W 12It J INTS, \ n.2 u i 1 X I onl (A. M 0 R lb, I 9(V A 2, 1,, IZ arc i�G or w 'r)7/2 I P, we; Pr' T: 250-9-1 � r INJ ' L Inspector /i.7�Q��/� Date 2-27-70 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 v `ham 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. - 0JrQyrr1� ?tc.or i�Aftf 1=02 /A/ -SPgC r10^J 2ctiay.t(it V -t1'> �-iAaA'jCS r (213Al-SrIFCC- ' 0 ry\ t rc �o 2lti VJ o (L K , `1 Inspector /) Date 12- x-89 -I- 1 1 ENERGY CERTIFICATION LOCAT A. P. NO. ROOF MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) EXTERIOR WALL MATERIAL �FIBEGLASS--7-�--- BRAND NAME CERTAINTEED _ THICKNESS (INCHES) � _.__..Y THERMAL RESISTANCE (R VALUE)_ CEILING BATT OR BLANKET TYPE FX.RF.RGLASS_-BRAKlD _IllAMF CERTAINTEED THICKNESS \ 2"_a THERMAL RESISTANCE (R VALUE) - LOOSE FILL TYPE _FIBERGLASS BRAND NAME CERTAINTEED MINIMUM THICKNESS(INCHES) �cJ-T—NUMBER OF BAGS_Q(n_WT PER BAG 25 LB AREA COVERED (SQ FT) THERMAL RESISTANCE (R VALUE) ]�� FLOOR, ELEVATED MATERIAL FIBERpLF�SS BRAND NAME CERTAINTEED_ THICKNESS (INCHES)_ -A THERMAL RESISTANCE (R VALUE) FLOOR, SLAB MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) FOUNDATION WALL MATERIAL BRAND NAME THICKNESS (INCHES) 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. HAWKINS INSULATION 379407 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE DATE I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR ARE SPECIIrF'ICALLY APPROVED BY THE STATE OF CALIFORNIA. RM iME 10.. n ER � NO Lam. 4.viV i f<rli� 1 VI♦ J LIVC�IVOC IVU. ATURE CONTRACTOR/OWNER DATE -I-- V I".•....:rf-1. uicsr.ys,,....,•..,yrrra .]i..,..._ .wF . �.:`.r ,. w...•..s+r �.:..;. a COUNTY OF BUTTE - DEPARTM;ENT-OF, PUBLIC WORKS i; 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO.�� ASSESSOR PARCEL NUMBER S - q - 06 ZONING s AIo,M F I .y BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION a C7 C71 ) 2 000 OWNER'S MAILING ADDRESS 1`7gei c5TArc5 WAV CONTRACTOR'S NAME (Y\\ c( C(Z C\/TEEP12IST5 TELEPHONE 343 Gqf& CONTRACTOR'S MAILING ADDRESS Ll CS rA t G S Fireplace CONSTRUCTION LENDER SAe Rfaror, V o SA L/. I ,J � GS " UNKNOWN Total Valuation $ 20of). 00 LENDER'S MAILING ADDRESS CH 1 ( c Filing Fee $ 10.00� Permit°Fee $ ARCHITECT OR 9ENGINEER IV 1ARCHITECT LICENSE NO. Plan Checking Fee $ / _GAS `vv Energy Plan Checking Fee $ O'ER/ENGINEER'S MAILING ADDRESS Penalty- $ BUILDING ADDRESS C) .7 L A G© V4 S r A t,✓A v/ t Permit fee $ Cc , 7 S PLUMBING PERMIT ;Filing Fee _ 10.00 ' Each Trap 2.00 f ,qfe'l rSlSt, Solar or het pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping" --,5.00 Each qas water he-a'reror vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 o ets 5.00 Building sewer 5.00 Mobile Home S G W ho.OoLa. TYPE OF WORK New, ] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Rl Describe work: A h tr 1,,46 C y ! ( A l(A � J f �) i� ti KM Ir u � PIe Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service Qo°01 OR 0 AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare tder penalty of perjury (check one): n) //er �x ^r �Ce C �J,/ / fr d J I am licensed under provisions of Chapt. 9, Div. o the Business and Professions Code and my license is in full force and effect. No.6`rC11T Classification I ❑ 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 CON* DWELLING OCCUP.&` OR ADDNS. ( ACC. BLDGS. / , htsgft NEW RESIO, ULTLOU CLET NON•RESID ANCH CIRC ITS IRCUITS) 2.50 ea Pow APPARATUS e SINGLE TLET CIR. Ex. Occup( OR TURES z0®s0'License SALO 30 FIXED APLNS \ EX. OCCUp. OUTLETS PrRESID.) ) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): r_1 The permit 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. Contractor MECHANICAL PERMIT FiIingFee 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. I also agree to save, indemnify and keep harmless the County of Butte against all I�ia6ilities/ dgmera , costs, and expenses which may in any way accrue aga s v ty^. s�gwe ce..of the granting pf this permit. /X d�'�. Ga'sz 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 •lnstal lation Fee $ Energy Inspection Fee $ r occ CONST TYPE TOTAL FEE $ HAz — � CUA PARK _ SCHL ""• FLD � PAR PD HP Issu This permit is hereby issued under sions the Butte County. Code and/or work indicated above for which fees DIRECTOR F PUBLIC By . PERM EXPIRES Date the applicable provi- of resolutions to do have been paid. WORKS _ Date Receipt No. 5148,70 WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT `t -,,,FORM NO. G44-432 REV. 1 Q r d, � ..t>� �k j%t: OF QUALI'iY HEATING & AIR CONDITIONING 'f 431 W.. 9th St., Chico, CA 95928 • Cont. Lic. #512620 1 43-4197 (9 6) i 3 1N ou�tMY (800) 448-5565 (916) 343-2423 FAX RON BURDETTE a 1 J '1Z F Y 3 HORIZONTAL GAS FURNACES 4 RGUJ•-SERIES Ten Models F'` With input rates from ---- 34-6001b"100,000 BTUIHR. A The'Rheem* horizontal gas furnaces are designed for attic, crawl space, or suspended installation with I' horizontalr air flow. The design is certified by the ' Americar`Gas Association and complies with national fC safety rPnitiraments. ■ All models are equipped to allow __ " field reversing of controls, burners and flue outlet for greater installation flexibility.. - ■ All models are equipped with pilot relight electric ignition. ,e . - /m Combination gas control has built-in automatic operating valve respond- ing to a thermostat, manual main shut-off valve and regulator. 1 1 ■ Multi -speed direct drive blowers are, standard fo"r heating;and'cooling;%ty % applications. / ■ All models have cooling -heating relay and blower. motor -assemblies -- T '- sized•'he or__c ooling air delivery. ,.r;. ■ Every Rem horizontal gas furnace / is quality checked ,and fire -tested ` before shipment. ■ All models have timed start fan control. A variety of�cased horizontal cooling coils designed for r use with Rheem gas furnaces are available as optional accessori sfowair conditioning applications. • �, ., 'Registered trademark. v r� Cly ala EFFICIENGv rr�A RATING CERtIFIEO ama s f CIA tied 0 ACTION HEATING & AIR CONDITIONING 431 WEST 9TH STREET (9-10),343-4197 CHICO, CALIFORNIA 95926 P, 7 3... F Y 3 HORIZONTAL GAS FURNACES 4 RGUJ•-SERIES Ten Models F'` With input rates from ---- 34-6001b"100,000 BTUIHR. A The'Rheem* horizontal gas furnaces are designed for attic, crawl space, or suspended installation with I' horizontalr air flow. The design is certified by the ' Americar`Gas Association and complies with national fC safety rPnitiraments. ■ All models are equipped to allow __ " field reversing of controls, burners and flue outlet for greater installation flexibility.. - ■ All models are equipped with pilot relight electric ignition. ,e . - /m Combination gas control has built-in automatic operating valve respond- ing to a thermostat, manual main shut-off valve and regulator. 1 1 ■ Multi -speed direct drive blowers are, standard fo"r heating;and'cooling;%ty % applications. / ■ All models have cooling -heating relay and blower. motor -assemblies -- T '- sized•'he or__c ooling air delivery. ,.r;. ■ Every Rem horizontal gas furnace / is quality checked ,and fire -tested ` before shipment. ■ All models have timed start fan control. A variety of�cased horizontal cooling coils designed for r use with Rheem gas furnaces are available as optional accessori sfowair conditioning applications. • �, ., 'Registered trademark. v r� Cly ala EFFICIENGv rr�A RATING CERtIFIEO ama s f CIA tied 0 ACTION HEATING & AIR CONDITIONING 431 WEST 9TH STREET (9-10),343-4197 CHICO, CALIFORNIA 95926 P, ] HORIZONTAL GAS FURNACES ��' 8 �1ower motor combination. Standard multi -speed direct drive. - / n Heat exchanger. Properly designed for constant even heat during operation. `3 Insulated cabinet. For reduction of heat loss and noise. %6Cabinet. Designed for installation flexibility. Draft diverter and control- burner assemblies are field reversible which allows for connecting of gas piping or flue pipe on either side of the unit. You can install them in attics, suspend them from roof rafters or ceiling joists, or place them in the crawl T4 J \ spaces of basementless homes. �5� 5 Combination gas control. Redundant main gas control; includes a built-in 3automatic operating valve responding to a thermostat, manual main shut-off J valve and regulator. (6 Combination fan and limit control. To automatically operate blower and limit maximum discharge air temperature. Time start fan switch standard on all models. (7 ) Transformer. 24 -volt control transformer provided in all units. Air condition- ing models feature 40 VA, 24 -volt transformer and cooling/heating relay ready for air conditioning. 2 Blower compartment door safety switch. Interrupts power operation in the event door is not in place. C9�) Pilot Relight Electric Ignition Control. UNIT MODEL IDENTIFICATION R G U J — 07 E C — Rheem Gas Configuration Design Heating Input E -Electric Blower Variations Furnace U -Horizontal Series Designation Ignition Designation Input N -N0, A Models BTU/HR Modelo C 03 34,000 E 05 50,000 NOTE: Furnace is not listed for use with 07 70,000 fuels other than natural or L.P. gas. 08 85,000 For Natural Gas models, Standard 10 100,000 Electric Ignition is non -lockout type. OO For California Only All models can be converted by a qualified Rheem distributor or local service dealer to use L.P. gas without changing burners. Factory approved kits must be used to convert from natural to L.P. gas and may be ordered as optional accessories from a Rheem parts distributor. For L.P. operation, refer to Conversion Kit Index Form No. 92-21519-02. TYPE G R Air Flow Range Fuel/Type A—HEATING ONLY B— 500-700 CFM R -Standard Furnace C— 760-930 CFM Natural Gas D— 940-1050 CFM E-1100-1330 CFM F-1210-1450 CFM G-1450-1750 CFM J —1800-2075 CFM • • ATTIC... CRAWL SPACE... BEFORE PURCHASING THIS"APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY INFORMATION AVAILABLE FROM YOUR RETAILER. r PHYSICAL DATA AND SPECIFICATIONS MODEL NUMBERS RGUJ-03EA-CR RGUJ-05EA-ER RGUJ-07EA-GR RGUJ-OSEA-JR RGUJ-IDEA-JR RGUJ-03NA-CR OO RGUJ-05NA-ER OO' or" nUTES: All models are 115 Volts, 60 Hertz 10. Gas connection size for all models is 1/211. O For California Only. O Ratings shown are for elevations up to 2,000 feet. Above 2,000 feet, ratings should be reduced by 4% for each 1,000 feet above sea level. O Filters must be provided in installation. Minimum filter size shown is using a permanent filter (500 ft./min.) for heating/cooling applications. O Horizontal, non -weatherproof (isolated combustion). O In accordance with D.O.E. Test Procedure. • STANDARD EQUIPMENT Controls consisting of a 24 -volt combination gas valve; combination fan and limit control; pressure regulator; reversible controls and horizontal draft diverter. (Please note: Thermostat and filter rack are not included as standard equipment.) • r GENERAL TERMS OF LIMITED WARRANTY* Rheem will furnish a replacement for any part of this product which fails in normal use and service within the applicable periods stated below, in accordance with the terms of the warranty. ' INSTALLATION WITH AIR CONDITIONING Heat Exchanger ................... :... Ten (10) Years Any Other Part ........................One.(1) Year 'For Complete Details of the Limited Warranty, Including Applicable Terms and Conditions, See Your Local Installer or Contact the Factory for a Copy. FUSED TO COOLING COIL DISCONNECT CONDENSING UNIT - — — _ _ _ _ 2 WIRES SWITCH LIQUID FAN CENTER SUCTION LINE LINE FURNACE TRANSFORMER i LEGEND SUPPLY i — POWER WIRING AIR -- CONTROL WIRING The drawing at right is a generalization of how / o 0 0 an installation might appear. It is not intended CONDENSATE DRAIN to include all information pertinent to an actual ROOM installation. ZGAS PIPE CONNECTION 4 WIRES THERMOSTAT 0 RETURN AIR J-07NA-GR ,O RGUJ-08NA-JR OO RGUJ-LONA-JR O Input BTU/HR OO 34,000 50,000 70,000 85,000 100,000 Heating Capacity BTU/HROOO .27,000 40,0004 _ 56,000 68,000 81,000 Heat Ext. Static Pressure .10 .10 .12 .15 . .15 Blower (DxW) 101Ix7" 10"x7" • 1011x9" 11"x10" 11"x10" Motor H.P.-Speeds-Type 1/6-2-SHP 1/4 -3 -PSC : 1/2 -4 -PSC 3/4 -4 -PSC 3/4 -4 -PSC Motor Full Load Amps 7.0 7.0 9.0 11.0 11.0 Heating Speed Low Low Low Low Low Cooling Speed High High i High High High Cooling CFM @ .5" '765 1170 1590 1950 2025 Maximum External Static Pressure (Inches) 50 .50 .50 .50 .50 Temp. Rise Range OF 30-60 25-55 .30-60 35-65 - 40-70 Filter Frame (Opt. Equipment) NA NA NA NA r NA Min. Filter Size Sq. In. (Not Furnished) O 250 Sq. In. 350 Sq. In. 575 Sq. In. 700 Sq. In. 700 Sq. In. Approx. Shipping Weight (Lbs.) 115 125 170 190 - 210 A. F. U. E. Electric Ignition OOO (Annual Fuel Utilization Efficiency) 773 77.2 76.1 76.4 76.2 C.A.F.U.E. Electric Ignition0G) (California Seasonal Efficiency) 72 2 72 2 721 72 0 72 2 nUTES: All models are 115 Volts, 60 Hertz 10. Gas connection size for all models is 1/211. O For California Only. O Ratings shown are for elevations up to 2,000 feet. Above 2,000 feet, ratings should be reduced by 4% for each 1,000 feet above sea level. O Filters must be provided in installation. Minimum filter size shown is using a permanent filter (500 ft./min.) for heating/cooling applications. O Horizontal, non -weatherproof (isolated combustion). O In accordance with D.O.E. Test Procedure. • STANDARD EQUIPMENT Controls consisting of a 24 -volt combination gas valve; combination fan and limit control; pressure regulator; reversible controls and horizontal draft diverter. (Please note: Thermostat and filter rack are not included as standard equipment.) • r GENERAL TERMS OF LIMITED WARRANTY* Rheem will furnish a replacement for any part of this product which fails in normal use and service within the applicable periods stated below, in accordance with the terms of the warranty. ' INSTALLATION WITH AIR CONDITIONING Heat Exchanger ................... :... Ten (10) Years Any Other Part ........................One.(1) Year 'For Complete Details of the Limited Warranty, Including Applicable Terms and Conditions, See Your Local Installer or Contact the Factory for a Copy. FUSED TO COOLING COIL DISCONNECT CONDENSING UNIT - — — _ _ _ _ 2 WIRES SWITCH LIQUID FAN CENTER SUCTION LINE LINE FURNACE TRANSFORMER i LEGEND SUPPLY i — POWER WIRING AIR -- CONTROL WIRING The drawing at right is a generalization of how / o 0 0 an installation might appear. It is not intended CONDENSATE DRAIN to include all information pertinent to an actual ROOM installation. ZGAS PIPE CONNECTION 4 WIRES THERMOSTAT 0 RETURN AIR ` SPECIFICATIONS AND DIMENSIONS H K <_9 1%4 is NOTE: 1. Draft hood, controls and pilot may be switched in field to either side. J 2. Fan center is standard for all models. 3. Standard unit has left hand B discharge (facing controls) with diverter mounted on same side as controls. UNIT A B C D E F G H J K RGUJ-03 14 24-1/2 55 13 21 4 9 2-1/2 1/2 22 RGUJ-05 .14 24-1/2 55 13 21 4 9 2-1/2 V2 22 RGUJ-07 17-1/2 24-1/2 55 16-1/2 21 5 9 3 4 1/2 21-1/2 RGUJ-08 21 24-1/2 55 20 21 5 9 3 1/2 21-1/2 RGUJ-10 24-1/2 24-1/2 55 23-1/2 21 5 9 3 1/2 21-1/2 ALCOVE CLEARANCES -DI LD. B C Lq Di ID I- F -i C E OPEN O OPEN SIDE SIDE DRAFT HOOD AND CONTROLS ON SAME SIDE. MODEL A B C D E F RGUJ-03 6 *AL 8 6 18 *AL RGUJ-05 6 *AL 8 6 18 *AL RGUJ-07 6 *AL 8 6 18 *AL RGUJ-08 6 *AL 8 6 18 *AL RGUJ-10 6 *AL 1 8 6 18 *AL Minimum values shown in inches. *Alcove DRAFT HOOD AND CONTROLS INSTALLED ON OPPOSITE SIDES FROM EACH OTHER. A clearance of at least 30" should be provided at the front of the unit for combustion air and servicing. Line contact only permissible between lines formed by the intersections of the top and two sides of the furnace jacket, and building joists, studs or framing. For installation on combustible flooring. Listed for use with single wall or Type "B-1" vent. Clearance for combustible material for: Single wall vent = 6 inches Type "B-1" vent - 1 inch RHEEM Before proceeding with installation, AIR CONDITIONING refer to installation instructions DIVISION packaged with each model. m 5600 Old Greenwood Road, P.O. Box 6444, Fort Smith, Arkansas 72906 "7n keeping with its policy of continuous progress and product improvement, Rheem reserves the right to make changes without notice." PRINTED IN U.S.A. 6-88 BP FORM NO. G44-432 REV. 1 I • • HEATING & AIR CONDITIONING 431 Vest 9th Street -- Chirp. C® 95928 (916) 343-4197 ' (800) 448-5565 February 28, 1990 County of Butte, Building Inspection 7 County Center Drive Oroville, California 95965 Re: Miller Enterprises - Paradise To Whom It May Concern: The Rheem Horizontal Gas furnace, model RGUJ-07 NAGR, can be removed through a 21"00" attic access opening. The furnace measurements are: 17.5"x24.5"x55". Signed, Ron Burdette Action Heating & Air Conditioning Cont. Lic. * 512620 RB: rlh COUNTY OF BUTTE DE11PARTMENT OF PUBLIC WORKS ERM T NVQ./ -� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.�/�^ APPLICATION AND PERMIT V , ASSESSOR PAR EL NUMBEFL S'- - p y,,, twh BUILDING PERMIT OWNER �A ,J )/w / tl� / C/ j/LJ ✓ TELEPHONE SQ.FT.OCC. BUILDING VALUATION / 7YY60 OWNER'S MAILING A?DRESSpS_d r � CONT ACTOR'S NAME �i, TELEPHONE G� 70 CONTR>ACTOR'S MAILING ADDRESS I Fireplace 0S) 00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $! Energy Plan Checking Fee $ o? 30 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit feeAss PLUMBING PERMIT Filing Fee 10.00 Z- Each Trap 2,00 G; f� / -,5,- Solar Solar or heat pump water heater 20.00 LOT NO. Z L SUBDIVISION NAME /'/ t�� he IPATL AP �}� ' If/ Water piping 5.00 c3 Each qas water heater or vent 5,00 j �p USE OF STRUCTURE SFtrDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer y 5.00 Mobile Home I S FG I W 10.002 TYPE OF WORK Newn—Addition❑ aReemodeI❑ Utilities❑ Installation❑ Other ❑ Descr' ork: 2-ey % _ b �G- /IZ t�-SI 6: -?w-`1 Permit Fee $ 5— Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR LEMain service 100 AMP ORSLESS 10.00 1019 - Main service EA. ADO'L 100 AMP 2.50 9 CONTRACTORS LICENSE LAW I declare un r -penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professiop Code and my license is in f force and effect. License No.� D tel-/ � 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. DWELL1112 a OR AODNS. ( ACG. BLD e1 f ��Z�Sq ft V NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea I,I /POWER APPARATUS &� %SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ZAL&30 2000 30 Ex. OCCup. OUTLETS PRESID IFIXED APLNS. REAJ 2.00 Temporary service --- 10.00 /v o Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The .mit 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 60 Vc 6 f - ,cc�� Cooling !i %-o Hood 3.00 Ventilation.7 permit Fee $ 3 `� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' judg en nd expenses which may in any way accrue a n I n equ f the granting of this permit. �_ to Signature of Applicant — Owner Conr.Dcror Agent ❑ LJ( 6 q �-%I�S tS An OSHA permit is required for excavations ov r 5'0" deep and demolY'on o conslrlJt ion of structure over 3 stori s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ c 3� co TTYPE TOTAL FEE $� HAZ CUA v PARK sc `/ I/ FL P R D H D IssuE This permit is hereby issued under the app (cable provi- sions of the Butte County. Code and/or resolutions to do � k indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date �-+L. PERMIT / %RES Date_. /'�� ti Receipt No. -L5 -L �� n WIT-PWYELLOW 8 iii, K-INSPE T R, GOLDENRO -APPLICANT - % Lis COUNTY OF BUTTE - DEPAFiTMEfN`T OFJ PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER -fir mil//� % .",.' ` A. P. No.'�5� Proposed Building Use 0-- -SA95 Building Inspector Date X114 > i A 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. Energy Design Compliance and supporting documentation .......... 6. Statement of Intent for Non -Heated an'dIAC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions &Fees of $ / 6 .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ............................ ....paid.. ......�............ School District fees aid ............ a ` , Sanitation approval from 4,7A&0, t.L _ Health Department O a 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ..... Pre-Inspec. req est to • Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. -M\23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. Whe you issue the pe mit, process as follows: Mail to owner. - Mail to contractor. Telephoneand hold for pickup atQoffice. Deliver w/inspector. Other f' Appli nt Date �O t Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prierknitjskuapce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, design owner as advised of above required data byJLphone--nail counter by�date �O— Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Dated%Plans apyproved by� Date e Sets of plans on hold in File cabinet `�AP fol Copy—DPW TO: Building Department � y ' z• FROM: Encroachment Permit Section RE: Driveway Clearance 0 73, owner loca ion AP # Driveway permit 3 % 0 � has been issued for the above property. �- za si ature date ...., �. _, .., ..:sem_.«. ._.amu.... ._3. xs._R ...-o „....._e..Y.. •.e....,.�..y.. _ ... .. ..... ., .�.-.,_........ ...._.._.. .. ...._ .. _.__ _///.///jjj//////���///_ _. _._.. -__... _. ._. ._,._.__....._._.....,. _._. ._..._._. 14 TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance aver Location. AP# ?Ian -Approved for: Sewage Disposal � Water Supply ✓_ Hold final for: Water Supply Final clearance O.K. for: Water Supply. Clearance for bedroom mvVMe home. Other 9-d'9 S�anitar ian Date 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO.LOOK OUT FOR (CONY D) +4- Exterior plaster - weep screeds (Sec. 4706). 'Proper roof pitch for roof covering (Chapter 32). ��Raftet oof covering type - (fire hazard.). ties or bearing ridge beam. .,&__!// Garage door or porch header sizes. R._ -Adequate bracing. 1.0:Living area over garage - complete 1=hour separation requir)dn garage side including supporting walls and posts, etc. 1-1 Two exits on three-story dwellings (Sec. 3303 & see Mezanni- 1716). underfloor ttic access and ventilation (Sec. 3205). access and ventilation (Sec. 2516). ]<tombustion air for fuel burning appliances.. Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design.. k8: Unusual shape, size, or split level house requiring lateral design.. ]A! Flashing at all exterior openings. 2 � w�. � �G . ir�r►-ts o �v D��-�- s-F�� � � p . . l RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC . ONLY) AAl-C,Tt/z* 14d3- Bldg. Permit # J co ` g9 OWNER ���E I L L A.P. # 55-49--G GENERAL Zoning:r•.equirements: (sideyards and number of permitted living units). Valuation. '®Plans signed by designer. �nergy Design and Compliance. 7. Existing violations on property. Items on data sheet. PLOT PLAN Complete parcel size and dimensions. ,2 -.'Setbacks, sideyards, easements, etc. �. -Other buildings or structures. Grading, fills, drainage. Flood hazard. %6�5 pecial conditions on creation map or compliance document. !! FAU & FAS road setback. FLOOR PLAN Complete,to scale plan with dimensions. Required windows for light and ventilation (Sec. Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 1205). 5/89 Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and Smoke detectors (Sec. 1210). STRUCTURAL DETAILS clearance. ,,.,Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT M1T NO. 3,11 ASSESSOR PAR EL NUMBEq ,• BUILDING PERMIT OWNER&4 tL TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIN 'DRESS NG A DR E55 _21�srl�fr U� ���� 5.f52- - — CONT ACTOR'S NAME . �t,- J,�'G�I �Sf� — TELEPHONE �1 1� ,v 'i OCJ / L J L/ G ZA CONTRACTOR'S MAILING` ADDRESS % 7C �ZJr'GI� i%9 `-� Firepiace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $/ Energy Plan Checking Fee $ o v'. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 J U�S�icQ�� Each Trap 2.00 / o" " Solar or heat pump water heater 20.00 LOT NO. Z L SUBDI/VII�SION NAME /'/�,oge— �' /O� � PAR E``L '�AP� J' v � Water piping 5.00 Each qas water heater or vent 5.00 - USE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00e TYPE Of WORK New, Addition[] Remodel❑ Utilities,❑' Installation[i Other ❑ Descr ork: �Q+2 -� 7 �� /-CZ- Permit Fee $ -q' ' Contractor ELECTRICAL PERMI LFiling Fee 10.00 _ Main service 8001 OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Z 5� CONTRACTORS LICENSE LAW I declare un penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professiop Code and my license is in f force and effect. � License No. -4 c7 0y —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. / DWELLIN4 C� J .y\ , OR ADDNS. ( ACC. BLD C�^�. j/ I /Z(tSgff u NEW CONSTR. MULTI -OUTLET 2.SOea NON.RESID BRANCH CIRCUITS POWER APPARATUS b (SINGLE OUTLET CIR. r x. EOccup( OUTLETS OR FIXTURES SALO 30 eALO 30 FIXED APPLNS. R Ex. Occup. OUTLETS iRESID )EAJ 2.00 Temporary service 10.00 /'J " Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ = Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The mit 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 CertificateCooling 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 I i� /-t� Hood 3.00 ; Ventilation 7 j permit Fee $ �' Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' judg en nd expenses which may in any way accrue a n I n equ f the granting of this permit. Q� te v Signature of Applicant — Owner Canrracrar Agent ❑� An OSHA permit is required for excavations ov r 5'0" deep and demolition or construct- structure over 3 stori s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ �� p� c K3(� co TTYPE TOTAL FEE $�� AL HAZ CUA PARK FL P R O HD ISSUE Th;s permit is hereby issued under the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have DIRECTOR OF PUBLIC WORKS By Date PERUIT EXPIRFS riatP provi- to do been paid. \ s� c/ � S rReceiptNo. l -/ � _ .... " �--- to i v COUNTY OF BUTTE"- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N�O. j VV O Contractor ASSESSOR PAR EL NUMBE S—^ ,/ ELECTRICAL PERMIT �Oy� BUILDING PERMIT $ OWNER QVC. �i/�f�/ TELEPHONE SO. FT. OCC. BUILDING VALUATION Plan Checking Fee 6 J OWNER'S MAILING ?DRESS �y sr f 1��_�7 5 _m_ - Energy Plan Checking Fee - - 2.50 ea CONTRACTOf7.5 NAMF_ _ $ TELEPHONE 'L`"� C, �O C J /7, /7. ,, any/s[r— — I NTRACTOR'S MAILING ADDRESS / 7 ev 61, Fz Jr, G NSTRUCTION LENDER UNKNOWN NDER'S MAILING ADDRESS CHITECT OR ENGINEER LICENSE CHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS �v Z- 22�� U�s�„? 14/OPY LOT NO.SUBDI/VII�SION NAME PAR E`L JA USE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New,- Addition[] Remodel❑ Utilities❑ Installation[] Other F1 Descri.br..nvork: 3 jg-2 I d/9OtZ 0 /_5 e- jrz74 CONTRACTORS LICENSE LAW I declare un penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professiop Code and my license is in f_411, force and effect. License No.,_'� y��y ? Classification ❑ I as the owner or my employees with wages as their sole compen- / G to i v J� Fireplace Contractor Total Valuation $ ELECTRICAL PERMIT Filing Fee Filing Fee $ 10.00 Permit Fee S 2.50 Plan Checking Fee $ < Energy Plan Checking Fee NEW CONSTR. U T1.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea Penalty $ + Permit fee Ex. Occup¢ OUTLETS OR FIXTURES 20050 eAL930 PLUMBING PERMIT Filing Fee Each Trap 2.00 Solar or heat pump water heater 20.00 Water piping 5.00 Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I hO.00e ?? 10.00 - Permit Fee $ J� Contractor Contractor I ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR 00 AMP ORSLESS 10.00 Ips' Main service EA. ADD'L 100 AMP 2.50 Z S, NEW CONST. DW ELLINQr�O C'�ln .81 OR AODNS. ACC. BLD J/ +/2QSQf: NEW CONSTR. U T1.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e t SINGLE OUTLET CIR. + I Ex. Occup¢ OUTLETS OR FIXTURES 20050 eAL930 FIXED APLNS.I Ex. Occup. OUTLETS PIRESID IREA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 %a " for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) © I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ J� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ is for $100.00 (valuation) or less. Heating}(/ l - �hemit placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate /_0 of Consent to Self -Insure. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 7 = Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.4 p� c CO TTYPE ?? K3� TOTAL FEE $� w t I also agree to save, indemnify and keep harmless the County of Butte against all I' judg en nd expenses which may in any way accrue HA2 CUA PARK SCHL FL PAR D HD ISSUE a n I n equ f the granting of this permit. , Q� This permit is hereby issued under the applicable provi- te v sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner Contractor gent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations ov r 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structurel over 3 stori sin rh�eigght. y S 1 By Date Receipt No. G_ `J PERMIT EXPIRES Date COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT MIT NO. 2%�/ ASSESSOR PAR EL NUMBE �-_ `t -j O BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A{fiCD RRE�SpS�d i.O/ `7 ,J/Lr ���, �! .._ CONT ACTOR'S NAME . / /L � SCr TELEPHONE -- `� , *2Q / L v JCJ a7 L3 / CONTRACTOR'S MAILING ADDRESS f 7G Fireplace ` CONSTRUCTION LENDER UNKNOWN 1 Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS _Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $/ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee QZ PLUMBING PERMIT FiIingFee 10.00 Each Trap2.00 / / oo f c- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR EL KAP Water piping K, 5.00 :S Each pas water heater or vent y 5.00 USE OF STRUCTURE SF�Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK NewK— Addition Remodel❑ Utilities[—] Installation❑ Other❑ Descr ti )rk:. �Q2 % �!� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 Main service V OR LE 100 AMP ORSLESS X1 10.00 lo -0' Main service EA. ADD'L too AMP 2.50 2— CONTRACTORS LICENSE LAW CONTRACTORS I declare un penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professiop Code and my license is in f force and effect. License No.� L)Egy —7 Classification License El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors.(Sec. 7044) Q I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DW ELLINtip�p 11) ,/ZQSgft OR ADONS. ACC. BLD I u NEW CONSTRULTI-OUTLET 2.SOea NON.RESID BRANCH CIRC ITS (POWER APPARATUS e\ SINGLE OUTLET CIR. / t Ex. Occup(OUTLETS OR FIXTURES 0@50t NO? FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EJ 2.00 Temporary service 10.00 j� o Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 1 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The mit 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 FiIirig Fee 10.00 Heating}(/ Cooling Hood 3.00 Ventilation ? �- Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' judg en nd expenses which may in any way accrueJ a n I n equ f the granting of this permit. cr to v Signature of Applicant — Owner Contractor gent ❑ An OSHA permit is required for excavations ov r 5'0" deep and demolition or construct- ion of structure ovesr�3 stori s in height. Mobile Home Installation Fee $ s: Energy Inspection Fee $ eJ. ' g� c K3 co TTYPE N -� iJ TOTAL FEE $<� F{qZ CUA PART��J P R O HD ISSUE This permit is hereby issued under the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have DIRECTOR OF PUBLIC WORKS By Date I PERMIT EXPIRES Date provi- to do been paid. i i i Receipt No. 1J Z c J y .... _ '.,..., 1. 66 ._...- ..._e ._ __._.._..._ Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 85— 1563 -5-5 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement GFFIC;AL RECO``= be recorded prior to issuance of a building permit. gi;"ie COUNTY -r,,::; RF The property described herein is adjacent to land or included n p within an area zoned for agricultural purposes, and residents of this JAN (� 9 21 g5 property may be subject to inconveniences or discomfort arising from 04d ..i fi,the use of agricultural chemicals, including, but not limited to herbs pps:tiA_:and fertilizers; and from the pursuit of agricultural operations including, but not 1 to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: I Lo TS /, z, 3 4, S 7 8�. 9 /o / / / ¢� is /� /7, /8 /� 20 2 Z? 2 3 Z ¢ zs 2E� Z7, 28 29 30 3/ 32, 4 3S 36 �l� 39 sto �/ 4Zr r /Y42 43 t4V1 T %10. //�%i�0��' d� Use o S4Ia D / des /QS 6�rl C 112E /�� ro�Q S O.� Bpi 9�c �c iz7� ��� /� o/l�vi�j y.X 98 S STATE 4 11OF CALIFO�Nt� COUNTY OF 9 ) PROPERTY OWNERS: a5G3 A ON Y 4 I`J, . • `, t }� ' F, �m e,bef the undersigned, a Not Mvq ;'`: w` Y Public in and f r Slat 1 ,,:�,: o said to -�, 9 $5' to be one of the -_-�' Personally appeared t gas ; ed partners of the _ edged to me that such partnership that executed i ow partnership executed the same, the within In rt to me WIINESS Instrument, and ackrtowl� my hand and ol�iciat seat. ACKNDWLfDGAMENT—pe tlnership_wofcotls form r Notary Publi Present A.P. NO . 5��8 - 3 Gi 7, �� 7� r�J, P , c' a 'for said Ste_ T, 8� 9/ / o, i/ 12 "�'d 7vvr�1, Yivyj.'�[`Yw �" yy�'y�'"iF'VO/�'�7�'p ib��kt it5lf, �Y.W�� i'Ttif.+fY"i:•"�17.,.i.J-•-t�3VY.9 ,'t+n� N.ti`ft t Y,P 4 i .. L BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form aper •Building ) A.P. Number -1Building Department No. School District c8 ,A �Ol_S Y Cit Q County Jurisdiction Property Owner �i8le���C'" Project Location/Address �a�c� Subdivision Lot Number 1 Residential Development: ® Sq. Footage AP /y # of Living MHI -`Addition (Group R) Units Commercial/Industrial: Sq. Footage "'New Addition (Including Exterior Roofed Areas) -—�_ �VVV Bul ding Department Representative f5ate District Id, oz. i k• 'Of a— School District certifies that (App-licah t Nam &) ( Phone Number) Street Addre City) . '(State) (Zip Co has complied with the requirements of Resolution No. b�tha ntf $ representing square feet. c oo Dis rict Representative Date PAID BY CHECK NO. / o�prl �~ REMARKS:' BANK NO V PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL . FEE- (5/88) • w � - COUNTY OF BUTTE - Dft EPARTMP:NT OF PUBLIC WORKS 7 County Center Drive - Orovill-1, Q,Iifosnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT Z' PERMIT NO. If / ASSESSOR PARCEL NUMBER S _ _ oil ZONING Mff If BUILDING PERMIT OWNER \ U QV V_ M 1 L (z— TELEPHONE 3 3 —& i (v SO. FT. OCC. BUILDING VALUAT ON a aelzd 2000 OWNER'S MAILING ADDRESS 17 51 tzscAT-fs WA, CONTRACTOR'S NAME Mt LL%LR -C.JT9-2P YZ 19 (1 S TELEPHONE CONTRACTOR'S MAILING ADDRESS t -1101 4i5 r (�' Fireplace CONSTRUCTION LENDER SAe— �Mgnlj6 ✓IWGS UNKNOWN Total Valuation $ ZtjpO- QQ LENDER'S MAILING ADDRESS C4Ifco Folin Fee g $ 10.00 Permit Fee $ 3?-,- c) ARCHITECT w rOR ENGINEER IVIA LICENSE NO. Plan Checking Fee $ 6-a-' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 73 o 5 A t.✓A- Permit fee $ 58.757 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 /� l f 4/ZA iS15C Solar or het pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water hea or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 o ets 5.00 Building sewer 5.00 Mobile Home S G W O.00e TYPE OF WORK New® Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other Q Describe work: A�b iT-(.,4A(. of" A 01cX 46 FJ L3 e2M11- � _3116 _87 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury p y p f y (check one): /1�e� / riSeS •"'/1�� / 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. No.�_O 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON DWELLING OCCUP.BI OR ADONs.' ACC. BLDGS. , /z2sgft NEW CONSTFLULTI.OUTLET NON•RESID ANCH.CI RC ITS 2.50 ea POW APPARATUS & SINGLE TLET CIR. Ex. Occup( OUTLETS OR TURES 201150tLicense 9AL030 FIXED APPLINIS Ex. Occup. OUT[ ETS ((RESID.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Th 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. Contractor MECHANICAL PERMIT FiIingFee 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also ree to s ve, indemnify and keep harmless the County of Butte against all 1' olit'es, u ' e co s, and expenses which may in any way accrue a n t.. f the gran f thispermit. �1��� �' ,I ` � Ignature of Applicant — Owner ` Contractor Er 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 $ 58,75 HAZ -- cuA PARK _ scHL FLD PAR PD P H Issu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR F PUBLIC By PERMO EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS _ Date 3— .,) ,- -3 —J f/ Receipt No. 5Q 8 7 6 WNIT!-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ..�„:,.;..,. r.— r.,�nT,,r[�:yi-cw,,t.31'*`r`�`"'T�i`� �iF�%Li:'"'.r0'-,q. M� •• a r �,,.�....—r -- �• �•z.sc `r �q'w�+Tr s � t �e�GFa_ �i COUNTY OF BUTTE - DEPARTMEN�0 PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET - Permit No. OWNER eve A. P..No. Proposed Building Use4Xi�irfo,4ae- 'IeycK Building`.inspector G.C-• 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 All items have been submitted. L. :.....:........ .. ....... Plot plans i u_p Ica triplicate, signed by preparer of plans ...... . Complete plans i up.lca Vtriplicate, signed by preparer of plans 4. Complete engineered p ans and calcs, with wet signatur17 plans . . s 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..................................................e. 10. Fees of $ ....................... 11. Chico Urban Area fees paid 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from eALAN us o Health Department -2--9y 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: ...... 1,*8. 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. 27. When you issue the permit, process as follows: f >4 Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other, AppI ica Date 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), j 1. Index permit for above items No. 2. Additional itemsrrequired: r � 4 1 r Contractor, designer, owner, was advised of above required data by_phone_—tlaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by �� Date J Sets of plans on hold ins . File cabinet AP folder Copy—DPW .4 TO Flu lilnQ Department FROM: Environmental Health SUBJECT: Sanitation Clearance ' O OwnerLocati n AP# Plan .Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O..K. for: Water Supply Clearance for bedroom mobile home. Other ,0, Jr ;tics NOTE :** �j Sanitarian Date 40 I i I S -O 73 Liv �s& voT 4 / S -L M i A wtba& of 5 ft. from the prape,q lines and a qatba& of 51Dft-jfr.T jjhe road centerifne shall be d"r of structures or equipment VWW for a 2 ft. save owrhanf- �C4JE&k OF hu - ,r= PC"r-- W% GNATS N a ,qoyL,_" Ma+erjtft iR wominanspip 3bM *9 0 Accordance with Recognized GOOcI Practices and' if a quality prescribed for the Speciriect use in flis Uniform Building. Plumbing & Machanicd COCIM IZZA. .4a Ndh-OW O;defcd Q6& This "T of plans and specifications MM UP kept on the lob of all times and it is unlawful to make any changes or alterations on some Without written permission from the Department of Publk Works, County of Butte. - 41 ell Cv lofty, Pt- d Oqo 0 of 5 ft. from tlN ineg and a setback Om the road shall be dear of or equipment except save Gvwh&r4l- 4CLEAP, Noy&-*# materkk St wow"nsap bha# 4* 41P Accordance with Recognized Good Pro6fices qnd of a quality prescribed for the Specified tw'6 in We I IT 19, Plumbing & Maraniz CAA" MO. Uniform StAldin - 'lofts Gfl� specifications -MUST Be d - 4ow4ul 40 of all times and it"s to liapf on the !S make any , changes or alterations on some wit"Out ,"*ten permission{rom the DeportrrAf* Of 01AU W6,k" County oIV" 41 P. ec 04,rsTe2 k BUTTE COUNTY BUILDING DEPARTMENT APPROVED t�? yi < A: V •- 1 , �I�... 1' .. _._ i ___ __... _... .. ___..... _. __.. __._____ .__.. __. ______.-�-.. -. _._. r._ ______.__-__-_.._- .____. __...-____•___. __ i '�.