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072-240-022
J2 .. DAVID VOELZOW /S Ruh ford Lane, 4/10 mi E Oro=.' Hwy, Oroville Pe it#6799-79 P,E,M(new S/F) 72—Zr Permit #11.76-81B(lst resew 1 foliJ #6799-79) A 2cb Perit #1177--81B,P,E(add 2 bedrooms & laundry facilities) 72-49-22 NEW OWNER: DAN ROBINSON 215 Rutherford Ln., Oroville 1 i Permit #3353-86B,(pri. garage)_ y 072-490-022 PERMIT#94=2868 1j WAUGH; CLINTON 215 RUTHERFORD LN. OROVILLE;.' I CONT: BETTER BUILDERS' ADD COV AREA & REMODEL KITCHEN &-REROOF 072-490-022 {pn0_0-2979/., WAUGH, PAULETTE 215 RUTHERFORD LN., OROVII_LE CA CONTR: CHRISTIANSEN ROOFING CO PARTIAL REROOF COMP & BUIL.TUP 072-490-022 04-2019 WAUGH, SHARON 215 RUTHERFORD LN, O CONT: OWNER 1.Zp-0 ONE-TIME FINAL r— c� �t ��w ey %?e�i�?;�sa��m� fi STATE OF CALIFORNIA DEPARTMENT OF MOTOR VEHICLES Statement o f Facts Date _ 19 the undersigned, hereby state that the vehicle described below: MAKE IDENTIFICATION OR ENGINE No. LICENSE No. Affiant further agrees to indemnify and save harmless the Director of Motor Vehicles, State of California, and subsequent purchasers of said vehicle, for any loss they may suffer resulting from registration of the above-described vehicle in California, from the issuance of a Cali- fornia certificate of ownership covering the same, or transfer to: CERTIFICATION I certify (or declare) under penalty of perjury that the,foregoing is true and correct. Executed on _ at DATE CITY STATE Slgnature/s� _— City___ , State _ NO. 229 — LAW PRINTING CO.. LOS ANGELES BURLINGAME - REG. 256 (REV. 6/75) .. 4 T ; PERMIT NO. 3353-86B PERMIT EXPIRES OWNER DAN ROBINSON CONTR. UNKNOWN ASSESSOR PARCEL 72-49-22 ` LOCATION 215 Rutherford Ln., Oroville 4 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature I _ V = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready d MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except it's . 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Carl. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date i 4 P = OK Not OK = Not Applical3le *,,= Not Ready s RESIDENTIAL(Single and Duplex) Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings _1. 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. _ Siding -Nailing -Veneer 6. -Piers Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic _ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts _ 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ' Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Card -BI Card -BI Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.: Vent- Access -Combust ion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Date -Card-BI Date Date Card -BI Date 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrrit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Card B -I Card B -I _ 20. 21. 22. 23. 24. ,Equip. 25. 26. 27. 28. 29. 30. - Fixture & Transformer Clearance -Ins_, Protection. El c. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size i / ga. Cu or-Al-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes No _ Service -Riser Conductors & Ground -Main Disconnect- - Equip. Clearances: Panels-Motors-Mech. Equip. _ Clothes Closet Light -Shower Light Date Card Bi Date Date Card -BI Date 69. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70, Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72, Insulation -Foam -Looked in Attic E3 Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following' instld.: Drive ❑ Yes C3 No: Walks ❑ Yes ❑ No; Planters []Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. _ Gas -est-Meters Tagged; Gas -Electric Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support _ - _ Vent Fan: Exhaust above Insulation - Condensate Drain & Overflow. Size _& Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date _ Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates --- -- - -- -- Card -BI Date Card -BI Date Card -BI Card -BI D .e Card -BI Date L ae Card -BI Date Date FRAMING(Plans) OK except #'s Com Tents at Final: 36• 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin -Roof Brac.-Truss-Shthnp.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Altrc Access. Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. &Dimensions Garage Fire Protection Framing _ (NOTE Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE /,j A' &?-r3XP4 - OWNER PERMIT NO. A routine inspectionrindicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. —14e' , ?- ee Date ( V Inspector REV 10/92 COUNTY OF BUTTE ,. DEPARTMENT OF PUBLIC WORKS .' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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. Inspector �d' "" Date// 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 PERMIT NO. BPO42019 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/09/2004 APN• 072-490-022-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 215 RUTHERFORD LN ORO Date: Contractor. Map Index' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ONE-TIME FINAL INSPECTION Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: WAUGH SHARON P to its issuance, also requires the applicant for such permit to file a 215 RUTHERFORD LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) 'or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, 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: WAUGH SHARON P 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 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, 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: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: 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 Architect: ' is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: issued, 1 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. Date: / ')1' -?1,200,51 0 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This p is r by's ed n r the applicable provisions of the Bntte Count CodR ..nrVor I hereby affirm that there is a construction lending agency for the Res dos d i et f w 'cfi f es have been paid7/K1047 performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By Date: Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 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 official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos PrintNamey: all"no ���i4�/�/7 Signature: Date: //9/c�0067� ,Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor I 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 "PLEASE PRINT CLEARLY" ARbOTECTIENGINEER /fAlAddres Namk City N /7yi%�Ira�r��ici''.��i Zip City Fax State Zip ARbOTECTIENGINEER CONTRACTOR Namk City N Addres Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class ARbOTECTIENGINEER Name Address City N State Zip Phone Fax E-mail State 'cense Number APPLICANT NAM Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning AP#lo-OZ Flood Zone Pdre 0 M SRA I Yes I No 0cc. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO ,9_cz1q BP BIN # OVER FOR SUBMITTAL REQUIREMENTS I K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Descri ion or Scope o r Sq. Footage ❑ 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. Rece' ed by: Amount: LIT 7 / Bldg SRA R ceipt #: Sheriff 0 6 -SMIP Dat7I _ Other Total KEV 6-16-04 LOCATION AP#lo-OZ ---- z---- Pdre 0 M 996W City O& Cross Street 1 1.11 WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certiricate of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address OVER FOR SUBMITTAL REQUIREMENTS I K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Descri ion or Scope o r Sq. Footage ❑ 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. Rece' ed by: Amount: LIT 7 / Bldg SRA R ceipt #: Sheriff 0 6 -SMIP Dat7I _ Other Total KEV 6-16-04 SUBMITTAL 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. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. . ❑ 3. 2 Engineered truss details and layouts (if tequired),(NO,F.9XES!).:., , ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2,Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 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.neAdds __ //PERMIT'NO. '�8P042019 %ks LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/09/2004 APN: 072-490-022-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 215 RUTHERFORD LN ORO Date: Contractor. Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ONE-TIME FINAL INSPECTION Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: WAUGH SHARON P to its issuance, also requires the applicant for such permit to file a 215 RUTHERFORD LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not 3 intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: WAUGH SHARON P 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 sale. If however, the building or improvements are sold within one of completion, the owner -builder will have the burden of i 4-1year /� "• IAO��p proving that he or she did not build or improve for the purpose of sale.). / + � I, as owner of the property, am exclusively contracting with �V PAP 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, Contrac r:• 0 D and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of the Business and Professions Code A) r Date: a Owner: � License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. ` .^ Policy #: Valuation: $0.00 ( v `�`" V `� I certify that in the performance of the work for which this permit is Census Code: \\ a w issued, I shall not employ any person in any manner so as too become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' /t compensation provisions of Section 3700 of the Labor Code, I shall - V IIJ� b forthwith comply with those provisions. Date:ell!?1.200,51 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one in addition 0 the cost of hundred thousand dollars provided for compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This p is r by 's ed n r the applicable provisions of the Butte Count Codw and/or I hereby affirm that there is a construction lending agency for the Res do s d been paid._// performance of the work for which this permit is issued (Sec 3097 Civ.) MVT�ve O Name: BY Date: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos . Print Name:%�/�ip�/./�% / �% Signature: ( ?z s,_2�, / Date: a©��` ,vowner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor 1 COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE , / PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Y Date inspector- REV nspector REV 10/9 Q-9 r4 \ responsibility of each individual property owner or post office; also please notify all utility companies, Office, etc., and friends and family you wish to ' .he residents who pick up their mail at the post office. ' the proper locations. County standards for mailboxes A wn on the attached diagram. Please install your new for clear visible numbers properly installed for the )lease contact Doug Arnold of this office at (916) 538 - Very truly }Fours, �IIX Dougla>Amold Address Coordinator r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE WA i if, nx - zo(!- OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV 10/92 P I 1 0 072490-022 00-2979 WAUGH, PAULETTE 215 RUTHERFORD LN., OROVILLE CA -CONTR: CHRISTIANSEN ROOFING CO PARTIAL REROOF COMP & BUILTUP COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITG--j o?y ASSESSOR PARCEL NUMBER 072-490-022 ZONING BUILDING PERMIT OWNER PAFTTE WAUGH UL TELEPHONE 589-4940 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 215 RUTHERFORD LN OROVILLE CA 10 3.50.00 CONTRACTORS NAME CHRISTIANSEN ROOFING CO TELEPHONE 532-9338 CONTRACTORS MAILING SS 1966 12n STS OROVILLE CA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 830.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE I SF IDuplex ❑ Mobilehome ❑ Other 1t SPECIFY Solar or heat pump water heater 23.00 Water piping15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other J Describe Work: PARTIAL RE ROOF, S SQ COMP 10 SQ BUILT UP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�os� os '.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, n full force and effect. and my license is;P7— License Class (- — :5 IF Lic. No. (.µ�� �7 �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Performance of the work for which this permit is issued. WOO I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 7* 6w . - w Policy Number a 04, — Oto) (The above sections nee not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in,, any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. I � R X �� Date ��//- t /� Signature of Applicant - ❑ Owner tractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction.. of structures over 3 stories in height. Main Service 200A TO 46DWELLING NEW CONST. DWELLING OUP. SO CC OR ADONS. ( a ACC. BLDS. 3.5¢FT; EW 0ON5T. NON-RESID. ANCHOUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. 20 Ex. Occup. OUTLET OR FD(TURES BAL ®I: o Ex. Occup. D� rsR�) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 MAZ. D. FEES IMP FLOOD CDF PARCEL I PO I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated aboVe for whiyh- fees have been paid. ., r By ' ,_ yt: i c?` 4 Date,,_ PERMIT EXPIRES ON f (Date) Receipt No. UU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IL COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT a, ASSESSOR PARCEL NUMBER 072-490-022 ZONING BUILDING PERMIT OWNER PAULETTE WAUGH TELEPHONE 589-4940 SO. FT. OCC. BUILDING VALUATION 8 480.00 . OWNERS MAILING ADDRESS 215 RUTHERFORD LN OROVILLE CA 10 350.00 CONTRACTOR'S NAME CHRISTIANSEN ROOFING CO TELEPHONE 532-9338 CONTRACTORS MAILING ADDRESS 1966 12TH ST OROVILLE CA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 830.00 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE S 43.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: PARTIAL RE ROOF, 8 SQ COMP 10 SQ BUILT UP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G1 W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in hill force and effect. / �/ !,� License Class [,-3 -/ Lic. No. 4k5—/ °��� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO IOCU00A 46.00so NEW CONST, OWEWNX9 OCCUP. W:O OR ADDNS. ( a ACC. S. SO 3.50FT. NNOONN•ROESID. MULTI.OU CUTITS @O 7,50 PCWER APPARATUS a SINGLE ouT1ET cIR. Ex. Occup. OUTLET OR FDRURES 20 @ I.00 BAL. @ .m Ex. Occup. Oi�T,Er°rs AEs�ID°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Performance of the work for which this permit is issued. G' I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Cga, - Policy Number -a , 4- — c5e) (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ^A2Lrz1Mf _ � Date ��/iC_ /� Signature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction_ structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAz. D. FEES IMP I FLOOD I COF PARCEL I PD HD ISSUE 01 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a e for 7whies have been paid. S �of e PERMIT EXPIRES ON 14-2 — S — 0 ate Receipt No. 309307$43.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IL COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Af.lft011►MCdMAl6l i!' � D � �c m1NO BUILDING PERMIT owNa v/ y y� SO. FT. OCC. BUILDING VALtATION Owla17 WA" Mop"' L a oow IMIL / , Tan -Home !f � t ►Mina Aooress � S'%'� � ✓ ,' //r ooNSTTwcTaN LQOO1 LMOM MVUNO AO A03 Fireplace Total Valuation = Anc►urEcr ow rH No Filina Fee 20.00 Permit Fee t: ;2 3 ^- AMWMCT on DIMMna raA JW ADOAM Plan Checking Fee L OULM4ADOPET' v Li �>' � H r� v •'�� Energy Plan Checking Fee i _� i PERMIT FEE : 3 LOT NO "' 1DN7NA"' �°NCEL MAP PLUMBING PERMIT Filing Feel 20.00 Each Trap7.00 i USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF Duplex O t&bilehome O Other Water piping 15.00 '°W"` Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New O Addition O Remodel O l/ATiti" O Installation O Odw O Building sewer 15.00 Describe Work: Mobile Home S G W @20.00 Aw PERMIT FEE _ ELECTRICAL PERMIT I Filing Feel 20.00 Main Service eoovw own t. 23.00 Main Service sou To ,owA 46.00 corer. OR ADDNS. i ACC. llD3oweua+o oecuv. 3.64P. NOKRE410. muLTFOUTLET @7,50 FOYMOI APUD UB i 4R(OlE OUTLET C0. EX. Occup. OUTLET ON WMES 200 100 SAL Ta Ex. Occup. ovftEn 6,0 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 MLsc. Wiring23.00 PERMIT FEE _ PERMIT Filing Fee 20.00 *PERMIT FEE PAID � Heating SRA ' ' $ Cooling SHERIFF $ Hood 6.50 Ventilation OTHER $ ! PERMIT FEIE i Y Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. ripe TOTAL FEE AMOUNT RECEIVEDL4MAL D.fEES wP I a°°° I `°` I °ARCIt °O This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resoludws to do work 6 Indicated above for which fees have been paid. *RECEIPT NUMBER * TO BE PUT INTO COMPUTER By Date PERMIT EXPIRES ON n RESIDENTIAL x072-490-022 PERMIT#94-2868 {WAUGH, CLINTON 215.RUTHERFORD LN., OROVILLE CONT: BETTER BUILDERS ADD COV AREA & REMODEL. KITCHEN & REROOF •r I &3J-3-JY(- JOB J-3- J'(- JOB FINALED ate) ` ` lf-� Signature '� J=OK O = Not OK Not = Not Readyable 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 MISCELLANEOUS Date DECKS OVERS, CARPORTS, GARAGES, Plans OK except #'s / on'Requirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Si ' ; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date % Card 13-1 ate Card B-1 Dat Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS OVERS, CARPORTS, GARAGES, Plans OK except #'s / on'Requirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Si ' ; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date % Card 13-1 ate Card B-1 Dat Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 ✓ OK r - O = Not OK = Not Applicable Not Ready RESIDENTIAL - (Si>nngle = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches .& Decks; Soils -Steel-/. /Ftg. Depth & Duplex) Date FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purlin-rogf Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type -A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. - Water Htr.: Vent -Access -Combustion Air -Baffle ------------------ ---------------------------- 17. Water Pipe: Test & Anchor -Nail Protection --------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test- Tub -&-Shower. ------- & Shower. Second Floor -Tub Access ----------------------------------- 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 ------------------------ --------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------------------------------- ---- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------- ------------ 24. Size Boxes & No. of Conductors -Stapled ---------- ----------------------------- -------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. - - ------------------------------------------------- 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water ------------------------------------------------------ 27, ----------------------------------------------27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------------- 28 Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI - -------------------------------------------------- 29 Range Circ. r r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 111 --yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect -------------- ------------------------------------ - 31-.-Equip.-Clearances Panels-Motors-Mech. Equip. ----------------- -------------------------------------------------- 32 Clothes Closet Light -Shower Light -Spa Light - --- - ------- -- -------- -------------- 33. Smoke Detector ----------------------------------------------------------------------------- -- Date Card B-1 Date Card B-1 -------------- -------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34._.A. -C.- Ducts. Insulation & Support --------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ---------------- --- ------ --- -...-- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- ------------------------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic -------------------------------------------------------- -------------------- Date-------_ --Card B-1 Date Card B-1 -------- -........ - -- - ---- - ------------ ----- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------- ----- - ----------------------------------------------------- 40. -------------------------------------------------.40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound ------------- --------------------------------------------------------_----- 41. Bearing Walls over Girders & Floor Nailing --------------- -------------------------------------------- ---------------- ------- 42. Draft Stop in Walls (rat proof) --------------------------------------------------------- - ---------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------------------- ---------- 44. Headers & Beam -Size & Bearing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Sidino-Nailino Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------- 57. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector ------------------------ -- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----- ---------------- 64. Bedroom Exiting --------------- 65. G F.1_& Bath Fixtures & Tub Access -Spa ---- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------- 67. Stairs & Rails -------------------- 68. Fireplace or Stove Clearances -Hearth -------------- 69. ------------ 69. Elec. Outlets at Wood Panel: Int. & Ext. - ------------------- 70. ------------------70. Kit Fixt_& Appliance: Grnd._Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter - - ----- --- - ---------------------- -- -- 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ------- ------------------------------------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ---------- ------------------------ 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7,. Insulation -Foam -Looked in Attic ❑ Yes --------------------------------------------- 78. Guard Rails & -Deck-Const ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------------------------- 80. ......--------------------------------80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------- ------------------ -------- -- 81. Stucco: Brown -Finish - - --- - 82. A.C. Unit: Disconnect, Electrical, Plumbing -------------------------------------- ------ 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ----------------------------------------- ------ 84. Water Well: Disconnect, Electrical, Plumbing -- ---- - - - - --------------- ___ - - - - - - - - - - -- 85. - Exterior- - - Elec. -- Trim: G.F.I. Receptacle -Underground -------------------------- -- 86. Ventilation Throughout House .. .- ------------------ 87. Glass Protection . - ... - ----------------------- 88. Corrections from Previous Inspections ...... ------- --------------- --------------------------------- 89. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - - - - - - -- - - - - - - - --- -- - -------- ----------- 91. Energy Compliance Certificate -Other Certificates --------------------------------------------- -- Date Card -B-1 Date Card B-1 DateCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 nn�N0. APPLICATION ANO PERMIT ASSESSOR PARCEL NUMBER 072-490-022 ZONING BUILDING PERMIT OWNER CLINTON WAUGH NPjtT 940 l� L} SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 215 RUTHERFORD LN OROVILLE 126 C 1,638.00 FST 20,000.00 CONTRACTOR'S NAME BETTER BLDRS . T Eq'157 !/ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 146.2-5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS , ./ �� ✓ r PERMIT FEE S -391.9 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFU Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition X) Remodel XXUtilities O Installation ElOther ❑ Describework: ADD COV AREA & REMODEL & REROOF Lprra PERMIT FEE $ 27.00 Contractor ELECTRICAL PERMIT Main Service ( '1011 01 LESS ) 2OOA OR LESS Filing Fee 20.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. ORADONS. ( & ACC. BLDS. ) SQ. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 5311', am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force /aJnd effect. License No. 3 3 aS Classification (p fN! 4q / ❑ I, as the owner, 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) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. ( MULTI -OUTLET ) •NON-RESID. BRANCH CIRCUITS 7.50 7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): 0is permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 27.50 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 6.50 Ventilation PERMIT FEE $ 26.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coup in copse uence of the granting of this permit. X Date Id - /7-95/' Signaturef Applic t C) Owner 5 Contractor ❑ Agent An OSHA permit 's required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ° cove TOTAL FEES HAZ- I O. FEES I IMP `� F1pOry //// cOF PARCEL Po �—' ss This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date / B PERMITEXPIRESON [Date) Receipt No. 170412 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -!.S7 'w�Y�l��...r�• .^-'1"VSSI'f'Yv^I�i�rO�fiiYM�ryye`If„�n+q}��inry�(r{rnri.i�Faa-�v'.�.�y�....�v'�S.'T.'�"'y.�'�j+'f-'�iVi'�Iy'p4!^��yij.('{iiwr+t'iiM hr ..: v.1..ri'err'�Y'�4r./�.t'�..•�`.-�YrNH^rrt"1-rt-}'`;ty COUNTYOFBUTTE -DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CATLIF0RNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER C� ,A(. P�/No. - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. ........... yI�:.;,,:.: , k ....,:` .:.r .� .i..... . 2. Plot plansi)4 sets, signed�y_prep�a-cer of plans . .......................... l 3. Complete plans�4 sets, signed b p-reparer of paao.s. .....................I. 4. Engineered plans and calcs, 3/4 sets, with wet sig nature_on ans 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by Calif rnia Engineer . ................. . 14. Sanitation and plot plan approval ),Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . Preanspedion request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... .4 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed nci-(B) Parcel ets.aorairag-area and font ge requirements. .......... . . xisting violation fired -permits: .... rlA Tr- 32. Plan check list . ..................................................... 33. 34. When you issue theermit, rocess as follows: Mai) to owrier. Mail to contractor. ✓� Telephon nd hold for pickup at ( !� _ office. Deliver with inspector. Other Parcel Creation _ Acreage Applicant _ O Date /0 / 7 - 9y Copy of Haz-Mat form sent Health Dept. Fire Dept. (Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou er by _ Date Plans checked by Date Plans approved by Date 1 Sets of plans on hold in File cabinet AP folder r0 -2-qW Copy - Department of Public Works E.H. USE ONLY Plot Plan Anached Floor Plan Attached —� Seat to B. D.. TO: Building Department FROM: Environmental Health SUBJECT: , Sanitation Clearance \1-14U 6/./ 4�M—ktIT7fc--XF6rZ1) Z/\-/ Owner Location �i'lo Plan Approved for: Sewage Disposal Water Supply: Public _ Clearance for Hold clearance O.K. for: NOTE: Environmental Health Specialist R/QI AP�t Private Well Date !A/auc�F '----- REV 4-5-92 -----___-_--__--__--_'_----_----____--_-____-----____ COLLECTOR -------------------- FORCES ~` 8ESCRlPT0N }.FLOUR 2 - LINE 2 ------------------------SUMMARY------------------- >> V1 > 4.00 KIPS Y2 > �KlPS_ LENGTH SUBJECT 0V1 > 32.000 FEET DIAPHRAGM SHEAR DUE TO V1 } .1`8 KIPS/FT i[N6TU SUBJECT TO V2 > FEET � U0PHRA6M SHEAR � �����-� �-�� DUE T0 V2 -- - } 0PS/FT -�- � PER FOOT SH[ARHALLS (v) KIPS/F7 x~vSH[kR v><SHEARNALL c' SEGMENT N/O WALL OPNG Yi V2 12.V00 O Y 4.500 W 4.5900 Y �--------' 9. 000 Of 9.NN .00 3.506 N 7.506 Y -1.0J8 J.VVV 0 3.000 Y .415 ____________________________________ R[V 4-5-92 COLLECTOR FORCES ----------------------------------------------- U[SCRlPTlON >}FlOGR I - LINE 2 '_--_--_---_____- >> --------------------------------- SUMMARY ----- -------------------------- V! > 7.2J0 K}PS V2 > KIPS LENGTH SUBJECT TO Y\ > 52.6.00 FEET DIAPHRAGM SHEAR DUE TO V1 > .139 KIPS/FT LENGTH SUBJECT TO V2 > FEET DlAPHkA6N SHEAR DUE TO V2 > KIPS/FT SHEAR PER FO OT - SH[ARWALLS (v) > .08 KIPS/FT <SHEARNALl v> ' SEE-IMENT WIO W.A L L OPNG V1 V2 FORCE 4,�e zv \2.000 Y 13.560 O O.50V Y /_c1_ |(o '0 9.566 W 9. 506 Y 6.00V D 6.000 Y -.704 --------- 7.0VV W 7.V0V 4.1)V(I O 4.000 Y .556 ____________________________________ KEV 4-5-92 COLLECTOR FORCES �������������----------- D[SCR{PTlOH })FLOOR 1 - LINE A ---------------------------------- >> --------------------------------- SUMMARY ---------------- V! > 2.52V KIPS V2 > K�;S LENGTH SUBJECT > 40.000 F"T DIAPHRAGM SHEAR DUE TO Vi } .663 KIPS/FT LENGTH SUBJECT TO V2 > FEET OlAPHR.A6H -SHEAR DUE TO V2 > KIPS/FT SHEAR PER FOOT - SHEARNALLS (v) > .366 KIPS/FT <SHEARNALL v> SE6NENT N/G NAL L r,PNGV! V2 FORCE 3, 560, N 3.5V0Y .NN cY- /w 6 O 33.(Ififl Y L04V -�------- 306 N J.51 Y -L046 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS(e ERMIT NO- `t' . • J -.• 7 County Center Drive - Oroville,aCaliforrr'la 95965 -Telephone 916/534-454 APPLICATION AND PERMIT ASSESSOR PARCEL.N MBER ZON BUILDING PERMIT OWNER TELEPHONE' y SO. FT. OCC. BUILDING VALUATION OWNER MA LING ADDRESS -:215- E e L CONTRACTOR'S NAME r p� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ I a .S� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,y Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ©�v«' Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP O Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUR SF❑ Duplex❑ Mobilehome❑ OtherlT IiA�2Afr� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSTG1w1 0.00ea ,-,�� TYPE OF WORK New ❑ Addition 2 Remodel [:1Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee _ $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the Owner, Or my employees with wages as their sole compen- ,VP P, 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.81, New CONSTR.� AMULTI-OUTLET �22Sgft NO N•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20®y0Q eALeao FIXED APP LNS. OR Ex. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. RO I shall not employ any person in any manner so as to become subject Je% to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of utte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County i cons quence of the granting of this permit. X Date 7_ k� Signature o Applica — 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 $ TOTAL PERMIT FEE $ oCCup' CONST.TYP! I I FLOG ARCEL PD ISSUE This permit is hereby issued under sions f the Butte County Code and/or wor I icated a ove for which MOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dp Date V o �' If Receipt No. 1 WNIYC-D.r•W•, YELLOW-A38l980R, PINK -INSPECTOR, GOLDENROD -APPLICANT h " COUNTY OF BUTTE - DEPARTMEN'TEj?N0.JF-PJJBLIC WORKS - 13UILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,`GAL FORNIA 95965 - TELEPHONE: 916/534-4`541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use D4 Permit No. A. P. No. X6 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 `0. 11. 12. 13. 14. —15. 16. 17. 18. 19. 20. 21. 22. All items have been submitted. . . . . . . . . ... . Plot plans in duplicate. /triplicate, signed by preparer of plans. . Complete plans in duplicate./triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . . . . . . Letter of signature authorization. l l . . . . . . Sanitation approval from OV / /� Health Dept. Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Dote) Pre -Inspection for Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. + Driveway Permit. Plot plan approval from city of When you issue the Telephone L Other }b�A it, process as follows: —Mail to owner, —Mail to contractor.,) f and hold for pickup atmoffice, Deliver w/inspector. rn P Applicant `� 6ate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_—mail counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans aDDroved by AffialIp Date //Y044 Sets of plans on hold in File cabinet AP folder Copy—DPW — Hours: 10:00 a.m. - 3:00 p.m. � To: -)uild' Department ^ ^� From: �InvironncotLI i<oaIth ' St at on . ' ' 9Iao Approved for: rater Hold final for: ter supply ' Final clearance O.K. for: water supply � Clearance for ' bedroon mobile honle. .O�bcr ~ ' NOTE *** .^ � . 5aniturioo — ~�--------- ( . ---- ' . ^ 11)�45510,17 ro c,,^ a,?(f ex/19 eqp_ 8�7 C . y X � • r - - � r . 4Z - r - • _ . - - � � ' - � ,_` . � � ; - i - • r - � .�`>w i _ _ , t ,� ' 4 � - 1 • ♦ l � � .' - � � ' .� M • • r ' _ �- • PER 6799-79B,P,E;M' j PERMIT EXPIRES OWNER DAVID VOELZOW CONTR. owner LOCATION (A.P. 72-23-45 ) NIS Rutherford Lane, 4/10 mi E of .0.ro—Qu4acT—HWy Oroville Oro r-e� R+� +r ' !n N ^r jF L � 1 { 3 f L Temp. Power Pole Z A _ I ed PG&E em . Elec. Se v. I Called PG&E YeGa4e'rv. G&E (Date) (Signature) COUNTY OF BUTTE'— DEPARTMPUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) P U BING Setback Firewalll Soil Pip In/ 2- '0,? Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out ! 0 Slab cw-�.c.�- 6 Roof Sheath(n Water PI in Piers /–� �X�G Roofing. 7 Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Insulation l 7Y-0 LHeaters Slab Prov. for phsically Appliances Carport handica a Gas Piping & Test Conformance of ex. Footings structure Temp. Gas Slab Final Sanitatio Patio FIREP ACE Final �7– —.X-T — �1 Footings Footina ELECTRI AL Masonry Walls Throat Rough D Reinf. Steel Final ` Z 1 Fixtures Bond Beam. FIRE SPRINKLERS Motors Framing 7z 2 AK0 Test Water Htr. Stucco 01 Final Subpanels Mesh MECHANICAL Grd. Fault Prot. t Scratch Heating Service prawn Cooling Temp. Pole Finish Ducts Underground 'Interior Lath Ventilation Permanent .Doar Closer . Final Final MOBILcEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec_ Service Elec . Pedestal Water Piping Sewer Gas Piping e M041LEHOME INSTALLATION - - - - Support Elec. Continuity Water�Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS elef (NOTE: An entry must be made on this form each time you visit the job site.) ii UNDERFLOOR Plans Setbacks — Easements 3/—FtgMain; Soils —:Steel — Elec. Grnd —7 Ftg. Depth Above Completed_ — ❑ Except: _ Job Card Signed Date Corrections Completed Job Card Signed Date 4— Ftg., Garage; Soils — Steel — ❑" Ftg. Depth 'rS.' Ftg., Porches & Decks; Soils — Steel — ❑" Ftg. Depth 5temwa113, +3aa Weei — &ME#eels +o- Stemwalls, Garage; Steel — Blackouts Piers — •. ' 2 q `r Grain; Fall — Fittings — 042" Test - 2 way C/O — Sewer Test "RIZ ML_ qas Pipe; Size — Test Water Pipe; Test — Anchors - Regulator — Service Te <C,1 W" Electrical 12- Plentyrs & Duds; Clearance — Material — Support -- Ins. — F4_ Girders — Sills — Anchor Baits — Joists — Vents — Cripples Above Completed — ❑ Except: " . Job Card Signed Date _ Corrections Completed Job Card Signed Date PLUMBING - ABOVE FLOOR -_ lb-*' Water Htr. — Vent — Access — Combustion Air _ W,4V ter Pipe — Test & Anchors — Nail Protection _ 9�12 Pipe — Test — Fttngs & Anchors — Nail Prot. — 42" Test CW _ I Shower Pan — Test, First Floor — Tub Access IB_rTest Tub & Shower, 2nd floor — Tub Access _ 24 - Gas Pipe — Size & Anchors Above Completed — ❑ Except: _ Job Card Signed Date _ Corrections Completed Job Card Signed Date R -- ELECTRICAL - ABOVE FLOOR p! clearance & Insulation Prot. at Flush Light Fixtures - �'d.ec. Aeptacles Spacing — Lights & Switches at Doors - $2:r• "ze Boxes & No. of Conductors — Stapled x Installed Close to Edge of Studs & C.J. _ quip. Ground made up w/Meth. FasteQers _ 2 Appliance Circuits in Kitchen & Conductor Size _ tjb-Feed-Wire Size/ /ga. Cu or At — A.C.-Wire Size/ /ga. Cu or AL _ lae"Range circA ga. Cu ore—,Ixen Circ. ❑ga. Cu or Al, Insulated utral ❑Yes o W/o uI�N L�ui• iZ ervice — Riser Conductors & Ground Bond Gas & Water Pipes Bf� Clothes Closet Light — Shower Light Above Completed — ❑ Except: Job Card Signed Date _ Corrections Completed _ Job Card Signed Date L15 dPw{p MECHANICAL - ABOVE FLOOR _ !2T A.C. Ducts — Insu.1ation & Support 3B^ Vent Fan — Exhaust above Insulation 114- Condensate Drain & Overflow — size & Grade 55> Furnace — Vent — Acces-_Comb. Air -- Return Air Vent — 115V outlet 36- Attic Access & Platform it furnace in attic Above Completed -- ❑ Except: Job Lard Signed Date Corrections Completed Job Card Signed Date FRAMING _ W`_Plans ills -Proper Material'& Anchors alls — Studs — Nailing & Spaclog & Bracing — Plates Baring Walls over Girders & Floor Nailing aft. Stop in Walls (rat proof) i WFim Stops — Furred Ceilings — Stairs — Chases — Tub Header & Beam —size & Bearing 44. Hangers — Post Caps — Anchors — Connectors Cing. Joists-Rftr. Ties-Purlins-Rf. Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue — Fireplace Throat _ M!' tic Access -Size & Romex Protection 1'g Bdrm. Windows or Exiting Doors — Sill Hgt. & Dimensions - AQ—Garaae Fire Protection Framina -w Area Separation Walls — 1 hr. Fire — 2 hr. Fire 6L�kt. Doors — one 3'— Check Garage Stairs — Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang — Attic Vents — Rafter Outriggers Siding — Nailing — Veneer _ Stucco Mesh, Drip Screed & Fdn. Vents & Underfir. Access Glass Protection if required •+67--6hear Walls Above Completed — xcept: 2 z Job Card Signed Data Corrections Completed - Job Card Signed Gals --�• FINAL �— 5 x tees, Door &Sidelight Protection — Landings Smoke Detector -Cimces-Comb. Air -Connector -- In Garage-Hgt. & Mech. Protection �ledroom Exiting & Bath Fixtures & Tub Access L Trim & Subpanel — Breaker Sizes — Lab=_Is Stairs & Rails _ Fir lace or Stove — Clearances -Hearth EI . Outlets at Wood Panel — Int. & Ext. _ F' ures & Appliances in Kit. — Grnded — Air Gap — Ckng. Clrnce 6 . Elec. Outlets & Receptacles at Kit. Counter r — Swing & Landing -Closer -Ai.—F .e. C Mn Garage — Damper 7�/N/tr. Htr — Vents-Cirnces-Comb. Air-P.R.V; Connector — In Garage - F Hgt. & Mech Protection Firewalls & Openings — Area Separation Walis _- 7 les in Garage (G.F.I.) Romex Protec. rnsulation — Foam — Looked in Attic / /Yes 'k Construction _ yawl hole door — Drainage & Wood -Earth Clrnces- Looked under floor I /Yes _ 78. Following in?>d: Drive 9fes ❑No; Walksi, es ❑No; Planters es ❑No; Creating Drng. Problems []Yes GS Vo 7 — Finish �sconnact-Clmces-Brkr & Cond_ Siza — 115V Outlet Vents Above Roof -- Pibg.-Appliances-Firepi. -- Clrnce to Opngs W ter Well — Disconnect, Electrical, Plumbing _ Exterior Elec. Trim & G.F.I. Receptacle _ ntilation throughout House Pass Protection Corrections from Previous Inspections 87. Gas "rest — Meters Tagged -Gas & Electric _Water Supply & Sewage Connected — Cleanout to Grade Energy Compliance Certificate Above Completed ❑ Except: Job Card Signed A__� mate Corrections Completed Job Card Sinned Date RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTAL ED IN NF E WI�n)�� RGY CONSE VATION REGULATIONS AT' �( locati�BUILDING PERMIT NO. G'7� 7/ A;P. NO. 1177- 9/ THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge. Single Glazed Fdn. Walls Special (Insulated) Floors — CERT. & LABELED WDS. Walls & SLIDING DRS. Ceiling/Roof WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS Circulating Pipes INTERMITTENT IGNITION DEVICES -r►-^ APPROVED HEATER CERT. APPLIANCES V APPROVED WTR. HTR. , ,I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. /(General Contractor/Owner Name Signature of General Contractor/Owner L is en blte� ractors THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR T0. REQUESTING FINAL INSPECTION AND SHALL,BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. PERMIT NO. 1177-81B,P,E Q PERMIT EXPIRES OWNER David Voelzow � CONTR. owner • ASSESSOR PARCEL 72-23-45 LOCATION NIS Rutherford Lane, app.4/10 mi.E. of Oro Bangor Hwy, Oroville Temp. Power Pole Called PG&E emp. Elec. Service / --O Called PG&E Temp. Gas Service Cal led PG&E —'-' JOB FINALED (Date) Signature J OK - 0 #lot OK ' ---;NqI-;,Npiicable MOBILEHOMES , MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except IL's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval - 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged - 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date INN It J = OK O = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex)''- , = Not Ready Date UNDERFLOOR P OK exce t#'s Date FRAMING4 Continued 1 oni grequirements-Setbacks-Easements 4 roperty Line Firewall &Openings 2. g., Main; Soils-Steel-Elec. Grnd.- / rZ/" Ftg. Depth 3 Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4& --Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 5 Stags; Width -Headroom -Rise -Run -Landing -Fire Protection 4. tg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 10o. ' -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab50-"Siding-Nailing-Veneer 6 Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 5 o Mesh -Drip Screed-Fdn. Vents-Underflr. Access 74 Piers -Fireplace reel . Glazing Area -Glass Protection -Skylights -Plastic .W.V.: Fall Fi s Test -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts 9 Gas Pipe; Size -Anchors 1 r Pipe; Test-Anchors-Regulator-Seryice Test 11. lectric; Underground 12.xPlenums & Ducts; Clearance -Material -Support -Ins. 13.XGirders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Datem,2:0-Card-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C d -BI f2Z4, Date � ';-Card-BI Date Date FINAL, (PXns) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air ter Pipe; Test & A chors-Nail Protection 5 . Steps -Door & Sidelight Protection -Landings Smoke Detector ance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection D.W.V.; Test & Anchors -Nail Protection gor'Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access s & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access panel; Breaker Sizes -Labels 19. Gas Pipe; Size &Anchors _ 67,--F�e ep+eereFStove; Clearances -Hearth 6 : Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6 txt. & pliance; Grnd.-Air Gap Cooking Clearance Card -BI Date Date Card -BI Date � � ELECTRICAL Pefm�it OK except N's n��tlgts & Receptacles at Kit. Counter ��� P or; Swing -Landing -Closer 6B: -A4 e—bOttin Garage -Damper 2 xture & Transformer Clearance -Ins. Protection , en s -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2 c. Receptacles Spacing -Lights &Switches at Doors 7 lec. &Mech. Equip. Listed for Location iSre Boxes & No. of Conductors -Stapled 2 es in Garage; (G.F.I.)-Romex Protec. 22--+MMx Installed Close to Edge of Studs & C.J.ec 2 uip. Ground made up w/Mech. Fasteners -Bond Gas & Water lao-Insulation-Foam-Looked in Attic 3.2, Qwa"I..�& Deck Construction -Post Caps - in Kitchen & Conductor Size 74r-Feat d".. -*s & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ S t rPoa �;, 2B / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At g Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive es ❑ No; Walks es ❑ No; Planters Q'Ves ❑No 2 - onductors &Ground -Main Disconnect 76:--9k —, Brown -Finish jK Equip. Clearances; Panels-Motors-Mech. Equip. 7-p-yAu; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3D--C4Q4w&-Qoset Light -Shower Light 70 --Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79--Vra'Mr-Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Dat Card -BI Date 99 throughout House l�Glass Card B -I Date Card -BI Date Prot Glass Protection Date MECHANICAL (Permit) OK except q's _ 107 Corrections from Previous Inspections eq--•@as-rRt-Meters Tagged; Gas -Electric 31. A.C. Ducts; InsulatioC& Support ge!Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulationefie-friergy Compliance Certificate -Other Certificates _ 33. Condensate Drain & verflow; Size & Grade 34. Furnace -Vent; Acces -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platf Irm if Furnace in Attic Card -BI — Date Card -BI Date C BIgD Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plot) OK except q's ills; Proper Material & Anchors _ IIs; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ B ing Walls over Girders & Floor Nailing_ _ eft Stop in Walls (rat proof) _ . F' Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing 4P.--HamjVs-Pos1 Caps -Anchors -Connectors _ Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. irep ce Ties or Type A Flue -Fireplace Throat Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4§.-Btlrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4¢ moire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR 7 County Center Drive' — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authoriz re resentatives of the Co ty of Butte to enter upon the above -m nti ned pro ,rt or 'n a ion purposes. X Date &17 ignature of Permitee or t Receipt No. �17focl73 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -'OF PUBLIC WORKS ilding permit expires Date //_2i -,Po BUILDING /ri / Owner Aj�V/� ��ILO� SQ. FT. L OCC. BUILDING VATION S �� Mailing Address ?%/ 1 LKS fit! • � 01,>0v/t-_-E Contractor Mailing Address Fireplace /q -S00 Total Valuation 2-2 Telephone No. Permit Fee 0 Building AddressN���� Plan Checking Fee&/or Penalty Permit Fee ,Qd Bd l// 6: ®�-,t T O /Lf/L-OC Ro & O PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 • 00 Each TraD 1.50 6100 D�Qv�I Repair drainage or vent piping 1.50 /f A. P. No. 7:2 Z3 / �Z�onin anning Water piping 1.50 r'S� Each gas water heater or vent 1.50 F s !�J S 't ire Dept. FireZone Us Permit Gas piping system 1 - 5 outlets 1.50 EQA Par ing plans Parcel Declaration 5 r I 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P s Rec'd Plans Approipt"__ Lawn sprinkler system 2.00 ..,.Po.rce1400A0roval NEW go ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ A01_11;i $ 19 i ELECTRICAL No. @ FEE +' PERMIT FILING FEE $3.00 ,00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O , Main service EA. ADD'L 100 1.00 NEW CONST. ( DWELING OR A.D.S. ACCLBLDGS.0 U 20sq ft ,70 0.C/#g5) CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI.OU LIT BRANCH CIRCUITS) 2.50ea ..NON.RESID. NEWCONSTR. POWER APPARATUS 6 NON -RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES) B L@; FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lic nse No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ •70 $ T MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation.A/00U77W-777 ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 �jc00 Heating Cooling Ventilation Hood 2.00 �.Ga Permit Fee $ _S;1_08 $OC 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^aws relating to building construction, and hereby Land Development Fee $ S, v TOTAL PERMIT FEE $ ZC authoriz re resentatives of the Co ty of Butte to enter upon the above -m nti ned pro ,rt or 'n a ion purposes. X Date &17 ignature of Permitee or t Receipt No. �17focl73 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -'OF PUBLIC WORKS ilding permit expires Date //_2i -,Po COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO 7 County Center Drive - Oroville,'Califorrtia 95965 - Telephone 916/534-4541 / 2/„ / • APPLICATION. AND PERMIT v� ASSESSOR PARCEL NUMBE ZONI G BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN AI LING. E S r CONT CTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 1 2, $ ARCHITECT OR ENGINEER • LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADD ESS Permit fee $ 1 BUILADD SS /// PLUMBING PERMIT Filing Fee 10.00 m 0 8 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,_/ USE OF STRUCTURE SF I� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Pool Remodel ❑ Uti lities-,Y-- Instal lation ❑ Other Describe work: ��+� sti?4+ C.-7 99-:79 Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.B) OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessOCCUR(50@2e¢ and Professions Code and m license is in full force and effect. y License No. Classification �l, 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) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR NON-RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS e\ NON-RESID• %SINGLE OUTLET CIR. 1 Ex. OUTLETS OR FIXTURES gpL sol OCCU EX. IXED APP LHS, OR P•�OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that 1 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 en r upon the above-mentioned property for inspection purposes. I also agr to save, indemnify nd keep harmless the County of Butte against all liabi "tips, judg nt cot an expenses which may in any way accrue against ai County n ns rice f the granting of this permi . X r Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for axc ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCcuP. GROUP TYPE OF CONST. PARCEL PO No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TO OF PUBLIC By. r PERMIT EXPIRES D to the applicable provi- resolutions to do fees have been paid. WORKS Date '� _ Receipt No. �"���� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT R .►CIM., 6)o RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX,, A. MISC. ONLY) Bldg. Permit # Z 2.0,A.P. # Z2 -23 -1 "" A. GENERAL 61 Zoning requirements (sideyards and parking). �2! Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN �]! Complete parcel size and dimensions. 2./ Setbacks, sideyards, easements, etc. Other buildings or structures. ,;4<� Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. .2! Required windows for light and ventilation (Sec. 1405). �3.`�Required windows for second exit (Sec. 1404). c4-' Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). �! Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures,,switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ,3! Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). �Ll!' 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS �Y Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. ,,3! Elevations and wall construction details complete enough to construct .k�Roof construction details complete enough to construct building. .F�- replace construction details and calcs if over one-story in height. -6� Sufficient data and details to satisfy energy insulation requirements E. MIS ELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). ,,V. Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation walls and posts, etc. ft Two (2) exits on three-story dwellings (Sec. 3302). building. (State law). required including supporting COUNTY OF - DEPARTMENT rOF PUBLIC PERMIT NO. f 7 County Center Drive - Orovillep C��+,L�ia 95965 - Telephone 9/16/4-45410 -� APPLICATION AND PERMIT ASSESSOR A EL U�g ER ONING �— BUILDING PERMIT OWNER T LEPHON Ohl' IF SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING E S ,jJ �%J� �7 I V CONTRACTOR'S NAME n V t/ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is .Filing Fee q $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 441TO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , CO BUILDIN91 ADOR PLUMBING PERMIT Filing Fee 10.00 Each Trap2.00 Qp Repair drainage or vent piping 500 1-0- Water piping ;S , LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 / TYPE OF WORK New ❑ 9� Addition m del ❑ Utilities ❑ Installation❑ Other ❑ Descri be work: �C.rLiT)'W►S 9�--, c�tlYtc 7� C�+1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING EI\ OR ADDNS. ACCBLDG . 20sgft 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. icense No. Classification eI, 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 CONSTR I.OUTLET 2.50 ea No -RESID BRANCH CIRCUITS) NEw CONSTR / POWER APPARATUS e\ NON.RESID. (SINGLE OUTLET CIR. 1 Ex. Occup OUTLETS OR FIXTURES 50@25 FIXED APPLNS. OR Ex. OCCup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 020 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 mentio ed property for inspection purposes. I also a e to save, indem •fy and Cep harmless the County of Butte against all Ilme 4s, sts, d expenses which may in any way accrue agains a d C:�co a ue of the granting of this perit. X Date Signature of Applicant — Own r Contractor ❑ Agent An OSHA permit is required for a ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , � OCCUP. GROUP TYPE OF CONST, �. 11 PARCEL G_ PD ND a/ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR UBLIC By t PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -el -� Receipt No.�' / 6Sr WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT