HomeMy WebLinkAbout005-393-0135-393-13. 3359::-91B
STEPHENS,-William
•852 Wisconsin St''thic.o .
r
(deck/sf) >• ..
5=393 13 y�>�'=92 1335 ,E,M�,
13
STEPHENS, .Bill``
852 Wsconsn�t, Chico ,�,`{y
contr : Act' -E) -H&AC
4`S
. B07 2038 '%' ;x`005-393-013
` S
Siditucco,
MISCELLANEOUS , .:
e'SIDING (10 LF) f�19/f;�''
oma.
852'wisc6NSIN ST,_'.,..
. STEPHENS; WILLIAM H SEPARATE PJ,
11
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 852 WISCONSIN ST
Owner:
Permit No: B07-2038
APN: 005-393-013
STEPHENS, WILLIAM H SEPA
Issued Date: 09/27/2007 By KEJ
Permit type: MISCELLANEOUS
852 WISCONSIN ST
Subtype: Siding/Stucco
CHICO, CA 95928
Expiration Date: 09/26/2008
Description: SIDING (10 LF)
(530) 345-2380
Occupancy: Zoning: AR
Contractor
Applicant:
Square Footage:
STEPHENS, WILLIAM H SEPARATE P
STEPHENS, WILLIAM H SEP.
Building Garage Remdl/Addn
852 WISCONSIN ST
852 WISCONSIN ST
CHICO, CA 95928
CHICO, CA 95928
Other Porch/Patio Total
(530) 345-2380
(530) 345-2380
FEE INFORMATION
DBMSC Stucco/Siding-Stone/Bric $116.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
STEPHENS, WILLIAM H SEPAF OL:CRW_00338448 / /
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 09/27/2007
Contractor's Signature Date
I , WORKERS' COMPENSATION DECLARATION,' I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier. Policy Number: Exp. Date:
(This section need not be completed if the permitis or ons a hundred dollars ($100) or less.
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
LLJ ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
X , >1W 712`- -- 09/27/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. cede)
Lenders Address
City State Zip
ees Paid: $11
Balance Due: $0.00 Receipt No: B4790
OWNER / BUILDER DECLARATION' '
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ 1 AM EXEMPT under Section B. & P.C. for this
Owners Signature
09/27/2007
Date
I hereby certify that I have read this application and slate that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pr R?rty owner uthorized to on the property owners behalf.
/Jo/OS�� 09/27/2007
®'Owner 1:1 Contractor OR:Agent for Owner ElAgent for Contractor
FILE COPY
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT OR NO)
2. I0A44127V) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS
CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED:
NAME ADDRESS PHONE TYPE OF WORK
Description: SIDING (10 LF)
Reference Number: B07-2038
Applicant Name: STEPHENS, WILLIAM H SEPARATE P
Owner's Name: STEPHENS,/WIL/LIA H SEPARATE P AP # : 005-393-013
Signature of Property Owner: � �/ Date:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION.
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TWE OF APPLICATION
Website: w. ew.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
Firs Name
Mailing Address 8s� ��SCo�S//sit/ �j 7—
City C L /,c a
Stated
Zip�j 74
Phone .4 ��i5=�3$o
Fa"
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
CityC e— D
Address
Z'
City
Fax
State
Zip
Phone
Fax
E-mail
Open Cov
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
CityC e— D
Address
Z'
City
Fax
State
Zip
Phone
Fax
E-mail
Open Cov
State License Number
APPLICANT INFORMATION
Name r7� ,eWS
Address
CityC e— D
State �
Z'
Phone30 3 ��S •� �G
Fax
E-mail
APPLICANT SIGNATURE
X
PERMIT
NO.
Pj (A. a��
BIN #
PROJECT LOCATION
AP#
6j
Property Address
City C 4'1,
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const:
Sq FT- Living Garage
Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const:
393'.13, 92 -1335
,p,E'M;..
TEPHENS , . ,Bill
852•.Wisconsin .,.St, r ti:
hoacrr Actio-.-Ch co.
n' H&A�,v
�c/ _ �,,
�i _4 COUNTY OF. BUTTE - DEPARTMENT OF PUBLIC WORKS//�� PERMIT. NO.
7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-754192 j -
�
i APPLICATION AND PERMIT // ,
ASSESSOR PARCEL NUMB R
005-393-013
ZONING ,
AR
BUILDING PERMIT
OWNERT94-118S
Bill S e hens
ELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
852 Wisconsin St Chico 95926
CONTRACTOR'S NAME
A Conditioning343-4192
TELEPHONE
LD
CONTRACTOR'S MDRESS
431 W 9th St., Chico95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LEND R'S MAILI G ADDRESS
3111 Wismann Dr.. Sacramento
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FiIIng Fee 15.00
857 WI-rongin St., MIco
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00 .
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other g]
Describe work: HVAC _
Permit Fee
$ 20.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600v OR LESS
200A OR LESS
18.50
Main service 200A TO 1000A)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. OCCUPM
3.64sq.ft.
NEW CONSTR. ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
( SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76&1
Ex. OCCUp. OUTLETS PIRESID )REA.)
1 I 3.00 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$ 18.00
—
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
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
1 9.00 9.00
Cooling
1 9.00 9.00
Hood
6.50
Ventilation
Permit Fee
$42.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said C ty in consequence of the granting of this permit.
_ c
Date lJ' �,
Signature pp ❑ Contractor Agent
Si nature of Applicant - Owner ❑ ❑
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 S
Ener Inspection Fee $
Energy p
OCC
CONST TYPE
TOTAL FEE
$80.00
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
HE_[T
This permit is hereby issued under the applicable provi-
sions �tf a Butte County Code and/or resolutions to do
�
Gated above.forlwhich fees have been paid.
F f•
/ DIRE;&-' MF PUBLIC WfvkS
worko2k,,A�
B�_ )ZA j Date
PERMIT EXPIRES Date -'-
t ow
115
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541��— f
APPLICATION AND PERMIT
ASSESSOR•PARCEL NUMBER
1
005-393-013"R
ZONIN'A
BUILDING PERMIT
OWNER
Bill Ste hens
TELEPHONE
94-1185
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
852 Wisconsin St., Chico 95926
CONTRACTOR'S NAME
A n'n
TELEPHONE
343-4192
CONTRACTOR'S MAI LIN ADDRESS
431 W. 9th St., Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LEND R'S MAILING ADDRESS
3111 Wic, Sacramento
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00 5.00
Building sewer
15.00
Mobile Home Is G W
@ 15.00
TYPE OF WORK
New❑ Addition Remodel[] Utilities❑ Installation[] Other®
Describe work: HVAC
Permit Fee
$ 20.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
j$,50
Main service 200A To 1000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
tkfor sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
OR ADDNS. (ACC. BLDGS.
3.64 sq.f[.
NEW CONST R, ULTI.OUTLET
NON•RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
FIXED APLNS.
Ex. Occup. OUTLETS (RESID )REA.)
1 1 3.00 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
'15.00
Permit Fee
$ 18.00
—
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
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 W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
1 9.00 9.00
Cooling
g
1 9.00 9.00
Hood
6.50
Ventilation
P ermit Fee
$42.00
L 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte againstqn
all liabilities, judgments, costs, and expenses which may in any way accrue
against saidACZ
in con uence of the granting of this permit.
X Date'" °Z �
Signature pp ❑ Contractor ❑ Agent ❑
si nature of Applicant - owner
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 S
Energy Inspection Fee $
occ
I CONST TYPE
TOTAL FEE $
nn
HAz
1 DFEES I
IMP
I FLOOD
I COF
I PARCEL
PD
HD
IS E
This permit is hereby issued under the
sions o e Butte County Code and/or
wor ind' ated ab v f whicWleve
DIR F PUBKS
B 96
P XPIRES Date
applicable provi-
resolutions to do
been paid.
Date �'
Receipt No. 115474
WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
..�. r. .t, :1, r.r'.. L ..rte 'p .a ::E-••dt,.�.
COUNTY OF BUTTE - DEPARTMENT OFWPUBLIC•WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
Ar
PERMIT APDATA SHEET
Ji Permit No.
OWNER /�1 No. OSS - 93-0%_
Proposed Building Use I -/ y1 r Building Inspector Date a7 9z'
At time of permit application, I was advised the following data must be submitted
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
g(ermit processing and/or issuance:.
DATE RECEIVED APPROVED
r
— 5. Hazardous Material Form ......................................... .
- 6. Energy Design Compliance and supporting documentation .........
- 7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
- 9. Mobilehome installation data including manufacturer's installation
instructions........................................................
- 10. Fees of $
- 11. Chico Urban Area fees paid .......................................
_ 12. Park fees paid ....................................................
13. School District fees paid ..............
- 14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16: Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
_ 18." Improvements may be required. Contact Land Development Section DPW
_ 19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
-21. Contractor's license information (No., Name Style, Classifications ...
-22. Certificate of Workmans Compensation Insurance .:................
-23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
-24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
-26.
27.
When you ' sue the perm i t, �roess as follows: Mail towner. Mail to contractor.
elephone and hold for pickup atG� office. Deliver w/inspector.
Other .,
Applicant
Date
Copy of ! .az-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone�naiI—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder a
r
Copy—DPW
RS.IDENTIAL
5-393-13 Ou-T-w bc-- 3
STEPHENS, William
852 Wisconsin St, Chico
(deck/sf,)
JOB FINALE
Signature
J=OK
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
MISCELLANEOUS
Date DECKS
CO24, CARPORTS, GA ES, (Plans)OK except #'s
1. Zon' Requirements-Setb asements
oti ils- -D Spaci ectors-Steel
ecks; qri44VZ and/or Joi ecking-Bra g -St ' -
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. g; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; thg-Roofing
11. Steps -D -Lan s
Date 41414A Card B-1 V p L. Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_
Bo xes- Enclosu res-Panelboards- 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
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'U 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
CO24, CARPORTS, GA ES, (Plans)OK except #'s
1. Zon' Requirements-Setb asements
oti ils- -D Spaci ectors-Steel
ecks; qri44VZ and/or Joi ecking-Bra g -St ' -
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. g; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; thg-Roofing
11. Steps -D -Lan s
Date 41414A Card B-1 V p L. Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_
Bo xes- Enclosu res-Panelboards- 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
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOORi(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
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-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. 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/Meth. Fastners-Bond Gas & Water
-- - -------------- -----------
-----------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
------------------------- ---'--------------------------
28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size ! / ga. •
_ Cu or AI
29. Range Circ ! ga Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ 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 -6- 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. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
----------- Sluds-Nailing. Spacing
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
tingle & Duplex)
Date J FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr, ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47'•Fireplace,Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
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. Siding -Nailing Veneer
_ 56.'Stucco Mesh'Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights- Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
-------------------------
Date Card B-1 Date _ Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
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.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
----------------
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
----------------
69. Elec. Outlets at Wood Panel; Int. & Ext.
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.E Listed for Location
76. Elec. Receptacles iip. �i (G:F.I.)-Romex Protection
-------------------------------------------
77. Insulation -Foam -Looked in Attic ❑ Yes
----------------------------------------- -
78. Guard Rails & Deck Construction -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instId.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
-----------I---------------------------
81. Stucco: Brown -Finish
------------- --
82.
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
a6. Ventilation Throughout House
----------------------------------
87.
------ -----------------87. Glass Protection
-----------------------------
88.
----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
---------------------------------Date Card B-1 Date Card B-1
-------------------------------------------- ------
Date Card B-1 Date Card B-1
-----------------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
005-393-013BUILDING
ZONIN
PERMIT Yy
OWNER
William H. Stephens
TEL PHONE
894-1185
S0. FT. OCC. BUILDING VALUATIO
108 756.00
OWNER'S MAILING ADORES
852 Wisconsin St., Chico 959
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$756.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 19-00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 94-90
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
8
SUBDIVISION NAME
Bouchers 2nd Add.
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF 9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S FG W
@ 15.00
TYPE OF WORK
New❑ Addition Remodel❑ Utilities❑ Installation❑ Other F]
Describe work: Redwood Deck
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200A TO IOOOA)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
[r 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed contract -Mobile
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.&)
OR ADDNS. l ACC. BLDGS. //
3.6Q sq.ft.
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS a)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
FIXED APPLNS. OR \
Ex. Occup. OUTLETS (RESID.) EA./
I 3.00
Temporary service
15.00
Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
j I shall not employ any person in any manner so as to become subject
r to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor �-'
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County Ot
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 ounty irl consequence of the granting of thispermit. /
X Date / '— �(
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 S
Ener Inspection Fee $
9Y P
OCC
CONT
(�
T TAL FEE $54. 0
HAz
''-
OFEES
I
F4Petf
CDF
I PARC
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte C unty Code and/or
work ' at ab a for fees
E OR PUB C
By
PE IT E INS Date
applicable provi-
resolutions to do
have been paid.
WORKS
D�ei-!�r`l�
Receipt No. 101022
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
t r -..-. •r'1�rn :r,� ,.-..r.....,..-w!. *. i(i'S`. •iY{F .��1:.-kaf?M+:a'w�"� . �f.^�"eh..���Y1 r..n�:i��y. Y. .�. • .{Is-.� .... ":rY.. y � .. .-. . .
Gam`' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
i4J PERMIT APP=EICATION'DATA SHEET �I /
Permit No.
OWNER l L L/ S% �/+� S q p ?j
Proposed Building Use a Building Inspector Date �O
At time of permit application, I was advised the following data. must be submitted prior to permit processing and/or issuance:
r DATE RECEIVED APPROVED
. A Items have been submitted. .... '.......... ........::4/.......... .
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ — �L
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .....................................
12. Park fees paid ..........................................................
cf1o� IDi ict fees paid ..............
4. Sanitation approval from ' Health Department ID
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner o, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
(Ithar
Copy of Hdz-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 te mit iss nce: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
I
1'
Contractor, designer, owner, was advised of above required data by—phone—mai I —counter by ..date
Contractor, desi ner, owner, was advised of aboverequireddata by—phone _mall—counter by date p
` �S /� y L=�� PP y ��" Date ^ /
Plan c e ed b ' -�� Date Plans approved b
Sets of plans on hold .in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541.'.
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
1
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of
.the proposed property improvement (yes or no) d= �✓-
:2) I (have/have not %� U� signed an application for a building permit
for thero osed work.
P, P
3. I have contracted with the following.person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. )I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5.' I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date /6 ?r
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
. jwer
roperty
City
Lender
Remarks
1
SKETCH ADDENDUM File 0102
;in 5T.reez Code 95928
County Butte _State CA Zip
. TIs 00t of plana and spcc.. ficationa MUST be
�iL ori thb JOb at all times asci 3.t is unlawfuil to
Inr�s�,y changes o a.Ii;e 2 io fin same without
Wrftton Permission from the D6pa^tment of PubUa
WOrrk8s CMt&of Butte.
33
Stairs
2
Kitchen
Bedroom
Dining
Area
Bath
Living
Room
Bedroom
En.
21
B Covered Porch
21
/ Residence
A e9 r2
7-3
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APPROVED
�,
i,
TO Buildinv Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
W!oNAm ��� z � �n S3 -
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Fold final for:
Water Supply
Final clearance*O.R. for: Water Supply
Clearance for bedroom mobile home. Other Iy
NOTE ***
Sanitarian Date
SKETCH- ADDENDUM File 0102
mower client William H. Ste -b _ens
roperty Address 852 Wisconsin Street State CA Zip Code 95928
:it Chico County -
ender Aity Va-L-LeV Federal Credit Union
1
stairs .
Kitchen
Dining
Area
33.5
Living
Room
En.
1.
31
stairs
12 _..
Bedroom
Covered Porch
Bath
Bedroom
3 / I
2 /i
&2
Residence
It
I'
Util.
i
10.5
Imo' •
23
5Cr7f
3 / I
2 /i
&2
Residence
It