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HomeMy WebLinkAbout005-433-020F� 9 5-433-20 ii LE B LEY 1514 B St, o Q Contr: Leon Bap A P4rmit#3282-85B(repla steps)MH 5-433-20 U19 0 Permit#225 -6B(demolish fire dpmaged ASF) 5-433-20 CHIP 799 Cleveland, Chico Contr * CHIP � Permit#3070-86B P E S��� single amily) 005-433 01-2858 RAMIREZ, SAL., 799 CLEVELAND STS ICOo l REROOF 1 �.C' 005-433-020 06-0499!- FIGUEROA, IRMA 799 CLEVELAND AVE, CHI CONT: OWNER SIDING(STUCCO) to nedb t'�k o- �3 Bitle County Department or Development Services. e�� rE aREA T' ' C f `( 01 I E S 1 7 County Center Drive, Oroviile, CA 95965 N (53 0) 538-7601 vA, v.buttE COUniYnelidds ouN� I RESIDENTIAL . AP N: Permit No_ Owner: 005-433-020 06-0499 — FIGUEROA, IRMA Site Address: _ 799 CLEVELAND AVE, CHICO CONT: OWNER Contractor. _ SIDING(STUCCO) Type of Permit: i _ L i i t SPECIAL CONDITIONS rucrkGn av SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE l r /L r DATE JOS FINALED: T r 0 SIGNATURE: / = OK o = not un MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET DATE D E C K S`C O V E R StC A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete l 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat 0 or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors I 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing j 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs 0 Foundation 0 12 Braced Wall pnis 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI r 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit ' 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide �o c I Pool Drawing M i i r l := OK = Noi OK RES.(DENT(-AL (SIngla & Duplex) DATE_ JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks;, Soils SLeel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 25 Frpic Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 S' ng -Nailing Veneer i400Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 45 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or El AL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ ga ❑CU or 0 A Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lf-Shwr Lt -Spa Lt 52 Smoke Detector DATE PLUMBING _ 53 Wtr Htr Vent-Acc-Cmbstn Air Baffle _ 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub-Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 0 DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace VnLs-Cirnc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GF1 Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cirnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-CirncCom Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 82U�c Fn nts & Crawl Hole Door Drnge & Wood -Earth 8nge Planters ❑Yes ❑No Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous lnspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-O/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99, Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24.HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060499 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 03/03/2006 APN: 005-433-020-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 799 CLEVELAND AVE CHI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: STUCCO SIDING (1800 SQ FT) 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: FIGUEROA, IRMA 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 799 CLEVELAND AVE the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95928 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 (530) 345-2042 app cant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: FIGUEROA, IRMA owner of property who builds or improves thereon, and who does 799 CLEVELAND AVE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO CA sale. If however, the building or improvements are sold within one 9592$ year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of (530) 345-2042 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article3 of a Business and Professions Code Date: , ,3 _C Owner: xkmo7 f WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ; ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total.Square Ft: 0 S. F. Policy u: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit.is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' G� (` compensation provisions of Section 3700 of the Labor Code, I shall J' c forthwith comply with those provisions. L�V Date: 3 - 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 permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the ResoEt' ns to do work indicate above for which fees have been paid. 6 performance of the work for which this permit is issued (Sec 3097 Civ.) .3 - �, 0 gy. Date: Name: PERMIT EXPIRES ON: )-3-0,-1 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. ., I hereby certify that I have read this application, that the above informationlis 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 fo alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: C/ Date: Q'Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP060499 OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 03/03/2006 APN: 005-433-020-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 799 CLEVELAND AVE CHI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that'l am exemp( from the Description: STUCCO SIDING (1800 SID FT) 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: FIGUEROA, IRMA 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 799 CLEVELAND AVE the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95928 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 (530) 345-2042 app cant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is riot intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: FIGUEROA, IRMA owner of property who builds or improves thereon, and who does 799 CLEVELAND AVE such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA sale. If however, the building or improvements are sold within one 9592$ year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of (530) 345-2042 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does ' not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article3 of a Business and Professions Code 3 _3 Date: -06 owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: 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, 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' pl OO compensation provisions of Section 3700 of the Labor Code, l shall in LV forthwith comply with those provisions. Date: 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 permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Res�Iflnsto do workindicate above for which fees have been paid. _ performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: 3-3-06 Name: 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: %�� �� �� ©!'� Signature: f/ Date: a'Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT. APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY' OWNER INFORMATION CONTRACTOR Last Name �l lei First Name =v >�1c Address p _/ Ct City State j Zip S Phone. 3 C . ' , Fax Fax E-mail Planner -� APPLICANT SIGNATURE X �n /w For office use only: CONTRACTOR Name cis 0-c-0 f C f Address SRA City , No State Zip Phone Book Fax E-mail. Planner Lic. # Class -� APPLICANT SIGNATURE X �n /w For office use only: ARCHITECT/ENGINEER Name. cis 0-c-0 f C f Address SRA City No State Zip . Phone Book Fax E-mail Planner State License Number -� APPLICANT SIGNATURE X �n /w For office use only: APPLICANT INFORMATION Name cis 0-c-0 f C f Address SRA City No State Zp Phone Book Fax E-mail Planner -� APPLICANT SIGNATURE X �n /w For office use only: Zoning Property Address Flood Zone Cross Street SRA _Yes No Occ., Type Const. Subdivision Name Map Book Page Lot # . Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP OCoG�I�C BIN. # PROJECT LOCATION AP# 005 _. i 3 ? J ` 023. Property Address City Cross Street 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 I, kl r, Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which.a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 0. Amount: ' 29-0 Bldg SRA Receipt #:� 6.20 Sheriff �SMIP 6 Other Dater ...0%D Total OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. 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. 1. I personally plan to provide the major labor and material for construction of this proposed property imp vement: YES [ V J NO [ ]. 2. I HAVE [ ]HAVE NOT [ ] 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: PHONE: CONTRACTOR'S 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: PHONE: CONTRACTOR'S 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: DATE: 3 3 —0 6 NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is .$200 or more for the entire project and such persons are not licensed as contractors or subcontractors; then you may be an employer. o 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. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o 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 wider 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 their own employees, without a licensed 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 in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building pen -nit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 005-433-020; 01-2858 RAMIREZ, SAL 799 CLEVELAND ST, CHICO REROOF a COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION 7 Gount-y Center Drive Oroville,'California_ 95965 • Telephone (530)t538•-7541 PERMIT NO. (Rev. 12/96) APPLICATION AN® PERMIT. C, ASSESSOR PARCEL NUMBER #5 -.. 143.E ZONINo� BUILDING PERMIT OWNER a /1 r c QJd� TELEPHONE (, P r�55 A� SQ. FT. OCC. BUILDING VALUATION . OWNER'S�jMAIUNG ADDRESS ��*'y � ^�• �y �+. A��y, /�i CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ♦t �it� . f ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ • VC . . ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS � q ,(7•IC( ,�,�-C( ,.. Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNI IN+,, NAME PARCEL MAP �u�'l�.>�. PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFA'. 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 ❑ Utili_tie'sj ❑ Installation ❑ Other ❑ Describe Work: P-a-ti,}f4�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo n oa v 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, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: EI011,,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 10ooA 46.00 W NEW CONST. DwEu.ING Occup. 3.5QF° OR ( NEW CONST, nBiuL%TcoueLTDLS. ET NON-RESID, 97.50 PER APATUS &8OW1NGLE OUTLPARET CIR. Ex. Occup. OUTLET OR FIXTURES BAL 20 Q'Iao Ex. Occup. OUTLETS REWSDOERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My Workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.). FY w t - -111 certify that in the performance of the Work for Which this permit is issued, l 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 thos provisions. X i ai /t. (! C�'f' lI'a tiA 1,P _ Ir- _ Date t — _ Signature of Applicant - ❑.Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructioni9, of structures over 3 stories in height. I//By Mobile Home Installation Fee $ Energy Inspection Fee -$- OCC CONST. TYPE �� TOTAL FEE $ . d� HAZ. D. FEEsp cIMP (% FLOOD CDF PARCEL PD HD ISSUE ice' 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. g l ��L d• Date 05'-6/ PERMIT EXPIRES ON If ` Date Receipt No. _ ��5 ��® s,-.7-• C> 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR' PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. ,,(Rev. 1 2/96) APPLICATION AND PERMIT � ,�)- AA ASSESSOR PARCEL NUMBER ^ e A C_7`/- ZONIN(y� /�{['r}5� BUILDING PERMIT OWNER(f") • SO. FT. OCC. BUILDING VALUATION S y . OWNER' ILING AD ESS 6-x 55 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ i.Q ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS n S�t- - Energy Plan Checking Fee $ PERMIT FEE $ ci LOT NO. SUBDNI NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF,O;, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C l f�InD Gas piping system 1 - 5 outlets 15.001 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 R UE OOOVMain Service 20.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 full force and effect.ITN. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law ff the following reason: 9 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 sooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. S. SO NEW CONST. MULTI -OUTLET @7,50 WER APPARATUS SIPONGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES .50 BAL @ � EX. Occu . OUITT`E�DS RE�SID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 th e rovisions. C _ X CDate_ _ Signature of Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is 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 $ occ -3 coNs� TYPE V TOTAL FEE $ HAZ. D. FE MP I FLOOD I CDF PARCEL PD HD SUE This permit is hereby issued under of the Butte County Code and/or indicat above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ! QT -6 Date Receipt No. 3 WHITE-D.D.S.-B.D. CANARY-ASSESSO. PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. 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. 1. I personally plan a'provide thedor labor and materials for construction of the proposed property imp ement : YES NO ❑ 2. I HAVE n HAVE NOT ❑ 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: CONTRACTOR'S 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: CONTRACTOR'S 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: X PROPERTYOWNER. SOCIAL SECURITY NUMBER: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OBS OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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 5300 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 Governments 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 for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +1rely, Vi ira, C.B.O. ,uilding Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER /— / c let, /a h a COMPLAINANT 0.,✓1 rK.0 U 5 A7' DRESS : PHONE NUMBER: OTHER COMMENTS: IA,eq�— i COUNTY OF BUTTE. - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIC4TION,AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING 1(t BUILDING PERMIT OWNER �J�.' < ti _ s: TELEPHONE 46'_/(1941-1)/ SO. FT. OCC. BUILDING VALUATION _- '_4-i / i f�C/ o Q OWNER'S MAILING ADDRESS 15144 . �� C� �,� <. 9sCya CONTRACTOR'S NAME n t J) Ne r— TELEPHONE CONTRA-CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER A7 JY--� UNKNOWN Total Valuation is , Q a J u Filing Fee$ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ f 7. S -V ARCHITECT OR ENGINEER No -a-" LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 6 f Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑, Duplex❑ Mobilehome❑ Other Cir n .i ''uN SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work' `»_ r 1. < r.� r- ,r .. ur +: _ `I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 s„ Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 I 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 •`rs: 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLOGS. 2h QSq ft NEW CONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. 20®gOQ EX. Occup OUTLETS OR FIXTURES BAL030 FIXED Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The 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 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify .and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. r�•F f X 1. ' Date Signature of Applicant — Owner M '"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.TYPE IFLOODIPARCELI PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. /, DIRECTOR OF UBLIC WORKS / By h `%.1.r`�Lx7/ /Date ,✓ ^ �r PERMIT EXPIRES Date ./5^ e 'Ar�% r Receipt No. t!1 % WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO./ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOR AND ;PERMIT ASSESSOR PARCEL NUMBER S- _ < 3-� ., ZO I G }(` BUILDING PERMIT OWNER '� 0,1-e r 'L,i 'I e TELEPHONE z �- i � 41 v S0. FT. OCC. BUILDING VALUATION f� rGC OC�o U OWNER'S MAILING ADDRESS CONTRA TOR'S� NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is u 1--, Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 17, V6 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 Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF_�5,Duplex❑ Mobilehome❑ Other 1Jc�✓n»�I�I�ti� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation� Other ❑ Describe work: _ �^� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 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 NA I, as the owner, or my employees with wages as their sole compen- kN 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 LIN OCCUP.&\ ADDNS2yZ¢sgft oR T ( DWELG / NEw CONSTR MULTI -OUTLET NON_RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup( 2A @ 50t p OUTLETS OR FIXTURES 5L030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County consequence f the granting of this permit. X Date +J � V— ©� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ j -6 OCCUP, CONST.TYPE FLOOD PARCEL PD ND 59UE This permit is h by issued under the applicab erele provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRE UBLIC WORKS By to � d PERMIT EXPIRES Date Y '�� / Receipt No. (0 � a , . / WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Depaitm6ht` of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. i have contracted with the following person (firm) to provide the pr wed I�Ztruction: 4. Name Address Phone I plan to provi'N to coordinate, su Name Address Phone Contractors License Die: portions of this work, t I have hired the following person &,wise, and provid e major work: Contractors License No. 5. I willprovide me of the worl� persons to ovide the work i.ndic Name Address Signed: �('1 Property Owner .�J �iC9 Social Security Number Date' City t I have contracted (hired) the following 'tamed : Phone Type of Work 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. �- COUNTY OF`BU'TT'E -,DEPARTMENT OF PUBLIC WORKS, . 7'Copnly'Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT,ON AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER `y ;. a:;'� ZONING BUILDING PERMIT OWNER,,p,.�!••✓� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS f ( CON,TTyRACTOR'S IN,AME I�•. +� "_LG91- /.N+ 7 1� c f/>• �b V .' 1 M' /'C `3 %i P 1 i �Ea/gLEPHOfN/E I f I , CONTRACTOR'S�MIAI LING ADDRESS �i 3 t? ; ( •f ���/ oa.- flatJz1� Fireplace CONSTRUCTION LENDER rtAy^., UNKNOWN I Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /Ly ARC/HI,T�ECTOR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS l C Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r^ /f 11�dt'r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 0.00ea - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El Other ® Describe work: n _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �! Main' service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions t{Code and my license is in full force and effect. License No. �) " � Classification c ❑ 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 NOCCUP..) yz�sgft OR ADDS. ACG. BLDGS. / NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS &� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50 AL@ 300 FIXED ( Ex. Occup. OUTLETSRESILN 9*D,IREA./ 2.00// Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Q The permit is for $100.00 (valuation) or less. ' I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to•all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 County in consequence of the granting of this permit. `,t;-,J�f j J^ / l _ - ;� X n -� ti�':..1`�• • } r r-1'• Date r — Signature of Applicant Owner t❑ 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 $ Occu P. CONST.TYPE �FLOODIPARrELI PD HD 13SUE i l� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR, OF PUBLIC By ,MIT EXPIRES Date PER the applicable provi- resolutions to do fees have been paid. WORKS Date fel a 2 �- �/ � �—�!'"•"' Receipt No. WHITE -D. P. W., YELLOW-ASSC$50R, PINK -INSPECTOR. GOLDEN ROD -APPLICANT f•- COUNTY OF'BUTTt - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. S —�� ASSESSOR PARCEL NUMBER _ 4 3,3 - 02 0 ' ZONING BUILDING PERMIT OWNAR TELEPHONE SQ. FT. OCC. BUILDING VALUATldfi OWNER'S MAILING ADD ESS C NTRACTOR'S AM TELEPHONE % CONTRACTOR'S AILING ADDRESS CA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ /0 AR.yCAHIIT�E,vC�Ty` OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 C Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F-1Duplex❑ Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets Building sewer ffOOea�E dJ10. Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: A Y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury ) p y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professlo s Code and my license is In full force and effect. License No. Classification 1R� El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 2/4sgft NEWCONSTF ULTI.OUTLET NON .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu 20@50c Occup(OUTLETS OR FIXTURES SALO 30 Ex. OCCUp. OUTLETS FIXED P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. 00 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 County in conseque ce of the granting of this permit. _ ot r X Date—(I f Signature of Applicant — O n ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0 '- UP. CONST.TYPC IFLOODIPARCELI PO ND 59UE permit is hereby issued under ns of the Butte County Code and/or Fis rk indicated above for which DIRECT OF PUBLIC / By �f PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date (3 Receipt No. d 2 �-y WNITC-D.P.W.. YELLOW-ASeESeOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROi'EX_ ZE,tALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER XI -OV -4 J°li► Proposed Building Use Permit Fee Based Upon: Permit No. A. P. No. `/3 - 3 - ZV Complete Contract -Price DPW Valuation Other (Explain) Building Inspector Date // /`f J_ t� At time of permit application, I was advised the following data must be submitted prior to permit processing and./or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9' Letter of signature authorization. M��� 10. Sanitation approval from Health Dept. —T 11. Planning approval for (A) Use: (B) Parking: 1'\1 2. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. . econor e 17. Pre -Inspection fRequired. request to (Date) {� q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other Driveway permit &: const. approval required prior to ocaunam v When you issue the permit, process as follows: Mail to owner. _Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icannm--/`/cam Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by a Plans checked by_ Plans approved by Other Copy—DPW Telephone Mail Date Date Date Other Y CAP, 0 'o "LTJ 3282-185 (bale Brantley) 2573-86 E NO. 3070-86B, P, E,1, PERMIT EXPIRES OWNER CHIP CONTR. CHIP ASSESSOR PARCEL 5-433-20 LOCATION 799 Cleveland, Chico OFFICE COPY Address-2�O�, I GAS I Meter By Date ELECTRIC Meter By Date OFFICE COPY Address GAS p� Meter By Date1-3�/ ELECTRIC l Meter By Date Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG& E Ar JOB FINALED (Date) 5 Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k'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 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 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 Date POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 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 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 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. Cert. of Occupancy 9. Health Department Approval 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 J s OK 0 = Not OK NotApplivable RES1D,ENT!Al.(Sing4e and Duplex) Not Ready Date UN ERFLOOR (Plans) OK except#'s Date FRAMING Continued zoning requirements-Setbacks-Easements—Property Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Line Firewall.& Openings � 179: Ext. Doors -One 3' -Check Garage -3rd story, 2 exits / Ftg., Garage: Soils -Steel- / /" Ftg. Depth Width -Headroom -Rise -Run -Landing -Fire Protection Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ��D.Wtemwalls, Main; Steel-Blockouts-Wrapped-Slab. Siding -Nailing -Veneer rage; Steel-Blockouts-Wrapped-Slab -56;-- +�sco-Mesh-Drip Screed-Fdn. Vents-Underflr. Access_ 7.ce Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic .V.:Fall -Fittings -Test -2 way C/O -Sewer Test 55. Pear Walls; Nailing -Bolts 9. G ipe; Size -Anchors --- 1 ater Pipe: T -Anchors-Regulator-Service Test --1--EIec nderground 12. enums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date r% Z Card -BI Date - ll�zN�ru� / [ Card -BI Date Card -BI 75 Date'/ 1 17 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FI AL (Plans) OK except #'s Card -BI Dater^-�"Z Card -BI Date Date P MBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector '.1 Water Ht.: V_ nt-Access-Combustion Air ` Waterr`P pe; Te & c�lors-N 'I tection 1� D.W.V.: t -Ft g_s & An hors -Na rotection 17 Shewer_3an: Test, First Floor -Tub Access =Test -Tub"& Shower, 2nd Floor -Tub Access Gas Pipe. Size &__Anchors -` - - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor -Ducts -Meeh. Protection F0, Bedroom Exiting — $d/ G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 1 Fireplace or Stove; Clearances -Hearth 64.� Elec. Outlets at Wood Panel; Int. & Ext. ✓ Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit) OK except #'s ' Garage Fire Door -, Swing -Landing -Closer 69. A.C. Duct in Garage -Damper 6@. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Fixture &Transformer Clearance - Ins. Protection �. Elec. Receptacles Spacing-Lights_& Switches at Doors �P. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C. . - - -------- 11,26. Equip. Ground made up w/Mech. ns -Bo Fasteeras & ter 2 Appliance Circuits in Kitchen &Conductor Size 26.-Sebfee' -W-Tre Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 9 -------- -�\�7" rc. / a. Cu or AI - Oven Circ. / / ga. Cu or AI,ollowing .Yes - 2Bl Service -Riser trConductors & G No ound-Main Disconnect _ M Equip: Clearances: Panels-Motors-Mech. Equip._ _ !3m Clothes Closet Light -Shower Light - ---"------- ----- - ---- - Card B -I Date Card Bi Date -_- Card B -I Date Card -BI Date Plb., Elec. & Mech. Equip. Listed for Location Flet. Receptacles in Garage; (G.F.I.)-Romex Protec. 7 Insulation -Foam -Looked in Attic ❑Yes - ;Guard Rails & Deck Construction -Post Caps 1*1 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance _ El Yes �/� LooInsulatked under Floor instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Stucco; Brown -Finish . A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Flrepl.-Clearance to Opngs. 7Water Well; Disconnect, Electrical, Plumbing 8 Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilati n throughout House - 82 Glass/otection _ 8 . '.Corr coons from Previous Inspections qol. G est -Meters Tagged; Gas -Electric 8 Water & Sewer Connected -C/O to Grade -HD Approval Compliance Certificate -Other Certificates Date MECHANICAL (Permit) OK except #'s i A.C. Ducts: Insulation & Support _ _ _ _ _ 32—Tt- VeFan; Exhaust above I-nsulationEnergy 3T.7C4nY12ns\aaIe,,Drain & Overflow: Size _& Grade _ Furnace-VEht. Acc6IS'G'�dnb. Air -Return Air Vent -115V but let 35:- ntc-Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card - BI Date Card -BI Date - ------ - - ---- --- Card -BI Date Card -BI Date CDate _ Card -BI Date Card BI Date Date FRAMING(Plans) OK except #'s Com lents at Final: Sills', Proper Material & Anchors \- Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound moi• Bearing Walls over Girders & Floor Nailing Dratt Stop in Walls (rat proof) \ Fire Stops': Fur red-`nJlings-Stairs_-qChases-"NO �7 Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties - Purl in - RrCtBrac. 1_N Ss-3ht g.-Ring._-- 4¢.-6-r+eplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection Draft Stop -Ins Baffles 1f6. Bdrm. Windows ot Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing- - -___ --- - (NOTE:Anennymust be made each time you visit job site) Mlm- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 rR CT- 0 i ill � i OWNER RMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at t e above address and should be corrected. Please notify this office when crection of work is completed. If you have any question pertaining to this matter or need additional explanation, please contact this office immediately. 14 Inspector Date L/ a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whe correction of work is completed. If you have any question pertaining to this mat er, need additional explanation, please contact this office immediately. Inspector /Ii ""° Date 17/ �IY ! f ` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538=4541 747 Elliott Road, Paradise — Phone: 872-6307 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when/orrection of work is completed. If you have any question pertaining to this mat r, or need additional explanation, please contact this office immediately. wiz InspectorG2—/2— Date—7/// %caner:_ -- `7 E N E R G Y C E R T I F I C A T I O N LOCATION DESCRIPTION OF INSULATION ROOF i Material Thickness(inches) EXTERIOR WALL�— Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thicknes� (Inches) r Area covered(ft. FLOOR, ELEVATED - Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) A.P. No. Brand Name Thermal Resistance (R Value) Brand Name d "C Thermal Resistance(R Value) / Brand Name a Thermal Resistance(R Value) Brand Name d Number of Bags Wt. per bag _ lb. Thermal Resistance(R Value) Brand Name �C �- Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) �'. •I hereby certify that •the above insulnt n as installed.in the above building in conformance with the State of Cali oral Energy Requirements. BUTTAC"CLI INDUSTRIES uua Ztreet :3 3 �� STATE CONTRACTOR'S LICENSE NO. c ✓ SIG OF I STALLAT LICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATU� Or. QrNERAL C TRACTOR OWNiER DATE TIVS CERTIFICATE MUST BE ON FILE 141T11 THE BUILDING DEPARTHENT PRIOR TO FINAL c`INSPECTION APPROVAL AND A COPY SUALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS y+ 7"�N ` 7 County Center Drive - Oroville, CaliSornja 9965 - Telephone 916/534-4541 ° _ 7 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - L13-3-.2-0 ZONING 4k . BUILDING PERMIT OWNER f if h// TEGLEPHONE O 42!�F= SFT. OCC. BUILDING VALUATION D + OWNS 'S MAILIN ADDRES 30 �.b CONTRACTOR'SSNAME C A/ //0• TELEPHONE CONTRACTOR'S MAILING ADDRESS aq D Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ d� Filing Fee $ 10,00 LENDER'S MAILING ADDRESS A_jeAl,- Permit Fee $ p a 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 Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 \LOT NO. SUBDIVISION NAME PARCEL MAP - Water piping �� 5.00 cam/ Each qas water heater or vent 5.00 , dZ USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Building sewer 5.00 Mobile Home S 45.00 .00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: -73 G2a/517 Ll T —2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 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. �Bw'� _ �i License No. _ �kf/�i_{{((/( Classification a ❑ 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 OCCU �2QS OR ADONS. C ACC. BLDGS, qft _3,5,zft New CONSTR ULTI-OUTLE 2,50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS &I (SINGLE OUTLET CIR. Ex. OCCl1p�0UXED TSOR FIXTURES SAL@320@50t 20@500 Ex. Occup. OUTLETS PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heati,hg D 1,y0,2) , Cooling Hood 3.00 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal ounty ' consequ a of he granting of this permit. X Date Signature of App (cont - Owner ❑ Contractor ❑ Agent 9 An OSHA permit is required for excavations over 5'0" a g' , emolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ nj TOTAL PERMIT FEE OCDUP. CONST.TYPE FLOOD .)45 wv RC PD M 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for , which DIREOF PUBLIC CT By.Q By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date @?/_- Dat No. C2�I • 0 U WNITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPECTO R. LD DSP N� SO r ✓` d: y a. 1 .r �� Y v COUNTY OF BUTTE'- DEPARTMENT OF "PUBLIC WORKS - BUILDING DIVISION .7-66UNTY CENTER DRIVE - OROVILLE, C4-lT RN'•6A,95965 - TELEPHONE: 916534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER i // >0 / A. P. No. Proposed Building Use S� _3/69,4 A Building Inspector 11A122 Date ZO q At time of permit application, I was advised the following data must be submitted prior to permit processing a and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . Statement of Intent for Non -Heated and AC Buildings. a 8. V , • ees of $ • • • . . . F7 9. CW Letter of signature authorization. . . . . . . . . . . �7 0, Sanitation approval from Health Dept. _ 11. Planning approval for (A) Use: (B) Parking: : Certificate of Workmen's Compensation Insurance. . . . . . 11rAI& 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ), Improvements may be required. Mob ilehome Installation Data. Pre -Inspection for Required. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of Pre-Inspec. request to (Date) Building Inspector/ / t, 22. When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone 9?i-�and hold for pickup at �- 6ffice, DeliGer w/inspector,. Other Copy of plans sent Health Dept., Fire Dept., Other Date The following dafa must be submitted prior to peri.t issua (Cir le n%k. not checked above). 1. Index permit for above items No. 2. Additional items required:"' Contractor, designer, o er; Contractor, designer, o vn r, Plans checked by K Z __�— Sets of plans on ho Copy—DPW advised of above required data by_phone—nail counter by date advised of above required data by_phone_mall-cq�nter by date to /UX5 , Plans approved bye 42�._File cabinet AP folder Date A — Flours: 10:00 a.m. - 3:00 p.m. C 0 .1 u 41 .r-( E H v a C e! 6 U m 0 U C W O C4 W 0 a 6 A C 0 U .H \I0 T NI (V U G cd 0 v U on 'Aw F� STAPLE HERE �_ f ar ^ r^y MM Q co C y 0`13 1 w 0 ncn O O D R fl o a z a Ego m n O ca �z 40 O 3 9 13 h' oL� O fD n o v oz D Z n yO (DO T ., O 10 n O N ®N 77 c� > f1 0 ao ®° 0j10 to jm p S O m D 13 e � e � O rtzNCb3 5 0 F-+ (D Y ar ^ r^y MM Q co C ACD G. f1 W fD W rt a w w m 17' m n m m GL M W m • m G� R r O P T tA D z T '3 O � o rt R .'�. O. W m m G rt a r� �M n Im W 'QO iII �z rt 03 w i rt � o rr, rd G r W b m 0 O O r r �C � r D w ry CL C lD M O n m 91 ri 0`13 w fl o a z a m n O 3 D 3 9 13 oL� O e o a 12 ma�=� e roc O ®N m f1 _ ®° 0j10 to jm p O m D 13 e � e � ACD G. f1 W fD W rt a w w m 17' m n m m GL M W m • m G� R r O P T tA D z T '3 O � o rt R .'�. O. W m m G rt a r� �M n Im W 'QO iII �z rt 03 w i rt � o rr, rd G r W b m 0 O O r r �C � r D w ry CL C lD M O n m 91 RECORDING REOI o'-( eturn to DPW OQG�4�01 BUTTE CouU t y rs. ; ,,, RECCRDEW ar1=l; , 1581 .JAN -S AN to: 55 RECORDED AT REQUEST OFF OROVRIE TITLE CO. 87. 107 ` AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. - ------- ­_ ---Pages The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lots 1 and 8 in Block 6, according to that certain Map entitled "Official Map of Shuster-Rodley Addition to Chico" which map was filed in the office of the Recorder of the County of Butte, State of California, January 28, 1890 in Map Book 1 at page 63. EXCEPTING THEREFROM the Southerly 56 feet os said Lot 8. Date: December 30, 1986 State of Inty of I PROPERTY OWNERS: COMMUNITY HOUSING IMPROVEMENT PROGRAM, INC. BY: -- i Y1 iJ�Mq; - David Ferrier Assistant Director On this the day of SS. me, the undersigned Notary Public, 19 , before personally appeared L/ Personally known to me. L/ Proved to me on the basis Of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public resent A.P. No. 005-43- 3-020-0 # 138215 AND WHEN RECOR F Name Street llddrefs stay a state state L .. __ eturn to DPW OQG�4�01 BUTTE CouU t y rs. ; ,,, RECCRDEW ar1=l; , 1581 .JAN -S AN to: 55 RECORDED AT REQUEST OFF OROVRIE TITLE CO. 87. 107 ` AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. - ------- ­_ ---Pages The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Lots 1 and 8 in Block 6, according to that certain Map entitled "Official Map of Shuster-Rodley Addition to Chico" which map was filed in the office of the Recorder of the County of Butte, State of California, January 28, 1890 in Map Book 1 at page 63. EXCEPTING THEREFROM the Southerly 56 feet os said Lot 8. Date: December 30, 1986 State of Inty of I PROPERTY OWNERS: COMMUNITY HOUSING IMPROVEMENT PROGRAM, INC. BY: -- i Y1 iJ�Mq; - David Ferrier Assistant Director On this the day of SS. me, the undersigned Notary Public, 19 , before personally appeared L/ Personally known to me. L/ Proved to me on the basis Of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public resent A.P. No. 005-43- 3-020-0 # 138215 G LA V L L A f� D T. NOTE..% - AD Moteric.;ls & Worlmn Accordance with i:Q ecrc , F sae ear of a quality prescribe: or the S;, Uniform Building, Pl.9;n'„-ir a I Mect the National Electrical Cbde. I p(LAI 1-_1AC,C -Ta 6C AWAY FILoM Ho USC Fob 5' M1 W. THEN See Master Plan so i'olans. — IN IJ property lines nd a setback of 50ft. from tl,e road centerline shall, be clear of structures or ec uipment except 3`t for a 2 ft. eavgoverhang. p a er P A ILK I NUJ. C1 P � IFS i 4 + P ro P. 41!;+ loge S.F �� l rhis sat of 1: ' j j t i l (� kept on the jol make any than I 1 I I written permiss j ! We* County it S 1 &S ,7070-9" APPROVEQ- SITE PLAN LOCATION: q. G' NOTES: KEDUGE L N. P-a�r'I Coo ,�,- • AP NO- So Url4' E 1.6'1. .. 12� wi►�E 6AF-A iu w CL V) ans and specifica4ions MUST b at all times and it is unlawful ;c :s or ai' ,1 stions on same wi houi i from the Department of F f Butte. T 1 i} 1 F' 1f I j 1 � �I �s II � n25 F -f LOCA IKZ>Q CUSD # O3i i •L;E&TIFICATION OF C(jk1PLT1.",CE WITH BUTTE COUNTY ORDINA!,_ 2463 She Chico Unified School District certifies that (82me of �o-L ant) Z/2.9 IA (City) (State) .zs} has ccnplied with the require-:- ..ince 2463 regalting CI on Assessor arcel _ by the payment of fees of _b -D . ::,; ut on of a Sehvol Impact Mitigation z'.:._.... : dated J �/, X19 Oats) NuUljl _udife) .N v NOTE..% - AD Moteric.;ls & Worlmn Accordance with i:Q ecrc , F sae ear of a quality prescribe: or the S;, Uniform Building, Pl.9;n'„-ir a I Mect the National Electrical Cbde. I p(LAI 1-_1AC,C -Ta 6C AWAY FILoM Ho USC Fob 5' M1 W. THEN See Master Plan so i'olans. — IN IJ property lines nd a setback of 50ft. from tl,e road centerline shall, be clear of structures or ec uipment except 3`t for a 2 ft. eavgoverhang. p a er P A ILK I NUJ. C1 P � IFS i 4 + P ro P. 41!;+ loge S.F �� l rhis sat of 1: ' j j t i l (� kept on the jol make any than I 1 I I written permiss j ! We* County it S 1 &S ,7070-9" APPROVEQ- SITE PLAN LOCATION: q. G' NOTES: KEDUGE L N. P-a�r'I Coo ,�,- • AP NO- So Url4' E 1.6'1. .. 12� wi►�E 6AF-A iu w CL V) ans and specifica4ions MUST b at all times and it is unlawful ;c :s or ai' ,1 stions on same wi houi i from the Department of F f Butte. T 1 i} 1 F' 1f I j 1 � �I �s II � n25 F -f LOCA IKZ>Q CUSD # O3i i •L;E&TIFICATION OF C(jk1PLT1.",CE WITH BUTTE COUNTY ORDINA!,_ 2463 She Chico Unified School District certifies that (82me of �o-L ant) Z/2.9 IA (City) (State) .zs} has ccnplied with the require-:- ..ince 2463 regalting CI on Assessor arcel _ by the payment of fees of _b -D . ::,; ut on of a Sehvol Impact Mitigation z'.:._.... : dated J �/, X19 Oats) NuUljl _udife)