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Home My WebLink About005-473-004'WHITE, Mitchell 1579B 1223P 2236 Elm St., Chico CEED WHITE, Mitchell M. 2795B 67- if 2236 Elm St., Chico (addition) . . ___ . 1 r- __ . - - --I 6S_ A. P. H. W. RNT HAZARDOUS EUC WIRING HAZARDOUS ��o /': EL WIRING zo> I. :� 9/9 �; 0, 2240. Elm Street, Chico 6/19/95 Permit 3485-73B (replace siding,). 447- 1 % Permit #372-82 B(inst.new.ididing on ajguest house/SF)S 0 005-473-004 P RMIT#95-1500. HENDERSON, Patricia 2240 -21 Elm St.,'Chico Clean-up Ele Hazatds/SF/�� %��-- L005-473-004 06-291 FEULI, ADAM - - -_ L __ - --- 2240 ELM ST, CHICO Cont- OWNER ELEC(METER-&_PAWF:L) 005-473-004 06-2212 FEDELI, ADAM NOTES2240 ELM ST, CHICO Cont: OWNER . • ELEQMETER & PANEL) `'saM,y� �- RESIDENTIAL APH: Permit No. Owner. Site Address: Contractor. Type of Peradt; OFFICE COPY Address • GAS Meter te-- ELECTRIC' Meter By Date �S SPECIAL CONDITIONS CIiECKED BY Q SRA O FLOOD CERTIFICATE EQUIRED O FIRE sPRmmims REQUIRED Q SPECIAL INSPECTION ITEIUIS • O VERIFY HUSE PEkW CONDITIONS SUBSTANDARD HOUSING LEITER O ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE Q DATE JOB FWALED: i SIGNATURE = OK o = Not OK MANUFACTURED HOMES MISCELLANEOUS - DATE I LiPERMANENT FOUNDATION SOFTSET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Lorin -Test; FaIUC/O-Concrete 4 Wtr, Loctn Test-Easeinent Needed -Regulator 5 Elec Lactri-CIrrics-Gmd - 'Amp -concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LPQ Inch Sz • Ft Lngth 7 Blckng; SzSpacing-Marriage Llne 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Efec MH Cntnty Test-Crossovers-Breakers-CIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr 8. Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers °� .-_DATE DECKS -COVERS -CARPORTS •GARAGE S 1 Zoning4Setbacks-Easements 2 Ftgs; SoitsSz-DpthSpacing-CnnctrsSieel 3 Decks. Girders/Jotsts-Dcldng-Brcing Stairs-DuardlHandralis 4 Wood Awn; Posts-Beams4Vas-G_nnctrsShthg• Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmn —. Sills-AnchrsStuds-Rras Tnisses 9 Siding; Nailing VengerStucco-_Lath 10 Raof, Shthg-hoofing 11 Ezt; Steps-Doors-t.andi igs 12 Braced Wall pnts �� V.0 �a DATE JPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnchts Thickness Dead Men4Jning 4 Elec Rcptcls/Lting; D-rstance-GFI 5 Elec Pool 4fing;15 volts -GR 6 Elec.Enclsrs; Conduit Entries-Tprmtnals4_isted . 7 Elec Bonding; Metal w/T-Crcltng Egp4itr 8 Elec Grndng; Eqp w/5' Crdtng Eqp-Pool Ightg Boxes-Encls;"pIboards4nsultn•to Main Conduit 9 Heaitir Dept Applin 10 •Plmb; Cir Test-Wtr Supply Test 11 Lt Niche . 12 Encisr; Fencing -Alarms 13 Banding, Diving board or Slide o mss+ dr da Pool Drawing RESIDENTIAL (Single & Duplex) DERFLOO 1 Zoning -Setbacks -Easements -Rood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg DPth 3 Ftg Garage; Soils-Steel-Elec Gmd Ftg Dpth 4 Fig PorcheslDecks; SoiLsSteel Fig Dpth 5 Stemwalis Main; Steel-Blockouts Wrapped 6 Stemwalis Garage; Steel-Blockouts Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic Ftp -Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test Anchrs-RgltrService Test 12 Elec Undrgmd 13 Plenums & Ducts; Cimc-MaterialSupport-Insultn 14 GirdersSills-Anchr Bo1LsJo'ists Vnts-Cripples 15 Acc & VntBn ' 16 Insulation a'� �� vtd elate DATE jFrRAMING 17 Sills Proper Materials & Anchrs 18 Vlialls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Wafts ovet G'u'der;B. fir Nailing 20 Draft Stop In Wails (rat Pion - 21 Fire Stops. iiirred CeiGngsStairs-Chasers Tutu :, 22 Headers & B4Egih..sSi&'Bearing' 23 Hangid -Ppis paps-Anchrs�tncins 244 Cer'Crng Joisf4U& Tles-Purls -Roof Brac TrussShthg 25 Frplc Tres or `fjlpe A Flue=Frec Throat Clrnc 26 Attic A&r Si 8¢Rfrni prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws ar Exiting Doors -Sill fit & Dimensions 28 Garage Fire Prtdri Framing -RC Channel 29 Prprty Line F'u'ewaU & Opngs' 30 Ext Doors -One 3r-6eck Gauge 3rd Story, 2 Exits 31 Stairs; Width-Hdnn-Rise-Run-L.and'nng-Fire Prtcln 32 Plywd on Roof Ovrhng-Mc Vnts-Rfir Qtitrgm 33 Siding-Nailmg Veneer - 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc 35 Glazing Area -Glass PrtdnSkyL.ts-Plastic . 36 Shear Wafts; Naffing -Bolts 37 Brace Ini/Ext Wall pnts 38 Insults Walls -Ceilings 39 Infiltration-Walls-Wndws DATE JELECTRICAL 40 Fxtr & Tmsfmtr Clrrrc-Ins Prtdn 41 Elec Rcptcls Spactng-l-ts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz a- DCU orAL AC Wire Sz ga 0 CU or AL 48 Range Ciic pa Q CU or AL Oven Circ ga Q CU orAL Insulated Neutral Dyes HNO 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cimcs pnts-Motors-Meth Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector URIC IPLUMBING 53 Wtr Htr, Vent Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtcbn 55 DWV; Test Fittings & Anchr.Nail Prfctn 56 Shwr Pan; Test, Fust fir -Tub Are 57 Test Tub & Shwr, 2nd fU - Tub Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler, Test 60 Yard Gas Piping DATE IMECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhatist abv Insulin 63 Condensate Drain & Owl1w, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnlVent 115 Outlet 65 Attic Acc & Pltfrin if Furnace In attic o•� �s} o+r Vis} DATE FINAL 66 Ext Steps -Door & Sidel-t Prtctn4andmgs 67 Smoke Detector 68 Furnace Vnts-Cimc•Comb, Air-Cnnctr In Garage; abv4lr-Ducts-Meeh Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpn% Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Cimc-Hearth 75 Elec Outlets at Wood Pnl. Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls ai Kichn Counter 78 Garage Fire Dobr, Swing -Landing -erasure 79 AC Dud In Garage -Damper. 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtdn; LPG Appince Undr House 3' drain 81 Pimb; Elec & Mech Eqp Listed for L.octn 82 Elec Rcptc4s in Garage (GFQ Romex PrtcIn 83 Insults -Foam- Looked in Attic 84 Guard Rails & Deck Cnstrcbt-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Cimc Dmge Planters Q Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnc% Elec-Plmb 89 Vnts abv Roof, Plmb.Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dsrnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcldindrgmd 92 Vntltn thru House 93 Glass Prtdn 94 Corrections from previous irispctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Appr A 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fu'e Sprinkler BUTTE COUNTY .DEPARTMENT OF DEVELOPMENT SERVICE$ BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP062212 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: 09/14/2006 APN: 005-473-004-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 2240 ELM ST CHI Date: Contractor. Map Index: escrp Description: REPAIR TO WIRES FOR METER AND PANEL OWNER-9DECLARATION I hereby arm under penalty'ty' of of perjury that I am exempt from the affirm 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: FEDELI, ADAM AND DAWN to its issuance, also requires the applicant for such permit to file a 2240 ELM ST signed statement that he or she is licensed pursuant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 commencing with Section 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 530-894-1459 violation of Section 7031.5 by any applicant for a permit subjects the to a civil penalty of not more than five hundred dollars ($500).): ,,applicant yam I, as owner of the property, or my employees with wages as their y sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: FEDELI, ADAM AND DAWN Code: The Contractors' State License Law does'nof. apply to an owner of property who builds or improves thereon, and who does 2240 ELM ST such work himself or herself or -through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for 95928 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-894-1459 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does Contractor:. not apply to an owner of property who builds or improves thereon, . and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt Article 3 f the Business an r fess' ns , ode ((under 'a b Date: Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for. by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as 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 Census Code: 1WI certify that in the performance of the work for which this permit is _. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwi comp with those provisions. a a' G Date: 11 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. � / _ j �✓f�� CONSTRUCTION LENDING AGENCY This permit ils-webylissued under the applicable provisions of the Butte County Codn anrvor _ Thereby affirm that there is a construction lending agency for the 'Resolutions — d rk indica d above`for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) 1 „ U Name: By. ate: PERMIT EXPIRES N: = / ' G Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl 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 co0nty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document o utte Co y. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:19Signature: Q Date: C� Owner Q Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP062212 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: 09/14/2006 APN: 005-473-004-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 2240 ELM ST CHI Date: Contractor: Map Index: Description: REPAIR TO WIRES FOR METER AND PANEL p OWNER -BUILDER p DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: FEDELI, ADAM AND DAWN to its issuance, also requires the applicant for such permit to file a 2240 ELM ST signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 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 530-894-1459 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: FEDELI, ADAM AND DAWN Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 2240 ELM ST such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95928 year of completion, the owner -builder will have the burden of 530-894-1459 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. not apply to an owner of property who builds or improves thereon, . and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am ExemptunderArticle 3 f the Business an r fess' ns ode Date: Q Q b Owner: - License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for. by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: E3I have and will maintain workers' compensation insurance, as 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 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwi compwith provisions. those 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. 4(s I J CONSTRUCTION LENDING'AGENCY . - - — This permit i reb issued under the applicable provisions of the Butte County Code ?nrUt,r I hereby affirm that there is a construction lending agency for the J Resolutions d rk indi d above for which fees have been paid. — - performance of the work for which this permit is issued (Sec 3097 Civ.) ) Name: -•0 By: l ate: PERMIT EXPIRES N: = / ' G Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling andr 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 coOnty and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document o utte Co y. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name:[ Signature: j e Q Date: U Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www•.buftecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last NameF ^! irsl Nqme Mailing Address 2i l S ftL�-,64_ s� CityG 1- G 0 State G!k Zip �" Phone 1 c} 5' Fax S+ Is F., FQ E-mail !} 6-- FS 8 0 A6U-'r- vSA-ca APPLICANT INFORMATION CONTRACTOR Name U'/ W-0- jFU l l•-t� Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT IGNATU X404,4 -S_ ��/_ For office use only: Zoning Property Address ZZ y 0 L S�f Flood Zone Cross Street�- A-S� Z3 SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. PVXa 1 BIN # PROJECT LOCATION SRA Property Address ZZ y 0 L S�f City ff t CO Cross Street�- A-S� Z3 SMTP 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: i57?P1k e Tt/M P )2�F_ 6t571VA' f,TE.o— &, ytA,,c� i .cr 130 X Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: c.J _;w Bldg K:\Building\WEBSITE FORMS\BldgApplSubRgmts82506.doc' Page 1 of 2 REV 8-25-06 SRA Receipt #: Sheriff �R�eec' "l I� SMTP Date: 1 l `c Other Total K:\Building\WEBSITE FORMS\BldgApplSubRgmts82506.doc' Page 1 of 2 REV 8-25-06 Ar SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, (E) Manufactured Home Support Data (form available on our website) all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs (if building in the City of Biggs). ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). If your project is located in State Responsibility Area (SRA), you are required to meet the SRA Fire Safe Requirements sheet. ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. ❑ 13. Planning Division approval for parcel check, use and parking (if required). If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. A FEE WILL BE REQUIRED AT TIME OF APPLICATION. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KABuilding\WEBSITE F0RMS\B1dgApp1SubRgmts82506.doc Page 2 of 2 REV 8-25-06 t Attention Property Owner: OWNER -BUILDER VERIFICATION 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 improvement: YES � NO [ ]. 2. I HAVE [x ] 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: c PROPERTY OWNER: / - _L4d DATE: 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 TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds OWNER -BUILDER INFORMATION Dear Property Owner: JW' 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 $500 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 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 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-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Manager, Building DivVion NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. L 7-- L7/, C :>/7 Z w6 COUNTY. OF BUTTE „�..', ' BUILDING DIVISION [APARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Croville, CA - (916) 538-7541 ` 747 Elliott Road, Paradise, CA - (916) 872-6307 ' CORRECTION NOTICE OWNER - PERMIT NO. ; A routine inspection indicates that the following violations of Butte County Ordinances exist at Z the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, x' please contact this office immediately. fi C L "1 UA L!1411IC rin 4— dA1 UiJ/I C L 61,,1 V VJ�a �.�/ �z t- 5, s v' v1 s7 3 l r Date C/r �% �' Inspector1ZC_- REV 10/92 Complainant: t Address: Phone Number: Other Comments: Building Inspector must draw a plot plan with all buildings and violations: Additional comments from Building Inspector: OVER Additional comments from Building Inspector: OVER l i' .�. ,.4„ % � Mitchell 1579B 1223P 31m St., Chico wo- 5 LIP3 , Mitchell M. 2795B elm St., Chico �} Jon) A. P. H. W. HUNT 2240 Elm Street, Chico _KSZ `lc>`7 Permit 3485-73B (replace siding dors Permit #372-82B(inst.new siding on guest house/SF I-;.0 i 3�y18'3' 005-473-004 P RMIT#95-1500 HENDERSON, Patricia 2240 EElm St., Chico Clean-up Ele Hazards/SF /�� y� HAZARDOUS ELEC WIRING 6/19/95 %e0 1. S0/jJ ws, r _ 005-473-004 PERMIT#95-1500 r v HENDERSON, Patricia 2240 z Elm St., Chico tll Clean-up Ele Hazards/SF t 1 r X x COUNTY OF BUTTE- DEPARTMENT OF DE'_ LOPMENTSERVICES- BUII:--DINGDIVIS N 7 County Center Drive_ Oroville, G&alifcrni& 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATI04" AND PERMIT ASSESSOR PARCEL NUMBER 005-47-3— 4 ZONING BUILDI G PERMIT PTltICIA HENDERSON TELE � NE SO. Fr. OCC. BUILDING VALUATION 2 " `Mhff , CHICO CA 95928 CONTRACTOR'S NAME � �/171Y�11 TELEPf ONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 2_6.00 , zz LENDER'S MAIUNG ADDRESS 1 Permit Fee $ ARCHITECT OR ENGINEER NONE UCEN* NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS �. Penalty $ BUILDINGADDRESS i 22401 E1,11 STREET. CHIM PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap -z,7.00 , • ` LOT NO. S UBDNION'S NAME PARC MAP PARMAP Solar or heat pump water heater 23.00 Water piping 15.00 USE OF STRUCTURE �x SF CX Duplex ❑ Mobilehome ❑ Other i SPECIFY Q Each gas water heater of vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK , New ❑ Addition ❑ Remodel ❑ Utilities CN Installation ❑ Other ❑ Describe Work: CLEAN UP HAZARDOUS ELECTRICAL WING — Mobile Home I S I G W 1 920.00 PERMITFEEg i $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 1 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. • f License Class Lic. No. { .� OWNER -BUILDER DECLARATION ffirm under penalty of perjury that I am exempt from the Contrac ors License p ty p 1 ry p Laa following reason: 1 hi��asowner 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( S ACC BLOS. ) sO. 3.50 FT. NEINCONST. MULTI• UTLET CONST. ( BRANCH CIRCUITS, ) NO 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @1.00 aAL 60 Ex. Occup. ( OUTLEDTs RES D.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITTEE $ ; c ; ±UULI Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:' I have and w'll maintain a certificate of consent to self -insure for workers' compensatiQ-@ .as provided for by section,13700 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 d"fwork for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections n ed not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) l9'- 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 �hwith comply wit those provisions. C �.. >\ �_ Date '� ' -1 �— Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under ttie of the Butte County Code and/or indicated above for which fees have a , By C<' - PERMITEXPIRESON 7/3 applicable provisions Resolutions to do 'work been paid. 2 r� Daate J yG� (Date) Receipt No. �! WHITE-D.D.S.-B.D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I• J ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVIS r 7 County Center Drive - Oroville, C:alifoen a 95965 -Telephone (916) 538-754 PERMIT NO. -`�-- APPLICATIC3�IAIDPERMIT - ASSESSOR PARCEL NUMBER 005-47-3-004 ZONING BUILDI G PERMIT l�,NllERSON ��I�I.A :L P7N TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWN 5 MAILING ADDRESS :r)rd ELM STREET, C ICO CA 95923 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NONEn LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2111STREET, H PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IX Installation ❑ Other ❑ Describe Work: CLEAN UP HAZARDOUS ELECTRICAL WIRING Mobile Home I S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service OOOV OR LESS ( L. OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for following reason: 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 NEW CONST. DWELLING OCCUP. OR ADDNs. ( a ACC. BLDs. ) SO. 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 SIPOWER APPARATUS ) NGLE OUTLET CIA. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .50 Ex. Occup. OUTLEEDTS P(REs16.°Ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMITFEE $ 43.00 Contractor 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 PERMITFEE $ Contractor 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 shallTOTAL 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 hwith comply wit those provisions. n r X(91_ _ Date c_� ``�_ Signature �Applic.nt- wrier ❑ Contr ctor ❑ Agent An OSHA permit is required r excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE FEE $ 43.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r� By ate ` Ile PERMITEXPIRESON Receipt No. Q c� WHITE-D.D.S.-B.D! CANA-AVASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT P rL 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 Obor and materials for construction of the proposed property improvement: YES[ 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 i 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 PROPERTY OWNER: l�Lsf\ SOCIAL SECURITY NUMBER: DATE: 016 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. 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: 0 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. 0 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 tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 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. 0 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 "ownerbuilder" 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. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER t COUNTY OF BUTTE _ BUILDING DIVISI.QN DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 ' CORRECTION NOTICE OWNER PERMIT NO. 5 A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and d be corrected. Please notify this office when correction of work is completed. If yo ve any questions pertaining to this matter, or need additional explanation, . 02 please conta is office immediately.24 Date l / f !) 7 t Inspector REV 10192 iZcrz... r &I -e c , 13C Y , 7,� ~ �� i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovillewCalifornia 95965 - Telephone 916/534-4541 APPLICATION AD PERMIT ASSESSOR PARCEL NUMBER pct ZONING 4 - Z BUILDING PERMIT OWNER ,�v �,. �T TELEPHONE ✓�: 6� yl SQ. FT. OCC. BUILDING VALUATION 3, �. s��, OWNER' �fS MAILING ADDRESS ✓ �-% � .. CONTRACTOR'S NAME 6?A" aXXte TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER R,t ;J!i UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ //I a) ARCHITECT OR ENGINEER .vvi,If_ LICENSE NO. Plan Checking Fee 1L11,41$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF lex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition, Remodel ❑ Utilities ❑ Installation❑ Other Describe work: -��/r A"'iI C / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.%) OR ADDNS. ACC. SLOGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑k 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 NON-RESID CONSTR. BRANCH CIRCUITS 2.50 ea NEW CONSTR / POWER APPARATUS 6) NON-RESID, %SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES_ 50 BAOL @1 IXED APPLNS. OR (O1 EX. OCCup.UTLETS (RESID.I EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. O I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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. X� u/ /��- Date % - �� - :r'% Signature of Applicant — Owner,Q 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 $ TOTAL PERMIT FEE $ ,462,/96 OCCUP. GROUP I TYPE OF CONST. PARCEL PD NO 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 aid. P DIRECTOR OF PUBLIC WORKS BY "/%Jz Dater` PERMIT EXPIRES' Datel-�-- 4 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V COUNTY OF BUTTE - DEP'AR'TMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californi 95965 - Telephone 916/5 -4541 -7� — 0 APPLICATIOWAND PERMIT C� ASSESSOR PkRCEL NUMBER O i ZONING —Z BUILDING PERMIT OWNER � TELEPHONE 609 SO. FT. OCC. BUILDING VALUATION d. OWNER'S MAILI ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10_00 LENDER'S MAILING ADDRESS Permit Fee $ D ARCHITECT OR ENGINEER A1_r7 44F LICENSE NO. Plan Checking Fee /V $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS di y PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME771PARCEL MAP Each pas water heater or vent 55,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition [� Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: A/s a / N�� / /�� dK/ �� 7 Alaysc00V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LES Main service 100 AMP ORS SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELING OR ADDNS. ACCLBLOGS.CCUP.y) 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness 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 CONSTR .OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR (POWER APPARATUS el NON.RESID. SINGLE OUTLET CIR, i Ex. OCCUp OUTLETS OR FIXTURES 50025 IXED APPLN5. OR Ex. OCCup.(OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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. X__-�►r'�`� /�f! �7�,�4< Date .Z�f�> t��. Signature of Applicant — Owner, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -0 ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE or CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which FTOR OF PUBLIC BY PERMIT EX a ��/46__1 the applicable provi- resolutions to do fees have been paid. WORKS — " Daft __ Receipt No. lO��(� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -- S:-..�.� .v.. .- �.r _ ,- .. _, .� _____ _ - _ w:....-.. � a�'y,:, y�-� .� � r-... �., y-�. .,x t+WY.V".r.'.^.""•+VY.,r-.,.•r..�-...�---•. �ti -. off//t COUNTY OF BUTTE - DEfPARTMENT OF.PUBLIC WORKS - BUILD,ING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, rALaFGRNIA 95965 = TELEPHONE: 916/534-454y1j Yr PERMIT APPLICATION DATA SHEE`T'� Permit No. OWNER 0 A. P. No. V%l0-2/��%G✓ Proposed Building Use Permit Fee Based Upon: Complete Contract Price - DPW Valuation Other (,Ex Iain) Building Inspector Date At time of permit application, I was advised he fol owing 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. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . �13c Contractor's License Information (no., name style, classif.) LO 14. Owner -Builder Verification (Given to ownerla/lail to owner ❑.)�-/L-;f';?,/l�% 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . ,. . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other 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)rlaS-li Applicant _-1�--�J� w%�"'t,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 Telephone Mail a By Plans checked by Date Plans approved by Date Other: Copy—DPW Date Other COUNTY OF BUTTE - Department 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) ea,, -O, 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 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 �� G� 17� N Social Security number Date��— 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 permitted to issue the permit. C S D PERMIT NUMBER - B 3455-73B a �tt f P i E i PERMIT EXPIRES !OWNER H.W. Hunt CONTR: Owner LOCATION (A.P. 46.-21-4 2240 Elm St., Chico f ' 1 f x i , f ' i Zoning Foundation _ Rgh. Plumbing Rein. Steel_ Framing Wtr. Htr. Firewall ELECTRIC Temporary _ Final DATE COUNTY OF BUTTE % Department.rt of Public Works t t., BUILDING INSPECTION RECORD -h:'-- Setback Forms Piers & Girders Fireplace Bond Beam Lath & Plaster _ Gas Piping &.Test Found. Vents Plmg. To out Rough Elec. Furnace Kitchen Vent _ Garage Vents Sanitation & Water GAS BUILDING Temporary Cert. of Occup. Final Final / REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive — OrwYiiIle, California 95965 Tel epxone:•53A-4541 APPLICATION AND PERMIT auinurIze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS ByDate�- Building permit expires Date�!� _':Y - -� BUILDING Owner -4 SQ. FT. OCC. BUILDING VALUATION Mailing Address J,en 112' Telephone No. 'S Fireplace Contractor Q Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee ' $ $ ^- Building Address .D PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — � — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 0 n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking arcelParcel Plaans�� Declaration Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 131 g.BPVons 0edd Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 1171 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 f Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater• or Space Heater 1.00 Light fixturesyal__ 6iq Receps., switches & fix outlets Zo�2.5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ®Mv I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. - 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood _ 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ G� auinurIze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of ermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS ByDate�- Building permit expires Date�!� _':Y - -� NOTE: These parcels are for assessment purposes only and may not constitute legal parcels. MUL BERRY rR. SUB. No, / M. D. R. Bk 6 Pg. 90 00. 14 60 ; a 922 It i o I 14 24 ® 10 zz I p 16 O ZLL z zy 3q 16 Ig 6 cc 19 6 X50. 3 I 0 Q zz� 36 2 O9 til 1q2 � , 22 Q Izga�C z I \ 23 ` I .22 Ac 40 39 1 24 V�. ht o n n U71 ST . 60 120 IZO 0 13 i - 14 N 16 274C 120 16 U SC 76 j1 28AC. 4.73 O 3�v 4- 6 6 0 20 13 4 ��4 y ZI 12 0 2 j0 3 u1 o zy 4, D 5 T Assessor's Map No. 05- 47 County of Butte, Calif. REVISED: 1- 95 i-- ll� \� "-�> 'v v