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007-200-077
I—SAM EVANS ,zrpv 2911, rn.l.,,�„ n.,,. - ...,. . i..v, .ziecurlC L _ LOT BLOCK sueDly. Permit��858-86E(ele ser c &sub feed — unde:rground to pump)SF & TYPE OF PERMIT NO. PLAN NO. DATE I D PERMIT -' 7� Contr: Sunslhine 'Egols ,Permit#884-86B,P,E(new swimming pool) 7- 77 / NEW OWNER RAY E. MACY �jy�t,Q Permit #_39-07_szzui- �- ,-- r ""; 77 99-2028 --------- �� ENNETH & SARRA F(� DMAN AVEKUE,CIIICO L291i OWNER 4 'ELECTRIC SERVICE REMARKS PERMIT DESIGNATION: B—BUILDING DEPARTMENT OF P—PLUMBING T—TRAILER BUILDING AND SAFETY E—ELECTRICAL U—USE PERMIT TV — RADIO -TV ANTENNA V — VARIANCE S/W—SIDEWALK NOTICE S_ SIGN PERMIT M HM—HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 77 INSPECTION RECORD BUILDING APPROVALS HW aj Z Z 0011- atro U0Z 0 U.U. J O z UJ0: w LLy 2 �W Z < K 0 WF. �J z 0 w~ 1-J Ow Fy ZIL Ow I fN �Y U0 J Om U WJ tQ7< K�j �z L QVQ J a a:a z SIG. • •DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DA`f E SIG. DATE SIG. DATE SIG. DATE SIG. DATE PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATESIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL ELM; TR CAL APPHOVAT,e PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL /MISCELLANEOUS APPROVALS PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE d }k { Fi '+^ 007-200 077 99-2028 LIND,°KENNETH & SARRA 2914 GODAAN AVENUE, CHICO COW k: 'OWNER 9-.� -zect RELOCATE ELECTRIC SERVICE 4 r X COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, CalifoTnia 95965 • Telephone (530) 538-7541PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT �9"_c� ASSESSORPIrG0.NU/" ZONING BUILDINGPERMIT OWNER•. ^. ;I fI + `� 1".� TELEPHONE 3oct SO- FT, OCC. BUILDING VALUATION OWNERS NG ADD ES . /')"� � -h, Uf d 11c CONTRACTOR'S NAME ^ n TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS /...1J 211,�,� Energy Plan Checking Fee $ V"L.(' --V PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECS Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: J( L� ^� �.� cc, ) I C •4-- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S / ti( r �L C Ll. licL( – " (• r r` ELECTRICAL PERMIT Filing Fee 20.00 aoov oR LEss Main Service zo.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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penaltyrof.perjury that I am exempt from the Contractors License Law for the following reason: ,p 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 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 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.) 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 vyith those provisions. 1- K�� Xy L: 4 r-' t� "' '; } J Date ^� f Signature of Applicaht - )if Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO I000A 46.00 7 NEW CONST. DWELLING OCCUR So OR ADDNS. ( a ACC. S.3.50Fr. NEW MULTI-OUTLETCITS @7,50 NON -REBID. T. owER APPARATus a PsINGIF ovrLFr aR. ��11 OUTLET OR FIXTURES 2L O I'50 �' -Y�Cu 6AL 0 .50 Ex. Occup. oFlxLITLtrs A=ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PAD _ ,I 3,6,,, a A) PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By , PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. /j Date `l Ara Receipt No. 2 7 Z V 6 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT X W COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT 0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NU ER _ ^ O� -L1 'l�J) ZONING BUILDING PERMIT OWNER C893- TELEPHONE 83 6 SQ. FT. OCC. BUILDING VALUATION . OWNER' G DES e��1/� _ _ _ /gyp / I1� 959 �3 IK///Yyl`/W7 Ml VZ `il tX.ti�V CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS I I , Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X 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: Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 a00V OR LESS Main Service 200A OR LESS 23.00013.1%) 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: Jia 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 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 Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of 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 fo with comply ith those provisions. — X Date %�/ Signature of Applica t - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 storiesin height. Main Service TO +000A 46.00 YOO NEW CONST. DWEWNG OCCUP. SO OR ADDNS. ( a ACc. BLDs. 3.5¢FT; "NoNa°ESID MULTI -OUTLET @7,50 POWER APPARATUs 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 @ 1:00 Ex. Occup. GFIx�E A p1EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PAS —Z c2 3.6o a34o PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 03 HAZ. I D. FEES IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been _ /� AtO4 By / Date PERMIT EXPIR I (DA) provisions to do work paid. ReceiptNo. 2%3 Yf�1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PRE -INSPECTION :REPORT OWNER: LOCATION: 1 Gtqz_ CONTRACTOR: GCVh-211 PRE-INSPETION FOR: n Q Q�� (yf� �� D IV{,G DATE TO INSPECTOR: 9 -1 // _q I Building Description: Commercial/Usage: Residential/# of Units: C)/ Currently Occupied 25' Abandoned/Vacant—ti 0 Electric: Yes 411 No Condition DATE: 13-3) -iq A.P. ZONING: k- -3 PERMIT HISTORY:( ) NONE (`-5 'AS FOLLOWS: ��} UJ'B� a& -C BUILDING INSPECTOR'S REPORT Electric currently On Off Gas: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working� ,,P� Well Working ` 4L �j 6 rxA Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector: Sketch buildings on reverse and indicate location on property: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPME1VT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: S A M4 L- A b ASSESSOR PARCEL NUMBER: 0:7- 7pb_ 0-7--2 Proposed Building Use: 2 t e-cra . cn f ,5 /,f, Building Inspector: L_ „ Date: :97/ f 4 ( At time of permit application, I was advised the following data must be submitted prior to permit.proceiaing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. --------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 1:14. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ 118. Hazardous Material Form. ------------------------------------------------------- =------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .--------- ❑ 10. Fees of $ ---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.-------------------------------------------------------. ❑ 12. California Department of Forestry plan approval/fees. ------------------------------------------------ 1113. ----------------------------------------- ❑13. Flood elevation certificate.------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. 1117. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for d(rriiv (way (co ction approval prior to occupancy). ---------------------------- >Q20. Pre -inspection for r J.._ l ( required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25 . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- R A When you issue the permit, process as follow Mail to owner, ❑Mail to contractor. �1r j1fq,< ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. q Applicant: � ,ice �/1'1 Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone', ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: 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 th major labor,and materials. for construction of the proposed .. property.improvement : YES .. NO 0 2. I HAVE F: HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the 'following person. (firm) to,provicjeproposed 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 workbut I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: ROPERTYOWNER: SOCIAL SECURITY NUMBER: 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. OVER 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 propeity 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 1.:... , s If yori plad to ddj (;ur 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: I. ' ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (includingnmaterials and other costs) is $300 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.. 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. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER n��� a 2- C-,-Oj, Y-Y\(3Ln f Kenneth & Sara Lind - n C P I 2914 Godman Ave. Chico, CA 95973 -" — MISCELLANEOUS BUILDING RECORD ADDRESS __ C;? f / d/ fm 4 // DESCRIPTION OF BUILDINGS W_7 -,R0- �1! PARCEL SHEET 4 OF 4 SHEETS Q/dg, No. Structure Size Found. Roof Wall 9 Exterior Type Cover Floor 8 Interior Defoi/ Second Story Year or Loft Built £s1. Tot. Life Yrs 1,12.., +'� �! /cfl Xao c Fes, +- Pel, coM_Sl, Cc -•.c c`d L. R. C. N. Cos>/ Cost mR. ood L N D. Cost Cosl Good 6a 17 Cos, Cosf Good L. N. D. 3 add. 4-,,..(�P cJ '' 2�4 Vo G'o'je, Fez wmoa �V,4ac� —7—*— 4h o 5 /G X.3 2 2 .,07Z ! JG A01ec,� u t nwa- 'Z14,100 / o 8 -37 s v 9oG 67 S 9,Shz� (aoa-a 61Z i���x.Ge� I�� H I - - -- / a90 /4000 I4 Jn �k( 11 fro !�.r1 Uh�p //se S 2�L.COMPUTATION C /9,f 7 -,,/ /'/yf/ Appraiser -Dote (r y 7 3(,-)- % 19 978 15317 BDL 9. 0 9 353119016 UL U BNog' Areo Cot Cos c`d L. R. C. N. Cos>/ Cost mR. ood L N D. Cost Cosl Good L. N. D Cos, Cosf Good L. N. D. 4h o o 8 -37 s v 9oG 67 S 9,Shz� (aoa-a 61Z i���x.Ge� I�� H I - - -- / a90 /4000 I4 Jn �k( 11 fro !�.r1 Uh�p Total NIS Gni �00d OGS d0 oa'o Appraiser- Dole 7-c 3% 9125 19 5;6 19 19 19 Bldg. Area No.CostGood Unit Cost % R. C. N. Un t Cost % Unit Cost % R. C. N. Unit Cost % R. C. N. d Sao O Total S of 6/io 96 /6000 All 531-H 9246 • utte LAND OF NATURAL W E A L T H AND BEAUTY �-� DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH P.O. Box 5364, Chico, CA 95927-53.64 ❑18-B County Center Drive a x40XXQ pbDdp(XWWX.Wt*)4X C 7 County Center Drive Oroville, CA 95965 ( 411 Mai Oroville, CA 95965 TEL: (916) 538-7282 TEL: (916) 891-2727 TEL (916) 538-7281 FAX: (916) 538-2165 FAX (916) 895-6512 FAX (916) 538-2140 September 19, 1996 Kenneth Lind 2914 Godman Ave. Chico, CA 95973 RE: Courtesy Notice for Permanently Inactive Well at 2914 Godman Ave.; APN 007-200-077 Dear Mr. Lind: During our inspection of the above parcel on June 5, 1996 in regards to obtaining a permit for a septic system reconstruction we were made aware of a permanently inactive well on -the above parcel. As indicated by Mr. Ray Macy, the former owner, this well had not been used during his tenure in the home (9 years) and had not even had power connected to the pump motor during that time. Section 24400 of the California Health and Safety Code requires that permanently inactive wells be abandoned under permit from our office and in accordance with Section 13800 of the State Water Code. Alternatively the well may be declared in writing to be simply inactive and be maintained in accordance with subsection (d) of section 24400. There is no fee for a well abandonment permit. There is a $76.00 fee for a special inspection to confirm proper compliance with subsection (d) requirements should you prefer to declare the well simply inactive. A copy of section 24400 including subsection (d) is enclosed for your information. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW i'� 1 Please... OUTING &REQUEST , ❑ Read To: Ad ❑ Handle ❑ Approve And... ❑ Forward ❑ Return ❑ Keep or Recycle ❑ Review with Me Fro / Post -it® 7664 ©3M 1995 Date: Kenneth Lind Page 2 September 19, 1996 obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have THIRTY (30) DAYS to voluntarily comply with -the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. If you have any questions, please contact me at the Chico office listed above between 8 and 9am, Monday through Thursday. Very tr ly, Doug F el, R.E.H.S. Division of Environmental Health .�,DF/dd/complain/lind.30d cc: Code Enforcement Building Department Planning Department/D.S. 6,atte count, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ❑ 18-B County Center Drive 1469 Humboldt Road, Suite 100❑ 7 County Center Drive Oroville, CA 95965 Chico, CA 95928 Oroville, CA 95965 TEL: (916) 538-7282 TEL: (916) 891-2727 TEL: (916) 538-7281 FAX: (916) 538-2165 FAX (916) 895-6512 FAX (916) 538-2140 Ray & Marie F. Macy Macy Family Trust 2914 Godman Ave. _ Chico, CA 95973 1 RE: Courtesy Natc-e—for Permanently Inactive Well at 2914 Godman Ave.; APN-007-200-077 `—Ir Dear Mr. & Mrs. Macy: During our inspection of the above parcel on June 5, 1996 in regards to obtaining a permit for a septic system reconstruction we were made aware of a permanently inactive well on the above parcel. As indicated by Mr. Ray Macy, this well has not been used during your tenure in the home (9 years) and has not even had power connected to the pump motor during that time. Section 24400 of the California Health and Safety Code requires that permanently inactive wells be abandoned under permit from our office and in accordance with Section 13800 of the State Water Code. Alternatively the well may be declared.in writing to be simply inactive and be maintained in accordance with subsection (d) of section 24400. There is no fee for a well abandonment permit. There is a $76.00 fee for a special inspection to confirm proper compliance with subsection (d) requirements should you prefer to declare the well simply inactive. A copy of section 24400 including subsection (d) is enclosed for your information. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means.of enforcement if voluntary compliance is not A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW 11 Ray & Marie F. Macy Page 2 June 12, 1996 obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have THIRTY (30) DAYS to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. If you have any questions, please contact me at the Chico office listed above between 8 and 9am, Monday through Thursday. Very trul Doug Foge , R.E.H.S. Division of Environmental Health DF/dd/complain/macy.30d CC: Code Enforcement L�ilding Department Planning Department/D.S. Kenneth Lind, 2914 Godman Ave., Chico CA 95973 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party to this cause. I am employed in the County where the mailing occurred. My business address is 1469 Humboldt Road, Chico, California. I served the foregoing INACTIVE WELL VIOLATION NOTICE by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid on June 13, 1996, and addressed as follows: Ray & Marie F. Macy Macy Family Trust 2914 Godman Ave. Chico, CA 95973 I declare under penalty of perjury under the laws of -the State of California that the foregoing is true and correct and that this declaration,'in the City of Chico, CA was executed on: June 13, 1996 Date .� u ,"y, _ ;'-J'�'l; .7Yin- � x ��'� , T:�� .✓S�-C � � :F w. � :,�,w... 3�� .�. 7 4...n,� a-.. .. � ;d 2..y d`Yv1.,G-�r"�a�,-,—�, ��-.,,J �"`.: L.Y`'%.�71a "';� _ w .,-t-� �;,-+i-ic vvcJ`,< s., ., ��� . � ' GG//�/ � '31 �'� / v �„ ' to v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ( PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754I� APPLICATION" AND PERMIT / ASSESSOR PARCEL' NUMBER ^ n • ZONING /7 �T/ t BUILDtt4 PERMIT OWNER �r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ✓ �'�l ' 71 CONTRACTOR'S NAME// TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace f� CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 9 5/, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ Permit fee $ r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 { , i Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I hO.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �- • �/ ri ' ' -�" Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 r �. Ma'n service 600V OR LESS d 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Q� 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 OCCUP.si) '/z2sgft OR ADDNS. ACC. BLDGS. I NEW CONSTR. TI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS eI SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES DA 50 FIXED APPLN5. OR Ex. Occup. OUTLETS (RESID.) EAJ 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 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. 1 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 inconsequence of the granting of this permit. X Date Signature of Applicant - Owner E] 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 $ l TOTAL PERMIT FEE $ J OCCUP. CONST.TYPL SCHOOL FLOOD PARCEL PII I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC L� By �� ' A " .. / PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date , Receipt No. .� / WNITE-D.P.W.. YELLOW-ASSESSOK, PINK -INSPECTOR. GOLDENROD-AP►LI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL NUMBSZONING BUILDW PERMIT OWNER TEL PHOGN SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LING DRESS / CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is _ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oc� 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home IS I G In O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ins allation❑ Other ❑ Describe work: ��� (.flPli!J��� I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 10.00 I00 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. + )cense No. Classification I, as the owner, or my employees with wages as t eir sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Q 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 OCCUP.a\ y2¢sQft NEW CONST. DWELLING OR ADDNS. ACC. BLOGS. / NEW CONSTRMULTI-OUTLET2,50 ea NON.RESID BRANCH CIRC TS POWER APPARATUS a` (SINGLE OUTLET CIR. / Ex. Occu p OUTLETS OR FIXTURES 5AL0AL030 FIXED APPLNS. OR EX. QCCUp. OUTLETS (RESID.) EA.Y 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 f Consent to Self -Insure. II 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 agains County j�,co u ce of the granting of this permit. 4_i �a�� �f,. � Date Signature of A plicant — 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 L9-0 Occup, CONST.TYP[ SCHOOL I FLOOD PARCEL I PD ND Is uE 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. DIRE�CTj�i OF PUBLIC WORKS � B/��L Date — PERMIT EXPIRES Date Receipt No. WHIT[-D.P.W., YELLOW-Aee E330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - �DepaYtment 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) -� S 2. I (have/have not) `� �f-� 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 Social Sec ri y 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 per- mitted to issue the permit. 112 f317 PERMIT NO. 884-86B, P, E PERMIT EXPIRES OWNER SAM EVANS CONTR. Sunshine Pools ASSESSOR PARCEL 7-20-77 F LOCATION 2914 Godman Ave, Chico a Temp. Power Pole Called PG&E Temp. Elec Called Temp. Gas Called JOB FINAL Signatt -J = OK O = Not OK - = Not Applicable * = Not Ready O MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.: Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date PO S (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line -- ^— Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector of Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4V lec.: Receptacles and Lighting; Distances-GFI ?Elec.; 5. Drain; MH Test -Fall -Flex Connector Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector ,Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval V lec.: Bonding: Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged Elec.: Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. /Boxes- Enc losures-PaneIboards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Fid ealth Department Approval Card B -I Date Card -BI Date Plumb; Cir. Test -Water Supply Test Card -BI �� Date Card -BI Date Card B -I Date Card -BI Date Card -BI >gDate V Card -BI Date _. 'k J = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAE'(Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ _16.. 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim '& Subpanel; Breaker Sizes -Labels 19. Gas Pipe: Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL(Permit) OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Connector-P.R.V.- Wtr.�arage; Above Floor-Mech. Protect -ion Vents -Clearance -Comb. Air -ion In,G _ 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70, pjb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ____ 27. 28. Range Circ. / / gra. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ,-,Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. 76. Following instld.: Drive ❑ Yes E] No; Walks El Yes E) No; Planters ❑Yes ❑No Stucco; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - Card B -I Card B -I _ _39. Clothes Closet Light -Shower Light - - ------ - Date Card -BI Date -__ Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -T _ Card -BI Card -BI 3..- 132. 33. 34. 35. A.C. Ducts_ Insulation & Support -- - Vent Fan: Exhaust above Insulation _ - _ _ Condensate Drain & Overflow; Size &_Grade Furnace -Vent; Access -Comb. Air -Return Air Vent_ -_115V outlet Attic Access & Platform if Furnace in Attic - Date Card -BI _ Date Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, - Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 3_6. Sills; Proper Material & Anchors _ _ 37. Walls: Studs -Nailing, Spacing_ & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor-Nailing.- loorNailing_39. Draft Stop in Walls (rat proof) 39. 40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size &Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing Comments at Final: _ (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P R IT NO.� -`� 7 County Center Drive - Oroville, CajifZ)rnla 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER � ._, ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION o 60 �C OWNER'S MAILING ADDRESS Ctio Ght c CONTRACTOR'S NAME TELEPHONE CONTRACTOR S MAILING ADDRESS 4 ' fQ s kawj Fireplace CONSTRUCTION LENDER NpM UNKNOWN Total Valuation $ Coo, FilingFee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ 6 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ �Si 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ C7, 5-0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 S% 0o Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Ar -01 SPECIFY--FMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home I S G W 10.00 ea TYPE OF WORK Newo Addition[] Remodeltilities❑ Installation❑ Other ❑ Describe work:n_ r? . "' Permit Fee $ ,pry Contractor ELECTRICAL PERMIT Filing Fee 10.00 `-! w Main service 600V 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 BuslneSS and Professions Code a.Vd my license is in full force and effect. 35725, �� �3 License No. Classification El1, 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.0 , ) �z¢sgft = New DONSTR� A ULTI OUTLET NON-RESID BRANCH CIRC TS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET cIR. EX. Occup(OUTLETS OR FIXTURES 20030t eALe3o FIXED APPLNS Ex. Occup. OUTLETS ((RESID )REA.) 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 p o Cl /S:00 Permit Fee $ 2.5,00 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. I shall not employ any person in any manner so as to become subject 744 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 I $ 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 aga)ns said County in ronsequence of the granting of this permit. / X�/�"�. Date 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 $ q-sp OCCuP. CONST.T7 I FLQoy j/ PARC L HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By QDate PEOT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS V-7-1-9� Cts Z1- a 7 F Receipt No. Sa5gy WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY -OF BUTTE - DEPARTMENTT&,=,i'PUBLIC WORKS - BUILDING DIVISION �i 7 COUNTY CENTER DRIVE - ORO-,V.ILLE-,, AL-f1=O'iNIA 95965 - TELEPHONE: 9165.34i1-4541 PERMIT APPLICATION DATA SHEET Permit No. A. P. No. Proposed Building Use Poy 7' Permit Fee Based Upon: ✓ Complete Contract Price DPW Valuation r (� (� Other (Explain) Building Inspector �1 , `w�— Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 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. . . . . . . . 7ZW. Sanitation approval from Gh%C.0 Health Dept. . . �o 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner-Builder.V66fication (Given to owner❑, Mail to owner ❑) r t 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . • .* ' 17. Pre -Ins eetion for Required- . . Pre-Inspec. request to (Dote) p q Building Inspector 18. Recorded coriyewariculerkntenaStatement . 19. Other DY permit (const. approval required ired prior to occu>Dincy ) When you issue the permit, process as follows: Mail to owner. ✓ Mail to contractDr. Telephone and hold for pickup at office. Deliver w/inspector. Other �C G Applicant 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 t Tje of application, circle item.) 1. Index permit for above Items No. Aq 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by V--Date4cl/b Plans approved by Date Other: Copy -DPW TO: -Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance EZcd-6zs a9iy 6,a, ,., ?-Zo-77 Owner Location AP# Plan approved for: sewage disposal water supply Hold final for: water sunnly Final clearance O.K. for: water supply .V . Clearance for bedroom mohile home. Other Note***, y -z1 -P( Sanitarian [late 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIA AND PERMIT ASSESSOR PAfRCEL NUMBER i I ZONING BUILDING PE MIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER i UNKNOWN Total Valuation $ .1 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ i BUILDING ADDRESS ��; rn� C• PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 14 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer/ 5.00 Mobile Homey S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: `• ��' = Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESSl 100 AMP OR LESS 10.00 M Main service EA. ADD'L 100 AP 2.50 NEW CONST.(DWELLING OCC.UP.& OR ADDNS. ACC. BLOGS./ 1 220sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions_ Code and m license is in full force and effect. y License No. , ',, • i 1 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 MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW NON-RESID. CONSTR SINGLE'OUTLET CIRPOWER APPARATUS ,& ' ( ZU050C OR FIXTURES eAL090 Ex. Occup(o XED TED FIXA PPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary.service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Heating / / Cooling Hood 3.00 Ventilation 1-11 1 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. X+ Date 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califgrnia 95965 - Telephone 916/534-4541 APPLICATIONAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 4 4-38-77 ZONING BUILDING PERMIT OWNER Sam Evans TELEPHONE 345-1179 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 2914 Godman Ave. Chico, CA 95926 37 sure Composition re -roof CONTRACTOR'S NAME FOUR COUNTIES ROOFING CO. TELEPHONE 343-1416 CONTRACTOR'S MAILING ADDRESS 1 060 Marauder St., Chico, CA 95926 Fireplace CONS RUACTION LENDER UNKNOWN Total Valuation $ 203 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 40.00 BUILDING ADDRESS 2914 Godman Ave., Chico, CA PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater vent 5.00 Gas piping systemX- 5 outlets 5.00 USE OF STRUCTURE SF[R Duplex❑ Mobilehome❑ Other SPECIFY Building sewer, --*,5.00 Mobile Hom S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Re-foof - Composition Permif Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 Amy,00'2.50 NEW CONST. DWELLING OP.& t OR ADDNS. ACC. BLDGS.C 220sgIt 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. 275945 License No. Classification C-39 ❑ 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 u TI.OU ET 2.50 ea NON.RESID BRANCH IRC TS NEWCONSTR. POWER PPPARATUS &' NON .RESID. (SINGL5nUTLET CIR. a® Ex. Occup( TS OR FIXTURES BiL030 FU EX. Occup. TS (RESI OI T EP0.) )RE A.) 2.00 Temporary ervice 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof 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 paiou in o sequence of the granting of this permit. ` X �"�� Date 10/24/83 Signature `oApplicant - 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 $ TOTAL PERMIT FEE $ 40.00 OCCUP. GROUP I TYPE OF CONST, JPARCFLJ PD ND ssuE 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. -TOR OF PUBLIC WORKS _ Date y /�,7/�, n //.� PERMIT EXPIRES D to / L/ �/�✓ ^ �� Receipt No. 6ys3a � WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Q vim;✓ OFFICE COPY Address GAS- Date_ Meter By tiC 7�! ELECTRIC Date Meter BY . } t Q vim;✓ OFFICE COPY Address GAS- Date_ Meter By tiC 7�! ELECTRIC Date Meter BY COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION kND PERMIT PERMIl01 ASSESSOR PARCEL NUMBER -7 -7 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S 'lMAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS , /,-, r ) /.L•r., % A Fireplace CONSTRUCTION LENDER J UNKNOWN Total Valuation Is Filing Fee $ 10_00 LENDER's MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER r�, 1 t •_ ` LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS '7 C.1 r V 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 &I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: )r < —, ... , - _ 1•. ,-.. _ a •t �-:'y „ A f > n __ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 i Main service 100V OR LESS 100 AMP OR LESS 10.00 i(]- {;{, Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code rand my license is in full force and effect. '� i-. 1 eil ► J, License No. Classification License ❑ t, 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) ❑ 1, 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.S , OR ADDNS. ACC. BLOGS. ) �z2SQft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea ) AQWER APPq.RATUS tr \A, GI�� OUTLET CIR. ) EX. OCC p( OUTLETS OR FIXTURES ZAL@3 t 1.20050t FIXED APPLNS. Ex. Occup. OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 cJ- 71 - -for 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 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. 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-said`County in consequence of the granting of this permit. X �,y4 01 i- _� '_ Date 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 $ -7 s, .'a OCCUP. CONST.TYPE FLOOD PARCEL I P11 HD 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS l� Date Receipt No. WHITE-D.P.W.. YELLOW-ASaESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT •v'f/I11 �_ •• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ERMIT NO. ASSESSOR PARCEL NUMBER 7 -- QX__) —7 7 ZONING BUILDING PERMIT OWNER \A TELEPHONE ,SQA FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Ght �� CONTRAC OR'S NAME L - ��4_" c TELEPHONE y -araY CONTRACTOR'S MAILING ADDRESS ,v &.r (,`1C_Z> Fireplace CONSTRU TT IIJONN� LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9/ 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 &L Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remoodel ❑ Utilities ❑ Ilnstallation❑ Other ❑ Describe work: fElr_r1-F• SMru,c.e, G�' nu. ,4 �. _ `k Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10 00 . (.3 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Ci �D License No�,�i�36 r Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ACDNS. (ACC. BLDGS. �z2sgft NEW CONST R. MULTI—OUTLET ON.ID BRANCH CIRC ITS 2.50 ea R RATUS e ( G ET CIR. ) , Ou EX. OCC p(OUTLETS OR FIXTURES .AL @500 eALeao Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 CPO /3.0. /$,UO Permit Fee $ 72, TO 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 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 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, Judcments, costs, and expenses which may in any way accrue again ai C y in c sequence of the granting of this permit. X Date /� _/' _/ Signature of Applicant — Owner ❑ Contractor E' 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 $ 7a r1-0 Occup. CONST.TYPE —]—FLOOD PARCEL Pa ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR CTOR OF UBLIC ?e-- BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Date / Receipt No. � S G WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT f' COUNTY OF BUTTE - DEPARTMENT��,�FrPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL`E,CALIF`*ORNIA 95965 - TELEPHONE: 916/534-4541 NI�1 PERMIT APPLICATION DATA SHEET Permit No. OWNER Sa,V-, G-11CAs A. P. No. -7 Proposed Building Use t 4 Permit Fee Based Upon:. !Complete Contract Price �-� DPW Valuation ./ `\ Other (Explain) Building InspectorC`� �l �J Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. 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. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. 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. . . . . . . . . --9-Re uired,.Pre-Ins ec. requestorto 7. Pre-Inspection for i,c-Grrc. pb coat p �% �l Building Inspector 18. Recorded cgpy of Agricultural Acknowledgment Statement . . . _ 19. Other Driveway permit (constapproval required prior fn nenLlpanc When you issue the permit, process as follows: Mail to owner. V..o Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant 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.j 1. Index permit for above Items No. 2. Additional items required: /r (Contractor, Designer, Owner) was advised of above required data by TelephonyMail Other By Date Plans checked by Date Plans approved by Date Other: f Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION. AND PERMIT PERMIT NO. -ASMOMSOR PARCEL NUMBER f'" • — 7 ZONING BUILDING PERMIT OWNER 50 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS w•u'V G h t J CONTRAC OR'S NAME r'54" �1. TEL EPHONE CONTRACTOR'S MAILING ADDRESS 'S All«� Fireplace C ONSTRU TION LENDER UNKNOWN C Total Valuation $ i LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 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 &L Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Horne I S I G JW 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lat' ther ❑ Describe work: FI Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000V OR o AMP ORSLESS 10.00 G CONTRACTORS LICN EAW I declare under penalty of perjury (check o e : Ivy I am licensed under I�I provisions o hapt. 9, Div. 3 f he Business and Professions Co/dde hand my Iii a se is in full and effect. License No4,mL_r Classification ❑ I, as the owner, or my employees with wa s as their sole compen- sation, will do the work,and the structur is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclus'vely c n sting with licensed contract- ors. (Sec. 704 4) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCC UP.� , OR ADONS. ACC. BLDGS. 2/20sgft NEW CONSTR. I.OUTL •T ON.RESID BRANCH CIRCUITS) 2.50 ea R ATUS G ERT CIR.ek D , C7v EX. OCC p(OUTLETS OR FIXTURES eA 030 FIXED APLNS. Ex. OCCUp. OUTLETS (PRESID.)REA) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 p", u /5-, Loo Permit Fee $ 72,20 WOR E ENSATION INSURANCE I declare under penal f p r (check one): ❑ The permit i f r $1 0 (valuation) or less. I have a on fi with the County of Butte Building Department a Certi kmen's Compensation Insurance or a Certificate of Cons t elf -Insure. ❑ I shall n mploy any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstOCcuP. all IlabiIitie ju ments, costs, and expenses which may in any way accrue in agaai C' y In c sequence of the granting of this permit. - Date /Q:/� Signature o Applicdht — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep -nd demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 7a .5C) CONST.TYPc 1111-0011 PARCCL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC AIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WN1T6'-o.P.W.. YELLOW-AS"350R. Plies . SPr CTOn. 0W. arNry0D-!.P9*L1 CANT ��"� ItiP11 .... .. 14 OR: & 4 SO 6c Ll 00 Us I, we if ro nes. R1 sok f ram tha'romd ih'40 ... U11ftresar equip ang4. MUST' t koo oh at- fai r, Bliffo WOOO ;ftft Nil NU , 0099,�: EPARTM 114 4 SUitt17 1 I lit �r, '14 iT ji�� 4 17, tO, I 4T it - If'' 1:,;, A Ml l le j 0' 7 tij �IJ EL OtAw 41 UZ� 0111� AP P 1`4R a oo.' J1 WIT", f jil 7. L I . . . . . . . . . . RINAT 4, too *06�%j w ,i Ix" -film, 7�7 W Ei &600M K OY ft� 7, 1 O� Es liln (10; kt A: I . . . . . . . . . . . ...... 44 T", A ptit :711 -if _,s 01� 0 P )c I JP 1 0020" L`,i' #057" 'v IN- o W "f"