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007-200-109
7-20-109., r HOBART DEVELOPME CO INC Caprice Way lot Chico '70ntR: Lou*-Ventur ni Permit_#76-89B,P,E,M(new.sin e mi y� _7-2.0-1 09 �ContR: Lou 7enti in .Permit#3044-89B(p do cover/SF.) .02-0.3 I4gv 007-200-109 REPRO, DA� 0� � 769 CAPRICE W AY ' C REROOF�. .r ( 6,,�61-76 PERMIT NO. 3044-89B PERMIT EXPIRES OWNER HOBART DEVE CO CONTR. owner ASSESSOR PARCEL 7-20-109 LOCATION #1 - aprice Way,, Chico Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E' Temp. Gas Service Called PG&E JOB FINALED (Date) B Signature = OK 0 = Not OK yable MOBILE HOMES - ' = Not Ready MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date D KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements .,Toning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . F tings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete !E ks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch)ood 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: / P'L"ft / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sill s-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -61 Date Card -61 Date . Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Card -131 C,Date _ Card -131 Date Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of, Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -131 Date Card -61 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -131 Date Card -61 Date Card -131 Date = VK 0 = NotOK RESIDENTIAL (Single and Duplex) - = Not Applicable = Not Ready - Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soil's-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ • /"Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Sup prt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors I 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52, Ext. Doors -One 3' -Check Garage -3rd story, 2 exitE 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air -Connector -P R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 1 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) 11 .; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. -2 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERTELEPHONE "a �� � � e- L_ clva SO. FT. OC BUILDING VALUATION OWNER'S MAILINGDRESS © s� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION ENDER C, \ T UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Ener Plan Checkin Fee Energy g $ ARCHITECT O ENGINEER'S MAI NG ADDRES 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. SUBDIVISI0 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 S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ut• lities ❑ nsttai ation ❑ Other Describe work: QQ �2 x i o Xi� �LJ . 76-6? Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.� DR ACDNS. (ACC, BLDGS. , 2/z¢sgft NEW CONSTR "ULT'-OUTLET LET NO N_RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS h\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES BL® 30 2ALO 30 Ex. Occup. OUED P TLETS (RESID )LNS REA.) 1 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 FiIIng Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said County in co se nc of the gp�nting of this per it. / /� j, f� ,2!/ X /ib�� -hhGI l0 I/L�F��IY[jC Date r Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is reuired for ova ions over 5'0" deep and demolition or construct- ion of structures over 3's to�rri/es in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE /' $ .- C? HAz AZ cuA _ PARK — SCHL FLD PAR PD HD Issu _ This permit is hereby issued under sions of the Butte County. Code and/or work indicated abov for which By Rir R UBLICD // PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p ORr{5��� a 92, ta Receipt No. -/�� WNIT!-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Depar'tdrent of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -'538 -7541 - 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) -IX 2. I (have/have not) A (�!I_ 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 �i ,RDx G�/� City iC�y Phone Contractors License No. C;� 60s � 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 -,Py ,43,o 1/4/�i city O Phone Contractors License No. d�ir1,5"/3 5. I will provide some of the work but I have contracted (hired) the following persons to provide.the work indicated: Name Address Phone Type of Work Signed: Property Owner,, Social Security Date f'14 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. i � 4 t� COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL€, CALIFQRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET // Permit No. OWNER �/o4C, A. P. No. T Proposed Building Use S��' ���1 Building Inspector Date At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing -permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... Pr-In9ec.r cit toBuildso (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner o, Mail to owner o) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ... ............................... . 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 3V3-ZVE__�/ and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above), 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-mall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 5 a � + PERMIT NO. 76-8 B P E M PERMIT EXPIRES `7 1q0 OWNER INC CONTR. Lou yenturini j ASSESSOR PARCEL 7-20-709%/ ?6"� LOCATION hico AT ,, y6 Al OFFICE COPY ,A/ ^ Address- GAS ddress GAS ' # er. y ' ELECTRICMeter By d Date x j Temp. Power Pole Called PG&E ' '/jkmp/Elec. Service Called PG&E �� L� �`L. Fs l�e�i GL✓ t Temp. Gas Service 0 /� Called PG&E JOB FINALED (Date) Signature �s = OK i 0=Not OX_ NotReaable= dyMOBILE HOMES .. MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s -Date, DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings;'Soils-Siie-Depth-Spacing-Connectors-Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; ' Posts- Bea ms-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing A. 6. Gas; Location -Test -Wrap: / P' ft. 5. Alum. Awn.; Col umns-Con nections-Splice- Decal'Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses r 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s a, ' 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -81 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -131 Date Card -131 Date • r = OK 0 = Not"OK' - _ Ni! Applicable - Not Ready • RESIDENTIAL (Single and Duplex) Date UNbERFLOOR (Plans) OK except #'s o ing-Setbacks;-Easements-Flood-Slope g., Main; Soils-Steel-Ele rnd.-//"k-P' Ftg. Deptt _ .Ftg., Garage; Soils -Steel-/ 11/" Ftg. Depth 4.,Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth S IL X�Kiternwans, Main; steel- Blockouts-Wrapped (lQ . Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. iers-Fireplace Ftg.-Steel . D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Sk Date3 Rg ?7 Card -61 Date Card -81 Date Card -81 Date Date PLU ING (Permit) OK except #'s 1 ter Ht. Vent -Access -Combustion Air -Baffle Pfv�ter Pipe; Test & Anchors -Nail Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection shower Pan; Test, First Floor -Tub Access 2 ;st Tub & Shower, 2nd Floor -Tub Access 2d. Gas Pipe; Size & Anchors Card -131 Date Card -81 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 2VfIxture & Transformer Clearance -Ins. Protection I c. Receptacles Spacing -Lights & Switches at Doors 2 ize Boxes & No. of Conductors -Stapled 2L,Fromex Installed Close to Edge of Studs & C.J. C.26)Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. 912 or Al 9 ange Circ. / / ga. Cu or - ven Circ. / / ga. Cu or AI. Insulated Neutral Yes 3 ervice-Riser Conductors & Ground -Main Disconnect 3X,,Kq uip. Clearances Panels-Motors-Mech. Equip. 32 othes Closet Light -Shower Light -Spa Light 3 Smoke Detector Card -131 /)F Date Card -131 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s A.-'Xp. Ducts Insulation & Support 356.4ent Fan; Exhaust above insulation 3 . Condensate Drain & Overflow; Size & Grade F nace-Vent; Access -Comb. Air -Return Air Vent -115 outlet &NCAttIC Access & F'iattorm it Furnace In Attic Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 3 Sig s, Proper Material & Anchors 4 • all tuds-Nailing, Spacing & Bracing—Plates-Sound 4 ring Walls over Girders & Floor Nailing efwpraft Stop in Walls (rat proof) /fire Stops; Furred Ceilings -Stairs -Chases -Tub . Header & Beam -Size & Bearing Date FRAMING 46. -flan s- Post Caps -Anchors -Connectors 4 g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfrg. ireplace Ties or Type A Flue -Fire lace Throat Clearance 4 is Access; Si ex Protectio Draft Stop -Ins. Baffles 49,13-drm. Windows or Exiting oors-Sill Hgt. & Dimensions 500'Garage Fire Protection FramingOZI -lt�o�erty Line Firewall & Openings . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits rs; Width -Headroom -Rise -Run -Landing -Fire Protection 5 ly,aaod on Roof Overhang -Attic Vents -Rafter Outriggers ig-Nailing Veneer co Mesh -Drip Screed -Fd. Vents-Underflr. Access ing Area -Glass Protection -Skylights -Plastic alls; Nailing -Bolts Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Aon Card -B1 Date f' Card -81 ate Card -131 Date ,/6- Card -B1 Date Date FI L (Plans) OK except #'s 1. Steps -Door & Sidelight Protection -Landings Smoke Detector 6 rnace; Vents -Clearance -Comb. Air -Connector; arage; Above Floor-Ducts-Mech. Protection Bedroom Exiting ! F.I. & Bath Fixtures & s- j . Elec. Trim & Subpanel; Breaker Sizes -Labels j 67. I F' eplace or Stove; Clearances -Hearth ! Else. Outlets at Wood PaneH.0� & Ext. I Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance c. Outlets & Receptacles at Kit. Counter 1A9Garaqe Fire Door; Swing-Landin CI (1114i1r. Htr.; Vents -Clearance -Comb. Air -Connector - n Garage; Above Floor-Mech. Protectio S PI , Elec. & Mech. Equip. Listed for Location I c. Receptacles in Garage; (G.F.I.)-Romex Protec. ulation-Foam-Looked in Attic ❑ Yes 1 Guard Rails & Deck Construction -Post Caps _%A -F le Door -Drainage & Wood -Earth 5LSarance Looked under Floor ❑ Yes 01*tollowinginstld.; Drive ❑ Yes t5No; Walks Xyes ❑ No; Pla ters ❑ Yes o tycco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing qxll�ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to ODeninOS. 84. onnect, Electrical, Plumbing --. rior Elec. Trim; G.F.I. Receptacle -Underground Vy"Ventilation throughout House lass Protection AW-torrectionaArom Previous 1 pections 25-11 89, as Ttsl--Meters Tagged; Ga - W%ter & Sewer Connected C/O to Grade- Approval S . Energy Compliance Certificate OtTfer Certificates 92. Roofing Certificate Card -131 () d , Dateg-11Card-131 Date Card -131 Dater -11 Card -131 Date Card-B1e(n/ Date $/,J//4, Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) Owner: —74o �Ob�l�t Permit No. ENERGY C ERT I F ICAT ION Caprice Way, Chico, CA. -7- LOCATION %"LOCATION A.P. No. ROOF Material Thickness(inches) DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass batts Brand Name Owens-Corning Thickness(inches) 3 5/8" Thermal Resistance(R Value) R13 CEILING Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R Value) Loose Fill Type FihPrglagg Brand Name nmianc-fnrninn Minimum ThicknesM(Inches) 14" Number of Bags 24z Wt. per bag 31.5 1b. Area covered(ft. )•, 1248 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB( Material \,. Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Loerke Insulation o. 499150 FI NAME/OWNER STATE CONTRACTORS LICENSE NO. _ August 3, 1989 SIG URE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM /OWNER (Please print) STATE CONTRAC OROS LICENSE NO. SIG TNS, OF (1EWA.AL, (;ONTRACTOR OWNER AT THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1934 _ - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 -- "" 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE dila Im -n OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. .dGKfCo()5 o L//�S I �/� noviDE LADDGiL (?' LGAA) O t) i' rO DIS Jpp''' Cc�M -GTE /e -E 1047S Co /L G d S — Inspector_ Date W 'd l Inspector_ Date W COUNTY OF BUTTE • . DEPARTMENT OF PUBLIC -WORKS • i 196 Memorial Way, Chico — Phone: 891-2751 . r 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. ti A routine inspection indicates that the following violations of County Ordinance exist at. the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please, ,contact this office immediately. •/1. _ oV�6te-, h.l n+ S. SE. N �Cy/Nt�C¢ VGA �rno��� 3� a Less � W �o� o� eo✓: V t 41 /4 /i — e o come w� o G O -C a/ic. a«Pss q, O b+� � � �•e - ,,,, �f �-c,.. rd o..�- • �, � � „cam n.� M Inspector 511- // - V F-'-'= � � F �u \ kk\k f{{z | «&/ \2$� (k§f ƒk»\ | � � � F �u \ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico-- Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 ; 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE �RNO. OWNER PE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. l � l ��D'Uic�e SES d� lyf�lX'Dy e.c� .Y��ayS i -el- back i ba Gk ocb-�'i a 42ig s odIt, Inspector 1'1RDate COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS DE�RMIT N • 7 County Center Drive - Orovilie, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NU BER ZO�G'.� •• BUILDING PERMIT. O 'E // TELEPHONE SQ. FT. OCC. BUILDING VALUATION NER'S M ING ADDRESS, _ �6 �Ss� - fe t ONTRACT R'S NA E 6,0 u / � TE PHONE 1- 635-Z. FFFireplace - RACTO AILING ADDRESS /,�' o S' �w C� 'CONSTAUCTION LENDERUNKNOWN � �. Da Total Valuation $ Filing Fee $ 10.00 LEN�D q'S MAILING ADDRESS C2- /Lb Permit Fee $ 00 A CHITECT OR EN 1 EER LICENSE NO. / 6� Plan Checking Fee $ r Energy Plan Checking Fee $,15 c-0 ARCHITE� T R EN INE 'S M LING DOR 55 Penalty $ BUILDING ADDRESS Permit fee , 0-0 $ PLUMBING PERMIT Filing Fee 10.00 oZ Each Trap 2.00 aa. k__0 Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 ,R -,v USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 , C -v Building sewer 5.00 .,,--�O Mobile Home S I G I W 0.00ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: B k Permit Fee $ Contractor ELECTRICAL PERMIT. Filing Fee 10.00 Main service 600V OR LESS1000 100 AMP OR LESS ., Main service EA. ADD'L 100 AMP 2.50 J, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): �am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and ymy license is in full force a d e effect. License No. �dJ Z_! Classification �'le>•- / ❑Ex. 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.EI OR ADDNS. ACC. SLOGS. , 20sgft NEW CONSTR. U '.OUTLET NON-RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR . ) Ex• OCCUp(OUTLET3 OR FIXTURES eA 030 Occup. OUTLETS FIXED P(RESID )EA.R) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. ®/'a have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 'r O-�7 Hood 3.00 3 0-10 Ventilation 3a 0 610-�t 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 sa' County in consequence of the granting of this permit. p �-(�,o Date /U s� Signature of Applicant — Owner ❑ Contractor ❑ Age ❑ An OSHA permit is required for jl1xcpyations ov '0" deep and demolition or construct- ion of structures over 3 stories if height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0 , TOTAL PERMIT FEE $ OOL Loa PARC -occup.1 copi! Is" V This permit is hereby issued under sions of the Butte County Code and/or work indicatedove for which fees 1 C OF PUBLIC I^�ry By PERMIT 16XPIRES - Date P MD 139UE the applicable provi- resolutions to do have been paid. WORKS Date a Receipt No. 7�'IV,�� WHITE-D.P.W.. YELLOW-AS3933 R O . GOLDENROD -AP LICANT D COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS —BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFQRNIA 95965,- TELEPHONE: 916/538-7541 PERMIT APPLICATION! DATA SHEET Permit No. OWNER 4- I A. P. No. Proposed Building Use Building Inspector �, Date At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans.. . 4. Complete engineered plans and calcs, with wet signature on plans... 5. Energy Design Compliance and supporting documentation ... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation kl�instructions.................... �. .....••.••••.......••••• 9. `Fees of v ........................ 170. Chico Urban Area fees paid �3 3•I• .�ir �tw ctlt.t, a ' ' ' ' ��/ 11. Park fees paid ........................................ 2. (' M i CA School District fees paid ...........::'..._. . Sanitation approval from 14 h i c- 6 Health Department C -a: ^i.2 --a. 14. City of Chico plumbing permit., ....................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... / 17 Improvements may be required. _18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required . • • . Pre- ng. In', quest t � Building.spector (Date) 2Contractor's license information'(No., Name Style, Classification) ....... . Certificate of Workmans Compensation Insurance Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. 409'Recorded copy of Agricultural Acknowledgment Statement_ .............. 24. Letter of signature authorization ...................................... 25. - 26. ^,,,co When 95� When you issue the permit, process as follows:. ;�ioncsr"' Telephone . and hold,fb`r pickup at office. Deliver W/inspector. Other y t. ' ?t"Applica Date Copy of plans sent Health Dept:, Fire Dept., Other Date The following data must be submitted prior to permit issuance: ( ircle ew item not checked above). 1. Index permit .for above items No. — �u'— / (� I•ro 2. Additional items.'required':` • /�i Si 4r .v%iA .L. 4.0I !S ; W Contractor, designer, owner, was advised of above required data by_phone_ snail_counter by date Contractor, designer, owner, was advised of above required data by_phone_maII_cqmtV by date Plans checked by Date Plans approved by 11Y Date Sets of plans on hold in File cabinet AP folder .Copy -DPW r TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance . P� its Gvo �/�---- . • nor Locate n Ar$ Plan Approved for: Sewage Disposal ._ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water.Supply Clearance for 3 bedroom -veb44-e home. Other NOTE *** _V, -W , Sanitarian_ Date TO: Building Department ' FROM: Encroachment Permit Section RE: 'Dri:veway Clearance / -7 C� —Z g/ owner location AP # Driveway permit 8 9 a 6,3 _ has been issued for the above property. numb 609 sign re date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8 9- 0 5 2 2 4 FOR RESIDENTIAL DEVELOPMENT I Section 26-8.1 of Che Butte County. Code requi.res this acknowledgement be recorded ` prior to .issuance of a building permit. ' ^ The property described herein is adjacent B9-005224 I Rec Fee 5.0.0 to land or :included within an area zoned Total 5.00 for agr:ic•.ul.tural purposes, and residents Recorded of this property may be subject to incon- Official Records venienc•es or discomfort arising from the County of use of agricultural chemicals, including, Butte TITLE CO but not limited to herbicides, pesticides, Candace J. Grubbs MIDVALLEY - and l:ert.i.lizers; and from the pursuit Recorder of agricultural operations . including, 8:00am 17 -Feb -89 RB i but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has estald ished :igrir•n Lural zones.whi.ch have as a priority use for productive agricultural purpo.ses, ;incl rvshlrnl:. within said zones and on adjacent property should be prepared to t►ccepL such i nc•irnvvii i vti,-o or disconform from normal, necessary farm operations. All. that. real property .situate in the County of Butte, State of. California, dvs(•r•ihvd :r:•: follows: PARCELS 1,2, AND 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 21,1988, IN BOOK 113 OF MAPS, AT PAGES -49,50, and 51. Date: January 18,19 89 State of. SS. County of 4"&z ) \"In7v Pre ent .P. Nu. 067'20-Q'hO-V ilotary Pubic _ . STATE OF CALIFORNIA j Iss. COUNTY,OF p • t= On_-e�L� befog me, th undersigned, a Notary Public in and for • said State, personally ap agedZ1_6_1,___/_--4_ E personally known to me (or proved to me on the a c basis of satisfactory evidence) to be the persons who executed the within instrument as ` n — ii E President awd _Sesceieq, on behalf of o . NU C o % the corporation therein named, and acknowledged to me that a OFFICIAL SEAL a v ,ddi: ti MARY R. CASECEER o y such corporation executed the within instrument pursuant to its ¢`` y U � I by-laws or a resolution of its board of directors. ® e NOTARY PUBLIC - CALIFORNIA o " BUTTE COUNTY CD WITNESS my hand and official seal. ,Foam Ny Comm. Expires Jan. 29, 1993 co N co M Signature This area for official notarial seal) END OF DOCUMEN�' On this the 1 day of , the undersigned Notary Public, personally peared bvfore nu,, personally known to me. E] Proved to me on the b;ivis of satisfactory evidence. to be the person(s) whose name(s) subscribed,to the within instrument and acknowledged th;lt _ executed the same for the purposes therein containvd. IN WI'I'Nl;tib WHEREOF, I hereunto set my hand and official seal.. i 007-200-109 Nx`02-0329 RENFRO, DAWN .769 CAPRICE,WAY CHICO REROOF ift COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754l°PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �• oT— ASSESSOR PARCEL NUMBER C07-09 ZONING BUILDING PERMIT OWNER f7 _ r � �,/ K\ Cy/a/1}';J TELEPHONE SO. FT. OCC. BUILDING VALUATION / OWNER'S MAILING DRESS C O CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS %74 / l/// Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE %' SF D Duplex ❑ Mobilehome ❑ Other SPECIFY Soler or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑�JUtilities ❑ Installation ❑ Other ❑ Describe Work:/V S �!T CL f�a/ ljt/i�• Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R UE 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.PSING 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: i 't,� 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �i! / l l %ti ^ _ Date Signature of Applicantw er ❑Contractor ❑Agent An OSHA permit is required for xcavetions over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO ,000A 46.00 NEW CONST. DW EILINO OCCUP. SO OR ADDNS. 8 ACC. BLDS. 3.50FI". INjpµp.ID. MULTI.OUTLET @7,50 8 OCR. OWELER APUTLETPARATUS Ex. Occup. OUTLET OR FIXTURES BAL O �: o FIXED APPLNS. OR Ex. Occup. GUTIFrs RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP I FLOOD I COF PARCEL PD HD I UE This permit is hereby issued under of the Butte,Pounty Code and/or indicated,auve for which W have - By PERMIT EXPIRES 4r-,�" " the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 7 Y 5 42 77 ( 7 WHITE-D.D.S.-B.D. CA A -ASSES O P K-INSP CTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION G 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 480.6 ASSESSOR PARCEL NUMBER 1 20NIN0 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S IUNG Mr, V1ITELEPHONE CONTRACTOR'S NAME CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7/�CZ4 rx /, / r Energy Plan Checking Fee $ PERMIT FEE $ ,a) LOT NO. SUBDNLS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 ZDuplex❑ Mobilehome ❑ Other SPECIFY 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 ❑1 Utilities ❑ Installation ❑ Other ❑ // Describe Work: �%I!J 7 6 �[ �S' ��/itic �;�IA Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G IW @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 OOOV OR LE S Main Service 200A 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.PSING 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: 1 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 Mein Service To 46.00so CU00A NEW CONST. DWEWNG OCCUP. WE OR ADDNS. ( 8 ACC. elnS. SO 3.5¢FT. NDN-AESID. MULTI.OUTLET @7,50 OUTLET COWELER APPARATUS 8 IR. Ex. Occup. OLmPT OR FIXTURES zo p I.00 BAL p .SO Ex. Occup. oFIxLIT,E�°TSA R o) EEn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the s' compensation provisions of section 3700 of the Labor Code, I shall efohth comply • h those provisions. Date /� �� Signature of Applicant - er ❑ Contractor ❑ Agent An OSHA permit is required for cavationsov r 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ !2f IMP FLOOD CDF PARCEL PD HD UE This permit is hereby issued under of the Butt unty Code and/or indicate ve for which f have c By PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. Date .� Date Receipt No. WHITE-D.D.S.-B.D. CA A - SSES O K -INSPECTOR GOLDENROD -APPLICANT I- �N:-'.7.1&.��:-.,r.,-1 '!.1 rT7 4 tM W 0" TI; V 4. A A?&' 7 d", _4�4 — VN ti 'X'l- J,5"YT L f, 77 ..A V-� -Y-T I!, �70 41 Vz' 7 - "2t A V MY - Ni -.1, J` 4� N, t I r�4 4 N"�, or-, f WV' J;5i, MA ��f V ii A77., �rj ki� t, .1C 7 Y� 4� tit'- J1 tj"', 4 LJ t744 1985, p 'moo o j -7-7 7_7 _71T -T F kV 00 ... .... .. ... .... Vie' 77"' !"7!" 7 777 777"7 7-'- 7 f PPA' '!.1 rT7 4 tM W 0" TI; V 4. A A?&' 7 d", _4�4 — VN ti 'X'l- J,5"YT L f, 77 ..A V-� -Y-T I!, �70 41 Vz' 7 - "2t A V MY - Ni -.1, J` 4� N, t I r�4 4 N"�, or-, f WV' J;5i, MA ��f V ii A77., �rj ki� t, .1C 7 Y� 4� tit'- J1 tj"', 4 LJ t744 1985, p 'moo o