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I 7-20-4-11 FOREST B. YOUNG 795,Caprice Way, lot 1. Chico ContR: Lou Venturnini Permit#73--89B,P,E,,II4(new- single ami y) ContR: L V Plbg Permit#2.632-89P(gas ser!:: 7-20-111 ContR: Pioneer Electric Permit#2666-89E(elec ser ch) 7-20-111 tPermit#3099 89B(patio cover -)S Q �C ��;!ol 73-89. 3099-89B PERMIT NO. PERMIT EXPIRES �w OWNER FOREST.B. YOUNG CONTR. owner ASSESSOR PARCEL 7-20-111 LOCATION 795 Caprice'.Way, Chico Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Celled PG&E JOB FINALED (Date) Signature = OK - 0=Not OK ' = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date CKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s oning Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete QeWWood ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ' 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / PV ft. / /"Nat. or/ PV ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 4, Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 49. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -61 Date W. Roof; Shthg-Roofing Card -131 Date Card -131 Date -1111. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Card -131 j5gA Date2-A Card -B1 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 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 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -B1 Date Card -131 Date OK 0 = NotRESIDENTIAL (Single and Duplex) - = Not Applicable ' = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning-Setbacks;-Easements-Flood-Slope 45. Hangers-Post Caps-Anchors-Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue-Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils-Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors-Sill Hgt. & Dimensions •6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel-Wrapped 51. Property Line Firewall & Openings 8. Piers-Fireplace Ftg.-Steel 52. Ext. Doors-One T-Check Garage-3rd story, 2 exits 9. D.W.V.; Fall-Fittings-Test-2 way C/O-Sewer Test 53. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 10. Gas Pipe; Size-Anchors 54. Plywood on Roof Overhang-Attic Vents-Rafter Outriggers 11. Water Pipe; Test-Anchors-Regulator-Service Test 55. Siding-Nailing Veneer 12. Electric; Underground 56. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area-Glass Protection-Skylights-Plastic 14. Girders-Sills-Anchor Bolts-Joists-Vents-Cripples 58. Shear Walls; Nailing-Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card-131 Date Card-131 Date Card-131. Date Card-B1 Date Card-B1 Date Card-B1 Date C A-01 D t 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 -61 Date Card -B1 Date Card -B1 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 -B1 Date Card -B1 Date Card -B1 Date Card -B1 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 -B1 Date Card -81 Date Card -B1 Date Card -81 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 ar - a e 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-Mech. 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 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8i. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepi.-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 gi. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: COUNTY OF BUTTE. -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT ag max' ASSESSOR PARCEL NUMBER ZONI BUILDING PERMIT OWNER ;2;14.. 40 V TELEPHONE SO. FT. OCC. BUI DING VALUATION OWrJ R'S MAILINGADD ES, CONTRACTOR'S NAYE t t TELEPHONE CONT ACTOR'S MAILING ADDRESS o Fireplace O STAUCTION LENDER M UNKNOWN Total Valuation $ Filing Fee $ 10.QP LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT O ENGINEER U/ LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR E INEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME 0co -& P RCEL MAP /y —44'3 Water piping 5.00 Each qas water heater or vent 5.00 USIE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑Otherd&0 - L 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 ❑ Additiona RernodelF Utilities ❑ Installation❑ Other 00 Describe work: . Y, 40 �i , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee . 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): " am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In f Il force and effect.SINGLE r License No3 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) 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.d OR ADDNS. ACC. BLDGS. , 2/20sgft NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 2AL@30 eAL030 Ex. OCCup. OUTLETS (RESID )REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): h❑ The permit is for $100.00 (valuation) or less.- - ave 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 becomesubject 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 Hood 3.00 Ventilation. Permit Fee E 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 liabili1j'es,r1lodgments, costs, and expenses which may in any way accrue a Id C ty in rc�equen e granting of thi ermit L X Dat Signature of Applicant — ner Canrra or ❑ Agent An OSHA permit is require or ex. ovations ove 5'0" deep and demolition or construct- n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE % TOTAL FEE $ S HAz EUA PARK sc_� FFD PAR PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above f r whi fees D TO OF LIC By PERMIT dXPIRES Date the applicable provi- resolutions to do have been paid. WORKS D No. rReceipi 77-1 ZTL NI TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ^'^"" mss_ •r. . ..,,,,. .•,--•-a{y. +. w, .`-�.r.y... .�.. rr'"a' .r- ".f• -.r Vii. �� .�_ � ..r.. e;y....r.,. --, �.♦ ♦wr^-il:e-.:..t.. •��ti... y,t.s .. Yxti: .O COUNTY OF BUTTE - DEPARTIVIENT.O,E PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILft, CALIF6RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET (,/ Permit No. OWNER l.`9J--1 S A. P..No. _ 72- 3o Proposed Building Use Oe- C_ -Building Inspector CSN Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: S 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 ...... Building eInspectort to (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 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 and and hold for pickup at Ci-G'l.office. Deliver w/inspector. Other Applicant�Date r 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_—nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by 5. Date 9—// File cabinet AP folder COUNTY OF BUTTE - Department of.Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property.Owner: _. An 'owner -builder" building permit has been applied for in your name and bearing your signature. 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 Signed: A. Property Owner Social SecunSit Number Date LPA /_ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. y This verification must be completed and returned to our office before we are per- mitted to issue the permit. the proposed property improvement (yes or no) /IXC 2. ,I (have/have not.) signed an application for a building permit for the proposed work.. 3. I have contracted with the following person (firm) to provide the proposed construction: / Name Address %RCity /w Phone Contractors License No. rc 60 15-1-5 4. ,I plan to provide .portions of this work, but I have hired the following person a to coordinate, supervise, and provide the major work: Name Address ax City ��,�y 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: A. Property Owner Social SecunSit Number Date LPA /_ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. y This verification must be completed and returned to our office before we are per- mitted to issue the permit. �l a'lv f /) Af -ZC., fii,ra'S'�c,s ASSESSOR PARCEL 72-3O-1 11 LOCATION 795 Caprice Wa y , IOt j, �� Coif 1M.ov�ew+ari.6, ��n !w. OFFICE COPY I i ! I Address f G Meter y ELECTRIC Meter By� DateA� ti .Y= Y, ,G Temp. Power Pole Called PG&E Elec. Service / Called PG&E d(/ 4 �N�Gj 0�/c Temp. Gas Service Called PG&E O (4 tltJ 0,V ; JOB FINALED (Date) Signature �'✓ PERMIT -,NO. — PERMIT EXPIRES OWNER FOREST R ynijNC CONTR. Lon VanturiR1 ASSESSOR PARCEL 72-3O-1 11 LOCATION 795 Caprice Wa y , IOt j, �� Coif 1M.ov�ew+ari.6, ��n !w. OFFICE COPY I i ! I Address f G Meter y ELECTRIC Meter By� DateA� ti .Y= Y, ,G Temp. Power Pole Called PG&E Elec. Service / Called PG&E d(/ 4 �N�Gj 0�/c Temp. Gas Service Called PG&E O (4 tltJ 0,V ; JOB FINALED (Date) Signature = OK 0 = Not OK = Not Readyable MOBILE HOMES e7_ , . •! ,',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 -Size -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.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ P'L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -131 Date 10. Roof; Shthg-Roofing Card -61 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 -81 Date Card -B1 Date 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 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 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 -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date I 0 = Not Ap Appli RESIDENTIAL (Single and Duplex) r - =Not cable `Algt Ready Q d� Date U RFLOOR (Plans) OK except #'s fid, Date FRAMING (Continued) Zon' -Setbacks;-Easements-Flood-Slope 4 . angers -Post Caps -Anchors -Connectors tg_.Main; S t -Elec -/ /"y/" Ftg. Depth 4 Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3 g., G rage; s -S -/ ji-/" Ftg. Depth 4 ireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Porches &Decks; Soils -Steel-/ /"Ftg. Depth 4 ttic Access; Size ome rotection-Draft Stop -Ins. Baffles Stemwalls, Main; Steel- Blockouts-Wrapped 4 rm. Windows or E011V-boors-Sill Hgt. & Dimensions i temwalls, Garage; Steel- Blockouts-Wrapped 5QErarage Fire Protection Framing I" . SI ; Steel -Wrapped -Line Firewall & Openings Pi -Fireplace Ftg.-Steel xt. Doors -One T -Check Garage -3rd story, 2 exits . D.W.V.; Fall-Fittings-Tes -2 way C/O-Sewe Test - irs; Width -.Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 34eKywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. " ing-Nailing Veneer aL 12. Electric; Underground. 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal is-Wndws Card-1311'<,6,Date -aT-and-B1 K Date l 4f 7 Card -B1 Date Card -131 Date Date PLU G (Permit) OK except #'s 1 r Ht. Vent -Access -Combustion Air -Baffle 1 er Pipe; Test & Anchors -Nail Protection 1 . D.W.V.; Test-Fttngs & Anchors -Nail Protection ttt!ETer Pan; Test, First Floor -Tub Access Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date EL RICAL (Permit) OK except #'s Fix ure & Transformer Clearance -Ins. Protection 2 Vic. Receptacles Spacing -Lights & Switches at Doors 211 -'_Si Boxes & No. of Conductors -Stapled 2 omex Installed Close to Edge of Studs & C.J. 26,6guip. Ground made up w/Meeh. Fasteners -Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/G.F.I. 2S-S-ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 3 . ervice-Riser Conductors & Ground -Main Disconnect 3 . F'quip. Clearances Panels-Motors-Mech. Equip. 3 . clothes Closet Light -Shower Light -Spa Light 3,7 Smoke Detector Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s Ducts Insulation & Support . Vent Fan; Exhaust above insulation 3 densate Drain & Overflow; Size & Grade 3 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 Sills, Proper Material & Anchors 4 IIs Studs -Nailing, Spacing & Bracing—Plates-Sound 4 aring Walls over Girders & Floor Nailing 4 graft Stop in Walls (rat proof) 4 . Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4 • Header & Beam -Size & Bearing Card -61 :57Date Card -131 Date Card -131 Date '3b Card -B1 Date Date qINAL (Plans) OK except #'s QJq7JvAJ1J Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - Jin Garage; Above Floor -Ducts -Meeh. Protection Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails . Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter Lp Garage Fire Door win - anding-Closer = 1 .C. Duct in Garage -Damper g ,�5 Wtr. Htr.; Vents -Clearance -Comb. Air-Connec r-P.R.V.- In Garage; Above Floor -Meeh. Protection f le . & Mech. Equip. Listed for Locations-�3_C 141-1 FAd 3%Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Stucco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing at Vents Above Roof; PIbg.-App liance-Firepl.-Clears n --e to Openings. Water Well; Disconnect, Electrical, Plumbing 5. Exterior Elec. Trim; G.F.I. Receptacle -Underground 8� Ventilation throughout House Glass Protection - 8al C rreg(lons from Previ }npections { Q-14& If & Sewer Conne! tekC/O tojeffitOHD Approval 91. Enerqy Compliance Cer ificate- th r Certificates 92. Roofing Certificate Card -131 Date 1 C1 Card -61 Date Card -131 Date Sb ,*VCard-B1 Date Card -131 Date 2 oCard-B1 Date Comments at Final: - (NOTE: An entry must be made each time you visit job site) Owner: __ Permit No. ENERGY C ERTIF ICAT ION j 795cCaprice Way, Chico, Ca. "D LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass batts Thickness(inches) 3 5/81, CEILING. Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R13 Batt or Blanket Type Brand Name Thickness(inches) Thermal Resistance(R Value) Loose Fill Type FihPrn1as.-, Brand Name nwpnq-rnrnjnq Minimum Thicknesi(Inches) 14" Number of Bags 24 Wt. per bag 31.5 lb. Area covered(ft: ) 1248 Thermal Resistance(R Value) g3n 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 Requdrements. Loerke Insulation Co. 499150 PI NAME/OWNER STATE CONTRACTORS LICENSE NO. August 3, 1989 SIGNATbRE 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 NAME/OWNER (Please print) STATE CONTRACTOR'S ICENSE NO. SIG ATURE OF OENERAL CO RAC R WNER DATE 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 1984 ry- .,.-...:n�x.�-c+�•r.----`•cr'w�YS'�-al�_'i"r-s^�•� �. .-�cMiz+e4+a'Y� +^: M7+f:.��+'� �•� 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 y,✓G 73 VNER 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 whhen correction of work is completed. If you have any question pertaining to this rtfatter, or need additional explanation," -please contact this office immediately. E/z EGEF r1/6E GA Dh� PAY WMY cJnJL> /"1 EiA � r -.- W4 o V S r� o .O /I F_1.T�2.t Js •/ / Inspector `'� Date — / — - - Y.r, � -.rte .. �.. Th-'-_'s-a ,_ � �-•---^'�'r • 1.. 1. `'f'.-.-rr .. _-� • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mater, or need additional explanation, please contact this office immediately. 1— f�a% 6yv4e q;N-I Gi s. 11 F.6�14 4,1 -- �g � x y�r �J "yf-oo� Inspector 0 Y / Date COUNTY OI`-' 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 OWNER 73-9 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. OUi /JarClc oACt4i 0 4; e s -./afj 12,Y /1" X r ti Inspector�Date �� a Kc.. v.csmri'£7e`�'"�° --'"_7`'�- `�T.a"-i+ 'n' v�yF� �c�r*r+.��-•*�'.a%+,�`M�+" �,q •, COUNTY: OF BUTTE DEPARTMENT OF PUBLIC WORKS.''' 196 Memorial Way, Chico-= hon : 891-2751 •' 7 County Center Drive, OroviIle-Pone: 538-7541 747 Elliott Road, Paradise — Pho 11I1a. 872-6307 CORRECTION NOTICE ER -23-?� 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. Inspector Date }i't►+`�'✓�O�7.Y^n Y�iL'.�IPy' T '�(�,.�'�V XX`^.-Y/'C'W4';.,wCi^ �'d... 'y'"'� �r �f. nr^"'G am"i:.. r - COUNTY OF BUTTE " DEPARTMENT OF PUBLIC WORKS _ �.y 196 Memorial Way, Chico — Phone: 891-2751 t 7 County Center Drive, Orovi Ile — Phone: 538-7541 a+ 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 17 9s' 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 c rrection of work is completed. If you have any question pertaining to this mattg , or need additional explanation, please contact this office immediately. Inspector --7 Date �� J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. • 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZON G - BUILDING PERMIT OWN TELEPHONE SQ. FT. OC . BUILDING VALUATION / ' OWNE 'S MAILING DDRE� � O r y O \ CCI�7�C7OR'S LV. C OLL!l--T .'iACTO.'3.'S M 'LING ADDRESS/ Fireplace CONSTRUCTION LENDER UNKNOWN c.`-�iLJ ,J '� Total Valuation $ Filin Fee g ' C $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ A EJECT OR ENGINEER �/�'SG�'0 L/I� s 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 79z Each Trap 2.00 ad, B-lI 161 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME o PARCEL MAP �� ��J Water piping 5.00 Each gas water heater or vent 5.00 s -V USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 ,0_4=P Mobile Home S I G I W 1 10.00 ea TYPE OF WORK New A Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 be- + TO3CIZ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 I Main service 100 AMP ORSLESS 0.00 D, Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS license is in full force and effect. and Professions Code and my _3 License No. �/».5 03 Classification �T -7 6 ..,e/ ❑ 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) ❑ 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 OR ADONS. CONST. � ACC. BLOGS. / DWELLING OCCUP.N) , �20Sgft' NEW CONSTR TI -OUTLET 2.50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS e SINGLE OUTLET CIR. Ex. QCCUp(OUTLETS OR FIXTURES eA 090 Ex. OCCUp. OUT ETS FIXED PLNS (RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 O p p Dsk 0-0 Cooling 'r 6.0 'J Hood 3.00 ;5.0-46 Ventilation 3dO 6 D� permit Fee $_31,0-0 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal County in conseq ence of the granting of this permit. This XDate �d Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavati s e " deep and dam lition or construct- ion of structures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ 1 TOTAL PERMIT FEE cu P.. 101 Tbi- NooL FLOG Isc PAR PD ND 39UE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CT PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ? ^7 Date r/~� 2^ G Receipt No. S .. J WHITE-D.P.W., TELLOW 9 PINK- N T R LD IN ROD-AP►LI ANT !.J COUNTY OF BUTTE - DEPARTMENT JOF'PUBLIC WORKS - BUILDING DIVISION aVlx art ;;r 7 COUNTY CENTER DRIVE - OROVILLE, CALIF%nIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Permit No. G /ppb -f- - De, w,I �+r,�,o�} A. P. No. :7-- ;Z0 Building Inspector ;e,&.— 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, 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 ........ ... ... .. .. ,}�............ j[1 Fees of $ ...... �,. Li 2'� LF -,j_ �'(�' ................ Chico Urban Area fees paid 3.1. •,�� • •� fi.i.al �` U ........ 3 7-- - ?�CI Park fees paid...............................�'.................... 0 1 i CQ School District fees paid ................... Sanitation approval from In'i c. 0 Health Department Co.. 2 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: ......... _ 1J. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) .. Pre -Inspect re uest to 19. Pre -Inspection for required ...... Building inspector 20. Contractor's license information (No., Name Style, Classification) ....... 1. Certificate of Workmans Compensation Insurance 1 3/ Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. _:aRecorded copy of Agricultural Acknowledgment Statement ............ / 24. Letter of signature authorization .................................... . 25. 26. When you issue the permit, process as follows:'J, Telephone Other and holdJ, r pickup at Ko�'ivn°� 4 (r a l f f o co frac:9 �� office. Deliver w/inspector. 11, �.:. APplica^ .�Date�d Copy of plans sent Health Dept:, Fire Dept., Other Date ,~ The following data must be submitted prior to per it ' .uanc (Cir cl ew item t checked bove) 1. Index permit .for above items No. — —� 2. Additional items, eequired:'_ Contractor, designer, owner, was advised of above required data by—phone---Mail Contractor, designer, owner, was advised of above required data by—phone—mall Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder by date by date Date Copy—DPW I f TO Buildino Department FROM: Environmental Health SUBJECT: Sanitation Clearance fel- j ya Owner Locatioh AP# Plan 'Approved for: Sewage Disposal Water Supplyy Hold final for: Water Supply Final clearance O.R. for: Water.Supply Clearance for bedroom a home. Other NOTE *** V_/ Sanitarian Date TO: Building Department u^ FROM: Encroachment Permit Section RE: 'Driveway Clearance 79.5 6 %-Zo-9g owner locati n f AP # Driveway permit lJ 9d I V 7 Je5 _ has been issued for the above property. n b 2--17 9/ sign re date RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLEX &*.kSC. ONLY) Bldg. Permit # OWNER Yak, A.P. GENERAL l Zoning requirements: (sideyards 2a,/valuation. 31 Plans signed by designer. 4inergy Design and Compliance. Existing violations on property. PLOT PLAN and number of permitted living units) lr! Complete parcel size and dimensions. s�Setbacks, sideyards, easements, etc. J,-1_0ther buildings or structures. grading, fills, drainage. 4,e-5—Grading, hazard. Special conditions on creation map or compliance document. FLOOR PLAN o plete to scale plan with dimensions. a/ eqgeuired windows for light and ventilation (Sec. 1205). 3✓ Re wired windows for second exit (Sec. 1204). ylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 6ee--Required room sizes, ceiling heights (Sec. 1207). )L�G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for mechanical equipment. maintenance of �.�Locations of water heater, heating and cooling equipment, other electrical or gases equipment, and plumbing fixtures. M� Garage firewall, door size, and closer (Sec. 503(d)(3)). fireplace 3'0" exterior exit door (Sec. 3304(e)). and wood stove location. l Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 7/ Foundation plan complete enough:to construct.building. Eloor construction details complete enough.to construct building. levations and wall construction details complete enough to construct building. 4 --_—Roof construction details complete enough to construct building. 5---rFi eplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR l�posure I plywood on exposed locations and overhangs. —4--SFairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). `_,�xterior plaster - weep screeds (Sec. 4706). 6// Proper roof pitch for roof covering (Chapter 32). iRafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 8/ Garage door or porch header sizes. 9! -Adequate bracing. —40. --Lf ing area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. �— —Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). N__� Attic access and ventilation (Sec. 3205). --13-erfloor access and ventilation (Sec. 2516). I,Wood stoves, clearances, alcoves & 1 -hour shafts. 1b. ----Combustion air for fuel burning appliances. 1 -Noise requirements on duplexes. �_ Adobe soils - special foundation design. 1 -8 --Retaining walls requiring design. ,19 Unusual shape, size or split level house requiring lateral design. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT`" ' .,:;.:. FOR RF,SIDENTIAL DEVELOPMENT ,v Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to .issuance of a building permit. ohb/771. The property .described herein is adjacent Ja to land or included within an .area zoned !n -..��,: ::.:• for agricultural purposes, and residents of this property may be subject to incon- llTTECOUNTY RECORD veniences or discomfort arising from the SERIAL NO.�j ?v� s - use of agricultural chemicals, 'including, RECORDEDA T EREQUESTOF but not limited to herbicides, pesticides, MID VALLEY TITLE COMPANY and fertilizers; and from the pursuit DATE RECORDED: FEB IS 1989 of agricultural operations including, TIME. but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establ ishc•,I Lural zones which have as a priority use for productive agricultural purposes, ;inti , c•.i,lc•„� within sa i.d zones and on adjacent property should be prepared to accept such or ,- or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, (h -scribed :,s follows: PARCELS 1 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 52,53, and 54. State of County of On this the 13)L'A-day . of ak-C-, 194-, SS. the undersigned Notary Publi personallyt ppeared 9 - OFFICIAL SEAL TAMMY TUHEY NOTARY PUBLIC - CALIFORNIA PLACER COUNTY ' CO1"M Evues Oct. 22, 1991 before, me. Personally known to me.Proved to me on Lhe basis —P of satisfactory evi de►ic-e. to be the persons) whose name(s) 1 subscribed to the within instrument and acknowledged 01a rle _ executed the same for the purposes therein coma i ned . IN W ITNI?tiff WHEREOF, I hereunto set my hand and official seal. Present A . P..No4V--2 a?FP O Notary Purl c � F � � � � i �. �( � �� v S 'j . ' {.�,_ ` 1 �• • � �4 Y" I' I y;�,�� ��`s COUNTY .OF BUTTE - DEPARTMENT OF PUL;IC WORKS PERT NO.�, T 7 County Center Drive - Oroville,,,alifomi� 95965 - Telep one: 916/538-7541 �, ��, I(l APPLICATION AND PERMIT a ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE 3� - J3 , S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILIN ADDRESS C3" CONTRACTOR'S NAME re.tiff•- — TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN ER UNKNOWN !� Total Valuation $ Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS IV/� 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 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 91 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets5.00 Building sewer 5.00 i Mobile Home S G W 0.00 ea, TYPE OF WORK New'® Addition ❑ ReemodeI ❑ Utilities ❑ Installation❑ Other[] Describe work: !1 /ill ra 1f . G; 4n I'/C L C N�19-�� (Jli&,,� rr> QUA-hr/th4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 t%- Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p i y (check one): R1 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. �f u( �f Classification Lf % El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.51 OR ADDNS. ACC. SLOGS. , /2 QSq ft NEW CONSTF; MULTI -OUTLET NON.RESID BRA C CIRCU' TS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES eA @30 Ex. OCCup. OUTLETS P(RESID.)FIXED APLNS. REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring i//rD4>L f,3o1/d` 15.00 W " co" !3-=' Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 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.prpperty for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expensets which may in any way accrue against said County in consequence of the granting of this permit. ,. Xe'<m r �°�Vl�— .- Date �� Signature of Applicant — Owner ❑ f ntractor,N 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 $ U OccUP. CONST.TYPC ISCHOOLIFLOODIPARCFLI PD 1 -H6---[71. 1. This permit is hereby issued under the applicable provi-. sions of the Butte County Code and/or resolutions to do' work indicated abbe for; which fees have been paid. D E Op OF PUBLIC WORKS I �^ BY Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW-ASSF330R. PINK -INSPECTOR. GOLD ENROD-APPL I CANT COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 Y, 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE 3,467 - -- 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. Inspector COUNTY OF BUTTE - DE-PARAMENT OF PUBLIC WORKS PE I NO 7 County Center Drive - Oroville.,California 95965 - Telephone: 916/538-7541 (!/� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O7- 26- Z11 ZONING BUILDING PERMIT OWNER TELEPHONE 3 -136 SQ. FT. OCC. BUILDING VALUNT N OWNER'S MAILIN?ADDR SS Q L f/ ONTRA TOR'S NAME �`vvle io ✓ CONTRA TELEPHONE CTOR'S MAILING ADDRESS 04 VV Fireplace CONSTRUCTION LE ER I UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING G ADDRESS /V Permit Fee $ ARCHITECTMNEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C-) 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 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New'T Addition❑ Remodel❑ Utilities❑ Installation❑ Other Q Describe work: 164"A C;4n,0VCC.- CHV.J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 /00.9-- c9.9iMain Mainservice EA. ADO'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 fullll� force and effect. License No. !S?JW/�� Classification C=/ �% El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING occuP.e,` , OR ADDNS. Acc. BLDGS. / �z2sgft NEW CONST R I.OUTLET 2,50 ea NON-RESID BRANCH IRC TS /POWER APPARATUS .&) (SINGLE OUTLET CIR. / EX. OCCUp\OUTLETS OR FIXTURES DAL@30 2005 30 FIXED ALNS. Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring CYND� /v G! 15.00 65� 9 lf,4 I. /1e,,v-15�' Permit Fee $ per' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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. Date S Signature of Applicant — Owner ❑ ntractora Agent El An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ O Occup. CONST.TTPC ISCHOOL171 PARCEL I PD ND s3 E This permit is hereby issued under sions of the Butte County Code and/or work indicated abo a for which I E OR PUBLIC By PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date —I Receipt No. 7 7q WNITE-D.P.W.. TELLOW-ASDL330N, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEN-Pr.OP=PUBLIC WORKS - BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OROVILLE, CALI. bRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SAFT Permit No. OWNER r 10mec �✓_ %/cru.( )_ 1 A. P. No. h_ Proposed Building Use S Ir— ,LK/ Chia• Building Inspector C 512 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, 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 ...... B� Building Inspector to (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ ` 24. Letter of signature authorization ..................................... ' 25.4,Z41aa= C-Cfo../ 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other 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). Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by -Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Centq.r Drive - Oroville, California95965 - Telephone: 916/538- 541 APPLICATION AND PERMIT PERMIT NO. r ' f ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 6,oaR,Csr e, TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS yYy SmT/+r .6 03 CONTRACTOR'S NAME( ,n L a.,, V4417-VA,,y r(. vMJN TELEPHONE CONTRACTOR'S MAILING ADDRESS q,6 y5- I,% yV /0V,,s Gil, 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 tai- �� iL� 1 ✓� y �y� , Each Trap 2.00 �QQS/c'•^�,✓ C1410A& c W .-f 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'O Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other © Describe work: _ a/�e� �S -4.1 )rx"G 4/9} SQA I// eg — owls/lac 614 14_1y Permit Fee $ 2 5� Contractor ELECTRICAL PERMIT Filing Fee 10.00 O 101 OR Main service 100 AMP ORSESS LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 my license is in full force and effect. License No. Classification ElAPLNS. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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. DWELLINGoCCUP.y` , OR ACDNS. ACC. BLDGS. / h2sgft NEW CONSTR.U H CIRCUITS) NO N.R ESID 2,50 ea .BRA CCCRC ITS POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES DA 50 FIXED Ex. Occup. OUT ETS P(RESID )REA.1 2.00 Temporary service 10.00 Ho me Facilities 15.00 Mobile Ho Misc. 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ -1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �, ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall .be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation penult Fee = Contractor I certify that I have read this application and state that the above information is correct. I agreetito comply to'all•County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against -sai�d.Counntty- in co(nsequueence of the granting of this permit. %� ���''��� `�' r, ``_04 Date SiyContractor ❑ Agent nature of Applicant — Owner [:1 An OSHA permit is required for excavations over 5'0" deep'and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCcUP. CONST.TYPIJ JSCIIOOLJFLOO.JP.RrrLJ PO ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS / r r - / / � By. i¢ ,� l tbGrZ� r f° Date / PERMIT EXPIRES Date',' Receipt No. 0 WNITE-O.P.W., YELLOW-ASDLSSOK, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 off D/F 4dse r) J. ee V\ F CLQ° Y\ 6:z, IL Cl COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 0 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE MIT N 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. / r A 'L AJ 1 � n Inspector- Date '�5— ( o —99 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville.,California 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT P RMIT NO. , 3 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER ;Gylesr- S, TELEPHONE y SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS . /l/ sHlmto Ax V3 CONTRACTOR'S NAMEf TELEPHONE CONTRA TO 'S MAILING ADDR SS -5-1/ Y /evr, cHLe Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 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 �j / �D�iw✓ CSB R/Gc i / o 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 SFJ�6' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 01' Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other K Describe work: r 1 /� ✓14e-- -� /� - — ouv /�� ��/ ��� 2 S� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID 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 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.0d ,/s¢sgft OR ACDNS. ACC. BLDGS. NEW CONSTRESIO. RANCH TLET CIRCUITS) 2,50 ea BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL0ALm30ao Ex. DCCUp. OUTLETS P(RESID )FIXED APLINS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee a 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 again id ount cons a of granting of this perm !114 X Date 5' ature of Applicant — Owner Li Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.77 BCNooLJFLOODJPAFMELJ PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DJRE.CTOR OF PUBLIC By�C PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �ae Receipt No. J7'0�) WHITE-D.P.W., YELLOW-ASEESSOK, FINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BU I' i t - Utt-Am I mC14 1 ur ruoLik. vrurtr\O PtrtM1 r wu. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ _ � ZONING BUILDING PERMIT OWNER PS _ /� � \r/ 4ra TELEPHONE 3 S0. FT. OCC. BUILDING VALUATION OWNER'S MAI LIN/y ADD SS y / 4r �% [� 13-COCONTRA TO 'S NAME,,, .' -13- NTRACTOR'S MAILING ADDRESS CONTRACTOR'S d4 e r Fireplace CONSTRUCTIONLE ER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS N Permit Fee $ ARCHITECTMNEER LICENSE NO. t. Plan Chec ,ing Fee $ Energy PI Checking Fee $ ARCHITECT O ENGINEER'S MAILING ADDRESS Penalty b BUILDING ADDRESS a� r P m t $ PLUMB ERMIT Filing Fee 1 0.0 0 p ! G 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 SFN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 0.00 ea TYPE OF WORK NewK Addition❑ Remodel❑ Utilities[] Installation[] Other? Describe work: j5 hLO-{K, - C-HVJS Ul+&p., ro DtJCfi-yX�.n Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OR ORSLESS 10.00 L:> Main service EA. ADD -L 100 AMP -2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): p� &J 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fullforce and effect. License No. 1�CLWTy Classification y—! C2 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. // '�z2Sgft NEW CONSTR- U T .OUTLET NON.RESIO BRANCH CIRCUITS) 2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 200Sot BALI 300 FIXED APPLNS. OR EX. Occup. OUTLETS IRESI D,I EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring VIYC7 to WP^ ke 15.00 lf,4 1,45,O/1e-IT Permit Fee $ Contractor i 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 3.0 j Ventilation Permit Fee $ X Contractor I 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 permii. /� Date S Signature of Applicant — Owner❑ nrracror/\I 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 $ O accu P. CONST.TYPc JSCNOOL�FL1OOCJ PARCEL I P11 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which. DIRECTOR OF PUBLIC it By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. . 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