Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
007-240-060
-sib- SItN INGTON s�s i e Ln. app. 14001 no. of Eaton Rd., C 'co CONTR: �ou Tha ker, Durham Permit 16 9-73B)P, (swimminMol)it'" CONTR: Chic\ ustom Pools, Ch . o`� �s Permit# 968-75 ply. for 1699-73)_� Lu c in S/S Bridle Ln., ap /1 'N.of Eaton Rd., Chico M" contra Marvin C. Anderson, roville Permit #5898-78B,P,E,M(enlar master bedrm., add dressing room & co red patio/SF) Per mit #299-79B(7nst, w u ing-stove/4898-78)SF _Kathy McLaughlin %IS Bridle Dr.,app.400'W.of cor.,app. N'N.of Eaton Rd.,app.800'E.of Hicks L, Chico Permit 289-82B,P,E,M(additio.n & remodel/- - - -- �0F:.,' - Kathy McLaugh n . SIS Bridle Dr.,a•p.400 W.of cor., app.1000'N.ofE� on Rd., 800'E.of Hicks Ln., C rico Permit #97 82P (add' 1 plbg. for _permit # .,.9-82.), _ Permit #1145-82E(add'1 elec.for permit #289-82) 007-240-060 PERMIT#96-28 2 ROGERS, Dennis & Carleen/�� 3637 Bridle Lane, Chico Conv Cov Patio to Screened ro /SF WILLINGHAM, PETER -y-,- 3637 BRIDLE LN, CHICO s/` Cont: GREENE ROOFING 10 AG EXEMPTBUILDING . WILLINGHAM, PETER 3637 BRIDLE LN, CHICO Cont: OWNER DETACHED GARAGE/SHOP 007-240-060 WILLINGHAM, PETER 3637 BRIDLE LN, CHICO Cont: LONG -FORD ELEC NEW ELEC PNL or' O County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Peter Willingham ADDRESS: 3637 Bridle Lane CITY & STATE: Chico, CA 94973 nATC nC fl Acne. ORi17ma SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Refund Claim - See attached calculation sheet APN: 007-240-060 Permit No. BP041131 PAID RETAINED REFUND Development Services $ 109.98 $ - $ 109.98 THERM DRNG $ - $ - $ - SMIP $ - $ - $ SHR $ - $ - $ - TUA $ - $ - TOTAL $ 109.98 $ - $ 109.98 ::::::�:::::::::: .. < :::BREAD{DO FN ::::::::::::::::BUIDGET::: ACCOUNT:::AMO JNT: 101001 DVLPMNT SVC 440-001 4210500 S 109.98 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ - 1011811 SHR 1800 280 $ - 1011816 TUA 1800 280 $ - TOTAL $ 109.98 $ 109.98 I, the undersigned, declare under penalty of pegury that the services or articies clai7ve oee ertormeo or oeuverea, ana mar mis claim is true and correct as stated. `\ Dated this day of ��/ 2004, a C Calif. —2— S�tonature of CIi ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been perforrtYp or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) fprilt ame. Dated this day of. 2004. at Oroville Calif. U Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB PROD I SUB. OBJ I CLAIM NO. I INV NO. I INV. DATE I ENCUMB. I GROSS AMT. Butte County Department of Development Services 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING August 17, 2004 Peter Willingham 3637 Bridle Lane Chico, CA 95973 RE: Permit No. 04-11.31 APN#007-024-060 Owner: Same On 4/22/2004, a deposit was made in the amount of $1.09.98, of which $0.00 was retained. The remaining fees will be reimbursed to you. Please sign, date, and return the enclosed claim form to this office. Once we receive the claim form, we will then process your refund in the amount of $1.09.98. Should you have any questions, please contact this office Monday through Friday, 8:00 a.m. to 4:00 p.m., at 538-6869. Sincerely, Diane Lewellen , OA III Administrative Division enclosure 04-113 1.1tr County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Peter Willingham ADDRESS: 3637 Bridle Lane CITY & STATE: Chico, CA 94973 nnTF nF r Glnn• f1R/17/OA SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA AMOUNT Refund Claim - See attached calculation sheet APN: 007-240-060 Permit No. BP041131 PAID RETAINED REFUND Development Services $ 109.98 $ - $ 109.98 THERM DRNG $ - $ - $ - SMIP $ - $ - $ - SHR $ - $ - $ - TUA $ - $ - TOTAL $ 109.98 $ - $ 109.98 ............ ............. ............ ............. ............................... ............................... ............................... ............................... BRFAKDON:: : .............. .............. .............. .............. : B�TDGE'F:: .............. ............. .............. ............. ACCOUi�i2 .............. .............. ............. .............. : AMP T. lolooi DVLPMNT SVC 440-001 4210500 $ 109.98 1011822 THERM DRNG 1800 280 $ - 1011430 SMIP 1001 280 $ - 1011811 SHR, 1800 280 $ - 1011816 TUA 1800 280 $ - TOTAL $ 109.98 $ 109.98 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 2004, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of 2004, at Oroville Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY EPT & SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. Tuesday, August 17, 2004 Counter Tammie Person Development Services BUILDING DIVISION Payment Date Permit Number Receipt Number Check Number or Cash Parcel Number Applicant 4/22/2004 BP04 1131 395684 CK # 5844 007-024-060 PETER WILLINGHAM Received From I SAME Total Received 09 98 Total Fees To Collect 09.98 T) Notes: f s ' Ver. 1.0 Fund 10 (Bldg Permits) SRA Fees (Fire) SHR Fees (Sheriff) SMIP Copies/Document Sales CUA (Chico Urban Area) TUA (Therm. Urban Area) Water Tender Btln #= West Chico Fire Station Witness Fees Recorders Fees (N.O.C) Thermalito Drainage Oroville Area Traffic NSF (Non Sufficient Funds) Notice of Violation NCSP Trails System NCSP Roads/Bridges NCSP Storm Drainage NCSP Fire Station NCSP Parks Type Value $109.98 $0.00 $0.00 $0.00 $0.00 �— $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 PERMIT - -. Bines_ APN - • LAST NAME WILLINGHAM FIRST NAME ' CONTRACTOR• CITY/C;CIT � STREET NOSTREET NAME 0.:' • • USE TYPE REMARKS :lAG EXEMPT BUILDING B P ■ E ■ M 25 char. max VALUATION FLOOD _ FEES PAID CEIPT • FEES 2 RECEIPT 2 FEES 3 RECEIPT 3 FEES 4 _- RECEIPT47 PLAN CHECK ACTIVITY Plan Chk-�: Chkd By -9: - Plan Plan Chk-3: Chkd By -3: _' Comments: 255 char. max Return -7: Return -2: Approved: , APPLIED ISSUED FINALED Str Chk-1�: Str Chk-2 Str Appr: "WE NEED" LETTER SENT.mjs FILE GIVEN TO DEBORAH FOR REFUND 5/6/04 File w/Diane for processing MANT: Peter Willingham LESS: 3637 Bridle Lane & STATE: Chico, CA 95973 OF CLAIM: 07/14/04 APN: 007-240-060 ................ ........ ................ ........ ....................... ........ ......................... ........ ......................... ........ ......................... ........ ......................... ........ ......................... ........ ........ ................ ........ ......................... RECEIPT INFORMATION NUMBER: DATE: ISSUED TO: CHECK #: AMOUNT: PERMIT #: REFUNDS: DETAIL BLDG TOTAL BP041131 PAID I RETAIN I REFU 109.981 109.981 0.00 I me, Fund Dept AccnI Cash BLDG 0010 4413-001 4210500 101001 I THRM DRNG 1800 rHRM DRN( 280 1011822 AUD SUSP 1001 (SMIP) 280 1011430 I HER DEV FEE 1800 (SHR) 280 10118111 THRM URBN 1800 (rUA) 280 1011816 ND ................ ........ ................ ........ ....................... ........ ......................... ........ ......................... ........ ......................... ........ ......................... ........ ......................... ........ ........ ................ ........ ......................... ........ ........ . :. .. .. .. -. -. -. ........ ........ ........ ........ * ....... ........ ........ ......................... ......................... .................. ........................ ............... ........ ................ ........ ................ ........ ................ -. -. -. -. .. .. .. -. ................ ................ ................ ................ ................ ................ . ............... ........ ........ ............. ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ ........ 09.98 109.95 0.00 (Wo 0.00 0.00 . 0.00 0.00 0.00 0.00 0.00 19.98 109.98 0.00 0.00[: 0.00 2-070 0.00 $ 109.98 $ - 1 $ 109.98 $ 109.98 $ $ 7 $ APPROVAL CHECK: $109.98 Date Reviewed 0 /2 FENNCE: $0.00 Michael Vieira (Should be blank) Building Manager A ) Ile L P ZO2, - 66) 1AA PERMIT - Bin APN - - LAST NAME WILLINGHAM FIRST NAME ' CONTRACTOR • CITY/CTY STREET NO STREET NAME : ' CITY • USE VALUATION FEES PAID FEES 2 _ FEES 3 — FEES 4 _ PLAN CHECK ACTIVITY TYPE RECEIPT RECEIPT 2 RECEIP_T_3 RECEIPT 4� - REMARKS '• EM MM FLOOD _ Plan Chk-1: NUIDIA Chkd By -1: = Return -1: Plan Chk-2: Chkd By -2: _ Return -2: Plait Chk-3: ihkd By -.t:_ Approved: Comments: 255 char. max APPLIED ISSUED FINALED Str Chk-1: Str Chk-2: Str Appr: 25 char. max ,,. � ��e� ;►� � II Q� a� � � ���� Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on t he receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return to Develo ment 'ces for payment processing. CLAIMANT'S NAME: MAILING ADDRESS:iD3 �NF_ICC� . -1 S 1 PHONE: ASSESSOR'S PARCEL NO.: a Q -Zip - © b ® ✓ [Please use one claim form per permit.] BLDG PERMIT NO.:-"--� Receipt No. 1 Receipt No. 2 Receipt No. 3 39_:5(�. 84-- ¢RECEIPT RECEIPT NO.: RECEIPTDATE: RECEIPT AMOUNT: 9b REASON FOR REFUND REQUEST: C' _'T4 PL�'c� JU N U Ile -0 Check those fees which you wish to have considered for refund: [Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Request for Refund. If you want the plans, you may ick them up prior to that time. Date K:/Forms/Refund Applic4ioy 082203 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. W I I l 1 Gt,WI BPI 64- l I -S I Agricultural building is defin d as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSECCELN�^ ZONING _ Ion A �NE �zw t u—A PH � I i I O EE� 17 �� 641 �� S9 L CATION OF BUIL ING USPWIIyC�� SIZE OF STRUCTURE L ' X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify) TY� p SISI I� QpO�CCF�IgjG l �� FLO TYPE ESTIMATED COST OF C fTRUCTION $ IZ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approv� ith the requirements in effect at that time and before occupancy DateAI Z2J Signature of Owner Permit Fee -C The above described AG Building is exempt from a buildi 310'1- /� /, F PARCEL Receipt No. G� K'4 S.3/94j Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT i t t PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSES�.A,RCEL N A —0a QU ZONING � _ 1 DS A _S PH_,N� NO �.t O E SD E �-�-• l.�Y�C. ei"� t CO. (..7 j LOCATION OF BUILD NG 1 " U U SI SIZE OF STRUCTURE "41A 41A X ; SO. FT. TYPE OF CONSTRUCTION: f WOOD FRAME STEEL CONCRETE OTHER(Specify) TYR,J SI Itf� .._ -1 FLO�R TYPE ESTIMATED COST OF C"ST.RUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as �" follows: FRONT -SIDE---' REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.eL - AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6,feeet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. 4 ,; AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approv s.te-wMIr ith the requirements in effect at that time and before occupancy // DateJ ©4V Signature of Owner ou_ Permit Fee The above described AG Build n`g is ex-& pt`froma building pE 101-98 / FLOOD I PARCEL I P.D. Receipt No. � 9 e K-4 S? 4 Manager Building Division By Date _ White — DPW, Yellow — Assessor, Pink — B. l., Goldenrod —Applicant 1 BUILDING DIVISION , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSE O;F3�P.A CEL NO ZL _0 ^� ZONING �_~�,.� tNE 1 1.x.11 P��©.- t..✓� 1HQNE NO T OWN E -) 61 sC_z tb Cc, C12� • 9 ':� ! LOCATION OF BUILD NG u sr)F,13 SIZE OF STRUCTURE ' to ' X� ��tt-r"'"� SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYP�� SI ING �1,OOU��`VF�If.�G ' `r_ �(, ,,;,. -T 4� FLO,O`�t�;E� A � ESTiMATEDC�O�F,C�STRUCTION t ? !I $ tt.�) AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: - FRONT SIDES - REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. P, AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum. ofj6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals�to-comp17"with the requirements in effect at that time and before occupa%njcy Date 24 Signature of Owner t o Permit Fee --$Q,0«00► 101-95- Receipt No. The above described AG Building is Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant n a buildinq permit. Date dA .% BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT + PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOFi�P.ARCEL NO 4 - CD— C)� �✓ ZONING�4 - uS NE 1 l- Q HON� NO P`a 6 G EiU ES20 lC)L 6-\ 1cc, G - l �� LOCATION OF BUILDING SIZE OF STRUCTURE Z- 3 r, (A ' X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) IG� TY OF SIDING L OO�FRCIuGt�} FLOOR TY ESTIMATED COST OF C"TRUCTION $ 1 ?, aJT "-"" AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals,to°compry,with the requirements in effect at that time and before occupancy, C - Date 4 �� o4 Signature of Owner Permit Fee -Q '0r i0j.98 l Receipt No. ' ' The above described AG Bu Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant is exempt from a building permit. Date In order to process your application for an Agricultural Building, we will need you to indicate a specific Agricultural use for your proposed Ag Building. BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP051164 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891=2834 (CHICO) OFFICE #: (630) 538-7541 " B. C. vuuWnp rerrnn 01 -iv -vv on i LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/03/2005 APN: 007-240-060-000 the Business and Professions Code, and my license is In full force and effect. License Class: License Number: Site Address: 3637 BRIbLE LN CHI Dale:_ Contractor: _ __— Map Index: Description: new elec panel 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code, Any city or county which requires a permit to construct, alter, Improve, demolish, or repalr'any structure, prior Owner: WILLINGHAM PETER M & MARGARET J to its Issuance, also requires the applicant for such permit to file a ZOOK signed statement that he or she Is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 3637 BRIDLE LN 7000) of Division 3 of the Business and Profesglons Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95973-7601 violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: LONG -FORD ELECTRIC such work himself or herself or through his or her own employees, PO BOX 128 provided that such Improvements are not Intended or offered for sale. If however, the building or improvements are sold within one BANGOR, CA. year of completion, the owner-bullder will have the burden of 95914 proving that he or she did not build or Improve, for the purpose of 530-679-2569 �19) .. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: LONG -FORD ELECTRIC pursuant to the Contractdra' State License Law.), PO BOX 128 13 1 am Exempt under c e the Business and ProfessI s Code BANGOR, CA. OS 95914 Dales owner: 530-679-2569 WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: License #: 829378 ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. Architect: ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit Is issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy It: Total Square Ft: 0 S. F. 1 certify that In the performance of the work for which this permit Is Valuation: $0.00 to Census Code: Issued, I shall not employ any person In any manner so as become subject to the workers' compensation laws of California, and agree that If I should become subject to the workers' Cn U compensation provisidns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. V Date: - 0 - �� `' V ✓ Applicant t:� WARNING: Fallure to secure wcompensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is here kissued d the applicabloroyisions of the Butte County Code and/or Resolutions to d work Inc)I al above for fe have been paid. I hereby affirm that there Is a construction lending agency for the for this Is issued (Sec 3097 Civ.)Dale: ^� performance of the work which permit By: Name: . =_ �rO PERMIT EX SON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. that I have read this application, that the above Information Is correct, and that I the the duly authorized agent of the owner. I agree to comply with I hereby certify all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter theam 5stance ny offtclal form or document of Butte County. I hereby authorizer nlatives of Butte Countytoenter upon the above mentioned property for Inspecilo ur e Print Name' t LI iUV(' � � Signature: - Date:f�,1,�-�� %(ElContractor ❑ Agent for Owner ❑ Agent for Contractor 'Owner B. C. vuuWnp rerrnn 01 -iv -vv on i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER asNamA4d' Fmk rpss �— ( k .-I uJ _ Address SRA n 0 3 FaxPRail State APPLICANT SIGNATURE X For office use only: CONTRACTOR Name _ Address SRA City I No State Zip Phone Map Book Fax E-mail Planner State License Number Class APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name Q'V /IjLIZ— Address SRA City I No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name Q'V /IjLIZ— Address SRA City I No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only: Zoning Property Address Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 57//6 BIN # LOCATION AP#007- 07, Z Y(9 — 060 Property Address City�C� Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: ML --w L�-c Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Receipt Date, Amount: Bldg Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and'A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate I ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ' ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the,Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041276 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: Q6/21 /2004 APN: 007-240-060-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 3637 BRIDLE LN CHI Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: DET GAR (864) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: WILLINGHAM PETER M & MARGARET J to its issuance, also requires the applicant for such permit to file a ZOOK signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 3637 BRIDLE LN 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95973-7601 to a civil penalty of not more than five hundred dollars ($500).): �ap%plicant /0iL I, as owner of the property, or my employees with wages as their t� sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: WILLINGHAM PETER M & MARGARET J such work himself or herself or through his or her own employees, ZOOK provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 3637 BRIDLE LN year of completion, the owner -builder will have the burden of CHICO, CA proving that he or she did not build or improve for the purpose of sale.). 95973-7601 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: O l aExe t under Ari I o e Business r e Code Dat Sa�Owner: 1 I WORKERS' COMPENSATION DECLARATI 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 License #: Labor Code, for the performance of the work for which this permit is issued. O 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance Engineer: carrier and policy number are: Carrier: Total Square Ft: 864 S.F. Policy #: 71 I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to Valuation: $20,736.00 become subject to the workers' compensation laws of California, Census Code' and agree that if I should become subject to the workers' • compensation provisions of Section 3700 of the Labor Code, I shall forthwit comply ith those provisions. Date: Applicant: AA WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor n� 0 $ •. S • code, interest, and attorney's fees. o / ((cc(Pfes - y kw3 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code ?nrUer I hereby affirm that there is a construction lending agency for the Resolution to do work indicated abovg for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) !,Z 04 Name: BY Date: PER XPIRES ON: �O ' 3 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. am the owner the duly authorized agent of the owner. I agree to comply with I hereby certify that I have read this application, that the above information is correct, and tEpectio all county and state laws relating to building construction. I acknowledge it is unlawful to asubstan f any official form or document of Bu a County. I hereby authorize prese olives of Butte Count o enter upon the above mentioned property for os a Print Name: / �-+v Signature: 45� s` -t— Date: X Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M. (530) 538-7541 PERMIT NO. 04-197- ELTS ATE: [NEAREST APN: 4- f� 0� ro l/,J\ U ZONING: j` S TREAT; TRACT/LOTH SITE ADDRESS: CITY, ZIP: S OWNER NAME: P ONE: 5� STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: APPLICANT NAME: J PHONE STREET ADDRESS: FAX, CITY, ZIP: E-MAIL CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL' LICENSE NUMBER LICENSE TYPE: ARCH ITECTIENGINEER NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: Structure Built without permits LJ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: go Notes: 2 D-7 Application Received by: Date: -J r Amount Received: �J' .9 Receipt number: 13AW5 B. C. Building Permit 01-23-04 pg 2 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET 001 O -&q o' OWNER: V V I (� ► ✓I ' `r ASSESSOR PARCEL NUM - Proposed Building Use � td_ Gj GafC(A Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in ordto appy.. kln 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and. signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings p 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers..:!!� ....................................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by IN ❑ 19. Soils Report and/or Engineered Foundation required .................................... ` ❑ 20. Erosion Control Plan Required.................................................................. '.... ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑, 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. 24. Planning approval (A) Use:(B)Parking: (C) Parcel Check: 25. Contact Land Development 6bout _ Improvements, _ Drainage ......................... ' 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 0 34. Manufactured home utility clearance............................................................... ❑ '35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have be inform f the above items and re it ents for obtaining a building permit. Applicant Date: 5/5 64 1. Index p rmit application fort a above items nu a d: P Ch ck Letter 2. Additional items requ' Contractor, designer, caner, w advised of the above data one, ❑mail, ❑counter, by Date: Contractor, designer, , was advised of the above data by ❑ phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY Plot Plan Attached .., Floor Furan Attached ' Sant to /B.D.. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance lf' ArldVe fie. yo sb&o O ' er Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for Wig. Other 110,3L7-A:sZ ox-) Hold final for: Final clearance O.K. for: NOTE: Environmen1 ealth Specialist Y Date 8/96 4�v O.B.-1 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. (19 I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESA, NO ❑ I HAVE. ❑ HAVE NOT dsigned an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OAR BUII.DER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a Permit Building permits are not required to be signed by property owners unless thepersonally own work. If your work is being performed by someone other than ourse Y are Performing their liability if that person applies for the proper permit in his or her name, you may Protect yourself from possible Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own world with the exception of various trades that -ou plan to subcontract, be aware of the following information for your benefit and protection: Y P ntract; You should ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially so erius with respect to worker's compensation insce. uuran ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. h', Mic I C: Vi iia; C.B.O. er, Building Inspection NOTE: This Owner-BuilderlWomudon is required by Section .19930 of the California Health and Safety Code OVER EP ART�'��VT g0T?' 00 0 0 0 Cp U A�eUc Wo��S Department C o u n t s uluN, c-litecrar Public f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System ' (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACREI Project Desc Project Location and/or Parcel Number: Dc)- n DCD By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions Drovidgd-hv law Signa Title: Date: Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Jan 28 04 08:40a Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 539-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner' _ W 1 C�1 j (-i-,�I/�/�. Phone:s ���©� t Mailing Address CI -i ICb 9 51 p.2 Site Address:_. /fig Assessor's Parcel Number: col- � `�� Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of Us form GENERAL 1. INFORMATION: Is there a primary dwelling on the property? Yes,0, No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 3. Will items produced in this building be offered for sale? Yes El 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ Nt� SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ Nog 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ NoEr, 3. Do you plan to add a driveway or modify existing access to a county maintained road? Yes�No ❑ 9. Will the proposed structure encroach within any recorded easement? Yes ❑ Nom CONSTRUCTION 10. FEATURES: Will this building have insulated floor, walls, or ceiling? Yes 8.No ❑ 11. Will this building be heated or cooled? Yes ❑ No l, 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ NOOSE] - 14. Will this building have a water heater? ,, ; Yes ❑ Ngo 15. What type of floor covering gill the building have. 16. What type of wall covering will the building have? OVER I of 2 Jan 28 04 08:41a PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. jfgprivate Garage — "A building or a portion of a building not chore that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept" A garage door is reouired. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport if you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House. ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canting Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop t ❑ Home Occupancy 2 ❑ Other— Use = t z 1 _ _ _ „ 1 .- %/ Describe type er W1orkftP 2. bttot be approved by the Butte Cauny I?lar dsj Division Explanations: This area is for Iexplanation of any "yes" answers on questions 2.14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I heaiby affirm under penalty of perjury that the above information is we and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws re��disclosure of this information if or when the property is offered for sale. !�►&1�7m� r 2of2 p.3 a PERMIT NO. 289-82B,P,E,M " 1 PERMIT EXPIRES �r OWNER Kathy McLaughlin CONTR. owner ASSESSOR PARCEL 44-44-60 LOCATION SIS Bridle Dr.,app.400'W.of Corner app.1000'N.of Eaton Rd.,app.800'E.of Hicks Ln, Chico Temp. Power Pole Called PG&E Temp. Elec. Service__ V Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED ( /te) -0?%jV Signature ' J = 6K 0 = Not OK Not Applicable MO&ILEHOMES * = Not Ready , MISCELLANEOUS r ` Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except.k's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1.Zoning Requirements -Setbacks -Easements 1: Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed - 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy " '" "" " "' _- 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI _ Date. Card -BI Date Card -BI Date e J 1 I J RESIDENTIAL (Single and Duplex) 9 Date UND FLOOR (Plans) OK exc q' )L 7& Date FRAMING Continued Zoning r irements-S ac s -Easements a firewall & Openings tg., Main; S-Sies+-hlec..Qmd.- //Z/" Ftg. Depth 4 xt. Doors -One 3' -Check Garage-ard =Lys% is tg. Garage; Soils-S*Ae,r/ , �/" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection tg., Porches & Decks; Soils -Steel- /,14/" Ftg. Depth ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5y8remwalls, Main; Steel-Blockouts-Wrapped-&40b Si -N g -V ra Siemwalls, Garage; 5ar-Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access j ars-F' - el 5 5 azing Area -Glass Protection -Skylights -Plastic w chsaF hl a1Lnn olrs e_i5 W.V.: FaW-Fithage-�TAsw2-wey-6 0 -hewer -Test 9. nchors W—WMfer Pipe; Te s-Regu+mr-Secv.iae Test 1 and 12 -Material -Support -Ins. _ or Bolts -Joists -Vents -Cripples Card -BI .. Date Card -BI Date Card -BI ate Card -BI Date Card -BI Date Card -BI Date Card -BI 6P Date 3 _,/Q_jFZ Card -BI Date Date FINAL lans) OK except N's Card -BI 6> Date j1_ /j pL Card -BI Date Date PLUMBING (Permit) OK except q's Steps -Door & Sidelight Protection -Landings Smoke Detector stir Access -Combustion A fts-Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Pipe; T -8rAgchofs ail _lecUAn D.W.V.; T-Fttngw.8-Ahchors ail Pro Uo ed m Exiting ShowocuRafl-lest-FislFaor-Tub 6_ I. & nth Fixtures & Tub Access +8_-Teet- ub=&•Shower, 2nd Floor -Tub Access Ele rim & SuNaaaErBr23ker Size X19--Gas-Ripe;-6ize & Anchors —62. S48MF&-&4aaiU h Gae-flec. Outlets at Wood Panel; Int. & Ext. Card -BI Date, - Card -BI Date rnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 ecepta les at Kit. Counter Date ELECTRICAL Perrcit OK except q's (611111 Garage Fire Door; ng -L ing C_ 6 Damper .,Ventsarance-Comb. Air-Connector-P.R.V.- In-GaFege*.cge+e-Floor-Mech. Protection ormer Clearance -Ins. Protection 5 Receptacles Spacing -Lights & Switc at Doors . & M quip. Listed for Location Si oxe6-&-No. of4&onductors a 7 ,es n 83 -age, tec. Romex Installed Close to Edge of Studs & C.J. 4 Equip. Ground made up w/Mech. Fasteners and Gas & Wate Itchen & Conductor Size Ination-Zaam-Looked in Attic [}SCS . a,;le s. nor4 r.nngtr, Gu" tion-PosLGapr% dn. Vents & Cra a Door-DraInag nage-Earth-ft-crrance - Looked under Floor Q*err 26. Subfeed Wire Size / / ga.6o.er AI-A.C. Wire Size / / ga. Cu or Al 2 u or AI -Oven Circ. / / ga. Cu or Al, In lated Neutral F_Yes []No 9. 11 ollowing instld.: Drives ❑ No; Walks es ❑ No; Planters El o, _l 7, 49 ,��� Service -Rise nductors & �jseU�-Main onnect �„� 7 Stucc < B - fish _�, -y L 4g, 29. Equip. Clearances; Panels-Motors-Mech. Equip.Clr es-Brkr. & Cond. Size -115V Outlet 30. ght 7 ents Above Roof; lectrical, Plumbing G.F.I. Receptacle -Underground Card B -I Dates Z• Card -BI Date; 8d, --Ventilation throughout House Card B -I Dat Card -BI N_' Date J n DateMECH JV IV ICAL (Permit) OK except p's Corrections from Previous Inspections ged; Gas -Electric to Grade -HD Approval A.C. Ducts; Insulation & Supportewer86nnected-C/O _ ant Fan; Exhaust above Insulation nergy Compliance Certificate -Other Certificates _ Overflow; Size & Grade 34. ess-Comb. Air -Return Air Vent -115V outlet 35.E Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Dates j 7/ Card -BI Date Card -BI - Date r Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 3 s; Proper Material &Anchors Z /l (L j Its Studs -Nailing, Spacing & Bracing -Plates -Sou" ing Walls over Girders & Floor Nailing _ Dr top in Walls (rat proof) l7 Fire Stops; F s-S4aw9-O+rases �•/Zi _ der & Beam -Size & Bearing Hanger_'-A/nhHQis nn r gil®ist-Ritryt-res-Purlin-Roc.-Truss-S q.-f}jpQ. -- a `..e--FTr€'Me-Throat J I Al _ 45. A r� & Romex Protection -Draft Stop -Ins. Baffles 4 - Windows or Exiting Doors -Sill Hgt. & Dimennsi�o ss Garage Fire Protection Framing 0 7G• /N 6�`' V- - / (NOTE: Anentry must be made each time you visit jobsite) J COUNTY OF BUTTE . f DEPARTMENT OF PUBLIC WORKS . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. T„✓t Asa 7 Si "� G,. /' s / n AC Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR)(S ' 196 Memorial Way, Chico — Phone: 891-2751 • 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 �%/ �;r � �� f/DC7 �e1i_/i> /"•,i /:r ./ >//��F/=� Inspector. ��2'/ Date ��� J 1 ' COUNTY OF BUTTE I�^ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott.Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 n ed a ditional explanation, please contact this office immediately. n1 -/'Lf 7V ."/& I `lid/... , /% 11 �r n/c s s ,0L S /'%/r •L "66/j fJ if `� OZ Inspector Date 0 1, v : COUNTY OF BUTTE .. DEPARTMENT OF PUBLIC WORKS• 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone; 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 atter, or need additional explanation, please contact this office immediately. r/ / Gall / dy S '74 � s � 7�' oo /'ti a v17l Au cZd L(1 C0nsGaf7F aov't sci Gl - ov Inspector. Date—i �� t3 COUNTY OF BUTTE DEPARTMENT OF PUBL4C WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 c' Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE T—BUILDING OR PROPERTY ADDRESS 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. ia y 14 Inspector /l i� Date �O 6 y' RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT & JOIE ` k) V E- . ►Z-- L1 6OX gZ'7x (location) BUILDING PERMIT NO. 2$01-$Z A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED..PLANS: (Check each item or write N/A if not applicable) INSULATION: ' Slab Edge Fdn. Walls Floors Walls - q Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER AI t4 APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) ,y CERT. & LABELED WDS. r & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES tJ CERT. APPLIANCES nJIA I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of Insulation Applicator. (please print) State Contractors License No. General Contractor/Owner Name LtymEz VU.. MCLA061407 Signature of �_,_ ppW'fO)/atWkAX) (pleaseprint) General Contractor/Owner t�t,� Date 7 $ 3 j Sta a Contractors t License No. #J 14 THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CaliforniW95965 -Telephone 916/534-45 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _— . - ZO ING ,f'� UILDING PERMIT OWNE <, I TELEPHONE ,/ SO. FT. OCC. BUILDING VALUATION v OWN 'S AILI G ADDRESS CONTRACTOR'S/6 ONTRACTOR'SAME TELEPHONE S A°�/1 (/ 7 GOi�. 6 O RACTOR'S MAILING ADDRESS I I �ODCi, PrJ CONSTRUCTION LENDER UNK`NOWN LENDER'S MAILING ADDRESS � Total Valuation $ Filing Fee Permit Fee $ 10.00 $ ARCHITECT OR ENGINEER LICENSE NO. 161bAli ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Penalty Permit fee $ 0 $ $ , (j Bu ADDR s / v i PLUMBING PERMIT FiIingFee 10.00 / D U li Da Each Trap 2.00 .QU Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets - � USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE O WORK New❑ Additions Remodel Utilities❑ Inst Ilation❑ Other Describe workxf/* A5' .V_. ��/la�iN 250' '/ �J /^� n Jr / A10'4, lkzl i �i//iUG�i �C�/ /��I i //� A! �G'/�1��. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 /' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING VP. 11 OR ADDNS. ACC. BLDG .h I S ft q .a ,fj 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 ❑ 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 CONSTR 1_ou LET NON.R ESID BRANCH CIRC TS 2,50 ea NEW CONSTR (POWER APPARATUS .&) SINGLE OUTLET CIR, / Ex. Occup OUTLETS OR FIXTURES_ s �� FIXED APPLNS, OR Ex. Occup.�OUTLETS (RESID,) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 7,d Permit Fee $ J7, Fo 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.�v 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 0 permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X HCl //� ,�,/ Dat Z Signature Applicant — Owner L_6 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0 CCUP. GROUP I TYPE OF CONST, PARCEL PD I HD IS7 This permit is hereby issued under cions of the Butte County Code and/or cork indicated above for which fees DIRECTOR OF PUBLIC 3y =� EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ���°— A DL Receipt No. �1�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 4 COUNTY OF BUTTE F TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaliforniA 90965 It Telephone 916/534-454 w APPLICATION AND PERMIT ;PRRMIT NO. ASSESSOR PARC NUMBER Z NTNG L _9SWB DING PERMIT OWNER �✓ ' TELEPHONE r L SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADDRESS /lel CO TRA TOR'S AME alkl�pe TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ B D}N ADD ss i PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 r~ WaterP�P i i n 9 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New F1 Addition❑ Remodel❑ Utilities [I Install ion❑ Other Describe work: �y al � /� / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 00 AMP ORSLESS Main service EA. ADO'L 100 AMP 2.50 D NEW CONST. / DWELLING OCCUP.011 OR ADDNS. \ ACC. BLDGS. / 2Q Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business 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 r sale. (Sec. 7044) I, 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 NEWC CONSTR. OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS IN) SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES 21 BAL and (.FIXED APPLNS. OR Ex. Occup.UTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. WiringAW v 7.50 SJ Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information 1s 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, 'udgments, costs, and expenses which may in any way accrue against id C unty in consequence of the granting of this per �/i t. ` Date/ Signature of Applicant OW er 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 Instailation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR TOR OF PUBLIC By PERMIT E t the applicable provi- resolutions to do fees have. been paid. WORKS _ Date40 S iL� li Receipt No. �6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMEtNT OF PUBLIC WORKS PERMI NO. . 7 County Center Drive - Oroville, Californig 95965 a Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NU ER v IV Z,04I GG /'�J(� BUILDING PERMIT WN G TELEPHONE SQ. FT. OCC. BUILDING VALUATION NE ''S MA ING ADDRESSONTRASHAME I0CTO— TELEPHONE CONTRACTOR'S MAILING ADDRESS + Fireplace CONSTRUCTION LENDER L UNKNOWN Total Valuation $ Filing Fee 9 $ 10.00 DER•S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHIT CT OR ENGINEER'S MAILING ADDRESS Permit fee $ B IN AD ESS OQ �� r � _ PLUMBING PERMIT Filing Fee 10.00 /'77Each U� - C f Trap 2.00 �Op Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utiliti s ❑ Installation ❑ Other Describe work: L' Permit Fee $ Q 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADONS. \ ACC. SLOGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. I -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON-RESID, %SINGLE OUTLET CIR, SO@2D¢ Ex. Occup OUTLETS OR FIXTURES ggL�st Ex. Occup. �OUTLETS FIXED P(RESID,)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f 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 shal l be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilitie dgments, costs, and expenses which may i any way accrue agains aid unty in c seq a of the granting of this p mit. Date �� ��/ Signature of Applicant — O ner Controctor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GRouP TYPE of CONST. IPARCELI'Pff-IND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which E TOR F PUBLIC By PERMIT EXP to the applicable provi- resolutions to do fees have been paid. WORKS Date�'s�� �Z — Receipt No. /y��.3��/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RESIDENTIAL 007-240-060 PERMIT#96-2832 ROGERS, Dennis & Carleen 3637 Bridle Lane, Chico Conv Cov Patio to Screened room/SF r. 9k JOB FINALED (Date); I _ Signature ��^ V=OK O =Not OK Not A •= Not Readyble MOBILE HOMES r Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; SoilsSize-Depth-Spacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ /"L"ft./ /LPG 7. EI 7. Well Clearance & Disconnect A-oTrmg.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing Ven cco 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip, w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-Depth-Spacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. EI A-oTrmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing Ven cco 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 O= N tOK RESIDENTIAL (Single & Duplex) - = Not Applicable Not Ready Date 46. UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ PFtg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ N Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ J' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Recepticales at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Elec. Receptacles in Garage (G.FI.)-Ramex Protection 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard rails & Deck Construction -Post Caps 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 31. Service -Riser Conductors & Ground -Main Disconect Following Instld./Drive 0 Yes 0 NoNValks 0 Yes 0 No/Planters 0 Yes 0 No 32. Equip. Clearances Panels-Motors-Mech. Epuip. Stucco Brown -Finish 33. Clothes Closet Light -Shower Light -Spa Light A.C. Unit Disconnect, Electrical -Plumbing 34. Smoke Detector Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Glass Protection 35. A.C. Ducts Insulation & Support Corrections from Previous Inspections 36. Vent Fan, Exhaust above insulation Gas Test -Meters Tagged, Gas -Electric 37. Condensate Drain & Overflow, Size & Grade Water & Sewer Connected -C/O to Grade -HD Approval 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet Energy Compliance Certificate -Other Certificates 39. Attic Access & Platform if Furnace in Attic Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Comments at Final: FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Ramex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 NoNValks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,-California 95965 - Telephone (916) 538-75414 RMIT NO. APPLICATION AND PERMIT `� _ 02r8a ASSESSOR PARCEL NUMBER 007-24-0-060 ZONING BUILDING PERMIT OWNER DENNIS AND CARLEEN ROGERS TELEPHONE SO. FT. OCC. BUILDING VALUATION 690 C 9XI-&T-1.NG OWNERS MAILING ADDRESS CHICO CA 5 73 363BRIDLE LANE500, DCONTRACTOR'S5 NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHRECTORENGINEER LICENSE NO. Plan Checking Fee $ 93.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGIliBDji6�sBRIDLE LANE, CHICO .J�J PERMITFEE $ 58.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap J 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF & Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherY4 Describe Work: CONV COV PATIO TO SCREENED ROOM — (50% SCREENED) Mobile Home S G Ew7 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT: Filin Fee 2000 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NOWRESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .30 Ex. Occup. FIXEDAPPUN .ORA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date la -_ /�_ Signature of Applicant C0L0 ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE it 58.00 HAZ. I D.FEES — IMP FLOOD I CDF PARCEL PD 1.H - S This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indica above f which fees have been By Date/ PERMITEXPIRESON (D provisions to do work paid. --36 0 9fp 0 9 e) Receipt No. 209617 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .�..� _...Yrr�.•.�'...s,rn'.r`Y+..,a-...�.rvi.'.�'�.�.�-....^•�. _.�s.-r'�ti`.K . �...... 4i1. ((''M'',.....`Ar:_� i�'T..* .' •�.v,. � v ., �. .. ,.� .. - ,- , , f COUNTYOF BUTTE -DEPARTMENT OFD5_VEL' OPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO ILLE, CALIFORNIA95965 - TELEPHONE(916)538-7541 r ti r I PERMIT APPLICATION DATASHEET " OWNER @ n i s 1. a I P en fio A. "o: �C/ ( d �0 0 C/ Proposed Building Use COP11 V O V POL f O B_Wjdi- _Ingpector,�2% -Date P -; At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................... . 7. Statement of Intent for Non -Heated and A/C Buildings . ................ ...... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter, (100 year flood) by California Engineer . ................. . 14. Sanitation and plat plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ., Pre -Inspection n:quee 20. Pre -inspection for required. toB"Isdpmglnspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ..... ........ 22. Certificate of Workmans Compensation Insurance .......... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .... ...... 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization.. ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :............. ! ... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ..:............. 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. 34. r When you issue the {�e� m(�c��.s as follows: -Mato owner Mail to contractor. Telephone �f7 ZS and hold for pickup at office. Deliver with inspector. Other Parcel Creation ,�} Acreage Applicant [/ ' ` r Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail ounter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 o building permit will be issued until this verification.is received: I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES' NO( ]. I. HAVE k.: HAVE NOT[ f signed an application for a building permit for the propose wor ' 3. I have contracted with . the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: _ CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: Z.;Z' 2 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record . on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may bean employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations.including'state and federal income tax withholding, federal social security takes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. SInc�rel Lt Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER V Dennis and (vieen Rogers 3637 Bridle in. (hico . (a. 95973 916-8945958 A55E55MENT # 007-240-060.000 I 7 5" I '1'hls 88t O'ip1a�B iliiVVVVPPPPY�w//YY /�ar�•��� NW" kept on the -30b at all times and it is unlawflrlt�o ma :. any changes or alterations on serve witlic3� ` written permission from the b6P&rt,33aent of Pnb110 Works.,Counij of. Butte. erk a50 (o ed per Bac. 4410rUM 57'6" �netnteC pow EXISTING PATIO 12 X 57.5 FT. COMP05111ON ROOF 4 X 6 STUDS 8" BEAM A(R055 STUDS. ENCL051NG EXISTING PATIO TO ALL 4" WILL BE SCREENED FOR VENTILATION- EXISTING SLAB WITH FOOTINGS UNDER 4 X 6 STUDS , END WALL NOT BEARING WALL , NO SUPPORT NECESSARY FOR ROOF, FRAMING SHOULD NOT PUT WEIGHT ON END WALL. NOTE: A1T Materials & V Orkma } _ r d Good Prao�ioea lz T Accordance with Recogn1z8 eclaed e Of a Quality Prescribed for the sP the IIniform Building, Plumbing `1 • , , in BUOU40610ode. . Codes slid the Diatirom a' coo"', 000 -090 -MZ -LOO # 1N3WSS99SV NO 1H91VUlS m31A OI1Vd 9NIism MS -V68-916 EL6S6 " WRI aIml 11PN9 UK saa6oa unPm) PA s!uua0 wooa /Guu l „56'°,.28 J000 6u'P!IS I POA O!Pd 6ui}snaa uo weag „8 H ,V ua44X I APIA, woeu 6u!u!Q mopwm A tm..Sb mOPu!m I wooapag ..18!°.SE mopu!m O110511Vm W008099 ON] ISM 9NUSIK3 PERMIT NO. PERMIT EXPIRES OWNER Luther McLaughlin CONT.R. 'Marvin C.' Anderson, Oroville 44-44-60 LOCATION (A.P. S/S Bridle Ln.,app.1400'N.of Eaton Rd., Chico 5898-78B,P,E,M Temp. Power Pole Called PG&E - Temp. Elec. Serv.. Called PG&E Temp. Gas Serv. Called PG&E tJOB Fl N A L E D (Sig at � e3' •* �• __ _. � .. Interior Lath Ventilation Permanent Door Closer Final Final kj MOBILEHOME UTILITIES ------------------ Elec. Servic r Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage ` Gas Piping DATE REM KS OR CORK TIONS (A' �G dal . An e r dh+s a ime you visit fob site.) COUNTY OF BUTTE — DEPARTMENT OF.PUBLIC WORKS BUILDING INSPECTION RECORD BUIL G . BUILDING (Cont'd) PLUMBING Setback -it Firewall Soil PI in Forms Para ets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding_ To out Slab Roof Sheathing Water Piping Piers /7%2 7'v TLJV7 Roofing �— i Sewer Garage Footings Stemwall Fdn. Vents Garage Vents Insulation Fixtures Water Htr. Heaters Slab Carport Footings handicap for pehyslcally Conformance o structure Appliances Gas Piping & Test/ I Temp. Gas Slab Final Sanitation Patio FIREP CE Final Footings Footin ELECTRICAL Masonry Walls Throat Rough / Y Reinf. Steel Final Fixtures Bond Beam FIRE PRIN L Motors ------- Framing Test Water Htr. Stucco Final / Subpanels Mesh % MErliANICAL Grd. Fault Prot. 10 Scratch Heating Service Brown '"` "` Cooling Temp. Pole Finish 1.,/ Ducts I �.,,�e.....,....a Interior Lath Ventilation Permanent Door Closer Final Final kj MOBILEHOME UTILITIES ------------------ Elec. Servic r Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage ` Gas Piping DATE REM KS OR CORK TIONS (A' �G dal . An e r dh+s a ime you visit fob site.) v COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville; Cali.forgia 95965 /� 9 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner Mc LAUtj SQ. FT. OCC. BUILDING VALUATION Mailinjg�A/ddressgdXa ') 2 Contractor 6 01 `M F_12— 1 It Mailing Address ephone No. Building Address 15IS 9i>_tDLF- GAO E � �fiP, 140Df 0 r 10 l= EPAD l"i ?-D G H 1 C.o , G Pc - A. P. No. q-' If 4 —to ELECTRICAL PERMIT FILING Zoning & Planning Flo s 600v OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Fire Dept. Fire Zone Main service Use Permit EQA Parking Plans Parcel Declaration Parcel Map]60' R/W Improvements p ovements Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ©— 1&)SiArU, lt1D©D 500Nt04 GTDtCE FoR- 6 P * 5fSQ8--19 Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Fireplace I /t- I Total - Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVERs00v 100 AMP OR LESS Main service EA. ADD'L loo AMP NEW CONST. ! OR ADDNS. \ DWELLING OCCUP. Y ACC. BLDGS. NEW CONSTR. NnN-RFSIn_ (MULTI -OUTLET `BRANCH CIRCUITS Ex. OCCUDIOUTLETS OR FIXTIIRE: EX. Occup. (FIXED APPLNS. OUTLETS (RESID )REA Temporary service Mobile Home Facilities Misc. Wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. It'( f that i th f n f th k f h' h h' U& $3.00 5.00 2.50 25.00 1.00 .50ea 2.00 10.00 15.00 6.25 $3.00 cer y (n a per orm nce o e wor or w is t Is Ventilation oc-IlLpermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. Permit Fee $ $ 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-mentio roperty for inspection purposes. IryI i/� Date Signature of it P rmee or Algent X Receipt No. / v /c2 7 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of thea County Code and/or resolutions to do work indicated a ve f r whic fees have been paid. C OR OF PUBLIC WORKS(V q ,Dat Building permit expires Date /0 �/. ,# t COUNTY OF BUTTE —.� DJ.PARTMENT OF PUBLIC WORKS 7 County CQpter Drive K- Oroville, C4li.for.-lia 95965 Tel epl1one: 534-4541 APPLICATION AND PERMIT BUILDING Owner L,07-tIC- �('(a//L/A/ SO. FT. OCC. BUILDING VAL ION TL ao Mailing Address e6 2 5-17v2 Telephone No. /� Contractor �I/A21// dC:o� , AAJbC-RS0A% Mailing Address 22 l�oV6-Ai7v_Y D2 Fireplace Total Valuation / RD(/1 CA- qS�('p� 25 Permit Fee L/Ot O O Building Address S' S 6R_1 DLG L•/A-A1� P Plan ng Fee&/or Penalty Permit t Fee 10 O7® A)O'. F PLUMBING No. @ FEE PERMIT FILING FEE $3.00 1170 Each Trap 1.50 ,,SO C� Repair drainage or vent piping 1.50 // A. P. No. �%'� �C�d Zoning & Planning Water piping 1.50 /,So Each gas water heater or vent 1.50 F P< 4• iJ&rTn I FireDept. I FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 �� Bldg. PloLd ec'd //�� ParceI%A000roval Pla pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION M -o -'UTILITIES ❑ OTHER ❑ Permit Fee $ f00 $ C—A&A-IZ -sE MAST /9 2 d- AbQ ELECTRICAL No. @ FEE D2ES5JA.) F-VOA4. + (!0 VIE` P,44T0 PERMIT FILING FEE $3.00 !3t00 Main service 1000V OR LE 0 AMP ORLESS5.00 Single FamilylQ"' Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING O Y OR ADDNS. ( ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busi es &Professions Coe under the name style f: P, t,4__W!5_ NON-RESID, (MULTI NEW CONSTR BRANCH-IICIRCU BRANCH CIRCUITS) 2.50ea t NEW CONSTR. POWER APPARATUS 9 NON-RESID• SINGLE OUTLET CIR, Ex. Occua (OUTLETS OR FIXTIiREs g L 1@ ' Ex. Occup.(FIxeD APPLES. OR OUTLETS (RESID,) EA 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.'30`-1 7 � Classification / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ d• $ 020 S WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Heating Ij5Xj'-E AJD (I Dtl 3/�O Cooling Ventilation Hood 2.00 Permit Fee $ &cU,U $ 1co 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 Land Development Fee $ TOTAL PERMIT FEE $ �f authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date b $ ature ofPe2mitee or Agent Q Receipt No. �u v&63 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF FXJBLIC WORKS -1 BY �XI� Date D _✓ Building permit expires Date _ /�� r v PERMIT NUMBER _ B 1699-73B,P',E r P E PERMIT EXPIRES OWNER Sam Herrington CONTR: Lou Thacker, Durham LOCATION (A.P. 44-•4-44--42 s1s Bridle Ln. app. 1400' no. of Eaton Rd., Chico G ti Zoning Foundation J Rgh. Plumbing Rein. Steel p Framing Wir. Htr. Firewall ELECTRIC Temporary Final DATE REMARKS OR CORRECTIONS S COUNTY OF BUTTE . Cr Department of P,ubb.c Works BUILDING I�NSSPP-ECCTjION RECORD Setback �%� '4 "'' /' 2 / Forms Piers & Girders Fireplace Bond Beam Lath & Plaster Gas Piping & Test ound. Vents Plmg. Topout Rough Elec. eq Furnace-' Kitchen Vent Garage Vents Sanitation & Water --� GAS BUILDING Temporar Cert. of Occyp. Final Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive L (9ro?,*Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORKS authorize representatives of the County of Butte to enter upon the above-mentioned property pec 'on purposes. X Date Signature of Permite or Agent Receipt No. /0 "� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date ,S BUILDING Owner SQ. FT. OCC. BUILDING VALUATION b Mailing Address Telephone No. Fireplace Contractor Z Total Valuation Mailing Address - ` Q Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressPLUMBING nir 061 No. @ FEE PERMIT FILING FEE $2.00 00 I p Rgde Each Trap 1.50 . Repair drainage or vent piping 1.50 Water piping 1.50 )ry Each gas water heater or vent 1.50 A. P. No.Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60 ' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd f�arceoval Plans A val Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 e3t� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 2 or less ore than 12) j Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Coo - op or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 P ba—1 Lx110 _707a110.1 Receps., swi4hes & fix o tlets 2S CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Bu ri;nes,�APr essions C de under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. ::Z1_3,f)Classification. � � S Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 61-32 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability forWor en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ 41) 13-C authorize representatives of the County of Butte to enter upon the above-mentioned property pec 'on purposes. X Date Signature of Permite or Agent Receipt No. /0 "� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Building permit expires Date ,S COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive— Ordville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT OUL"Or-O IUPltCOCIILOLIV- ui the uuunty of Butte to enter upon the above -m ti ned pro for inspection purposes. Date 7 / Signature of PPeermitee or Agent Receipt No. /cs�3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 4(RECTO OF P B,L C WORKS B Date 3 .:20 Permit exV+res_QWe............................................ BUILDING Owner S,4 Vi% Ai,eAeT0^1 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor C 4 f e-0 QU 'om l N r-- Total Valuation Mailing Address '7/0 Pd 4UE Permit Fee Plan Checking Fee &/or Penalty C/t f O ele hone No. cf — QS Permit Fee $ $ Building Address-5���QJ� ��� }>p %Sl�t� PLUMBING No. @ FEE PERMIT FILING FEE T,00 E, p0 nn F .EA OC%Q14 Ci c_'o Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / O A. P. No. 'Y `f _� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 '"'0 Each additional outlet .30 Fae4 W.GoOfIS�MrraTrM+Fire Dept. I Fire Zone Use Permit Building sewer 5.00 _EQAJ Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements provements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ .00 $ O( NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER g ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i--ple IPEXM /% 16T9— Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 2U dio Light fixtures bo Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of ifor is Bu ' s & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 ��� �s✓r License No. LySSClassification G 3 Temp. Power Pole 5.00 Misc. wiringr ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ OUL"Or-O IUPltCOCIILOLIV- ui the uuunty of Butte to enter upon the above -m ti ned pro for inspection purposes. Date 7 / Signature of PPeermitee or Agent Receipt No. /cs�3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 4(RECTO OF P B,L C WORKS B Date 3 .:20 Permit exV+res_QWe............................................ IN Y 04 ------------ 14` 14 0\411� Fhvirpn mental Health APR 282m Chico, California lb -:i 9 0 3 � L6, -CISM. SWTI4 S —i CcW APPROVED Butte County Environmental Health Date 5CIN i �� Zoe A - —o4 - 021 -7- 4- i\j ss. GA kill, .01 � f V3 LA T- � 110 X -ny. F F EDA 'St4op RR C �A-t 9. � 0 3 w T �Lv'ca - - vtn ILL 4 -2 -to -04 i R