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HomeMy WebLinkAbout007-250-033007-250-033 04-0201 SUNDY, MICHAEL 3119 MICHAEL WY, CHICO ELE SER CH/SF LT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephon (530) 538-7541�� / ,�,1P T NO. (Rev. 12/96) APPLICATION AND PERMIT `j YY�tJf ASSESSOR PARCEL NUMBER f1�7-25D_t7�� ZONING BUILDING PERMIT OWNER slmy, tffMARTora TELEPHONE Si. SO. Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3119 MTCTIAF7 WAY 4S Z CONTRACTORS NAME l ll7lir'.[t TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LEN6ER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3119 MICHAEL. WAY. MIM 99970 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ }Mobile Describe Work: EL.EC SERV UPGRADE Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Home S G W @20.00 PERMIT FEE $ { ELECTRICAL PERMIT Filing Fee 20.00 Main Service ZDDAORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 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 Main Service TO 46.00so WEE200A CCUOOOA NEW CONST. DWELLING OCCUP. OR ADONS. ( d ACC. BLDS. SO 3.SQFr. P10NEW .pES1D MULTI.OUTLET @7,50 POWER AP= U 8 SINGLE OUfLEr CIR. EX. OCCU OUTLET OR FIXTURES 20 @x'50 BAL @ .50 Ex. Occup. Du LErsRESID) E 5.00 Temporary Service 4 1.23.00 Mobile Home Facilities 20.00 Misc. Wiring IRF' qp,. 23.00 23.00 PRE INSPECTION 23.00 PERMIT FEE S $9.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r /.�_ - - j I - i-�'- D to /-� ars _ Signature of Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00(`/" ]HAZ FEIMP FLOOD CDF PARCEL PD H ES - - IsStA TIZ 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. i' 1, ,/", By /.'.L/%/%%4', �/�i�/- Date PERMIT EXPIRES ON Date Receipt No. , -5 -7 ! U v WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telepho (530) 538-7541` q P R7T NO. (Rev. 12/96) APPLICATION AND PERMIT V / ASSESSOR PARCEL NUMBER 007-250-033 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MALING ADDRESS CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3119 MICHAEL WAY., CHIM 99973 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELEC SERV UPGRADE Gas piping syste!!! 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 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 WORKERS' COMPENSATION DECLARATION 1 rby affirm under penalty of perjury one of the following declarations: I 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 Main Service 200A To 1000A 46.00 NEW CONST. OWEwNG OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT. NONaAESID. T.MULTI.OUTLUT. @7.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup.OUTLET OR FIXTURES BAL Q':00 Ex. Occup. oLITLEeDrsA RaID,oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSPECTION 23.00 PERMIT FEE $ 89.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 w• h provisions. Date l'��/-- V� _ Signature of A61flicant - ❑ Owner ❑ Contractor 0 Agent An OSHA permit is required for excavations over 60" 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 .0 HAZ. D. FEES IMP FLOOD COD papplicable ISS This permit is hereby issued under theprove of the Butte County Code and/or Re indicated above for h fees have been By Date PERMIT EXPIRES ON dL do work '//'' paid. ate Receipt No. 0 3- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PRE -INSPECTION REPORT OWNER. -3 LOCATION: l (--IVY Z�'/ . CONTRACTOR: PRE-INSPE77ON FOR �= I �G f� C, � �h LQ c) rc� rz,,-v-� DATE TO INSPECTOR: \ �� psaff HlyroRy., ) NONE Reaidenti Wo[Un tw Cun Mtly Occupied AbsndonacWa w Electric: Y No Condition of ElecWe A// Gas: Na = Propane Obvious Probluns- n Saaltation: DATE: A.P. #�- ZOMNG. ) AS FOLLOWS: Bvff nimn 1N SPEGTOa S a BrUKE Electric =mntly On Off None Guurently on Off, ft Vko,"j Plumbing Workindc•(- 1/1 n I A I ►�_.�_ Well Workina Obvious Potable Water ACTION RECOMMENDED: LSSUE: HOLD FOR Inspector: DateZZ-71 _ � I Sketch buildings on reverse and indicate location onro ert P . P Y` :.,.... .,;, r y'" .. i `s" • •..,f�-..... .4.t ^`�- '�" f' t..rl � .'r Vr , M . `' '_,., 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 7� OWNER: 3tA0 a I (Ch��P . I ASSESSOR PARCEL NUM OD r ` �3 Proposed Building Use: P(e_ I n Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to/apply. ❑ 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 ❑ 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 ❑ 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 about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit fqr drivgway from toe Public Works Dept......" ......... 28. Pre -Inspection for e I -eG_I � c, Se✓V I U Vent � 0�(i 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 ................................. ❑ 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 been informed of the above items A requirements for obtaining a building permit. /,Zgl 1, G - U Applicant: �- Date: 2 1. Index permit application for th bove items numbered: Plan C eck Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division } i A Ll geJ4-t C-45 CA IQC-5 JAN -2-1999 SAT 10:33AM ID: PAGE:2 PERMIT NO. 4$73-77B,P,E,M PERMIT EXPIRES OWNER Gary Simmons CONTR. owner LOCATION (A.P. 44-45-33 W/S Michael Way, app.300'N.of Eaton Rd., Chico Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED /' V < .. /�(". (Date (Signature e Relnf. Ste -,.I COUNTY OF BUTTE -i DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD — 0 -' BUILDING ! BUILDING (Cont'd) PLUMBING Setback A0 Firewall Soil Piping Forms— % Parapets 1st Floor Main Bldg. Gird. Fault Prot. i Restroom Finish 2nd Floor Footings % Windows 3rd Floor Stemwall --"--- Siding To out Slab Roof Sheathin Water Pi in Piers ----- Roofing --7 Sewer Garage Fdn. Vents Fixtures Footings Garage. Vents Water Htr. StemwaII Insulation - Heaters Slab Carport Footings r e handicaddhysically Conformance of I structure Appliances Gas Piping &Test TemD. Gas Slab Final — -` Sanitation Patio FIREPLACE Final Footings Footing ELECT ICAL Uaannru Wallc Th-* I Relnf. Ste -,.I Final 4Fixtures- — 0 -' Bond Beaw FI RINKLERS Motors Framin "" Test Water Htr. Stucco .e Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ourtc linder„r.. nd c Interior Lath I Ventilation I Permanent — Door Closer Final — . 0 Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION --------------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR • • 44 r (NOTE: An entry must be made on this form each time you visit the job site.) J COUNTY OF-iBUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 W 7 7 —7 ' Telephone: 534-4541 / APPLICATION AND PERMIT � - BUILDING Owner < G SQ. FT. OCC. BUILDING VALUATION o z49 0 Mailing AddressS ,� �`• r Te r�pne No. d _ Fireplace ContractorTotal Valuation Mai I i ng Address oe Permit Fee Q O p Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ 00 Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 QQ AV ae� Each Trap Z 1.50 �C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 //// A. P. No. — 71 % —J� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fkesl W . Sa on Fire Dept. FireZone Use Permit Building sewer 5.00 EQA I Parking Pa—rcel--T Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 ��Plans d61 g. Plans Recd I Parcel A al Plans Approval Permit Fee $ Q $ NEW [J ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,�EOV Main service 100 AMP OR0V OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 + t Main service OVER 600V 25.00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING F� OR ADDNST (ACCLBLDGO. O &) 20sgft NEW CONSTR(. MULTI -OU LET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS &1 NON.RESI R. D. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)@SQ BAL�1 FIXED APPLN5. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 P I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,j $ 3 MECHANICAL No. @ 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 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. PERMIT FILING FEE $3.00 —?,Co Heating Cooling Ventilation Hood 2.00 Permit Fee $ 0 $ 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 TOTAL PERMIT FEE $ allLIIU11GC ICfI I CJCIILaLIVCJ UI LIIC UUU[Ity UI 6UUt! IU CnlCr UpUrl Ine above-mentioned property for inspection purposes. isDate Signature okjermitee or Agent Receipt No. /6 /p 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 $ olutions to do work indicated above for which fees have be n p id. DIRECTOR IF P ELIC WORKS By ding permit expires Date Date /0—/o—I% ��'� � ' 7,P Order No. Escrow No. 22697-ch/IP Loan No. WHEN RECORDED MAIL TO: Gary E. Simons Route '2 Box 227 Chico, Calif. 95926 1 OFF1141AL RECORDS tUTTi:. 00U'iTY-'), FECi7Nu RF;)UE,;iEn Uy VIICVALLEY TTL�,AS� 1� COMPANY DCT 1 1 LOUISE KLUE.NOk N ��' C04HTY RECO}:DER FEE 9933 SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX &.14-1.40.._............ — PAD. Same 8 S directed above. XX... Computed on the consideration or value of Property conveyed; OR ...... Computed on the cora' ation or value less liens or encumbrances .rem ingattimsof 1 ' d Valley Title Co. , , nature t*onf or Agent deurmining tax — Ftrm Nami GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby adcnowledged, MARVIN C. ANDERSON, a married man, -dealing with his separate property hereby GRANT(S) to GARY E. SIMMONS and JOAN B. SIMMONS, husband and wife, as Joint Tenants tho MW vWMW' �" the ;CIIIIIII&AMc :0b0%A'O rpor&t �. Cowty of to. S;' r. `' ,;SUft. ' VCdi% n*&,4Vmibed as A portion of the Northwest quat<rter, of Section 10, Township 22 Horth, Range 1 East,M.D.B. & M; and more particularly described as follows COMMENCING at a point on the East and West centerline of said Section 10. - distant East- 743-.-8-8---fae�ir'Om the --East -line-of the I•:est half of-t-he-t1t=tiz- F west quarter -of said Section 303, thence North. 00' 20' west 349.20 feet to the true point of beginning for the parcel herein described; thence from I said point of beginning continuing North 00° 20' West 73.54 feet; thence { East at right angles 166.00 feet to a point in the centerline of a 60.00 foot road easement; thence South 00° 20' East along said centerline 73.54 feet; thence West 166.00 feet to the point of beginning. RESERVING THEREFROM a non-exclusive easement for roadway and public utility purposes., along with the right of use and maintenance for said purposes over the Easterly 30 feet of the above described parcel. TOGETHER -WITH a non-exclusive easement for road and public utility purposes 60 feet in width lying 30 feet on each side of the following described line: BEGINNING at a point on the East and West centerline of said Section 10,. distant East 913.80 feet from the.East line of the West half of the North- west quarter of said Section 10; thence from said point of beginning and-_.,-. running North 000 20' .West 382.74 feet to the Northeast corner -of ` deaoribed jiafcel', and the end of said line. EXCEPTING FROM said easement, any portion thereof lying within the bounds,, the above described parcel. - -o A or, _ Oct. 606 1971 a• , r^ before me, the undersigned, a Notary Public in and for said saft parson.fly appeared 1.r }•a► Marlin C.. AndeL'ann OI FICIAL SEAL CQYSTAL M. HARMON known to me to be the person —...— whop nems 1-9 ev NOTARY PUBLIC -CALIFORNIA j t COUNTY subscribed to tha within iratrum'n't and acknowtadged that o .. Tres July 15,1973 T~ V he executed the same. MTNESS my hand and official, sal. >83 Ears! 6th $t., Chico, Calif. 9b928 signature I �,, ,� _ '� (This was 'fpr offk d notarial eMU 1002(10/69) MAIL TAX STATEMENTS AS DiREcTtb ABOVE 77�cb r I PERMIT NO. 4855-76B PERMIT EXPIRES iY422 (0 _ OWNER Gary Simmons CONTR. Four'Counties Roofing Co., Chico LOCATION (A.P. 44-45-33 W/S Michael Way, app. 375'N.of Eaton Rd., 400'W. of Burnap Ave., Chico Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. //Called PG&E _ T 4np. Gas Serv. _ Called PG&E JOB /j0 , 4/-/, 77,;;FINALED (Date) - 2�� t (Signature) t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) UMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing 6� , Water Piping Piers Roofing Sewer Garage Fdn. Ven(s Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for ph sically handica edy Conformance of ex. structure Final 7i --% Appliances Gas Piping & Test Temp. Gas Sanitation Patio ./0.-0 FIREPLACE Final Footings Footing EL CTRICAL Masonry Walls Throat Rough Reinf. Steel i Final Fixtures Bond Beam FIRE SPRINKL RS Motors Framing Test Water Htr. Stucco Finial Suhnanalc Brown Finish Interior Lath Door Closer DATE MEC ANICAI Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS i 71 Grd. Fault Prot. Service Temp. Pole Under roun Permanent Final ' (NOTE: An entry must be made on this form each time you visit the job site.) V' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County•Center Drive Oroville, California 95965 Tel dphone: 534-4541 APPLICATION AND PERMIT 1 .I/ ,ey - 7(��_ All -- -- ..y — vu.w — cn 1 upon uic above-mentioned property for inspection purposes. X Z0 /t lrf, Date Signature caermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS BYZ.--,� tiding permit expires Date BUILDING it Owner Gary Simmons SQ. FT. OCC. BUILDING VALUATION Mailing Address Rt • 5 BOX 506 re–roor medishakes Chico Ca. Tel 34Q_e (�g63 }J`�t jj }jOo Fireplace Contractor Four Counties Roofing Company Total Valuation $2, -01J Mailing Address P.O. BOX 3215 Permit Fee Plan Checking Fee&/or Penalty Chico,Ca. � Tele�4 h �1 } 1–eUd41 Permit Fee Building Address Y'" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 N Ease,, R� Each Trap 1.50 I ` $ OF A4 t C 4 A e L w pp,�a Repair drainage or vent piping 1.50 Water piping 1.50 5Al,�'f .q To AJ Rd o0' ki or B4vAla P AdiE Each gas water heater or vent 1.50 A. P. No. at/— - 5'-- _33 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Seta+tation. Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W provements Improvements Lawn sprinkler system 2.00 1314d, I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERx❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Re -roof Medium Shikes Main service 1,00v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family X❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST (DWELLING ACCBDGOCCUP. &) 20sgft NEW CONSTR. (MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 12.50ea, NEW CONSTP- POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 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: Four Counties Roofing Company Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 252071 Classification B -1-C-39 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. © I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall not employ an P p y y 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 E2O Hood 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 P PERMIT FEE $ 24 00 -- -- ..y — vu.w — cn 1 upon uic above-mentioned property for inspection purposes. X Z0 /t lrf, Date Signature caermitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF—PUBLIC WORKS BYZ.--,� tiding permit expires Date P7 -N, OF SEC -10. T. 22 N. R. I E. M. D. 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