HomeMy WebLinkAbout007-250-0597-25-59
DAVE FURTADO
3110 Michael Way, Chicm
Contr: Kardel Roofing-
Permit#2930-87B(reroof/SF) /p
7-25-59 .r 1177-89R
ANDREWS,.'Weadell
3110 Michael Way, Chico,`
(add carport)SF G�(�
94-1367B 007-250-059
ANDREWS, WENDELL
3110 MICHAEL WAY, CHICO
NEW GARAGE/STG $ 9y
s=— - — --- ----------------
7
--7
6
0
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 3110 MICHAEL WAY
Owner:
Permit No: B08-2481
A.PN:007-250-059
ANDREWS FAMILY TRUST,
Issued Date: 12/23/2008 By TMP
Permit type: MISCELLANEOUS
3110 MICHAEL WAY
Subtype: Window/Glass Door
CHICO, CA 95973
Expiration Date: 12/23/2009'
Description: 7 WINDOWS, I GLASS DOOR
(530) 345-5094
Occupancy: Zoning: SR
Contractor
Applicant:
Square Footage:
JUDSON ENTERPRISES INC DBA K-
JUDSON. ENTERPRISES INC I
Building Garage ' Remdl/Addn
2440 GOLD RIVER ROAD SUITE 100
2440 GOLD RIVER ROAD SUI
RANCHO CORDOVA, CA -95670
RANCHO CORDOVA, CA
Other Porch/Patio Total
(916) 853-7400
.6853-7400
(91)
FEE INFORMATION
DBMSC Window/Sldng GIs Dr -Rept $238.00
, LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
JUDSON ENTERPRISES INC D 498806, / B C17 D24 D41 D12 D03 /
I HEREBY AFFIRM �E PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing wi
ec
,,,
XAio 70 0) of Division 3 of the Business and Professions Code, and my license
is inl far ,
12/23/2008
Con Iwature Date
WORKERS' COMPENSATION DECLARATION
I HEREBY 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.
j I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
LL JJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier: WESTERN SURITY (policy Number:929296986 Exp. Date:09/30/2010
(This section need not be completed if the permitis or or on�llars ($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 the Workers'
Compensation Laws of California, and agree that if I should become subject to the workers'
compensation r pv?pns of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions. �/ ��
X 12/23/2008
Siiggf atlur'e Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)'
Lenders Address City State Zip
Total Charged: $238.00 Fees Paid:
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or 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 applicant to a civil penalty of not more than five hundred dollars [$500]; .
Please check one of the following:
❑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 License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
- the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec.'7044, Business and Professions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ I AM EXEMPT under Section B. 8 P.C. for this reason: '
Owner's Signature
12/23/2008
Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relaiing to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County; its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by; arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
propen ner or amay thorized to act on the property owners behalf.
12/23/2008
Owner Contractor OR. Agent for Owner 'Agent for Contractor
FILE COPY
JJJ���--���
t
M
BUTTE COUNTY
o�u,TT�a DEPARTMENT OF DEVELOPMENT SERVICES
° ° BUILDING PERMIT APPLICATION*
° ° OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
o �^ = o A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
0 0
y: ,C Website: www.buttecounty.net/dds
c U N y PLEASE PRINT CLEARLY
**When filed, this application and all supporting material becomes subject to the California Public Records Act. All
PERMIT
NO.
IT
BIN #
public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
CONTRACTOR
OWNER INFORMATION
Last Name
J
City (31L4AI
First Name
Mailing Address
1. l.Ga'li
City
State
Class
Phone,
State Lice Number
Fax
O
E-mail
CONTRACTOR
Name -
vs
Address
L i. til
City (31L4AI
State
1011
6(,;�,10
Phone t tPFa
t 3
E-mail
Lic. # tr
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
State
Zip
Phone
E-mail
State Lice Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
IA8PL-tPANTg!GNATURE
X ,
G /
f'
PROJECT LOCATION
AP# X0-7— 4so 1 DSq- Oto
Property Address �l Lo rn L ��LC�i1
City
WORKER'S COMPENSATION
Policy Number , n n D01 0`t)10
Carrier
If hiring anyone othki than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)
04/1►/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
INSURED
John O. Bronson Co. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3636 American River Drive Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Sacramento, CA 95864
916-974-7500
Judson Enterprises Inc dba K -Designers
2440 Gold River Road #100
Gold River, CA 95670
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Majestic Insurance Company (SF)
INSURER C:
I INSURER E:
OVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
'.IAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
IOC AA- 1 IKAITC CUnVAIAI AAAV UA%IC raGcnl RFIII lr`-rn RV PAin rA AIMS_
INSR
ADD'L
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
NSR
OF
POLICY NUMBER
D MM
DATE MM
GENERAL LIABILITY
EACH OCCURRENCE $
A A N
PREMISES Ea occurence $
COMMERCIAL GENERAL LIABILITY
MED EXP (Any one person) $
CLAIMS MADE FIOCCUR
PERSONAL & ADV INJURY S
GENERAL AGGREGATE $
GEN•L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $
II
POLICY I I PRO I LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
$
(Per person)
SCHEDULED AUTOS
HIRED AUTOS
BODILY INJURY $
(Per accident)
NON -OWNED AUTOS
PROPERTY DAMAGE $
�—
i I (For : ..
I
AUTO ONLY - hA ACCIDENT S
GARAGE LIABILITY
ANY AUTO
OTHER THAN EA ACC $
RAUTO
ONLY: AGG S
(
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE $
AGGREGATE $
OCCUR FICLAIMS MADE
S
$
DEDUCTIBLE
S
RETENTION $
WORKERS COMPENSATION AND
C200703798-02
104/01/2008
04/01/2009
X WC STAID• OTH-
ORY LIM
E.L. EACH ACCIDENT $ 1,000.000
EMPLOYERS' LIABILITY
A
1,000,000
IANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $ 1,000,000
II yes, describe under
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS -
Informational Purposes Only - Evidence of Coverage for the State of Nevada
RE:
Add'I
Interests:
Forms:
CERTIFICATE
JUDSON ENTERPRISES INC, K DESIGNERS
ALL WEST FINANCIAL
2440 GOLD RIVER RD STE 100
GOLD RIVER, CA 95670
I
ACORD 25 (2001/08)
CANCELLATION ""lU Uay Notice for [von-raymenutvon-xeportmP,---
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE(--
TION 1988
r
(CORD,,, CERTIFICATE OF LIABILITY INSURANCEDATE (MNVDDlVYYY)
us;�an_uua
,UCER - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
John 0. Bronson Co. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3636 American River Drive Suite 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Sacramento. CA 95864 )
916-974-7800 i INSURERS AFFORDING COVERAGE j NAIC #
:IED I INSURER A: Landmark American Insurance Co (Crouse, SF, CA)
Judson Enterprises Inc dba K-Desisners
INSURER B:
2440 Gold River Road # IOU i INSURER C:
Gold River. CA 95670
1 IN�SURERR 0:
• INSI URER E;
---4+r. o 1 . •T"'' '• v'T"' ` Vic. 'R5�`Y3>°"a.v., r cs4`�!Y;�S W
/ERAGES a�;c:Js@t;'Ms!'-ems _e-s,F n...-::�Tiy?�fi... �.�'�iTu'...:'V rsr< :,.rr._�cr�c�.,?i?;:r�.rs—•a� ,J'�'�`��� a`^+*o.-cr.: .ty"!;�"f/dJh.�.
IE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
!Y REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
1Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
)LICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iINSADD'L�
R11TYPE OF INSURANCEPOLICY
NUMBER
POLICY EFFECTIVE
DATE MM/OD/YY
POLICY EXPIRATI
DATE MM/DD/YYON - LIMITS
GENERAL LIABILITY ,LHA133413
19/0)/08
I
19/01/09
EACH OCCURRENCE. l S 1.000.000
X (
COMMERCIAL GENERAL LIABILITY
` I
I
- DAMA O P. IJ ED
PREMISES Ea occwencel $ 50,000
I
CLAIMS MADE OCCUR
i
MED EXP (Any one person) I $ E.XLIudcd
I
PERSONAL d ADV INJURY S .1.000.000
..
I
GENERAL AGGREGATE $ 2.000.000
t'L AGGREGATE LIMIT APPLIFS PER:
I PRODUCTS COMP.'OP AGG $ 2.000,000
I� PR(`O7 i
I
POLICY LOC
I
AUTOMOBILE
�1
LIABILITY
I
I
I COIABI14ED SINGLE LIMIT
S
j I
ANY AUTO
I (Ea accident, '
I
ALL OWNED AUTOS
BODILY INJURY
1
I
i
SCHEDULED AUTOS
(Per person) $
i
I HIRED AUTOS
I
( BODILY INJURY , $
I
7.
NON -OWNED AUTOS
I
i (Per acaaenq —
I
17
I
I PROPERTY DAMAGE i£
i
I
I I (Per accidenp
GARAGELIABILITY
I AUTO ONLY - EA ACCIDENT I S
��I
I --
I r ANY AUTO
-
I OTHER THAN EA ACC $
I
I
AUTO ONLY: AGG $
(
�IEXCESSWMBRELLA�LIABILITY
( EACH OCCURRENCE , -$
OCCUR CLAIMS MADE
I AGGREGATE $
I $
DEDUCTIBLE
I
RETENTION S
I •. $
. WORKERS COMPENSATION AND
I
WC STATUOTH.
�__ I TORY LIMITS I '
EMPLOYERS LIABILITY
I
Y
I
ANY PROPRIETORPARTNER/EXECUTIVE
I
E.L. EACH ACCIDENT $ _—
OFFICERIMEMBER EXCLUDED?
I -
E.L. DISEASE - EA EMPLOYEE S
I
11 yes, describe under
. SPECIAL PROVISIONS below -
I I E.L. DISEASE - POLICY LIMIT I $
OTHER
j
;CRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS '
Evlidencc of Insurance a
fl
:rests:
RMIERI9GII=:Loin UQCI
1UDSON ENTERPRISES INC, K DESIGNERS
ALL WEST FINANCIAL
2440 GOLD RIVER RD STE 100
COLD RIVER. CA 95670
-)RD 25 (2001/08)
CANCELLATION `**IO Dac' \dtice for Non-Payment[Noe-Reporting`**
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVEl1
D ACORD CORPORATION 1988
J=OK
O = Not OK
Not
=Not Readyable , MOBILE HOMES -
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements _ "''�✓ _ ;
-2. Soils; Special MH Support Sketch ��+ ► "
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L -ft.,
/ /"Nat. or/ /" L" ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance'.
Date Card B-1 Date Card B-1
MISCELLANEOUS
OK except #'s
3. Decks; Griders 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. Electric
mg; Sils-Anchors-Studs-Rftrs-Trusses
ing; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -landings
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements r
Date Card B-1 Date -Card B-1
2. Footings; Size -Spacing -Marriage Line
Date Card B-1 Date Card B-1
3. Gas; MH Test -Demand -Valve -Connector
Date POOLS (Plans) OK except #'s
4. Electricity; MH Test -Crossovers -Breakers -Clearances
1. Setbacks -Easements
5. Drain; MH Test -Fall -Flex Connector
2. Soils; Compaction -Structure Stability
6. Water; MH Test -Regulator -Connector
3. Pool Structure; Steel -Connections -Thickness
7. Water and Sewer Connected -C/O to Grade -HD Approval
Dead Men -Lining
8. Gas and Electricity Tagged
4. Elec.; Receptacles and Lighting, Distances-GFI
9. Exits; Insp.-Sketch
5. Elec.; Pool Lighting; 15 volts-GFI
10. Cert. of Occupancy
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Date Card B-1 Date Card B-1
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
Date Card B-1 Date Card 6-1
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
1
V OK
O = Not OK
Not =Not•Readya1e RESIDENTIAL (;
Date UNDERFLOOR (Plans) OK except ti's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth '
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permil),OK except h's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
---------------- -------------------------
17. Water Pipe: Test & Anchor -Nail Protection
--------- --------------------------------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
------------ ----- ----------------
19. Shower Pan: Test. First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
--- 21. Gas Pipe: Size & Anchors
--------- ---------------------- ------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------- ---------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
-------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
---------- ------------------------------------------ --------------
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
----------------------------------------------- -
26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water
---------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
--------- ---------------------------------------------------------
22. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
29. Range Circ. ! ga. Cu or AI -Oven Circ. ! ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
-------------------------------------------------- - -- - ---- - ---------------------
30. Service -Riser Conductors & Ground -Main Disconnect
- ---------------------------------------------- ------------------------------
31. Equip. Clearances Panels-Motors-Mech. Equip.
------------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
---------- ---------------------------------------------
---------- ---------
33. Smoke Detector
--------------------------------------------------------------------------------
Date Card B-1 Date Card -B-1
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti's
34. A.C. Ducts Insulation & Support
35. Vent Fan: Exhaust above insulation
---------------------------------------------------------------
36 Condensate Drain & Overflow: Size & Grade
----------------------------------------------------------------- - - - -
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
------------------------------------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------------------
------------------------------------- ---------------------------------------------
Date Card B-1 Date Card B-1
------------------------------------------------------------------------------ -
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ti's
39. Sils. Proper Material & Anchors
------ ------- ------------ •------------------------------------------- ---------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
-- --- -------------------------------- ------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
--------------- - -----------------------------------------------------------------
---------
42. Draft Stop in Walls- (rat proof)
------- - --------------------
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
------------------------------ ---------------------------------------
44. Headers & Beam -Size & Bearing
jingle & Duplex)
Date FRAMING (Continued)
45.,Hangers- Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
----- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions�- -
---- _--- _ 50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
_ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protectil
54. plywood on Roof Overhang -Attic Vents -Rafter Outrigge
--------------55.-Siding-Nailing Veneer
-------- --
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
_ _
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolls
59. Insulation -Walls -Ceilings
------------ ------------
60. Infiltration -Walls -Windows
---------------------------------- -
Date _ _ Card B-1 _ Date Card B-1
Date Card B-1 - Date Card B-1
Date FINAL (Plans) OK except ti's
61.- Ext. Steps -Door & Sidelight Protection -Landings
-------------------- ---
62. Smoke Detector
-------------------------------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meeh. Protection
64. Bedroom Exiting
___ 65. _G F.1_& Bath Fixtures & Tub Access -Spa
-----
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
--------------
67. Stairs & Rails
68. Fireplace or Stove Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
- ----- - - - - - ---------------------------
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
-- ---- -- - - - - - - ----------------------- -
71. Elec. Outlets & Receptacles at Kit. Counter
-------------- ---------------- - ---
72. Garage Fire Door; Swing -Landing -Closer
73. -A.C.- Duct in -Garage -Damper
74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
--------------------------------------
75. Plb.. Elec. &Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
----------------------------------- ---
7;. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
----------------------------------
81.
------- - -----81. Stucco_Brown-Finish
82. A.C. Unit: Disconnect. Electrical, Plumbing
------------------------------------------- ----
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings ---------------
84. Water Well: Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
-- -------------------------
87. Glass Protection
- - ------------------------
88. Corrections from Previous Inspections
----- ------ -- --- --------------------------------------
89. Gas Test -Meters Tagged; Gas -Electric
------------------------------
90.
--------- 90. Water & Sewer Connected -C/O to Grade -HD Approval
------------------------------------
91. Energy Compliance Certificate -Other Certificates-------------------------
-
------ ----------------I-------
Date Card B-1
-
-----------------------------
-Date-- ______ Card-B-1--
Date
ardB-1Date Card B-1
Comments at Final:
Date Card B-1
Date Card B-1
Date Card B-1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 IT NO.4'
APPLICATION _AMD. PERMIT J
ASSESSOR PARCEL NUM BER
ZONING'
SR
BUILDING PERMIT
OWNER
WENDELL ANDREWS
TELEPHONE
342-4123
SQ. FT. OCC. BUILDING VALUATION
52H M 9 504
OWNER'S MAILING ADDRESS
WAY, 26
`"
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 117.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 76.05
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS ' 3110 MICHAEL WAY CHICO
PERMIT FEE $ 213.05
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other STORAGE/GARAGE
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
New N Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 22X24
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( BOOV OR LESS ) 23.00
200A OR LESS
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. SO,
OR ADONS. ( 8 ACC. BLDS. ) 3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed underProvisions of Cha ter 9, Division 3 of the Business and
P
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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
)11Q I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O lam exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL. 0 .50
Ex. Occup.FIXED APPWS. OR
(OUTLETS (RESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree, to save, indemnify and keep harmless the County of Butte against all
liabilities u gments, costs, and expenses which may in any way accrue against said
Co i onsequenc a granting of this permit.
Date ��/
Sign ure of Afpplicant - ❑ Owner ❑ Contractor A Agent 7of
An OSHAermit is required for excavations over 5"0" dee
P q p , and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE 213.05
HAZ- D. FEES
IMP
FLOOD C PARCEL
HD ISSUE
This permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fe s have been paid.
B Dated-7� "
01
PERMIT EXPIRES ONS A�i
Detel
Receipt No. f � �y[j 2 _/
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
COUNTY OF BUTTE
BUILDING DIVPPN
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA-,�(n16) 891-2751
7 County Center Drive, Orovilre CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
) b h 0 J id C '9/2
e —
Date� Ir Inspector "
' 1
REV 10/92
COUNTY OF BUTTE
B,UILDIWG DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (9.16) 891-2751 µ
,." 7 County Center Drive, Orovill'e, CA - (916) 538-7541
747 Elliott Road;"Paradise, CA - (916) 872-6307 '
CORRECTION NOTICE
7
OWNoER '� �> T^ �4 PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. -- `:
tD 130 Ts o CL if 0/ V. wrVV`N
1
Date (� .I —` Inspector (07\1
REV 10/92,
r !:
14 .
Y4 7}h
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (9 16) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
"y
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
li iC)" AV163 1?0 i7-0hl ra ,e n
s
Date 6� ogr�;,IT`Li.�lnspector u
REV 10/92 J _ �_
Date 6� ogr�;,IT`Li.�lnspector u
REV 10/92 J _ �_
COUNTYOF BUTTE - DEPARTMENT -OFC
7 COUNTY CENTER DRIVE - OROVILLE,,
E
PERMIT APPLICATIO
ENT SERVICES - BUILDING DIVISION
95965 - TELEPHONE (916) 538-7541 /
DATA S -H E ET
OWNER Weev�l// , A✓daea-v A. P. No. 7— Z 5--
Proposed Building Use Building Inspector (_.� Date S /2 y
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
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 . ..................
Statement of Intent for Non -Heated and A/C Buildings. ......................
ngineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ................. ................. .
,��11 Impact fees as shown on attached schedule.
So .
. California Department of Forestry plan ap,,,g,Ava ees.OAi.� .
13. Flood elevation letter (100 year flood) by California Engineer. . .
.................
14. Sanitation and plot 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). .. .
Preanspedion requeis
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification . . ........... .
X22. Certificate of Workmans Compensation Insurance. .......... ............ s
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
^4. Recorded copy of Agricultural Acknowledgement Statement . ..................
. Letter of signature authorization. .......
y 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.
When you issue the ermit, p cess as follows: Mail to contractor.
Telephone Sti and hold for pickup at t _ office. Deliver with inspector.
Other
Parcel Creation
Acreage Applica
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 tW
it 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 ate,
Contractor, designer, owner, was advised of above required data by _ phone _ mail Count i,56 _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in
Copy - Department of Public Works
File cabinet AP folder
' - ;' .M+•S I' 11 1151; I!\hl' ..
Phil flim Alluehed
Itlaur Plno AlUtobed���t/
TO: f3uildin� l��p�rtljjelic
I;ROM, Environmental Health
SUIS ECT: Sanitation Clearance
Owner Location 7 AP#
Plan Approved .for: Sewitgo Disposal Water Supply: Public _ Privato Well _
Clearance for" bedroom mobilo home. Other
Hold Final .for:
I -final clearance O.K. for:
NOTE-:
Environmental Health Specialist
8/92
7 ^ �y
Date
FEES DUE FOR PERMITS
TYPE OF FEE PAID TO DATE BALANCE DUE TOTAL APPLICABLE
BUILDING PERMIT ................$ $ $ 2 3 S-
MOBILEHOME UTILITIES ................ ................$
MOBILEHOME INSTALLATION ...............................................
CHICO URBAN AREA FEE ......................... ...$
THERMALITO URBAN AREA FEE... ............. ..... ...........$
DURHAM PARK FEE ................ ...... ........$
C.A.R.D. PARK FEE..................... ...... ......$
SHERIFF FEE..... ...... .. ............. ...... ..............$
C.D.F. S.R.A. FEE ....................................................$ -
SCHOOL FEE ................. ........ .................. ... .$
307-- 0 �-
P.O: Box 1216
410 Pine Street
Red Bluff, CA 96080_
(916) 529-3560
FAX 529-0953
870.Munzanirq Ct,
Suile D
Cliko, CA 95926
(916) 894-3500
FAX 894-8955
ROBERTSON AND DONIINICK take responsibility for only those structural
components specifically addressed in these calculations.'
ROBERTSON and DOMINICK .
Civil, Engineers &. Surveyors
JOB NO.
PROJECT z wd y, ,o r/
CHICO (916)694-3500 RED BLUFF (9Y6)529-3560
DATE
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ROGER TS- ON AND D OMINICK
Civil Engineers & Surveyors
P.O. Box 1216
410 Pine Street
Red180
16) 529-3560
FAX 529-0953
870 Manzanita Cf.
Suile D
Chico. CA 95926
(916) 894-3500
t/
FAX 894-8955
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Joe Dominick
Land Surveyor
Eric Robertson;
Civil Engineer
ROBERTSON AND DOMINICK take responsibility for only those structural :"'
ocenponents specifically addressed in these"calculations.
ROBERTSON and DOMINICK .
Civil Engineers & Surveyors
JO NO.
PROJECT A" X4641.
CHICO (918f894-3500 RED BLUFF (918)529-3580
DATE
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A 0. Box 1216
410 Pine Street
Red Bh(fj,:; CA 96080
(916) 529-3560'
FAX 529-0953
• y5
870 Manzanila Ct.
Suite D
Cbic•o, `CA' 95926
(916) 894-3500
FAX 894-8955
. ,..:2 4
'F.7
. •i
e
Joe Dominick
Land Surveyor
Eric Robertson
Civil Engineer
ROBERTSON AND DOMINICK take responsibility for only those structural
ccmponents specifically addressed in these calculations.
ROBERTSON and DOMINICK
Civil Engineers -& -Surveyors
CHJOO (916)694-3500 RED BLUFF (916)529-3560
s �s
JOB 'NO.
PROJECT A"' y- Ct-
DATE
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ROBERTSON and DOMINICK JOB NO.
Civil Engineers do Surveyors PROJECT 41,'th9*1
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DATE
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CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS -91 TABLE 10 PSF BOTTOM CHORD LIVE LOAD CHECKED PER USC CRITERIA. ru
7.3.3. 11
A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 72.00" D.C. LO
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PLT. TYP.- ALPINE DESIGN CRIT UBC Se� 14688
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**IMPORTANT **ALOlifE ENGINEERED PRODUCTS. Ifir UqUSSES REQUInE EXTREME CARE f , , - , -
SHALL NOT BE RESPOIISIBLE FOR 414Y WARNIN I 00f .,.' TC LL 16.0 PSF REF R427--85447
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ALPINE — TRUSS "To UNLESS OTHEAHISE LOCATED ON THIS DESIGN. POSITION LY ATTACHED PLYWOOD S14EATIltlIG, BOTTOM CHORD No. C0.43845 13C LL 0- 0 PSF CA -ENG E. O? -, :,j
COIIIIECtOWS PEP DPAWINGS 130. ISO 9 16OA-F. OESIGU STANDARDS WITH PROPERLY ATTACHED RIGID CFILIIIG 6-7097, TOT. LO. 31 . 0 PSF
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TRUSS 1111111 VIII VIII VIII VIIIIIII IIII
SEAL Off THIS DRAWING APPLIES 10 THE COMPOIIEIJT DEPICTED HERE DRYWALL APPLICATIOIJ. FURIJISfi A COPY OF 1111 , Le
n. DUR.FAC 1.25
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REQUIREMENTS OF I.C..B.O. RESEARCH REPORT #2949. 33
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7.3.3.
A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 72.00" O.C.
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Rev
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31.0
PSF
DUR :FAC :
1 .25
IIIIIIII
III II�OIIIOIIIIIIIIIII
SPACING'
24.0"
4 4 7
1
7-25-59 1177-89B
PER
ANDREWS, Wendell
- E
- OK
I
f
r
'0=Not OK
E
�" MOBILE !„TOMES
'
MISCELLANEOUS
= Not Readyable
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date DE S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements-Setbacks-Easements t
. Zo equirements-Setbacks- Ease mants
2. Soils; Special MH Support-Sketch
ootings; Soils-Size-Depth-Spacing-Connectors-Steel
3. Sewer; Location-Test-Fall-C/O-Concrete
3. Decks; Girders and/or Joi ts- eckin - racin -Stairs-Rails
4. Water; Location-Test-Easement Needed (Sketch)
4. Wood .• Post a Co ec.
5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete
Sht - fg.-Br ' g /
6. Gas; Location-Test-Wrap: / P L" ft.
5. Alum. Awn.; Colu s-Co ctions-Spl' -Decal-En sures
/ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Dm rs
7. Utility Clearance
7.
. Frrng;• h - -Ri s-T-rasses-
9.
Card-131
Date Card-131 Date
oof; Shth9dAo g
Card-131
Date Card-131 Date
11. Ext.;
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements
Card-81 s Date -IT- fCard-131 Date
2. Footings; Size-Spacing-Marriage Line
Card-61 (J(3 Date5-)-C/OCard-131 Date
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances
Date POOLS (Plans) OK except #'s
5. Drain; MH Test-Fall-Flex Connector
1. Setbacks-Easements
6. Water; MH Test-Regulator-Connector
2. Soils; Compaction-Structure Stability
7. Water and Sewer Connected-C/O to Grade-HD Approval
3. Pool Structure; Steel-Connections-Thickness-
8. Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch
4. Elec.;.Receptacles and Lighting, Distances-GFI
10..Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elect; Enclosures; Conduit Entries-Terminals-Listed
7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater
_
8. Elec.; Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg.
Card-B1
Date Card-B1 Date
Boxes-Encl osu res-Panel boards- Ins. to Main in Conduit
Card-131
Date Card-131 Date
9. Health Department Approval
10. Plumb.; Cir. Test-Water Supply Test
Card-131 Date Card-81 Date
Card-131 Date Card-131 Date
•
;S��S=1f'") �� ;� rte: � lG�� 7L8 O�`o•�:���
J
= UK
0 = Not
- =Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s \.
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope,
45f Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ ••/" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg.,-Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Mai n;,Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall.& Openings
8. Piers -Fireplace Ftg.-Steel - •
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9: D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors--.
54. Plywood on Roof. Overhang -Attic _Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55..Siding-Nailing Veneer
12. Electric; Underground .
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
85. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -61
Date Card -B1 Date
67. Stairs &Rails
Card -B1
Date Card -B1 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
71. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
73. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mach. Fasteners=Bond Gas &Water
-
,74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
80. Following instld.; Drive -OYes O No; Walks O Yes O No;
Planters ❑ Yes ❑ No
33. Smoke Detector
81. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -B1 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Card -B1
Date Card -B1 Date
92• Roofing Certificate
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
Card -131
Date Card -B1 Date
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit iob site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541
APPLICATION AND PERMIT
PERMIT NO.
AS SSOg,P CEL U ER
�(J
ZONI�
BUILDING PERMIT
I elow
TELEPPHHHONE
SQ. FT. OCC. BUILDING VALUATt
y
Ca
O R' AILIN DDR SS
0
el
\77
C RACTOR'S NAM
EL ohm
ACR -5 MAIMNG ADDRESS
Fireplace
CON T UCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHI CT OR ENGINEER
'CT 'R
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHIT ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
�
Permit fee
$
—
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
I
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [4 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S f G I W
0.00 ea
TYPE OF WORK
New ❑ Addition [ Remodel,Utilities ❑ 1 stal lation ❑ Other [_1
Describe work: a V\p 0 h
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00-
0.00Main
Mainservice -R LE SS
100 P OR
00 AMP OR
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one): �
El 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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a ,
OR ACDNS. ACC. BLDGS. h2sgft
NEW—CONSTR.MULTI-OUTLET 2,50 ea
NON.RESID .BRANCH CIRC TS
POWER APPARATUS e\\
SINGLE OUTLET CIR. 1
EX. Occup(OUTLETS OR FIXTURES 20050t
5AL930
FIXED APPLNS. R
Ex. Occup. OUTLETS (RESID )EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00
Permlt Fee $
WORKMEN'S COMPENSATION INSURANCE
declare under penalty of perjury (check one):
The permit is'for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,. should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 al agr t save, indemnify and keep harmless the County of Butte against
all iab' itie judgm costs, and expenses which may in any ay accrue
sa' Count in nse ence of a granting of this permit.
Date
Signet a of pplicont — Owner ❑ Contractor ❑ Agent Ey
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
OCCUP.
CONST.TYPEJ
"
SCHOOL
PLoo
RCEL
PD
ND IVUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PER T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_
Date
--Z-
Receipt No.
WHITE-O.P.W., YELLOW-ASeES80K. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTWNT Off'"PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER Weiila� A. P. No. - /
Proposed Building Use(_TV�✓''�_ Building Inspector / Date v
At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. S o 1 District fees paid ................. LO�13. Sanitation approval from (!f) Health Department
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Inspection for required ...... Pre -In Sec. request
10 (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
V Recorded copy of Agricultural Acknowledgment Statement ............ 4
—
Letter of signature authorization ......................................
25.
26.
Whe ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone .and hold for pickup at -i ^office. Deliver w/inspector.
Other 126: 4
A p p I i.caDate /� al e
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted ri r 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 —ma ll—counter by date
Plans checked by-e4Date q—,02 riPlans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
r ,
.TO Buildinv Department
FROM: Environmental Health
SUBJECT:- Sanitation Clearance
S
'i 7 2r'-�i
y> Owner Location AP#.
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply,
Final clearance O.K. for: Water Supply
Clearance for _ bedroom mobile home. Other i-
NOTE **
w_t y2,Y
Sanitarian 4.1 Date
v
D
L' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r�
�. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
I —0-` i— ,' 'v
ZONING
BUILDING PERMIT
OWNER , ` Y
,
TELEPHONE
,SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
,t
,%
Fireplace
CONSTRUCTION LENDER
T ,
UNKNOWN
Total Valuation 1 A
Filing
fd Fee
$ 10.0
LENDER'S MAILING
G ADDRESS • -tea
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
I $
BUILDING ADDRESS /
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
/
C /?
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: -' 7 Tr _
Y
r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
'
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
a� 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 �'� `!! Z Classification f +
❑ I, as the owne �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 , t
NEW CONST. DWELLING OCCUR.S
OR AODNS. ACC. BLDGS. 21/20sgft
NEW CONSTR. ULTI.OUTLET2.50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
EX. OCCUpOUTLETS OR FIXTURES eL0
2AL@30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑,.I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
F -]I shall not employ any person In any manner so as to become subject
to the W. C. laws of California.'
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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.
r r ,
X I . I • Date * - 1 7
Signature of Applicant — Owner El—Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ —9,
OCCuP.J
CONST.TYPe
I
IFLOODIPARCELI
PD
I HD
ISSUE,l
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR,OF,PUBLIC
r! r/
By. / `L /%t, ..
PERMIT EXPIRES '-Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_
Date % " t+ I
'
Receipt No. , �) 1
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
Av-�'
APPLICATION AND PERMIT -
PERMIT NO. /
ASr � E SiRa;rRr.�,M P4 R
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
5/5 -59
SQ. FT. OCC. BUILDING VALU TION
OWNER'S MAILING ADDRESS
3 to C
CV TRACT R'S AM -
T�'[€GL�EP NE
O (.�' $
r$
C N RAC R'S MAILING AD ESS - /�
0 J,C.•(�
Fireplace
CONSTRUC ION LENDER I UNK14OWN
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee-
$ 10A, 16
PLUMBING PERMIT
Filing Fee 10.00
LD C
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME-
PARCEL MAP
Water piping
.5.00
Each qas water heater or vent
5.00
— / USE OF STRUCTURE
SF 52 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: /Q e R00 , /o7 -S 4 riff "m aAr, _
I-
Permit Fee
$ -
Contractor
ELECTRICAL PERMIT
Filing Fee 110.00
Main service 10001 OR LE 0 AMP ORLESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. __V9 5�I 73 Classification C 3 9
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.'(Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.Q+ ,
OR ADONS. ACC. BLDGS. ) /20sgft
NE WCO NON.RESIO R. BRANCH CTRCTITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup( OR FIXTURES 20050c
BALI 30C
FIXED APPLNS. R
Ex. Occup. OUTLETS ((RESID.)EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. bVirin g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
Lhff a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If af-ter,making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Ccolin g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to aII,C.ounty Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X^ ��� g7
Date
Signature of pplicant — Owner �ontroctor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height. T
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
occuP.
CONST.TYPIJ
IFLOODIPARCELI
PD I
NO
I 1S
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR F UBLIC
BY(4;
PERMIT EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Q o
Date %" —o
Receipt No. nn
WHITE-D.P.W., YELLOW-ASB(SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
h_,
ads
ti-
�a� ���0 3�
s���n� �� a �o
r A setbackt 5
PrOPertY lines and a setback
of Soft. from the road
?L o T �. AN conterline shatl be
clear of
strtctures or equipment ex t"
fir a 2 ft. eeve overhenq-
CA i��O ti i NT) u VT I ON FO 1� :
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