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007-260-085
CARL WATERS (Certificate of Compliance, 6/23/86) ,` ' _ �• _- I'MZ _-�.:L /�, � �1�lrr-� W _ _--.. r..F- «ter - - - -�_.. -- _ _- - .. _ -' � - LOT I BLOCK I SUBDIV. TYPE OF I PERMIT NO. PLAN NO. DATE IS PERMIT , PERMIT DESIGNATION: B—BUILDING P—PLUMBING DEPARTMENT OF T—TRAILER BUILDING AND SAFETY 6ARLATO 1' ,7_ �� Hackamore Ln., Chico WATERS, Carl Jr. (�- CONTR- Tom Bragdon, Chico i. Permit 658-73B I , (repair fire damage) 11 IMA A e/s Hackamore Lane 900, so. of F ( add workshop) 3587-8 j .7-26-85 9B f WATERS, Carl 3390 Hackamore Lane, C o----- Contr: George Roofing -,(.r.eroof /-SF)- 7-26-85 Permit#2479-91 (reroof sf) I ' _ r--007-26-0-085 7 97-1361 B PARSONS, Terry q/17/00 3990 Hackamore, Chico (reroof/comp) SF Four Seasons Rfg 007-260-085 01-2042 WATERS, CARL 3390 HACKAMORE LN. C pv CONT: OWNER DETACHED GARAGE 24 X 36 007-260-085 06-0051 WATERS, CARL 3390 HACICAjMORE L.N. CH.I:CO Cont:.BA-IRD ROOFING CO;=►'" RE ROOF $ -14'0V E - ELECTRICAL U -USE PERMIT TV - RAD10-TVArITENNA V - VARIANCE S/W-SIDEWALK NOTICE S_ SIGN PERMIT 583-69B 487-69P 0 aton Rd L_;��,.a r- �7 I 1 HM -HOUSE MOVING EP -ENCROACHMENT ' D - DEMOLITION 00.1 p -P.." INSPECTION RECORD BUILDING APPROVALS �w 2 Ir a� Z Z Z O_ Ouit- iQ arc0 ��z O 0O U. Z UJ �W 0W Z N W Z LL K O= wF zg C O= wF g K Ow 1- - wy g a K Ow F will �� '�a W1. WY �U 00 zm D U J a< �' a �� LL W UV J d W it LL J Q z LL SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. I� DATE r SIG. DATE PLUMBING APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERt SIG. DATE SIG, DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBER: DESIGNATION 007-260-08506-00�1� GVA ERS. CARL. 3390 HAChAMORL LN CH.[CO N ®TES J Cont. BA.I.RD ROOrri\TG_CO. " 1 .RE ROOF r. I RESIDENTIAL. APN: Permit No. Owner. Site Address: Contractor. Type of Permit: CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE ' No', DATE JOB FINALED: P l /g © kj SIGNATURE: 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.neAdds PERMIT NO. BP060051 LICENSED CONTRACTORS 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 Issued Date: 01/11/2006 APN: 007-260-085-000 the Business and Professions Code, and my license is in full force and effect. //''''1 J o License Cla0_sLicenseN mb r:Ul / Site Address: 3390 HACKAIVIORE LN CHI Date: JUXContractor: Aff I( ina Map Index: Description: REROOF 15 SQ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: WATERS CARL B JR & SHARON L 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 ' 3390 'HACKAM.ORE LN the Contractor's State'License Law (Chapter 9 commencing with Section CHICO CA 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 95973-8638 violation of•'Section 7031.5 by any applicant for a permit subjects the applicant io a ci�yil,penalty.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, Bus rlq§s,a_ng. Professions Code: The Contractors' State License Law does not apply to an Applicant: BAIRD ROOFING CO owner oVproperty who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Provided that such improvements are not intended or offered for 11025 MIDWAY sale. If however, the building or improvements are sold within one CHICO, CA 95928 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for -the purpose of 530-342-1631 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' 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 Contractor: BAIRD ROOFING CO pursuant to the Contractors' State License Law.). El am Exempt under Article 3 of the Business and Professions Code 11025 M I AWAY CHICO, CA 95928 Date: Owner: 530-342-1.631 WORKERS' COMPENSATION DECLARATION I hereby.affirm.under penalty of perjury one of the following declarations: License #: 631460 ❑ 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. Architect: ..,.. , . I have and will maintain workers' compensation insurance, as Engineer: required. by Section.3700 the Labor Code, for the performance of g the work for which this permit is issued. My workers' compensation insuran3cec.a1�rr�ier. an�do.tli,ciy�tn7er are: Carrier: , � 2� Q� 36 7 Total Square Ft: 0 S. F. Policy #: H -- Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: 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 provisions of Section 3700 of the Labor Code, I shall / A�u-forthwith. co ply wit those provisions. T ��TCVI 2 1-15 Date: , Applicant:- -:: /4. _ WARNING:. Failur 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 code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda anrV( • I hereby.affirm that there is a construction lending agency for the Resoluti to do wo indicate abo a for which fees have been paid. . performance of the work for which this permit is issued (Sec 3097 Civ.) ID Name: BY Date: PERMIT EXPIRES ON: Date Address: ❑ I her ebycertifythat 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 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby.certify that.l have read.this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte„County. I hereby authorize representatives of Butte County to ter upon th above mentioned property for inspection purposes r �' 'r 2. Print Name: (Y Signature: CJ'Vk�11�� Date: . „ I .L/��05 . . ❑ Owner C ontractor ElAgent for Owner ElAgent for Contractor . =OK n = unr OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION ,SOFT -SET t 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaII/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers k DATE ID E C K S'C O V E R S'C ARP O RTS `G A RAG E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsStee I 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg Frmg-Brcng .5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis s \� DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Encisrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide \ Pool Drawing = OK 0 = Not !RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Ace 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub. Ace 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test O9c 0 tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test DATE IMECHANICAL 12 Elec Undrgrnd 61 AC Ducts Insultn & Support 13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn _ 15 Ace & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pltfrm if Furnace in attic 4 A S` O9C 0` 09 0` DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub AccSpa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Ace; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run -Landing -Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Ace Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insulin -Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or [:1 AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or DAL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector o'er m o'er o` 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.neAdds PERMIT NO. BP060051 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: 01/11/2006 APN: 007-260-085-000 the Business and Professions Code, and my license is in full force and effect. License Clas L' ense N mb r: UG Site Address: 3390 HACKAMORE LN CHI Date: Contractor: Iri Map Index: Description: REROOF 15 SQ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: WATERS CARL B JR &SHARON.L.,<.....,,.,,...,,.u.<,,:, 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 :. • "3390`HACKAMORE LN ' the Contractor's State'License Law (Chapter 9 commencing with Section CHICO CA 7600) of Division 3 of the Business and Professions Code) or that he or F she' is'exempt therefrom and the basis for the .alleged exemption. Any95973-8638-- violation. df,'Section 7031.5 by any applicant for a permit _subjects the applicana t,to .ctyil,penalty.of not more than five hundred dollars ($500).): O 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 oroffgred foc,sale,(Sec._7,0,�4, Business,and,Professions ” "'Code:"The .,.,...,...........:....:•.,:•....::.,,.,:,,...,.,,.,.:,.,.:..,:..,,.:.,•.,,,:.,...,:.u....,...:,...,...,::.....•�,.,,„:.,..-,.,,,,<;•.,•,....�,..:, Contractors' State License Law does not apply to an Applicant: BAIRD ROOFING CO pp „-owner,of-property who builds or,improves, thereon, and who does such work himself or herself or. through his or her own employees, provided that, such improvements are not intended or offered for 11025 MIDWAY sale. If however, the building or improvements are sold within one year, of completion, the owner -builder will have the burden of CHICO, CA 95928 proving that he or she did not build or improve for -the purpose of 530-342-1631 sale.). F,,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 Contractor: BAIRD ROOFING CO pursuant to the Contractors' State License Law.). �.:•.^-,. ❑ I am Exempt under Article 3 of the Business and Professions Code ._110,25 MIDWAY _ - - CHICO; CA 95928 3 Date: °'' ” owner: 530-342-1.631 " ' " ► . , .,;,:..WORKERS' COMPENSATION DECLARATION, I hereby;affirtn,under penalty of perjury one of the following declarations: License #: 631460 ; ❑ > (•'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. IArchitect: _. I have and will maintain workers' compensation insurance, as Engineer: required. by Section,3700 the Labor Code, for the performance of 9 the.work for which this permit is issued. My workers' compensation insurance carrier and olicy,nu er are: - Carrier.Q:l (�✓� t Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: ..,,issued:,:l shall not employ any person in any manner so as to become subject to the workers' compensation- laws of California, .and agree :.that ; if .t should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall I jjj 3 , forthwith.co ply wit those provisions. + /1+ r:.� Date: , ( I I V. • lJ V Amlicantt5•^.. _ �('J WARNINGi"`Failur secure workers' compensation coverage is unlawful; and shall subject an employer to criminal penalties and one 4• • - •••—•..•.�......., 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,attomey's fees., CONS TRUCTIOWLENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code ?nrUor I hereby!affirm thatthere is a construction.lending agency for the performance of the work jor which this permit is issued (Sec 3097 Civ.) Resoluta to do wo indicate abo a for which fees have been paid. . ID Name: By Date: Address: PERMIT EX PIRES ON: Date O` 'therepyce'rtifythatthe use of this facitity.shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which the regulate storage, ,handling and use of hazardous materials. ❑ •,Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attachef are.copies of the. required E.P.A. notification forms. „ I hereby.certify that.l have read. this.apptication, that Ithe above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county acid state e:laws relating to building construction. I acknowledge it is unlawful to alter the substance of any.official forth or document of Butte ounty. I hereby authorize representatives of Butte to a ter upon th above mentioned property for inspection purposes. �nCounty � Signature: Date 0 Owner -Contractor O Agent for Owner 0 Agent for Contractor TTE �V�'1'� BUTTE COUNTY C COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION JAN 1 12006 0 0 AND SUBMITTAL REQUIREMENTS 00 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICCD=MA VT _- as e- +`,-: OFFICE #: (530)'538-7541 SERVICES p —_ — 0 -� A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name W O jT First Name CLX Address o\r9_ City CWco StateCA Zip SQ 73 Phone 343-03611 Fax E-mail CONTRACTOR Name 1160//V Address City State Zip Phone Fax E-mail Lic. #/ l L/ Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name di6zzo Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE PER For office onl Zoning Property Address 3-3q6go City�G I Flood Zone . SRA Yes No Occ. Type Const Subdivision Name Map Book Page I Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # LOCATION / V AP# 00 , 0 -(op ^ 8S- Property Address 3-3q6go City�G I Cross street L �a lo 0 WORKER'S COMPENSATION (� Policy Number. oZIcTQ Carrier v i / I� �S [A Z V If hiring anyone other than license contractors, a certifrcate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descrip o of Work: 16fcy� Y\ Sq. Footage 115 ❑ 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 Page 1 of 2 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: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: REV 2-24-05 b NOTES b RESIDENTIAL 007-260-085 4 —, 01-2042 WATERS, CARL 3390 HACKAMORE LN. CHICO CONT: OWNER DETACHED GARAGE 24 X 36 11 t SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ 40 FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) -- v - ,Signature (7 CHECKED BY = OKJ 0 = Not OK - = Not Applicable • =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s oning R irements-Setbacks-Easements , 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete _6. 4. Water; Location -Test -Easement Needed (Sketch) 3. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 4. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 5. 7. Well Clearance 8 Disconnect 6. 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Health Department Approval Card B-1 Date Card B-1 Date Plumb.; Cir. Test -Water Supply Test Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 8' Fr ; Sills-Anchors-Studs-Rftrs-Trusses S�rhg; Nailing -Veneer -Stucco -Mesh 1 Roof; Shthg-Roofing ku Wall Panels Date 1 ' MISCELLANEOUtc, #'s Date DECKP, COVER PORTS GA S (Plans) OK exce ta4a, VP oning R irements-Setbacks-Easements , Card B-1 Date Card B-1 ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures _6. Carports; Windows -Doors 8' Fr ; Sills-Anchors-Studs-Rftrs-Trusses S�rhg; Nailing -Veneer -Stucco -Mesh 1 Roof; Shthg-Roofing ku Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel -Elea Grnd.-/ f' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ f' 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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-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 B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral U Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills 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 dingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll 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 Ht. & 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 Interior/Exterior 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 -Connector - 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 & Receptacles 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 78. -for -Location Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hale Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive D Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout 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 94. Address Posted Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �' �.:.. iS V' �..:y"Z. ��"��rr .-:, '.�,�✓��q%. �^!Y�">•1-.�. ^-"kw- '�""�"�ns^'T"'-�:y "�r�"rtf -144 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 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 notice 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. Date l a- r-±' o I Inspectory &t&n REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING PN: ONE: BUILDING PMT. # C�C7 -Z 60 -0,? 5- OWNER: Lai- �&la PHONE: � 22 - 03 Zf3 l MAIL ADDRESS: , �3 %(� & r K4 /moo t�P G6, . SITE ADDRESS: SQ /cyte PROPOSED USE: PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION #) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes: !/ 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: No: l% 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: No: 6. Will this building be occupied at any time as a sleeping quarters? Yes: No: (� 7. Will this building be occupied at any time as an eating area? Yes: No: 8. Will this building be occupied at any time as a cooking area? Yes: No: —� 9. Will this building be occupied at any time as a living area? Yes: No: L---- /SITE SITECONDITIONS:' 10. Is the structure foundation within 5' of septic tank or leach lines? Yes: No: 11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes: No: V 12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes: No: 13. Will the proposed structure encroach within any recorded easement? Yes: No: V CONSTRUCTION FEATURES: 14. Will this building have insulated floor, walls, or ceil�? Yes: ✓ No: 15. Will this building be heated or cooled? Yes: No: 16. Will this building have a water closetttoilet? Yes: No: 17. Will this building have a sink? Yes: No: V 18. Will this building have a water heater? Yes: No: !� 19. What type of floor covering will the building have? Go �� r 20. What type of wall covering will the building have? L..""o d v. ADDITIONAL INFORMATION: I hearby affirm under penalty of perjury the above infromation is true and correct. 1 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 require disclosure of this information if or when offered for sale. z = O ER'S SIGNATURE DA E OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE: COMMENTS: Ut 1 AccFR.wei - 07117/19SS r, (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 APPLICATION AND PERMIT b ASSESSOR PARCEL NUMBER 007-260-085 ZONING AqR - BUILDING PERMIT OWNER WATERS CARL TELEPHONE 341-0192 SQ. FT. OCC. BUILDING VALUATION ' ' MuNG ADDRESS OWNERS AI 3390 HACKAMO 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 ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3390 HACKAMORE LN. CHICO CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Eli ee 20.00 USEOFSTRUCTURE SF X1 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 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other Describe Work: DETACHED GARAGE 24 X 16 Gas piping system 1 - 5 outlets 15.00 Building sewer15.00 Mobile Home S G W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service i'.ow oa o^ss 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. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 1 aw 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200AWEE TO tOooA 46.00 23.00 NEW CONST. DWELLING ffUP. ORw ( M ACC. 3.5Q F7. 11 cons . u�rLFS. NONFRESID.LT' 97.50 P.0 APPARArus 8 SINGLE OUTLEr CIR. Ex. Occu OUTLET OR FaruREs �0 ® 1,00 OWNER Ex. Occup.pig pEUSjp°R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ -7n nA 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filin ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) �J 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. X Date �� Signatur of pplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC U CONST. rrPE VN TOTAL FEE $ 37 4.35 HAZ. — D. FEES IMP — X FLOOD X COP X PARCEL X PD X HD 4 ISSUE X This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. JDate !� SO/O kT C AA Date Receipt No 39 3 .3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 3if . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ` ASSESSOR PARCEL NUMBER: Proposed Building Use:+&��9 r Building Inspector: Date: S/'} (� At tie of permit application, I was ad ed ll�e following data must be submitted prior to permit processing and/or issuance: Z -1 -Date Received By items have been submitted.-==---------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 07. Statement of Intent for Non -Heated and A/C Buildings. ------ 7-------------------------------------------------- ❑ 8. Hazardous Material Form. --------------=--------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 010. ------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- �Sanitation and plot plan approval � Health Department.-b--�¢r�dfl�,/-¢3�-------------- ?j ,City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: G� KC (B) Parking: _. 1118. Contact Land Development about ❑ Improvements, ❑ Draina e, al Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 021. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑). 024. .❑24. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------- 0 26. Letter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. --------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: *When you issue the permit, process as follows ❑ Mail to owner, ❑Ma1�il to contractor. ❑ Telephone 393- 63q8 and hold for pickup at (2.40 C.C. office. ❑ Deliver with inspector. (Date) *Applicant: eejZ179 (.,/a Date: k' l 191 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ BuildingDivision counter, by Date, Plans reviewed by: Date: Plans approved by: C>.Z�2r Date.. Sets of plans on hold in 0 Plan Cabinet, ❑ A.P. folder. Note transfer by: late: E' S V . USE ONLY Plot Plan Attaehad Floor Plan Atte ad Sant to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ,l 0 3390 h�;d4"W'*e In • 7-2-6 D o 56 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well X Clearance for Other Sfio; v b/1��,, Z!t `� 36 / z-�!Lo �ti.n6:n-s_ Hold final for: Final clearance O.K. for: (VOTE: C • l�o,�� � �/off V �• I ,c��4� � /� - a / Environmental Health Specialist Date 8/96 E. SUS , • � ,,.. /� f Plot Plan Att��id, yts noo► Plan Ata od Nu Sant to B.D. TO: Building Department � FROM: Environmental Health SUBJECT: Sanitation Clearance V ILl ,vs 3396 Hot�kLr, • 7—ZGo—off Owner Location - AP# Plan Approved for: Sewage Disposal > Water Supply: Public Private Well Clearance for — i elli=. Other Tpv� �10A rrao 16' AC41;10n Hold final for: Final clearance O.K. for: NOTE: G. &�)ie la/, Xv- / 4, // Environmental Health Specialist 6/96 Date hico, Califomia �. i �- s /ope., :t.. Very, l ; ft"le I f -cv� � I � I. I I � i I. APP'S ;FOrs; `llh Set r �A lqt 3,3 w : )I�a cko;il C 1- N-_ L h , APO`oo7.z� o•oSs-aoo' L— Lin, �0 �- s /ope., :t.. Very, l ; ft"le I f -cv� � I � I. I I � i I. APP'S ;FOrs; `llh Set r �A lqt 3,3 w : )I�a cko;il C 1- N-_ L h , APO`oo7.z� o•oSs-aoo' L— Lin, r V4' - 1'-0' 1x4 TRIM CTYPJ O ir tR 4 US lL1 V4' - 1'-0' ",V„Vnmental Health AUG 1 6 2001 Chico, Califomia DATE. JURE 20, 2001 SCALE, AS NOTED DRAkN. K MAYBEE �/a'tcrS aY3- ,oe. 19 AteltA P" or SHEET OF > 5HMTS .-.,.--�,_,,.�..,,•,r,,,�-.r„-r,.�ry�a.�.�---+^-a,--+rn^+�<... ,mss.. ��_ .,,�_,tc;�,,.g,R+�.•..+c,��;rya!Zvi-Via,--tn::�''t�:'s'Sre:w.r�� � `+:r.-�'r.-. 'r + E 7 -26-0-085. i RSONS, Terry 97-,1361':B90 "Hackamore, 'Chico oof/comp)'SF-Four, asons Rfg� 4+ } x S IA t 41 d P r i r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIOND` 7/County Center Drive - Oroville, `California 95965 - Telephone (916) 538-7541 -PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ;� d ASSESSORPARCEL NUMBER ,' / _ �••^ 1V' 1 ZONING BUILDINGPERMIT L./• OWNER "'-"")' 1 �'.� � / I�.SOr✓ TELEPHONE .� C.,,/�J'/{'Q3�l� f SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI�IN�, ADDRESSj �,l J� �/�T.,J �G..� 'd !�,%��.-/ � a sf�r�- � � ✓! CONTRACTOR'S NNAME,^,.� , ee TELEPHONE CONTRACTOR'S MAWNGfD�� §/, J{ rJJ�/J ••J %�^' CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ G 2, a ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 1 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS t ' C., /../,p e,• � � � Z e— Energy Plan Checking Fee $ $ C tl/ 4—> PERMIT FEE 3� IAT NO. SUBDNIS ION5 NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent. 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: �'•�� ���4..__ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home. I S I G I W F @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service zooAoa.NS 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.S'y�3 C . - � LiC. No. License Class i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ 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 46.00 CCU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADONS. ( 8 ACC. BUDS.3.5¢x; NEW ANCI CIRCUTS @7.50 CIRCUITS —NON- POWER APPARATUS } a SINGLE OurLET CIR. 20 @Loo Ex. OCCu . OUTLET OR FD(TURES SAL @ .50 NS Ex. Occup. ouiLEEDTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. — 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C 1 Ar - If 'e -16k10 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling \ Hood 6.50 Ventilation a 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall 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 th6se provisions. X _✓' �, �"� =� _ Date / Signature,of Applic-ant - ❑ Owners ❑ 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 $not HAZ. _ - O. FEES, -- - FLOOD '- COF -�.. I-1-1, PARCEL PD y� HD �,.�� ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work' indicated above for which fees have been paid. 6 r+ By ✓ Date PERMIT EXPIRES ON (- Date l Receipt No. �.(_VL I I WHITE-D.D.S.-B.D'. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754y, PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �' 1 a�r ASSESSOR PARCEL NUMBER Z / � � �- ' /V 6 ' ZONING BUILDING PERMIT OWNER-7-Z,,,, /j���%' �L.I `, /��D� TE / ✓ SQ. FT. OCC. BUILDING VALUATION OWNER'S NQ ADORE$ /�r��e a 71<4 2 40a NAL OO CONTRAC OR'S NAMTELEP d �e ONE ' CONTRACTOR'S MAIUNG n CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is 62-0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ l ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS G ^ ©2 e— Energy Plan Checking Fee $ Cvr/6-->$ PERMIT FEE $ IGT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 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: �dOT— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W n@?20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 500VOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in f II force and effect. Sy�3POWER License Class LIC. NO. 'O ER -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 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 J64performance of the work for which this permit is issued. I 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 carrierd policy number are: Carrier-.5-r*TT,' e—,1'6100 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. so 3.5¢FT: NEW CONST. ANCHOUTLET NON -RE NS p,NC ""Ui 97.50 APPARATUS & SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL @':50 Ex. Occup. ouLNS rs RESID.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number 9 -;?z -37e I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth 41-i comply with se provisions. % _ Date �/ Signature of licant - ED] Own ❑ Contractor ❑ Agent An OSHA per It 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 n TOTAL FEE $ HAZ. D. FEES COF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By ZDate PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. --- rX a Dal Receipt No. 1�1-I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ON Inter -Depart, taMemorandum acOu Nom% TO: F L4 FROM: R` SUBJECT: �P, DATE: 6-71-q -21rq / �l AA3 Not /K -", k0 41v ���v24�1.C.� , �0 4 w au td kA vim �c� / 015i&77/ 70& AS *vov" �f 5 crjtD aNSOURCES AGENCY C� r,,•,,.,rt,,,,•„t `� %��' RURAL FIRE REPORT i� G!►, - • 1)iv;..;un ur Furr.try X TARE' i��. NMII R: R�L . �k RANGER UNIT (OR AGENCY) : 1XIGl t=lh'E NAME: r�7r (`E dl� o= DATE FIRE STARTED: /l. If Dire Started in Another Jurisdiction, or Zone I or II, Name It: ��r i3GL l/C� SCALE:: t" M ILE1 sI C. LOCATION. Spot fire origin. Always give section loc.tion where possible. Otherwise give subdivision lot; R.F.D. box; etc. Sketch boundary of large fires, roads, railroad, zone line, etc. D. CLASS OF FIRE Vegetation Structural Vehicle Improvement Refuse* False Alarm E Permit Escape j' ' Includes .red bussing SEC. TWN.2Z . RGE. Fire occurreA / Mile(s) in L Direction from Towyn of F. WHAT BURNED? (a) If structure give number, kind, type of construction, stories, size. (b) If vehicle give make, model, year, license, driver's name and address. (c) If vegetation give type and area. (d) If other, describe Bully. ` O !ve_. ! iL�'Ls e .) eis� n • L/� r /p4 �Ct� %ell! 14 lee � t✓C ✓ �c) rte: � �' ?� 3S, /� Vegetation Area Burned Acres H. CAUSE OF FIRE:/" 1 r�X r'�tiE'C'�s ra'`t —KnownE]; Log. ❑ Fire started in/on: Known ❑; Log. ❑ Material First Ignited: Known ❑; Log. ❑ Was "first aid" extinguisher used before crew arrived? Did Injury or Death occur? Explain: fir) K. NAME AND ADDRESS, OF OWNERS OF DAMAGED P OPERTY: Tenants Name and Address: G. DAMAGE (Do not make duplicate envier blo.) Standing Grain Harvested Crop Industrial Bide (s). 1 7e, ust. Didg 1 Contents Vehicle (s Vehicle C Oil or Oil TOTAL $ J. WEATHER WHEN FIRE STARTED Wind Velocity M.P.H. Wind Direction Tem vera ture ' Fuel Moist. L. INSURANCE CARRIER(S) 71 -VI 4p Address: REMARKS M. DESCRIBE PROPERTY SAVED AND ESTIMATE VALUE:' N. HOW MUCH INSURANCEWILL PROBABLY BE PAID? Sigrroture of ` REPORT hiAUE BY: '% ' - • 1" -Officer in charge Owner: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Address: Tenant: Building Location: _ fr�'�C Type of Inspection requestee, f 1 J A. P. Date of Inspec ion Inspector Z- N-01 1. Housing. 2. Financing Ll 3. Change of Occupancy to 4. Other (specify)_ Present use of building: A. Sanitation (Housih 1. Water closet: 2. Lavatory: 3. Bathtub or shower:_ 4. Kitchen sink: 5. Hot and cold water 6. Heating facilities: to fixtures: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: '12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: ,4. Ceiling and roof construction: 5. Fireplaces•• - 6. Comments: C. Electrical 1. Service and ground: 2.' Receptacles:, 3. Fusing: 4. Comments: - D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: �nnntin.. n�i nn i.nn41 E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments• F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description) 3. What action recommended: 77 A. Information only - file. / / B. Hold for ten (10) days, then write letter. C. Write letter. 7 D. Other: �e COMMUNITY SERVICES ,.� DEPARTMENT ENGINEERING DIVISION nt.j CITYorCHICO Fourth and Wall Streets INC. 187Z P.O. Box 3420 Chico, CA 95927 (916) 895-4873 ATSS 459.4873 December 13, 1990 Michael Ramsey 1279 Humboldt Road Chico, CA 95928 Re: Application for Sewer Connection # 3546 The above noted Sewer Application submitted by you has been processed by the Engineering Division of the Community Services Department and is attached for your reference and use. Your attention is directed to the "REMARKS" Section on Page 3 of the Application. It contains information about the availability of sewer service to the indicated property. The "REMARKS" Section indicates that sewer service is available, subject to the conditions and actions indicated by "X" below. The attached .Application will indicate the sewer connection fees payable to the City in the event you determine to proceed with the connection. The quoted connection fees are valid for a period of SIXTY (60) DAYS from the date of this letter or until the effective date of any amendment to the City's Sewer Fees, whichever is longer. In this regard, you may wish to pay the connection fees now in,order to avoid having to pay higher sewer connection,fees which become effective on of about July 1 of each year. If at a tater date you decide not to proceed with this project, you may request a refund of sewer connection fees paid: , You should take the action marked with an "X" below. When these actions area completed, you may then contract with a licensed plumbing contractor, who may then secure the necessary permits from the Building Division and proceed with the desired connection. X Annexation to the City of Chico or execution of an Annexation and Sewer Service Agreement is a condition of obtaining sewer service. Contact the City Planning Office in the municipal Building, 5th and Main Streets, phone 895-4851. Also, if your property is annexable, you will be required to secure City building permits for construction. (Chico Municipal Code 16.10.190). The proposed land use is not consistent with the City's General Plan and/or zoning. Availability of sewer service will require amendment of the General Plan and/or an appropriate Use Permit/Rezone. Contact the Planning Department for further information in this regard. X Pay the computed connection fees prior to securing necessary permits from the Building Division, 2nd floor, Municipal Building, 5th and Main Streets. ,This office has determined that you are eligible for the deferred payment of sewer connection fees quoted herein, in compliance with current City Council policy. The agreement would allow you to connect your property to the City sewer System now and pay the sewer connection fees over a 5 -year period. Please contact this office if you are interested in pursuing this option. Construction of a sewer main extension as shown on the attached plat is your responsibility in addition to paying the connection fees as noted. In this regard, you may wish to execute with the City a "Sewer Reimbursement Agreement". If so, please contact the Engineering Division about such an agreement prior to commencement of work. No additional sewer connection fees are required for the proposed use of this property. Secure required connection permits from the Building Division, 2nd floor, Municipal Building, 5th and Main Streets. Sewer service to land divisions within the unincorporated area will not be authorized until all requirements of Section 15.36.262 of the Chico Municipal Code are satisfied and a Written Commitment to provide sewer service has been issued by the City of Chico. X Availability of sanitary sewer service will require the payment of all fees required for a comparable development within the City , of Chico (CMC Section 15.36.246). Such fees include, but are not limited to,:street facility improvement fees, park facility fees, school impact fees, and storm drainage -fees. Should you have any questions .r.egarding sewer service and this letter, please contact this office at 895-4873. �a2 E. C. Ross Assistant Director of Public Works / Engineering tck Attachment: Original of Sewer Application Copy Distribution: SS App. Chrono File System Building Folder: [XJ Planning 2216 Mulberry Street AP No. 005 - 471 - 004 [_J Subdivision File [XJ Butte County Land-Dev. Dept. F RE:.*X�D NOV 8 1990 CITY OF CHICO CITY OF CHICO DEPT. OF PUBLIC WORKS COMMUNITY SERVICES DEPARTMENT RESIDENTIAL APPLICATION FOR RESIDENTIAL SEWER CONNECTION (PURSUANT TO CHAPTER 15.36 OF THE CHICO MUNICIPAL CODE) SECTION I - NOTICE TO APPLICANT THE SEWER CONNECTION FEES QUOTED HEREIN ARE PAYABLE TO THE CITY OF CHICO FOR CONNECTING TO THE CITY SEWER SYSTEM AND AS REIMBURSEMENT TO THE CITY FOR ITS CAPITAL COSTS IN CONSTRUCTING THE PRESENT SEWER SYSTEM, AS WELL AS FOR ANY FUTURE ADDITIONS THERETO. IT DOES NOT INCLUDE ADDITIONAL COSTS WHICH THE APPLICANT MAY INCUR UNDER PRIVATE CONTRACT AT HIS/HER FULL COST FOR INSTALLATION OF NECESSARY MAIN LINE OR LATERAL E%TENSIONS. MANHOLES, AND SIMILAR APPURTENANT STRUCTURES AS MAY BE REQUIRED. THE SEWER CONNECTION FEES QUOTED HEREIN SHALL BE VALID FOR A PERIOD OF SIXTY (60) DAYS OR UNTIL THE EFFECTIVE DATE OF ANY AMENDMENT TO THE CITY'S SEWER CONNECTION CHARGES, WHICHEVER IS LONGER. ANY AMENDMENT TO THE CITY'S SEWER CONNECTION CHARGES BECOME EFFECTIVE ON OR ABOUT JULY 1 OF EACH YEAR. SECPICN II - APPLICANT INEDIMTICN A. Property to be Served: 1. Address: //. Yl / ,) l 2. A. P. Iro(s) : DC7 - /7-L ���� -- 0/ci 4Cose_ p�[�-r•a /�s�te d . 3. E;dsting Use:1�gscant (DIsidential UNon-Residential I- 'ed �tovs2 No. of Units Description of use: �S /�'/ r 4. No. of Residential Units to be Added to the Property: 5. Total N-kraber-of Residential Units to be .Served: . B. Reason for Initiating Application: ❑ Application for Plan Check Bldg. Plan No. Subdivision Map (5 or more lots) Name: General Information C. Owner: Address: �c D. Applicant: PHONE: Hane• Business: PHONE:. Hare: Address' Business: E. Mail Completed Sewer Connection Application to: er U Applicant r F. Submitted by ziignauure or er t )Appilcant G. Application Fee Paid: S Official Receipt No.: /y0 / Date:/V 7/02/90 APPLICA11ON NU. �y PAGE 1 OF 4 S CN M - MMITY SERVTCES DFPAMMT USE A. Property Information: RESIDENTIAL 1. In City: ...................................... Yes 2. In City as of June 18, 1982 (Including Annexation No. 384):. Yes Annexation No: 3. Within City Sewer Service Area :............... Yes G1 No 4. Annexable:.................................... Yes No DNA 5. Existing Zoning: � 1/t , ,or General Plan Designation LO Z� // 6. Property Front Footage: 60 l�►'►'� ► N 1. f . (Shortest side) 7. Property Area: 0.17 acres 8. No of Residential Units Presently Connected to Sewer:-15- 9. ewer:'59. No. of Non -Residential Acres Presently Connected to Sewer:--S- 10. ewer:-S- 10. Property in a Sewer Assessment District: 11 No M Yes Name 11. Main E:Ctension Required: 5 No Yes 12. Sewer. Connection Fee Credits: a. Trunk Line Capacity Fee: bb. of units — @ $572/$952 = $ Current Equiv. No. of Acres — JS2,285/$3,806 = $ Current Equiv. Pavments................................... _ $ b. Water Pollution Control Plant Fee: No. of Units — @ $952 = $ Current Equiv. G No. of Acres _ @ $3,806 = $ -6-- Current Equiv. Payments................................... _ $ $ 13. Subject to Sewer Connection Fees for: a. Trunk Line Capacity Fee: No. of Units b. Water Pollution Control Plant Fee: No. of Units c. Sewer Main Installation Fee: Front Footage 0 M �H 1. f . Minimum 60 ft.; Subdivision greater than 1 acre - 150 ft.) DNA (,Hain E\. -tension Required or Previously Installe(l) 7/02/90 0 DNA Mcempt) PAGE 2 OF 4 V 0 B. Computation of Applicable Sewer Cauiection Fees: 1. Trunk Line Capacity Fee ( X MW$952 Less Credit (from A.12.a. above) RESIDENTIAL = s C15 2 $ NEr:S C1 S2 2. Water Poll. Cont. -Plant Cap. Fee: X $952.= Units Less Credit (frart A.12.b. above) _ 3. Sewer "fain Installation Fee: X $27 /front foot X (�; 0 —1. f. _ r-] See ROWKS Section, Item No. 3 4. TUPAL NEr ADDITIQNAL SEWER MOW= FEE: C. EMTIATM ADDITICNAL MNMY SEWER SERVICE FEE: 8v X *km?6/4.80 per month = S per month Number Residential Units NEM CI S:2 °= 1. SEWER SE WICE , L; AVAILABLE: This property and its proposed use can be served by the e.,_isting sanitary sewer collection system. 2. SEWER SERVICE IS W.. r AVAILABLE: This property and/or its proposed use cannot be served at this time because of the following: The proposed use of this property is not in compliance with the Chico General Plan. The Chico General Plan designation for this property is This property is located outside of the Chico Sphere of Influence and is not currently eligible for sewer service. Sewer service.to this property would require changes in City Council policy, the Chico Sphere of Influence, and the Chico General Plan. This property is located outside of the City Sewer Service Area. There is insufficient capacity in the existing Sewer Collection System to serve this property. (LM 15.36.025) 0 3. If an approved private sewage disposal system is installed in lieu of connection to City sanitary sewer system, all connection fees quoted herein, plus a sewer main installation fee of $ ( f -f. X $27) shall be paid as a condition of the issuance of a connection permit. (01C 16R.08.030) ® 4. �yai�i�bi�7�Z, 07� Sam-nh+-i Diwi'kn eA 7` a, 7L .aeZ �e Z�4, di GLi/LD /C,O�e SetT,o,J /536.2vc). 7/02/90 1' +GE 3 OF 4 D. Reviewed by: RESIDENTIAL .a E. Approved by: DIRWMR OF PUBLIC WMS By. Dated FOR OFFICE USE ONLY CDeferred, Payment Agreement Executed Date --------------------------------------------=---- Sewer Connection Fees Paid: O.R.4 Amount$ Subject to Sewer Reimbursement Agreement: 11 No U Yes Agreement: ------------------------------------------------- i 7/02/90 PAGE 4 OF 4 a� a� cn c. G 2216 Nllfii..BERRY ST. AP 005 — 471 --.004 i 0.17 Acre 60 Fr Ft I L,---� �-i ot- C d Street rS:ANITARY NNECTTO STING 15" S EWER /••,RCP 2� 2� Cp CITY OF CHICO DEPARTMENT OF PUBLIC WORKS DRAWN eT DATE '''dl 0 PLAT TO ACCOMPANY. CHECXEO SCALE SANITARY SEWER CONNECTION APPROVED- APPLICATION NO. 3 S y G prio,12 ASST. OIRECTOR OF OUBLIC WORKS SHEET OF COUNTY OF BUTTE DEC 17 1990 Land Development'Sec. 0 m � O c c-3Oz O nm Cc. Xm 0) fj ., '�----., COUNTY OF BUTTE~- bEPARTMENT.OF PUBL'ICRWORKS PERMIT NO. 7.County Center Drive,- Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ; ASSESSOR PARCEL NUMBER - 2G - S S ` ZONINGrt 5 2' .._ .-. , f BUILDING PERMIT OWNERI MR. & MRS. TE EPHONEWATERS 343-0398 SQ. FT. % ,0 C. BUILDING VALUATION U t up 800.00 OWNER'S MAILING ADDRESS - 3390 HACKAMORE LANE-CHICO, CA. 95926 CONTRACTOR'SNAME t DON C. GEORGE INC. TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O.BOX 729 OROVILLE, CA. 95965 ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation f Is 800.00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee r ' $ ARCHITECT OR ENGINEER LICENSE NO. t Plan Checking Fee (. $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS " Penalty $ BUILDING ADDRESS �, 3-14'jD'**CKAMORE LANE CHICO, • CA. ; Permit fee $ / 14.50 PLUMBING PERMIT Filing Fee 10.00 L '=Each TrapVk\ �. < ,:r; •� rr = f Solar or heat pump water heater 4`•20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE s SF j• Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00e TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ ' Utilities ❑ Installation ❑ 10ther F] Describe work: RE -ROOF ADDITION AT REAR OF! CARPORT. I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 j I Main service 100 AMP OR1 OR LESS___10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ; I am licensed under provisions of Chapt. 9, Div. 3 of thej Business/POWER and Professions Code and my license is in full force and effect. Classification C-39\ License No. 452266FIXED ❑ 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 ❑ 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 ,...w NEW CONST. DWELLING OCCUPM , OR ADONS. ACC, BLDGS. I /Z 2sq It NEW CONSTR. MULTI -OUTLET 2,50 ea , NON-RESID BRANCH CIRC ITS APPARATUS & (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES_BAL@30 eALe ARRLNS Ex. OCCUp. OUTLETS RESID,)REA.) "" —2-.00- Temporary service_ z- 10.00 Mobile Home Facilities_ . ' '1`5:00 Misc. INiri.ng 15.00' '.Permit Fee -, -, $•~ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): i ❑ 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. i Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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. 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 saVd County in coonnsseque of the granting of this permit. X �i�/i'/�h``�j/' -"��di Date 10-16-89 Signature of Applicant - 'Owner t Contractor 9 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 24.50 HAz I CUA PARK I SCHL 1 FLD 1 PAR P11 HD ISSUE v This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC B/ Z�s PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date °' 44'.PY / ZV- fo Receipt No. �1 _ `1 r/in WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSESSOR P CEiUMBER� _ 66 Z"- BUILDING PERMIT OWNER TELEPHONE 3 -a S(�, FT, OC.`G`, BUILDING VALUATION _u OWNER'S MAILI G ADPRESS cz C R CT R'S NAM r TELEPHONE CONTRAC OR'S MAILING ADDFJEPS 9 Fireplace CONSTRUCTION VVENDER UNKNOWN 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 $ BIL IADDYADD Permit fee PLUMBING PERMIT Filing Fee 10.00 C.f! Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF,15( Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W r10-00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: (' — _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full orce and effect. ����61� — License No. �� Classification FlAPNIXED 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& OR ADONIS. ( ACC. SLOGS. , 2/zQsgft NEW CONSTR-MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (PO /POWER APPARATUS .&) OUTLET CIR. ) 1 ( Ex. Occup\OUTLETS OR FIXTURES 0c eALoao 2ALO 30 S EX. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. `fes I have placed on file with the County of Butte Building Department �l a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ 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 agains aid County in conseque ce of the granting of this permit. X4�1 j�_�� Date Signature of Applicant —, Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over��3 sst/toriie��s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 'HD HAZ CUA PARK SCHL FLO PAR PD Issu This permit is Butte Co issued under sions of the Butte County Code and/or work ind' ated above for which f DIR R OF P BY PERMIT EXPIRES Date the applicable to do resolutions to do s have been paid. WORKS w _� I / Dat I`) Receipt No. `9CQ %� WHITE-D.P.W.. VELLO -ASSESSOR. PIN. -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. 3, 7� APPLICATION AND PERMIT AA 7 ASSESSOR PARCEL NUMBER — - S S 30NING S(2— 'r(p' BUILDING PERMIT OWNER MR. & MRS. WATERS TELEPHONE 343-0398 S0. FT. OCC, BUILDING V'�ALUA IION ui t up 800.00 OWNER'S MAILING ADDRESS 3390 HACKAMORE LANE CHICO, CA. 95926 CONTRACTOR'S NAME DON C. GEORGE INC. TELEPHONE 533-6393.' CONTRACTOR'S MAILING ADDRESS P .0. BOX 729 OROVILLE, CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 800.00 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 3390 HACKAMORE LANE CHICO CA. Permit fee $ 14.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ALJ Describe work: RF—ROQF AnnTTTON AT REAR OF CARPORT- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. G 5 7 7 h h Classification r.—'A 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.B) OR ADONS. 1 ACC. BLDGS. +/zQsgft NEW CONSTR. MULTI -OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( p OUTLETS OR FIXTURES 20050t 30 FIXED ALNS.❑as Ex. OCCUp. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15.00 Permit Fee _ $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Eg I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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 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 County in consequenge of the granting of this permit. o Date 10 —16 — 8 9 Signature of Applicant — Owner Contractor 12 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 $ occ CONST TYPE E TOTAL FEE $ 2 24.50 HAz CUA PARK SCHL I PAR PD HD This permit is hereby issued under sions or the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC B1 PE T EXPIRES Date X the applicable provi- resolutions to do have been paid. WORKS Date fin' Q �'� -?-1(— `O Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TV LAND OF NATURAL W E A L T H AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone:(916) 534.4681 RONALD D. McELROY Deputy Director June 23, 1986 Carl: Waters RE: AP 7-26-68 3390 Hackamore Application for Determination Chico, CA 95926 Dear Mr. Waters: Enclosed please find the Certificate of Compliance which was recorded in the office of the Butte County Recorder on June 4, 1986, by the Butte County Department of Public Works under Document Number 86-17567. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of Public Works John Mendonsa Assistant Director JM/ds cc: Building Department Environmental Health Department RETURN TO: Public hlorks Land DevelOp1110TI' Se'Ct1On r+ ;,RECORDED IN OFFICIAL RECORDS ,.OF BUTTE COUNTY. CALIFORNIA ,AT THE REQUEST OF PUBLIC WORKS i;I;r'I i r lc:nl I; 01 c;�rll>L:rnNCl'1986 JUN -4 PM 2' 55 I s ued to : Carl Waters JELEANOR M. BECKER NO FEE 3390 HackamorCLERK-RECORDER FEE Chico, CA 95926 86=17567 Paw This Certificate of Compliance .is hereby issued by the County of Butte to certify that the land division 1.111ich created the' parcel of property identified below compl:ics with the applicablc provisions of the Subdivision Map Act and of Chapter 20 of the Rutte'Count.)` Code. 1. Property Location: on the east side of Hackamore Lane approx. 1000 ft. south of Eaton Rd. Chico area. 2. Assessor's Parcel. Numbcr: 7-26-68 Description: All that certn:in property Located in the County of Butte, State of Ca1.i.for[1.1,1, more pa-rticularly dcscr.ibed as follows: A portion or RANCHO ARROYO CHICO in Projected Section 9, Township 22 North, Range 1 East, M.D.B. & M., described as follows: The Northwesterly 98.00 feet of the Southeasterly 500.00 feet lying between parallel lines of the following described parcel. BEGINNING at a point on the Northerly line of said Rancho Arroyo Chico, said point being the Northwesterly corner of the Hobart Subdivision of the Daniel Bidwell Rancho, according to the Map of said Subdivision on file in the Office of the Recorder of the County of Butte, State of California, in Book 4 of Maps, at Page 24, and running thence South 370 45' 12" East, 1359.7 feet to a point; thence South 52° 17' 56" West, 220 feet to a point; thence North 37° 45' 12" West, 1525.3 feet to a point on the North line of Rancho Arroyo Chico, thence North 89° 49' 48" East, along said North line to the point of beginning. EXCEPTING THEREFROM all oil, gas and other hydrocarbons and minerals heretofore reserved on that certain Deed from Bank of America National Trust and Savings Association, a national banking association, to Carl B. Waters, et ux, dated May 10, 1943 and recorded December 15, 1943, in Book 317 at Page 407, Official Records of Butte County. TOGETHER WITH rights-of-way of record recorded in Butte County Official Records under Recorder's Serial Number 86-13196. Issuance of this Certificate is condi.t:i.on�iI upon the following conditions Tehich have been imposed pursilant to the IRTitte County Code Chapter 20-166 and Government Code, Section 66499.-iS (h), to protect the puh,l:ic health and public safety — NONE C;ountof Ruttc Sub'd i N,-.+ � 1,011 V ioI,ItJon C01111111 ttee LD 1400 — = --- -- FND OF DOCUMfiNT - END OF DOCUMENT n 7 A PERMIT NUMBER - B 658-73B P E i PERMIT EXPIRES-����7"� OWNER Carl Waters Tom Bragdon,. Chico CONTR• LOCATION (A.P. 44-47-17' 18 Hackamore Ln., Chico z 7 J' COUNTY OF BUTTE' Departmentof Public Works e BUILDING INSPECTION RECORD ZoningSetback Forms 'Y Foundation Piers & Girders''' Fireplace Rgh. Plumbing Bond Beam Lath & Plaster �i d Rein. Steel Gas Piping & Test 23 Found. Vents Framing,T-`c-6 ---% Plmg. Topout Rough Elec.c�T7--- Wtr..Ntr. .7-2- 73 Furnace � ''�� i3 Kitchen Vent Firewall Garage Vents Sanitation & Water _ ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final 2 �' v DATE REMARKS OR CORRECTIONS P � / C7 (2_1 er s�L �Ga 4nq JE 17.51 2/ iIT �j ..i s -t42 9� Ta/Y� il��iyg c�6o r 5 12d4- >a, �ft " 60, �<--,p o. o. ctn���� r o !/ . � ✓ �' U Lam' s —Ac� e 5;p< 2coo,,, K y i y � � _ � 5 � ,� ' � � 1, a �, 1 J 1 . l �I :}.ate '' ) � � � � � � _ �... � \ 1 J�. .-. .. `. - - '' ., .. �. .�-.� 1 . � 1 �� -.. ,, � � ` -- , 1 � �� 1 1 t^ 1 � A -. �, _ . � .• 'ti `` � - v J v _a_" 1 � �_ `� .. j 111, j� ; - ' '♦ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 73- 7 County Center Drive Oroville, California 95965 / Telephone: 5 534-4541 APPLICATION AND PERMIT above -mention d X Sign ure offpinsp4 P 6ecei No. Whi - .P.W. —Pin vcJ VI UIc UVUllly VI oullc tU CIIICI uNun ulY erty, for inspection purposep Date --- _ — Golaenrod-Assesfifor — Yellow -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 Building Pertit Expires Date BUILDING Owner r SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor �. Total Valuation Mailing Address ��2v G LV Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address c PLUMBING No. @ FEE PERMIT FILING FEE $2.00 "343— " % Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 !L _ �7 _ / A. P. No. T / / Zonirig - Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation I Planning Building sewer 5.00 Plans I Fees W. G. I R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $ $ G ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family [K Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions ode under the n e style of: _._ME�E 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 Misc. wiring License No Classificatio ai 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 Work !D' "Compensation. ave 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/_4004_j /15� Cooling 1- 3 pr KSS 4 00 8 0= Ventilation n 2, &0 Permit Fee $ $2-7- 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 I^tsrrumenta° onrr� a amid^ $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ c1U 2, above -mention d X Sign ure offpinsp4 P 6ecei No. Whi - .P.W. —Pin vcJ VI UIc UVUllly VI oullc tU CIIICI uNun ulY erty, for inspection purposep Date --- _ — Golaenrod-Assesfifor — Yellow -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 Building Pertit Expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnunce representatives of the County of butte to enter upon the above -meet' ed property for inspection purposes. Date 72 Signature of Permitee or AgeVt Receipt No. hD 3 2,98 _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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—,, '-7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Q 6,04 Total Valuation '�„ S Gs®� • '� Mailing Address2 �= Permit Fee Plan Checking Fee &/or Penalty <G Z._ Permit Fee $ $ g Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — 7" Zoning Gas piping system 1 - 5 out 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 PI Fees �_ W. C�_ R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER �. Permit Fee $ $ " G a ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethan12) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 11W50- Receps., switches & fix outlets 20025. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Ca fornia Business & 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 Misc. wiring License No./ Classification �- ❑ 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 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 Permit Fee $ $ I certifythat I have read this application and state that the above pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby r;sf umentaoi $rr f grao^ion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE autnunce representatives of the County of butte to enter upon the above -meet' ed property for inspection purposes. Date 72 Signature of Permitee or AgeVt Receipt No. hD 3 2,98 _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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—,, '-7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541- APPLICATION 34-4541APPLICATION AND PERMIT authorize representativesof the ounty of Butte to enter upon the above-mentioned property for in ection purposes. X Date $i nature of Per a Agge/ent% Receipt No. 3,J / 1 _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permVfee issued under the applicable provisions of the Butte a and/or re lutions to do work indicated above for�w'h e enDIUBLIC WORKS By Date — C�0'7 PritEg emDate _ a0 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address r Fireplace - Contractor e Total Valuation Mailing Address r _ Permit Fee Plan Checking Fee &/or Penalty Q t Permit Fee $ $ Building Address 00 ' PLUMBING No.1 @ I FEE PERMIT FILING FEE $2.00 s oru ` Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each ga water heater r vent 1.50 A. P. No. 17L 4,7— 1 Zoning Gas piping sys em 1 - 5 outlets 1.50 , Each additional outlet .50 Fire Zone Fire Dept Sanitation Planning Building sewer 5.00 Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 EW ADDITION ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 20 0 25 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & ProfessiW Code under the name style of - e % 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 Misc. wiring License N Classification ❑ 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. ave 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ ta;t te Fee for Str ng Motion $0.07/$1000 Evaluation n rument ation f�rogram $ $ TOTAL PERMIT FEE $ 00 authorize representativesof the ounty of Butte to enter upon the above-mentioned property for in ection purposes. X Date $i nature of Per a Agge/ent% Receipt No. 3,J / 1 _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permVfee issued under the applicable provisions of the Butte a and/or re lutions to do work indicated above for�w'h e enDIUBLIC WORKS By Date — C�0'7 PritEg emDate _ a0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive _ 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT c'uuwn MJ'u BUILDING Owner CJSQ. tC FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor J ` Total Valuation �^ Mai I i ng Address ) MQ v Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address L PLUMBING No. @ FEE PERMIT FILING FEE $2.00 i Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �/ A. P. No. — (-1 Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans I Fees .1W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C'= 3 Main service incl. 1 meter Additional me each 1.00 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Sub -panel 12 a4aes ore than 12)L. - Range, dryer or water heater 1.00 Oven, Cook -top or space heater. 1.00 Light fixtures 010 #0 ., swi As & fix o I is 6 CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, x -en F.A. Furn. Motor 1.00 2,0 Evap.cooler,gar. di4rp—orD1.%VT._ 1.00 Air conditioner or heat pump Water pump Misc. wiring License No.�cSCi ��� Classification (� ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 3 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 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 Permit Fee $ $ I certifythat I have read this application and state that the above pp information i agree to comply to all County Ordinances and Stat aws rela n� to building construction, and hereby ,State Fee for StrDrg Motion $0.07/$1000 Evaluation nate Fee for n n gMot $ TOTAL PERMIT FEE $ J sent, or the county or tsutte to enter upon the abov, mentioned for inspection purposes. -72 X Date ignature o armitee or Agent Receiot No. a 1 White-D.P.W. - Pink -Inspector - Goldenrod -Assessor - Yellow -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