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007-350-009
443--�3-port . 001/ John D. Drake 469 Cimarron Dr., lot 86j Joshua Tred#2 • P '' 06-1624- 007-350-009 6-1624 Chico,?157&�3KI-C7.8PB 007;350 009hLOGSDON, WILLIAM , Permit (new si gle family) �•-. _m. a` 469 CIMARRON D, CHICO , Cont: OWNER RE ROOF Y '• �: ;.. �. :' %=Zq =4�I Contr: Gore & White Plbg, Chico -� Permit ##365-79P(Plbg/5731-78) SF. 1 ` ontr: MCClelland AC, Chico rmit #1018-79M(mech/5731078) Contr: ox Ele PErmit#1331-79E'(ele/5731-78)SF x 9�44 66 @90NFIR. QW-.o_ .,.. 469'C argon, Chico Contr: Iiee Francis Electric Permit#3720-8 (ele- Al" new-•hot- I tub)SF F�a, f -- a Contr- ervamatic Solar System. Chico �y Pe it1#689-83P(solar water heater)SF i o M LO a� 007-350-009 �, 061614`�� f LOGSDON,'WILILIAIVI.''"- tr N b T E -S 1469 CIMARR0MDR,'CHICO �(;Gont:-OWNER�t RE ROOF - RESID,ENTIAL APN: Permit No. Owner. Site Address: Contractor. a Type of Permit: i >/C. SPECIAL CONDITIONS CHECKED BY ❑ SRA ' ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE i /r f DATE JOB F p SIGNATURE: = OK n = u... me MANUFACTURED HOMES MISCELLANEOUS DEL___j Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fa11/C/0-Concrete 4 Wtr, Loctn-Test-Easeinent Netded-Regulator 5 Elec Loctn-cImcs-Gmd . 'Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or L.PQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test-crossovers-Breakers-cimcs 10 Drain; MH Test -Fail -Flex Cnnctr 11 Wtr if Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers 10 E C K S'C O V E R S'C A R P O R T S •G A R A G E S 1 ZoningSetbacks-Easements 2 Ftgs; SailsSz-0pthSpacing-Spacing 3 Decks, Girders/Joists-0cking-Brcing Stairs-Guard/Handrails 4 wood Awn; Posts-Beams-Rftrs-CnnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric - 8 Frmg; Silts•AnchrsStuds4btrs Tnisses 9 Siding; Nailing-VengerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls ya r+ ° d DATE 113OOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men4Jning 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting;15 volts-GFl 6 Elec.Enclsrs; Conduit Entries Terminals -Listed 7 Elec Bonding; Metal w/5-crcItng Eclp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Encisr;-pnlboa dsansultn 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 o'$ �a} oa ds dA �� Pool Drawing I RESIDENTIAL (Single & Duplex) GATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ft4 Dpth 3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth 4 Ftg Parches/Decks; Soils -Steel Ftg Dpth 5 Stemwalis Main; Steel-Blockouts Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frple Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12. Elec Undrgrnd 13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 15 Ace & VnUtn 16 Insulation DATE FRAMING 17 Sills Proper Materials & Anchrs 18 Wills Studs-Nailirig Spacing &Braces-PlatesSound 19 Bearing Walls over Girders & flr Nailing 20 Draft Stop In Walls (rat proof) 21 Fire Stops; FUrred CeilingsStairs-Chasers-Tubs 22 Headers & Be'amsSi & Bearing' 23 Hangers -Post Caps-Anchrs.-Cnnctns 24 Ceiling Joist-Rftr Tes-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flu 26 Throat Cirnc 26 Attic Acc; Sz &Rinz Prtcln-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill lit & Dimensions 28 Garage Fire Prtcth Framing -RC Channel 29 Prprty Line Firewall & Opngs' 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing+lre Prtctn 32 Plywd on Roof Ovrhng Attic Vnts-Rttr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrnr Ace 35 Glazing Area -Glass PrtetnSkyLts-Plastic . 36 Shear Walls; Nailing -Bolts 37 Brace InUExt Wall pnis 38 1 nsultn-Walls-Ceilings 39 Infiltration -Walls -W ndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Cimc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Gmd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz El CU or ❑ AL AC Wire Sz 9a Q CU or Q AL 48 Range Clic w Q Cu or ❑ AL Oven Circ P F CU or 0 AL Insulated Neutral QYes QNo 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr_Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tuti & Shwr, 2nd flr - Tub Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping o� 0` DATE IMECHAKICAL 61 AC Ducts Insults & Support " 62 Vent Fan, Exhaust abv Insulin 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Ace & Pitfrm if Furnace In attic DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Meth Prtctn 69 Bedroom Exiting 70 GFl & Bath Fxtrs & Tub AccSpa 71 GFl Are Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frple or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Cimc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct In Garage -Dampen 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth 86 Clmc Dmge Planters 0 Yes Q No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, PImb-Appinc-Frplc-Cimc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous [6spctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY PERMIT'NO. D.I iPARTMENT OF DEVELOPMENT SERVICES BUILDING -PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061624 OFFICE #: (530) 538-7541 f PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under 'penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/06/2006 APN:O07-350-009-000 the Business and Professions Code, and my license is In full force and effect. License Class': License Number: Site Address: 469 CIMARRON DR CHI Date: Contractor: OWNER -BUILDER DECLARATION . I hereby affirm under penally 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 permit to construct, alter, improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the. basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applic t to a civil penalty of not more than rive hundred dollars ($500).): 7I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business .and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one 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 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' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Byai!) s§ and Profesgions Code WORKERS' COMPENSATION DECL6RATIUN I hereby affirm under penally 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 the Labot Code, for the performance of the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are: Carrier: Policy #: certify that in the performance of the work for which this permit Is issued, 1 shall not employ any person in any manner so as to 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 forthwith comply wi0} those provisions. Date: WARNING: Failure to secure 6 rs' 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. Map Index: Description: REROOF W/COMP (26) Owner: LOGSDON WILLIAM B & KIMBERLY 469 CIMARRON DR CHICO, CA 95973-0301 Applicant: LOGSDON WILLIAM B & KIMBERLY Contractor: License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: CONSTRUCTION LENDING AGENCY This permit Is RMI I hereby affirm that there Is a construction lending agency for the Resolu t performance of the work for which this permit Is issued (Sec 3097 Civ.) Name: By. PERMIT EXPIRES Address: 469 CIMARRON DR CHICO, CA 95973-0301 0 S. F. $0.00 the applicable provisions of the Butte County Code and/or )o� r which fees have been paid. /n / ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I'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 stale laws relalfng to building construction. I acknowledge It Is unlawful to alter the substance of any official for or document of Butte C unty. I hereby authorize representatives of Butte County to enter upo the above me tloneproperty for Inspection purpose 10 Print Name: / ' d Signature: Dale: wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor a r Ruil ilnn Parmit 01.16-04 oc 1 BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES PEPE BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS Q,,f I �G 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLIC4TION BIN # Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name ' SI/ C1 first Name. c f� Address G IT - n, �✓ City �State G� Zip ne_ 9E-z' Faxed ^ S S�BS� E-mail APPLICANT INFORMATION CONTRACTO Name City Address Zip City Fax State Zip Phone Phone Fax E-mail E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name U Address City State Zip Phone Fax E-mail APPLICANT SIGNAT RE X For office use oniv: Zoning Flood Zone SRA I Yes No Occ• Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: UVtK 1 -UK SUBMITTAL REQUIREMENTS U KAFORMSSUILDING FORMS1BIdgAppiSubRgmts.doc Page 1 of 3 PROJECT LOCATION AP# 007- PropprtOddress City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address u ptlon or Scope of Work: oco 7C S Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: i Amount: SRA Sheriff SMTP _tb�_Olhe REV 8-12-05 4y' SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) QR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Bufferclearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4: NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, -Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment -on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees -for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 3 REV 8-12-05 OWNER -BUILDER VERIFICATION Attention Property Owner: - An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide themf�jor labor and material for construction of this proposed property imp;o vement: YES [ V ] NO [ ]. 2. I HAVE [ \(] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: ' NAME . ADDRESS PHONE TYPE OF WORK SIGNED: PROPE DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.neVdds OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information. about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "own er-builder"=building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' -State License Board's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, t g�, Scott Rutherford Manager, Building Divi NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. �. w w.: --v;, ...� _.mc%�-�z..v :� ...-_ �-.....,-t. �._.,.�xer. ,�,,. ��...--., �,",. _.. ... -_. ,-.. ,.�� ,�,�..,.- •=mow-- —'- ��r—._- .--„-_...,.�--..,,....-12 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,'C91ifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A SSE SSOp PARCEL UMBER+ 7u( /— ZO I BUILDING PERMIT OWNER / / 4e fy rroe TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTR ' TOR'S NA . TELEPHONE y - CONTRACTOR'S MA LING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ Filing Fee $ 10.00 LENDER'S MA LING ADDRESS c Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR'E/SS /^� G �J C PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. iT SUB.Q,I,VISIION NAMEPARCEL . �U N[JU /�f MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF /0/Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition❑// Remodel [:]ies Utilit❑ Installation Other Describe work: L`f.�fC'/P/r /r..l ��% /y1' .yi Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main S@NICE 100 AMP OR ORSLESS 5.00 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST'(DWELLING OCCUP.al) OR ADDNS. ACC. BLDGS. I 22 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ®1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. '-1/ T _72 Classification te `i El 1, as the owner, or my emplpyees with wages as their sole compen- sation, will do the work,an the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am Vc usiv I `col tracting with licensed contract- ors. (Sec. 7044) \ U ❑ I am exem cde Sec._, Sip ss and Professions Code o ►� for this re on C NEW CONSTR(MULTI.OUTLET 2.SOea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS 6J NON- /RESID. (SINGLE OUTLET CIR, 50@250 Ex. OCCUp OUTLETS OR FIXTURES BAL�1 IXED AP LHS. OR Ex. OCcup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Fac,ilitjfes 15.00 Misc. Wiring 1 It F C11 7.50 ) Permit Fee ,, ,(ti as" ,.: Contractor ? I AA .ter,' MECHANICAL PERMIT Fi�i.ng.Pee 10.00 11�ORKMEN .S COIAPSAT�N INSURANCE I declare under penal ty�of p'e`y.u�ry f(chec•bne): ❑ The permit is for $100.00'al �ti�n�or less. �1 have placed on file with th``County of Butte Building Department a Certificate of Workmen's Co ensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentionedproperty for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses -which may in any way accrue against said County in conse uence of the granting of this permit. .�. �Sr'P" Date X f Signature of Applicant — ner ❑ Contractor ©Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS C A�,e By Date PERMIT EXPjRES'`Da�t �S D���� Receipt NO. . WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. Ir ",:. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANb PERMIT ASSESSOR, PARCEL NUMBER C/f ZONING BUILDING PERMIT OWN ;::;I r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'LS/`M%AIG A ESS I l0 L CONTRACTOR'S NAME a p e- I .. (`a T L_EPHONE 'N' I �1 CONTRAC OR's MAILI G AD RESS ' 1 Irt r Fireplace CONSTRUCTION LEN ER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER "- LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRE S Permit fee $ BUILDING ADDRESS /�Ttr Y 6129 QEach PLUMBING PERMIT Filing Fee 10.00 Trap 2.00 Solar Water Heater 20.00 .00 01 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE �,/ SF A� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW 1 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lit'es ❑ Installation ❑ Other Describe work: c+3K �+li N _Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sODV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20Sq ft 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.-� /�'/ (/ C '_ Classification —1 t 1 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRr ULTI.OUT LET NON-RESID. `BRANCH CIRC ITS 2.50 ea NEW CONSTR ( POWER APPARATUS &1 NON•R ESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES gA 50c 300 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑'.I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date �' �`U )-_� 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 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, T—IPARCELI PD I HD I I SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 17 CT R OF PUBLIC BY PERMIT EXPIRES D to 1 the applicable provi- resolutions to do fees have been paid. WORKS Date`s Receipt No.�),-�_ WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,Palif•orAa 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P RC L UMBER ZONING BUILDING PERMIT owN r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S �.1AlL NG A ESS CONT R(A„(C�TO�'S NAME �� TE EPFAQ E CONTRACTOR'SMAILIN A RESS o UL9 t Fireplace dO'NSTRUCtION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 .LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 �}Q. Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 01, Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I GJWJ 10.00ea TYPE OF WORK,Permit New ❑ Addition ❑ R model ❑ Utilities ❑ Installation❑ Other Describe work: — Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgff 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 Professir���rrr��� .Co a and my license is in full for and effect. er%_� ��� License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) . ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.( MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &1 NON-RESID• 1 SINGLE OUTLET CIR. / zo�soe Ex. Occup(OUTLETS OR FIXTURES eALO 300 FIXED APPLNS. OR EX. QCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ' ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should"you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 li lities, judgments, costs, and expenses which may in any way accrue aga' s sai�ounLv inquence of the granting of this permit. Date SCS Signature of Applicant — Owner ❑ Contractor E]Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -10 . OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CT R OF PUBLIC By PERMIT EXPIRES Mte r the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOAPARCEL,,,VMBER�D ZO ING BUILDING PERMIT OWNER �`/J t//L TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A DRESS CONTR OR• NAb TELEPHONE CON RA OR'S AILING ADDRESS t — CONS RUCTION LENDUNKNOWN Fireplace Total Valuation Is Filing Fee $ 10.00 LI LENDER'S MA NG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. JSUfBVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other Describe work: E Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 111 OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEWCONST. !DWELLING OCCUP.SI\ OR ADDNS. \ ACC. BLDGS. I 22 sq ft 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 m license is in full force and effect. ����-'.� y License No.;21L—c(2 a— Classification /�� Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR T -OUTLET 2.50 ea NON -REBID BRANCH CIRC TS NEW CONSTR ( POWER APPARATUS 6) NON RES SINGLE OUTLET CIR, 50@@1 Ex. Occup(OUTLETS OR FIXTURES gpL �e1 FIXED APPLNS, OR Ex. QCCUp.�OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 _ Permit Fee $ Q Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANFE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become ysubject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Coun in his ence of the granting of this permit. X Date Signature of Applicant — ner ❑ Contractor 'Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories, in/ height. - Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. CROUP I TYPE OF CONST, PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXP a the applicable provi- resolutions to do fees have been paid. WORKS Dater/�-���� Receipt No.s7 WNITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPECTOR„GOLDENROD-APPLICANT i a J Temp. Power Pole r z, Trop. Elea, Serv. - PthMIT NO. 5731-78B ,R� Temp. Gas Serv. .. PERMIT EXPIRES Called PG&E John D. Drake OWNER ` owner r+ 3CONTR. FINALE '' {r 44-Mr73 port. LOCATION (A.P. ) • '-' �. 469 Cimarron Dr., lot 86, Joshua Tree#2,Chic (Signature) _ •Mtn 1:../� .. i a J Temp. Power Pole Called PG&E Trop. Elea, Serv. Called PG&E Temp. Gas Serv. .. Called PG&E JOB v(Date) FINALE (Signature) •Mtn 1:../� .. _ .. — Temp. Power Pole Called PG&E Trop. Elea, Serv. Called PG&E Temp. Gas Serv. .. Called PG&E JOB v(Date) FINALE (Signature) ERS ET COMPANY- NLICBN9ED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) / Date 19 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS I Manufacturer /qqq���� Thickness/Type 1 R Value S / CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer 0e—F-- Thickne s®� No. Bags 45W Z Wt./Ba,- e , O Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GZ?PjVy-Ca LICENSE NUMBERQ�W,'ZC k B TIT E�v�'• EI�s DATE INSU TION Cj1TRACTIO / %y��-�r ' �1 LICENSE NUMBEF<, ` � �� gJa� YVI, �I AaL��-CA (TITLE S l�i f 1 A --9/-J DATE ACCEPTED SAVE ENERGY - INSULATE! HERSETH 'COMPANY (Authorized Representative) no - RESIDENT IAL ' ENERGY CC\SERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT LS—\ (loca ion) BUILDING PERMIT NO. SIC'. A.P. N04 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: N Slab Edge. Fdn. Walls Nlk Floors 'Walls C>,%<- Ceiling/Roof \KCeiling/Roof 611< - Ducts YF -t) Circulating Pipes P--10 APPROVED HEATER `et -c-) APPROVED WTI,. HTR. "►� S GLAZ ING Single Glazed Special (Insulated) nJ . CERT. & LABELED WDS. & SLIDING DRS. �i� 5 WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES ,C - CERT. APPLIANCES_ jFS I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS Or THIS CERTIFICATE AS SUBMITTED. A Insulation Applicator Name_ Signature of (please print) Insulation Applicator State Contractors License No. �Generel: -eat /Owner N /iN 1-b 2 pfA Signature of (ase glint) .'--ere! flonereeter/ If � � Date � 8'���' . . e Contractors ense No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL $E POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. N', C(3UNTY OF BUTTE — DEPAR+MENT OF PUBLIC WORKS BUILDING INSPECTIdNIRECORD BUILDING BUILDING (Cont'd) PLUMBING " Setback Firewall Soil Piping Forms .� --g Parapets 1st Floor .� Main Bldg. Restroom Finish 2nd Floor Footings Windows v 3rd Floor Stemwall Siding To out r` - Slab Sheathing WaterRoof Piping Piers Roofing �^ . Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents 7_ �— Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica ed Conformance of structure -9 Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footinas Fnnfinn `� CI CrrQ�reti—i Reinf. Steel U -Final I Fixtures L� FIRE SEgINKLERS Mesh MECHANICAL Grd. Fault Prot. 4__11_ Scratch Heating Service ------- Brown ` % Cooling Temp. Pole Finish Ducts Underground - Interior Lath Ventilation Permanent Door Closer Final Zi Final ; . �, MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEH )ME INSTALLATIONmmmmmmnn�- - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Co ---4 (NOTE: An entry must be made on this form each time you visit the job site.) qk COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S 7 County Center Drive — Orovi Ile, California 95965 Telephone: 5344541 APPLICATION AND PERMIT BUILDING Owner Q/�jrJ� �/��E SQ. FT. OCC. BUILDING VALUATION o Z .16090 Mailing Address f,),O, go COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S 7 County Center Drive — Orovi Ile, California 95965 Telephone: 5344541 APPLICATION AND PERMIT BUILDING Owner Q/�jrJ� �/��E SQ. FT. OCC. BUILDING VALUATION o Z .16090 Mailing Address f,),O, go 9,7_6 UV Contractor w,0642.., Mailing Address Fireplace /000 Total Valuation 9 8 Telephone No. Permit Fee Building Address f/o9 w fee.D Defuc P I an Check i ng Fee &/or Penalty Permit Fee PLUMBING No. @ FEE _rt zafPory I�A�� PERMIT FILING FEE $3.00 Each Trap 1.50 C,:cI-lf�i Repair drainage or vent piping 1.50 /�/ A. P. No. f Y �'QS�'7 POS%. 4/4(_053 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fek'�WjV.J S Fire Dept. I Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel p 60' R/W Improvepents Each additional outlet .30 Building sewer 5.00 /� y� � ��s�-�� 9// '"�-A65!I¢4�'wt Rlfd60 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ©� ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR SLESS 5.00 Single Family Qi Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L too AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLLING BLDGS.CCUP. Yl 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: MUL NEW CONSTR ( BRANCH CIRCUITS) NON-RESID ` BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS I NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES BALI BAL � t0Q Ex. QCCUp.(FOUIXED APP LNS. OR TLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 E011"am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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 W kmen'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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTAL PERMIT FEE $ !sa m authorize representativesof th ounty of Butte to enter upon the abo -me tioned property for ection purposes. X Date 427✓7 Signatur P eeeeoor A%gent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFz-RUBLIC WORKS By Date,,---', 7F �ilinq permit expires Date l .y ,JOSHUA TREE 5U8D/VIS/ON U/%//T * 2 This set of plans and specifications MUST- be NOTE* All Materials & Workmanship Shall Be in kept on the job at al' times and it is unlawful to Accordance with Recognized Good Practices and male & Zy cha„g;-s or_elf eratio ns on s�}� of a quality prescribe;! �o��$pecific�d in the wrifrFcn permission rom rr norm Building, Plumbing & Mechani ods and li�c Works, County of B t�e, a ional Electrical Code. 00 •SL 0 W . MM The B!l g. Se ack shall be 5 ft. from sidepropert line and 50 ft. rom centerline of he road, permiffini I a m mum of a Z f eave overhang bu enti out. of all ea ements. , v p Septic system and location of build- ing drain stub -out 'to be as per ® Butte County. Health Dept.. Re- quirements. `See M plans. 1 1 f 1 , r� I Plan ori file for building 53 7 �l 3 JTTE COUNTY )ING CEPARTMENI TIZO V E D v, J___:0, Y Q,0 -a- 1 a. COUNTY OF BUTTC — ,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,3G5-�9 authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. X Date �2 2 Signature ofPmite%e o Qr Agent Receipt No. u&` ,3,5 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the to County Code and/or resolutions to do work indicated ve or whi fees have been paid. RE TOR OF PUBLIC WORKS By Date �3 41 Building permit expires Date /D 3 ZZ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing AdC4ss Telephone No. Con actY 71 Mailing Aoress �S'b Fireplace Total Valuation e I Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Qb Each Trap 1.50 /a i) La pair drainage or vent piping 1.50 �f n A. P. No. -- O / \ Zoning & Planning Water piping 1.50 1 SD Each gas water heater or vent 1.50 1 SZ W . S Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ P _7 ELECTRICAL No. @ FEE 1$3.00 PERMIT FILING FEE Main service 100v OR LESLS 100 AMP OR ESS 5•00 Single Family �' Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBL GS.LING OCCUP. 9) 2¢sgft r CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name tyle of: L NEW coNSTR BRANCH CIRCUITS) NON.RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS d NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L 250 ,2 FIXED ALNS Ex. Occup. ( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 '-77 Q License No�J� 102 d Classification C- Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ - 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 W men'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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatina to buildina construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 9 authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. X Date �2 2 Signature ofPmite%e o Qr Agent Receipt No. u&` ,3,5 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the to County Code and/or resolutions to do work indicated ve or whi fees have been paid. RE TOR OF PUBLIC WORKS By Date �3 41 Building permit expires Date /D 3 ZZ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS :?- - 7 County Center Drive - Oroville, California 95965 Telephone: 534541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- ntioned pro/perrty for inspection purposes. X v --I/-�g Date Signature of Permitee [or Agent Receipt No. J� a &?T White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. /2IRECTORa PUBLIC WORKS Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor C Mailing Address � � �� Fireplace Total Valuation '% 73�Lj Tel one No S' a Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee Y69 Com''• r-r„,� PLUMBING No. @ FEE ` PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. `— O S-3— %3 _ Zoning 8 /Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe W. Seaitziiet�r Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 J3I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEWV_JADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ -- -7 $� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� Single Family, Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. AOD'L 100 AMP 2.50 Main service O100VERAMe0oPORv LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. 4� 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: - NEW CONSTR BRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS .&, NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES BAL@1BAL@1 Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 7/ W Mobile Home Facilities 15.00 License No. 3C/S-�Classification C �� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability r orkmen's Compensation. /— have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 O -D Heating /1'I tiD Cooling` ; �� Ventilation Hood 2.00 07Z) Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ O' f authorize representatives of the County of Butte to enter upon the above- ntioned pro/perrty for inspection purposes. X v --I/-�g Date Signature of Permitee [or Agent Receipt No. J� a &?T White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. /2IRECTORa PUBLIC WORKS Building permit expires Date :� � � + `; . 1 �: 1 ,, - • �' •- --....--r�---.. ,.•^ �� L 1 ? �. .. L � ,� , ` • ` 11 •,` ,gi ���it�E���t2I�TI�OI���QiPa wa ��'� +i� '. �raana ara �.. -. :� � � + `; . 1 �: 1 ,, - • �' •- --....--r�---.. ,.•^ �� L 1 ? �. .. L � ,� , ` • ` 11 •,` ,gi ���it�E���t2I�TI�OI���QiPa wa ��'� +i� '. �raana ara COUNTY OF BUTTE — ,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 3 Ignature of P mi or ent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRECTOR 0 UBLIC WORKS By Date permit expires Date BUILDING OwnerO SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor o G Mailing Address- �L V G!/ Fireplace Total Valuation elephone No. v bd Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 L -D Jt55Z/ c� Repair drainage or vent piping 1.50 A. P. No. 44 —Ck53 —73 2% Zoning a Planning Water piping 1.50 Each gas water heater or vent 1.50 bees A&'e- Sattt4etion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ec Parceoval l A r Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ is C 7' --7�g ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNST % ACCLBLOGS.0ffVIH20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. NEW RES,.,ONSTULTI.OU T NON.R ESID � BRANCH CIRCUITS) 2.50ea NEW CONSTRPOWER APPARATUS 6 NON -RES D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES B L@; Occup. (ouLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 n� License No._5ds__345Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,A $ ,37 G MECHANICAL No.. @ 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 W men'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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatina to buildina construction. and herebv PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 3 Ignature of P mi or ent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. IRECTOR 0 UBLIC WORKS By Date permit expires Date