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007-370-004
y I Jim 00- Ryder Homes pAjQ,pse3,�� d�//1/ 2971 Sandi Dr., lot 4, Almond Tree Sub, Chico contra Alan Kay, San Rafael `,Permit #5713-79B(new single family) _ } contr: Al Dietz, Durham . Per; t0927/7P.(ppb for #5713-79) y Lconfr, Tony Jessee,'Chicoit #6247-7914(mech.for #5713-79) � Reed Francis Ele, • Chico •'""P`"it#7092-79 ele/6598=79) ., 007-37-0-004 00-2794 HAUN, FR _ _CES' -� J,� c 2971 SANDI DR , CHICO CONTP; RPR ROOFI RE ROOF 007-370-004 05-1969 HORNEY 2971 SANDI DR, CHICO a Cont: OWNER A REMOVE WALL , 'r J y. r 7 k� f • 1 d I i `i y I Jim 00- Ryder Homes pAjQ,pse3,�� d�//1/ 2971 Sandi Dr., lot 4, Almond Tree Sub, Chico contra Alan Kay, San Rafael `,Permit #5713-79B(new single family) _ } contr: Al Dietz, Durham . Per; t0927/7P.(ppb for #5713-79) y Lconfr, Tony Jessee,'Chicoit #6247-7914(mech.for #5713-79) � Reed Francis Ele, • Chico •'""P`"it#7092-79 ele/6598=79) ., 007-37-0-004 00-2794 HAUN, FR _ _CES' -� J,� c 2971 SANDI DR , CHICO CONTP; RPR ROOFI RE ROOF 007-370-004 05-1969 HORNEY 2971 SANDI DR, CHICO a Cont: OWNER A REMOVE WALL , 'r J y. r 7 cn NOTES, a RESIDENTIAL- . - ... •, .. S t '• • •y I ,. ? PERMIT NO. 1 • ' + SPECIAL CONDITIONS - CHECKED - BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. • ' • - = SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS • - * . SUB -STANDARD HOUSING LETTER JOWFINALED (Date) Signature t: 1 • ' + SPECIAL CONDITIONS - CHECKED - BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. • ' • - = SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS • - * . SUB -STANDARD HOUSING LETTER JOWFINALED (Date) Signature = OK =Not OK = NotApplicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except fi's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ ' L'ft. / P Nat or/ /" L 'ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Ti's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-ConnectoP 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; 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 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Ws 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 Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 =OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3.Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" 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-Fdting-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-Vents-Crippies 15. Access & Ventilation 16. Insulation 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62.Insulation-Walls-Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InsUdJDrive 0 Yes 0 No/Walks O Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas-ElecVic 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ_ / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. AC. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Botts 61. Brace Interior/Exterior Wall Panels 62.Insulation-Walls-Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following InsUdJDrive 0 Yes 0 No/Walks O Yes O No/Planters O Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas-ElecVic 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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.netWds PERMIT' NO. BP051969 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/26/2005 APN: 007-370-004-000 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. Site Address: 2971 SANDI DR CHI License Class: License Number: Map Index: Date: Contractor: Description: REMOVE NON BEARING WALL 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. 703.1.5 HORNEY MARC R &CYNTHIA M Business and Professions Code: Any city or county which requires a Owner permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 2971 SANDI DR signed statement that he or she is licensed pursuant to the provisions of 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 95973-0442 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, 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.P.rofessions HORNEY MARC'R &`CYNTHIA M Code: The Contractors' State.License Law does not apply to an Applicant: owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2971 SANDI DR provided that such improvements are not intended or offered.tor sale. If however, the building or improvements are sold within one CHICO CA year of completion, the owner -builder will have the burden of 95973-0442 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' 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: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date:lm* Owner: CM AM99LArz. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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 required by Section 3700 the Labor Code, for the performance of Engineer: .the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. 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 forthwith comply with those provisions. Date: on — *a -'b15 n Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Birtte Cnunty Calor ar *wr - . I hereby affirm that there is a construction lending agency for the Resolutions to do oro„ in icated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /n B Name: Dat y' +��j. ))� Address: PERMIT EXPIRES ON: C/ Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ . Notification in accordance with Section 19827.5 of California Health & Safety Code is riot 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 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 enter upon above mentioned property for inspection purposes. ✓the Print Name: �a- �� i1 1 L TiU� 1 a __ Signature: l' If C) 2rL D Date: l Owner ❑ Contractor 13 Agent for Owner 0 Agent for Contractor Yl� .. G _> loll 77 ,tll ,::. yIl.k �t, •�-:,.,(Y '/rCoB �,. I,�1j.. _r'`a:, /jLGb7 i/�''._:,:� ..... ._. .. ,U•!S� �'gt not \k \ - L_ L• top ,, • y i � `- Gil � ,•�:3, 4�',, . � .-_ :- �. . � .4 :� Iv WSW + . tz VV ll IN ik 0 r. +LLP I, 7i '•'fd'��': 1, ( � L___ .. _ ,� % • f y ' � • BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140. WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO51969 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 07/26/2005 AFN: 007-370-004-000 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.' Site Address: 2971 SANDI DR CHI License Class: License Number: Map Index: Date: Contractor: Description: REMOVE NON BEARING WALL OWNER43UILDER 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: HORNEY MARC R &CYNTHIA M 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 297.1 SANDI DR 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 95973-0442 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and.Professions Code: The Contractors' State License Law does not apply to an Applicant: HORNEY MARC R &CYNTHIA M 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 2971 SANDI DR sale. If however, the building or improvements are sold within one CHICO, CA year of completion, the owner -builder will have the burden of 95973-0442 proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date:liUtO Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S.F. I that in the for Valuation: $0.00 certify performance of the work which this permit is issued. 1 shall not employ any person in any manner so as to Census Code: 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 w forthwith comply with those provisions. Date: on 'aun- 015 "— Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. : J�C9, , •I ^ . „ • , CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodA anryor I hereby affirm that there is a construction lending agency for the Resolutions to, do coo in icated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) , Name: BY Date—). PERMIT EXPIRES ON: Address: C/ F LO Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ . Notification in accordance with Section 19827.5 of California Health & 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 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 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 enter upon✓the mentioned property for inspection purpo�se�s..�j� /above Print Name: 6s�ri �� i1 1 L ` 1 1C� I" Signature: -�0� � Date: gowner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION ; AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: f 530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name i t ame HOUAFIN Address ZQ, 5AN 1 Dv— City . CyAkeo State ^A zipctscna Phone eR2—ct, Fax B E-mail eANDy ^ CAH APPLICANT NAME CONTRACTOR Name�� City Address Zip City State State Zip Phone E-mail Fax E-mail Uc. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City State Zip Phone NZk E-mail icense Number APPLICANT NAME Name AWN Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I res No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT gos' BP BIN # LOCATION AP# ooI - �)--? U . v6 T Property Address IS N city, CH ICp Cross Street 5 WORKER'S COMPENSATION Policy Number Carrier if hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the tine of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Fx"OVE VJALL Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Received by: —A::,? - Receipt#: Date: l o� ( p I bS Amount / (' Bldg Sheriff SMIP Em OVER FOR SUBMITTAL REQUIREMENTS It t t --j-= ` �—' 1ota' II K:WORMSMBUILDING F0RMS1BIdgApp1SubRgmts.doc Page 1 of 2 REV 7-27-04 .j SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) `' ' ` ' . I ❑ 5..Statement of Intent for Non -heated and A/C for Non -Residential Buildings. J' ❑ 6. Manufactured homes: (A) Data•sheets ai nd nstallation inst, (B),Marriage Gne info, (C) Floor Plan, (D) Te down or find plans, all in duplicate.., , ❑ 7. Metal Bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in tdplicate, `(C) Elevations in'triplicate. (Dff loor plans in triplicate. All of these must be stamped and wet=si4ned by the engineer: ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. Cal'Ifomia Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for dri4eway from`the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Tide/Statement of Facts, ❑ Letter from Legal Owner (for 433A's)., If you have questions or would like additional information regarding this process, contact a Permit Application 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 - L: ` - 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 decked and other department costs are not refundable. t OVER FOR BUILDING PERMIT APPLICATION K:IFORMSIBUILDING F0RMSXBIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 w COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER eA- Proposed Building Use: C, 1 Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t apply. O 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manualJncluding marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A),Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement!o'huilding permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ' ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control plan Required........................................................................ ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... 0 29. 30. Worker's Compensation Carri and Policy Number .......................................... Owner -Builder Verification (►_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization...................................:;;..:........................... ❑ 32. Recorded copy of Agricultural Acknowledgment State men t>`:; '........................... ❑ 33. Existing violations and/or expired permits ........................ `-0_.y............................ ❑ 34. Deed Restriction................................................................. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or. MCO ................ .......... ❑ 36. Other: ❑ 37. Other. "(TI 1.- 1I-, t i I t' v When issued Telephone U� �F,� r ! ,^ .- and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �'i� �- M �ACU-Lw Date: ` co 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division <,�zris�A,:�as�t'x�a+ x+?:r,,.r�.,�-n��s�s-Y'we.:.._.�Mr•�,�;*x�rcn_-:�l"H'.. faaL:L�+`- s _mar. 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 the major labor and material for construction of this proposed property improvement: YES [ /3 NO [ ]. 2. I HAVE [ v/) HAVE NOT [ ) signed an application for a building permit for the proposed work. 3. I have contracted NN the following person (firm) to provide the proposed construction: NAME: hl Pc 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: W f c . 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: PROPERTY OWNER: DATE: O"1- le) L9 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 ADMINISTRATION ` BUILDING . GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile 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 $200 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 contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. 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. Z C. VieirJ C.B.O. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. .�''v.•..+:,�.,; a�.ax[:v ... ^_w *;*r:.l:'Y, f. � ';,�:. _'ri..g7..�tV,Y . ,o-vy. •W13 a+lr• G'„N,..,..,G.a+T.: • _. ...,,.. r:o.'.._. ,,.a,••_�i�.n++` +cy ., 't .1 r' _ / o: \1 • - ._ � , - . • .� ., . . • ,, � � • • .� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 68=7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT " 9Z? ASSESSOR PARCEL NUMBER �r % C e ZONINNG� /G BUILDING PERMIT V OWNER r el 14 ellv TELEPHONE SO. FT. _OCC. BUILDING VALUATION `�' / �✓ OWNERS MAILING ADDRESS 'yf9?.7 CONTRACTOR'S NAE TELEPHONE 13; yrs CONTRACTORS MAIUNG DRESS ,/ t CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 253, ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS9 , v I Energy Plan Checking Fee $ $ PERMIT FEE $ c�D LOT NO. SUBDIVISIONS NAME PARCE MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE / SF C 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 ❑ Utilities ❑ Installation ❑ Other ) Describe Work: w /' I [) 14 G 1 / /D -Nq 02 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 SOOv OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions, of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ftA for a nd effect. h/� License Class _ Lic. No. I ./ 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, 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 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' ensation insur ce carrier and policy number are: Carrier . /1 fly)L#2 w-, / .I- Policy Number _ CIO 2a (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' cpm-iensation laws of California, and agree that if I should become subject to the orks' co nsatio provision of section 00 of the Labor Code, I shall forth ith m y wit se v I n XlII Date !J O SigkatGre o Applic t - ❑ caner ❑Contractor ❑ Agent An OSHA p required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service To ,000A 46.00 NEW CONST. DWELLMIG OCCUP. W: OR ADDNs• ( a Acc. eLns. SO 3.5¢Fr. NON CoESID. MULTI.OUTLET t7a 7.50 POWER APPARATUS a SINGLE ourLET CIR. 20 0 'a0 �(, Occup. OUTLET OR FIXTURES FIXED APPLNS. OR Ex. Occup. ouTLETs RESID. EA 5.00 TemporaryService 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $� HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD U This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ! '} By ���tfn� }. _ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date pgrQ ' Receipt No. G? k0 O (7 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 a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �1? ZY-1 ASSESSOR PARCEL NUMBER Dal - 370 -- 0 ZONING 2/ BUILDING PERMIT OWNER ,/ c� vee a /� st/ TELEPHONE SO. FT. OCC. BUILDING VALUATION oZ2� / 6'a O .OWNERS MAIUNG ADDRESS 9s973 CONTRA/C1 ;M TELEPHONE CONTRACTORS MAIUNG DRESS `� c� " sf G �c� 9 i CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ O ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ `3 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS .29 '/ ��N � , Energy Plan Checking Fee $ $ �G D PERMIT FEE $ 3 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex 0 Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: Rie.. C! o rG441 / �Q err Q Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 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 inhA for a nd effect. License Class — Lic. No. %� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ 1, 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 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'' ompensation insur ce carrier and policy number are: Carrier V 1 /If oiWd IVIS UJ(,_t4ALA_ Policy Number -- ('a(") T (The above sections needd 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' C m p-ensation laws of California, and agree that if I should become subject to the orke s' corp nsation provision of section 00 of the Labor Code, I shall forth ith 5m y wit th Be v. I n - ////6 /M X Date (/(/ Sign re o Applicc t - ❑ caner ❑ Contractor ❑ Agent An OSHA p rm' 's required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.5QFr. T. I.OMUT r,GµgESID. MULT M 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDnURES BAL @ .50 Ex. Occup. DFlx„TE, PPM.)GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I COF PARCEL PD ND S£U 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. Date `, v to ReceiptNo. 30 5,7 o b WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 5713479B PERMIT NO. PERMIT EXPIRESIda I L OWNER Ryder Homes Alan Kay, San a'fael CONTR... LOCATION (A.P. 44-38-1 port. 2971 Sandi Dr., I 6t 4, Almond Tree Sub Chico iemp. rower roie Caleed PG&E Tem . Elec. Serv.' //-,7 V 0 J� Called PG&E i.4000l ,e mp.Gas Serv. Called PG&E JOB FINALED FIBERTHERM CEL40SE FIBER INSULATION COVERAGE CHART 'R' MINIMUM' MAXIMUM NUMBER of 40 Ib. bales VALUE THICKNESS COVERAGE per 1000 Sq. Ft. To Obtain Installed thickness Contents of NO 24" 16" an R value of Insulation this beg of: should not be less than: should not cover more than: JOISTS JOISTS JOISTS R-1 t 3.1 IN. 82 sq. ft. 12.2 11.6 10.9 R-13 3.7 IN. 68 sq. ft. 14.7 14.0 13.2 R-19 5.4 IN. 47 sq. ft. 21.3 20.2 19.1 R-24 6.8 IN. 37 sq. ft. 27.0 25.7 24.3 R-32 9.0 IN. 28 sq. ft. 35.7 33.9 32.1 R-40 11.3 IN. 22 sq. ft. 45.5 43.2 40.9 The above data was established at an average blown density of 1.9 lbs. per cu. ft. with an R value of 3.55 This information set forth is provided by the manufacturer to assist in estimating the amount of FIBERTHERM. Loose fill Insulation appropriate for a specific application. It is assumed that: 1) standard installation practices willbe observed, 2) area calculations will be accurate, and 3) coverage is applicable only to FIBERTHERM 40 lb. professional size bales. This is to certify that your insulation has been installed in conformance with the attached manufacturer's recommendations and meets the curt ene gy reg ations. ADDRESS: ag�I I �0 6� q CITY, STATE : k u CEILING: THICKNESS ��¢� 'R' VALUE WALLS THICKNESS �L'—Z 'R' VALUE CONTRACTOR:y'�'Ira ;I�`•�(iL:�?7:�,�� rlr.. Material Manufactured By: WESTERN WEATHERCHECK (70) 252-9564 305 MATHEW STREET SANTA CLARA,.CA95050 - _ .,� _.�.►. �-� .,.r...._....�.-..y.+.... :.rr:w..+r.wcw-+--+nYr'..�.w-..-.._..--...,..v...M.._.-,.r...-.mM-..,-.+.�,. �1 i;-:. RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALL�DI> ONFORMAME WI t CU�� ENERGY CN cE RVA T ION REGULATIONS AT (location)- A BU ILD ING PERMIT NO . A ; P . NO .R - THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: / Slab Edge. O-ASingle Glazed Fdn. Walls ff a Special (Insulated) Floors CERT. & LABELED WDS. Walls .& SLIDING DRS. Ceiling/Roof WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS Circulating Pipes INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES APPROVED WTR.HTR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICV AS SUBMITTED.. Insulation Applicator Name aocx It _ Signature of (please print) Insulation Applicator State Contractors License o. General Contractor/Owner Name .fir'. 2S pl.ease.print) Signature of .� General Contractor /ownerDate State Contractors License No. C., THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN -A CONSPICUOUS LOCATION WITHIN THE DWELLING. t" '*I. FINAL PermitNb. 1.ance Steps Door & Sidelight Protection 2. Sm Detector 3. e -- - nces, of u A -Q + Q,. .. T - 4 - 9_ .. 1 8. F' ace or St 9. Elect Outlets at Wood Panel --Int. & Ext-. LO. Fixturfs"-& Appl ces in Kitchen --Gro e-d--Ai4:�-ap !I. Electric Outlets &-Receptacles at Kitchen Counter 12. Fire DgeGarage & Swing 13- , mer T= e A _ (`a 14. Furnace & Wat ter (if in Garage) off Floor. & Ve _P-R.V. -ter 7.5. FirehT & All Openi4p FirewEal--Area Separation Walls 16. Electrical Recep es in Garage (G.F.I. where required)Romex 17. Tyne Insui. on --Attic & Underfloor 18. �e--•� 0 J�� V_'t G11 V U CA. VZ 6W�IiV-l��Z'Qli'�'G tdLLC C� ti V V LL—lrcli fill V 1CQ,1-' W22. A.C. LTni - isccAm Cle es, Bre & Cor or Size �1 Ver_ts Above Roof --Plumbing, Appliances, Fireplace s 23. 4r. te- ect c , 24. Ext ., ectrical Trim & G.F.I. Receptacle 25. Re iZ.Pel—Ver_tilation Throughout rouse 26. 27. Cor ions from Previous Inspections Gas.. T--I?etee.d�-Gads E ectric ARSign Ener Compliance Certificate Job Card ALL OF ABOVE COMPLETED EXCE T -- Signed • ABOVE LISTED CORRECTIONS COHIPLETFD Date SIGN JOB C RD Sited: Date:' / 0 to l.' Setback --Easement UNDERFLOOR Permit No. 2. Footings & Stemwall--Steel. - 1 is 2 story--Block-outs---Elect.Ground 3. Piers --Fireplace Footing ,& Steel 4. Plumbing--Drain--Fall-Fittings--Wrapped in Concrete 42" test 5. Water Pipe --Test. & Anchors 6. Electrical. ;. A.C. Ducts--Clearance--Proper Material & Supports B. Girders--Sills--Anchor Bolts--Joists--Vents 9. Sign Job Card ALL OF ABOVE COMPLETED EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLE'F.-,?D SIGN JOB CARD Signed: Date: N Setback i i Forms Main Bldg Footings Stemwa I I Slab 71 i Piers ' Garage I Footings Stemwa I I, j Slab Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel COUNTY "OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING imen ECTION .RECORD BUILDING BUILDING (Cont'd) PLUMBING �- Firewall Soil Piping l Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor �" Siding To out -- 7 Roof Sheathing L% Water Piping Roofing Sewer Fdn. Vents Fixtures _ Garage Vents Insulation Water Htr. Heaters Prov. for physically handicapped Conformance of ex. Appliances t/ Gas PipingTest Mesh z — Scratch Brown Finish Interior Lath Door Closer MOBILEHOME UTILITIES Water Piping MOBILEHOME INSTALLi Water Piping.,— DATE �f 1110174% ../ structure emp. Gas Final Sanitation FIREPOAC9 Final Footing L EQ�TRJIW Throat Rough Final Fixtures IR SPRINKLERS Motors 7 Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. HeatingService Cooling Temp. Pole Ducts Underground Vents latlon Permanent Final Final ------------------ Elec_ Service Elec. Pedestal Sewer Gas Pininn np cn91pFrT1nruc C (NOTE: An entry must be,made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 .. _ Telephone: 534-4541 A ��9fr APP r LIGATION ND PERMIT authorize r tati esofthe County of Butte to enter upon the above- o d rop ty for inspection purposes. X Date Sig4t.-,. of�rmiteorAgent Receipt No. /jam 3" 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0h PUBLIC WORKS By Datef wilding permit expires Date � BUILDING Owner , �S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 1 1A Contractor Mailing Address Fireplace Total Valuation Telep a Permit Fee Building Address /L- -king Fee&/or Penalty Permit Fee �S V 40 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 ees I k6C. I &eni+etien Fire Dep . Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 I Plans Approval Lawn sprinkler system 2.00 ___f2rce1_AEprovoI NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ �^ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service sOOV OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGSCCUP. 2) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cal f rnia usiness &Prof ssions Code under the name style of: cc �J NEW CONSTR. BRANCHMULTI.OCIRCUITS) NON-RESID ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS 6 NON -RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI RES 5 L25 FIXED APLNS. Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 FF _ License No. Classification 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 Section 3700 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. PERMIT FILING FEE J$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 building construction. and hereby Land Development Fee $ TOTAL PERMIT FEE$ '-' authorize r tati esofthe County of Butte to enter upon the above- o d rop ty for inspection purposes. X Date Sig4t.-,. of�rmiteorAgent Receipt No. /jam 3" 3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0h PUBLIC WORKS By Datef wilding permit expires Date � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ?� r 7 County Center Drive — Oroville, California 95965 - Telephone: 534-4541 APPLICATION AND PERMIT autlh pre ntat' es of the County of Butte to enter upon the above- a )on pro rty for inspection purposes. X Date 9 ' /?!�_ Signature of Permitee or Agant Receipt No. a-97$aT 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. DIRECTO OF PUBLIC WORKS By - Date7,, 115/�uilding' permit expires Date l ° Z- BUILDING Owner SQ. FT. OCC. BUILDING UATION Z ys o . e Mailing Addres �" G0 �O �O Tele hone No.lw, AaJ ch�Q ov, o b 6 Contractor Mailing Address Fireplace Total Valuation C ep of Building Address L� 4jS-�IZ e� Permit Fee � Plan Checking Fee&/or Penalty Permit Fee ,UigC QC w Q ,c c_ fLp PLUMBING No.1 FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. _ — AS&oning & P n s Water piping 1.50 Each gas water heater or vent 1.50 Fcsesl Sa I on Fire Dept. Fire Zone Use unit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans rcel Declaration Parcel ap 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 ? A5rc Plans R' Parce Aproval Plans Approval Lawn sprinkler system 2.00Idg. NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soov OR LESS 100 AMP OR LESS 5•�� Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPR OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST 1. ACCLBLDGSLING CCUP. Y) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Californi Business & Professions Code under the name style of: CO EW CONSIDTR MULTI.OUTLET NEW � BRANCH CIRCUITS) 12.50eal NEW CONSTR /POWER APPARATUS 11 NON.RES,\SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIiRES B L� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 3 S`3 License No., 3 Classification Mobile Home Facilities 15.00 Misc. Wiring ET 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 Workmen's Compensation. ri1 have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to 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 Law9 relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ autlh pre ntat' es of the County of Butte to enter upon the above- a )on pro rty for inspection purposes. X Date 9 ' /?!�_ Signature of Permitee or Agant Receipt No. a-97$aT 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. DIRECTO OF PUBLIC WORKS By - Date7,, 115/�uilding' permit expires Date l ° Z- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — Oroville;;Galifornia 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET •<s OWNER F -- Proposed Building Use_ Permit fee based upon: —Building Inspector At time of permit issuance: & 1,4 C-, Completes Contract Price y %Other (explain) ion, I was advised -the following data must be su Permit No. I—' DPW Valuation Date itted prior to permit processing and, DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate triplicate...�1...................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. 10. Letter of signature authorization.....r....................................................... Sanitation approval from �'� f G� Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) . ..................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. .� 15. Pre -inspection for required. Pre-inspec. request to bldg. inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone 07S';? and hold for pickup at e� I c O office. Deliver w/inspection. Other /.. c� /7 Applicant <' Date 7 Copy of plans sent Health Dept., Fire Dept., Other Dater During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. A -Z 2. Additional items required - (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date a OTHER: Coov/DPW To: Building Department From: Environmental Health Subject: Sanitation Clearance Almdnd Tree`Estates, _ RYDFR H01u�F Morseman Ave (Sandi Dr.) 4.4- -1 ==' e Ouner Location p 4; 6, T Y 1 Plans approved'for: Sewage Disposal ,dater Supply Hold final for: .dater Supply Final Clearance 0A. for: dater Supply Clearance.for a 4 bedroom mobile home. Other Clearance for addition of Note* 6L61 � !3® Onend do 'ld3a �_.rc sa .t-,sjno, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • �,' 7 County Center Drive , - 34-45 le, 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. X0 .,r4 Date/ 0 � -� Signature of PermiteaOf �en Agent Receipt No. �51Oll White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte C unty Code and/or resolutions to do work indicated abo a for ich fees have been paid. IRCTOR OF PUBLIC WORKS By Date ` 7 Building permit expirestate b 3 b BUILDING Owner P,\Jb(ajQ SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address -721 �r / Fireplace Total Valuation m , U �^ C '^ !Gin/sj' `1' Telep No. Permit Fee Building Address wTS 1'i'1/ Plan Checking Fee&/or Penalty Permit Fee ftP O6 ( N OF LRC56 N 6 PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Z,A but � C� Repair drainage or vent piping 1.50 _ �Cr o' ���� A. P. No. ij Ming 8 Pia^^i^B Water piping 1.50 Each gas water heater or vent 1.50 b F s I C. Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 t, EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ,<_b .$ iMN IT F-0 k) (9P � 5i(3--) 5 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS 5•0Q Main service 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTDWELING CCUP. Y\ 20 Sq ft OR ADONS. ( ACCLSLOGS. I 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: e�zl�`�LA t �—G NEW coNSTR BRANCH TLET NON-RESID (MULTI BRANCH CIRCUITS 2.50ea CIRCU NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTHRES g'L9 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA% 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 G 6 License No.��/� � Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. 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. 2-1122ve 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 Heating Cooling Ventilation E2.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE It MAC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X0 .,r4 Date/ 0 � -� Signature of PermiteaOf �en Agent Receipt No. �51Oll White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte C unty Code and/or resolutions to do work indicated abo a for ich fees have been paid. IRCTOR OF PUBLIC WORKS By Date ` 7 Building permit expirestate b 3 b COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Otoville, 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 i( t/ J Date )Signature o Permitee or Agent Receipt No. q'7LM White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date L /7 Building permit expires Date %0 -;L_ ev BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor -t-OA) \1 �L,�"5S I -20 � y� �� ^ , EE Mailing Address l0 ovC.J /l'V 'r Fireplace Total Valuation C0 C 1.1-1 V Telephone No. Permit Fee Building AddressS �S� Plan Checking Fee&/or Penalty Permit Fee n A-L%1w),6 r R-At3,e S o l3. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Arg LOT Cly ieo Repair drainage or vent piping 1.50 MM ' A. P. No. — �� '� V Doing & Planning Water piping - 1.50 Each gas water heater or vent 1.50 F s I W "ai-w4eR FireDept. FireZone 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 d Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10000 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. !k) 20sgft 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: r---- 1 inkJ1-/ —�,IEEts oea NEW CONSTR. (MULTI -OUTLET BRANCH CIRCUITS 2.50ea ..NON. NEW CONSTR. POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CR. Ex. Occup(OUTLETS OR FIXTIIRES) g �VIOT Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 7311 6!J-3 Classification 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 Workmen's Compensation. F I have placed on file with the County of Butte a certificate of w 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 ,•Ov Heating O OCOpp ' Q AG Cooling _2 % 1440 14 „W Ventilation Hood 2.00 Permit Fee $ $ 3 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 $ 3 lc�i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / ^� X i( t/ J Date )Signature o Permitee or Agent Receipt No. q'7LM White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date L /7 Building permit expires Date %0 -;L_ ev COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center DriV , —, Oroville, California 95965 ' Tel epaone:, 534-4541 APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature o Permite Agent Receipt No. 9Zqd t White-D.P.W. — Yellow -Assessor — Pink -Inspector - Goldenrod -Applicant This perm' is hereby issued under the applicable provisions of the But Co my Code and/or resolutions to do work indicated %bove wh ch fees have been paid. D E�R OF PUBLIC WORKSQ Date 7 r ,QuMIA0A9 permit expira Date 4 BUILDING Owner .4 De K SQ. FT. OCC. BUILDING VA ATION Mai I i ng Address Telephone No. r Contractor 1�'�Z/4NU,S ��Cne Mailing Address 7/ �NGPa/ Pa Fireplace Total Valuation n d C/4 l Telephone No. Permit Fee Building Address�q I S,YNQ ✓/` Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE , PERMIT FILING FEE $3.00 Each Trap 1.50 L4fi �' 'MAM L4 I'� MT( a. C (�I G� Repair drainage or vent piping 1.50 A. P. o. L4 (— 3g - Qy (PW) oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s .C. Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5-00 B ,V d I Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELUC.�j ,((A -L FOP p 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,Of � OR LE Main service 100 AMP ORSLESS 5.00 Single Family 2f Duplex ❑ Mobil Home ❑ Others © Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNS. ( DGS.CCUP. 4) 2�sgft 51, 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: vr1 .-. /1 �e-r,l 6ndtiC, S J4�Ie/ NEW CON5T12 BRANCH TI,MUL CIR T NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 6) NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIPES) g L@1a00 Ex. Occup. (ou LETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / License No. �b �.�� Classification Cly Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 42, t-5-$ — 4Z � 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. r7lorliave 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 +2.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature o Permite Agent Receipt No. 9Zqd t White-D.P.W. — Yellow -Assessor — Pink -Inspector - Goldenrod -Applicant This perm' is hereby issued under the applicable provisions of the But Co my Code and/or resolutions to do work indicated %bove wh ch fees have been paid. D E�R OF PUBLIC WORKSQ Date 7 r ,QuMIA0A9 permit expira Date 4 \ \` ` OTE All Materials & Workmanship a dace Be and N j Accor at with Recognized Cooed ii ed use in the of a uality prescribe d for t'•.;e Sp j . n caanical Codes and UnifAl Building, MuMbing z, t the 9�I �tianal Electrical Code. v° �•``. . s SeRtic system and Iocatior� of build• !ng `tura+n stub-out to be CIS or Butte \County Health Dept. ®• S/ j N See Master Plan on file fc • Plans. wilding . \ Z aAM j C�•` G ji �y n\ •k�A \`G oi�aiS c.• C G`y .�� �o A0.� Cp IN gr- p v�'� o BUTTE COUNTY Yk BUILDING. DEPARTMENT The Bldg. Setback shall "be 5 ft. from p p O E D side property line and 50 permitting f r0the M0111, h centerline of the road, , .. mum of a 2 ft. eave overhang.but entirely CST out. of all easements.. /76 /1--/,!:2A/,Q % /ate C= f=U T/_7 TC- �% /.9%9 /