HomeMy WebLinkAbout007-370-007I
Ryder Homestj ���i�• V
2979 Sandi Dr., lot 7, Almond Tree
_. vo.
Sub, Chico
contr: Alan Kay, San Rafael
Permit #5716-7�9/BB(new single family)
contr-Al Dietz, Durham
Permit #6095-79P(plbg.for #5716-7]),
f /dt/iy/�'� - -}--e
con fr:tle/d Francis Elec., Chico L j
Permit #6103-79E(elec.for #5716--contr Tony Jessee, Chico
Permit X62 079M mecP�f�r #5716-7
_Pexmit##6601-79B(tran. to owner)
.- -
Contr •Feed
Permit Wrp, ran i Elegy ,
09 r -79E (e e/-6Oi- g L�7,
007-370-007 04-0112
,CHADBOURNE,DOUGLAS
2,979 SANDI DR, CHICO
CONT:
GAMEROOM&ADD TO GARAGL
r=��.�
NOTES
- RESID04TIAL
F.
PERMIT NO. 007-370-007 ' 04-0112
+ CHADBOURNE,DOUGLAS
2979 SANDI DR CHICO
CONT:
GAMEROOM&ADD TO GARAGE
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) 2 ' n' 05
Signature
J=OK
0 =Not OK
= Not Ry °��
. =Not Ready MOBILE HOMES MISCELLANEOUS
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4.. Water; Location -Test -Easement Needed (Sketch)
5., Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utilitv Clearance
Date Card B-1 Date Card B-1
Date
Card B-1 . Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
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 -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.,
10.- Exits; Insp.-Sketch
11.
Cert. of Occupancy.
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Date
3.
Card B-1 Date
Card B-1
Date
3.
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Elec.; Pool Lighting; 15 Volts-GFI
6.
1.
Zoning Requirements -Setbacks -Easements
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
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
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'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
3.
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 #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main 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
J=OK
0 = Not OK
= Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDE LOOR (Plans) OK except #'s
i ng -Setbacks -Easements -Flood -Slope
LZ Ft ain; Soils-Elec. Grnd.-/ /" Ftg. Depth
tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Ste alls, Garage; Steel- Blockouts-Wra ed
6a. Y61d Downs and Special Anchors
V Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
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
2 Elec. Receptacles Spacing -Lights & Switches at Doors
• - 26. ize Boxes & No. of Conductors Stapled
27 Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
2 2 Appliance Circuits in Kitchen & Conductor Size GFI -
(30) Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral 0 Yes 0 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. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -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 A Flue -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
,, r /C57. S�g-Nailing Veneer [
Vents-Underflr. Access
'
9. ing Area -Gla s Protection -Skylights -Plastic
Shear Walls; (ling -Bolts
.`
r 61. Br I for/Ex ' a anels
EZ,- s
63. Infiltration -Walls -Windows
Date :
Card B-1 Date Card B-1
Date
Ca B-1 Date Card B-1
Date
FIN P ns) OK except #'s -
Steps -Door & Sidelight Protection -Landings
6 Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Be om Exiting
68. K.Fl. & Bath Fixtures & Tub Access -Spa
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. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. W., Elec. & Mech. Equip. Listed for Location
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
Clearan a Looked under Floor 0 Yes
Folw4rng Intl ./Drive O Yes O NoMalks 0 Yes O No/Planters O Yes 0 No
tucc rown-Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Wo r Well, Disconnect, Electrical, Plumbing
xterior Elec. Trim, G.F.I. Receptacle -Underground
-
89. V tion Throughout House
Glass Protection
91. Corrections from Previous Inspections r?
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
-
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
'.
96. Fire Sprinkler
Date t
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
„. . , Mme, - _ _. - r -
i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES,- BUILDING DIVISION
t., 7 County Center Drive - Oroville, California 95965 *,Telephone (530) 538-7541t PERMIT•NO.
(Rev. 1 2/96r' APPLICATION AND PERMIT r-, Oq — 11/_
ASSESSORPARCELNUMBER.•
007-370-007
ZONING
fu
BUILDING PERMIT
OWNER
CHADBOURNE DOUGLAS 891-0868
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
D uSS2979SANDIDR CHICO CA 95973
x
5940.()
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ Z/t0.
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Permit Fee
$271.50
Plan Checkin Fee
sl7b.48
BUILDING ADDRESS
2979 SANDI DR QiMD CA 95973
Energy Plan Checking Fee
$ 23.00 ,
$
PERMIT FEE
$ 490.98
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing'Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other `”
SPECIFY
Each Trap
7.00
-
Solar or heat um 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: FGAME ROOM AND ADDITION TO EX GARAGE
Gas piping system 1 - 5 outlets
15.001
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Servicesoov oR LEss
2o0A 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 in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ tram exempt under Sec. Business and Professions Code for this
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. a C.stns.
SO 25
3.5,sO _.
NON-RES,pT MULTI -OUTLET
@7.50
OWER APPARATUs
8 SINGLE OUTLET CI R.
Ex. Occup. OUTLET OR FIXTURES
g20 0 1.00
Ex. Occup. OFIx�S RES1UNS6.oew
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 45.55
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the' Labor Code, I shall
forthwith comply with those provisions.
X /�"a,✓- / (.,.� Date 0
Signai6re of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height. t
Mobile Home Installation Fee $
Energy Inspection Fee
Occ
CONST. TYPE
TOTAL FEE $582.53
HA
4• Fgts
i/
IMPS
p
Lo
FLOOD
cDF
V
PARCEL
PDGF
j1/
HD
,
1/
oissuE
z
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B y
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
f Date �(f
ReceiptNo.w d �% — ' _ %err C`�-' • .
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ICDete
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive •, Oroville, California 95965 • Telephone (530) 538-7541`,IE�M� C.
(Rev.12/96) APPLICATION AND PERMIT t) q_
ASSESSOR PARCEL NUMBER
007-370-007
ZONING
R1
BUILDING PERMIT
OWNER
CHADBOURNE DOUGLAS 891-086
TELEPHONE
SO, FT. OCC. BUILDING VALUATION
.OWNER'S MAILING ADDRESS
2979 SANDI DR CHICO CA 95973
9
3300 b940.00
CONTRACTOR'S NAME
TONE
ELEPH
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ y
•
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$271.50
Plan Checking Fee
$176.48
BUILDING ADDRESS
2979 SANDI DR CHICO CA 95973
Energy Plan Checking Fee
$ 23.00
$
PERMIT FEE
s 490.98
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um 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: GAME ROOM AND ADDITION TO EX GARAGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 600V OR LESS
200., OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
j� 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
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required,by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
tiof one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers' .,
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date — Ali _
Si a of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in hei t.
Main Service tow TO 46.00so
CCU000A
NEW CONST. DWELLING OCCUP. SO 25.55
OR ADDNS. s Ate. BUDS. 3.50,
NEW CONS MULTI.OUTLET
NON RESID. @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES 1120 @ I. 0
OR
Ex. Occup. ouTLEEDTs A� .) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirinq 23.00
PERMIT FEE $
45.59
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 5U. 53
HAZ
F
D
C F PARC
PD D SUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By JT
ERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
/ (J
DatbAe
l
Date
Receipt No. '
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INS TOR GOLDENROD -APPLICANT
Feb 01 02 08:13a P. 1•.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-74y - O T NO.
t4 (Rev. 12/96) APPLICATION AND PERMIT (, (j `� �J
—
swum
ASS ESSORPARCEL NUMBER 0 _0
V 0-7
ZONING( Raj^ I
BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
OWNER
G(� � r�,e - � _
— I _"bg6 _—
OW s _
Q� 0Q - U
r —
Q c `oO
1
j
1
CONTRACTOR'S NAME
TELEPHONE
--
CONTRACTORS MAILING ADDRESS
-CONSTRUCTION
LENDER
—
LENDER'S MAILING ADDRESS
Fire lice —
Total Valuation S ub
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
ARCHTECT OR ENGINEERS MAILING ADDRESS
_
BUILOING ADDRESS
__
Permit Fee S —5
Plan Checkin Fee S
—
Energy Plan Checking Fee S _, U
-
—flL��•� � �i"��"�-� � sem—
$
PERMIT FEE i
LOT No. '% SUBDMgpNS NAME ��� /� �•� A —��_� PARCEL IMP
/ 1lL'L
PLUMBING PERMIT -` Flling Fee 20.00
USEOFS UCTURE
SF ❑ Duplex ❑ Mobilehome [3 Other
svEclFv
Each Trap
—
Solar or heat um water heater
�3.
Water piping .
TYPE OF WORK 7Each
New ❑ Addition r<modn/el,�,,❑�� ,,, Utilities/�❑ Inafngetion�❑"�Olh%� ❑
Describe Work: O4,vtCi Y VD� i Vt L(�(
ex
gas water heater or vent 15.00
Gas piping system t - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home 13 1 (31 W 1 020.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Mein Service eoov OR LESS
aow oR LEss 23.00
Li D C_46.00
•
"
/
"PBtMXT FEE PAXb s .v
n .
�V1
SRA
SHERIFFMisc._Wiring
OTM
+�
AMOUNT RECEZVEb �
*
R�PT NVOEM ...
A TO %
• y
Main Service 200A TO I000A
s
. _...._.
... n
NEW CONST. DWELLING OCCUP.
OR ADDNS. 6 ACC. BLDS. �• 54Fr. ,
—REW-C-MT.
MULTI.OUTLET
NON.RESID.CIRCUITS @7.501
POWER APPARATUS
6 SINGLE OVIIET C0.
_
EX. Occup. our ET OR FIXTURES m ®I"oo
BAL 0 .SO
Ex.�OCCU FU(ED APPLNS. OR
OuneYa ES10. eA 5.00
_
Temporary Service 23.00 -
Mobile Home Facilities 20.00
23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50 ;
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee S
OCC
CONST. TYPE,
TO AL FEE $ 2
HA2.
D. FEES
R 090'
CD
P EL
I HD ISSUE
This permit is hereby issued under the applicable pMvrs16ns'"
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been -paid.
By Date
.....77 -
PERMIT EXPIRES ON
ReceiptNo.
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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:.'' �i `�C e � ASSESSOR PARCEL NUMBFzR U�
Proposed Building Use: f! t 1 j�� Wl ���echnician: Date: 1 I r
It . s required in order to apply for a permit. All boxes MUST, he checked OR marked NA in order to pply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans,, 3 or 4 sets, signed by the preparer of the plans.
3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
4. Engineered truss details and layouts in duplicate. No faxes!
5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. �AII of these
must be stamped and wet -signed by the engineer.
10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
11. Site plan and business license approval from the City of Biggs
rt�
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
0 14. Hazardous Material Form
' 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable.
❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ -9. Soils Report and/or Engineered Foundation required ........................................... ........
20. Erosion Control Plan Required........................................................................ ........
21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. - -
22. City of Chico Plumbing permit........................................................................
23. California Department of Forestry plan approval ❑ paid. Sent by:
24. Planning approval (A) User (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. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
�30. Worker's Compensation Carrier a�d'Policy Number .......................................:..
31. Owner -Builder Verification( Vven to owner, _Mailed to owner).........*''
❑„ 32. Letter of Signature authorization.....................................................................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Owner, ❑ Check to H.C.D..$
❑ 38. Other:
❑ 39. Other.
When issued Telephone W and hold for pickup. All
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date:
1. Index perm ap lication for the above items numbered: Plan g4eck Letter
2. Additional items requ 17/
Contractor, design , owner, w advised of the above data by rVphone, ❑ mail, ❑ counter, by Date: l�
Contractor, desig r own s advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: ., Date:
Structural reviewed : Date: Structural approved by: Date: Z
Note transfer by: Dater-
Yellow: Building Division
E.H. USE ONLY
Plot Plea Attached
Fboa Plan Attached
Sant to B.D. !
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Q9 01 I -SAI nGG, 1) . �TD7
Owner Location AP#
Plan Approved for: Sewage Disposal ✓ Water Supply: Public -a,/ Private Well
Clearance for dandlieg. Other Odd ! IIA -?;e P A1757vr2 s?V
/21, d ' G Q,-,� k?rZr7�
Hold final for:
Final clearance OA. for:
NOTE:
Environ 4ealth Specialist Date
8/96
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER UvA AffV-, Da/tqtfz_01 A.P. # D�� •- 1 C� " ® 0�
PROPRO D BUILDING USE (,l Ir ���1�� lli�G �t� E H (a
w3
1. BUILDING PERMIT FEES RECEIPT # DATE REC.
"� - q �J
'P
--- Balance Due ..................... $ (� �^�' 1
--- Additional Fees Due........... $
4(2
Revised Plan Checking Fee.... $ SCOOLDISTRICT FEES C L l (,O LA'i (P-4
aid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Ftg. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid. at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
0
O.B.- I
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.
I personally plan to provide the major labor and materials for construction of the proposed
property un rovement : YES NO El2. HA HAVE NOT 11 signed an application for a building permit for the. proposed work.
. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CON'TRACTOR'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:
PROPERTYOWNER:
4KC
R•
DATE:_ V---' / /-�-0 Y
NOTE: This Owner -wilder Verification is required by Section 19531 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.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of 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 you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 ' or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be aa employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tart withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract 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 contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner guilder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
`)'f
Iviic 1 C. Vi ira, C.B.O.
er, Building Inspection
NOTE: T111s Owner-BuilderlWomtadon is required by Section 19830 of the California Health and Safety Code
OVER
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
cln-c) 01' -e -J -
School District cUfiBuilding Department No.
a,
A.P. Number Jurisdiction: City County
Property Owner
Property Location/Address
Subdivision
Residential Development
'Commercial/industrial
Building Department
4--
1�cr)cj <�dkAj'Ck)j
- br, �Z qj5q-73
j L."o. .
0�-Cll 12,
Lot No.
......................... ....... ... ........ .........................
Sq. Footage
ditto *Supplemental to
(Group R)
Conversion Permit #
*(No foundation Inspection)
........................................................................ ! ....................... . ...
"I I f Deed Restricted Sq. Footage
A (A(Attachasigned copy ' of Deed Restriction and Notice of Limited Use Facility document)
0 , ', /7
Sq. Footage
NewAddition
District Identification No.
0 wsZ) School District certifies that
A
4A
(Street Addre
(City)
has complied with the requirements of Resolution No.
representing QV square feet.
School District Representative
Paid by Check # k1w Remarks:
w
(State)
85q --OR -
2926
L MMGATION
(Including Exterior
Roofed Areas)
�� 9—oy
ar
Date
6 A
(Applicant)
(Phone Number)
(Zip Code)
by payment of $
$
Date
.41r
You may protsst the Imposition of the fan klenOW above by submitting a written protest to the District, In compliance with
Govenunard Code Section 66020(a), within 90 days from the data hes are paid. Failure to submit a timely written protest wltl'pmhfl*
you from challenging the Imposklen of the fan In any court actkwL
K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is
notified by the applicable Local Planning Agency that this p al rt labeing iewlewe under the Caltionda Environmental Quality Act (CEQA)
Bile pre "Ise " may be subject to additional school is" to ftdly mitigate. its Impact on the school dbbkft schools.
White (applicant), Yellow (building department), Pink (school district) feeform-3da (10/03)drn,m
No of Living
Mobile Home
Units
Installation
0�-Cll 12,
Lot No.
......................... ....... ... ........ .........................
Sq. Footage
ditto *Supplemental to
(Group R)
Conversion Permit #
*(No foundation Inspection)
........................................................................ ! ....................... . ...
"I I f Deed Restricted Sq. Footage
A (A(Attachasigned copy ' of Deed Restriction and Notice of Limited Use Facility document)
0 , ', /7
Sq. Footage
NewAddition
District Identification No.
0 wsZ) School District certifies that
A
4A
(Street Addre
(City)
has complied with the requirements of Resolution No.
representing QV square feet.
School District Representative
Paid by Check # k1w Remarks:
w
(State)
85q --OR -
2926
L MMGATION
(Including Exterior
Roofed Areas)
�� 9—oy
ar
Date
6 A
(Applicant)
(Phone Number)
(Zip Code)
by payment of $
$
Date
.41r
You may protsst the Imposition of the fan klenOW above by submitting a written protest to the District, In compliance with
Govenunard Code Section 66020(a), within 90 days from the data hes are paid. Failure to submit a timely written protest wltl'pmhfl*
you from challenging the Imposklen of the fan In any court actkwL
K, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is
notified by the applicable Local Planning Agency that this p al rt labeing iewlewe under the Caltionda Environmental Quality Act (CEQA)
Bile pre "Ise " may be subject to additional school is" to ftdly mitigate. its Impact on the school dbbkft schools.
White (applicant), Yellow (building department), Pink (school district) feeform-3da (10/03)drn,m
j
�r. PERMIT NO. 5716-79B
PERMIT EXPIRES a
1OWNER Ryder Homes
Alan Kay, San Rafael
CONTR.
44-38-1'port.
LOCATION (A.P. )
2979 Sandi Dr., 'lot 7, Almond Tree Sub,Chico
r
. 4
4
r
_ kM
Yyr�y-4
Temp. Power Pole
��•
{.
Called PG&E
/ 2.S o
Temp. ElealServ.
Cal Ied"PG& E
Tempus Serv. Z d
t�
Galled PG&E
VLED
(Date)
(Si nature
y
I 1
!
Permit No
e.. i/oiuuxe -Ue ueL;.wr
3. Furnace & Water Heater --Vents, Clearances, Combust.ioh Air
4. L droom Exit & Glass Protection
5. G.F.I. & Bath— fixture s
lets at Wood Panel -.-Int. & Ext,--.
10.ixtures & Appliances in KiI. r --Gro ed --Air ap
11.• ectrical Outlets & Receptacle3 at Kitchen Counter
JAVA _ire .Door to Garage & Swina '17
T-lpe A.C. Duct in Garage—Damper if Required
PF.��4-up t ^ D Muter Heater ( if in Garage ) off Flo/6,r&
15. i"ewall &loll Openings in Firewall --Area -Separation Walls
16. lectrical Receptacles in.Garage (G.F.I. where required)Romex protect
17., e.Insulation--Attic & Und_erfloor
18. tees at Ext. Doors & Landings Where required
ails and Deck Construction
20. l Grade &Wood -Earth Clearances
r
A.C. Unit--Discon ect Cl i � Brea er & Codi ct r •ze
Vents Above Roof --Plum in . !A�liance Fire laced
Well—Disconnect, Electrical, Plumbing
24.ixterior Electrical Trim & G.F.I. Receptacle
25. equired Ventiiation.Throughout House
26. r-ection's from Previous inspections
27. as...Tes't--P?eters.. Taags.d_-Gas & Electric
28.• Energy Compliance Certificate
9. Sign Job Card
ALL OF ABOVE COMPLETED " EXCEPT
" _ Signed:
ABOVE LISTED CORRECTIONS COHPLFTED
f.ned
i
Date:
SIGN JOB CARD
Date
s
UNDERFLOOR Permit No .
1. Setback --Easement
2. Footings & Stemivall--Steel. - 1 & 2 story--Block-outs--Elect.Ground
3. Piers --Fireplace Footing & Steel
4. Plumbing--Drain--Fall-Fittings---Wr..apped.in Concrete 42" test El
5. Water Pipe --Test & Anchors
6. Electrical
7. A.C. Ducts--Clearance--Proper Material & Supports
8. Girders--Sills--Anchor Bolts--Joists-=-Vents
9. Sign Job Card
ALL OF ABOVE COMPLETED EXC^PT
Signed: Date:
ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD
Signed: Date:
a
A --
COUNTY OF BUTTE — DEPARTMN4 OF PUBLIC WORKS
Mesh MECAANIdAL
Scratch Heating
Brown. Cooling
Finish Ducts5�"'
Interior Lath Ventilation
Door Closer Final Q
MOBILEHOME UTILITIES ---------------- Elec. Service
Water Piping Sewer
MOBILEHOME INSTALL811.g N - - - - - - - - - - - - - - Support
Water Piping Drainage
DATE REMAF)KS OR CORRE TIONS
l
i
QJ
Grd. Fault Prot.
Service
Temp. Pole �--
Underground
Permanent
F nal
Elec. Pedestal
Gas Piping
Elec. Continuity
Gas Pipina
(NOTE: An entry must be made on this form each time you visit the job site.)
BUILDING INSPECTION RECORD
V.
BUILDING
BUILDING (Cont'd)
''
PLUMBING
Setback
Firewall
Soil Piping
Forms
mwParapets
1st Floor
Main Ell
4
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab /
—/Q —1
Roof Sheathing
Water Piping
Piers/
• .� /�'%— 7,47
Roofing
Sewer
Gara a
Fdn. Vents —
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsically
handica ed
Conformance of ex, —
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
PatioFIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat li S — 7
Rou h
_Z— —.� -
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
""
Test
Water Htr.
Stucco _
Final
Sub anels
-�
Mesh MECAANIdAL
Scratch Heating
Brown. Cooling
Finish Ducts5�"'
Interior Lath Ventilation
Door Closer Final Q
MOBILEHOME UTILITIES ---------------- Elec. Service
Water Piping Sewer
MOBILEHOME INSTALL811.g N - - - - - - - - - - - - - - Support
Water Piping Drainage
DATE REMAF)KS OR CORRE TIONS
l
i
QJ
Grd. Fault Prot.
Service
Temp. Pole �--
Underground
Permanent
F nal
Elec. Pedestal
Gas Piping
Elec. Continuity
Gas Pipina
(NOTE: An entry must be made on this form each time you visit the job site.)
AG.
Amedliccoann GlIams
February 13, 1980
Ryder Homes
c/o Almond Tree. Estates
642T Rt. 5
Morseman Avenue
Chico., Ca. 94926
Attn: Richard
This is to certify that the fixed sidelights that we
furnished at Almond Tree,Subdivision, lot 7, is laminated
'glass, which meets all safety requirements.
Sincerely,
G:D,— P
v
Earl Ef=Gr•ay
General Manager
AMERICAN GLASS COMPANY
EEG:js
Contractor's License #337824
130 W. Seventh Street (916)343-1404
Chico, California 95926
� � - _ - •;, w F18THERM
CELL E FIBER
INSULATION COVERAGE CHART
MINIMUM MAXIMUM NUMBER of 40 Ib. bales
VALUE THICKNESS COVERAGE per 1000 Sq. Ft.
To Obtain Instilled thickness Contents of NO 24" 16"
an R value of Insulation this beg
of: should not be should not JOISTS JOISTS JOISTS
less then: cover more
than:
�' R•11
3.1. IN.
82 sq. ft. 12.2
11.6
R-13
3.7 IN.
68 sq. ft. 14.7
14.0
R-19
5.4 IN.
47 sq. ft. 21.3
20.2
R-24
6.8 IN.
37 sq. ft. 27.0
25.7
R-32
9.0 IN.
28 sq. ft. 35.7
33.9
R-40
11.3 IN.
22 sq. ft. 45.5
43.2
The above data was established at an average blown density
of 1.9 lbs. per cu. ft. with an R value of 3.55
10.9
13.2
19.1
24.3
32.1
40.9
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 i standard installation practices will be observed, 2i area
calculations will be accurate, and 31 coverage is applicable only to FIBERTHERM 40 Ib. professional size bales.
-------------------------------------
This is to certify that your insulation has been installed in conformance with the attached
manufacturer's recommendations and meets,'"currert ener egulations.
ADDRESS: L 7
CITY, STATE: 1,610 CA
CEILING: THICKNESS 'R' VALUE-,�
WALLS THICKNESS 'R' VALUE
CONTRACTOR --\(Jli CAf. 1AM';!.ra77 IN
Material Manufactured BY: WESTERN WEATHERCHECK
305 MATHEW STREET
SANTA CLARA SA.95050
1 }.. P� jrM.`",gia �.�. 'n Al t' �•W-LW.w �'ira ^AT .I^F'R.. .K F' „'W'i,`t " '<
♦ .ti - ...w'a" :�.: L'S•- - sf.�l �... ,. 1�'f`s2 moi. ..u�'...rca_'I'T -�� � - �1Y
.f
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED a CONFORMANCE WITetCURRjkjT ENE Y CONSERVAT(,- �A� $EGULATIONS
AT C O
(cation)
BUILDING PERMIT N0 .�(af)A : P . N0 .
/ - � I .h ' �
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge. rAl
Fdn. Walls
Floors
Walls
Ceiling/Roof
Ducts
Circulating Pipes, J...—
APPROVED
/APPROVED HEATER
APPROVED WTR.HTR.__1L
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES
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 CERTIF TE AS SUITTTED.
Insulation Applicator Name
Signature of
(please print)
Insulation Applicator
State Contractors
License, o.
General Contractor/OwnerName
Signature of �.T e
(please print)
a;.
General Contractor/Owner Date
State Contrac o s
License No.
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.
V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
' 7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner �S SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor �S
Mai I i ng Address X' 1-7A
Te
Buildino Address
A. P. No. S T Zonidg & Planning
F&eSI 3artitatitsn Fire De t. Fire Zone Use Permit
EOA Parking Parcel Parcel Ma 60' R/W Improvements
Plans Declaration p p
Bldg.. Plans Recd Parcel Approval Plans Approval
NEW ❑ ADDITION ❑ UTILIITIIES❑ OTHER
-.d—
Single
Single Family 5L Duplex ❑ Mobil Home ❑ Others ❑
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Califorusir�ess & Pr�fions Code under the name
style of: �� u
C
License No. &KClassification , iK /
❑ I am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for orkmen's Compensation.
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.
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 elating to building construction, and hereby
authorizer ese tatives of the County of Butte to enter upon the
above -me ti ed roperty f r inspection purposes.
X Date
ignature of Permiitee or Agent
Receipt No. _2 !283-7,
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional.outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 600V OR LESS
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. / DWELLING OCCUP. S
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
$3.00
5.00
2.50
25.00
1.00
?2sa ft
EX. OCCUDIOUTLETS OR FIXTIIRES BALD a�
FIXED APPLNS, OR
EX. OCCUp•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wirinq 6.25
Permit Fee $
_ MECHANICAL No. @
PERMIT FILING FEE $3.00
Heating
Cooli
FEE
FEE
Ventilation
Hood 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $
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 P BLIC WORKS
By / Date/ za - 7 9
B Iding permit expires Date 2-6 -�P�
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
• • •. �
Telephone, 534-4541 �'V-*"
APPLICATION AND PERMIT
'
BUILDING
Owner °l. -S
SO. FT. OCC. BUILDING VALUATION
I� li cso
Mai I ing Addres �Q&
6 On
W
a
Telephone No.
I
(7 p.0w r,® u 1Db
Contractor C2=,
Mai I i ng Address I CAti_
Fireplace 1 ,� do, 0
Total Valuation Or -N
Telephone No.
3q 2Permit
Fee —�
Building A dress
Plan Checking Fee&/or Penalty
Permit Fee J, Qp
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
r/t(r
A. P. No.� " �a�f )e1oning 8 022'29
Water piping 1.50
Each gas water heater or vent 1.50
F6es
4_1:1�
Salt on
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel p
60' R/W
Improveme is
Each additional outlet 30
Building sewer 5.00
I 9. IaTR d
Pa el Approval
Plans Approval
Lawn sprinkler system 2.00
NEW DDI TI ON ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
o
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 ADONST ( ACCLBLOGS.CCUP. Y1 20sgft
CONTRACTORS LICENSE LAW
I am licensed under he provisions of Chapter 9, Div. 3, of the
State of California B slness & Professions Code under the name
style of:
NEW CONSTR BRANCH CIRCUITS)
NON•RESID (MULTI BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS 0
NON.RESID. SINGLE OUTLET CIR.
EX. OCCUD(OUTLETS OR FIXTI IRES1 BAL21
FIXED APPLNS. OR
Ex. Occup. (OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 33 Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
have placed on file with the County of Butte a certificate of
men's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is Issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
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 /gelating to building construction, and hereby
Land Development Fee
$ ; Iz
TOTAL PERMIT FEE1$17010,'
autnonze p se eves or me county oT tsuite io emer upon me
above -me do ed perty or inspection purposes.
X Date 9 ��
Signa re of Permitee or Agent
Receipt No. oz
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 Datez-- 2S
B 'ding permit expires Date
/_-7.5<:' ,'
V \ m and location of buil - Pcif icc+tions MUST be
optic system set, plans and sp - unlawful to
\ This se p
In draYan - ub-out . to be as psi' d it is uno w
\ Fiea181► De R - kept on the job a} al! Limos nr game without
t%+ mako any charades nr alterabions on
written permission from the Department of Public
\ Works. County o
f Butte.
\ 7y� iso Z,0 7 .�
T
V1
I� See Master Plan -on -file _for buildinj.
COT'` plans. -`
C
t.,
Setback sha0 be 5 ft. from th '
The Bldg.
side property line 'and 50 ft. from the
VQ
centerline of the road, permitting a maxi -
n but entirely \ \, zip a. s- G ,
mum of a 2 ft. eave overha g
out of all easements.i__ -
___ . /O /� C/. L..
uterials & `�dorkmanship ac}aco ana
E.,—All M n�zed Good Pr
with Reco9 ecified usa in the
qual'�tj► prescribers for the Sp Codes and n
Building, plumbing & Mechanical Q
a: m
National Electrical Code. C
�/�L /.✓SIG /�
57 -` 7y
BUTTE COUNTY
BUILDING DPARTMENT
o - APPROVED
Gni 7
/7e )/t//1 T2�-C= C=ST.nT�S
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Tel ephorle: 534-4541
APPLICATION AND PERMIT
og
It
BUILDING
Owner ���� ��5
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor ALI ar ,
Mailing Address r ' )4 —?a
Fireplace
Total Valuation
(� n
J ((�
ele hon Ngo.
Permit Fee
Building AddressS'��
, I�
hio V
Plan Checking Fee&/or Penalty
Permit. Fee
rr
f"19P Cb� I d� �NIIi
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50 7,y
LOT� yy�� �+ /,1, ,\
1. 1.r1 CV
�LL
Repair drainage or vent piping 1.50 ,
,,
A. P. No. j IC4 " 3 -w h�
Zoning & Planning
Water piping 1.50 a
Each gas water heater or vent 1.50 (a so
FeesW.C.
I Sanitation
FireDept. Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 Z)
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet 30
Building sewer 5.00
Bldg. Plans Recd
Parcel A rovol
Plans ApprovalZ.
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER EV
permit Fee $
!ri g� N mit ibg AP 4-6-7 a#—Iq
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 6001 OR LESS
100 AMP LESS 5.00
Single Family Duplex M
Mobil Home Others
❑ ❑ ❑
-L
Main service EA. ADD100 AMP 2.50
Main service OVER 6001 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00 .
NEW CONST.DWELBLDGS.LING Ccup- Y) 20sgft
C /
OR A.D.S. ACC
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
,K
NEW CONSTR MULTI.OUTLET
NON.RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS 8
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES) g L@;
Ex. Occup.FIXED APPLNSOR
OUTLETS (REST. D.) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. / ,� Classification �i •�
%�
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I-fiave 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 1 shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
'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
$ ��1 uZJ
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X f 2�2� Date 16'2 - % 9
Signature of Permite.&Agent
Receipt No. #
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte unty Code and/or resolutions to do work indicated
above fo w ich fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date V
Building permit expires Date ITTQb
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
J - 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
IF
BUILDING
Owner OL9 C40m4E&
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
^ �n,�
Contractor REED rKA4C� S G(AB�
Mailing Address Gf tills
Fireplace
Total Valuation
/ O G6
(,
T Igphone ®�
� �•+
Permit Fee
Building Address S o(KEMW A...%/6
I, _
Plan Checking FeeB/or Penalty
Permit Fee
' Q�
pw Q ��( (�o /� 6S�i%J (J�
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
� ^ F
1 C t+I C0
Repair drainage or vent piping 1.50
A
A. P. o. _-2,A "O) 6
ZJing & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F s
_ ire Dept. Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
I Declaration
I Parcel Map
1 60' R/W
Improvements
additional outlet .30
Building sewer 5.00
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
04R54CAL (` demL( 571&--1
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 800V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L loo AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
OR ADDNST C GS.CCUP. Y) 20Sgft 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
style of:
c /,,5 ��P/' r_
NEW CONSTR BRANCH CIR T
NON.RESID ( BRANCH CIRCUITS) 12.50ea
NEWCONSTRPOWER APPARATUS B
NON .RESID. (SINGLE OUTLET CI.R.
Ex. OCCUD(OUTLETS OR FIXTURES) 5BAL @ 0@2#
10s
Ex. Occup ( FIXED APPLNS. OR
• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
f2 .Z O
License No. '.Z � Classification G/
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $ �,
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
�rhave 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.
MECHANICAL No. @ FEE
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
is
TOTAL PERMIT FEE
$ 3
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
;�/&KX �' P Date
Signature of PPe`ermiitee or Agen
a(t
Receipt No. `®y
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte C my Code and/or resolutions to do work indicated
above for ch fees have been paid.
1DIR CTOR OF PUBLIC WORKS
By Date " O
1 71
Building permit exp es Date In aa
b
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroyille, California 95965
Tel ephone * 534-4541 �n
APPLICATION AND PERMIT
BUILDING
Owner `1.�JL.i1'C / rurn SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Contractor —MAN :Pas5exz,
Mailing Address
&H co
Building Address S NceI
ftNd ' TAt5& s01e
4-0T'9 %
A
A. P No. 8 ' d I Put— ., '
ng
es W.C. sSzMTaf'on Fire Dept. Fire Zone
EQA I Parking I Parcel Parcel Ma 60' R/W I Improvements
Plans Declaration P
Zoning & Planni
Use Permit
ey-PWI-ans-Bec'd I Parcel Approval I Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
vact- � Ir Fbe �� S� 16 --?q
Single Family Duplex ❑ Mobil Home ❑ Others ❑
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 ofd,
( ntiv JAS
License No. 'a>1' _3 Classification C_—
❑ I am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
13 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.
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.
�Qak11a.� V, ��y" Date J�IS--ICJ-
Signature of Permitee or Agenty
Receipt No. "' "' O
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Fireplace
BqL1� pQl
Total Valuation
ELECTRICAL No.
Permit Fee
PERMIT FILING FEE
Plan Checking Fee &/or Penalty
Main service
Permit Fee
5.00
PLUMBING
No.1 @ FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
BqL1� pQl
$
ELECTRICAL No.
@
PERMIT FILING FEE
$3.00
Main service
600V OR LESS
100 AMP OR LESS
5.00
Main service
EA. ADD•L 100 AMP
2.50
Main service
OVEReoov
100 AMP OR LESS
25.00
Main servlce
EA. ADD•L 100 AMP
1.00
NEW
OR ADDNST V A
DWECCLBLDGS.LING CCUP. 4)
2C Sq ft
NnN-RFDSINEW nTR
RRANCNO CIRCUITS)
2.50ea
Ex. OCCUDIOUTLETS OR FIXTI1RES
BqL1� pQl
FIXED APPLNS, OR
EX. Occup. OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee $
MECHANICAL No. @
PERMIT FILING FEE $3.00 3.
Heating 2T1 JE.fT)
Cooling
Ventilation
Hood 2.00
Permit Fee $ $ Ict
Land Development Fee $
TOTAL PERMIT FEE $ 13
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for hich fees have been paid.
DI
RECTOR OF PUBLIC WORKS
BY Date /OAO 7
Buildi 9.permit expi s Date T��
OROVILLE, CALIFORNIA
07
-
GENERAL CLAIM
CLAIMANT: Reed Francis Electric
ADDRESS: 1718 Mangrove Ave.
CITY & STATE: Chico, CA. 95926 IMPORTANT.
December 10, 1979 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) i AMOUNT
INVOICE
N 0.
--Mop-
i Duplicate permit. ('Electrical Permit. #7094-79, Receipt #32901
DISC.
GROSS
E N'C U rM B. SUB
AP 44-38-01 port.)
Electrical permit fee-----------------------------------------------
$42115
-DIST.
Duplicate permit. (Electrical Permit #7095-79, Receipt #32901
8-0.1. porr.'
Electrical permit fee -------- -------------------------------------
$43180
TOTAL
1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
41
Z. ' . ....Dated Ch's ........... 7 day. of ..... ........... . .. qq. at .... f
..................... Cali
........ .............
C1i;rrxnt
1, the uncitrsigned, hereby certify that, to the best of my knowledge, the services or articles specified ElbOVt have b=en performed or de-
livered and that there is a Budget Appropriation Oor Specific Board ApprovalF__J (Check one) for the some.
10th
I Dec. 79 Oroville
Dated this .................................... dqy of ............................. 19....... at .... ......................... . Calif. ...............
Department Heac! or A-_-�ho:izwdDep,.ay
Dept.
Code...............................
Exp.
Code ................................................PAYABLE FROM
)0 HOT WRITE BELOW THIS LINE — AUD
SE ONLY
........................ FUND
VENDOR DEPT.
CODE & PROJ.
SUB C! Alt'
Oa J. NO.
INVOICE
N 0.
INVOICE
DATE
DISC.
GROSS
E N'C U rM B. SUB
SUB.
A.MOUNT
-DIST.
,COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 i
Telephone: 534-4541
APPLICATION AND PERMITl�
aU II IUI I" 17IJIUOVIILFlIVCJ UI UIC %,UUIIIY UI DULIG IU C11MU UPUn Ulu
above-mentioned property for inspection purposes. ''1
X -^// r � .....'� Date
Signature of Permitee or Agent l
AjReceipt No. a 1-
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 A W / %� Date
,Bui-Idilig, permit expires Date
� J
BUILDING
Owner ���ij� f� � 7es
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor s C_s1 Y PiiWiS C.L45-ZI?1C
Mailing Address�)IR inla�f�i 2U ;
Fireplace
Total Valuation
/�
eA,
Telephone No.
��13 1`7(,)
Permit Fee
Building Address �Gj �C� ���1yii) f 'X'
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
i
PERMIT FILING FEE $3.00
Each Trap 1.50
n
r--E�T -1 4LrWQr3 - e_qC_ SUg ro
Repair drainage or vent piping 1.50
A. P.,No. `^�L� ` - �' �O�C 1
QZ,ning & Planning I
Water piping 1,50
Each gas water heater or vent 1.50
Fees
W:C.
Sanitation•
Fire Dept.
Fire Zone
. Use Permit t.
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
l tta �jT k 1-
Bl.dg, Plzans Recd
Parcel Approval
Plans Approval .r
Lawn s P 2.00
sprinkler system
NEW ❑ ADDITION ❑ UTILIT OTHER
Permit Fee $
$
fes. -C_T. PC- t2M )T -'()R 1S' �# �] (� `�r'j �
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
r
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
f (
OVER Main service 1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST
OR ADDNS. �12S'.L L'DGS,CCUP. S) 22sgft 1.J()Aj U
ll �O7
CONTRACTORS LICENSE LAW !
}
I am licensed under the provisions of Chapter 9, Div. 3, of the 1
State of California Business & Professions Code under the name
style of: s/
Y
NEW RESID.CONST/ BRANCH CIRCUITS)
NON.RESID, `BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS B
NON.RESID. SINGLE OUTLET CIR.
EX. OCCUP{OUTLETS OR FIXTURES, (BALM
EX. OCCU FIXED APPLNS. OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
ckc
tt
Mobile Home Facilities 15.00
License No. �/r.�� 7� �'Ye
Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Califomia:'
Permit Fee $ 4
$ L4 3 118U
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.
EfI'Kave placed on file with the County of Butte a certificate of ..
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of ,.
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
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
aU II IUI I" 17IJIUOVIILFlIVCJ UI UIC %,UUIIIY UI DULIG IU C11MU UPUn Ulu
above-mentioned property for inspection purposes. ''1
X -^// r � .....'� Date
Signature of Permitee or Agent l
AjReceipt No. a 1-
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 A W / %� Date
,Bui-Idilig, permit expires Date
� J
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541 �0��✓�
APPLICATION AND PERMIT
"
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor Y �F1�G1S Cum-T��G
Mailing Address 1 I MANE P-0 OE
Fireplace
Total Valuation
4,�� C^
)(-t
�T1lap- no
�7�1i33
Permit Fee
Building Address G Li A N b Q 2
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
t -b -r-0-1 14Ll04m 7eM %0& C t4 JC0
Repair drainage or vent piping 1.50
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A. P. 0.4 LA ()
,nin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F(Ves
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
11X4T d�
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
tzC:—U . PCIS -M IT VON ap-4
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00 3.00
Main service 600V OR LESS
100 AMP OR LESS i 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. AOD'L 100 AMP 1.00
NEW CONST. L O.CCUP. 4'
OR ADDNS. . e GS2�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: A
���� p�'Cl
NEW RESID. 13RANCOUTL T
NEW CO I T l BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS 6 -
NON.RESI D. SINGLE OUTLET CIR.
Ex. OCCUI)(OUTLETS OR FIXTIiRES g L@;
Ex. Occup. ( FIXED APPLNS. OR
OUTLETS (REST D.) EA) 1 2.001
Temporary service 10.00
Mobile Home Facilities 15.00
�����
License No. � Classifications
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ q Z.Q
$ C43
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.
�t'rave placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FE_ E
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
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
$ 3
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or A n ,
Receipt No. ?�2901
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 f hich fees have been paid.
10DIRECTOR OF PUBLIC WOR////f
S C
By °Z D e `/ �!
13v4d4sg permit expir Date o
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137.56'
20' DRAINAGE EASEMENT
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