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017-100-034
M STEPHENS, Howard 1118-70B Fern Stephens _ v� 1087770E ' 950'off E/S Hubug Rd.,2 1/10 mi.N.of 9 -70P`� covered -bridge, Chico '} ll -3/ -� Permit ��85-78B,E(new private detached Humbu no, o Covered .Bridge garage) a , (new single family) • i . 011=31-0-034 , `Y ; .".93- 770E k GLODFELTY, FERN ' a 4744 CHINA CAMP RD, CHICO ;q ,"MANUAL`'THROW, FOR .'ON4SITE'`POWER SYSTEM' i „:011 310-034 �+, *f PERMIT#95 2713 z t STEVENS,, �F . 4744 China Camp RP 'Chicoti � �(r Cl :rte OR -IC_ont, R be'rtPaugh ;,.� ir.3.:/1?ll� s �'•Co'nv Garage"`to,B'edroom/SF. y; J rD0;034-31017018 DENBAUM, ,.. l DAVID a•a 4744 CHINA CAMP ROAD CMUU% )) CONTR` DEL JOHNSON AV HEATING REPLACING HVAC UNIT -i of u I a t t r r. i t a M"'^:�J.7:• -+t•e .y, ..-.v-` ... ._ .•.v....v.�y ...wnw'.r :. ,, '»• �7-.-... ....-„ r�tf was,•m,!_U: '��i�ri.,•«.,�+sr,.Y•`•�try�v7""tw/Tte6?�P>c,+„•,:E��M6!`°o1R4Cf� �1�' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIDN 7 County Center Drive • Oroville;:California 95965 • Telephone (530) 538-714 Er1;�� �R o (Rev. 12/96) APPLICATION AUPTERMIT rl ASSESSOR PARCEL NUMBER ; 011-310-034 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION - OWNERS MAILING ADDRESS 47" QUNA CW RD, III CHICID CA 9-%28 CONTRACTOR'S NAME TELEP NE QM JORN" AC HEAnw 1877 CONTRACTORS MAILING ADDRESS 5800 a=AW W. PAM 95%9 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ® Duplex ❑ 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 ❑ U61ifies ❑ InstaUation ❑ Other ❑ Describe Work: MAIN WAC UNIT Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ .00 ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LE Main Service 20 A 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. effect. +��} / License Class C" w t • 40Lic. No. I / ( OWNER -BUILDER DECLARATION 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: ❑ 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. -®o, I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Ln411rOR4114 I Main Service TO 46.00so DWE200ALLING CCU000A NEW CONST. DWELLNJG Occup. 3.50 FT.. OR ( BL S. MULCCC. NON RESIDONS. @7.50 POWER APPARATUS a SINGLE ouTL.ET CIR. 20 .00 EX. OCCU . OUTLET OR FIXTURES BAL 1. 0 FIXI Ex. Occup. OUTLETS RESID.oEEA 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 25.00 MECHANICAL PERMIT Fling Fee 1 20.00 Heating 1 15.00 15.01 Cooling 1 15.00 15.00 Hood 6.50 Ventilation PERMIT FEE $ 50.00 Policy Number cc S ATI -1,r (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($1;00) or less.) ❑ 1 certify that in the performahce 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 - !./�A`^-- Date �� - S ature of Applicant - ❑ Owner FJ-ftntractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 110.40 • HAZ. I D.FEES IMP I FLOOD I COF PARCEL n HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. -I / By ,- /f L L./,f�L'�pate PERMIT EXPIRES ON �� �i Date Receipt No. 314538 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CQUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ERMIT NO. 17 (Rev. 12/96) APPLICATION AND PERMIT -- ''� ASSESSOR PARCEL NUMBER 011-310-034 ZONING BUILDING PERMIT OWNER nAVTTI TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4744 CHINA CAMP RD., CHICO CA 95928 CONTRACTOR'S NAME DEL JOHNSON AC HEATING TELEPHONE 877-4567 CONTRACTORS5800 COPELAND DR. PARADISE CA 95969 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4744 CHIN Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ 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: REPLACING HVAC UNIT Gas piping system 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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./ �^ " C—e-1/3 LIC. NO. l 37 3 �6 License Class %'�{/ 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- I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier C'441FQRA114 Policy Number FG S/6/7—r (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 1��},, � r nature of icant - ❑ Owner Ig�ontractor ❑ Agent An OSHA permit is 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 OCC I UP. 3.5Qso OR ADACCBWS orS. ( n& NON RESID. U 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00 BAL @ .50 Ex. Occu .ouxT D pFSIp.GEA 11 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 25.00 MECHANICAL PERMIT Filing Fee 20.00 Heating 1 1 15.0015.0 Cooling 1 15.00 15.00 Hood 6.50 Ventilation PERMIT FEE $ 50,00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 110.00 HAZ. D. FEES IMP FLOO D I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have - r By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Receipt No. 314538 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 Orovillel California 95965 • Telephone (530) 538-7541ERWT No. ADDI i&-ATir%u Atin DODMIT —Aal--•• (R&v.i2r96) »►+K�°' D ,__ ��� .� �� r+...s . .-..owes aDia'0 ■ BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION wan" aDoRos CM0NOcwrlw uvoe� LZOWS WANG AMMS Fireplace Total Valuation = aPJCmff x;r DR Di004M � N0 Firma Fee i 20.00 Permit Fee S aRCNTM OR DFommis w,uw ADD11esa Plan Chackina Fee i a"L°iOAOD"� Energy Plan Checking Fee = i PERMIT FEE _ LOTNM euawm=a wm .HCFA W PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF �\ Duplex O Mobilehoms O Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Each gas water heater or vent 15.00 TYPE OF WORK Now O Addition 0 Remodel O L%Rdes)Y\ Installation O Other O Describe Work: Z&-Z/'d ��1 / / (/ L u/G% / Gas piping system 1 -5 outlets 15.00 Building sewer 15.00 Moble Home I S G W 020.00 PERMIT FEE _ D ELECTRICAL PERMIT Fiang Fee 20.00 Main Service ao� o�i1s 23.00 *PERMIT FEE PAID �/ D r U CJ SRA SHERIFF OTHER $ $ $ AMOUNT RECEIVED *RECEIPT NUMBER ��� �� * TO BE PVT INTO COMPUTER Main Service sod► To 1owA 46.00 la co . owruro oowr. 3.SC$aa 011 ADD". a nCO. aux. wlaaaro. ' awwuaeT PANCH COMM 07.50 Fowfl1 A"AMn* as Ex. Occup. ounv DR FsnuRts e 9 D 1.00 Ex. Occup. Z% aio a 5.00 • 1 Temporary Service 23.00 Moble Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ , OL) 04M PERMIT Filing 00 Heating � Cooling , 0D r" Hood 6.50 Ventilation � PERMIT FEE t JO1 Mobile Home Installation Fee S Energy Inspection Fee i D" C°"`T' T1�` TOTAL FEES ""Z 1 D. MIS I .,. FLOOD `°` ""`a w a"E This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolution$ to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON R7r1.) RESIDENTIAL ` I011-310-034 V " PEIMIT#95-2713- STEVENS, F. 4744 China Camp Rd'., Chico Cont; Robert Paugh } + Conv Garage to Bedroom/SF J=OK O =Not OK = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location-Test-Fall-C/O Concrete 4. Water; Location-Test-Easement Needed (Sketch) 5. Electricity;Location-Clearences-Grnd-/ /Amp-Concrete 6. Gas; Location-Test-Wrap: / P11t. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date - Card'B-1 Date Card B-1 Date Card B-1 2. Soils; Compaction -Structure Stability MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings: Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing . 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'i OK O=Not OK - = Not Applicable =Not Ready RESIDENTIAL ('Single Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg.. Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped I 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors . Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test t 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date / Card B-1 Date PLUMBING (Permit) OK except N's 16. Water Htr.: Vent-Access;Combustion Air -Baffle 17. Water Pipe: Test & AKchor-Nail Protection --------- ------------------------- 18. D.W.V.: Test-Fi 'ngs & Anchor -Nail Protection 19. Shower Pap!Test. First Floor -Tub Access 20. Test JwC& Shower, Second Floor -Tub Access -----21. �GaS`Pipe: Size & Anchors ---------->--------------------------------------------------------- - Date - - - Card B_1 -- - Date - Card B-1 - ------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ---•----------------------- -- --------------------------------------------- - --- 2�ec. Receptacles Spacing -Lights & Switches at Doors --------------- -------- --- - ------------------------------------------------ 2ze Boxes & No. of Conductors -Stapled -------------------------------------------------------------------------------- 2!r 56mex Installed Close to Edge of Studs & C.J. -------- -----kf---------------------------------------------------------------- 26-•Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ---------- ---------------------- - - - -- - ----------------- Appliance Circuts in Kitchen & Conductor Size�GFI ---------------------------------------------------------- ----- -12E. uu6feed Wire Sizer r ga. Cu or AI-A.C. Wire Size - ! ga. Cu or At ----------------------------------------------------- ------------------------------ -29-R�ge Circ. ! r ga. Cu or AI -Oven Circ. / r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- '30 Service -Riser Conductors & Ground -Main Disconnect ----- - ------------ -------- - 31'-�iiip. Clearances Panels-Motors-Mech. Equip. ------------ -------------------- --------------------------------------- <-11 C o hes Closet Light -Shower Light -Spa Light --------------------------------------------------------- --------------------------- .............. Smoke Detector --------- -p -- ! � - - - -- - - Date t Card B-1 -----------------------------------------,,Date Card B1 - - - -..---------- Date Card B-1 Date Card B-1 Date MEC ANICAL (Permit) OK except #'s 3".C. .C. Ducts Insulation & Support 35.nFn: Exhaust above insulation '------ ---- Drain & Overflow: S ze 8 Grade 37 o.Fmence-Vent: Access -Comb. Air -Return Air Vent -115 outlet - - ---- - - ------------------------------- .%a__A4ie-Access & Platform if Furnance in Attic Date Card B-1 � Date . -- -- --- Card B_1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except A's '39ils. Proper Material & Anchors 40 II 1. Ing. Spacing & Bracing -Plates -Sound 41 a ing Walls over Girders & Floor Nailing 42 raft Stop in Walls (rat proof) Fire Stops. Furretl Ceilings -Stairs -Chases -Tub -------------- - - - .. - --- -- - - __..._ s'a-+tmrders & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 4 -,angers-Post Caps -Anchors -Connectors 4L,,Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 42 Firanlace Ties or Type A Flue -Fireplace Throat clearance _43--A! is Access; Size & Romex Protection -Draft Stop -Ins. Baffles - 4$ Adrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ------ -- 59,�ge Fire Protection Framing o`a1►PrtJ�erty Line Firewall & Openings _ -5?/'Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits Width -Headroom -Rise -Run -Landing -Fire Protection _ ood on Roof Overhang -Attic Vents -Rafter Outriggers Sb. Siding -Nailing Veneer ------------------- -- 56r-&tweco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------------- -- -- _ Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts lation-Walls- Infiltration-Walls-Windows Date _ C,� Card B-1 (izQ,1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 15 L Steps -Door & Sidelight Protection -Landings 6 moke Detector -Clearance-Comb. Air -Connector - In r5ge: Above Floor -Ducts -Meth. Protection ------------------- ------ -- - -- - - BedroomExiting------- 1t35_--_5-Pl-&-Bath Fixtures & Tub Access -Spa ------------ lec. T . rim & Subpanel: Breaker Sizes & Labels __ Stairs & Rails _ - - Q&.-4 • pi Move: Clearances -Hearth -45- ---------------------- Elec. Outlets at Wood Panel: .-Elec. & Ext. - . - - - - - -------------------- ------- p lance: Grnd.-Air Gap -Cooking Clearance ------ ---------•---------------- P ----- - 7 e-tacles at Kit. Counter ---------- - ----------------------- - N. Garage-Fi"_Qoor Swing -Landing -Closer --------------------------------- rage -Damper 74-WIL- t` Vents -Clearance -Comb Air-Connector-P.R.V. In Garage_ Above Floor-Mech. Protection 7.6-4akN .Elacr& Mech. Equip. Listed for Location ------------ --------------- 7 e ptacles in Garage: (G.F.I.)-Romex Protection ------------- --------------------------------- ruulaLierLFoam-Looked in Attic ❑ Yes -------------------------------- ---------------- - eck Construction -Post Caps -------------------------------------- -------- -- . n s I Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ----- --------------------------------------------- Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ..--------...------------------Finish---------- --_-- A C. Unit_ connect, Electrical, Plumbing ens AboveRoof: PIbg -Appliance-Fireplace.-Clearance to Openings - - - - - - ------------------------ --------------- Electrical, Plumbing --- i35 6weLLax i Jac_ Trim: G F.I Receptacle -Underground - - .. -... - . - --------------------- -------------------------- �6 Ventilation Tb.Mughout House -------------------------------- - ii7 Ghi.i.on __ orrections from Previous Inspections �ergy --est-Meters Tagged: Gas -Electric Connected-Cr0 toGrade-HD Approvalance_Certificate-Other Certificates- -- - - ----- - ----- Date aril B -t Date Card B-1 Date _ Card B t---------- ---Date---------- Card -8=1 - _ Date Card B-1 Date Card B-1 Comments at Final: C COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californla 95965 - Telephone (916) 538-75419 PERMIT NO. APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER 011-310-034 ZONING BUILDING PERMIT OWNER NIRS. F. STEVENS TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4744 CHINA CAMP RD CHICO i E CONTRACTOR'S NAME ROBERT C. PAUGH TELEPHONE 345-9379 CONTRACTORS MAILING ADDRESS ' 1211 HONE YRUN RD Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 14,880.00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 162.00 ARCHITECT OR ENGINEER NONEUCENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4744 CHINA I1I, A CAMP RD PERMITFEE $ 310.30 CHICO PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. MSUBWVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: UONVERSION OF M-1 TO BEDROOM Mobile Home S I G I W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 2 0:0 0 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Clas ' 2Ot C�' �^� � LIC. NO. �� OWNER -BUILDER ON 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 NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BUDS. ) s0. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( &PSWER NGLE APPARATUS OUTLET R. ) Ex. Occup. ( OUTLET OR FUTURES ) 20 Q I.00 BAL .SO FIXED APPWS. OR EX. Occup. OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 29.45 Contractor 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 PERMITFEE $ Contractor 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.) 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 with comply with th a provisions. _ Da,15 te �_ ItA ignatu a of Applicant - ❑ caner Contrac r ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 OCC CONST. TYPE TOTAL FEE $ 385.75 HAZ. D. FEES IMP I FLOOD CD PARCEL I PD H S 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. 411 By Date WXV_2� i75- PERMITEXPIRESON (pate) Receipt No. 186158 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Insulation Certificate BUILDING OWNER: 's �.QY1 � BUILDING PE X[T # BUILDING LOCATION: 4-7 7 4..4" r -.nn n � �ra rwlll- �&X . I a t_ - Description of Installation ROOF Material Thickness (inches)'- CEILING inches)' CEILING Brand Name Thermal Resistance (R -Value) ; . ... Batt or Blanket Type Brand Name Thickness (inches) Thermal Resismnce.(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ftlb Minimum thiclatess inches, Manufacturer's installed weight per square foot to acheive Ibermal Resistance (R -Value) i EXTERIOR WALL Material Thickness (inches) ,/ RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name� ,�jI;L Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value)- ' Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. l G Co actor (Builder Uceiise Number Sipaure and Title am . Sub•Contractor (Insulation Installer) License Number . 3 Signature and Title Date i THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION "APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION OWNER 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 qu..�,j �,,�RMIT,APPLICATION D.ATASHEET - ;f �SY �, -4 A P N-011-310 3(/ Proposed Building UseC)--�'r•'n`"` Inspector ^� Date /v'3 G -v S' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ....... ............................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year fl d) b alifornia Engineer. ........ 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . dest 20. Pre -inspection for Preanaing Ins re for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. _- 25. Letter of signature authorization . ........................................ ° 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .. . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ..................................................... 33. 34. When you issue the permit, process -as follows: Mail to owner. A- Mail to contractor. Telephone- ' - and -hold for pickup at office. Deliver with inspector. Other Parcel Creation X ! 10 Acreage _r. Applican �/ Date Copy of Haz-Mat form sent Health Dept. Fire Dept-, ; Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date— '" By The following data must be submitted prior: to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail unter by_ Date Plans checked by Date Plans approved by Date --r" Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TQ Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1� Owner Location Plan Approved for: Sewage Disposal. Clearance for . bedroom mobile home. Other E.H. USE ONLY Plat Plea An•cbad 717 -— Fl. PI. Attached Seat to B.D. Supply: Public Private Well Hold final for: I V Final clearance O.K. for: NOTE: mental Health Specialist Date 8/92 F ,t3.Y ul u�2 0 .—. .,._.. . .�. .. .�».�.-,.-....�_e_ ....�... .......� �.� n .. ....«...-T-� n..... -r ...� _. ..- ,�..� .{ ter- ._ � ..�.. ��_ r ... ._ _. .. r.• .... w_ �. . .. � ..�-. r � _ �br �•ft�%'F�, ;� ii•'' �` , . � .. • �_ � .� r g, F� Si¢�":tert�1'��i `" ` 1 3M�,:iY �'l�'�'�!"'Yy . r3�i`v' i+ �'_'�3�,�µ{y) ' . • � kL Xd,�aTiYit,�' ailk'�i '}�"wEr :�+t��M � li`t�' , .;.��rl "t � r �ti�js� +�+'K3n► 4} rlituriJ'tZ ..4 r�•,+,rr BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) . School District C Building Department No. A. P. Number. p 11 — 31.0 - 3 4 Jurisdiction: 0 City County Property Owner Property Locatic Subdivison Residential Development Commercial/Industrial Lot No. [�] © Sq. Footage cA 70 No. of Living MHI. *dditiofa- (Group R) Units rr, 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Iding Department Representative District Identification No. Address) (City) (Floor Plans reviewed by School District Personnel) ' IU•3d-9� . Date School District certifies that (Applic nt) has complied with the requirements of Resolution No representing �7 d School District Reoresentativ( square feet. (Phone.Number) (Zip Code) S % 'J - cj by payment of $ C AB.2926 $ FULL MITIGATION $ Date Paid by Check # /U JQ Remarks: 11 li6tA-,1 n } j 9 Bank Number Paid by Cash If, 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 project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its imaact on the school district's schools. . White (applicant), Yellow (building department), Pink (school district) feeformmk, (11/94)dmm �1 y COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERMr TELEPHONE SO. FT. OCC. BUILDING VALUATION `Q:20 OWNER MAILING ADDRESSTT ` , Ig no 00 CONTRACTOR'S NAME r- TELEPHONE -93 coNrR)%cToR1s MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ 4 ARCHU OR ENGINEER LICENSE NO. , Plan Checking Fee $105-30 Energy Plan Checking Fee $ . O O ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILD,ADDREs G q C` (� PERMITFEE $ . O PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water he er 23,00 USEOFSTRUCTURE SFA Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or v nt 15.00 Gas piping system 1 - 5 utlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: / JA—` - Mobile Home S W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,/ and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER 1DECLARATION 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( 8 ACC. ) SO. 3.5¢ FT. CONST. MULTI.ONS. NEW LET C UTLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS ) 1 d SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q I.00 SAL SO Ex. Occup. OUTLETS A poR� ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 5141g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 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 Signature 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. Mobile Home Installation Fee $ Energy Inspection Fee$ 0 occ _ C T/PE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON (Date) Receipt NO. (� WHITE•D.D.S� CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 5•y=.L:''4^Ti,+�s:•-c`�'-s�.rrs�yi+;d•,t•�sw,.�,::fi.. ei�r�,i9.,�rN.y`;iW'tT3�L. ��.i: x`.'F`rF�y-+iii`��v�vry•"�''e:t.�:�i'•�"'F�";�:�sifl-��?1"�^1�-p'p':�!%�pjy :j -F .tC.:�7.:.ii<"h`^''. ":`'9�'!�'��''d�s�''i"3d�^►�Aif'�'�'+�'�_-, `.`�' '93-, E` xY 011�-3-1=0-034 e "* a>. . GLODFETY ; 'FERN ' r3 .fir •4744 CHINA,CAMP RD, CHICO MANUAL -THROW FOR ,ON SITE. POWER SYSTEM' 1p i � r i - r 9 • s s f f � ZJ G0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT- SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,. California` 9_9965 - Telephone (916)1538-75'41 PERMIT NO. 9 3-a3 7 APPLICATION AND PERMIT7 D ASSESSOR PARCEL NUMBER 11-31-34 ZONING FIR —2 BUILDING PERMIT OWNER EVE �C � � ETTY TELEPHONE 0582SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4744 CITIVAA g09A CONTRACTOR'S NAME T WrA4W TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS XX�Ei Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. „ Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4744 CHINA CALIF RD (ON CENTERVILLE ROAD) PERMIT FEE $ 2.6 "U" FROM GONERED 13R11 E TO CHINA LAMY RIT6 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 GLODFLTY — 2ND. DRIVEWAY OFF DIRT ROAD A—FRAM Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 10 Duplex ❑ Mobilehome ❑ Other �- SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W LI:: TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other'O Describework: MANUAL THROW FOR ON SITE (GENERATION) T@20.00 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 PtIWEt SYSTEM. OR LESS Main Service ( 2000A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. So. OR ADONIS. ( b ACC. BLDS- , 3.5C FT. CONTRACTORS LICENSE LAW I'declare under penalty of perjury (check one) 0,1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 10 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) C1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ' & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2 @1.00 Ex. Occup.UTETS (RESID OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3 UU WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 11LI shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 4i. ou Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application'and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. rJ / f f /. X,7�u .• /�'� .1/�i _ Date �' .� / � Signature of Applicant - ❑ OWneF El Contractor ❑ Agent An OSHA permit is required, /for excavations over 5"0" deep and demolition or construction of structures over 3 stories,in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This Permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY PERMIT EXPIRES ON/7 IDete) t Receipt No. ( J�� : 6 . 153326 WHITE-D.D.S.-B.D. f CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Gaalifornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 0 ASSESSOR PARCEL NUMBER 11-31-34 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4744 CHINA CAMP RD C.TJTrn,CA 95996 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee Permit Fee $ 20.00 $ LENDER'S MAILING ADDRESS tl1�T v y I�AY1lIAI�HXx{{�y�{{/jpilT�rryfly�{.�T/ye,TlVx,{�py� H /jYi A�11fY AYYl1YYAUiYLICENSEE ARCHITECT OR ENGINEER NO..1AiS101H Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4744 CHINA CAMP RD (ON CENTERVILLE ROAD) PERMIT FEE $ 2.6 MILE FROM COHERED BRIDGE TO CHINS CAMP RD GROUP OF 6 MAIL BOXES FIRST ONE 1S GLODFLTY — 2ND DRIVEWAY OFF DIRT ROAD A—FRAME PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 9 Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther Describework: MANUAL THROW FOR ON SITE (GENERATION) POWER SYSTEM. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service( 200AORLESS III OR LESS 1 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADD S. ( H. ACC. BLDS. 1 BO - 3.50 FT. CONTRACTORS LICENSE LAW I are under penalty of perjury (check one) I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON -REBID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPLNS. OR P• ( OUTLETS 1RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. >.1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date ,�� 93 Signature of Applicant - ❑ Own ❑ Con actor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ- I D. FEES I IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC By PER MITEXPIRESON` the applicable provisions Resolutions to do work been paid. WORKS Date 11/2 Sg3 Z3 9 lDetel e Receipt NO. 153326 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOr-DEV5'LOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CA`--IFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use eG r/t i C� ;c cxi ke ly--,�2 - -- Building Inspector A. P. No L l/-31- W _ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. "31. 32. 33. 34. All items have been submitted. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . Complete plans, 3/4 sets, signed by preparer of plans. +' Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ........................................... . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ ........................................ . . Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees........................ Flood elevation letter (100 year flood) by California Engineer. ,.. -.`1 .............. Sanitation,and plot plan approval Health Depaftment. ........... . City of Chico plumbing permit. ...:................+:................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development.about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). . . Preanspecton requ_eff- Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner Mail to owner ). ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. . . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ...................................................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. t,,Ibeliver with inspector. Other Parcel Creation Acreage % Applicant�� Date 11-9-193 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution a� Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by I I Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works UO PERMIT NO. ,85248B,'g ` PERMIT EXPIRES Fern Stephens OWNER y CONTR. owner LOCATION (A.P. 51-36-21' ) 950 -off E/ S Hutbug Rd., 261110 mi.N.of covered bridge, Chico a9�a �s 4 . i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E ` Temp Gas Serv. ailed PG&E R B /G �� FINALEDO ��✓� (Date) v ,' (Signa ure COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTION,RECORD BUILDING BUILDING (Cont'd) PLU4BING Setback -D — —z Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing r-lr- Sewer G a e Fdn., Vents Fixtures Footings 3 —Z/-7 Garage Vents Water Htr. Stemwal l - / -'T Insulation Heaters Slab 7 Prov. for physically Appliances handica ed Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Z2:f4Z--2X Sanitation J Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h /-7y lay Relnf. Steel Final Fixtures Bond Beam FIRF, SPRINKLERS Motors FramingTest Water Htr. ` Stucco Final Sub ane) Mesh 09CHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole N Finish Ducts Underground Z-f Interior Lath Ventilation Permanent Door CloserFinal Final % MOBILEHOME UTILITIES - - - - - - - - - Elec. Service Elec. Pedestal Water Piping . Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping . Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS d� 7 County Center Drive — Orovi Ile, California 95965 j Telephone: 5y4-4541 11 APPLICATION AND PERMIT , Z� `^ •.� ��� �cl+icucn wu2:r utte to enter upon the above-mentioned proposes. Date Signature of Permitee olAgent Receipt No. v ----I White-D.P.W. — ellow-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 0 P ELIC WORKS By Date _ 4-77 Iding permit expires Date �!�' BUILDING Owner h SQ. FT. OCC. BUILDING VALUATION 4q34110 r Mailing Address 80,Jr T Ishone No Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 21 ' Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 b Each Trap 1.50 �Q"CL �n!4 Q Repair drainage or vent piping 1.50 ' (z Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.51 Each additional outlet .30 Fs W . S ion F•reDept. Fire Zone Use Permit Building sewer 5.00 EQA Parkineclara ion Plans Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bid P ons Rec'd Parcel Approval Plans pproval Permit Fee ,$ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 S1.ID Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service OVER OEAMP OR LESS 25.11 Main service EA. ADD'L 100 AMP 1.00 V NEW CONST. D L I OCCUP. & ACMULTI-OUTLET ) 20sgft S. NEW CONSTR. NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CON5TR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 50e25a FIXED APLNS. Ex. Occup.(OUT ETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ `7 00 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 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 0 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.1 @ I 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 TOTAL PERMIT FEE `^ •.� ��� �cl+icucn wu2:r utte to enter upon the above-mentioned proposes. 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