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HomeMy WebLinkAbout017-100-058GARAGE W/O PERMIT 10/28/98 TO CODE ENFORCEMENT DATE: `Q _ o I 9 r �! - . ;. r - THURLOW T. WEIR 011-310-058 00-0091 • �' i e/s Humbug Rd., ?.2 mi. past cover SIN1ENC, VICTOR ed bridg Chico 12608 CENTERVILLE RD., CMCO Perm it# 4 4-741P,E(util. NIH) CONTR: SCRIBNER GARAGE W/O PERNIITS w ELEC. ' Gh GAS 7G� SUPPORT STR VCT REQ�.�� COMPACTION TES REQ. /nip f LPermi-4 011-310-058, 424Sha Trailer Sales. Chico SIMENC, VICTOR INA�ED 9-75MAlfI 12608 CENTERVILLE / ' �p®°`-_ CONT: OWNER y DETCHED GARAGE wiou ITS ' Thurlow Weir q its) 250' off E/S"Humbug Rd.,app. 22 mi.N. 00,0<7-6. 1 of Covered Bridge, Ch'co I .-I Permit #4900-76P,E(re1o ate existing ' M` _util.,MH) . _ ELEC. l— Z"r If GAS I SUPP09TV STRUCTURE REQ. t COMPACTION TEST REQ. I - i i i i I I I i contr: Quality Mobile f,),l Chico Permit #5106-76MHI- Issued - y-'� ' R 0 Perini # 27 , Aew 'lrgle - fa -� 76 DW Ostrander i E/S Humbug Rd.,,app.2 8/10 mi.N.of --Covered -Bridge - Chico Permit #6041-77B,PE,M(new single family)x,.),1) J/ 01 � 011-310-058- PERMIT # 98-0004 SIMENC, VIC 12608 CENTERVILLE-ROAD, CHICO } CONT: ABLE -PLUMBING' GAS LIME EXTENSION.. 0 p wr •.� = --1 q. y�% •'fir'' {V] J �,.�.,,.^�[ ! '�l i p� 4 . - h 7,6-t�'4 , t "7.jIi � `�'�` '�• '" - ..� � � �J �;�`�' cg a ��, $. �='�'' —• _ + � A "". ;.: `e9 - t - �T •� ` i s � a - .,` 0 EJ / -:;, � a -,� ifs � � '`►r + � "� $ ` ��Q' .. :�� i i a n L� ' '`-y :�_ d C °-x v !sem. � - .l - v - #r'-" �i„, ''u � � �_ 7"t3 �"=-�r•-- _ ^ �`- .,.__ � ��—._'_ ""--_'�' -- oil o r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 J WEBSITE: www.buttecounty.net\dds L PROJECT INFORMATION, Site Address: 12608 CENTERVILLE RD Owner: Permit NO: B07-1595 APN: 017-100-058 SIMENC, VICTOR & KAY REV Permit type: MISCELLANEOUS 12608 CENTERVILLE RD Issued Date: 7/24/2007 , By GLB Subtype: Electric Panel CHICO, CA 95928 Expiration Date: 7/23/2008 Desai tion• ELECTRICAL PA NE / (530) 893-1935 O F C O 200AMP ccupancy. Zoning. FR2 Contractor Applicant: Square Footage: ABLE PLUMBING & ELECTRICAL ABLE PLUMBING & ELECTA Building Garage RemdUAddn PO BOX 7907 PO BOX 7907 CHICO, CA 95927-7907 CHICO, CA 95927.7907 Other Porch/Patio Total (530) 899-9009 (530) 899-9009 r - FEE INFORMATION DBE Single Phase Service-Resid $58.00 ,LICENSED CONTRACTOR'S. DECLARATION.- Contractor ECLARATION._Contractor (Name) State Contractors License No. / Class / Expires ABLE PLUMBING & ELECTRIC 627760 / C36 C10 / 2/28/2008 I HEREBY AFFIRM PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing i S ion 7000) of Division 3 of the Business and Professions Code, and my license is in full f an act. 7/24/2007 Co ctor's Sign a Date OR S' COMPENSATION DECLARATION I HEREBY AFF M UNDER PENALTY OF PERJURY one of the following declarations: ❑I HA AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR W KERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: DELOS INSURANCEPolicy Number: 01 DKRM12000100Exp. Date:5/112008 (This section need not be competed if the permit is or one hundred dollars ($100) or es—i s.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS, ISSUED, I shall not em y person in any manner so as to become subject to the Workers' Compensation law C ' r a, and agree that if I should become subject to the workers' compensation visio of Section 3700 of the Labor Code, I shall forthwith comply with those Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B3994 OWNER / BUILDER DECLARATION ' I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvement: are not intended or offered for sale. If, however, the building or improvement is sold within one - year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code. The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). . F I AM EXEMPT under Section B. 8 P.C. for this reason: , X 7/24/2007 77�� Owners Signature - Date X 7/24/2007 _ I hereby certify that I have read this application and slate that the above information is correct. I agree Signa ur Date to comply with all City and County ordinances, rules, regulations, and State laws relating to building ' WAR G: FAILU TO SECURE WORK COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal EMAGES HALLS JECT AN EMPLOY O CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with RED T OUSAND DOL ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the AS PROVIDE R INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or cy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. C y to er thewy n°1v enlioned property for inspection purposes. I hereby certify that I am the CONSTRUCTION LENDING AGENCY roperty eror�rpant� property owners behalf. - 7/24/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me ermittee [SIG Print ate the performance of the work for which this permit is issued. (3097 civ. code) r Owner Contractor OR. Agent for Ow en for Contractor Lender's Address City , State Zip FILE COPY , BUTTE COUNTY PERMIT G DEPARTMENT OF DEVELOPMENT SERVICES NO. ---j BUILDING PERMIT APPLICATION SAY `• AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION BIN N Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** ,0 OWNER INFORMATION Last a(ne First N e J Address_?O Address City City Stat Zip Phon 93J__ • Fax E -mai Fax pg 3- L 7C APPLICANT INFORMATION CONTRACTOR Name J Address_?O !fid 90 City Fax&9 _ y , C—, StateTz1P,5nqz? Zip Phone 0 u Fax pg 3- L 7C E-mail Date Approved: Lic. #K 7 76 0 C -- 9 !2 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City (f/ /l Address Zi Z City Fax&9 _ y , C—, State _ Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name i✓r -�" Address PO City (f/ /l State Zi Z Phon _ Fax&9 _ y , C—, E-mail PLICANT SIGNATURE For o ce us Zo ng I I Floot.4onf-FIK I SRA I Yes No cc. Typ Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PR ECT LOCATION AN Property Address City Cross Street WORKER'S COMPENSATION Policy Number 400 s1 —� o0 Carrier f If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 1 s.✓ 02 24�-P} L_j Sq - Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION . Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receiv Amount: Bldg 7ZShe A Receipt #: rdf SMIP Dat Other Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for. Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info; (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review.upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8: Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION UFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 ' NOTES RESIDENTIAL 01.1--3I0 8� OZ -04 24 ,, CO-20;?o �s���tia SW XNMT mmq chi e -d ` 12608L�\CENTERVILLE,RD - v'" p�srw♦ vL Ya74U' CONT BOER NO DETCHED GARAiGEM/OUT PERMITS Il 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) 7 `)q� Signature / = OK 0 = Not OK. - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch F Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses S. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ PLPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 9. Health Department Approval 8. Utility Clearance 11. Light Niche Date Card B-1 Date Card B-1 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 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date 46. Underfloor (Plans) OK except #'s 1. Zoning-Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils-Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrap ped 6a. Hold Downs and Special Anchors 7. Slab, Steel-Wrapped 8. Piers-Fireplace Ftg.-Steel ► 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test-Anchors-Regulator-Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-Material-Support-Ins. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent-Access-Combustion Air Baffle 18. Water Pipe; Test & Anchor-Nail Protection 19 D.W.V.; Test Fittings & Anchor-Nail Protection 20. Shower Pan; Test, First Floor-Tub Access 21. Test Tub & Shower, Second Floor-Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance-Ins. Protection 24. Elec. Receptacles Spacing-Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or Al-Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O No 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light-Shower Light-Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted • Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearinq dingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes J NoMalks J Yes ] No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ' "411 Main Street - Chico, CA - (530) 891-2751 K '+ l n .7 County Center Drive - Oroville, CA - (530) 538-7541 14 CORRECTION NOTICE 2 oZ bYz OWNER PERMIT NU A routine inspection indicates that the following violations of butte county Ordinances exist at the Y,.:. above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please contact this office immediately. ans 11 -v ti r . C'ff V�' k 1. (�t Date Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 •County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0cp _0 ASSESSOR PARCEL NUMBER V69MOME 011-310-058 ZONING XM FR 2 BUILDING PERMIT OWNER SIMENC VICTOR 899-9009 TELEPHONE SQ. FT. OCC. BUILDING VALUATION 400 U 7 200 • OWNERS MAILING ADDRESS 12608 ,::CENTERVILLE •_RD. CHICO, CA 9599P CO,,NNT�T(RA�CCpTTO�ORRpS NAME .- • 11iYPi6NEPa� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $7 200 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 64.35 BUILDING ADDRESS 12608 C Energy Plan Checking Fee $ PERMIT FEE $ 183.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF J0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Q Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: DF°TA('HED GAR AGF W1101-11REW41—'�� Gas piping system 1- 5 outlets 15.001 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 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 (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 DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200. TO 46.00 NEW CONST. DWEWNG CCU OR ADDNS. a ACOCCUP. C. S. SO 3.5¢,T: 14.00 NNOON A °�,oT. 4U LTH, 97.50 8PSINGLE OUTLET OWER APPAR.TUS CTR. Ex. Occu OUTLET OR FIXTURES BAS @ ' 50 Ex. Occup. oFlxuT,E�°Ts" REs oREti 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 34.00 WORKERS' COMPENSATION DECLARATION rI 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. ❑ 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 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' comp nsation laws of California, and agree that if I should become subject to the rke s' compen on provisions of section 3700 of the Labor Code, I shall orth ith comp with those provisions. X �D to _ 1,177)0 Z Qna ure of pelican - Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ U CONST. TYPE vn TOTAL F E $ 31. 5 �H-AZ. I D. FEES IMP I FL COF PAR IS E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON Iate the applicable provisions Resolutions to do work been paid. 7 �^�� Dat v ReceiptNo. 343414 < " WHITE-D.D.S.-B.D. CANARY•A SE OR PINK•I SPECT R 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: ASSESSOR PARCEL NUMBER OA3 /D - U S Proposed Building Use:"G1d`Q G( WC(/1 Q C1fZ Counter Technician: Date: �6 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ErArl. Plot plans, 3 or 4 sets, signed by the preparer of the plans. . 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. . Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Ene'fgy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By :%�8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... _A11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 15. Statement of Intent for Non -heated -and A/C Buildings ...................................... . . 16. Sanitation and plot plan approval from the Environmental Health Department in 1IT City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by\�� /.'..`%�4�....... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 24. Worker's Compensation Carrier and Policy Number.......:PP.......:.............................. 5. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Le from Lega Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone nd hold for pickup. \ _1 I have been fo edA a above items and requirements for obtaining a building permit. t Applicant: Date: Z? (J 2-- 1. Index permit application for the above items numbered: _ 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: phone, ❑ mail, ❑ phone, ❑ mail, ❑ Plans approved by: _ Structural approved 1 Yellow: Building Division Plan Check Letter Acounter,y Date: y Date: Date: Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 ` SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE (d' 1. BUILDING PERMIT FEES --Balance Due ........................................................ s- --Additional --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x =$ # Units Amt. Commercial (Sq. ft.) ............. X_=$ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.# IZ^--� U 1 0�� DATE RECEIPT # DATE REC. At time of permit application, I was advised he above fees are required to be paid prior to issuance of the building permit. These fees may be changed dur' g t e plan c ckin rocess. AP LICANT4 DATE 2 Z J0 Z_ Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 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 Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: \ eS\ 4A q z(' Phone: Se 9 — 9 OC) a Site Address: Assessor's Parcel Number: D 1 I -- 3 1 — 5� Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes (. No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ®, No 3. Will items produced in this building be offered for sale? Yes ❑ No 0 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising,. on or off site, be associated with the use of this building? Yes ❑ No [� SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No ED CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No 14. Will this building have a water heater? Yes ❑ No 15. /► \ What type of floor covering will the building have? l,G'1C.F—Q 16. What type of wall covering will the building have? G✓O,-, Q, OVER 1 of 2 PROPOSED USE: (check only one box) 1. [�tesidential Storage Shed — I will be storing rso^ec 3L Z c� in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept" A Garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop 1 ❑ Home Occupancy' ❑ Other — Use = Describe type oC Wortahop 2. Must be approved by the Butte County Planning Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. t ` O�vner's Name: Please Print C. �i Owner's Signature: L,0-1 Date: 2 of 2 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. 10 I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ,NO ❑ I HAVE &L HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: CITY: PHONE: CONTRACTOR'S LICENSE O: 4. I plan to provide portions of -mss work, but I have hired -e"following person to coordinate, supervise, and provide the major w NA1�IE: � ADDRESS: PH0NE: 5. I will provide some of the the work indicated: / NAME SIGNED: --' PROPERTYO CITY. OR' CENSE NO. ut I have contracted ADDRESS PHONE following persons to provide OF WORK NOTE: This Owner -Builder Verification is required by Section 19831. and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFOPUNIATION I 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 parry 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 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ 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 tax 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 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder 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. I rely, XV- Mic el C. Vi ira, C.B.O. ivt ger, Building inspection NOTE: This Owner -Builder Information is required by Section 19810 of the California Health and Safety Coda OVER a r Ela N guy .� '~• {� P 'U CoroV REVIEWED BY r BUTTE_ CO. FIRE DEPT. CALIF. DEPT. of FORESTRY approved as submitted approved with conditions � per attache s� reset. 3 � •� ;iana?ure a. cLUDiNQ w 3PAD ��P��OEpNL��tN�p� 0 5• OFPAI)UGffiles 01. JB� 1E5P D PS $L L ovE S1�P`L® 4PPROOVED �4 .'� �O � v�t,�`� Cad CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAl E Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. III 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 a£ - 1.-, 1� / /-3 (–S-? 0 2'Oq-2�L ��n n/�, Ilse -I 2 AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [M] 1273.10 Turnaround. A turnaround shall be provided at all j" building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�l 1. Gate entrances shall be at least two feet wider than the roadway it serves. [>(j 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. �] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback. for buildings and accessory buildings from 411 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including / chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r fi:ial inspection of a building permit. Page 2 of 3 0 f AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic spr4nkler system per NFPA 13D - Glass area not to exceed i0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 01 117Date Signature Page 3 of 3 h �w �w ............... . ..... . A& � jo Rw UTT dE-COs*jTv AUUMM DEPARTWRV4,,- APPROVFn_. JAI It 6\ dum DEPARIMNi. AMDM DEP AppoovFt'....... 1. 14 �tl. It tA)A1 A.) It C' , lit 6\ dum DEPARIMNi. AMDM DEP AppoovFt'....... 1. 14 BASE DETAIL A. GALVANIZED METAL FLASHIN 2 x 4 STUDS. 16 O. C. 2 x 4 PLATE 4 x 6 DOUGLAS FIR PLATE 6" MIN. ' CONCRETE SLAB BASE DETAIL B. GALVANIZED METAL FLASHING 6" MIN. IIEII) _ 111_111 2x4STUDS 160. C. 2 x 4 PLATE 4 x 6 DOUGLAS FIR PLATE e►Mp 1:5a60 3'0,c. CONCRETE SLAB PEIR BLOCK co CONCRETEeat' : e0 b'� 11 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION "Forltisuranee;Company,?Use BUILD INGoiWN R'S NAME pJ/ e>2 { G� PohcyfNumber/ ,. ; ° BUIL I QEET ADDRESS (Includin Apt. Unit, Suite and/or BW9. No.) OR P.O. ROUTE AND BOX NO. rZdTpany NAIGNumben r + ; ZONE(S) (Zone 90�Luse d2th of flooding)55 CITYC/-/ GQ C ASE ZIP CODE CIS ze PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE(e.g.,Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) A cca 550p- LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE:�_� GPS (Type): or ##.#####°) NAD 1927 I—J NAD 1983 �� USGS Quad Map �_� Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME B3. STATE �- OC. 00I Z F2iJ �� 04 B4. MAP AND PANEL 85. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER 600 -375 1 A TE EFFECTIVE/REVISED DATE ZONE(S) (Zone 90�Luse d2th of flooding)55 7 B10. Indicate the source o t e Base Flood Elevation (BFE) data or base flood depth entered in 99._ FIS Profile L& FIRM .1 1. I_� Community D terminad �_� Other (Describe): B11. Indicate the elevation datum used for the BFE in B9:,NGVD 1929 �_� NAVD 1988' 1_I Other (Describe): B12. Is the building.located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? �_� Yes IX No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1_IConstruction Drawings* I_IBuilding Under Construction* Finished Construction. *A new Elevation Certificate will be'required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area.of Section D or Section G, as appropriate, to document the datum conversion. Datum 19- Conversion/Comments Elevation reference mark used Does the ele tion reference mark used appear on th No O a) Tap of bottom floor (including basement or enclosure) Z1 .ft.(m) ❑ b) Top of next higher floor _ fL(m) @ISS ❑ c) Bottom of lowest horizontal structural member (V zones only) _ fL(m) w J\� Cis. y Exp. CIP ❑ d) Attached garage (top of slab) _ ft (m). E 0 v 0 e) Lowest elevation of machinery and/or equipment u, m UQ' Z rn servicing the building ft.(m) 03 rr eZo 0 f) Lowest adjacent grade (LAG) �. 3 ft.(m) Z.- 0 g) Highest adjacent grade (HAG) 97— $ _ ft.(m) g ❑ h) No. of permanent openings. (flood vents) within 1 R above adjacent grade a �%' CIVIL 0 .i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. t1trc111_ir e W.801a MAA) L' ENS N,UIy18ER TITLE?Q68 5sf � `'AL COMPANY - NAME 5 AUUMCAJ GI rY 5 ATE ZIP CO �y Al2WEIL LAt,[ � & /Cn .� ,- e 3 c���iv�l • � / s /a � S3� ^ 3 yz � y�3 �, FFMA Fnrm A1_11 Al Ir. QQ SFF RF%/FRS4F ginF POP r.r1NTINl IAT1r1N RFPI Ar:FC AI I PRFVIr11 I.0 r-nI11(1N.0 IMPORTANT: In these spaces, copy the corresponding Information Shorn Section A. Fcti fesri BUILDING TRE ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.)) OR P.O. ROUTE AND BOX NO. CITY STATE ZIP COD ?Cornpggr,-- SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent(company, and (3) building owner. COMMENTS 9�L�2'�' `r'©t�' W " -a 7-2F A4 i fz Zig NC r13' L L-4 Z--- 1_1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE Ao AND ZONE A (WCTHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1. through E4. If the. Elevation Certificate is intended for use as supporting information for a LOMA'or LOMR-F, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is. I I I fL(m) I I 11n.(cm) L above or 11 below (check one) the highest adjacent grade. (Use naturaf grade, if available.) E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is LU ft(m) I I lin.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? LI Yes U No 1J Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3J only), and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, Q C, and E are correct to the beat of my knowledge. PROPERTY OWNER`S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS IJ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. Ll The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2- "A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued SFE) or Zone AO. G3. "The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. PERMIT NUMBERI G5. DATE PERMIT ISSUED I IG6.UDE TE CERTIFICATE OF COMPLIANCEIOCCUPANCY G7. This permit has been issued for. " New Construction " Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ fL(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS if e t7ter 14116 CD a'{ir�''r' w:;�'�rl4ih:3�wri;?`;:;,:r�`,`��ii`:;;"S?1'w)e•. )r;j,,.;r�•'+:vlli'•1''',irr. : rfi:t°. i.{,4(i!}'Y'ii,. •T`.'ri:; -- �iilliilili Y.1.'>' i:}�'{�jf,�lin�;:5,}15;itl,r• - �,iEniS�xii:� _ �i., ;1'''''iili.�•., .riiitl�vlt' r,• r r !t 1 � ; �, N r , r1r.+i:.i "„ hXiijl ... .... a.:... :�-r• I ...,.....�..:.:.::..c1pn,..:r�:::,;;r,..,,.:r.,•.,N,!::.-�..d' 11!v. r',{�j`c '',..�ii!ifil�' v'+w'S�11lti�}iI'i'.� .........::a.......r:: �:,:�, �:::�_ •ij:r„r,,: '� (f .•�.:aiirti.j, - ��yy'' {{1,,iV{9mSI'`. :.:: I:.i •N...:...,..._.. ,..___ .. � ):i ry�......_r.:.(� _ :;��:1, Siti11RG'�h:r _ ,. {::5.. . Yci4b:” } + ......1a,..rr, �,�,.:-- ::�:. S",... r ......_� jf ' :. � � d_.:.r,,:... .. ;:1°�;�;' c.+ ,•:t?i�&,-•7y '.'ii U'd ,;. d';)i1•: .- 1..,,f_...r..r;�af)uq�'::•:'=:•r•,r,,;,1�t{,:;1??i:;�;'•"`')iE�4Yr:-..ii:{•,:V,:.i 1}zip'-�'_�'a ..: .. .. .:,•:r,:::r:�::�iri';EI..�._...,.,.,In1c,.a-.h'•:r.,.:e•rtlr.�lffb_.....)_ii `• "::fig;,{�,}En •:. .�ef�i;fli.,. .....:...,.).,.1.�,::�.,:;,.,:.,,)ria, Lt:•.':::��..I �.: .::•.:,.::�'� .. a<. Ili . ., ..�.:::.r•-� , ...., .. rn..r�,:::.......,n,nn7a.1!ifF're.•:;a�:�'iui;F.. ",:y). :r i.�c Jnr diiq--i_: `jj ;'f'.. .• ' f 1 f�tl 1 art ) tE hx!1yF � 1 IE)�6N+tl�lfi 1 �1'1 j ,Ueszt�•'�.{..' ::.:,,r;., 1 9 � rd.Ura � � nR��r�;yi'L_hi4{1!::'.�� .) — •rl��{�' rli�i) �U�.eA�, tisWvt - 1 ' r dru : 9 r t L,1�rr rs_ :...:.a:. ,... ...r .:�:•nT;,,,u...._a.r •� iUn.{?+...-:; .. c,".0 Fn•{l!�t�;rr:: ..'i(i{+: i?: �!; ... ..,,•:ryrc:,:.. ••••„jrf �1{ ,.nr. •:: .,:{f•;��y.='1 � '� f•:rwr', iter - , } _�1�,�i , .... momr, ! . w.,4_`i::'t r_�il - ':8i;}:jr'' ��-• �' IEta;.er_.'.. �� I _.::c•,�:.:::,:r,:e•1,. ;,lin{fsa�:v:-,x;,. {, .1 :_ � �llit<: :• ::-.r.�'.f l,�.a., t1n`)4?'.:;: r-''.•a'n� wv:—t�' `�i li�lk�rtir.�; :, . d l n ,- ..,,�,,:::.:.,::',',r::..>Geis`i:'•:-.re..iE.z;.::'r'';"iTq 41.!nnc�i ��-�4•kSnr.R;a.y.__n_:6-r' 1:,i.3' .f. :j:Fti=i•�;;i_mr_:3}'h!�1ar '.}I;) ,. ' � :.:.. icY 311:_f.:...t.,ra�tiliri s:. f�:.._r.,f�4FS1f�1,'°S '1 ....,..n,} 4FM r�..%r1� vt!..•�1�ir�...r���11�ix'�:','Y �fl E.M. USE ONLY - Plot Pbn Attached Floe Plan Attach d Sant to S.D. ! T0: Building Department C\ FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: P bIic Private WeIJ� Clearance for dwelling. Other A, -I ,(, U 110 ,� 1 2 ion Inc— Hold final for: Final clearance O.K. for: NOTE: Envir mental Health SpecialL�� Date �v 8/96 En vironrrental He, I o 14AR 0 6 ?nn,) Chico, CA ti r - a *-k yv L 5 �-v -!OKI 117 Environmental Health MAR 0 6 2002 Chico, CA - t CIO OWN i .3n A BASE DETAIL A. GALVANIZED METAL FLASHIN 2 x 4 STUDS 16 0. C. 2x4PLATE 4 x 6 DOUGLAS FIR PLATE 6" MIN.1 I CONCRETE SLAB Ni , BASE DETAIL B. GALVANIZED METAL FLASHIN C'�iPilLl PEIR BLOCK CONCRETE 2 x 4 STUDS 16 0. C. 2 x 4 PLATE 4 x 6 DOUGLAS FIR PLATE CONCRETE SLAB III -III =III=1 I =111=III =111- I � �- I I i i� l i �_i ilii �� � I� R i . . I . , '. I .. .. All 1. e1. BASE DETAIL A. GALVANIZED METAL FLASHIN 2 x 4 STUDS 16 0. C. 2 x 4 PLATE 4 x 6 DOUGLAS FIR PLATE 6" MIN.I I CONCRETE SLAB 34 vi T Oil -3Jo- 0"7 -do -,906 i' co df - guy t r Is lii:•J1 Ey.� ,:� :4•)4i (•:�'. :'JLllll'lllli:r� 1� o` 11Ull1 T ION 1$ T : 22 N. R 3 E. M.D. B. a M.. r �'AS7' 1 /�' SEC � Ic 400" i/4 'UH. SEC. IS /! J j.� 1 r).._ (� 5 �_ —.__.. 17 20 608 07 �' 6.20 AC 3.35AC ta'Q % sir � AV f 3 12 I I $ W. 25 4fi 43 42� 49 P719Ot 4.04AC r •: 13�/ _ 140:.. �1 130 I.V 130 1.30 1;30 130 195 205 y �f 584- V 720-03~ 5.00 AC. 130.31N s s 16 I. (` ./ .4 39.16 I 10.5i AC 19 .30 ` + `6.44 AC. 2 . 7AKY ,. � 304.73 �( o 11.67AC.. � J1 CV 1 iv i Fm Icy l- 50$� 4. PM 57-3$ 5gd. p3 PM 62-522 687.24 � Assessor's MaP No. I1 —31 County of Butt®, Calif • �f,,,��� In QE: v ;� �r � 'v �� X i —.ddL_. ... .611 13 1 12-', rI n�: 19 SPAN TABLES The tables pri tited br-IOW At -f- bFIFIC-.0 1.11w(M 1AIP 19S)4 raff.erm alld .JdJ.FVt:F1 11111FI1' 1.1n I )OOICI I nF4 F J..T' - 1 A t.- C 1 112 01 KAXIMIM SPAII JAvc2 land, to pof dead load FLOOR j Isi's 12' 4 2 X 4 JtOOF TAFTEI 11' I" 4n pof live. Irwid, io psf dond load 9'..10" ,>.o psf Ilvp lonfl, J.n F)nf cleAr.1 load 8IZr SPACTMI MAXIMI(M SPAN stzr SPACIMI MAXIFF1114 SPAjj 2.411 6.1 1.4'..A .1 r, 11 C. 12-1 O,C. 2 x f; 1F" C 1.61, n.C. 2 x 4O.C. 2 x 11) 8, 0. V. 24" 0. C. 121, O.C. 17, fill 2 X 1.0 1 12" O. t1. 14'..0" 24" 121,C , 1 14'-n" 2 X n Ir." (). C. 1 -.1. C. 1. :? x C, 1 r, 11 C. 12, .9.1 24 0, C. 24" 0. 17'.0' 1, 2 C. 06 2 x .10 If" O.C. 15' 2. x 0 1.r" 0. C. 16'-2" 1,2 (1) C . 2 0 2 x .12 , r, ((!. , -1, q,, 2 x 10 1F" O.C. 19'-6" 241, O.C. 1.4. W. .241, O.C. 16,-2u In PRE live load, 5 pnf dead load SIZE SPArT.Nrj KAXIMIM SPAII JAvc2 land, to pof dead load SIZE 12' 4 2 X 4 Ir" O.C. 11' I" 2 X 4 2.4 0. C. 9'..10" 2411 O.C. 12" O. r:. 19' .4" 2 x 6 1 A tnN 17' n'. 2.411 6.1 1.4'..A .1 r, 11 C. 12-1 O,C. 2S' -n" 2 X 8 1.61, n.C. 22, -Fn 2 x 11) 24" 0. V. 24" 0. C. 121, O.C. 17, fill 2 X 1.0 1 0. C. 2n, w, 24" O.O. 22 ' - I I ini 20 puf JAvc2 land, to pof dead load SIZE SPACINQ MAXIMUM SPAR 12-1 (I.C. 91 -41- 2 X 4 If," (). C. 0'..4" 2411 O.C. q. -0. tnN �:4 121, O.C. 6.1 ,A x n .1 r, 11 C. 1.61 24" 0. C. II 121, tt. C. 22, -Fn 2 x 11) 16" (". . 19' -F" 24" 0. C. 16'-0" ' COUNTY OF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES - BUILDING DIVISION G� 7 County Center Drive • Oroville California 95965 • Telephone 530 538-7541 P 1 0• (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 011-31-0-058 ZONING FR -2 BUILDING PERMIT OWNER VICTOR SIMENC TELEPHONE SQ. FT. OCC. BUILDING VALUATION 320 U 5,760 . OWNER'S MAILING ADDRESS DONXSERINNER 12608 CENTERVILLE RD CHICO CONTRACTOR'S NAME - q,57zo DON SCRIBNER TELEPHONE 695-3038 CONTRACTORS MAIUNG ADDRESS 2996 PENNINGTON ROAD LIVE OAK CONSTRUCTION LENDER Fireplace 5769 LENDER'S MAILING ADDRESS - Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 52.65 BUILDINGADDRESS 12608 CENTERVILLE ROAD HI Energy Plan Checking Fee $ $ PERMIT FEE $ 153.65 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE GARAGE ADDITION SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 R] Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STORAGE ADDITION/GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR ES Main Service ZDOA 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 f 1 force and effect. License Class Lic. No. 3D-2-30 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. F ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To ,000A 46.00 NEW CONST. DWE WEU 7IJNG OCCUP. OR ADONS. & ACC. BLDS. SO 3.5¢FT; T. NpµROE tD. MULTI.OUTLEr 97.50 PO APPARATUS 8 SINGLE OUTLET CIS. Ex. Occu OUTLET OR FUTURES 20 @ I.50 BAL o .so Ex. Occup. ovntTS 13 RE�SIo°FRa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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 ce—rner and policy number are: Carrier STA r -e FW AI / 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 �' /� n / r.l-, Date le - ��' s 7� Sig ature 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 hep ht. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 153.65 HAZ. D FEES IMP FLOOD CDF PV PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. ( a. &oWl WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M.- 7_9,QUNTY OF BUTTE• DEPARTMEN OF DEVELOPMENT SERVICES - BUILDING DIVISION M7 Coly Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �1 0. X; 7� . Fiev121x()*, - APPLIC4MON AND PERMIT T ti ASSESSOR PARCEL NUMBER�r - 011-31-0-058 A . k �..- - ZONING FR -2 BUILDINGPERMIT ' OWNER SIMENC rf e i+r ^, �.• TELEPHONE SO. FT. OCC. BUILDING VALUATION TT 320 U 5,760 ,OWNERS MAILING ADDRESS 4.+,( r,gid 12608 CENTERVIIJA RD CHICO CONTRACTORS NAMEG'�'t -- • WN SCRIBIM " TELEPHONE 695-3038 - CONTRACTORS MAILING ADDRESS . 7299& PENNINGTON ROAD LIVE OAR CONSTRUCTION LENDER - [Fireplace LENDER'S MAIUNG ADDRESS { 5760 Total Valuation $ ARCHITECT OR ENGINEER r -- .,•,.....w�.--' },C/ t�;UCENSE NO. Filing Fee $ 2OM•DO Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS �^° 1 Plan Checking Fee $ 52.65 BUILDINGADDRESS r 12608 CENTERVILeE ROADCHI 1 Energy Plan Checking Fee $ - I }.�. i. $ PERMIT FEE $ 153.65 LAT NO. .'1 SUBDIVISIONS NAME1AI / /1RE. PARCEL MAPA PLUMBING PERMIT Fling Fee 20.00 U USEOFSTRUCTJ 1 ARAGE ADDITION SF O Duplex ❑ Mobilehome❑ ther _ v If I SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK `�t y- New ❑ Addition q, Remode-O Ufi1zs ❑ Installation O Other ❑ r Describe work: - GE ADDITION/GARAGE -- Gas piping stem 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ f v ,. ELECTRICAL PERMIT Fling Fee 20.00 600VOR UES Main„Service zo.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 wit. Section 7000) of Division 3 of the Business and Professions Code, -(commencing my licensed in 1U1 force and effect. !,�' License Class Lic. No. 4 -.3 Q 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/ ❑ I am exempt under Sec. I Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0/1 have and will maintain a certificate of consent to self -insure for workers'—Cooling 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 c�jrier and policy number are: Carrier �irA r rC IrUNL/ Main Service 200A TO 1000A 46.00 NEW CONST. DWa UJNG OCCUP. OR ADDNS. ( ACC. S. S6 NEW CONST.MULTI.OUTLET NON-RESID. C @7.50 POWER APPARATUS a SINGLE OUTLET CR. Ex. Occup. OUTLET OR FIXTURES20 Q I'00 SAL Q .SO Ex. Occup. ouTEiE s'RESIo.OEl :5.00 Temporary Service , , 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Hood 6.50 �^^ Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall 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 �'of 7..�-tea Date 110 HiQ` q Sig ature 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 hepht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 153.65 HAZ- I D FEES IMP FLOOD I CDF PARC I PD I HD I ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I thelhpplicable provisions Resolutions to do work been paid. Date Date ReceiptNo. 7—<;In WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 79,1 COUNTY OF BUTTE 'DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541—ORT4o. Rev' 2/9T APPLICATION AND PERMIT `'1 ASSESSOR PARCEL NUMBER,. OL1-31-0-058 �. z�»2 BUILDINGPERMIT OWNER " VICTOR SIMC TELEPHONE SO, Fr, OCC. BUILDING VALUATION , (� jj 320 " 5,760 . OWNERS MAILING ADDRESS . '- ! 12608 CENTERVjiILLE RD CHICO CONTRACTOR'S NAME 9x^'v ' DON SCRIBNER TELEPHONE 695-3038 CONTRACTORS MAILING ADDRESS 2996 PENNINGTON ROAD LIVE OAR CONSTRUCTION LENDER LENDER'S MAILING ADDRESSr Fireplace 57-60 Total Valuation $ ARCHITECT OR ENGINEER v,.,:,, -....r+•- LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS X Plan Checking Fee $ 52.65 BUILDINGADDRESS 12608 CENTTERVIIA ROAD CHICD Energy Plan Checking Fee $ + $ PERMIT FEE $ 153.65 LOT NO. SUBDNIS IONS NAME , PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 ' USEOFSTRUCTURE GARAGE ADDITION SF ❑ Duplex ❑ Mobilehome 0, -other f W SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 i. TYPE;OF WORK New ❑ Addition l, Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: - MUGE ADDITION,/GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main. Service zoOA OR LESS , 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with'Section 7000) of Division 3 of the Business and Professions Code, and my license is'in full force and effect. r/� 1 License Class Lic. No. 3 , Fi ,�,. ! O 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 Main Service 200A TO 1000A ` 46.00 NEW CONST. DWELLING OCCUP. ADDNS. ( ACCOUBRET 3.50SO. FT. NOR EW CONST. M NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.LNSe,ll 20 Q 1.00 @ ,� Ex. Occu . ounFIXErs RESID.OE., 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier aA r -e //A P MECHANICAL PERMIT Fling Fee 20.00 Heating ` Cooling Hood 6.50 ^ Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall 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. yM� // y, ' X Y , Date Iri`5 — e7 el, 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. t Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 153.65 HA2. D FEES FLOODIM„ FlOD 1 COF PARC V PD HD IssuE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,-Zgpv.12/96) r.� -.,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT 0. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - 011-3I-0-0.% :w ZONING FR -2 BUILDING PERMIT - OWNER ;� - VICTOR SIMC TELEPHONE SO. FT. OCC. BUILDING VALUATION *� 20 V @ 5 OWNERS MAILING ADDRESS ��7p+/'pD[ER; .. 12608 CMMVILLE RD/�C[E�IOD CONTRACTORS S` CRIBNER t7 TELEPHONE695-3038 CONTRACTORS MAILING ADDRESS 2996 PBNNINGTON ROAD LIVE (TAR CONSTRUCTION LENDER Fireplace 5160 LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS s Plan Checking Fee $ 52,65 BUILD N2608SbjY�lrw[T�VIL� ROAD CHICID Energy Plan Checking Fee $ $ PERMIT FEE $ 153.65 LAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE e-- - �A.E ADDITION SF ❑ Duplex ❑ Mobilehome ❑ •Other . SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 • TYPE.OF WORK New ❑ Addition to Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STORAGE ADDITION/GARAGE Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .0. oA mss . 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 310/{ �. 1 ) Q I 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. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING occuP. OR ADONS. a ACC. BLDS. so 3.5¢FT. NOµH6OSIOT MULTI.OUT CIRCUT @7,50 POWER APPARATUS a SINOLE OUTLET CIS. Ex. Occu OUTLET OR FD(TURES 20 Q 1.00 aAL 9 .so Ex. Occup. .."E'AE.SID.OERA 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 ) 7'°,lA T- -f F UN P 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 forthwith comply with those provisions. ' t X J?? —Ie- tin„X--., Date / '- �/ ” 71 Sig ature 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE Ltx TOTAL FEE $ 11,"3• 65 HAZ. p. FEES IMP i!(f FLOOD I COF I PAROL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. ?L, 1/ .__)1 JI ,) �' ' % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSMOR PARCEL NUMBER II ^ OS ZoM►p BUILDING PERMIT OWNER ( ' ' el , i � TlLtPNON! V L C`� 2 SD. FT. OCC. BUILDING VALUATION owNEAs MAlJ ADOM t3`7 O CONTRACTOR'S NAME COMTtACTOR9 �NO� GfL C n CONSTRUCTION LENDER LENDER'S MNUNG ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCMTECT OR ENGINEERS MAUNG ADORESS Permit Fee $ 0C) BURONGAMPESsPlan Checkin Fee $ 1 ea, Energy Plan Checking Fee $ PERMIT FEE $ Lorca aLsav®owaNA►E PARCEL MSP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 : SF ❑ Duplex ❑ MobHehome ❑ Other Water piping 15.00 ePEcsY Each as water heater or' vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilides ❑Qhnse6,alatlon ❑ Other ❑ Building sewer 15.00 Describe Work: J 11J Mobile Home S G W 020.00 MA-fto to 4n t PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 Main Service oa o°AR 1 23.00 LICENSED CONTRACTOR'S DECLARATION Main Service 2ooA To Topa► 48.00 NEW I hereby affirm under penally of perjury that I am licensed under provisions of Chapter ORADONs.T. OW&W. �8 - 3•UPFT. 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, +gµpp,p. MLRT}OImFT @7 50 and my license Is in full force and effect �,,� License Class Lic. No. a =A -Pup as OWNER -BUILDER DECLARATION Ex. Occup. OST OR FDnUREB eA20 0 +.w I herebyaffirm under penalty of r that I am exempt from the Contractors License Ex. Occup. �o APP11e' ) P 11Y perjury P GvnETs EsiO. EA 5.00 Law for the following reason: Temporary Service 23.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, Mobile Home Facilities 20.00 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 Misc. Wiring 23.00 to construct the project ❑ 1 am exempt under Sec. , Business and Professions Code for this EA reason PERMIT FEE $ WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penally of perjury one of the following declarations: Heatin ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Coolie compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. Hood 8.50 ❑ 1 have and will maintain workers' compensation Insurance, as required by Section Ventilation 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 PERMIT FEt: S Policy Number Mobile Home Installation Fee s (The above sections need not be completed If the permit is for work of a valuation Energy Inspection Fee $ of one hundred dollars ($100) or less.) occ CONST. TYPE ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall TOTAL FEE $ not employ any person in any manner so as to become subject to workers' NP I RooD I COF PARC& PO NO sstE compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50• deep and demolition or construction of structures over 3 stories in height By Date Receipt No. Zza L t)'"777�T—iPERMIT EXPIRES ON WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK-INSP CTOR GOLOENROD-APPLICANT I fa COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: s1 rn � n G, V k G`A'O (2- ASSESSOR PARCEL NUMBER: h Dib _ S Proposed Building Use: aBuilding Inspector: S t-'' 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. All items have been submitted-----------------------------------------------------------------------7-------------- J lot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ r Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 116. Energy Design Compliance and supporting documentation. ---------------------------------- ❑ 7. Stateme3 nt of Intent for Non -Heated and A/C Buildings. --------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. -------------------------------- -------------------------------- Cahfornia Department of Forestry plan approvaUfees.----------------- �-A-1---------1-----P--K-------- Flood elevation certificate.----------��------------------------------------------------------------------------------ N44. Sanitation and plot plan approval C % I C CT -Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). --------------------- -=------------- EQ1.25 Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner El) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------• 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. Velephone � -30393 and hold for pickup at 0a00 � UIC-:off ce. ❑ Deliver with inspector (Date) Applicant: All Date: 10 [Z7 r -1 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: 3j 14 ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. te1...; COUNTY OF -BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -' BUILDING DIVISION NOTICE Post this lob card in a safe, conspicuous place. Do ' not remove until all required inspections are made and _�-- -_••nt be avauabio 1011 31' 0 058 --- #98-2499'•"� "-SIlVIENC; VICTOR A.P. No. 1�--.12608'CENTERVr L-E-RD;CHIC Owner —1 --DON•SCRIBNER Contractorlt-..--STORAGE ADDITION TO,GARA- Permit No. Expires PERMITTEE MUST CALL. FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shower Pan . Insulation lli .............. Fireplace Footings Fireplace Throat ................................. 0. Noi fi Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY s «. Information 2d Hr Insp ..: Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 -- 011-31-0-058 #98-2499 RESIDENTIAL SM1ENC, VICTOR 12608 CENTERVILLE RD,CHIC( DON SCRIBNER • STORAGE ADDITION TO GARA1 PERMIT NO. PERMIT EXPIRES OWNER - 'CONTR. .3 - ASSESSOR PARCEL . LOCATION . 011-31-0-058 " #98-2499 G SDAENC, VICTOR t 12608 CENTERVILLE RD,CHICO DON SCRIBNER . • . STORAGE ADDITION TO GARA r • < CHECKED _ � 011-31-0-058. #.98-2499 � BY SRA• , SIlVIENC, VICTOR FLOOD CERTIFICATE REQ. 12608 CENTERVILLE RD,CHICC FIRE SPRINKLERS REQ. DON SCRIBNER SPECIAL INSPECTION ITEMS _ VERIFY STORAGE ADDITION TO GARAI Temp. Power Pole Called PG&E Temp. Elec. Service ' Called PG&E - Temp. Gas Service Called PG&E -4.. JOB FINALED (Date){ Signature " ` • • ,^„ V=OK 0 = Not OK Not Ap *=Not Readyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements- Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location-Test-Fall-CiO-Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location-Test-Easement Needed (Sketch) 5. Alum. Awn.; Columns-Connections.Splice-Decal-Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete 6. Carports; Windows -Doors 6. Gas; Location-Test-Wrap; / /"L'ft. / /Nat. or/ /'L°ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing VeneerShxx*-Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size-Spacing-Marriage Line POOLS (Plans) OK except. #'a 3. Gas; MH Test-Demand-Valve-Connector 1. Setbacks -Easements 4. Electricity; MH Test-Crossovers-Breakers-Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test-Fall-Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test-Regulator�Connector 4. Elec.; Receptacles and Lighting, Distance -GR 7. Water and Sewer Connected-C/O to Grade-HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFl 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs-Type-Installation Cert. 7. Elec.; Bonding; Metal w/5-Circutating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 12. Permanent Foundation Only: License Decal 10. Plumb.: Cir. Test -Vater Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connections.Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing VeneerShxx*-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. #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5-Circutating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.: Cir. Test -Vater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK 0 = Not No OK RESIDENTIAL (Single & Duplex) - = Not Ap licable V Not Ready Date UNDERFLOOR (Plans) OK except #s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ / Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6a. Hold Downs and Special Anchors Property Line Firewall & Openings 7. Slab, SteeWrapped Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 54. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 55. 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 56. 11. Water Pipe; Test -Anchors -Regulator -Service Test 57. 12. Electric Underground 58. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 59. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 60. Brace Interior / Exterior Wall Panels 15. Access & Ventilation Insulation -Walls -Ceilings 16. Insulation Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s FINAL (Plans) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 63. 18. Water Pipe; Test & Anchor -Nail Protection 64. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 65. 20. Shower Pan; Test, First Floor -Tub Access 66. 21. Test Tub & Shower, Second Floor -Tub Access 67. 22. Gas Pipe; Sixe & Anchors 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 69. Card B-1 Date Card B-1 Date 70. Card B-1 Date Card B-1 Date 71. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Dmie 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: RE: Attached Building Permit Dear Permittee: �utte count, L A N D O F NATURAL WEALTH A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 - FAX: (916) 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will -not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set of plans before construction and make note of any corrections made in red. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted.. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30days of the original permit expiration date, or if the work has not commenced, a new permit application and fees will be required. Upon completion of the work covered by this permit, please contact this office for final inspection . Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. Ricliael C. Vieira, C.B.O. MCV•ahb Manager, Building Inspection Attachments "-COATY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERUT N0. (Rev. 12/96) APPLICATION AND PERMIT Q' 00M ASSEsjffJP.�fLX:}�7.�Ju—r-058 lCT�Oj jR �SfIMENC ZONE 2 BUILDINGPERMIT OWNS VI TELEPHONE SO. FT. OCC. BUILDING VALUATION On TT 7,200 1N1?AnIMERVILLE ROAD, CHICO CONTR��X;ijs nILNER T695-3038 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER - LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 99-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 6ZL 'IS BUILDING ADDRESS 12608 CENTERVILLE ROAD. CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New;C] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: GARAGE W/0 PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 UES Main Service zo.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 f force and effect. License Class Lic. No. S 2 6 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 -f P 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. ❑ 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 1 -r- A -1-I/ /Si p Policy Number Q�rj G (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 `7 " Z OU(% Signature of App (cant - ❑ Owner V Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service tow TO ,o 46.00 NEW CONST. DWEWNG OCCUP. SO CU OR ADDNS. a ACC. BLOS. 3.52FT; Nppi CONST MULTI-OUTLETUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.SAL 20 p ,.ao @ .50 R. Ex. Occup. Dvr,EtDrs q� D) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 �+ I PERMIT FEE $ 34.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TO AL FEE $ 217.35 HAZ. D. FEES IM FLOOD I CDF P 0. PD HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 285801 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,_`���.� - r �.F.�y,y.,,.._,.._ _ ._ , �- J•."_ �1'�Y�C�'P+." �ynt♦y ��-.-, i.�a ,�{t�, i 1"/•,�,•n. ♦.. •" ♦ 'd .r • ♦ . �. .�VTY-OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 + a PERUT NO. `�(Rev.12/9§) } APPLICATION AND PERMM ASSES O P C U ER 0 rM x-058 � ZONING ER -2 r' BUILDING PERMIT OWNEVICTOR SIMENC .,♦ TELEPHONE SO. FT. OCC. BUILDING VALUATION 41`10 TT 7,900 N 12%61I��WERVILLE ROtID, CHICO CONTRADAN DR'S EO UNER TELEPHONE 695-3938 CONTRACTORS MAILING ADDRESS ." f CONSTRUCTION LENDER"; Fireplace LENDER'S MAILING ADDRESS > Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20•00 a Permit Fee $ n 9 ARCHITECT. ENGINEERS MAILING ADDRESS - .,�;� ' Plan Checking Fee $ G /BUILD1126057 CENTERVIUE- ROAD, CRICO SS Energy Plan Checking Fee $ PERMIT FEE $ 13.35 "LOT NO. SUBDNIS IONS NAME - Z PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 4 USEOFSTRUCTURE i SF ❑ Dup ❑ Mobileho e ❑ Other GARAGE SPECIFY Each Trap J 7.00 Solar or heat um water heated' 23.00 Water (piping 15.00 Each gas water heater or vent 15.00 I TYPE OF WORK llew�� Addition ❑ Remodel ❑ UtilitiesiO Installation C3Other ❑ /�% „Describe Work: (A" RAGE W/O PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S 1 0 "ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2oono mss" 23.00 LICENSED CONTRACTORS DECLARATION I hereby affirm`under'penalty of perjury that I am licensed under provisions of Chapter 9(commencing.with�Section•7000).of Division 3 of the Business and Professions Code, ,and my license,is in full force and effect. �� d _r _ . a 9 Lic. No. 2 IC se 1' OWNER -BUILDER DECLARATION �----� I hereby affirm' under penalty of perjury that I am `exempt from the Contractors bc� /Law for the following reason, ❑'its owner of the property; oTr my employees with wages as their sole compensation will do the work, and the structure is not intended or offered for sal .,- ❑ I, as owner of the property, am exclusively contr ng with licensed contractors to construct the project.r 1 am exempt under Sec. Business and Professions Code for this reason } . X h".* D / WORKERS' COM ENSATION' DECLARATION I hereby affirm under penalty of perjury one, of the following declarations: ❑ 1 have and will maintain a certifi ate 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 worksj�s' compensation insurance, as required by Section 3700 of the Labor Code, for tKe performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier S 7-�.} F VAr P Main Service ;200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO 14. OR ADD NS ( a ACC. sins. 3.50 NEW CONST. MULTLOUTLET NON•RESID. D @7.50 POWER APPARATUS a sINGLE OUTLET CIR. OUTLET oR FDRURES 20 Q 1.00 Ex. Occup. BAL o .50 Ex. Occup. OFUTLEEDTS q� D� 5.00 em orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 ' PERMIT FEE S ' MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Policy Number5O' (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'HAT. 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 3►� /-ZL.y->.�iti Date !1" t? Z �Od Sig ture of Applicant - ❑ Owner 9f Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 217.35 D. FEES IM FLOOD I CDF I Pr pp 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 PERMIT EXPIRES ON Date rReceiptNo. 285801 ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT II i v .C - TY -OF BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION 7 Countyi^Center Drive Oroville, California 95965 •Telephone (530) 538-7541 PER T No. (Rev.12/96)� ,.r APPLICATION AND PERMIT,"' �O9 ;11� Ile C U BER ASSES S�O r-3 L11�:� �1-GSR ZONING jr�_2 ' BUILDING PERMIT OWNEg, VICTOR SIMENC TELEPHONE SO. FT. OCC. BUILDING VALUATION Lnn !{ OWNEalsAC7,7.00 � C�N,�VS1'3MILLE ROAD, CHICO cD"04S01IBNER W95 3I38 CONTRACTORS MAILN!M ADDRESS CONSTRUCTION LENDER N ti�Y. - Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Fee $ Qui .00 ARCHITECT OR ENGINEERS MAILING ADDRESSPermit Plan CheckingFee / $ b Fi -DDRESS BUILDING A 120 CENTERVILLE ROAD, CTIICO Energy Plan Checking Fee $ PERMIT FEE $ 183.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobileho e ❑ Other �"4�C'B SPECIFY___ Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK "Newt❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ,Describe Work: GAMGE WHO PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 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. j3 V 2 � � Lic. No. �Licerise Class �l 6./' !s --ft -^-- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑-'"I ss owner of the property; or my employees with wages as their sole compensation, /wwill do the work, and the structure is not intended or offered for sale: -P,.. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. A ❑ 1 am exempt under Sec. Business and Professions Code for this reason +►.1► =,-r p 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 '4 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—4—M A,?• Q r V N 0 Policy Number 4 A 3 "7 X41 (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 compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /; X ?'!� 1� -�.ti Date I—I q — Z O(1d Sign'fiture of Applicant - O Owner F Contractor O 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 OCCUR s0 OR ADDNS. ( a ACC. BLDs. 3.52Fr: ,IO" R.,D T. MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL Q .50 Ex. Occu . OFIx��Ds A� ') E 5.00 emporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 34.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE TOTAL FEE $ 217.35. I.A FEES IMP,! It Vworkers' FLOOD CDF P;V(L PD I HD I 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 PERMIT EXPIRES ON Date Receipt No. BUI WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '.(Rev.12/96) f C"TY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County�Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERT NO. s'a APPLICATION AND PERMIT.- gj- ASSES JP,PRc jnrnOW 49* 17-2 BUILDING PERMIT OWNEi .*ICIwimm TELEPHONE SO. FT. OCC. BUILDING VALUATION tT . OWNERf;rAAt4. +rMVILLE ROAD, CHICO CONT W�,°�'S WAITINER 75'°"!..71 M CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER . y LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ 94.00 ARCHITECT. OR ENGINEERS MAIUNG ADDRESS , ,,lr' sra Plan Checking Fee $ 64 BUILDINfyg W CMMRVILLE ROAD. CHICO Energy Plan Checking Fee $ PERMIT FEE $ 183.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplez ❑ Mobileme ❑ Other GARArLE ho 1 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 70' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ - rMobile Describe Work: GARAGE W/0 PF.RMiTS Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 ,a Main Service zoOAoR'S's 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and.my license is in full force and effect. l . ' }License Class ff Lic. No. 4 % 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. ❑ lram exempt emptfnder Sec. Business and Professions Code for this *. li V+- A D Mein Service 200A To 46.00so CCUOOOA NEW CONST. DWELLING OCCUP. OR aNS. ( 3.SQSNTO. MUL�TIC-ou�TtSr NON-RESID. @7.50 OWER APPAR U 'PSI NGLE OUTLET CIR. OUTLET OR FDCTURES Ex. Occup.BAL 20 Q 1.00 @ .50 Ex. Occup. oFlxuTLEEDTSA Rlrx )0E 5.00 Temporary Service 23.00 ,r Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S .tit) 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 7 A T fi+ � t/ /�/ (% Policy Number �/�a r7 0; 4 (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 Z:h Date i-1 %— 2 r0,0 Signature of Applibant - ❑ Owner q Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 217.35 HA2. D. FEES IMP' air{ FLOOD CDF PARCEL �( PD HD ISsuE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. .40=3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �� " 6LZIc ASSESSORPAJ1Z (U ERj 2 /g CS `/ J Cfs Z07 BUILDING PERMIT OWNER , 1 (2 tom., / //V. TELEPHONE F S r. OCC. BUILDING VALUATION MAI/UNG ADD SIS OWNERS AI o C f2 l/ l L L it r' D c b(-/ CID CONTRACTOR'SED � TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ D -O ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ , 3 BUILDING ADDRESS E;7 4,r1n 15;7 ` Energy Plan Checking Fee $ $ PERMIT FEE s 3 3 S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF iO Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent .00 TYPE OF WORK New ❑ Addition ❑ Remodel �❑ Uliliiti�es ❑ Installation ❑ C9 1 w�_ Describe Work: �� Other ❑ �� Gas piping stem 1 - 5 outle;q_ ' 15.00 Building sewer 15.00 Mobile Home G I W 1 Q20.00 LT I PERMIT FEE i ELECTRICAL PERMIT Filing Fee 20.00 Main Service noon OR. LEss 23.00 ' Main Service PGOA TO 1000A 46.00 NEW CONST. ( DWELLING OCCUR 3.5¢so. i /p OR ADDNS. & ACC. SLDS. FT. NEW CONS . MULTI.OIrTLET NON•RESID. 07.50 POWFA APPARATUS 8 SWGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 O I'OO BAL tgl .SO Ex. Occup. pUT°5 gLSIO,OEq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling ee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEE $ 3 I HAZ_ 1 0. FEES IMP I FLOOD I COF PARCEL 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. , By Date PERMIT EXPIRES ON (Date) irisAp "d *#5•' 4'�tts;�` �r'tirr'ti COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER:, 5 1 M L- & C, ASSESSOR PARCEL NUMBER: () I I " �� D C)'H"" Proposed Building Use Building Inspector: Dater f 9 — ® C> At time of permit application, I wa advised the following data must be submitted prior to permit processing and/or issuance: JO Date Received By JYWA_'ifems have been submitted.----------------------------------------------------------------------7-------------- f plans, 3/4 sets, signed by the preparer of plans. ---------------------- ----------------=------------------- ;9y )Complete plans, 3/4 sets, signed by the preparer of plans. ---------------- ----------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering ust be shown on plans. -------- ,Vi4ngineered truss details and layout in duplicate (required prior to plan rer'ew) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. 117. Statement of Intent for Non -Heated and A/C Buildings. ---- ❑ 8. Hazardous Material Form. ❑ 9. Manufactured Home data and installation instructions including Tie D+ Specifications. ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees.----------- Flood elevation certificate. ----------------v--------------------------- 614/Sanitation and plot plan approval jn,6�/ Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Imp'rovements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 1322. Workers' Compensation carrier and policy number. ------------------------------------ ;---------------------- ❑23.Owner-Budder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. ----------- Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. ---------------------------------. ❑27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. --------------------- 1129. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: �W, When you issue the permit, oces11 ws ❑ Mail to owner, ❑Mail to contractor. u%1 elephone� `F� and hold for pickup at Q , office. ❑ Deliver with inspector. Applicant: PW', Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: on ac or esigner, owner, was advised of the above required data by ❑ phone, Mmail, ❑ Building Division counter, by Date: tMesigner, gner, owner, was advised of the above required data byA phone, ❑ mail, ❑ Building Division counter, byt[Date: Date: { ,00 owner, was advised of the above required data by ❑ phone, ❑ mail, muilding Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, tiilding Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. `COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION' NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. ' Plans must be available.on.the,lob site. 011-310-058 00-0091 P " fvo. S_Ilv1ENC, VICTOR �12608'CENTERVILLE RD., CHICO GCONTR T SCRIBNER (GARAGE W/O PERMITS PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Shower Pan -- Insulation ................................ Fireplace Footings Fireplace Throat ................................. >17oNot>( .. ................. Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildinq or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses>:::>:::<:><::»::::>:;:;::. ..........................................................................::.:::.::::.:::::..:::.:.... Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891.2834 Revised 7/94 1 NOTES ti RESIDENTIAL ` 011-310-058 00-0091 PERMIT NO.: _. SIMENC, VICTOR ; 12608 CENTERVILLE RD., CHICO - CONTR: SCRIBNER ` GARAGE W/O PERMITS .011-310-0581;� 0070091. �~ ' SMI_NC, VICTOR 12608 CENTERVILLE RD., CHICO CONTR: SCRIBNER i G GARAGE W/O PERMITS _ SPECIAL CONDITIONS CHECKED BY - F SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS _ VERIFY ' USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f 011-310-058 • 00-0091 SINIENC, VICTOR 12608 CENTERVILLE RD: CHICO t CONTR: SCRIBNER GARAGE W/O PERMITS t JOB FINALED (Date) Signature ✓ = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Size -Spacing -Marriage Line 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Drain; MH Test -Fall -Flex Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Gas and Electricity Tagged 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'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 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'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- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /= OK 0 = Not OK - = Not Applicable =Not Ready FRAMING (Continued) RESIDENTIAL (� Date 47. Underfloor (Plans) OK except #'s 48. 1. Zoning-Setbacks-Easements-Flood-Slope Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 2. Ftg., Main; Soils-Elec. Grnd.-/ r Fig. Depth 51. 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Property Line Firewall & Openings 4. Ftg., Porches & Decks; Soils-Steel-/ r Ftg. Depth 54. 5. Stemwalls, Main; Sieel-Blockouts-Wrapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6. Stemwalls, Garage; Steel-Blockouis-Wrapped 57. 6a. Hold Downs and Special Anchors Glazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel-Wrapped 60. 8. Piers-Fireplace Ftg.-Steel Insulation -Walls -Ceilings 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 79. Insulation -Foam -Looked in Attic Date 80. Card B-1 Date Card B-1 Date 81. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Hir.; 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 88. Ventilation Throughout House Date 89. Card B-1 Date Card B-1 Date 90. Card B-1 Date Card B-1 Date 91. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance-Ins. Protection 24. Elec. Receptacles Spacing-Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. Date 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water Date 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Comments at Final: 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or Al Insulated Neutral C) Yes O No 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light-Shower Light-Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive 0 Yes ❑ No/Walks :1 Yes :1 No/Planters 0 Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: I ��a�� � ��G� S', �n �Y1C� �z, r �- �- l' .,,� � i �Y, r�s�lv�� � 5 1 a �5 , \�� i -- --- -- y,: 0 January 27, 2000 Don Scribner 2996 Pennington Road Live Oak, CA. 95953 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Victor Simenc Assessor Parcel Number: 011-310-058 Building Permit Number: 00-0091 This office reviewed building plans for the permit application referenced above. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear response will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Provide a flood elevation certificate. 2. Indicate braced wall panel types and locations. 3. Sanitation and plot plan approval is required from the Butte County Environmental Health Department. 4. Plan review will continue upon receipt of the above items. Additional items may be required when plan review is resumed. If you wish to discuss any requirements you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons Plans Examiner 5 UTke. i RfJV- 14 Mk bbLf- OF 6�- � (Z4G f- ` 5 fQZ lb -m scR-OA/f-(e, Iof1 �-21 9 �, t.... fr ty LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE„CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Date: November 2, 1998 Permit Applicant: Victor Simenc Permit Number : 98-2499 12608 Centerville Assessor Parcel #: 011-310-058 Chico, CA 95928 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Martha Whitney 0 Date: November 2, 1998 Permit Applicant: Victor Simenc 12608 Centerville Chico, CA 95928 0 Permit Number : 98-2499 Assessor Parcel #: 011-310-058 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Existing septic shown under existing garage. 2. No permits on file for existing garage. There is however a note at Health Department to move existing septic tank for placement of "future" carport. (1976) Work not noted as done and inspected. Apply for permit for 1 garage ("existing") and move septic tank out from under garage. 3. There is a required 30 foot set back from property lines for building located in SRA. Fire Department personal will visit site. 4. Building is located in flood zone. Provide construction for such - including for garage without permits. Enclosed are construction requirements for building in flood zone. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Friday. cc: Don Scribner Martha Whitney 2996 Pennington Road Live Oak, CA 95953 ===««ACES -32 Ver. 1.1>>>>=========[ 1047179 ] ==========««TROJAN»»========= Customer : MITCHELLSBLDGSUPPLY Mon Jan 18 10:37:20 1999 Project #: 118MIT Truss ID : 2000M Family # : 103 Span : 20-0 Quantity : 8 -Top Pitch : 4/12 ==BLd(1/6/1999),v1.1__________________________________________________________________ FORCES - LOAD CASE #1 REACTIONS - SIZE APPROVED FOR MITEK INDUSTRIES INC. 1-2=-1382 5-6= 1305 2-6=-348 1=-806 3.50 2-3=-1037- 6-1= 1305 3-6= 420 5=-806 3.50 BA 199 3-4=-1037 4-6=-347 J 4-5=-1382 J 4y% x7.:%Z= 10-0- 20-0 10-0 10-0 ' L. HL TO PK:10-6-8 R. HL TO PK :10-6-8 LEFT HEIGHT:0-3-14 SPAN:20-0 RISE:3-7-14 RIGHT HEIGHT:0-3-14 LOADING (PSF) MAX STRESSES MINIMUM GRADE OF LUMBER L D TOP 1-2=0.182 TOP CHORD:2X4 No.l&Btr GR DF -L TOP 16 10 BOTT 6-1=0.754 BOT CHORD:2X4 No.l&Btr GR DF -L BOTT 0 8 LL.DEFL.@6=0.05 < L/360 WEBS :2X4 STANDARD GR DF -L -------------------------------------------------------------------------------- STR.INC.: LUMB = 1.25 PLATE = 1.25 SPACING : 24.0 in. o. c. REPETITIVE STRESSES USED NO. OF MEMBERS = 1 DEFLECTION(IN.) L.L= 0.05,D.L=0.05,T.L=0.10 TRUSS HAS BEENCHECKED F 10 PSF. NON -CONCURRENT LIVE LOAD AND 8.00 PSF DEAD LOAD ON BOTTOM CHORD PER TABLE 16-B, UBC -94 PLATES ARE wti� 4v_IF �r311142 MANUFACTURED FROM ASTM A 446 GRD A GALVANIZED STEEL(EXCEPT AS SHOWN) PLATE MUST BE INSTALLED A EA. FACE OF JOINT,SYMMETRICALLY(EXCEPT AS SHOWN)DESIGN CONFORMS W/NDS DESIGN SPECS, UBC-ICBO,TPI-91 NOTE: MINIMUM SHEAR VALUE,- =490 LBS/IN/PAIR. Fe>1Z MINIMUM TENSION VALUE= 840 LBS/IN/PAIR f'—�c-ram TOP CHORD BRACING @ 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED @ 10' 0" O.C. UNLESS RIGIDLY SHEATHED. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS REO•D) REFER TO TPI PUBLICATION HIB -91 BRACING WOOD TRUSSES COMMENTARY AND RECOMMENDATION.. ===««ACES -32 Ver. 1.1>>>>=-=-==[ TROJAN========= 1047179 ]'==========««»» CUE;romer MITCHELLSBLDGSUPPLY Mon Jan 18 10:31:20 1999 ;. Project # e 118MIT Truss ID ;, : •2000M Family # :f{103, wSpan ' 20-0 Quantity : 8 -Top Pitch .::,4/12 ' FORCES - LOAD CASE #1 REACTIONS.- SIZE " APPROVED FOR MITEK'INDUSTRIES INC.'. 5-6= 1305 2-6=-348 1=-806 3.50 ' 2;3=1037' 6-1= 1305 3-6= 420 5=-806 3.50 JAN 1999 34=-1037 4-6=-347 ! , ,4r5=-1382 ESSI R 0� ONO, Cr k - ' * NO . 0049419" EXP 4-3O.L)0 5-5-11 4-6-5 4-6-5 OF CAL11rOQ ' NIL— 4Y2X3i 4%,X3q�t. ,. i - •S. a y,,q• •t''a 2 t • �� 4/ZX L/2 10-0' 10-0 , 20-0 10-0 �^ HLTOS PKs10-6-8• R. HL, TO,PK1fTO-'. ' .x LEFT:HEIGHT:0-3-14 SPAN:20-0: RISE 3.-77,14 RIGHT'HEIGHT:O .3.1, =====aa==ac=========b=o===aa=====aa=a====aoaco--------- LOADING, -'(PSF) MAX STRESSES ' ` -- „MINIMUM GRADE• OF LUMBERt' rr:. • I;' .. D TOP' 1=2 0:182", :TOP,CHORD:2X4, No.1&BtrCGR DF -Lys TOP' 16 10 BOTT 6=1 0.`,754 BOTS-CHORD:2X4,"- No:1&Btr GR',DF ,L 0 8 LL:DEFL:@6=0; 05 < L/360. WEBS' :'2X4 _STANDARDS GR;'DF-L" + ' �BOTT -in' :r,o�`.' c',25°PLATE PACINW t 24 0"SM-INE-1:LUMB i:. STRESSES USED ERS =REPETITIVE DEFLECTION(IN0 L.L= 0.05,D.L=0:05,T.L=0:10,' `TRUSSIHAS CHECKED 10 NON-CONCURRENT•LIVE LOAD AND 8.00 PSF DEAD ON BOTTOM CHORD PER TABLE 16-B, UBC -941- `; " ' BEEN FQQR PSF -LOAD f * PLATES ARE44iNGila;l� �i'a�j142 MANUFACTURED FROM ASTM A.446 GRD'A GALVANIZED STEEL(EXCEPT AS SHOWN) .PLATE MUST SE INSTALLED r♦ EA. FACE OF JOINT,SYMMETRICALLY(EXCEPT AS SHOWN)DESIGN"CONFORMS W/NDS DESIGN SPECS, UBC-ICBO,TPI-91 _ �_,�.• NOTE: NUNIVIUMN 1 SHEAR VALUE;' =490 LBS/IN/PAIR 5v, Ge:,►,ip ram s , rMIMMUM TENSION VALUE= 840 LBS/IN/pAIR,1:;,� ��r...�r�,rae, Furr- r . ',TOP CHORD TOP CHORD BRACING® 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD �'• �^ : `? " 10.0"O.C.UNLESSRIGIDLYSHEATHED.-LATERAL ,' BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE.- ' ` 4i�' FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS REO'D) REFER TO TPI PUBLICATION HIB -81 BRACING WOOD TRUSSES !,'.' ' COMMENTARY AND RECOMMENDATION.. .. , _� sig r r•• y, r' � ry � 1 4 =====««TROJAN»»- __=<�«<ACES-32 Ver. 1.1>>>>=;=======[ 1047179 - ],____ , r -�___=____ 'a'-•'' Cust omer : MITCHELLSBLDGSUPLY Mon Jan -18--10.,31:2 0.: 1999 Project '#: 118MIT Truss ID : '2000M• Family •#- t:103 .Span : 20-0 Quantity 8 -Top•• Pitch .. •4'/12 ==B1d(1/6/1999),v1.1================_____________=___=_ . FORCES - LOAD CASE #1 REACTIONS" -•SIZE APPROVED FOR MITEK INDUSTRIES INC., 1 -2■ -1382 5-6= 1305 2-6=-348 1-806 3.50' 3-4-1037 4-6--347 1305 4-6--34T 5-806 3.50 JAN 1999 4=5m-1382 R ESS10 ' No, I' /ems t . 4-6-5 3.1 X z-;Z� 2 4 EXP 9-3().()o OF CAUF�Q 4Y2- X 311 C 4�zX3(�=' 10-0- 20-0 10-0 10-0 L: lHL'•.TO PK:10-6-8 R.• HL TO-. ,LEFT- -HEIGHT. -,0-3 -14 SPAN: 20-0 RISE:3 - 714, RIGHT' HEIGHT -0 -1 -14 ---------------- LOADING (PSF) MAX,'STRESSES' MINIMUMvGRADE OF1,LUMBERt TOP, -T-2-0 :182. ^ .;TOP; ,CHORD :2X4 No':1&Btr; `GR )DF . `. TOP 16 10 BOTT 6-1 0.',754- , BOT"• CHORD: 2X4"' No. i&Btr ,,GMF -.L ,BOTT 10,x. , �S _ _ LL : DE_ FL . @6=0 05 ,< L/360' •WEBS: 2X4 ',STANDARDI GR 0F, -;L c STR.ZNd:: LUMB{:=•-T:'25i_,PLATE = 1':25?' 1` I'S PAC ING� .R.- " 24:!01 inV P". 'c x ',REPETITIVE' STRESSES USED " .NO i. OF"MEMBERS = 1 ", DEFLECTIONON!)� .'C== 0.05,1 L=0.05, T' L=0:10 _ = 4 - TRUSSRNAS•BEENwCHECKED•FQQR_� ;O`PSF.:NON-CONCURRENT•ILIVE"LOAD-AND 8iOO.PSF�DEAD'LOAD,C)N'60TTON CHORD PER TABLE 16-6, UBCf94 F'' 'PLATES, AREwliw4;k rp" 42MANUFACTURED FROM)'ASTM'A"'446,GRD IA�GALVANIZED,'STEEL(EXCEPT' AS SHOWN) #PLATE(MUST,9E"INSTALLED A'EA.+FACE•OF,JOINT,SYMMETRICALLY(EXCEPT'AW SHOWN)DESIGNhCONFORMS N/NDS DESIGN,SPECS, UBC ICBO TPI=.91 f `NOTE. hUNI1vIUM SHEAR VALUE" =490 LBS/IN/PAIR For,} Ca.,►,i�olzs ,� - . � t `� FMINDAUM :TENSION VALUE= 840 LBS/IN/PATKJ::;,F'' 6o rem'` r 1 TOP CHORD BRACING @ 24" O.C. UNLESS RIGIDLY SHEATHED, BOTTOM CHORD CONTINUOUSLY BRACED Q 10.0- O.C. UNLESS RIGIDLY SHEATHED.. LATERAL BRACING OF WEB MEMBERS, WHERE REQUIRED, ARE AS SHOWN ABOVE. FOR ADDITIONAL PERMANENT AND TEMPORARY BRACING (WHICH IS ALWAYS REO -D) REFER TO TPI PUBLICATION HIS -91 BRACING WOOD TRUSSES' COMMENTARY AND RECOMMENDATION.. - 1, �. } r .. s A ----------- K, 2X4 0 a (,N -Al AN 0 a (,N � - -TO: Code ,,Enforcement FROM: - ., Building Depar0ent RE: Citation Request VICTOR SIMEN '_411 -310 -OS DATE: (Owner) - _, Attached is the required documentation regarding the violation on this property. Please proceed with the.citation procedure on these violations and include any other violations on the property which : may be appy pr i te. ( te) (Department Signature) Owneracted 0' Unable to contact owner ' Comments: c ntL Ma,�6E jy4M } L-Tq W TO: CEO - - FROM: Building Department RE: Citation Request 'DATE: �j I Owner`did•not comply - proceed with citation procedure Other ; DATE Dept. COUNTY OF BUTTE A�.TMENT OF DEVELOPMENT SERVI S : BUILDING DIVISION 7 County Center L . ville, California 95965 • Telele (530) 538-7541 P o. (Rev. 12/96) X► PL AND PERMIT - -Enw i ASSESSOR PARCEL NUMBER 011-31-0-058 ZONING FR -2 BUILDING PERMIT OWNER VICTOR SIA'IENC TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS NOXX99RIENER 12608 CENTERVILLE RD CHIC 320 U 5,760 CONTRACTOR'S NAME DON SCRIBNER TELEPHONE 695-3038 CONTRACTORS MAILING ADDRESS 2996 PENNINGTON ROAD VE OAK CONSTRUCTION LENDER (w�' _ J / 0140 (`�, LENDER'S MNUNG ADDRESS Fireplace 5760 Total Valuation S ARCHITECT OR ENGINEER LICENSE Nb. Flin Fee $ 20,00 ARCHITECT OR ENGINEERS MAILING ADDRESS BU0.01N°ADDRESS 12608 CENTERVILLE ROAD, CHICO Permit Fee $ 81.00 Plan CheckingFee Energy Plan Checking Fee $ 52.65 $ a PERMIT FEE S 153.65 LOT NO. SUSONISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 I USEOFSTRUCTURE GARAGE ADDITION SFO Duplex O Mobilehome ❑ Other SPECIFY EGz:h Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition Remodel O Utilities ❑ Installation O Other ❑ Describe Work: STORAGE ADDITION/GARAGE Each gas water heater or vent 15.00 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W 920.00 PERMIT FEE t ELECTRICAL PERMIT Fling Feel 20.00 Main Service a00V OR LESS 20. 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 I force and effect License Class Lic. No. 3 5 'z.3 o OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 ry P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'compensation insurance c9jner and policy number are: Carrier S-T/� i .e F (/At // 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 /0_ 2-q-`/ n SigMature 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 heht. Main Service 200A TO 1000A 46.00 NEW CONST. OWF3LNG OCCUP. s0 OR ADONs. a ACC. stns. 3.5¢FT: N ° MULTI.OLR. NON-RESID. �O 7,50 POr AP TW 6 SINGLE OUTLET C"L Ex. Occup. OUTLET OR FIXTURES B 0 ® 1.000 Ex. Occup. FIXED (REST .) F ovnErs LM. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ NST. TOTA;LF E $ 153.65 o IMP im COF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -I SPECTOR GOLDENROD -APPLICANT , A I NTY OF BUTTE - DWRTMENT OF DEVELOPMENT SERVI - BUILDING DIVISION 7 County Center D • Oroville, California 95965 • Telep a (530) 538-7541 PERUT NO. �(Rev.12/96) APPLICATION AND PERMIT ASSESUJP.�IRClIUI-05 �fIl ZO °8 2 BUILDING PERMIT °I""E`�/ICTOR SIP4ENC TELEPHONE SO, FT, OCC. BUILDING VALUATION 4nn 11 7, 9nn OWN' AMTMERVILLE ROAD, CHICO C.O"TRACZ " tIBNER T LEPHONE 695-3038 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 9-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 614 15 OUILDINGADDRESS 12608 CENTERVILLE ROAD, CHICO Energy Plan Checking Fee $ a PERMIT FEE $ 811 LAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Each Trap Fling Fee 20.00 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O Other GARAGE sPECIFr Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New )I Addition O Remodel ❑ Ulilitles ❑ Installation O Other O Describe Work: GARAGE W/O PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�oa1 oa 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 f force and effect. ! License Class Lic. No. 17 4 Z 3 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended 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 pfa6il D WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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. O 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 l -?- UPERMIT Policy Number (L S 6I (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. II X Date d Signature of App (cant - ❑ Owner Vr Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. Main Service 200A TO 1000A 46.00 NEW CONST. owEtilNG OCCUP. SO OR ADDNs. a ACC. BLDS. 3.50FT. DT NON-REDSID T. MULTI -OUTLET RANcH CIRCUITS @7.50 PowERARPARAnS a swGLE oLmEr cIR. 20 ®1'50 Ex. Occup. OUTLET OR FIXTURES SAL p .so Ex. Occup. OSS RESIp °En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 34.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEP- $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TO AL FEES 217.35 . D �ES IM FLOOD COF P EL PD I HD I ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON I Mato provisions to do work paid. ReceiptNo. 285801 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX , --1 anuary 27, 2000 Don Scribner 2996 Pennington Road Live Oak, CA. 95953 Victor Simenc Assessor Parcel Number: 011-310-058 Building Permit Number: 00-0091 This office reviewed building plans for the permit application referenced above. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear response will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: 1. Provide a flood elevation certificate. f 2. Indicate braced wall panel types and locations. 3. Sanitation and plot plan approval is required from the Butte County Environmental Health Department. 4. Plan review will continue upon receipt of the above items. Additional items may be required when plan review is resumed. If you wish to discuss any requirements you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons�,�_.--____ Plans Examiner 6 i0 ,E tL 1 of 1 -al W711 - :•` December 1, 1999 Victor Alex and Kay Simenc 12608 Centerville Road Chico, CA 95928 butte C LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 RE: Building Code Violation A.P. #011-31-0-058 12608 Centerville Road, Chico P Dear Mr. and Mrs. Simenc: This is a. formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy noice dated november 24, 1998 notifying you that you are in .violation of the (BCC) at the above -referenced location. As of this date, the following violations still exist. Failure to obtain the required permits, inspections and approvals from this office for construction of. a garage in violation in vio- lation of the provisions of the 1994 Uniform Building Code and Sections 17922 and 18941.5 of the California Health and Safety Codes as follows: (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy The above violation(s) shall be. corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. • Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a'Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premise the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford in this office at the address or telephone number listed above. Sincerely, 1 /1 Michael C. Vieira, C. .0. Manager, Building Division MCV:dms 1 2 3 4 s 6 7 s 9 10 11 12 13 14 is 16 17 18 19 20 21 22 23 24 25 26 27 29 29 PROOF OF SERVICE It MAIL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing A.P. #011-31-0-058) Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND NOTICE VIOLATION LEITER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 1 ST. OF DF:('FMRER, 1999 and addressed as follows: VICTOR ALEX AND KAY SINENC 12608 CENTERVILLE ROAD CHICO, CA 95928 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 12/1/99 at OROVILIZ , California. Donna Sperling Office Assistant III . ie ount .. ........ LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 November 24, 1998 Victor Alex & Kay Simenc 12608 Centerville Road Chico, CA 95928 RE: Building Code Violation A.P. #011-31-0-058 12608 Centerville Road, Chico Dear Mr. and Mrs. Simenc: This is a courtesy. notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for construction of a garage. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, MCV:dms Mich el C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor !- �- ff VIOLATION CHECK LIST Cl A.P. if — r 6^ ol-1-4 Address_ r 2 Q Q Owner Owner's Address Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. r Specific Plot Plan with C/V oted __yes no -Penalties Required 1st. Notice Sent 2nd. Notice Sent ate ate Comments and/or Determination i�. 'a- ,��! Cf�� —,Ww Gv�9 •�,,o-�aPonc� cH° '-61v-iWt. Ca�. Aaw6x Acuw • ,e isrAyl l � ?o ,3r, -?_3 W"• S�� �l �Tn, eEPA�cE' Pca4�tlS. Tom' Aee- Disposition For Citation Citation Department Recommend(Date)(Date) to Court ' Court Action s Notice of Violation Recorded (Date) IT 112 SE(;Ilufv 'Ov Ic 400" 0 17 20 j/4 va". SEC. t$ 10 7) 6. 20608 AC " I 9.53.AC- 3.35Ac 37 26 34 38 12 4", 49 708 79 2.50Ac 4.04,4c 13 130 130 130 130 00 130 195 205 84- CO cw Wl 5.00 AC. 130.31 639.16 5i AC 73 19 5.44 AC. 2. 11.67AC. 2 392.00 11 9.48A*' Fylrf phf �3 PM -P– 2 0 38�PM62 52 68724_— Assessor's MaP No. ll '131 County of Butts, Calif. RPY!'rn to qr. 0 0 TO: Code Enforcement FROM: Building Department RE: Citation Request VICTOR SIMENC X11-310-058 DATE: (Owner) (A.P. NO.) Attached is the required documentation regarding the violation on this property. Please proceed with the citation procedure on these violations and include any other violations on the property which may be appy pri te. 8 0/ (D/ate) (Department Signature) Owner contacted 11 Unable to contact owner' Comments: CEO TO:, Building Department FROM: CEO RE: Citation Request DATE: 1 I will hold citation process asa result of conversation above INotify me if/when you w�`sh .to proceed with citation. Insufficient documentation for citation — request returned. Other DATE CEO TO: CEO FROM: Building Department RE: Citation Request DATE: I Owner did not comply — proceed with citation procedure Other DATE Dept. For I Date Time ,Whine YouNere out M ! Of Phone AREA CODE N Telephoned ❑ Came To See You ❑ Returned Your Call ❑ Signed Please Call ❑ Will Call Again ❑ Wants To See You ❑ 9711 ru ADAMS BUSINESS FORMS COUNTY OF BUTTE EPA . MENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center D P v111e, California 95965 • Telephone (530) 538-7541_ _PEJ O. (Rev. 12/96) AQP ATIONANDPERMIT - o�`-J ASSESSOR PARCEL NUMBER 011-31-0-058 ZONING FR -2 BUILDING PERMIT OWNER VICTOR SIMENC TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS NONX99KINNER 12608 CENTE VILLE RD CHICO 320 U 5,760 CONTRACTOR'S NAME DON SCRIBNER TELEPHONE 695-3038 CONTRACTORS MAILING ADDRESS 2996 PENNINGTON ROAD LIVE OAK I CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS - Fireplace Total Valuation S ARCHrTECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 81.00 Plan CheckingFee $ 52.65 BUILDING ADDRESS 12608 CENTERVILLE ROAD, CHICO Energy Plan Checking Fee $ $ S PERMIT FEE 153.65ISIONSNAME LOT NO. SUBDIVISIONS PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE GARAGE ADDITION SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STORAGE ADDITION/GARAGE Each as water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Ls i G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000v OR LESS 200A 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 f I force and effect. 1 License Class Lic. No. 3 / O OWNER -BUILDER DECLARATION hereby affirm under penaltyof perjurythat 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWEZNO OCCUP. ( a ACC. BLDs. ORw SO 3.5¢FT: cors . NONRESID MULTI.OUTLET 97,50 PowEA APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL @ 1.000 FO(E s. ORI Ex. Occup. OUTLEIS (RES1D. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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 insurancier and policy number are: Carrier 5*7"A r -t f=VA/ // MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certifythat in the performance of the work for which this permit is issued, I shall p 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 �nt y' Sig ature of Applicant - ❑Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 153.65 HAZ. D FEES IMP I FLOOD I COF PARCEL PD ND ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate 1 Receipt No. 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -I SPECTOR GOLDENROD -APPLICANT LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 . December 1, 1999 Victor Alex and Kay Simenc 12608. Centerville Road Chico, CA 95928 RE: 'Building Code Violation . A.P. #011-31-0-058 12608 Centerville Road, Chico Dear Mr..and Mrs. Simenc: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy noice dated november 24, 1998 notifying you that you are in .violation of the (BCC) at the above -referenced location. As of this date, the following violations still exist. Failure to obtain the required permits, inspections and approvals from this office for construction of. a garage in violation in vio- lation of the provisions of the 1994 Uniform Building Code and Sections 17922 and 18941.5 of the California Health and Safety Codes .as follows: (a) Section 106.1 Permits Required (b) Section.108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy The above violation(s) shall be. corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violations) voluntarily; within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. W- C47- ��� Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall Anclude a description of the premise the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford in this office at the address or telephone number listed above. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Division MCV:dms u 1 2 3 4 sl 6 7' s 9 10 ll 12 13 14 is 16 17 18 19 20 21 22 23 24 25 26 27 28 29 PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing A.P. #011-31-0-058) Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND NOTICE VIOLATION LEITER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 1 ST_ - OF DECEMBER, 1999 and addressed as follows: VICTOR ALEX AND KAY SIMENENC 12608 CENTERVILLE ROAD CHICO, CA 95928 I declare under penalty of perjury under the laws of foregoing is true and correct and that this. declaration was e at, OROVILLE , California. Donna Sperling I Office Assistant III 2 5 Victor Alex & Kay Simenc 12608 Centerville Road Chico, CA 95928 RE: Building Code Violation 12608 Centerville Road, Chico Dear Mr. and Mrs. Simenc: LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 November 24, 1998 A.P. #011-31-0-058 This is a courtesy. notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for construction of a garage. Since permits and inspections are required for the above work, please submit three�(3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, MCV:dms Mich el C. Vieira, C.B.O. Manager, Building Inspection cc: Assessor (PC) PERMIT NO. 6041-77B,P ESM { PERMIT EXPIRES 1 OWNER Dan Osffinder GO!� CONTR. owner . r LOCATION (A.P. 51-36-58 y�� r E/S Humbur Rd.,app.2 8/10 mi.N.of Covered j Bridte, Chico Cap r r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E — Temp. Gas Serv. Called PG&E JOB FINALED � (Date) (S gclure) 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS RUILDIN "ASPECTION RECORD' BUILDIN BUILDING (Cont'd) PLUMBING ' Setback /,2--,2257, 7 Firewall Soil Piping Forms .-7 Parapets 1st Floor Main Bldg. Restroom Finish ,�---- 2nd Floor ' Footin s d2 -2 ,�' Windows 2 211j 3rd Floor Stemwal l -- ;1 Siding To out -7 +i r Slab Roof Sheathing —2-'T-7'9 Water Plilh 1-20,-2 2• — "+: Sewer �- -"2 s Garage Fdn. Vents Fixtures j ;2 - -- 7 Footings Garage Vents Water Htr. Stemwall . Insulation --7 Heaters Slab Prov. for physically Appliances Carport handicaped Conformance of ex. Footings structure Temp. Gas Slab Final '- ,7 Sanitation Patio FIREPLACE Final Footings Footing ELECT CAL' Masonry Walls Throat i 7 99, Rough Relnf. Steel Final - Fixtures Bond Beam FIRE SPRINKLERS Motors Framin Test Water Htr. Stucco Final Subpanels 1 Mesh MECHANICAL '. • Gird. Fault -Prot.' a a Scratch Heating f Service ! i Brown Cooling a Temp. Pole Finish Ducts - % i Underground Interior Lath / Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer as Piping MOBILEHOME INSTALLATION - - - - . • - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DA REMARKS 6R CORRECT NS r ' 01 7 9 ns�s /� :"An entry ade on this form each time you.vi '� jr- el C? 77 /moi r C6 Ae xc Aj Old IlZ/e Cv,e ;7�- C? 77 /moi r C6 Ae xc Aj Old IlZ/e Cv,e ;7�- TO: Building Department FROM: Envirumnental '_Health _ RE:. Sewage and/or Water Clearance. n a� C�S-i a ��e►2 13oc ) U 9 -36-5q4-55 aiNER LO! T ION. AP NLPM3ER Haa been approv or: cJ SEWAGE DPOS T WATER SUPPLY r Sanitaqrn4- ate FHL`RMO-CELL INSULATION, --INC. P.O. Box 588,. Los.Moli-nos, CA g6055' PHONE: 384-2110 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE. CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE,.TITLE.25,. STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: A.P.: # H Chico Street Lot Number Tract -Number EXTERIOR WALLS Manufacturer CZ -,P Thickness/TypeR Value 1 i - CEILINGS - Batts: Manufacturer Thickness R Value Blown: Manufacturer Thermo -Cell Thickness 6B" No.. Bags 52 Wt./Bag Bp Sq. Ft. .Covered_ 246[ R Value, R'.-22 FLOORS Manufacturer Thickness/Type R Value SLABS ON GRADE Manufacturer Thickness/Type R Value, Width.of Insulation inches FOUNDATION WALLS Manufacturer , , n T_.ick ess/Type R Value GENERAL CONTRALTO {,✓ lA -C--LICENSE NUMBER-' BY TITLE DATE Z.2 — 7 INSU' TION NTRAC R"' Thermo -Cell Insulation, Inc. LICENSE NUMBER -Z46712 BY ' % L ITLE aec SATE 421775 COUNTY OF -BUTTE DEPARTMENT OF PUBLIC WORKS 7 Coupty Center Drive, — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT L; "or ze representatives UI me 4Uunty ul Cuiie io enter upon the above mentio d property for inspection purposes. X Date Sign re of Permitee or Agent Receipt No. /70 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. A ,DIREAOR OF PUBLIC WORKS � ,uilding permit expires Date �. BUILDING Owner,ej SQ. FT. OCC. BUILDING VALUATION Mailing Address46 a C -Telephone No. s .3 /L © c> [Fireplace fB°i 0V Contractor Total Valuation 00 Mailing Address Permit Fee �, 00 Plan Checking Fee&/or Penalty Telephone No. , Permit Fee $ 0 Inpled Building Address ,L �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 49,9 A/11E Each Trap 1.50 r Repair drainage or vent piping 1.50 Water piping 1.50 S� t6anci Verifiication Onle Each gas water heater or vent 1.50 — v A. P. Xl—j -' . .5� kA/.-ing g, Planning Gas piping system 1 - 5 outlets 1.5U Etch additional outlet .30 F s C. S tion Fire Dept. FireZo Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel a P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bld Ions Rec'd Par a Approval PI Approval Permit Fee $ o c NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service m1100 AMP oR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLD V ) 20sgft NEW CONSTR. MULTI.O TLE RESID. (MULTI-OUT _NON.BRANCH CIRCUITS) '2.50ea • NEW CONSTR.POWER APPARATUS & NON.RESID• (SINGLE OUTLET C.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: Ex. Occup(OUTLETS OR FIXTURES)@aQ BAL�21 Ex. Occup.(FIXED APPLNS, OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Of I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2� 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. I certify that in the performance of the work for which this rpermit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE,� ,00 $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 ald AAE o✓ OC TOTAL PEMIT FEE $ S' L; "or ze representatives UI me 4Uunty ul Cuiie io enter upon the above mentio d property for inspection purposes. X Date Sign re of Permitee or Agent Receipt No. /70 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. A ,DIREAOR OF PUBLIC WORKS � ,uilding permit expires Date �. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) v7 Bldg. Permit �k 7 OWNER` / A. P. # S A. GENERAL Zoning requirements (sideyards and parking). Valuation. 3.. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbackq, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage." C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for .light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). / Allowable glazing for energy requirements (20'/o max. per State law): �• Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures.' 10. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Id. Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS FOunidation plan complete enough to construct building. F+kuf construction details complete enough to construct building. /3! Elevations and wall construction details complete enough to construct building. r Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. . Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR ,,-r. CCX plywood on exposed locations and overhangs.'. �2! Stairway details (Sec. 3305). Guardrail details (Sec. 1716). 4. Brick or -stone veneer (Chapter 30). 5. Exterior plaster — weep screeds (Sec. 4706 & 4708). /r Proper roof pitch for roof covering (Chapter 32). ,,i Rafter ties or bearing ridge beam. /� Garage door'or porch header sizes. Adequate bracing. 10. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. w 11. Two (2) exits on three-story dwellings (Sec. 3302).' November 20', 1977-` Butte County Dept. Of Public Works 7 County Center Drive Oroville, California 95965 To Whom it May Concern: The purpose of this letter is to state that the mobile home. now located on property identified as .AP 51-36-58, will be removed from the property before the house which is to be constructed on said property is finished, Should you have any additional questions concerning this matter please contact me at the address or phone—listed below; Dan Ostrander 164 Nimshew Stage Chico, 345-7323. Sincerely, 6 P. - oy.- OA&V-P�� D.L. Ostrander t # R WALTER {B:':GRIMES 9(VIL ENGINEER y''?• .,�}s. )96r FAIRWAY'DRIVE - +, HO, CALIFORNIA, CALIFORNIA 95926 FLOOD CONTROL CONSULTING TELEPMONE,(916) 342-9550 -COMPACTION TESTING October .25, 197,6' Building.Department County of Butte 7 County Drive Orovill'e, ca—Ai f: `, ` `• 4 To whom it may, concern: $� I cer,ife9`rel'atve compaction tests on a .fill for house pada for Mr. Ther,l°ow Weir Box 149 Nimshew Stage Route located ons -14 umbug ra-od ap�pro1,imately'�2 ~miles North of the Covered Bridge. a The fill consisted of�a light, d with considerable fines-. ;+ The -depth ranged',from=about 6`n. to -18" in'depth over the pad area. Tests indicated•that the rel'arive.compaction exceeded 90% California Impact method. I certify that the fill is suitabley,for construction•of wood :,>„•i:frame home with standard footings. It is -recommended that two No 4 bars of steel be placed in the bottom of the footings to allow for any, small ^differential settlement. Walter B. Grimes . 4` +,. R.E. 7294' 41 . � + ` 4W yz ? yss • J WALTER g. GRIMES -AND ASSOCIATES CIVIL ENGINEERS AND LAND SURVEYORS .1356 MANGROVE AVENUE CHICO, CALIFORNIA 95926. /I OP//TIMUM DENSITY TEST Job Name n �'r �a �� �J l i r - h o u:; �� a Job No. % Job Location o c+ Of" �o✓Fih//,J9cBy;.�2' _Date 6A // G Soil Classification: i T ce-,...j CJ r r Sdny p I y (t C/c;C4 c, ,, < S^w,F f��n FS Test Method: Std. Proctor .Mod.AASHO Calif. Impact SUMMARY Optimum Dry Density = p.c.f.;. Opt. Moisture = % 95% Rel. Compaction = p.c.f.; .90% Rel. Comp.= p.c.f. REMARKS: F= D x 62.4 or C x .E G I _ F I H J 1+I Sand Calibration Signed: Cc..Q ' -7 z -7 �. Note: Weights in grams unless otherwise noted. A.) Volume of cone = C.C. B.) Wt. Sand = gm. Unit Wt. Sand = A x 62.4 = p.c.f. S-101 (Rev. 67) SAMPLE DATA Trial No, - VE/Ik Water used c.c. _ A Wt. Wet Soil + Mold B Wt. Mold - C Net Wt. Wet Soil ',s• D Vol. Mod..Proctor.Mold - c.c. = Calif.. Impact Tamper Reading = ;I. E Calif. Impact Factor "B" Kg. = F Wet Density --p.c.f.- _ MOISTURE TEST Wt. Wet Soil + Tare - = v Wt. Dry Soil + Tare - G Wt. Water Wt.. Tare H Wt. Dry Soil I Moisture % = /y.0 J 1. Dry Density - .c.f. SUMMARY Optimum Dry Density = p.c.f.;. Opt. Moisture = % 95% Rel. Compaction = p.c.f.; .90% Rel. Comp.= p.c.f. REMARKS: F= D x 62.4 or C x .E G I _ F I H J 1+I Sand Calibration Signed: Cc..Q ' -7 z -7 �. Note: Weights in grams unless otherwise noted. A.) Volume of cone = C.C. B.) Wt. Sand = gm. Unit Wt. Sand = A x 62.4 = p.c.f. S-101 (Rev. 67) WALTER B. MUCLEAR RELATIVE RIMES and -�ssoc. FIELD'TEST ,IVIL ENGINEERS 8 LAND SURVEYORS C.HICO, CALIFORNIA. 343-1444 COMA ACTION PROJECT• %hCYlo w VV 6/,•- JOB NUMBER 7G - 9 DATA DATE 6 - z/- TAKEN BY Zy � � � ,,�- ..�., /? C` 7 Z T 4 TEST NiT,.BER 1 2 3 4 5: 6 7 8 9 10 STATION Te /0—'// -74 OFFSET OW ���� r�� ; sf�,l •roc r + ELEVATION ;ODE & DEP-Til DENSITY CO"'NT 30? ! 4JOQ• 2- 97 344 3oG 1`/77 "3/2 2-8.7 27 302 `.RUNT RATIO /, 50G; 2 1, yL Z Z . D3.s /, 12- WLT DENSITY PCF j/3,. I/ 2/.J / 2 7,.�� Il 3. ,S // c"+ / 22 // 7., / 42_3 / / S AIF-G.1P I COUNT l l A,1R-GAP j F ;TIO AIR -GAP DF'�S.ITY ::0IST'JRE I . COITIT . MOISTURE - - COU?;T RATIO ( . ,':01SUT'RE PCF ;RY DENSITY MOISTURE I I" USW+ <<B r ]E; SITY 8 /, 8�L1, �; �/• D ,.Sr 8 MOISTURE RELATIVE COXTACTT(Y" .STA'*'DARD , COUyT REMARKS: 1 / DENS ITY i`:OTSTURE �i/� Cid/�l�i ; L fv /� ��aC�dri c% Co 6 c /7 1253 /, /c¢� -Z/•7C bmf: �ro,/E•-;•G,,vs. ovF� ,//..4✓.fa So '.,�,�/tz J...... .;L.-�. ., 1, / :L ,. !�.r'�r. .'\ I'.-•,��i��_ .j_� G'. 'a�Or ,•( o/ T �! i /C,Ce''��Vn �. `:; WALTER . B. 'NJIDCLEAR RELATIVE RIMES Ond &�ssoc. I^ 6EL.D TEST �Jd � :IVIL ENGINEERS a LAND SURVEYORS �HICO, CALIFORNIA 343-1444 COMPACTION PROJECT Th 4, ,TOB NUMBER 7(, ` DATA DATE /0 - TA KFN o -TAKEN RY I��•� �,. -�, - �, I� L= ? o- �� rE C �r•-+�.c, ro-t TEST 'UMBER- 2� 3 A 4 A 5. A 6 7 8 9 10 STATION OFFSET ELEVATION . ODE & DEPTI{:r y DE\i�SITY T I 3/7 i 7/8 Z l Z. G 2 87 2 h' ;SITy 0U`T R.ATI0 /S7L i4 2s' / 7/6 WLT DENS ITY PCF i //7. a/2/ /21 120 AIR -CAP COUNT, AIR -,GAP I F_ ,'i I0" AIR -GAP UE SS ITY NOISiURE i . COC?"T NOISTURF. " COC"NT RATIO VOISUTRE PCF' TY DENSITY � MOISTURE ,Ax DE,:..S ITY �� 8�; mil 9/ 9o• '3 9/y `1/•g. . OPiI:,;'.1 �. 'i`SOISTURE RELATIVE CWPACTT(IN . STA:?DA.RD 'COUNT REMARKS: C, "f / ra/ /oC� f/0"i DEI ITY j ;s i`IOTSTURE b ., G✓r%/ ...6< o r D/ jJ e 4✓ COI7So/ �� d j (A o u n __.Lw _, 7�, �. I '/' It r CIQ .b G/�O/�� •Q� {i�. JE�,f�..� �JhiC �' R �I' � t re 011-310=058. PERMIT # 98-0004 ''.'. SIMENC; VIC `'' 12608 CENTERVILLEMAD, CHICON'`' . CONT: ABLE PLUMBING GAS LINEa EXTENSION' f . a 1 E y i i f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATIdN AND PERMIT ASSESSOR PARCEL NUMBER 11-31-58 ZONING FR -2 BUILD!VGrPERMIT OWNER Vic SDMC '96-1935 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 12608 CENnRVILLE RD. CHICO CA 95928 CONTRACTOR'S NAMEABLE PLUMBING TELEPHONE _ _ _ QV`f7][7?��YVI/V707 CONTRACTOR'S MAILING ADDRESS PO BOX 1907 CHICO CA 95927 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 12608 CE:YMVILLE RD. Energy Plan Checking Fee $ CHIOC PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 9 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 EX Describe Work: ng LM ERTENSION Gas piping system 1 - 5 outlets 15.001 Building sewer 15.00 Mobile Home IS I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V 0Main Service 2o.AORLESS 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. r Lic. No. / / 1 11% License Class � � i (s 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. �0' 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 an olicy number are: Carrier i f.a 4, Main Service TO 46.00so WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( s ADC. BLDS. 3.5cFr: =RESID MULTI -OCH UTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CI R. Ex. OCCU . OUTLET OR FD(TURES BA2L@I'0° L @ .50 Ex. Occup. ouiLEEOTSA R IESIES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number c 1'n -t 't 7 7 I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section`3700 of the Labor Code, I shall forthwith comply with those provisions. ` /� %, / X P.. Date 1 !:1 � Signature of Applicant - ❑ Owwne�r ,O' 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 Is OCC CONST. TYPE V �/ TOTAL FEE $ 35.00 HAZ. D. FEES IMP _ I FLOOD COF I PARCEL I PO HDISSUE 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 PERMIT EXPIRES ON Date Receipt No. ` _, I , 1 L WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville,•California 95965 - Telephone (916) 538-7541 PERMIT O. (Rev. 12/96) APPLICATION AND PERMIT in rf)44 ASSESSOR PARCEL NUMBER 11-31-58 ZONING FR -2 BUILDIIPERMIT OWNER VIC SIMENC TELEPHONE 893-1935 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 12608 CENTERVILLE RD. CHICO CA 95928 CONTRACTOR'S NAME BLE PLUMBING TELEPHONE CONTRACTOR'S MAILING ADDRESS PO BOX 1907 CHICO CA 95927 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 12608 CENTERVILLE RD. Energy Plan Checking Fee $ CHIOC $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump 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 EX Describe Work: CTAS LINE EXTENSION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service Zoon oa .ss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter • 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is I ,full r e and effect. � / �� ° i 7 License Class Lic. No. [rte Z -76Q OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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' compensVion insurance carrier olicy number are: Carrier1101 Policy Numbed 7, -7 <_ 2-2- I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' ensation provisions of section 3700 of the Labor Code, I shall o with comply with those provisions. / /� X __ Date / G 7 Sig ure f pllcant - ❑ Owner Contractor ❑Age t An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( g ADC. BUDS. SO 3.52F7. NEW CONST. MULTI -OUTLET NON-RESID. ANC c OU @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 2U OUTLET OR FDCTURES x. Occup. BAIL p .so LNS OR Ex. Occup. ours RESID.) Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ o`c coNsr. TOTAL FEE $ 35.00 HAZ. D. FEES IMP nopo CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above fo which fees have By ERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /� I Date Receipt No. ? ?7 + �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 02, (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 6 zor BUILDING PERMIT OWNER r I " 5 T LEPHONE SO. FT. OCC. BUILDING VALUATION \ (� OWNERS MAILINGZZ& COM PR2 NA f f OA I all TELEPHONE CO TORS MAILING ADDRE 0 7 CONSTRUCTION LENDER ;a— Fireplace LENDERS MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER AI _ LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDEIESS v, �/„ Energy Plan Checking Fee $ qq CiY1/GtCF� [ ��''iU $ PERMIT FEE $ LOT NO. SUBD ISIONS NAME PARCEL MAP PLUMBING PERMIT Fling 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 f 15.00 S TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other� Describe Work: 9e,5 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ 35 ELECTRICAL PERMIT Fling Fee 20.00 aOOV OR LESS Main Service 200A 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. 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: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' 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 of one hundred dollars ($100) or less.) C3 not employ any person in any manner so as to become subject to workers' compensation ws o California, and agree that if I should become subject to the 6rke ' com ensation provisions of section 3700 of the Labor Code, I shall rthw' h com ly with thTe provisions. �/y' X /i" __ _ Date _� � Signature of Appll nt - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. Main Service 2 TO 46.00 CCU000A NEW CONST. DWEWNG OCCUP. SO- EL OR ADDNS. ( 8 ACC. BLD3. 3.5¢FT. No RES D. MULTI -OUTLET 97,50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES a20 O 1.00 Ex. Occup.50 GFIx„T Sas ) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ - Energy Inspection Fee $ occ CONST. TYPE O-0 Z. 1 D. FEES IMP 1 #16350 CDF I PARCEL I PD I NO I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Do Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT f 4 t IvIH Util. , 4934`-74P , E ;PERMIT NO.: P } E M %MH UTIL. ..'PERMIT NO. 9 PERMIT EXPIRES :OWNER Thurlow T. Weir sL "CONTR. LOCATION (A.P. 51-36 -X�k� 59 ) e/s Humbug Rd, ?,2 mi. past covered bridge " Chico if Temp. Pow r Pole Y, Calle PG&E Temp. ec. Serv. i Cad PG&E Temp. Gas Serv. Called PG&E )' JOe F �NALED u (Date) ' (Signature) ' A COUNTY OF ;BUTTE — DEPARTMENTS OIC PUBLIC WORKS ..t.t.a" BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Fixtures PLUMBING Setback a Firewall Soil Piping I Forms Parapets 1st Floor Subanels Main Bldg. Restroom Finish V 2nd Floor Scratch Footings Windows 3rd Floor Cooling Stemwall Siding To out Underground Slab Roof Sheathing Water Piping Door Closer Piers Roofing Sewer 9 •— �� Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped. Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping Temp. Gas & Test— Slab Final Sanitation�— Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf. Steel Final J Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service — 5 Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final=2• �.-. DATE/ REMARKS OR CORRECTIONS. v � 7 � 7s— d 6 p Z - -7 -� o ,e:;, ,o L //,F cam..(95 /la cf � � E w tt'r'�/2 ji9-7— �j�2c� � dL CL cf�l����� ����-� � o N C•�E/�« ave 6r' -Z -3-7C, zz614-�--0-4` �'�'�M-�':: • 01..14., � � � �,Fotf.;�.:+s..'r�'.+°C:�T f'...+ T^ COUNTY OF BUTTE DEPTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Calif rn a Administrative Code, Title 25 Ch ter underP ermit nu er30 for the following location: U2ze �2 r, Owner U/z�o e -o Ou ez/2 Owner's Address —"2 E U Mobilehome Mfg.ZZ<rlel Model S� /�/Cl'ear7le Insignia No. 5 S—(/, 6 C—) Serial No. 0 Z 11-1-Z It is hereby certified for occupancy at the above described location and may be occupied. // Director of Pu=WqrksDate 3` 7 6, THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 3. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rang o mobilehome with a'minimum of X00 amp) and other facilities o lot,�',e.; water pump garage, cabana, etc.? Yes No /, S �� > C B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes 1 --Nd D. Is continuity test satisfactory as per the following procedure? Yes4 No 1-.-- De-energize.electrical wiring system of the mobilehome at the pedestal.. 2.1,Zake sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected.. 3.Switch all breakers and switches'in.the mobilehome to the "on" position. 4.ctonnect one lead of a test.instrument to the mobilehome grounding conductor and app1 the other lead to each mobilehome supply conductor, including neutral. S. 1 non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line),.including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6..LU on completion of the above procedure,' the power supply cord or feeder assembly conductors- shal.l_:be-.connected-,to: the site service '.equipment. A further continuity- test ontinuity test shall then be made between.the.grounding electrode. and the chassis of.the mobilehome:-. Upon satisfactory completion of theelectrical:tests, the lot -.or site ser.vice.equipment-may be approved for energizing. 10. Is -job card -signed by -Health -Department for water and sanitation? 11: 'If everything okay, sign off card and' tag se: -vices. MOBILEHOME.-DATA Manufacturer. and/o%-Namestyle i�/� % L� CE5� �� Z Length'^ Width Vehicle Serial No. _ J State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST ` 1. Is the mobilehome located with quired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes/ No 3. Are footings and supports properly sized, spaced, and braced as ppt approved plans? (Note possible variation at spring shackles.) (Sec. 5082.& 5083) Yes No 4. Is .the mobilehome level? (Sec. 5088) 'Yes No ' 5.t` more than a single unit, are crossover connections properly installed? (Sec: 5088) Yes No 6. Water A, Is flex" le connector of adequate size and properly installed.(1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C Aackflow - If coach is not State of California.approved, does station have.backflow device and pressure -relief valve? Yes No 7. Wastes and Drains .A. Is connection made with Schedule 40 D14V and have flex connectors at each end? Yeses No B. Does it hay.e.:.:minimum 4- per foot slope and is'it properly supported? Yes— C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?, Yes No ✓ ,�',6-�� f` %goers �//� /:b2 c�/.4T� Ar- D. D, n/i'f coach isnot State of California approved, does station have required trap and vent? Yes No . 8. Gas Piping and Gas Vents A.' Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobile a gas line iiilet without reductions other than the mobilehome connector. Yes No B. Test DiC as per following procedure? Yes b 1.Op all appliance connector valves. 2. Shut off appliance burner and .pilot valves. 3.it test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in ter_th pound increments. Test for 10 min, without drop 4."Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy.water. C. Are all appliance vents properly installed? Yes V. No " COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive-'Ofoville, California 95965 zlg3 � Telephone: 534-4541 I 1 APPLICATION AND PERMIT 2,62 By—� lnrl-t�r�°-��rrq Date Receipt No. __j White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant permit expires Date......s� .��. �%�........... BUILDING Owner Me/x LCp W SQ. FT. OCC. BUILDING VALUATION Mailing Address ��� fj / Z"/Z u's Ye- C%7%IGCi A�-3 iSl.�� Fireplace ot14. ea_3elz-dry rr Contractor cc., Ae Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ ildingAddress �- v �� B/uJ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 r 00 /iv2 9©2r Z "t/ % &S ?AST Y�rQ Each Trap 1.50 �S © �� Repair drainage or vent piping 1.50 Water piping 1.50 G ® Each gas water heater or vent 1.50 A. P. No..5-- 3e,"• "� �-Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Q Each additional outlet .30 F a n EQA Parking Parcel Plans Declaration Fire Dept. Fire Zone Use Permit Building sewer 5.00 Q Q Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Q/�Pc el�Appr� Ia Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ig OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3.00 Main service incl. 1 meter (J Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures be 10 Receps., switches & fix outlets 2 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump W. o® O Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ Z �� WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ® I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 authorize representatives of the County of Butte to enter upon the above- entioned property for inspection purposes. X Date 1 Signature of Permitee or Aaent TOTAL PERMIT FEE $ �Z This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS ham' ----1 _ -7_4— _ /_ _. / i 2,62 By—� lnrl-t�r�°-��rrq Date Receipt No. __j White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant permit expires Date......s� .��. �%�........... 6.1 4- 1 —71 - Lip W Ali Ak -L - O 1 ipt .I,g 0= P-77— 77 01 1 cD-! %lo y 4 Y/h I Jc: 71 %Y jr -Ln:- V i I e6i ri f I re-. 44, ........ N. Cfl .... L 7 7 v Y Al r- 77— LL 7 I I I 1 1 vi- I T AM! L . ...... U jPly I 10 a( M 1! d jr . . I � -�g T -7T, e.crIon Ot- thpi ;MMija� r J: clul blul� -10 L! t rN F-19 0:L AF ,i 40, ilro —LL '74 4 alo i6: -7- qc tuIrwij Drn • 77 T r -7- 40L COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — 'broville, California 95965t,3' 0P9 ;�5 Telephone: 53J-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /J Date •23r ignature of Perm itee or Agent Receipt No. a ( A White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/PUBLIC WORKS By Date 6—:30— .7 t ilding permit expires Date BUILD, G Owne t n SQ. FT. OCC. BUILDING VALUATION Mailing Address 1710 /iMA vLL b . � Tel hone No. 25 Fireplace Contractor Total Valuation Mailing AddressPermit CY 61 X Fee Plan Checking Fee&/or Penalty lephon Tee N S 0 Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 64) ' �� ✓ Repair drainage or vent piping 1.50 Water piping 1.50 �( Each gas water heater or vent 1.50 A. P. No. �._. Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W ire Dept. re Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 0' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel App val Plans A royal Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil HomeIdi Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bo 2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 78 9 572 G Classification d Co Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ is 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 S� O� ��•®� TOTAL PERMIT FEE $� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /J Date •23r ignature of Perm itee or Agent Receipt No. a ( A White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/PUBLIC WORKS By Date 6—:30— .7 t ilding permit expires Date 4 All u ' ity connections shall be loca d within 4 ft. outside The rear / th' d section of the mobi, , home the left (road) side of the mobile N ome. . -A AO Setback shall e 5 ft. from The `g• the side property line a 'd 50 ft. from . �•%� c �. the centerline of the ro d, permitting Z y --a ®,9 X t I • �'�� a maximum of a 2 ft. a ve overhang- e z a( a o z ;►- O Fa ' CQ! Septic system and location Ofibawg& Q, to be as per Butte County Health .'Dept. Re-quirements: BUTTE COUNTY BUILDING; DEPARTMENT 1 NPPROVE D his set of plans . �AyIJ�g bpi 6 �T NSTE:—AII Materials & Workmanship Shall Be in .sept on the job at all times and it is unlawful to Accordance with Recognized 'Good Practices and Make any changes or, alterations on same, without of a quality prescribed for the Specified use in the written permisson from' the, Department of Public Uniform Building, Plumbing & Machanical Codes and Works, County of Butte. the National Electrical Code. • eowd* of x� OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: PatVicia Weir ADDRESS: Rex 749 KI -Shaw Stage CITY & STATE: Chico, CA. 95926 IMPORTANT: ,. DATE OF CLAIM: November 15 1976 SEE INSTRUCTIONS s ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS . OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to bu ld ln. #612-4-76 B.P-E - Redisipt 61WA5 1 - AP AP 51-36-58) Bu Retain 1/3 of fee -------- 43.33 Plumbigg vermit fee - Retain filing fee ------- 3.00 Amountof a ---------------- Ela --- $ 40.80 Retain filing fee ------- 3.00 Amount o TOTAL REFUND E ---------------- TOTAL $147.91 I, theundersigned, 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. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation❑ or Specific Board /Ap..proovval0 (Checkone) for the same. Datedthis ...............15th.......... day of ............. y.... 19.....76t .....4D o- 11le' ' Calif...................................................................................... -- Department Heed or Authorized Deputy Dept. Exp. Code............................................ Code ...............................................:PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS --to CLAIMANTS t2 All claims against the county must be itemized, giving dates and character of service rendered or work -performed, -quantities,' de-; scription and unit prices of articles. furnished or delivered. r Claims must be certified by the claimant and submitted to, the De- partment head for approval. Upon approval 'the Department Bead will forward claim to County '_Auditor. for •payment procedure.. bo not file with the Cotirity' Auditor first. Claims should be presented to officials for approval immediately. upon completion of services requested' or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE — DCPARTMENT OF PUBLIC WORKS 7 County Center Drive _ broville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner 1ZI C_1vI SQ. FT. OCC. BUILDI G VALUATION Mailing Address��+ k �Lj✓ q �f 37//—C-;4./ 8 .L O �$-i T ��_0 <; L� �N`C�( T e hhoone N . � ✓ ;_ Ta 00, Fireplace ! 7 -,Or o , Contractor Total Valuation 3 O 5-6 Z> v Mailing Address Permit Fee p, 0 O Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ .38 Building Address e: ffd �� I:3G✓� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 0 J) Each Trap 1.50 .0 oo Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. .- l _ NT- TM- nTO-On` § Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fe Sa on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkin Declaration I Parcel Map 1 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Pr—Parcepproval Plans Approval Permit Fee $ S NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Jr.O OR LE Main service i°o°o AMP ORSLESS 5.00 Main service EA, ADD•L too AMP 2.50 Single Family, Duplex ❑ Mobil Home ❑ Others ❑ OVER AMP OR LESS 25.00 Main service Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OC.gg OR ADDNS. ( ACC. BLDGS.,i4 r/) 20sgft 7, O NEW CONSTR. MULTI.OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CON ST R. POWEAPARATUS & NON-RESID. (SINGLER OUPTLET 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) BAL@t FIXED ALNS. Ex. Occup. ( OUTLETS P(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 $ 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. 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 @ FEEPERMIT FILING FEE J$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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. W X r Date L _3 e Signature of Permitee or Agent I TOTAL PERMIT FEE f $/ C 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 Receipt No. zz=;r!�_04� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant my Building permit expires Date Date FILE MEMO nn /� S % a OWNER � %'�I �'% d'1 UVLS/ a* AP NO. V'" At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in_duplicate/triplicate. 3. Complete plans in-duplicate/triplicate.. 4. Complete engineered plans and calcs. 5. Fees of $ 6. Letter of signature authorization. 7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information. 11. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for 18. Other S-cFd'. I.,E'02E'R— IA l ,rAc#,ey IC E. fir d1,,j91WPiFl�- By, Bldg. Inspector rammsaamaaaoammaamaaomm When permit is issued, 1. 2. 3. 4. 5. Date [ l —g— mmamaommaoaoommmaaammmammmmmaaomammmaomamommaaaomammaaamaaamamammmammmam¢ i process as follows: Mail to owner. Mail to contractor. Deliver with inspection. Telephone and hold for pickup. Other ®aemaaaaasaaaaonannasaaosaanaasasaaaaaoaaaaanaannaaanaaoanaaaaaaannaaaaaaeaanaasaaaoaaaaaanaaann: During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered above. 2. Applicant advised by telephone we need 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. Plans checked and/or approved by Date aaCCaa�aaaaaC�aaCaaaaa��aaaaaC�aa7 a-aaaaaaaaaaaaaCaCaaaaaamaaaammmammmammmamamaammaammmama6mm Additional Processing or Notes: [/ /% ��� 7 - THURLOW T. WEIR, D. D. S. r 1627 ESPLANADE ,• r i S CHICO, CALIFORNIA 95926 f 916 342-8251 i lfz ' f . - la� r - �r v. x4D •.- - % FILE NO. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way j 1 1 7 County center vrive, Urovitle, PHOiVC : " 531.-4541 T n- r 'h �.\ k;aii ornia Mobilehome Data a 1. Plot plan dimensioned, location of mobile 1. Length_ Width iL and utility connections? Manufacturer Yes No Vehicle Serial No. (� Utility Utility 2. Electrical. service equipment ampacity lido Insignia Control Na. 3 Circuit breaker ampacity P�_ -2. Feeder assembly a2pa,,ity 20' Conduit size A-pacity Power supply �cxea-g (amps) ►-� G ►t G Receptacle Apacity 3: Gas inlet size 3- Gas:. Natural LPG l/ 1 33m 5 0 i -L m rr �q min 0 i 4. Drain inlet size 4. Drain connector: describe on rwecse side 5. y Water riser size_ /g� ID Ilater connector. describe on inverse side. 6. Are utility connections located outside 6. Designed loads: f4 the rear. 1/3 of the robilel:cmz yithin Q ` 4 f eet of the lef t wall? Yes ✓ No Mind load - usf . _ If not, show dimensions. above. (only for mobi.le`_-lomas manufactured after- 7. Is the mobilehone clear of septic tank, MOBILEHOM INSTALLATION INFORMATION 'J C.f N Lot Facilities Mobilehome Data a 1. Plot plan dimensioned, location of mobile 1. Length_ Width iL and utility connections? Manufacturer Yes No Vehicle Serial No. (� r' 2. Electrical. service equipment ampacity lido Insignia Control Na. 3 Circuit breaker ampacity P�_ -2. Feeder assembly a2pa,,ity Permanent Wiring, Connection Conduit size A-pacity Power supply �cxea-g (amps) Receptacle Apacity 3: Gas inlet size 3- Gas:. Natural LPG l/ Mobileho-irte connector size Gas riser size_ Capacity. 144 4. Drain inlet size 4. Drain connector: describe on rwecse side 5. y Water riser size_ /g� 5. Ilater connector. describe on inverse side. 6. Are utility connections located outside 6. Designed loads: the rear. 1/3 of the robilel:cmz yithin Proof live load — psf 4 f eet of the lef t wall? Yes ✓ No Mind load - usf . _ If not, show dimensions. above. (only for mobi.le`_-lomas manufactured after- 7. Is the mobilehone clear of septic tank, October 7, 10,73) ' leach fields and located outside public 7. Manufacturer's installation in-.tructlons? utility easer:ents? Yes No _ Yes No S. Do you propose to do other work on the S. Will the mobile honte- be' installed on a property other than the mob ilehome separate sucport stn�cture? installation yah; .will require a permitY Yes No Yes No, If so, specify _ i� a PI.,a 4- 1 d, For' plAds and - 6pecii_cations of support sysU. n, see` other side. ADDITIONAL CO.M`"::TS ' `r Drain Connector, Describe _. Water Connector, Descxib LOBO BEARING SUPPORT AND WOOTING INFOIRMATION Pier Spacing Used Maxi mum Pier Load Maximum Column Load (multi -units only) f� Soil Bearing Capacity Footing Dimension Used TYPE OF PIED USED , Steel Concrete Concrete Block !� Other TYPE OF FOOTING MAT1tIAL .USED Pressure Treated Wood 2 X l' .7- X 3 0 &P -)D ' Concrete Redwood (Grade) Other Approved Type LOAD BEARI\'G ' SUPPORTS ;. BUTTE COUNTY BUILDING D>=PARTMENT APPROVED eft I MIT NO 4900-76P,E PERMIT EXPIRES de OWNER Thurlow Weir CONTR. owner LOCATION (A.P. 51-36-58 ) .250'off E/S Humbug Rd.,app.2k mi.N.of Covered Bridge, Chico 1 a 1 , t r' `a 4' F i C � }1 r� f� Tem Power Pole alled PG&E ! T mp. Elea Serv. Called PG&E .._% emp. Gas Serv. Called PG&E ` JOB FINALED� t.. (Signature) Footings COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD. Masonry Walls BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Solt Piping Forms Parapets Stucco 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping - Piers Roofing Sewer ?.. Garage Fdn. Vents Fixtures 1 Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for physically handicapped Conformance of ex. structure Final -� Appliances Gas Pi in 8 Test Tem ��­. Ga's ' '' Sanitation -- Patio FIREPLACE Final Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FI E SPRINK Framing Test Stucco 'Final Mesh MIECHANICAi Scratch Heating Brown Cooling Finish Ducts Interior Lath ` Ventilation Door Closer Final DATE` 7 REMARKS OR CORRECTIONS ELECTRI -7-7,6 Fix Subpanels Grd. Fault Prot. Service Temp. Pole Underground -Permanent Final 4L -i 4,i P S.�F"r X7-0 0/t0 f CST-�� Ll�i(1ACN J i� G' k} S -i-,P "CU J� O (NOTE: An entry must be made on this form each time you visit the job site.) 9.. Electrical A. Is service large enoiiglk to provide adeqUZA-e amperage td—Mobilcliome (must equal rating of Mobilehome with i of 100amp) anal other facilitiE!!, on lot i.e. water pugs, Z2 CAn 00/.y V-4a'Oevre C- cf�, a r. Y C S, tl�o cabana, ct�u. 40 CD P v ® j7 B. Is them proper clearances around panels?. Ye C. Is power supply cord or feeder assembly properly fused? Y e s, D. Is continuity test satisfactory as per the following procedure? Yeses_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 12- �Iake sure that the power supply cord or feeder assembly conductors, including neutral ,co�ad'or, have been disconnected. S14:L r ch all breakers and switches in.the mobilehome to the "on" position. 4A_Qtn"nect one lead of test instrument to the mobilehome grounding conductor and appLy the-o•Lhejc lc:ad to each rciobi'lel-ioifte SuPP11Y Corluhict0r, il1cluding rieuLral. 5. non-current,L��carrying metal parts of the mobilehome.(Lbiminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equi.p�mt and the grounding conductor. 0� t i on c complee tion of the above procedure, the power supply cord or feeder assembly conductors shall. be connected to the site service equipment. A further continuity te.:;t: shall then be made between chle grounding electrode and the chassis of the 111.0bilehome. Upon satisfactory completion of the electrical tests, the lot or site service eqijipinent may � be approved -for energizing. AVA7 C�A?_, Is job card signed by Health Department f,,.,)r water and sanitation If everything. (A:av) sign off card and tar- services. MOBILEi"O.KE DATA Manufacturer and/or Namestyle S/ ; < _1Z r Ler.gth_& C> Width 1,2 Vehicle Serial No. State Identification - No. Ade,litional Info-niiat-Jon or Comm.ents: A IMQBTi.T H10iME INSTALLAT-10N INSPECTION CHECK LIST 1. Is the. mobilehom� located with required separation from lot lines and buildings and generally conform to plot plan? Yes -No_ ?. Does the-mobilehome have -required clearances above ground? (Sec.5085) Yes [iIro 3. Are foot.in,s and support's properly sized, spaced, and braced as per proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes�No 4. Is the mobilehome level.? (Sec. 5088) Yes-lNo 5. If mo ✓ ' single unit, are crossover connections properly installed? (Sec. 5088) Yes 5, Water A. Is ilex" e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes '--No C. Backflow --I/e�Cf s not State of California approved, does station have backflow device and press alve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes `Nb B. Does it have minimum ," per foot slope and is it properly supported? Yeses C:. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture inclu in.g washing machine standpipe? Yes Not D. If coat � State of California approved, does station have required trap and vent? Yes 8. Gas Piping and Gas Vents A. Connector - Is mob ilehome.connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long?, Note: All piping is to be at least as large as the mob�ileho�"°`as line inlet without reductions other than the mobilehome connector. Yes —No B. 'rest OK as per following procedure? Yes ado 1. Open all appliance connector valves. 2(,�Shut off',appliance burner•and-pilot valves. 3' test with manometer to'10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth poundlincrements. Test for 10 min. without drop. 4.or_nect: gas meter to,mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes Z, o COUNTY OF BUTTE — DEPA'RTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 53.4.-4541 APPLICATION AND PERMIT authorze representatives UI me uuunty of butte to enter upon trle aboveoned roperty fori_ nspectio, n purposes. ''vp'DU,LY�(.. �itl.O''►'K _ lam/. _�_ X�I! U G^�, .Date 9_/ a— 6 Signature of Permitee or Agent �'J •' Receipt No. / f o? a / / 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 OFU LIC WORKS By Date -9—/V- Blrffding permit expires Date y— ;?% BUILDING OwnerTA L)t?- L, w 2- i2 SQ. FT. OCC. BUILDING VALUATION Mailing Address C - re, VS /A 14 CLI tcb Telephone No. Fireplace Contractor Q,LJACL-r4m SPdl 1CfZ Total Valuation Mailing Address w0 a L_ n14^ t L Permit Fee Plan Checking Fee &/or Penalty Telephone N �,,,' Permit Fee $ Building Address / �� 1E s PLUMBING No. @ FEE PERMIT FILING FEE $3.00 U j44 ALI /tel.r-® r .L dill Each Trap 1.50 /� ✓�Kgd C_O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3� S� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. S314ke4en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im pro ments Lawn sprinkler system 2.00 B dg. Plans Recd Parcel proval Plos Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 +' L � S% V i S, Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP, & OR ADDNS. ACC, BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW C ONST R. ( 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: Q�� L 1IT A/K 0 Bit_& 110 (F y ,v( S�ieVrcE Ex. Occup(OUTLETS OR FIXTURES) BAL@1 09 Ex. Occup. FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 y cervi Temporary service 10,00 Mobile Home Facilities 15.00 License No. o2S AG 32 Classification Cr Misc. Wiring 6.250 ❑ 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. ❑ 1 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 IM 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 1 1 2.00 Permit Fee Ir $ $ 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 , TOTAL PERMIT FEE Is 3© authorze representatives UI me uuunty of butte to enter upon trle aboveoned roperty fori_ nspectio, n purposes. ''vp'DU,LY�(.. �itl.O''►'K _ lam/. _�_ X�I! U G^�, .Date 9_/ a— 6 Signature of Permitee or Agent �'J •' Receipt No. / f o? a / / 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 OFU LIC WORKS By Date -9—/V- Blrffding permit expires Date y— ;?% BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,' Oroville,.CA. PHONE: -534-4541 MOBILEHOME INSTALLATION SHEET ' 1: Owner's name: 2. Installer's name: L }onnE 5�.��ie 3. Is the site currently under permit?. :Yes7/77 No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from'septic tank and leach.fields and clear of all setbacks and easements? .,Yes =77 No / / (If no, clarify 4 ) ( ' ) 5. What is the mobilehome electrical rating? ----------------------- d d 'Amp's 6. What is the mobilehome site service rating? --------------------- IQ- S Amps 7. What is the mobilehome site circuit breaker rating? ------------- 1b o Amps i 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /. / No. /K / (If yes, identify the load and size: (Load)' (Amps) 9. What is the mobilehome site gas' pipe* size? ---------------------- (in.) 10. What is the type of gas service? ------------------------------ Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? r. 15 (ft,) 12. What is the mobilehome gas demand? ------------------------------ (B) (This information not required if pipe length less than 6 ft. on natural gas or less than' 50 ft: on LPG.) ' "�`+; f�r�3'Ci��.C���� �! '� is • 400 MOBILEHOME SUPPORT DATA Mob ilehome Mfr. -5kL I i�1 111�'fR w o o D r�ND S S 5 6 0 � Setup Model No. Year 1972- Width 97ZWidth i (ft.) Length 0 (ft.) e . (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not.on .file with .the County of Butte). - Sin lFootings—(check.—one: i "'/ 1. Wood either to pressure treated or Center Center S port : fdn. grade. Support Footing izes Locations (in. 2. Concrete pad. x / / 3. Other,: specify in. in join. — - — — — -•,:4, Supports (check one, A /vr—i. Concrete block x IL 2. Concrete piers ,fes 4in ( •)(in.) . 3. Steel piers L / 4. Other, specify 3a Typical Support X Footing Size in. x (in.) in.) d _ Max. Pier Spacing �ft. in.) (in. (in, Max. Overhang q *If center piers are other an drawn above, draw in 1 cations, spacing, and dimensions. BUTTE COUNTY BUILDING -DEPARTMENT APPROVED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephonq: 534-4541 APPLICATION AND PERMIT t, c"aaavoa V Me %aGUnty ul OUlle to enter upon the above-mentioned property for inspection purposes. XDate g- 2'7 • �� Signature of Permitee or Agent / — . r Receipt No. �J / / -3a 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. DIRECT -OR OF PUBLIC WORKS zy�4��r Date� Stfiidi 5 -permit expires Date BUILDING Owner �. ✓ W t SQ. FT. OCC. BUILDING VALUATION Mailing Address 10 0-8 Zhi S APC Tel ephoneNo. Fireplace Contractor Total Valuation Mailing Address �Q 4/ Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address 4250 / O,FF 0 114Al6a C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 r1?CJA pp ® be 4 M/ L e D r7 -h O F Each TrEip 1.50 Ifo LJ e- cl G Repair drainage or vent piping 1.50 � Gp Water piping Ian t�DO Each gas water heater or vent 1.50 .-Gas A. P. No. / — '3 6 Is—so Zoning 8 Planning piping system 1 - 5 outlets s.b0 Each additional outlet .30 F Sa Fire Dept. Fire Zone Use Permit Building sewer 6ze-0 fQ .0do EQA Park sg Plat Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 !/ BId9. Plans Recd G+� eE 52-5Ci Parcel Approvol Plon Approval Permit Fee $ ��, @+ 3� pC NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 300 C d GJD T� / A/ G%r L r%j a 600' OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service 10 OEAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft NEWCONSTR MULTI -OUTLET NON -RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (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)@2-1 BALC? Ex. Occup. (OUTLETS IXED AP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .OD License No.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. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner s as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$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 .I , TOTAL PERMIT FEE $ 5-� D® t, c"aaavoa V Me %aGUnty ul OUlle to enter upon the above-mentioned property for inspection purposes. XDate g- 2'7 • �� Signature of Permitee or Agent / — . r Receipt No. �J / / -3a 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. DIRECT -OR OF PUBLIC WORKS zy�4��r Date� Stfiidi 5 -permit expires Date I