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1 ?Ramsey Inc. S/S Humbug Rd.,app.325'E.of Castle Ct., lot 7, Castlerock Sub, Chico Permit #1109-78B,P,E,M(new single/ family) 011-320-Ar PERMIT497-0168 CHIAPELLA, Joseph A. 12074 Centerville Rd., Chico Cont: Robin Perry ,,,,,t r'/lal ��'�i'�i1 V f 0/7-/7v .--r � i � � ��--1 �y y. RESMENTIAL a4 011-320-010 PERMIT#97-0168. CHIAPELLA, Joseph A. 12074 Centerville Rd., Chico Cont: Robin Perry Fnd,Reroof/SF�iD/P B/ Svtspa.c�er : C..o� 011 -azo -oto O Et' 320 •4011 rP,bt,o.- be cen.bs'ne'd - 1o�e�ore �ttr,a.1. l 0' /leo -zL:- d- C -Oleo IVI00� 5Id q ,r. nJ A.r _k JOB,FINALED (Date) r� Signature V = OK • ' ` *, O = Not OK , •=NottRepadyble 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 -C/O -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;/ /'12ft. / /Nat. or/ /Lt./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing VeneerStucco-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; SizeSpacing-Marriage Line POOLS (Plans) OK except #'s 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-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. } 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing VeneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready Date RFLOO tans) OK exp* #'s o ' g -Se cks- asments-FI d -Slope Main; ils-Elec. Gmd.-/ P' Ftg. Depth 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-Wrapped 6a. Hold Downs and Special Anchors 7. Pab, Steel -Wrapped iers-Fireplace Ftg.-Steel f % .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test j 10. UPipe; Size Anchors - Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card 8-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 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 All 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-Mech. Epuip. 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. Furnance-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 (Plans) 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 RESIDENTIAL (Single & Duplex) 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-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace 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-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 & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htc; 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 (G.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 0 Yes 82. Following Instld./Drive 0 Yes 0 NoPWalks 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 Dat Date r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BAC H MAN March 18, 1997 COUNTY OF BUTTE Department of. Building P. O. Box 3243 Chico, CA 95927 RE: JOSEPH CHIAPELLt., . 12074 Centerville Road Chico, CA 95928 A: N: Mr. Dave Wasney ASSOCIATES Dear Dave: An inspection of the subject foundation was made on March 14, 1997. Based upon my inspection report, I have determined that the finish floor of the residence will be at 'least 386.0, which is 4.0 feet above the flood elevation. If I can be of further assistance in this matter, please do not hesitate to let me know. Vezy truly your C. W. BACHMAN CWB: jb ENGINEERING SURVEYING • 3012 The Esplanade, Chico, California 95926 �oQ�pFESs/ �q! . Bqc W xp. '41 e�� �t 6-30-97 Cz VNO. 1680 Z m rM CIVIL OF ��\Q O f C A.��Fd PLANNING 0 DESIGNING • Telephone: (916) 342-4136 O.M.B. NO. 3067-0077 - ELEVATION CERTIFICATE E.Vir'" May 31,1996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM , ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement This form is used only to provide elevation information necessary to ensure compliance with ;applicable community flc�:Idplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Mail Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. BUILDING OWNERS NAME SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I JOSEPH CHIAPELLA POLICY NUMBER STREET ADDRESS (Including Apt. Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY MAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, eta) rhi co CA 95928 CITY STATE ZIP CODE SECTION B FLOOD INSURANC`-2 RATE MAP (FIRM) INFORMATION Pre%^:de the fo:lowir:g fres^ t`e proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2 PANEL NUMBER I 3. SUFFIX 4. DATE OF FIRM INDEX 4. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 060017 210 B 9/29/89 A 382.0 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [—;I.NGVD '29 ❑ Other (describe on back) 8. For Zones A or V. where no SFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I 1 1 1 1 LI feet NGVD (or other FIRM datum -see Section B, Item 7), SECTION C BUILDING. ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 1; . 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevaticr. Of L-!:- .b.J feet NGVD (or other F1 RM datum -see Section B, Item 7). (b).'FIRM Zones V1 430, VE, and V (with BFE). The bottorn of th' lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of ' ' 1 : .!_ feet NGVD (or other FIRM datum -see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is LL 1.i l feet above l ,, or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I� .L) feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? L Yes ❑ No ❑ Unknown o .,.I dicat:e vhe eleval,,:.nn datum system used indetermining the above reference leveteInv Ions: _ NGVD '29 0 Other (describe under Comments on Page 2). (NOTE. If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: '.91 actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid it the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: i� feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C. Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: i ! i I ! l .Lj feet NGVD (or other FIRM datum -see Section B. Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81.31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE).V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued SFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections B and C on this cerffScate 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. C. W. BACHMAN RCE 16803 CERTIFIERS NAME LICENSE NUMBER (or Affix Seal) Professional Engineer Bachman & Associates TITLE COMPANY NAME 3012 Esplanade Chico, CA 95973 ADORE CITY' a STATE ZIP 1/26/97 (916) 342-''4136 SIGNATURE DATE PHONE Copies should be made of this Certlf ate for: 1) community 01iicial, 2) Insurance agent/company, and 3) building owner. ON WrrH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES DEFERENCE nE --E LEV'_L PEFE.4ENCF. BASE L= LEVEL FLOOD LEVEL ELEVATION n:. .. .:: BASE FLOOD •:::`•'•:::. •ADJACENT .: = DEFERENCE ELEVATION REFERENCE ADJACENT GRADE LEVEL BASE FLOOD ELEVATION LEVEL GRADE: I�4ia�IJf[T`+M�`Y •..:. .:.�:1.::.i::i:�,. .. ENT GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive,tQroville, CA - (916) 538-7541 747 Elliott Road, Parlise, CA - (916) 872-6307 CORRECTION NOTICE OWNER 7-o16 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, N' V/L0-(J/ / - R 1A -,1 1Z F/O C-4-1 Date Inspector RPV 10/92 Q0 GI .r V/ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 -7541n --PERMIT O. APPLICATION AND PERMIT 7� ASSESSOR PARCEL NUMBER 011-320-010 & 011 ZONING FR 2 BUILDING PERMIT , SQ. FT. OCC. BUILDING VALUATION OWNER JOSEPH A CHTAPELLA TTNE4943 52 000.00 OWNERS MAILING ADDRESS 12074 CENTERVILLE RD CHICO, 9592j8 COMP 55 3,300.00 CONTRACTOR'S NAME ROBIN PERRY TELEPHONE 83-423 CONTRACTORS MAILING ADDR�s 6 A WEST EAST AVE #325 CHICO 3 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ 55.300.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 441.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 286.90 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 12074 CENTERVILLE RD PERMITFEE $ 748.45 PLUMBINGPERMIT Filing Fee 20.00 CHICO, 95928 Each Trap 1 7.00 LOT No.SUBDNS 7b E COSTEL ROCK SUB DIV. PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ift Describe Work: RELOCATE SF NE14 FOUNDATION & RE—ROOF 55 SQ COMP BUILT 78 3 BEDROOM Mobile Home I S I G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in II 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) BAL Q I.50 FIXED APPWS.OR EX. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring RE HOOK 23.00 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) iv 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 f— ith mply wit o p visions.-- ---- — j ` �v � � X Date / Signature of Applicant - ❑Owner ontractor ❑ Agent An OSHA permit is required for excava ions over 5'0"deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ R3 CONST. TYPE VN TOTAL F $ 791.45 HA2. I D. FEES I IMP I FLo I CDF PARCEL PD HD IS UE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. / 4yof D to / 3 / oh Date) Receipt No. q?D / 5r/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541' PERMIT NO. APPLICATION AND PERMIT �'7_0/&OV ASSESSOR PARCEL NUMBER I _ 30,10 _. (7j D D0N1 _Z BUILDING PERMIT OWNER /1 TELEPM E SO. FT. OCC. BUILDING VALUATION DW►ffA5 JZZNG AOD v.� 5�9 g _ - OONRixcrORS NAME CONTRACTORS MAWNG AQQRE,SQ f--1 yy y,. y ///�� V•11��J/�P_ Lw�ti•* 3v� Fireplaces CONSTRUCTION LENDER - UNg10WN Total Valuation Fling Fee - - $,- - - -20.00 - u=NOERs ►,wuNo ADDRESS �' Permit Fee $' ARCHRECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHrrEcr OR ENGINEERSMAWNG ADDRESS ' Penalty $ SUaDINGAODRESs / n O,� y7 _� - - d - PERMITFEE.•- PLUMBING PERMIT F ing Fee 20.00 PD1•-{ Each Trap y 7.00 LOTNO. SJI�oN610 9 n �- A `'�z PARCEL MAP Solar Of heat pump water heater - `' 23.00 Water piping- "15.00 _ - USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other_ ` SPECIFY Each gas water heater or vent -i 15.00 Gas piping system 1: - 5 outie 15.00 , N Building sewer- ,- 15.00 - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑' Installation ❑ Other Describe Work: NLLJ Mobile Home = .1 S I G 920.00 ^:� ; `..,��.� _ r;;:.; t -• PERMITFEE S- Contractor _.-_ %,_— ELECTRICAL PERMIT Filina Fee 20:00 Y ^ ^ l/ "�. .•t1..n Main Service ( 20OY OR LESS - - - 200A OR LESS )' 23.0 _ Main Service( '-200A TO I000A ). ^h• 46.00 •_ LICENSED CONTRACTOR'S DECLARATION .._ I hereby affirm under penalty of perjury that l 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 I 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 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 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent_ _ An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in heir. NEW CONST DWELLING OCCUR, r S. SO OR ADONS _(. a.ACC. BLDS. .) 3.5¢ FT NEW CONST At,:.' MULTI.OUTLET ,)s, Y NON-AESIo .(. BRANCHaacuns..)t� @7.50 �, '► `• POWER APPARATUS (a SINGLE OUTLET aR) `* Ex. Occup.( OUTLET OR FIXTURES) 20 o I.500 FIXED APPLNS. OR Ex. OCCU p• ( OUTLETS (RESID.) EA.) -5.00 Temporary Service , -�,; = 23.00 Mobile Home Facilities 20.00 Misc. Wiring Az ' = 23.00 I I - " . • ,. i PERMITFEE Contractor _. 'wb t "°5�.•' ' ,Y- ai y ' -- MECHANICAL PERMIT Fling Fee, ' 20.00 Heating , Cooling _ Hood Ventilation + ' -, PER ITFEE - S-• A01 Contractor . Mobile •Home Installation Fee $(The Energy Inspection Fee$ OCC t .3 oNST. TYPE TOT FEE $ '`7Q L.{5 - HAz.' 0. FEES I P FLOOD, I CDF PARCEL Po HO 155 E` 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. -•j{ ,�.� s - _,;• c t `, By Date i -- -" - - - - "(Date) "'-- - - • - rR7eceiptNo.PERMITEXPIRESON HITE•O.O.S.•B.D. CANARY- SESSOR PIN • NSPECTOR GOLDENROD -APPLICANT 3 C) 0 - acs J1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A .•- E.H. USEQ Y Plod Plea Amhchad FI.. PI,- Aff d d seat to B.D. —Z- /� ja�q Ca ft jL )) � Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private lWell Clearance for bedroom mobile home. Otherr � CA- �" , N4, 5L. LC, Final clearance O.K. for: NO En ironmental Health Specialist 8/92 W .COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTERDRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER w )'T�oM 'Q ' DIS P. No.0«- 3ab � (U �-O( I Proposed Building Use �� 4 Building Inspector IaDate 1-30 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ......................... ............ . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans ,s ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. r 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . -A3. Flood elevation letter (100 year floc�d� by California Engineer. .. ............ . V 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... D . Plot plan and business license approval from City of Biggs/Gridley. 7. Planning approval for (A) Use: (B) Parking: ......... 18. Contact Land Development about (A) Improvements (B) Drainage ............. 19. Driveway permit (construction approval required prior to occupancy). ...P;,�I;s��p; �eeqe6F-- 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . .......... :.......... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list..... ................. . 33. �/%� i*i -%- 61C 34. - Wh n you issue the#�rr *t, p o ess as follows: Mai ouvner. Mail to contractor. Telephone and and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date -30�- 41 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submittedprgor to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. =1 I items required: rD Contractor, designer, owner, was ad sed of above req fired data by -NZphone -mail Counter by'- Date Contractor, designer, owner, was advised of above required data by _ phone _ mail CoOte y _ Date Plans checked by Date Plans approved by Dateo?--4-27 Copy - Department of Public Works Sets of plans on hold in File cabinet AP folder vea B , . utte count .a - ,. L V. I_ - February 3, 1997 DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 18-B County Center Drive FV1 411 Main Street a 7 County Center Drive Oroville, CA 95965 P.O. Box 5364 Oroville, CA 95965 TEL: (916) 538-7282 Chico, CA 95927 TEL: (916) 538-7281 FAX: (916) 538-2165 TEL: (916) 891-2727 FAX: (916) 538-2140 FAX: (916) 895-6512 Robin Perry 236 A W. East Ave. #325 Chico, CA 95926 RE: Request for Clearance, Centerville Rd., Chico; Dear Robin, Chiapella.Res,idence, 12074 APN X011-320-010) �5_ The above indicated_ request for a clearance to relocate the well has been reviewed. Prior to further processing the request the following is necessary. 1. The plot plan was not to scale. An accurate to -scale plot plan is necessary for review of the project. 2. The site for the new well is shown on the adjacent lot. This is discouraged. The location shown eliminates usable sewage disposal area and any possible development of the lot. In addition, the Building Division will likely require an recorded easement to the well site on the adjacent property. A more desirable well location is the North side of the property, out of the street setback and at least 100, from the leachlines on the property to the west. Please submit the application for the well permit and for the well destruction permit as soon as possible. If you have any questions, please contact me at the Chico office fisted above between 8 and 9am, Monday through Thursday. Si cerely, 1 —4(,a,L �b3� k� rieda L. White, R.E.H.S. Division of Environmental Health FLW/dd/bldclear/perry cc gilding Division Joseph A. Chiapella, 12074 Centerville Rd., Chico 95928 A CLEAN INDOOR AIR ENVIRONMENT.FOR A HEALTHIER TOMORROW i,� Joseph A. Chiapella, M.D. Joseph A. Chiapella, M.D. R H E U .M A •T O L 0'G Y N T E R•N 'A L -M E D I C I N E FELLOW AMERICAN COLLEGE OF RHEUMATOLOGY 1427 MAGNOLIA •' CHICO, CALIFORNIA'95926 • 916-896-7455 • FAX 916-896-1730 Joseph A. Chiapella, M.D. R H E U M A T O 'L OAG Y N T E R N A L M E D.1 C I N E 30 January 1997 To Whom It May Concern: I "give my authorization as the property -owner of 12074 Centerville Road,to Dreamscapes, Inca/ Robin Perry to apply for a- permit on my behalf. This will also include the application for, the replacement of"the well, and the destruction of.the existing well. Since ely, , Jose • h A. Chiapella, M. D. j . FELLOW AMERICAN COLLEGE OF RHEUMATOLOGY 1427 MAGNOLIA•. CHICO, CALIFORNIA 95926 • 916-896-7455 • FAX 916-896-1730 BAC H MAN & ASSOCIATES March 18, 1997 Environmental Health MAR 2 0 1997 COUNTY OF BUTTE Chico, California Department of Building P. O. Box 3243 Chico, CA 95927 RE: JOSEPH. CHIAPELLA 1207= Center:•ille Road Chico, CA 95928 ATTN: Mr. Dave Wasney Dear Dave: An inspection of the subject foundation was made on March 14, 1997. Based upon my inspection report, I have determined that the finish floor of the residence will be at least 386.0, which is 4.0 feet above the flood elevation. If I can be of further assistance in this matter, please do not hesitate to let me know. Very truly your , C. W. BACHMAN QFESS/ �9! W XP. � CWB: jb Q• saas� Z No. 1680rn W. T C CIVIL ��\Q OF CA ENGINEERING SURVEYING PLANNING DESIGNING 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136 Vic O.rn.BNO. 3oil7-0077 . ELEVATION CERTIFICATE Expim May 31,1996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. BUILDING OWNER'S NAME SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE PH CHIAPELLA STREET ADDRESS (Including Apt, Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER POLICY NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, eta) rhi o CA 95928 CITY STATE ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from, the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2 PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX S. FIRM ZONE S. BASE FLOOD ELEVATION (in AO Zones, use depth) 1 060017 210 B 9/29/89 A 382.0 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 66kNGVD'29 LJ Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I 1 1 1 1 Ll feet NGVD (or other FIRM datum—see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level '_ . 2(a). FIRM Zones Ai -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevaticr, of I �` l 31 dr,.bJ feet NGVD. (or -other FIRM datum—see Section B, Item 7). (b).'FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of: ! 1 1 ' feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is J.J feet above L7_ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is feet above ❑ or below EJ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. indicate the elevation datum system used in determining the above reference !evel e!evations: ❑ NGVD'29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: E Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: ED actual construction X construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: i ! gI IBJ feet NGVD (.or other. -FIRM -datum -,-see Section B, Item 7). BUT i L t.." a' 04 1 to SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated-in•Sec tion,7. CItein.,r1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation ofthe buildin s "lowest floor" as defined by the ordinance is: i_ ! '' I ! 1.LJ feet NGVD (or other FIRM datum—see Section B, Item 7). q7-ol0( 2. Date of the start of construction or substantial improvement �G FEMA Form 81.31, MAY 93 REPLACES ALL PREVIOUS EDITICNS SEE REVERSE SIDE FOR CONTINUATION �.4 �i SECTION E 9ERT1FiCATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zonei Ai—A30, AE, AH, A (with 8FE),V1—V30,VE, and V (with 8FE) is required. Community officials who are authorized by local law'or ordinance to provide flcodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—if the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. 1 certify that the infonnatfon in Sections B and C on this certiTcate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. C. W. BACHMAN RCE 16803 CERTIFIERS NAME LICENSE NUMBER (or Affix Seal) Professional Engineer Bachman & Associates TITLE COMPANY NAME SIGNATURE DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 31 building owner. R,Ur c COMMENTS: VQ- 6-30-97 Apal� Z Z m O.1 � Q OF CA.I�F ON wm1 ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFcREt�E BASE LEVEL PEFERENCF• IEVEI FLOOD LEVEL ELEVATION BA•.:...: ADJACENT :: SE ... ' ?,r REFERENCE •ADJACENT GRADE' •' IEVEL aAsE FLOOD ELEVATICN ELEVATION REFERENCE LEVEL GRADE y ; ADJACENT.". GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. TTE: CL,N-j-Y Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 COQ JMTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: ROBIN PERRY - DREAMSCAPES ADDRESS: 236 A- WEST EAST AVE., #325 CITY & STATE: CHICO,- CA 95926 DATE OF CLAIM: 5/7/97 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT REFUND PURSUANT TO MOTION OF INTENT APPROVED BY BOARD OF SUPERVISORS ON MARCH 25, 1997. ROBIN PERRY-pREAMSCAPES, AP #011-320-010 & 011, BP#97-0168, RECEIPT #209593, DATED 1/30/97, FOR-$791.45.- OR$791.45:TOTAL TOTALAMOUNT TO BE REFUNDED ............................... TOTAL 791. 45 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or del' ve d, and that this claim is true d rrect as sttaated. /� �4 day of /f' �, 19g7 at (411lio Calif. - Xatecothis Sig�ac�re of CI anz I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation I I or Specific Board Approval [ I (Check one) for the same. Dated this day of , 19_, at , Calif.: Department Head or Authorized Deputy Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONST..PERMITS FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. K FOR BUILDING DIVISION USE: Receipt Information: Number: a n q �Sq _- Date.• Issued To: QE IDr-earL-,Sca-PBS Amount: $ � qs Fees Retained: Processing Fee: $ Bldg Filing Fee $ P1bg Filing Fee $ E1ec Filing Fee $ Mech Filing Fee Energy P/C Fee $ Plan Check Fee $ Inspection Fee_ $ Total. Amount Retained $ r TOTAL REFUND 'DUE $ REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL # _ _ PERMIT # _ RECEIPT NUMBER(S)' Request a refund of fees paid on the above receipt number(s) for the following reasons: r Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) [� Building Permit Fees [ ] Sheriff Fees [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE DATE AFTER RECORDING RETURN TO: Butte County Public Works, LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 . 97-012731 1 Rec Fee I Check Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder . I 2:44pm 8 -Apr -97 CERTIFICATE OF MERGER AP NUMBERS 11-32-10 and- - SUBDIVISION/P EL MAP: BOOK "7 PAGE S BLOCK LOTS) As of the 7th day of April r 19 97 , those lands noted above are merged to create one single parcel of land as described; on Exhibit "A" attached hereto. v� April 7. 1997 MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER TTA and j= Mo GAN CHIAPTLIA as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into one single parcel as described on Exhibit "A" attached hereto. ALL SIGNATURES MUST BE NOTARIZED: NMI: WAS A r Rm- �A) SIGNA RE JUDY M RGAN CHIAPELLA LO 1530 (7/99) 3-3 9� DATE r] DATE DATE Statd of County of On ,_-� —27 before me, MZ i!5�,4" (DATE) _ (NAME, TITLE OF OFFICER - I.E.. JANE DOE. NOTARY PUBLIC-) personally appeared (NAME(S) OF SIGNER(S)) El personally known to me - OR - -proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are sub- scribed to the within instrument and acknowledged to me that he/she/they executed the same in �a:•: ti KATHRYN EGAN his/her/their authorized capacity(ies), and that by '11046556 his/her/their signature(s) on the instrument the 3 Com n: , C NOTAPYP'BEUC-CALIFORNIA C Person(s), or the. entity upon behalf of which the County 7J persoff (s) acted, executed the instrument, Aty Comm Expires Dec. B, 1998 1 Witnles�! my hi and offici I seal. ATTENTION NOTARY: The information requested belov✓is OPTIONAL. THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED AT RIGHT Title or Type of Dc Number of Pages MUNI CAPACITY CLAIMED BY SIGNER(S) 91�1-4NDIVIDUAL(S) ❑ CORPORATE OFFICER(S) ❑ PARTNER(S) (TITLE(S)) ❑ ATTORNEY IN FACT ❑ TRUSTEE(S) • ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTITY(IES)) J, hove v , prevent fraudulent attachment of this certificate to any unauthorized document. ent dZ__/61_7iS D/_ /LfG—�G_ - / - Date of Document 3 -� Signer(s) Other Than Named Above WOLCOTTS FORM 63240—ALL PURPOSE ACKNOWLEDGMENT WITH SIGNER CAPACm/REPRESENTAnoN/rmUERPnev i —nev. a -VZ State of County of On Z5 �� — 617 before me, iizf�i✓ CGS/✓ (DATE) (NAME, TITLE OF OFFICER - I.E., JANE DOE. NOTARY PUBLIC-) personally appeared V ", ('1-11,4 ,�LL 0'4 (NAME(S) OF SIGNER(S)) ❑ personally known to me - OR - proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are sub- scribed to the within instrument and acknowledged to me that he/she/they executed the same in KATHRYN EGAN his/her/their authorized capacity(ies), and that by (r his/her/their signature(s) on the instrument the Comm. # 1046556 person(s), or the entity upon behalf of which the NOTARY PUBLIC - CALIFORNIA 11 ' Butte County 7i person(s) acted, executed the instrument. My Comm. Expires Dec. 8, 1998 N/iOSs my hand and offiCOl seal. ATTENTION NOTARY: The information requested below/is OPTIONAL. It THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED AT RIGHT NIGNI inumurNINI CAPACITY CLAIMED BY SIGNER(S) INDIVIDUAL(S) ❑ CORPORATE OFFICER(S) ❑ PARTNER(S) (TITLE(S)) ❑ ATTORNEY IN FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTITY(IES)) fraudulent attachment of this certificate to any unauthorized document. Title & Type of Document�c Number of Pages Date of Document _:!�- - 9 7 Signer(s) Other Than Named Above WOLCOTTS FORM 63240—ALL PURPOSE ACKNOWLEDGMENT WITH SIGNER CAPACITY/REPRESENTATION/FINGERPRINT—Rev. 12-92 01992 WOLCOTTS FORMS, INC. MERGED LOT ALL THAT CERTAIN REAL PROPERTY situate in -the unincorporated area of the County of Butte, State of California, being more particularly described as follows: Lots 6 and 7 as shown on that certain map entitled "Castle Rock Subdivision", filed -in the -Office of'the Recorder, County of Butte, State of California on October 8, 1975 -in -Book 43 of Maps at.Page 81. BEGINNING at the Northwest corner of'Lot 7; and along the. South right- of-way line of Centerville Road; thence North 73°_58' 06" -East, --57.42 feet to the Beginning of a Curve to the left with a radius of 1030.00 feet and a centiral'angle-'of 090 09' 23", and along said curve'164.60 feet to the end of the curve; thence.leaving said right-of-way line South 25° 11' 17" East, 369.07 feet to a point.in Butte Creek; thence along Butte Creek South 50° 01' 03" West, 256.82 feet to the Southwest corner of Lot 7; thence North 21° 43' 00" West, 457,75 feet to the Point of Beginning.- Containing eginning. Containing 2.28 acres more or less. �oQROFESs� Nq y�Q J��W'egc �F IN/ ti- Ex V6�a97 7 Z u, 0. X6803 Z m CIVIL �F CAI Ut 011-320-OSP- �� a ' CHIAPELLA, JOSEPH 12074 CENTERVILLE RD, CHICO BUTTE COUNTY BUILDING OFFICIALS JURISDICTTON Block Parcel No. Detailed Evaluation Safety Assessment Form BUILDING DESCRIPTION: Name: :To e� Address: 12-674 C -64T' V I LE A No. of Stories: Basement: Yes ❑ No [Z Unknown ❑ Approximate Age: Years Approximate Area: Square feet Structural System: Wood Frame C� ' Unreinforced Masonry ❑ Reinforced Masonry ❑ Tilt -up ❑ Concrete Frame ❑ Concrete Shear Wall ❑ Steel Frame ❑ Other Primary Occupancy: Dwelling R Other Residential ❑ Commercial ❑ Office ❑ Industrial ❑ Public Assembly ❑ School ❑ Government ❑ Emer. Serv. ❑ Historic ❑ Other OVERALL RATING: (Check Ore) INSPECTED (Green) ❑ LIMITED ENTRY (Yellow) UNSAFE (Red) ❑ INSPECTOR Inspector ID h Affiliation bvoT- eQ 11-26 110 INSPECTION DATE- Mo/day/year 1 7 Time o am pm Instructions: Complete_ building evaluation and checklist on next page and then summarize results below. Posting: Existing Recommended None ❑ Posted at this Assessment: Inspected (Green) ❑ ❑ (K Yes ❑ No Limited Entry (Yellow) ❑l Existing posting by: Unsafe (Red) ❑ ❑ Recommendations: ❑ No further action required Engineering Evaluation required (circle one)StructuralGeotechnica Other (X] Barricades needed in the following areas: I tj 0On0coF— ❑ Other (falling hazard removal, shoring/bracing required, etc.): Comments (Why posted Unsafe, etc.): Sheet I of Detailed Evaluation Safety Assessment Form (Continued) Instructions: Examine the building to determine if any hazardous conditions exist. A "yes" answer in categories 1, 2, or 4 is grounds for posting building UNSAFE. If condition is suspected to be unsafe and more review is needed, check appropriate Unknown box(es) and post LIMITED ENTRY. A "yes" answer in category 3 requires posting and/or barricading to indicate AREA UNSAFE. Explain "Yes", "Unknown" findings and extent of damage under "Comments." Hazardous Condition Exists Condition 1. Structure Hazardous Overall Collapse/partial collapse Building or story leaning Other 2. Hazardous Structural Elements Foundations Roof/floors (vertical loads) Columns/pilasters/corbels Diaphragms/horizontal bracing Walls/vertical bracing Moment frames Precast connections • Other 3. Nonstructural Hazards Parapets/ornamentation Cladding/glazing Ceilings/light fixtures Interior walls/partitions Elevators Stairs/exits Electric/gas Other 4. Geotechnical Hazards Slope failure/debris Ground movement, fissures Other Yes No Unknown Comments E ■ LLJ O;1yD cALL)� 1062 a o o ❑ ❑ ❑ ■ N ■ T'6 v,�nM�iw I i�G(lL Z k D ❑ ❑ ■ E ■ LLJ T'6 v,�nM�iw I i�G(lL Z k D ❑ ❑ D ❑ ❑ LLJ M SK - CH: �-s . -) `V Ao TqS. .Qp LIQ . . . . . . . . . . . . . . . . �f2t II . . . . . . . . . . . . . . . . . . . YCs5 Sheet _ of_ ,4 'PERMIT NO. 1109-78B,P,E,M PERMIT EXPIRES ©� 1 OWNER Ramsey Inc. 'iCONTR. Ramsey Construction Co., Chico F ;LOCATION (A.P. 51-39-10 s/s Humbug Rd. approx. 325' E. of Castle Ct. Chico (Lot 7, Castle Rock Sub.' • " P �i Y :i K .I i Temp. Power Pole Called PG&E Temp. ec. Serv. Called PG&E r Temp Gas Serv. °+ ailed PG&E 10 . -/ 9 e/ XNALED (Date) (Signature) ) 11 I t To: BUILDING UEF.ARTME T From: HEALTH Re: Sewage and/or Prater and/or Audition Clearance(s) M - Y�— OWNER Plans are approved for: Hd d up final for: l Final Clearance oY for: LOC TION AN Sewage Disposal Water Supply Clearance is for a 1.26 bedroom (home or mobile home). The addition(s) will be t /e, -9 ® -`-' Water Supply Water Supply Other COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WOKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback / .7 Firewall S- -79 ' 6-S Soil Piping Forms 7 Parapets 1st Floor Main Idg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall %$r Siding O/l To out - Slab Roof Sheathing '—:2 Water Pi in r- 2-/ ? Piers Roofing Sewer r -77 5 Garage Fdn. Vents 5-- Fixtures Footin s Garage Vents Water Htr. Stemwall Insulation 2-,J i 1 Heaters Slab .r 1 % —? Prov, for physically Appliances handica ed Carport Conformance of ex. Gas Pi In &Test Footings structure Temp. Gas Slab Final I 19p, Sanitation --- Patio FIREPLACE Final — Footings — % 19/ Footing ELECTRICAL Masonry Walls Throat Rough /- Reinf. Steel Final Fixtures _7 Bond Beam FIRE SPRINKLERS Motors Framing:02 /-- % Test Water Htr. �- % G 406 Final Subpanels S 7 Mesh Ze "— ? MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole -=--"� Finish 5 - Ducts --- ,Z/— Underground Interior Lath Ventilation--F)PrmanqM Door Closer 3 Final�- Fin' MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBI EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Watet7Piping Drainage Gas Piping DA T15" REMARKS OR CORRECTIONS ye l r (NOTE: An entry must be made on this form each time you visl- the job site.) +i RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot 7 - Butte CrRek "Canvon (location) BUILDING PERMIT N0. 1109-78 A:P. N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors NZA. Walls R11 Ceiling/Roof R19 Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Ramsey Construction, Inc. Signature of(RI ease -pr' t) j� /L "Insulation App licator State Contractors License No. 313093 General Contractor/Owner Name (y&ase print) Signature of General Contractor/Owner /rte r -r Date State Contracto License No.�� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. SiT17TITTIr"I ,1912 W e vuv _ 1861 'v 831 5-440m onand do •Id3a i,una :10 A-'Nnoo i2FC TT)rW TAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONEORMANCE,WITH CURRENT—ENERGY—CONSERVATION REGULATIONS (location) BUILDING PERMIT NO. A P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors Walls Ceiling/ of Ducts _ Circulating Pipes APPROVED HEATER APPROVED WTR.HTR— GLAZING: Single Glazed _ Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. 1,� BACK DAMPERED FANS INTERMITTENT IGNITION DEVILS CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFI(;ATE AS SUBMITTED. Insulation Applicator NameS Signature of (please print) Insulation Applicator State Contractors icens General Contractor/Owner Name (ple p int) Signature of General Contractor/Owner NA L9 % Date G- ,0$5-I 7"' V(2.f State Contra G �l�• �1/ License No. / THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT l Owner SQ. FT. OCC. BUILDING VALUATION COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X� Date Signature of Peerrmitee or Ar -gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF. PUBLIC WORKS By Date -.7 Building permit expires Date 3-3 �'T BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 3 _ Mailing Address , ®p Telephone No. 41 y I Contractor Mailing Address -� V �' � Fireplace 00t" Total Valuation � (� r 00 leph' a Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 6 ul PLUMBING No.1 @ FEE 0 PERMIT FILING FEE $3.0DO Each Trap 1.50 j �® V.er' &P1 Repair drainage or vent piping1.50 ��w _ A. P. No. Zo n F S4/1—on Fire Dept. Fire Zone Use Permit Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 -5 outlets 1.50 EQA Parking Plans arcel7 Declaration �srr�- riescet'M p 60' R/W Improvements E h additional outlet .30 Building sewer 5-00 Bldg. Plac' 4SRe� Parce ro w Plans royal Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 19 AM j$ 19 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '. Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( A 5 CONS. DCUP 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St Ie %� NEW CONSTR MU -OUTLET NON.RESID � BRANCH CIRCUITS) 12.50ea NEW CONSTR /POWER APPARATUS e NON-RESID, `SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES g L 1 � E x. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,+ 175 License No. !Co F-7 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ r $ 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 W rkmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this ❑ piermit 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 No4 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 1D Permit Fee $ _!Q $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL: PERMIT FEE Iniq $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X� Date Signature of Peerrmitee or Ar -gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF. PUBLIC WORKS By Date -.7 Building permit expires Date 3-3 �'T OWNER 1i A. GENERAL �J ` ✓. Zoning requirements • Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) (sideyards and parking). or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. �. Setbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Bldg. Permit A. P. C. :FLOQR PLAN omplete to scale plan with dimensions. „ equired windows for light and ventilation (Sec. 1405) . oN,649 (49 6 O .3 7 Required windows for second exit (Sec. 1404). llowable glazing for energy requirements (20% max. per.State law). �SHuman 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. i Garage firewall, door size, and closer (Sec: 503(d)(4)). ,A -r. 1 3'0" exterior exit door (Sec. 3303d).- ]. Fireplace location. ia. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. 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 CCX plywood on exposed locations and overhangs. 12) Stairway details (Sec: 3305). Guardrail details (Sec. -1716). Brick or stone veneer (Chapter 30). 5. Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). after ties or bearing ridge beam. arage door or porch header sizes. Adequate bracing. VO Living area -over garage - complete 1 -hour separation required including supporting walls and posts, etc. ft UTwo (2) exits on three-story dwellings (Sec. 3302). a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS !. 7 County Center Drive — Oroville, California 95965 • r Telepho,-1e:• 534-,1541 • APPLICATION AND PERMIT —)+ I C J611l oU VGD UI UIV "UUllLy UI �UIIC lU CIIlt11 UVUFI U1C above-mentioned property for inspection purposes. Q� Date Signat f Permitle or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI PUBLIC WORKS By Date -Building permit expire Date8 A _ 7 BUILDING Owner acv SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation C e ho ne No. T LI -0 l 7 Permit Fee Building Address x Gam• _� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,gyp Each Trap 1.50 G Repair drainage or vent piping 1.50 A. P.0'/'—' Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 es C. a4ien Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel. Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 is 'd Parcel ApBrovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORELT 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service too e OR LESS AMP O 25.00 100 A Main service EA. ADD•L 100 AMP 1.00 CONST. ACCLBLDGS.LING CCUP. 4') 22sgft OR ADDNSNEW CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name �{� of: ////���� � `"':%'����� �O 1A ��` , Y r ` �Y1 C-- - NEW CONST R OUTLET NO...( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11PES 5 L , Ex. Occup ( FIXED APP LNS. OR OUTLETS (REBID.) EA) 2•�0 Temporary service 10.00 Mobile Home Facilities 15.00 License No. A1ID!3 I Classifications 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. j� I have placed on file with the County of Butte a certificate of y� 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. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 2 —)+ I C J611l oU VGD UI UIV "UUllLy UI �UIIC lU CIIlt11 UVUFI U1C above-mentioned property for inspection purposes. Q� Date Signat f Permitle or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI PUBLIC WORKS By Date -Building permit expire Date8 A _ 7 Building Depax r=rIt r r om: Enviro!ntal Health r Sewage and/or Water awor Addition Clea_ra:sce(s) Ramsey Construction Humbug Rd. (Castle Rock #7) AP##51-39-10 O'ri1E-q LOCATION A. P. Pio. l X Water S pX Pia*u 2.r2 a1rrcved •for:. Sewage D' sposz �.1 Heli asp Fina far:Water Supply Final Cie-ran ce O{ for: Water Sup.ly �. ��ce is for a 3 ted�-oom (ho:re or mobile ho=e) . C'ther Clear _ T-11-2 additioz(s) will be March 29, 1978 Date _. COUNTY OF BUTTE — 'D•EPARTMENT OF PUBLIC WORKS n ///+++ 7 County Center Drive — Oroville, California 95965 h / Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address w a Telephone No. Contractor Mailing Address Fireplace Total Valuation S 6 I hyne�J(�lpp. Permit Fee Building Address S Plan Checking Fee&/or Penalty Permit Fee - S C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3.00 Each TraD 1.50 r Repair drainage or vent piping 1.50 ,` A. P. No. �j — V Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F Sa re Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITIONIry LinkUTILITIES ❑ OTHER ❑ permit Fee $ $ (p Aga ayAZ&!2V ELECTRICAL No. @ FEE PERMIT FILING FEE $3.003,,00 Main service 600V OR 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 1.00 OR ADDNS. ( ACC`BLDGS.CC (J) 20sgft OCr CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cali is Business & Professions Code under the name style of: NEW CONSTR. T ( BRANCH CIRCUITS) 12.50ea NEW CONSTR (POWER APPARATUS d NON•RESI D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI-RES 1BAL@10¢ Ex. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�oJ.�D E� Classification . Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ i &0$1(0 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. 1f—vi 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 N0.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -m . ned pro for inspection purposes. X Date Signature of Permitee or AgeoK 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 DIRECTOR OF PUBLIC WORKS Receipt No. 1 1S / 1 Oma/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date Date 51-39-10 Permit #5192-78B,P,E(add bath, atdim, & enlarge ga-`'age/F) I ,,r! ,gM'rr N.t t F. q.l -' ,H. "eD 1"1' ••.9 F3 !+^'� ,':Ift[n.. n•_. :Illvo,,,,z, S; fir1 ', srtz, }rv� rr NC'!} 6 •.+, '..r' ,: Y: i' a ,,;,I .•.ti ' DP : '. ;,,r,.a.. . 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