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017-140-041
s s r, .., _L•1 � ROB T f 0 E/S Humbug Rd, app 600'S ofCable Bridge Road, Chico��/0./ � Permit#1478-83B,P,E,M(new single family -N All F -- � i1���-'na-Q Permit#92-84B(add� deck/SF/1478-83) i a'/ /to w 011-290-041 PER114IT#94-2980 CONCILLA,- AL & NANCY 12135 GENTERUILLE RD., CHICO p CONT: QUEVEDO .CONSTRUCTION RE210VE NON-BEARING WALL/SF 1306-2585 017-140-041 MISCELLANEOUS Water Heater C/O REPLACE WATER HEATER 12135 CENTERVILLE RD BUSTAMANTE, DONALD PAUL & BRE 011=290-041 • PERMIT#9660AG BUSTANAUTE,-Donald 12135 Center ville.Rd., Chico Ag,Exempt Permit-Stg Tractor & Gardeneringtools 0/7-1 40 --0 V/ August 28, 2007 Butte County Building Department Karen Jones Hello Karen, This is a note to communicate that I would like to receive copies of the house plans and truss calculations for parcel number 017 140 041 per our conversation on 8/24. My name is Don Bustamante and the property address is 12135 Centerville Road Chico, 95928. If you have any questions you may reach me at (work) 892-9554 x203 or (home) 342-3411. I understand that a check will be due in the amount of $57.99 upon pickup of the copies. Respectfully, Don Bustamante F E OPY Addr GAS Meter By Date ELECTRI Meter By Date .o PERMIT NO. 1478-83B,P,E,M PERMIT EXPIRES (�! y° OWNER ROBERT GINNO v CONTR. owner ASSESSOR PARCEL 51-34-41, r' LOCATION X/S Humbug Rd, app 600'S of Cable_ Bridge Road, Chico r, - -f 11 fl J II _ .. Temp. Power Pole ° Called PG&E i `.Temp. Elec. Service i' Called PG&E / Temp. Gas Service +• " Cal led PG&E JOB FINAL'ED (Date) s Signature . _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville„ Califof-pia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMITO. G d�/ZV ASSESSOR PARCEL NUMBER _ ZG BUILDING PERMIT OW R EL PHONE SQ. FT. BUILDING VALUATION ]OCC. • 0 OWNER'S AILING ADDRESS DFL CO ACOR's ME r 1 O TELEPHONE S� CONT A TOR "S M LINADDR SS 6 S Fireplace Q CONSTRUCTION LENDER% �` UN y\QYVf�) "Z �S \ v/(/ Total Valuation $73 Filing Fee $ 10.00 LENDE 'S MAILING ADDRESS C U0 Permit Fee ARCHITECT OR ENGINEERn�2 _- LICENSE NO. Plan Checking Fee ' 2 o Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee BUILDIFJIG ADDR S Oi4quO S PLUMBING PERMIT Filin Fee 10.00 9 I Each Trap 2.00 Solar Water Heater 20.00 f Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,, USE OF STRUCTURE SF Z? Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 SIDD Mobile Home S G W 10.00 e W TYPE OF WORK New Addition❑ Remodel❑ Utilities ❑ Installation[— Other EJ Describe work: Permit Fee $ r' Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 , M Main service EA. ADD' 100 AMP 2.50 NEW CONST. OR ADDNS. CONTRACTORS LICENSE LAW I dec/aunder penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profes i s C d ar�d m license is in fu for and effect. v y License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea ` NON.RESID BRANCH CIRC ITS NEW CONSTPOWER APPARATUS &' NON- R RESID. ( SINGLE OUTLET CIR. 20@50e Ex. Occup(O OR FIXTURES 300 OF FIXED A Ex. Occup. our OUTLETS P(RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ to Contractor WORKMEN'S COMPENSATION INSURANCE I declare uroer penalty of perjury (check one): ❑ he permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating AA , . � Cooling �' ,Qp Hood 3.00 Ventilation Permit Fee $ ` Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, 'udgments, costs, an expenses which may in any way accrue against unty i co eque c o�the granting of this per 't. X - _�r12 Defe Signature of Applicant — Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ 8' Q TOTAL PERMIT FEE $ OCCUP. CROUP 3 TYPE OF CONST, V �N PARCEL PD N Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE TOR OF UBLIC / ). By _/ ` ` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. (D $ 6 dO G 7 9s� WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR. GOLDENROD -APP (CANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 861-2751 7 County Center Drive, Oroville — Phone: 534:14&41 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 RRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, -please contact this office Immediately. Inspector__ , Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57' 59RRECTION NOTICE L21 P),-) y OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector_ COUNTY OF BUTTE • % DEPARTMENT O. PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE Q�� A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ,�/ , Inspector AQ.° COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2761 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico'— Phone: 891'2751 . 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 ORRECTION NOTICE R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediatelv. Inspector— . Date ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chicd — Phone: 891=2751 + 7 County Center Drive, Oroville -- Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, pOase' contact this office/fAmediately. Inspector_ _ Date __ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -- Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, gor(Jneed additional explanation, pleasseey/ycoonntt+act thisJ/�1office im/J/mediately. V-1 ov'6VI' r A ,i ✓ZT �y� +'1 ' n /114V �J Y• \ � � CJs/ �� Inspector— Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A roujpe inspection indicates that the following violations of County Ordinance rat the above address and should be corrected. Please notify this office he nhen correction of work is completed. If you have any question pertaining to this l0� matter, or need additional explanation, please contact this office immediately. J . '* M�.'�, "✓ h �� �-'� �/Vl,�j SCJ„ _ _ _ - 7 I_ _ .' i 1 rte. �� I � 1� t /• 'L/t�/� Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891'-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOT.iCE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of matter, or need -d have any question pertaining to this se contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE vrvtrs ! - l \ PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of,work is completed. If you have any question pertaining to this matter, or need.a'ddiAonale xplanatigrt, please contact thlA office immediately. A �) �J C7 l.M mi: , F L74 ` • Z e. Inspector Date 0 3 t ° `' RES IDEITP IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE -CERTIF ICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFO101ANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Humbug Rd., Butte Creek Canyon (location) BUILDING PERMIT NO. 7Zi4716-9—F3 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 NA Fdn, Walls fN— Floors R-11— Walls R- 9 , Ceiling/Roof _- Ducts NA Circulating Pipes NA APPROVED HEATER APPROVED WTR.HTR. NA GLA z ING : Single Clazed 14A Special (Insulated) NA CERT. &.LABELED WDS. & SLIDING DRS. NA WEATHERSTRIPPED DRS. NA BACK DAMPERED FANS Nk INTERMITTENT IGNITION DEVICES NA CERT.' APPLIANCES NA, I DECLAKt .THAV ALL REQUIRED ITEMS. X IN '.A000RDANCE WITH THt E•NERG ' NS THE COMPLETENESS OF THIS RTIF IC 1 Insulation Applicator amp Signature of Insulation Applicat General Contractor/Owner Nene Signature of General Contractor/(%,mer 240'TED ABOVE HAVE BEEN ZION REQUIRE AS SUBMITW . int) State Contractors License No. 378407 tir ; Ginno & Huffman (please print) Date_ State Contractors License No. TALLED REE TO THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECl'ION AND SILALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. e 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 Wf 5 . fi�(i/77� it P Q' _ ilea (location) BUILDING PERMIT N0. S—g3 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 A) Fdn. Walls A/A Floors PI—// Walls Ceiling/Roof &---30 Ducts 41-11 Circulating Pipes APPROVED HEATER 77' APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS - INTERMITTENT IGNITION DEVICES A)fi 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 Signature of (please print) Insulation Applicator State Contractors License N General Contractor/Owner Name llfoer r (pleas print) Signature of 1 General Contractor/Owner Date 7 ` a lP State Contrac�o s License No. .? 2 A? 0 THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. J = OK O = Not OK Not Applicable MOBILEHOMES * = Not Ready . Ar MISCELLANI`O,VS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except Ws 3 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors - 3. Sewer; Location -Test -Fall -C/O -Concrete rV _ 3. Decks; Girders.and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) r 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures • 5 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH -Test -Demand -Valve -Connector 1. Setbacks -Easements +r 2. Soils; Compaction -Structure Stability 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances -GF] 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater, ' 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date r - rV • 5 � ^ 1 . J OK �• 0 Not OK - = wot Applicable = Not Ready RESIDENTIAL`(Sirrrg4e and Duplex) Date UND FLOOR Plans) OK except #'s t Date FRAMING (Continued) Z ning requir mems -Setbacks -Easements Av1property Line Firewall & Openings Ftg., M ; Soils -S 1-Elec. Grnd.- / 3/" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., G6rege: Soils -Steel-/ /7- /" Ftg. Depth r n x(-60. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection o ks; Soils -Steel- / /" Ftg. Depth Stemwalls, Main; St®e--Blo uts-iding-Nailing-Veneer . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers e&-STemwalls, Garage; SdeEr BYeckouts gypped , tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Accesg",- +?�Piers-Fireplace�F�tq,Steel D.W.V.: t 1-Fi4t ngs- s way C/O Se Test &t. -Glazing Area -Glass Protect ion-Skylights-Plasti / "33 -Shear Walls; Nailing -Bolts - i (10r.) Water Pipe; T -A ors-Regalafor-Service Test L$ C and Plenums & Ducts; Clearance -Material -Support -Ins. Girders-ttS�An Bolts deie�s�V -C es Card -BI Date Card -BI Date Card -BI Date I V 3 SZ z Card -BI Date Card- Date Card -B Date y.7 '?F Card -BI Date Card -BI Date Date FINAt/tPlans) OK except N's Card Date • g -g Car I Date Dto PLUMBING (Permit) OK except q's E_xt. Steps -Door & Sidelight Protection -Landings &7 -. "Smoke Detector i _Wer Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ter Pipe; Test & Anchors -Nail Protection L. W.V.: Test-Fttngs & Anchors -Nail Protection 6.9--'9edroom Exiting Shower Pan; Test, First Floor -Tub Access F.I. & Bath Fixtures & Tub Access _ .U4 --Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels ,16.-fk+s Pipe; Size & Anchors ^�2---Stairs & Rails — - - Fireplace or Stove; Clearances -Hearth 64--Elec. Outlets at Wood Panel; Int. & Ext. Card-BIL Datel� Card -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's �5J/Garage Fire Door; Swing -Landing -Closer &- A.C. Duct in Garage -Damper �g�_6a ;fixture & Transformer Clearance -Ins. Protection _- .. Y Alec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. VentsClearance-Comb. Air-Connecto P R In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled 4 Elec. Receptacles in Garage; (G. F.I.)-Romex Protec. 2 d Clo to Edge of Studs & C.J -- -7 e UD w/Me Fasteners as & at - 2 Appliance Circuits in Kitchen & Conductor Sizei nsulation-Foam-Looked in Attic 4e -Yes --43"L'usard Rails &Deck Construction -Post Caps --- ubfeed Wire Size Qa. Cu or AI-A.C. Wire Size / / ga. Cu or At 7&_,F-Tn-. Vents &Crawl I{ole oor-Drainage &Wood -Earth Clearance Looked under Floor Yes �Range Circ. / / ga; or AI -Oven Circ. / / ga. Cu or Al, _ sulated Neutral es ❑No 75. Following instid.: Dr -i o Yes Walks s [j No; Planters Yes L`Ffd6 ❑ QVService-Riser Conductors & Ground -Main Disconnect 76. S ucco; Brown-Fi dierl- Equip. Clearances; Panels-Motors-Mech. Equip. C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet --22,Clothes Closet Light -Shower Light - ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ----------- - — ater Well; Disconnect, Electrical, Plumbing Card B -I __ Date9�L% Card -BI Date L_-___ -_.__-__— -_ xterior Elec. Trim; G.F.I. Receptacle -Underground �(entilation throughout House ,Mass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's _ .,Corrections from Previous Inspections as Test -Mets Tagged; Gas -Electric _-_-_ Ducts: Insulation & Support enl Fan: Exhaust above Insulation _ ";;.-Condensate Drain _& Overilow: Size & Grade �I ter &Se weer r Connected -C/0 to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 3d- Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card-BJ�'L Date -- I Dale . ( Card -BI Dt Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card BI DateCard-BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: fie- Sills rMaterial & Anchors Walls _ : _ a _N_ailing, Spacing & Bracing -Plates -Sound �earing Walls over Girders & Floor Nailing----__ _ 88 _ aft Stop in Walls (rat proof) ire Stops: Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing ngers-Post Caps -Anchors -Connectors ng. Joist-Rttr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 4 Attic Access; Size & Ramex Protection -Draft Stop -Ins. Baffles rm. Windo_ws or Exiting Doors -Sill Hg_t. & Dimensions 4 Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) Return, to DPW AGRICUL Section 26-8.1 of the Butte County be recorded prior to issuance of a ENT OF ACKNOWLEDGEMENT �F F!MAL i1EC: i!:'. ; IAL` DEVELOPMENT GUt:T ' ires this acknowledgementI lel Cjc ; n n & permit. MAYS 9,L' 1 ELCA?;011 N. CEL�,�.t:, ti The property described herein acent to land or included CLERK - PtECOHDEk within an area zoned for agricultu frposes, and residents of L this property may be subject to inconveniences or discomfort arising 8316521 EE from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: eine �o r�-io� o -'s-{,�e Som t,.)es- Tow,- S� t 2-2- Nov` �k 0 \q,�"qe- �Gt S�-/ �i ' �Q, q►��i M • I b� i h� movC. ti i �.V C4,.s S. V ELS S�IovjV, ouX -��Ua+ i cc oO� CO�AV -fir a-� 6�-&t -e� Si GT Co,I �,K i �f .4— ecky -3 -2. Date: 0 f State of _ On this the /� � day of '�, 19 J3 , SS. before me, the undersigned Notary Publionally County o£ ) appeared ��rA J V ` " vi O j:munmam[meE[[na[seaemcvaummmmmaan:eeueeeeamu[artm'� known to me to be the person(s) whose name(s) / s OFFICIAL SEAL subscribed to the within instrument and acknowledged • Vita>A h :LL that executed the same for the purposes NCTAfiY CU.iI:. -- C.:6160fi NIA therein contained. COU!aTY OF G;;TTE .y. IN WITNESS WHEREOF, I hereunto set my hand and official Comm. Exp. thcr. 15, 1934 awmmem[ounaunnnennmeun:uuma[uumma[nuuu� seal. Notary Public Present A. P. NO. o VEIMP CL Tz , S s, - 5 d�1"selc FooTla�c� � 11J'CEiLtotL gfAR-o►�P� 14Z•�i �]•SO 1 RESIDENTIAL PLAN. CHECTING GUIDE (S.F., DUP'hEX, & MISCO. ONLY) �. Bldg. Permit # I OWNER 11� di O A. P. # A. GENERAL - Zoning requirements (sideyards and parking). i'��aluation. Signature by R.C.E. or Architect (if required). B.' PLDT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures'. Grading, fills, drainage. C. FLOQR PLAN s�omplete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). wk'llowable glazing for energy requirements (20% max. per State law). uman impact glass (Sec. 5406). rr Required room sizes, ceiling heights (Sec. 1407). It"*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. 1 Garage firewall, door size, and closer (Sec.'503(d)(4)). 1 1 - 3'0" exterior exit door (Sec. 3303d). 1�Fireplace location. 13�Smoke detectors (Sec. 1413). D, ::'SIEUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. :•�levations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. 5� F -fireplace construction details and caIcs 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. y�y Stairway details (Sec. 3305). 3 guardrail details (Sec. 1716). �+. 11rick or stone veneer (Chapter 30). 8� Exterior plaster - weep screeds (Sec,. 4706 & 4708). X , Proper roof pitch for roof covering (Chapter 32). ?� Rafter ties or bearing ridge beam. /Aarage door or porc ea er sizes. dequate bracing. 19. Lliving area over garage.- complete 1 -hour separation required including supporting walls and posts;.etc. Two (2) exits on three-story dwellings (Sec. 3302). 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 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 12135 CENTERVILLE RD Owner: Permit NO: B06-2585 APN: 017-140-041 BUSTAMANTE, DONALD PAUL Issued Date: 11/02/2006 By' KCG Permit type: MISCELLANEOUS 12135 CENTERVILLE RD Subtype: Water Heater C/O CHICO, CA 95928 Expiration Date: 11/02/2007 Description: REPLACE WATER HEATER (530) 228-4700 Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: RISSE & SONS INC RISSE & SONS INC Building Garage Remdl/Addn PO BOX 67 PO BOX 67 RIO LINDA, CA 95673 RIO LINDA, CA 95673 Other Porch/Patio Total (916) 992-0875 (916) 992-0875 FEE INFORMATION Water Heater (qty) $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires RISSE 8r SONS INC 264815 / C36 C20 C34 C42 C4 C2 / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 11/02/2006 Contractor's S ature Date WORKERS' COMPENSATION DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ^ ��VE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by u Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; - Cartier: Dept of Industrial Ripolicy Number 4505-056 Exp. Date: (This section need not be completed if the permit is or one undredollars ($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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those ' provisions. ►tel 11/02/2006 Signature Date WARNING: FLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City - State • Zip Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B748 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 Contractors 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 Contractors 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 improvements 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.). ❑ I AM EXEMPT under Section B. & P.C. for this Owners Signature 11/02/2006 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building 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 injury, including death; and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentio ed property for inspection purposes. I hereby certify that I am the pro owner or to act qn �eproperty`wners behalf. L/ ��iy� 5'� 11/02/2006 Owner Contractor OR Agent for Owner ©int for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 591-2534 OFFICE It: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name +e irst Name Orr, Address 12135C&,FerVille, 'Zip City U'U A I_ • CO Ch Slate 45 2 FPhone 5 - —,7 y700 Fax E-mail C m CONTRACTOR Name _ r' Address 2 �� City; Fax 9I 300 State iq Zip 956-13 Phone 9I qq a 75 Fax CUo q91 00 2 E- ail Planner Lic. #2 Clas44915s C m APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zjp City Fax 9I 300 State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Tj m I Address City Stale Zjp Phone,,, Qq 2 15 Fax 9I 300 E-mail. Kia n r►' °aSL C . HE 71,71 1 For office use only: Zoning C Flood Zone City I SRA I Yes I No Occ. I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # PROJECT LOCATION AP# 01,7— 1 qa C Property Address 21 ✓t � City I Cross Street WORKER'S COMPENSATION Policy Number Carrier 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: Rcpac. t kA . Sq FT- 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. I I Received by: K V Amount: 55 00 Bldg I I 169 Lido Receipt t(ash Date: 1 V- 2—OG Sheriff 15 Other 101. r .. 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'do'Wh or fnd plans, all in duplicate ❑ ' - '7.,Metal bldgs:'(A) Mefal Bldg Plans; (B)-Frid-plans and calcs,,in-triplicate, (C): Elevatioris in triplicate= ,(0) 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. El 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). El 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 of 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 K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 .�- BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL 11, ZONING PR OWNER2 PHONE NO. OWNER'S ADDRESS C. , c ( �. LOCATION OF BUILDING USE OF BUILDING 4rk �, -tr &Wu � elf 1 01) 1 - SIZE OF STRUCTURE '/. bC X _ �� L U SO. FT. TYPE OF CONSTRUCTIOy! WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING i ^li) ROOF COVERING �M FLOOR TYPE cr ESTIMATED COST OF CONSTRUCTION $ ql= AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: ; ^ - FRONT s� rn"'�' SIDES _ 2.0 / REAR off' '4" AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation ' USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupam Date2- Signature of Owner L.Ody Permit Fee - $60.00 Receipt No. 1999'Y The above described AG Building is exempt from a building permit FLOOD I PARC P.D. ROOFII ISSUEf Manager Building Division / By v Date S , �6 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant _ .- �.ti�*(i'!f►�=•'�ti�Lk�.I"w+rv'�.:�.^yrii{rilf b�,'Xs`'�;r�y; .`.. i +,e� ;, v. COUNTY.OF-BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTERDRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 rc ' PERMIT APPLICATION DATA SHEET OWNER na-�-� A. P. No. 011-zq0-0141 Proposed Building Use Building Inspector t.t/+-N Date 5-27-% At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16.- 17. 6:17. 18. 19. 20. 21. 22. 23. 24. 25. 26. \27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . ......................... . Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ........................................... . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered trusk",details and layout in duplicate (required prior to plan check). ... Mobil home data, and manufacturer's installation instructions, 2 sets. ........... r a Fees of $ �.,. .......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer .................. . Sanitation andplot plan approval Health Department . ............ City of Chico plumbing permit . .......................................... Plot plan and :business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway,permit (construction approval required prior to occupancy). ...Prem e6t1-'o; regE, est Pre -inspection for required. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner _). ........... Recordea copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) :Parcel meets zoning area and frontage requirements . ............... Existing,violations/expired permits . ...................................... Plan checklist ...................................................... E, Wheq you issue theermit, process as follows: Mai to owner. Mail to contractor. X Telephone S9g <12,00 and hold for pickup at office. Deliver with inspector. Other Parcel Creation422 Acreage Applicant Date j I Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above) 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �`' ��`s3'`�r",•'y'r.��i�E(q«.S�g7 'r :riia""eSt'� .`'�W1i4'{'�w`m'�ix.0�` .;�i�� Q ar`•'Fi"�'; :gni ii e �"'. +, ._ • �1 011-290-041 PERMft#94-2980 CONCILLA, AL & NANCY 12135 CENTERVILLE RD.,-.CHICO CONT: QUEVEDO CONSTRUCTION REMOVE NON-BEARING WALL/SF r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 17 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT rho. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 011-290-041 ZONING FR 5 BUILDING PERMIT OWNER AL & NANCY CONCILLA TELEPHONE 343-0749 SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 12135 CETT MRV IM RD. CAICO CA 95928 LST 500. CONTRACTOR'S NAME OUEVEDO COST. TELEPHONE 342-3472 CONTRACTOR'S MAILING ADDRESS 12039 CENTERVILLE RD., CHICO CA 95923 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 12135 MWERVILLE RD., CHICO PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF)0 Duplex O Mobilehome ClOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ® Utilities ❑ Installation ❑ Other ❑ Describe Work: OPENING TUROUGH NON—BEARIING STALL 13ET'rE,E;T LIVIIZG ROOM & FA?IiLY AWN PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2GOA ORLESS 1 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP.SO, OR ADONS. ( & ACC. BLOS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 8_11 am a licensed underp provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. SIP 3'1-7 Classification 6 ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .60 Ex. Occup.FIXED APPS. OR ( OW UTLETS IRESID.I EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23 DO WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ii v6o'�nsequence of the granting of this permit. X St,( �/(JL� Date 10-";l rThis Signature of Applicant - ❑ Owner 13'Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ- 1 D. FEES I IMP I FLOOD I CDF PARCEL PO HO ISSUE 611, 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 1////y i d y PERMIT EXPIRES ON % Da r/...� ' IDatel Receipt No. (7 0 3 3 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF DEVE,LQPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville; C10ornia 95965 - Telephone (916) 538-7541 PERMI O. APPLICATION AND PERMIT g�-a� J ASSESSOR PARCEL NUMBER 011-290-041 ZONING FR BUILDING PERMIT OWNER AL & NANCY CONCILLA TELEPHONE 343-074 SQ. FT. OCC. BUILDING V LUATION OWNER'S MAILING ADDRESS 12135 CENTE _ ILLE RD, CL j EST 500 CONTRACTOR'S NAME UEVEDO CONST. TELEPHONE 342-3472 CONTRACTOR'S MAILING ADDRESS 't prCHICOJ CA 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 191-35 GENTERVIT.I.E. RD-, CHICO PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF JP Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel Q Utilities ❑ Installation ❑ Other ❑ Describe Work: OPENING THROUGH NON—BLAZING WALL BETWEEN PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 LIVING 20024° & FAR4TLY 0011 OV OR LE Main service ( 20OAORLESS 1 23.00 - Main Service ( 200A TO IOOOA 1 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. I g0, 3.5C FT, CONTRACTORS LICENSE LAW I dec�e under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. .55M31-7 Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON RESID. ( BRANCH CIRCUITS 1 @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, o s, and expenses which may in any way accrue against said C ty i seque ce f the granting of this permit. rDate Iasi • 41 Signature of Applicant - ❑ Owner 5rContractor ❑ Agent Iof An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00— I I HAZ. D. FEES IMP I FLOOD OF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By �' G Date y PERMIT EXPIRES ON ' !D el Receipt No. 70 3 3 31 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 71 nAp, i...,. - -. v n•., t COUNTYOF BUTTE -DEPARTMENT OF D,FWLOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI LLE, CALI FO RN IA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER AL COP C I LlA Proposed Building Use /,dot- 7NROJ4K d.J BfiK _ A. P. No. /- Z i- 4/% "ding Inspector_ Date I !13 / i-7 ,At time application, I was advised the following data must be submitted prior to permit processing and/or issuance: oft DATE RECEIVED By 1. All items have been submitted 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... R Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit.-. °! :.................................... . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Drivewaermit (construction approval q P re uired rior to occu anc ) y P P y. .. .Fn:anspedion reque-Es Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ............ Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . ......................................... . Documentation of legal access . ..................... :.......... ....... . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan checklist ....................................................: 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. liver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept., Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works S �92-84B PERMIT NO. PERMIT EXPIRES//(l✓� OWNER ROBERT GINNO 1[ CONTR. Owner ASSESSOR PARCEL 51-34-41 « -- sLY LOCATION E/S Humbug, 600'S Cablebridge Rd i Chico 14 •b �r 1: r; •drd� i. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature k J = OK 0 = Not OK r Not Applicable MOBILEHOMES- = Not Ready t MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's Dater I DECK9^'COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete Z n -, &t, , Zgong Requirements—Setbacks—Easements _ Footings; Size—Depth—Spacing—Gonnec r s to ,tDecks; a0deIrs and/or sts 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures t 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors ' 7, Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N's V 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 2. Soils; Compaction—Structure Stability 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -RI Data Card -BI Date Card -BI Date J = OK O = Not OK ' - = Noteadyable" R = Not Ready RESIDENTIAL (Single and Duplex) ;k Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors $ n 10. Water Pipe; Test -Anchors -Regulator -Service Test s'] �Y1StL�Q�r6�1 - �Q S Cf(�ivfa 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date �Su Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57, Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ ___17. _ 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails - - - - 63. Fireplace or Stove; Clearances -Hearth - 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled - 23. 24. 25. 26. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No - 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes EJ No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish -- 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - -- 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - ------ -- 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House - - - - ---- Card B -I ---_Date Card -BI - Date Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85.' Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain _& Overflow; Size & Grade 34. Furnace -Vent; Access -comb. Air -Return Air Vent -115V outlet --35.-Attic Card -BI Card -BI Access & Platform if Furnace in Attic -• - - --- -- D_ate---- - Card -BI - Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: 36. Sills; Proper Material & Anchors _37. 38. 3_9. Walls; Studs -Nailing, Sp_acing& Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45 Attic Access; Size &_Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windo_ws_or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing - (NOTE: An entry must be made each time youvisit jobsite) V COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE :�- OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. f Inspector____ Date_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 96965 - Telephone 916/534-4541 APPLICATION AND -PERMIT IV/_- PE��RT NO. / d/-- 2V ASSESSOR PARCEL NUMBER dj J _ ZONING BUILDING PER OWNER Q) V (9 TELEPHONE SQ. FT. OCC. BUILDI G VALUATION OW R'S MAILING ADDRESS Bo eHI80 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS QQ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI GJWJ 44EOe TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: P&W Me Ap___�' 14 799=1EB Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2�tZQSgft CONTRACTORS LICENSE LAW I declar under penalty Of perjury p y p y (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi de and my license is in full f e and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR ULTI.OUTLET NON.R ESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. / 20@50a Ex. Occup(o TS OR FIXTURES BAL@30 gt FIXED FIXED APP LNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Kfertificate of Workmen's Compensation Insurance or a Certificate oConsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. i agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and k ep harmless the County of Butte against all liabilities, ju ments, costs, expenses which may in any way accrue against sai o y in c nse of the ranting of this permi . X 6 /Z Date Signature of Applicant — Owner Contractor Agent F1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- Ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I �lf, I TYPE��ppF CON T. TT ALL__ PAR L PD HD 550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY lqjo� PFlQIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date/_/7 ate /7WHITE-D.P.W.. /_ /���y� Receipt No. D / / WHITE-O.P.W..YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET i Permit No. 1/ OWNER .�LYr�C7` l-si/�J�>n A A. P. No./---f—�� Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation c /� / Other (Explain) Building Inspector�A /,,) a ) Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from g2e6( ol) Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •. . 17. Pre -Inspection for Pre -In spec. request to Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant /`�/l'/ .�T� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Design , Owner) was advised of above required data by Telephone Mail Other, By Date Plans checked b Date Plans approved by Date Other: Copy—DPW ♦ 1 TO: Building Department FROM: Environmental Health, Chico r SUBJECT: Sanitation Clearance Owner Locat'. n-� <<� AP Plann approved for; sewage disposal t/ water supply - Hold final for: water supply Final clearance O A..for: water supply Clearance for bedroom mobile home. Other 12, x�p , wyxl ' �Qf Notel'** Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AN1t PERMIT PERMIT NO. [^ASSESSOR PARCEL NUMBER 51-34-41 ZONING BUILDING PERMIT R8tert Ginno 33 --P8 T97 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 1997, Chico CONTRACTOR'S NAME Owner TELEPHONE 1st Ran ewal CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none -LENDER'S UNKNOWN Total Valuation Is Filing Fee $ 10.00 MAILING ADDRESS Permit Fee R � FEE $ 17.50 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 27.50 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 S Cable Bridge Rd. Each Trap 2.00 Solar Water Heater 20.00 Chico Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Deck SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — 1st Raz ewal Permit 492-84 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 12.50 CONTRACTORS LICENSE LAW I declare under pen It of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this/reason NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 2,7z6sq It NON -RESID R.BRANCH ciacT Ts ea NEW CONSTFL (POWER APPARATUS &� NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@90Q eAL®3o FIXED APP LHS, OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under enalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue )a,.n,sl,.sa,d County in consequence of the granting of this permit. Date of Applicant - Owner ❑ Can tract Or ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- -ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 27.50 OCCUP. GROUP TYPE OF CONST. F PARCEL PD ND I ISSUE This permit is hereby issued under the applicable provi- sions 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 PERMIT EXPIRES Date No. -Receipt WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT