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017-140-049
011-29-0-049 92-3044B,P,E BURGE, John Z%i 5± 94 32 kj(syP Cable Bridge Dr, Chico - C .J. BROWN r �' 0-1q0-0qgarage 011-290-049 PERMIT#95-2572 y ES Humbug Rd, app 1 mi N of YOV BURGE, John _ 4540 Cable Bridge Dr.,�Chico i Bridge, Chico 011-29-0-049 93-556P '3rd Renewal of BP#92-304417" Contr: Chico Electric, Chico BURGE, JOHN - -- — — -_ _ wre air ele ser) 011-290-049 PERMIT#96-2549 P rmit #-2a@ %9 { P y5�VCABLE BRIDGE DR, CHICO �i •P' PLBG FOR GARAGE �! BURGE, John 4540 Cable Bridge Dr., Chic 011-29-0-049 93-1497 P,E Complete BP#92-3044 ,1 CD3 1 1 BURGE, JOHN �j CABLE BRIDGE DR, CHICO MHU -- ELECD 0 06 3 a a/Wyl atll 011-290-049 02-2194 GAS - 3 / 5 HINER, RYAN COMPACTION TEST REQ J10 4540 CABLE BRIDGE DR., CHI SUPPORT STRUCT REQ �?D /0/� ELECTRICAL - GARAGE 011-29-0-049 ` 93 -,3057 1ST RENEWAL/92-3044 —= ---- - - ��..- _-- _ f 93 1498 MHI 011-29-0-049 BURGE, JOHN /! SyU CABLE BRIDGE DR , CHICO I MHI � 1I 011-29-0-049 93-3465 B BURGE, JOHN 4540 CABLE BRIDGE DR, CHICO METAL AWNINGS/MH 011-290-049 PERMIT#94-2525 BURGE, JOHN 4540 CABLE BRIDGE DR., CHICO 2ND RENEWAL_BP#92-3044 7 011-290-049 PERMIT#95-0160 BURGE, John 4540 Cable Bridge Dr., Chico Cont; Cousin Gary's 17 1[e MH on perm fnd ' 111 011-290-049 PERMIT#95-1701 BURGE, John r 4540 Cable Bridge Dr., Chico`�j Cont; Skycrest Bldg Systems Covered Deck/MH / / J TIAL /4z29:: 29r -O --D-4-9' BURG,E, John Cable BrIdge' Chico Z3 `� _ ��G garage 4, 0-3 I e ---I' ,-I= ti V/u 0 P/,?W-5 � _ � y_ j� �"' 3 sE� �©rte ov �tU� C, r j P pAf4 1.7..4;3- f O' ------ JOB FINALED (rL.ED (Date) Signature / 4natu,re J=OK F' O = Not OK s =V� `)Reaayable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECY7 COVERS, CARPORT ARAG (Plans)OK exce t #'s k 1. Zoning Requirements -Setbacks -Easements . Z ing Requirements=Setbacks-Easements } 2. Soils; Special MH Support Sketch Footings; Soils -Size -Depth -Spacing -Connectors- teel 3. Sewer; Location -Test -Fall -C/O Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: /" L" ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /" L"ft./ /"LPG 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric SSB6 0ti , 2J g`1 4e IJAA,� 3.,, 8. Utility Clearance 8 Frmg; Sils-Anchors-Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh loo f; Shthg-Roofing Date Card B-1 Date Card B-1 11' xt.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements Date lCard B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Date 3 Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector Date POOLS (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness 7. Water and Sewer Connected -C/O to Grade -HD Approval Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater -. 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Date Card B-1 Date Card B-1 Boxes -Enclosures -Panel boards -Ins. to Main in Conduit - Date Card B-1 Date Card B-1 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 4//48157,- No I ,w► r OK f •�� O - Not OK 1 = Not ApplReady_a' RESIDENTIAL =Not Ready �_`: Date UNDERFLOOR (Plans)•OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg. `Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test ' 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---------- ----- ------------------------------ 17. Water Pipe; Test & Anchor -Nail Protection ---------- ---- ----------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---------------- ----- -- ---=------------- 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access ----------------------------------------------- -- --- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ------------------------------------------ ------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------- ------------ ----------- -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- --------------------------------------- ------------- 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------------------ ----- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------------------- - - - --------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- ---------------------------------------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / ! ga. Cu or At ------------ - 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ---------- ---------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- ------------------------------------- ------ --------------- -- 33. Smoke Detector --------------------------------------------------------------------------------- ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------- ------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except u's 34. A.C. Ducts Insulation & Support ------------------ ----------------------------- 7 --------------------------------- 35. ---------- ---------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------- - -- - ---------- - --------------------- 36. --------------------------------------------------------------------36. Condensate Drain & Overflow: Size & Grade ----------------------------------------- - - -- ------ - --- _ 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --------------------------------------------------------------- - 38 Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------- -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 .-------------------------------------------------------------------------------- Date Card -B-1 Date Card B-1 .Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------- ------------------------------------------------ ------------- ---------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------- ----------------------------------- - --- --------------- 41. Bearing Walls over Girders & Floor Nailing --------------------- -------------------------- --------------------------- 42. Draft Stop in Walls (rat proof) --------------------------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------- ----------------------- 44. Headers & Beam -Size & Bearing Single & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rflr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles --------------- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing -51 Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- ----------- ----- 55.-- Siding -Nailing Veneer ------ ------------- 56.- Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------- --- 57. Glazing Area -Glass Protection -Skylights-Plastic ----------- --------- 58. Shear Walls: Nailing -Bolts _ 59. Insulation -Walls -Ceilings -------------- 60. Infiltration -Walls -Windows ----------- ------- ---------- - _Date _ Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's ____________ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ---------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ----------------- 64. -------- 64. Bedroom Exiting -------------------------- ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- ---------------- - 67. Stairs & Rails -------------------- - ----------- - 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. --------------------------- 70. ------------------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ----------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter -------- -------------- ------ 72. Garage Fire Door: Swing -Landing -Closer ---------------------------------- 73. A.C. Duct in Garage -Damper ---------------------------------------- -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage. Above Floor-Mech. Protection 75. Plb. Elec. & Mech._Equip. Listed for Location ----------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- 78. Guard Rails & Deck -Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ..-------------------------------------------------- - 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - - ------------------------ ------ 81. Stucco: Brown -Finish - ---- -- ------------------------ --- - 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------------- -- ---- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ----------------------------- --- 86. Ventilation Throughout House - -------- Glass Protection -------------------------------------------------- 88. ---- - -------------88. Corrections from Previous Inspections -------------- 89. ----- ------ 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - - -91.-Energy Compliance -Certificate. -Other Certificates -. --------------------------------------- Date -------------------------------------Date Card B-1Date Card B-1 •---------------------------------------------------- i� Date Card B-1 Date Card B-1 ------------------------------------ Date ---------------------------------Date Card B-1 Date Card B-1 Comments at Final A - zt^ Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rflr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles --------------- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing -51 Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- ----------- ----- 55.-- Siding -Nailing Veneer ------ ------------- 56.- Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------- --- 57. Glazing Area -Glass Protection -Skylights-Plastic ----------- --------- 58. Shear Walls: Nailing -Bolts _ 59. Insulation -Walls -Ceilings -------------- 60. Infiltration -Walls -Windows ----------- ------- ---------- - _Date _ Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's ____________ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ---------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ----------------- 64. -------- 64. Bedroom Exiting -------------------------- ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- ---------------- - 67. Stairs & Rails -------------------- - ----------- - 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. --------------------------- 70. ------------------------70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ----------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter -------- -------------- ------ 72. Garage Fire Door: Swing -Landing -Closer ---------------------------------- 73. A.C. Duct in Garage -Damper ---------------------------------------- -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage. Above Floor-Mech. Protection 75. Plb. Elec. & Mech._Equip. Listed for Location ----------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ---------------- 7;. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- 78. Guard Rails & Deck -Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ..-------------------------------------------------- - 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - - ------------------------ ------ 81. Stucco: Brown -Finish - ---- -- ------------------------ --- - 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------------- -- ---- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ----------------------------- --- 86. Ventilation Throughout House - -------- Glass Protection -------------------------------------------------- 88. ---- - -------------88. Corrections from Previous Inspections -------------- 89. ----- ------ 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - - -91.-Energy Compliance -Certificate. -Other Certificates -. --------------------------------------- Date -------------------------------------Date Card B-1Date Card B-1 •---------------------------------------------------- i� Date Card B-1 Date Card B-1 ------------------------------------ Date ---------------------------------Date Card B-1 Date Card B-1 Comments at Final A COUNTY OF BUTTE ^--'' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Z - OWNER ® 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. afyou have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 3/ 3 ��%.� Inspector REV 10192 f/ COUNTY OF BUTTE 1 DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist,it / 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, please contact this office immediately. p 5_ r f 9 i M n Date /� Inspector �.1P REV 11/81 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 4 PERMIT Wn. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ 0 _ 0 ,l 9 w ZONING BUfLDING PERMIT OWNER Jo ",J r7 L 2c, F 'J 5 n 3tq p SQ. Fr. OCC. BUILDING VALUATION OWNERS D ADDRESS MAI 67 �f4 � e C N Lo Ch 9Sy2 �,sr O n 0 - CONTRACTOR'S NAME o L,,,,J N 2p$ TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Fling Fee $ 20,00 Permit Fee $ f-�- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _/ S7 0 C.eQ oc 13 ' e h, 7 C(/ PERMITFEE $ 6S, Co CKL G PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other /1',11 �C PECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Z- 3 YV pexA, r ro Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 1 2 0:0 0 Main Service EOOV OR LESS ( zo-A OR LEss ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo 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 OCCUP. OR ADONS. ( 8 ACC. BLOS. ) so' 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 aAL .SO Ex. Occup. ouTLEEDrs IR sE Io.�ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation ,e -one hundred dollars ($100) or less.) d I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply With those provisions. X Date _/ / =� ffApplicant- GYdwner ❑ Contractor ❑ Agent SignKHA An Opermit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TYPE p� TOTAL FEE $ HAz PD HD Issu 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. �JA Cr By ,,^ � Date 11 PERMITEXPIRESO N 1Z,6 �% (Date) Receipt No. n6s3� I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. -..r �'`sr'"4�cr�.I"""r�ti 'tr�'l�,a'V'"{�w.: - ���.rti..:��r _ `Y�-gyp»*��yi'yrs',"�,...:-...,,d:r.•....ya.wY..r.Tdb•r*-�., �...-..�,.�.r, w3,.^.,.�,� °01.1=290=049' " PERMIT#96-2549 BURGE, .John 4540 Cable Bridge Dr.;.Chico `y + Complete BP#92-3044• �lq� ,w �* 4 a-7,03 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-71 PERMIT NO. APPLICATION AND PERMIT 'n", ek_q;�'° ASSESSOR PARCEL NUMBER -t Q O _ O 4 J ZONING BUI ING PERMIT OWNEROHS n 11 GF TELEPHONE ��� J SO, Fr. OCC. BUILDING VALUATION OWNER'S MAID ADDRE1 -s-.* `4 J G N I L C/V 9 X92 C esr CONTRACTOR'S NAME O "N TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ s- _ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ys� PERMITFEE $ 6s 00 C,q/ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 LOT No. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other�C ECIFv Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Z- 3,=) Y y raj r r, �� �e%� °L Mobile Home IS I GI W @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service OOOV OR LESS ( %-A oR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License ClassIL No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 , 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. ( a ACC. BLDS. / SO. 3.50 FT. NEW CONST. / MULTI.OUTLET NON•RESID. \ BRANCH CIRCUITS ) 97.50 ( b POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLETORFIXTURES) 2e 0 I•50 BAL SO Ex. Occup. ( OUTLETS ) APPLNS. OR LETRES D.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the,,Labor Code, for the performance of the work for which this permit is issued. h� ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation hof one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor :Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - GL,Owner ❑ Coritractor ❑ Agent An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structurs over 3 stories in height. p Mobile Home Installation Fee $ Energy Inspection Fee $ OCC __ CONST. TYPE TOTAL FEE $ 6S� HAZ. FEES P FAZ HD �Bv ISSUE. This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. . (� _ r �� By ��^�`"� Date 7 1C/ 1 PERMITEXPIRESON r (Dare) Receipt No. Jho I I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.-1 .....�:srs`:•::i:i.'i c•: � :;rf5;>y;.::::::ti;»:pec;>xo>a;?i.^..::�<�:>::,Sv.'oech:Z:>%K�?Sd:i:Laah...<.... ....,. c;»c .:;c. ..:, ': > :,.:. ....: ..iir;.> .:• ..S ..a... :::ijr,::rr•. :•: �C�C::{:$c<u .. :: ar:::@%i?$: .f`:i?:iM.,a,.,,>.,'j ' .v. : •::�; Via'.: :� Attention Property Owner: '. . An "owner -builder",; building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �: �.: 1. I personally plan to provide the major 1 and materials for consction of the ' proposed prop improvement : YES[ q Ntru O[ ]. 2. I HAVE[ YJHAVE NOT[ ] signed an application for a building permit for the proposed work . • . - -; 3. I have contracted -.with. the 'following person '(firm) to provide the proposed construction: _ NAME: _....._ ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS.-,- C I`Y: PHONE: `:= CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: J PROPERTY OWNER: __ / SOCIAL SECURITY NUMBER: DATE: / / " (. NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our off -ice before we are permitted to issue the permit. OWER Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the budder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personalty, performing their own work. If your work is being performed by someone other than your=K you may protect yourself from possible liability if that person applies for tete proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection; 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the ' entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding. federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. - 0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue Service (and. if you wish. the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento. CA 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sinc'irrel Michael C. Vien3, C.B.C. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER .`.+.rd®+.s*i..,j..a„�W�,"w.�'�E'�'%�1.v�1:d'iF�o�Rif�7,",P'�r'UF'"�'- i_,�'�F"�iK. s+• ��:,�`ss'f7s'..: ^�.c— �94�^M1�ir1WF;tr+ai').;1 ..•�" PERMIT#95 2572,,,_ BURGE 'John 4546 Cable Bridge Dr. Chico i ♦ •} 3rd -Renewal ,of BP#92-3044 •x. i •aa Y t 1 0 v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION-, 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754ERMIT NO. APPLICATION AND PERMIT _ <T - ASSESSOR PARCEL NUMBER ZONING BUILDING�PERMIT tELEPHONE OWNER I , ' /t' / T F( SO. FT: ,; ,OCC. BUILDING VALUATION OWNERS MAKING ADDRESS 3RD RENEWAL CONTRACTOR'S NAME 01"t PR TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIPIOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ 52.50 ARCHITECT OR ENGINEER UCENSE NO. `-Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS I 4540 CABLE BRIDGE DR CHICO PERMITFEE $ 72.50 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3RD REMIAL/923044 (2ND RENEWAL/94-2525) i Mobile Home S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service ( 220 A OV OR LEss ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law ffo the following reason: E I, as owner of the property, army employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owftr 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 ( d ACC. ) So. 3.5¢ FT. CNS. NEW CONST. / MULTI-OUTLETLE T NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) GSINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) BA2L 0 1.50 L SO Ex. Occup. ( OUTLETS RES D. T Ds ) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. / ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0,--,;i certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X '` '_'N- Date L�y�9 T Signature of Applicant - Ownerwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ 7'2.,5,0 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By 1, p.'�/� J �.FC1/1�� PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date/iJ /,2 /J `!— l"6 (Date) Receipt No. WHITE-D.D.S.-B.D. CAN RY ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 71 011-290-049 ..,t i .PERMIT#94-2525. BURGE, JOHN - - 4540 CABLE BRIDGE DR.,.CHICO 2ND RENEWAL BP#92-3044 a13 55(pI n 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 9v- 0 ASSESSOR PARCEL NUMBER 011-290-049 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING KESS 367 F STH Me CHT00 95 2ND REOWAL CONTRACTOR'S NAME INNER TELEPHONE & 1111117 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee 0 FM $ 52,50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4544 CABLE BRIDGE DR, CHICO PERMIT FEE $ 72.50 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 ❑ Duplex ❑ Mobilehome ❑ Other GARAGE 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 O Addition ElRemodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2ND RENEWAL/92-3044 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (1ST RENEWAL"3-3057) OR LES Main Service ( 200AORLESS ) 23.00 I Main Service ( 200A To I000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLOS. ) 3.50 FgT.0, CONTRACTORS LICENSE LAW j declare under penalty of perjury (check one) O I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P P ofessions Code and my license is in full force and effect. cense No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 2001.00 BAL. .60 Ex. Occup. FIXEDAPPWS.Ofl P- (O UTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 28.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, B Iding Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. Ishallnot employ any person inany manner soastobecome subject tothe 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 in consequence of the granting of this permit. / X �—_ �,` r Date ` / t! Signature of Applicant - ❑ Owner' ❑ Contractor ❑ Agent An:OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 72.511 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. �} f�,� By _,F�t7 �/ %yrset, Date � PERMIT EXPIRES ON 9-10-95 [Date) *4 / Receipt No.� �y 3(� WHITE-D.D.S.- D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CIO a CIO f CIO ;,����°.g .-'y R'y- r � OUNTY OF BUTTE:- DEPARTMENT OF PUBLIC WORKS PERMIT'NO.• ~ y 7,County Center Drive - Oroville, California 95965 - Telephone: 916/538-75414 ••_d-��-.. •_ 4 APPLICATION AND PERMIT 1 ASSESSOR PARCEL NUMBER 011-290-049 =_2 ZONING - BUILDING PERMIT OWNER - +, John Burge TELEPHONE 342--3680 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 567 E. 5th Ave. Chico 95926 576 10 368.04 CONTRACTOR'5NAME Owner TELEPHONE j CONTRACTOR'S MAILING ADDRESS F_ireplace """`"• CONSTRUCTION LENDER I j UNKNOWN Total Valuation $10,368.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 105.6d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 52.50 ARCHITECT OR ENGINEER'S MAILING A Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS , -- . ~ Permit fee $172.50 172 L .50 PLUMBING PERMIT Filing Fee 15.00 i I Cable Bridge Dr. �.J Each Trap 5.0 - Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP* •73 r,7 J Water piping 1 7.00 1 Each qas water heater or vent 1 7.00 -7,047 ,USE OF STRUCTURE SF[:] Duplex❑ Mobilehome❑ Other Det, GArage SPECIFY Gas piping system 1 - 5 outlets V 5.00 s'Q Building sewer 15.00 Mobile HomeI S I G JW I @ 15.00 TYPE OF WORK New l Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ .Other ❑ Describe work: Det Garage Permit Fee JI Contractor ELECTRICAL PERMITFiling Fee 15.00 .Main service 600V OR LESS 1$..50 200A OR LESS 1 1 8.50 13 50 " CONTRACTORS LICENSE LAW I declare under; penalty 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. CNo. +. 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) EJ [,—as- I,'as- the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) " ` t — ❑ I am exempt under Sec. ,Business and Professionstode for this reason - Main service 200A TO IOOOA) 37.50 S. II OR ADDNSCONSTDDWEACCLLIN GOCCUP,e\ % 3.54sq.ft. 20.15 NEW CONSTR. ULTI-OUTLET NON•RESID BRANCH CIRCUITS@5.00 ' POWER APPARATUS &) (SINGLE OUTLET OR, 20 76 Ex. Occup(OUTLETS OR FIXTURES 5AL (a 46 FIXED (RESID )RFA.) I 3.00 Ex. Occup. OUTLETS Temporary service 15.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 53.65 i WORKMEN'S COMPENSATION INSURANCE + 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 a Certificate of Workmen's Compensation Insurance or a Certificate f'Consent to Self -Insure. _ 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. - Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation , Permit Fee $ Contractor I certify that I have read this applicatioq and state that the above information is correct. I agree to corgNy-4to 84,x'�q 1fnGy Ordinances and State Laws relating to building construction, and #��eby'"euthorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes., , I also agree to save, indemnifyy and sskeeprfiarmless the County of Butte against all liabilities„judgments. Cosfs; artq,ex4nses which may in any way accrue against said County ini6onseq�ieri iof .tee,-gt�ntinq of this permit. ` /. X '`�^��� `'^�`�+—_ �� Dates ` y i° pp 17 �'.�' � ❑ a ❑ Signature of A Applicant — Ovrner ntractor A ent An OSHA permit is required for excavations, ov 5'0" deep and demolition or construct- ion of structures over 3 storixestin.height. \ Mobile Home Installation Fee $ Energy Inspection Fee $ coir!j/ypE / ry TOTAL E $-.2G3,-15 Z% HAz 10 FEES + ”' IMP F COF PARCE✓, PD H ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County'Code and/or resolutions to do work indicated abovelf6r which fees have been paid. .`DIRECTOR OF PUBLIC WORKS By 6�/ � Date 91?— PERMIT EXPIRES Date '�r— fO -,'rR.nS'fd/V.r..�1y....N'Yst'!°4}�,.r3F ceipt No. 122700 .�`%2'`"2 ,4 ` / 5 / MI E-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR• GOLDENROD-APPLICANT 192 04 m 3 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES' -BUILDING DIVISION r '---- -"�` 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541. PERMIT NO. APPLICATION: AND PERMIT " `� '� .��-• ASSESSOR PARCEL NUMBER I aVt--290•-049 ZONING• FR42 'BUILDING PERMIT - 1. v OWNER # " Join Bare TELEPHONE - 432-3680 SQ. FT. OCC. ` BUILDING VALUATION` OWNER'S MAILING, ADDRESS '-567' E. 5th Ave.. Chico" 95926 ti �# �O # ' :: 18T RFNEWAL CONTRACTOR'S,NAME Owner TELEPHONE P R CONTRACTOR'S MAILING ADDRESS ••'I" Fireplace CONSTRUCTION LENDER .' UNKNOWN I TOLBI VBIUatIOfl Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee @ Fee $ 52.50 ARCHITECT OR ENGINEER LICENS}N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS p Penalty. 4PERMIT BUILDING ADDRESS ,. jj.., ro _ :. - .- ., :: . ;=. ' ^�,�- ..� •- 4540, Cab1e Arid a Dr. • Chico FEE $ 72.50 PLUMBING PERMIT Filing Fee 20.00 Each Tu 7.00 T7 'f S01ar or heat pump water heater 23.00 Water piping 15.00 pp g LOT NO. 2 SUBDIVISION'S NAME �' ,PARCEIMAP ' _;};-....-• Each gas water heater or vent 15.00• USE OF STRUCTURE i SF ❑ Duplex O Mobilehome O Other Det. Garage ' : r SPECIFY ., x" '".Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other 0. let Renewal of B.�. ##92-3044 Describe Work: �� +^� PERMIT FEE $ Contractor , ELECTRICAL PERMIT Filing Fee 20.00 t 1 Main Service ( Boov OR LESS 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00- • -,x; . , � • - � NEW CONST. DWELLING OCCUP. S0. OR ADDNS.' ( 8 ACC. BLDS.' ) 3.5, s _ - •*- -•M� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) �' ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. ' �/�Icense No. Classification - ' V 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 704 4) ❑ 1',"•as the owner, am exclusively contracting with licensed contractors.�(Sec"7044) 1 am exempt under Sec. r Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -.NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) s SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2 @ r.00 Ex. Occu FIXED APPWS. OR t- p • ( OUTLETS +RESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ~. WORKER'S COMPENSATION INSURANCE' i declare under penallty. of;perjury•(check one) �: t '��r:. i.+ O This�rermlt is for $100.00 (valuation) or less. 1. I -:•: f ❑ v have placed on file with the County of Butte Dept. of Developmentf Services, ertificate of Workmen's Compensation Insunce ora u�ding Di'yision a Cra Cloertificate o6C-o sent to Self -insure. I shalI,rsot°empyAny person in any manner so as to become subject to the Worker's _f ' Compensafign laws of -California. y I Notice to Applicant:�If after rraa141ng this statement, should you become subject to the Worker's CQ_mpensation0rovlsions"'of the Labor Code, you must forthwith comply with such prov'is`\ofns or thifter nit. will b revoked. ' } 4.4 PERMIT FEE ' $ ' Contractor -'��( tMECHANICAL 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 Courity'of Butte to enter upon the above `mentioned property for inspection purposes. ) " I also agree to save, Indernnify•and keep harmless the County of Buttetagainst all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence f the'granting of this permit. Is, X l/rt .J'Qn^'� Date /�G. I Signature••of,,Applicant Owner ❑ Contractor, C1 Agent + '^ An OSHA/permit is required-for,excavations over 5�"0- deep and deL olition or T •t construction of structures over 3 stories in height. Mobile Home Installation Fee • $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEES 72.'50 HAz. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B Date C PERMIT EXPIRES ON 9/10/94 (Date) Receipt No. ! )`+ `N.- G S WHITE-D.D.S.-t.D. CANARY -ASSESSOR, PINK -INSPECTOR GOLDENROAPPLICANT - Via. r ti r . n � 1 1 s 1 , , 011-29-0-04.9 93-556P .BURGE,'JOHN CABLE BRIDGE DR, CHICO 3 PLBG FOR GARAGE .F. of c3// C� i • t Zr •�i 3 O.3 lQoaQ,N p1:w.'rJ9y,J! /�v-SnsE,L.�'� /✓�sl Ot,�NE(L . Oodes No r p ba --j 4. r - III11111we IWO MIs'1�;•,,.�1° COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- PERMIT NO. County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - - 11 �- APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 011-290-049—' ZOV: NG BUILDING PERMIT OWNER John Burge TET. PHON 3 2-360 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 567 E. 5th Ave., Chico 95926 ;, 0a CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 1.55,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee b ARCHITECT OR ENGINEER'S MAILING AD !45) Energy Plan Checking Fee $ Penalty b BUILDING ADDRESS Permit fee $ Cable Bridge Dr., Chico PLUMBING PERMIT Filing Fee 15.00 Each Trap 3 5.00 15.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PAgf'.EL�yAP ��i(j Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garage SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: 3 Traps to FaciatinQ Pemit 992-36" _ Permit Fee b 30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service i600V OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty 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. cense 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) r'. ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A, 37.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ACC. BLDGS. 3.6Q sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCU, TS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Occup Ex. OCcU OUTLETS OR FIXTURES (OUTLETS 20 76 APPLNS. OR EX. Occup. OUTLETS (RESID•) EA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 L I Permit Fee $ 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 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑/j 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee b 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 against said County,in consequence of the granting of this permit. X �``^ ' ��' `' Date $ignature of Applicant — Owner CDntroctDr ❑ Agent ❑ An OSHA I L' ion of structures toverr 3gsto�ies�in helght tions over.5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE 530.00 HAz 1 DFEES IMP FLOOD CDF PARCEL PO HD IS E This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY , ` -_Date. PERMIT EXPIRES Date - applicable provi- resolutions to do have been paid. WORKS r Receipt No. 135630 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT. A- ,-.too, � 011-290-049 -*j02-2194 HINER, RYAN 4540 CABLE BRIDGE DR., CHICO ELECTRICAL - GARAGE q 'gocl4/ 556 f 695��51- /gyp' 1. 1 t 1 ,-.too, � 011-290-049 -*j02-2194 HINER, RYAN 4540 CABLE BRIDGE DR., CHICO ELECTRICAL - GARAGE q 'gocl4/ 556 f 695��51- /gyp' 1. 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 04 ZONING BUILDING PERMIT OWNER i - TELEPHONE SO. FT. OCC. BUILDING VALUATION 0 SJUNG ADDRESS Ip ^, .y �r► /� 4 �,d CONTR4CThRS NAME TELEPHONE . CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS L,/r q0 / 40 b/e, SIS / f 4, // ? rr,, (.r !7 ✓ Energy Plan Checking Fee '$ $ GAY, ` 0 PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 4 /'t 14,A, JC SPECIFY t' Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New, ;❑ Addition ❑ Remodel ❑ Utilities❑- Installation ❑ Other,El v t I Describe /� Work: C l e'rtrA Gas piping system 1 - 5 outlets 15.00 Building sewer ;15.00 f Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions}of Chapter 9 (commencing with Section 7000) of Division 3 of tfie.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, •wk will do the work, and the structure isnot intended or offered for sale. jam. I, as owner of the property, am exclusively contracting with licensedcontractors to construct the project. 0', 1 am exempt under Sec. Business and Professions fode for this reason Main Service TO ,IIIA 46.00 NEW CONST. DWELLING OCCUP. W:0 OR ADDNS. ( s Acc. BLDS. SO 3.50FT: NEW CONST. MULTI -OUTLET NON.REBID..Curr. o @7.50 POWER APPARATUS 8 SINGLE OUfLEr CIR. Ex. Occu . CUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 FUCED APPWS. OR Ex. Occup. OUTLETS REBID. EA 5.00 Temporary Service 23.00 Mobile Home Faces 20.00 I'Xisc.'Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure dor 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 Fling Fee :20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100).gp less.) .1 I certify that in t,Lit �gtic"g 61 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 _1<0 -visions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X +L_i�Date- /.'� '!J %.• = �Ow>Cbntractor Signature of Applicant - ❑ ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP r FLOOD COF PARCEL PD HD I ISSUE �� This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON� the applicable provisions Resolutions to do work been paid. Date 7 • Date Receipt No. +^" WHITE-D.D.S.-B.. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER a ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION O ILING ADDRESS CONTRACTMERS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS (,�� e r {4' Energy Plan Checking Fee $ `L0 $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 91AYVO-JC- SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other/ Describe Work: Ci/e��2 [ Gam" / Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 "OOVMain Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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. 2L 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 TG Main Service TO 46.00 NEW CONST. DWELLOCCUCUP. EE OR ADONS. ( a ACC. BUDS. SO NOON•RESID. MULTI.OUTLET QG 7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES 20 Q 1.00 BAL @ .50 Ex. Occup. OUXT ETS gESIp,OE, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X __ Date ?3^ / a _v ��� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE L TOTAL FEE $ Z HAZ.D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have � By PERMIT EXPIRES ON I applicable provisions to do work been paid. Date p- ALZ Receipt No. -� WHITE-D.D.S.-B. . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 r ERMIT o. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDIN ERMIT OWNER TELEPHONE $� SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS -567 E 5TH AVE, CHICO 9592-6 3RD RENEWAL CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee1FEE$ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 4540 CABLE BRIDGE DR CHICO PERMITFEE $ 72.50 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3RD RENEWAL/92-3044 (2ND RENEWAL/94-2525) Mobile Home IS I GI W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service OOeV OR LESS ( z.OA OR LESS )' 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f3r,Jhe 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. ( 8 ACC. BLDS. / SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 (a gQWEH APPARATUS OUTLET R. ) OUTLET OR FIXTURES Ex. Occup. () BAL 2 a 1 50 .SO RRn Ex. Occup. OUTLETSIEPPLNS. OR () 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 9f -one hundred dollars ($100) or less.) 01-1certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c mply with those provisions. (// J Date �/ �% X �wnerO Signet a of Applicant actor ❑ Agent An O HA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 72.50 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY M applicable provisions Resolutions to do work been paid. 9-10-96 (Date) ReceiptNo. PPLICWHITE-D.D.S.-B.D. CAN RYSSESSOR PINK -INSPECTOR GOLDENRODAAT O.B-1 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1..I personally plan to provide the major 13b -or and materials for construction of the proposed prToelly improvement: YES NO[ ]. 2. I.MAVVE[v ]. HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: _awlw����� DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before, we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified- For pecifiedFor your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name— Contractors - - — Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you -plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: / 0 If you employ or otherwise engage any persons other than your immediate family, and .tlie work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "o*merbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed -by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by, contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinc rel //� • r, ` ` Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COU*',TY OF BUTTE - DEPARTMENT 01 7 CounACenter Drive - Orovillt, CalifQrnia 95965 - .. PUBLIC WOR Telephone: 916/53-7 1 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 011-290-049 ZONING FR -2 BUILDING PERMIT OWNER John Burge TEL42-3PHON 680 34 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 567 E. 5th Ave., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ Cable Bridge Dr., Chico PLUMBING PERMIT Filing Fee 15.00 Each Trap 31 5.001 15.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP 75-79 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garagge SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: 3 Traps to Fxi cti ng Permit #92-3044 _ Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty 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. cense 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. (DWELLING OCCUP.8d\ OR ADDNS. ACC. BLDGS. // 3.6d sq.ft. NEW CONSTR ULTI.OUTLET NON ESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e) (POWOUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES P 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a C rtificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 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 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 liabilitie , judgVkents, costs, and expenses which may in any way accrue against said(CountNun consequen of the granting of this permit. X Date Signature Applicant — Owner Contractor ❑ Agent ❑ An OSH 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 S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $30.00 HA2. DFEES IMP FLOOD I COF I PARCEL PD HO Iss 1 This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees D ECTOR OF PUBLIC By � �� PERIV�X�If•�ES Date applicable provi- resolutions to do have been paid. WORKS Date;_ZZg` G/ Receipt No. 135630 WHITE-D.P.W., YELLOW-A99C990R, PINK -INSPECTOR. GOLD EN RO D -APPLICANT --_,. �* .i-._-�..•,.�• �..- �.-•.�.�'^ rust-,n.--•tx���e1,;.a L � r .' H •COUNTYOF BUTTE-�DEPARTMENT QF.D_EVELOPMENT SERVICES - U WING DIVISION tr Q 7 COUNTYCENTER DRIVE - OROVILLE, CAt;I RMA 95965 -TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATA SHEET OWNER' (,(/lC A. P. No. I I agn -<I-17 Proposed Pro Buildin p g Use� "- I Building Inspector �), 1?26tA11% Date 3 -f5 '9? At time/of,ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I � DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... v 11. Impact fees as shown on attached schedule. .............................. y 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . st 20. Pre -inspection for required. .. oB�ild g nspectorDate c ) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insuranc 23. Owner -Builder Verification (Given to owner ,Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgem . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ........ 31. Existing violations/expired permits. 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: - 14_ Mail to owner. Mail to contractor. Telephone : and hold for pickup at office Deliver 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. Othe 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 _ phorry mail Countdf::6y'O�at Contractor, designer, designer, owner, was advised of above required data by _ pho e _ 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 b Fireplace D FPA,• "{ OF PUBLIC WORKS " PERMIT NO.• 1e calm{ `a -'Telephone: 916."538-7541 ATION I4MIT t 20N ING: Permit Fee BUILDING PERMIT LEP ?` 12— SO. FT. OCC. BUILDING VIALLIATION _ ffiv, I.. �. Rslkrcetl� wlaD_RE �r ,/ V Energy Plan qhecking Fee g .. •6 7-1 b Fireplace ANSAiR Total Valuation .1C,NDe r Lr Filing Fee $ 15.00 Permit Fee ,tc E IN se Plan Checking ee �. Rslkrcetl� wlaD_RE �r ,/ V Energy Plan qhecking Fee g .. •6 �Penalty YI 9EftI1 Lr DI. rA R � �- ,y .. gra,. � L S Permit fee $ t PLUMBING PERMIT Filing Fee 15.00 } f _ Each Trap 15.001 . �' �� s I Solar or heat pump water heater 20.00 L'O'T#NO g 60 VLSIO',N&,N "c •^s � AMEN; - � :�• Water piping 7.00 ^d� Each Jas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 ;F F1 Duplex[] Mobilehome❑ Other Building sewer 15.001 SPECIFY 'Mobile Home * S -.G Jw @ 15.001 ' TYPE OF WORK . FFee Vew ❑ Addition ❑ . Re ode ❑ Uti hies ❑ Installation ❑ Other ❑ Permit S. 3 )escribe work' Contractor of -. ELECTRICAL PERMIT Filing Fee 15.00 Main service ZOOA oR LESS 18:50 CONTRACTORS LICENSE LAW Main service 200A TO IOOOAl 37:50 NEw CONST. OWELLING OCCUP.A OR AOONS• ( ACC. SLOGS. 3.6e sq.1t. declare under penalty of perjury (check one): - NEW CONST FL-77uL1-JULET NON-RESID SRANCH cTIRc ITs @ 5.00 _ ❑ 1 am licensed under provisions of Chapt.-9, Div. 3 of the Business POWER APPARATUS (9NGLE OUTLET CIR. and Professions Code and my license is in full force and effect. License No. Classification Ex. Occup(OUTLETS OR FIXTURES aA20,@ 76e ❑FIX I, as the owner, or my employees with wages as their sole cbmpen• - ED . OR Ex. Occup. OUTLETS 4PP LN5IRESIO.1 3.001 sation, will do the work,and the structure Is not intended or offered ; Temporary for sale. (Sec. 7044) service 15.00 I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities- 1 15.001, Misc. iring 15.00 ors. (Sec. 7044) r ❑ I am exempt under Sec. Business and Professions Code' for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE ,' Contractor MECHANICAL PERMIT Filing Fee 15.00 declare under penalty of perjury (check one): .a ❑ The permit is for $100.00 (valuation) or less. r `' Heating f -1I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance. or a Certificate Cooling of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California.. 6.50 Ventilation 'otice to Applicant: If after making this statement, should you become subject 3 the W. C. provisions of the Labor Code, you must forthwith comply with such rovisions Perrnit Fee $ or this permit shall be deemed.revoked. Contractor certify that I have read this application and state that the above information correct. I agree to comply to all County Ordinances_ and State Laws Mobile Home Installation Fee S relating I building construction, and hereby authorize representatives of the County or utte to enter upon the above-mentioned Energy Inspection Fee $ property for inspection purposes. also agree to indemnify occ CONST TYPE save, and keep harmless the County of Butte against. ilalliabilities, TOTAL FEE $ judgments, costs• and expenses which may in any way accrue s nt said County in consequence of the granting of this permit. MAz OGEES IMP I FLOOD I COF PA ISSUE cEt PD I+O Date This permit is hereby issued under the applicable Provo- 9nOture of Applicant _ Owner Contractor ❑ Agent L7 ((''''�� - Bions of the Butte County Code and/or resolutions to do - ^ OSHA permit is, required for eXcovarions over 5'0" -'deep and demolition or„�on,r.,,�,. Or structures over 3 stories n height. work. indicated above for which fees have been paid. - Z^ DIRECTOR OF PUBLIC WORKS eipt No. � j By.. Date •c�Low.Anecanow, v hR.INyvecrow, cotocwnaa-Ave cArr PERMIT EXPIRES Date 7 • . 0 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid. unnecessary delay in processing and issuing your building permit. No. building .permit. will be issued until this verification is received. .1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no.) 2: I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm to provide the proposed construction:/ Name C/V I Address City Phone Contractors License No. 4. I plan to'prodide portions of this work, but.1 have hired the fol -lowing -person to coordinate,n s� ervise, and pr vide the major �ork: Name /y �� /U U 6 Q (, rA� , Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: 9 Property Owner Social Security Num r Date / — --- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of.the California Health -and Safety Code. - This verification must be completed and returned to our office before we are per- mitted to issue the permit. BURGE AP #011-290-049 PERMIT #93-556 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 ASSESSOR PARCEL NUMBE 011 –2 0-0R ZONING BUILDING PERMIT OWNERN BURGE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDREAYE, CHICO 95996 SS 2ND RENEWAL CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee @17 FEE $ 52.510 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4540 CABLE BRIDGE DR CHICO PERMIT FEE $ 72.5 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 ❑ Duplex ❑ Mobilehome O Other GARAGE 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 ❑ Describework: 2ND RENEWAL/92-3044 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 UST RENEWAL#93-3057) Main Service ' 200LESS V OR R LESS ) 23.00 Main Service , 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. OLDS. ) 3.50 FTg0., CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and P ofessions Code and my license is in full force and effect. cense No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, 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 ) @7.50 , POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup. ( OUT ETS R SID:OEA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, /Bding Division a Certificate of Workmen's Compensation Insurance or a tificate of Consent to Self -insure. 14 ll 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. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseque ce of the granting of this permit. X Date % / Y/ % Y Signa a of Applicant - ❑ Owner Co ractor ❑ Agent A SHA 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 $ —72.5( HAZ. D. FEES IMP FLOOD CDF PARCEL PD H D ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY A*��it�_Date PERMIT EXPIRES ON (Date) provisions to do work paid. 9-10-95 } / � / 3 / Receipt No. �j �j' (, WHITE-D.D.S�.D. CAN RY-ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT .N f-COU'NTYOF BUTTE - DEPARTMENTOP�EV;,ELOPMENTSERVICES -BUILDING DIVISION '7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER�_)DAAJ V r A. P. No. "-' v - I Proposed Building Use 2 a Building Inspector Date 9 Z124IS5,' At timeof pe it 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 . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10., Fees of $ .......................................... 11. Impact fees as shown on attached schedule. .......................4...... . 12. California Department of Forestry plan approval/fees.................. I...... 13. Flood elevation letter (100 year flood) by California Engineer . ...........: ... . 14. Sanitation and plot plan approval Health Department. .......� .... 1 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. . ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. Freanspedion req.uest 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 Co of recorded deed of parcel creation and 60 right of way to a public road . py ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ............................ :.......... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi t office. Deliver with inspector. Other Parcel Creation 'Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy pf plans sent Health Dept. Fire Dept. Other Date By The'foilowing data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Indez,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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER / a~ ` s ✓ lv G ZONING BUILDING PERMIT OWNER ro lb TELEPHONE 7-361 9b SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD SS f/ CONTRACTOR'S NAME TELEPHONE NZ) hIPWAO 6J CONO S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking F e $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L Q f / !G[ PERMIT FEE $ 2 �p Ify CCW 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 q %/s— / Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex Cl Mobilehome O Other ,)e f- G -Ar Cs C? SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities O Installation ❑ Other Describe Work: NS) eec��.� F r 2y y PERMIT FEE $ Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main ServiceBoOV OR LESS ) ( 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) So, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury. (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O 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. ( RRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. SO Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESIO.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23 00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O 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. O 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. 1 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. 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O 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 $ 4.0..UE HAZ- I D. FEES I IMP I FLOOD I CDP PARCEL This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON lDetel provisions to do work paid. Date r (o 7Lj� 6 Receipt No. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this informanon at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally pl . to rovide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) L���_ signed an application for a building permit for the proposed work. 3. I- have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hiredthe following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: NOTE Property Owner. Social Security l Date v This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVIC - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Tele o e 16) 538-7541 PERMIT NO APPLICATION AND PERMI ASSESSOR PARCEL NUMBER 0111-290-049 ZONING FR -2 BUILDING PERMIT OWNER John Burge TELEPHONE 432-3680 SO. FT. OCC. BUILDING VALVA ON OWNER'S MAILING ADDRESS 567 E. 5th Ave. Chico 95926 IST RENEWAL CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee @ , Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMfT FEE $ 72.50 Chi ro PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. 2 SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ElMobilehome ❑ Other Det. Garage 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 ClRemodel ElUtilities ❑ Installation C)Other CX Describe Work: 1St Renewal of B.P. #92-3044 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service , 000V OR LESS I 200A OR LESS 23.00 Main Service , 200A TO 1000A ) 46.00 11,0 NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BLDS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalt o perjury (check one) ❑ 1 am a licensed under provisio�n�d aptapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. /�censeNo. Classification V 1, 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) O I am exempt under Sec. Business and Professions Code forthis r TIT NEW CONST. MULTI.OUTLET •NON-RESID. BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) &SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.OS00 Ex. Occup.FIXED APPLNS. OR ( OUTLETS(RESID.)EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under enalty of perjury (check one): ❑ This permit is for $100.00 (va on or ess. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Ilding 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, costs, and expenses which may in any way accrue against said County in cons, uence f the granting of this permit. Date O �j /3U q Signature of pplicant Owner ❑ 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 S Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 72.50 HAZ• I D. FEES IMP I FLOOD I COF I PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC By PERMIT EXPIRES ON q/lf,�q�1 the applicable provisions Resolutions to do work been paid. WORKS Date 7 fY d (Date/ Receipt No. / / !b/ y WHITE-D.D.S. 8 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COU:NTYOF BUTTE - DEPARTME.NTOF�DEVELOPMENT I ES -BUILDING DIVISION [/y 54, 7 COUNTY CENTER DRIVE '' OROVILLE,CALIFORNIA95965- ;-LEPHONE(916)538-7541 a� 9 PERM IT�APPLICATION DATASHEET OWNER. J046nj 06 Proposed Building Use (74A /1, A. P. No. - 2-,i v - 0q.7 Building Inspector L Date � i 3 At time of pe it application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................... 2. Plot plans, 3/4 sets, signed by pteparer of plans. 3, Complete plans, 3/4 sets, signed by preparer of plans . ............. :........ A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ......°.................. 13. Flood elevation letter (100 year flood) by California Engineer ..................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18.%Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . 20. Pre -inspection for �°d 9�� . B,�;spe (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. ,CopyRof 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.' h 29. Documentation of legal access.........................................4 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. 34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 01 X A3 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 a Sets of plans on hold in File cabinet AP folder Copy - Department of Public. Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person. to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. rt i t�COUf3TY OF BUTTE.- — 6DEPARTMENT OF. PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT dutnonce represenidtives o1 the t ounty,or tsutte to enter upon the above-mentioned property for inns�spection'purposes. Xi - G %�-�/,. Go�J4r/ pate 5/10/79 Signature of Permitee or Agent Receipt No. �� 3717 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. `%/DIRECTO_R OF PUBLIC WORKS 01 By !r _ 6 a y. pate l i e�, T r10 _} Building permit expires Date _ r 0 BUILDING Owner C.J. Brown SQ. FT. OCC. BUILDING VALUATION Mailing Address 133,F Humbug Bond ' re)ntnrvi,lTck Cn„ Telephone No. Contractor Chian F.lnr.triQ Mailing Address 1933 *Eepl>anado Fireplace Total Valuation Chico CA. Telephone No: �3 Permit Fee Building AddressPlan 1 �� F Humhua Rnnri Checking Fee&/or Penalty Permit Fee ` Cnntnrvi 11 n _ r A r PLUMBING No.1 @ FEE /'i �'�/"% 1'��• /i.i%Jl�t?� / ,/yt �% �f-- PERMIT FILING FEE $3.00 Each Trap 1.50 ,,9 %'0iJAt1.,N4,..LL •-1 Ctz-00 e ••CI fjr/���y�. �''�� r d Repair drainage or vent piping 1.50 � A. P. No. ,�. �tiij 2 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FeesW-eC, Sanitation Fire Dept. Fire Zone Use P.ermit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 ' Bldg-Plons"Rica Parcel Approval 'Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q - Permit Fee $ $ loopair sorvico that trop\ ELECTRICAL No. @ , FEE knoe ed down PERMIT FILING FEE $3.00 �p'vv V OR Main service 80000 AMP ORSLESS 5.00 55,00 Single Family Q Duplex Mobil Home 0, Others ❑ Main service EA. ADD•L too AMP 2.50 2.50 OVER Main service OVER 25.00 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( OR A.D.S. ACCLBLDGSLING CCUP, 7e) 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 style of: Chico EZOCtriC T NEW CONSTRES'D, -OUTLET NON.R ESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS &Jj NON.RESID. SINGLE OUTLET CIR. EX. Occuo(OUTLETS OR FIXTIIRES BAL0 254 1�n FIXED 77—PL-r-4 S. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 290982Misc. Classification C10 Wiring 6.25 I am ex exempt from the Contractors License Laws of the State of California. Permit Fee ' "' �" $ $ ` "• WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Ei I have placed on file with the County of'Butte a certificate of Workmen's Compensation Insurance. \ 1, \_ r -1I certify that in the performance-'of-the.,work for which this permit•is issued I,shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling �- r y Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have red this application and state that the above information is correct.11 agree to comply to all County Ordinances and State Laws relating . to •building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $' dutnonce represenidtives o1 the t ounty,or tsutte to enter upon the above-mentioned property for inns�spection'purposes. Xi - G %�-�/,. Go�J4r/ pate 5/10/79 Signature of Permitee or Agent Receipt No. �� 3717 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. `%/DIRECTO_R OF PUBLIC WORKS 01 By !r _ 6 a y. pate l i e�, T r10 _} Building permit expires Date _ r 0 "j. — COUNTY OF BUTTE - DEPA•RTfa1ENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 -Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of twtte to enter upon the above-ment!pjned 9k9perty for inspection purposes. Date. 5/10/79 Zt ignoture of Permit r Agent No. a 43N 7 te-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 bee d. (RECTOR XOUBLIC WORKS BY Date b Wakhat permit expires Date 4&�� BUILDING Owner C.J. Brown SQ. FT. OCC. BUILDING VALUATION Mailing Address 133 F Humbug Road Centervillp GA. Telephone No. 0 -345-622-3- Contractor Mailing Address 1933 Esplanade Fireplace Total Valuation Chico, CA.T8hp�,-x1133 i Permit Fee Building Address 133 F Humbug Road Plan Checking Fee&/or Penalty Permit Fee CAntArvillAl CA. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Gc9cs�vta %� � Repair drainage or vent piping 1.50 A. A �� Zonin 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 �P�No. FB�s W n I Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 ecrd Parcel Approval Plane Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ repair service that tree ELECTRICAL No. @ FEE knocked down PERMIT FILING FEE $3.00 • 0V OR Main service 100 AMP ORSLESS 5-0_0 5.00 Single Family Jfl 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 NEW CONS.DWELING OR ADDNST t ACCLBLDGSCCUP. 1 20sgft I CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y Chico Electric NEW CONSTRES'D, MULTI.OUT LET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES B L0; FIXED APPLNS. OR Ex. OCCU p'`(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 290982 Classification C1 0 Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $. $ • WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ® I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee is TOTAL PERMIT FEE $ D authorize representatives of the county of twtte to enter upon the above-ment!pjned 9k9perty for inspection purposes. Date. 5/10/79 Zt ignoture of Permit r Agent No. a 43N 7 te-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 bee d. (RECTOR XOUBLIC WORKS BY Date b Wakhat permit expires Date 4&�� V=01( O=Not OK Not t Reeeadiyable MOBILE HOMES Date/Initials MO LE HOME UTILITIES Plans OK exce t fYs . Zoning Requirements -Setbacks -Easements Soils; Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete 4/nater; Location -Test -Easement Neede (Sketch) f3. Gas; Location -Test -Wrap: /IR/ L" ft. J/ `P'Nat. or/ 4.1" ftJ-5 PgW ell Clearance & Disconnect "tility Clearance Date/Initials MOBIL ME INSTALLATION Plans OK except ft's Ing Requirements -Setbacks Easements tinge; Size -Spacing -Marriage Line I t qr,�,EfWflcity; MH Test -Crossovers -Breakers -Clearances MH Test -Fell -Flex Connector t%gEtMH Test -Regulator -Connector of"Water and Sewer Connected -C/0 to Grade -HD Approval II 8. Ge d It ctricity Tagged Insp: Sketch db!Zert. of Oocu ncy 4VA/p/43 �. rr-1410-0- 101 113 _ �-76,Y G6 Zt C7 5�3 MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except fi's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftre -Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 8. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane lboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK -=Not Applicable Not Reedy RESIDENTIAL (Single & Duplex) = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /- Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Neff Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance In Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doors-SIII Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3b Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: MOBIL.EHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTEJQARIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT No — Address or location of mobilehome 41 _-9-lf 0 CAPIC /Z 1De;,z!, Owner's name Owner's address !zj C Insignia or hud number -4: i (a�,i -L-q 4 Manufacturer's name L:K(A�� p I CK_�_ - Serial numb r of V.I.Nm Year of)nanufacture 19- ' --,7-- 7 1 17 /,- - "K, cial Appf-o4ling 1,dskallotion) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATI ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN I MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. C) 513R W ite -,Qy _Yqj -.Inst er ..__ ;_, _ .� _ . _ Ap�__ _L&_ 14:0i , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _/�Ount�'Center Drive - Oroville, Catifdrmja 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 011-290-049 ZONING FR -2 r BUILDING PERMIT OWNER John Burge TELEPHONE 342-3680 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 567 E. 5th Ave., Chico 95926 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 'I LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Sys Cable Bride Dr., Chico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 3 @ 15.00 45.00 TYPE OF WORK New ❑ Addition Remodel❑ Utilities Installation❑ Other ❑ Describe work: MHU (Bedroom) ---� Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 Main service 20CATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty 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. Icense 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 CONST.DWELLING OCCUP.&\ OR ADDNS. ( ACC. BLDGS. I 3.66 sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 20 750 3.00 Temporary service Mobile Home Facilities 15.00 15.00 Misc. Wiring g _ '15.00 , Permit Fee $48-90 — 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 a C rtificate of Workmen's Compensation Insurance or a Certificate IConsent to Self -Insure. 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g 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 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 against s Cou y in consequence of the granting of this permit. X Date y3 Signat of Applicant — Owner Contractor ❑ Agent ❑ An HA 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 S Energy Inspection Fee $ occ CONST TYPE I TOTA ' FEE $ 128.50 HAz I DFEES IMP F CDF PARCEL PD I E This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees D f{ By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. ORKS Date 9 Receipt No. / 3000 WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 3"w� 4 :i'•..5;.f F COUNTY OF BUTT .., v., BUILDING DIVISION DEPARTMENT OF -DEVELOPMENT SERVICES • - - - 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872=6307 CORRECTION NOTICE. OWNER 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, please contact this office immediately. $4 0 11�Q X 13 et 13r1-5 �eygs!— Datet?/�` ,1 Inspector CQA REV 10/92 _ . _ • = :-,.� :...: u .}'- ^ t "- ' ,� �'�^ „` ice'-.. _ � _ _ ,. _ . .... . r.. � V . ,,;_�v'�•-•�„�..--�-..--..s COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES y' 1469 Humboldt Road, Chico, CA - (916) 891-2751 _ 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307. CORRECTION NOTICE u OWNER �CL 2PERMT�t 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 com leted. If you have any questions pertaining to this matter, or need additional explanation, please con act this office immediately. CE, /0 DZ (tf---7-- k COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 070k&� C1 3-30s' OWNER 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, please contact this office immediately. Date —, Inspe REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ER 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, please contact this office immediately. Z F Date Inspector REV 10/92//{ . 3 COUNTY OF BUTTE ;f BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at, =k` 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; please co t this office immediately. t— UI D� Date J '-Z 2 Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT Or, ;. f-LbP�"AENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE -OROWLLE;CALIFORNIA959654,*4EF ONE(916)538-7541 PERMIT'APPLICATION DATASHEET OWNER r 1vh��✓ URS2 A. P. No. Proposed Building Use Building Inspector Date �Z2 ex SJ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed -by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ........... ................... . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) b California Engineer ............. !r..... . 14. Sanitation and plot plan approval / Z o Health Department . ............ 15. City of Chico plumbing permit . ................... ....................��-"-- --� - 16. Plot plan and business license approval from City'of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ........on r6qu est 20. Pre -inspection for required. .. to eu;Ia n9 �ngPedo. (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. ....... i ................................. . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. - 30. Documentation of 50% subdivision developed or (A) Road improvements completed 5 and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. .. , .. . 33. �� ���o �o............... rD ...........:. 34. When you issue the permit, process as follows: Z/IGlail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver 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: (Cir len em not checked above). 1. Index permit for above items No. r 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 AR folder Copy - Department of Public Works %diaLt BRIDGE DRIVE V S 71',3j-.30- E 317.19' 20' BUILDING SETBACK LINE - tv ;fI,5 vpO... Cll It) f c� PROPOSED -BLDG SITE 1300 CAL SEPTIC TANK, a 7 SEEET" x D AIL SHEET "o 10, . 01. loo,I EX. WELL op WEL� ACTIVE LINE EX, REPLACEMENT LINE o4 - •44214'35* R = 20- 00' L 15.'50' 20' BUILDING SETBACK. LINE • S 73'39'46' lu 771.09' A = 34*47'31* R 50.00* "I L 30.37' ASON COURT IT. SCALE: AA r 1"p- 40' 'off 4. �4 6-4 e �4E %diaLt BRIDGE DRIVE V S 71',3j-.30- E 317.19' 20' BUILDING SETBACK LINE - tv ;fI,5 vpO... Cll It) f c� PROPOSED -BLDG SITE 1300 CAL SEPTIC TANK, a 7 SEEET" x D AIL SHEET "o 10, . 01. loo,I EX. WELL op WEL� ACTIVE LINE EX, REPLACEMENT LINE o4 - •44214'35* R = 20- 00' L 15.'50' 20' BUILDING SETBACK. LINE • S 73'39'46' 771.09' A = 34*47'31* R 50.00* L 30.37' ASON COURT 'off e�. G N a MD Mfr e�. J TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F.H. USE ONLY Hot Han Auachcd Sent a, B.U. C_ 4. -,?Z— J1. % Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well l� Clearance for bedroom. mo ile ie. Other Hold final for: Final clearance O.K. for: NOTE: VA Environl»ental ' Health Specialist. 8/92 Date C4�UNTY OF BUTTE - DEPART 'MENT OF PUBLIC WORKS PERMIT NO. 7 C,nty Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION -AND PERMIT )n A ASSESSOR PARCEL NUMBER 011-290-049 ZONING FR -2 BUILDING PERMIT OWNER John Burge TELEPHONE 342-3680 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 567 E. 5th Ave. Chico 95926 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 CO Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New a Addition Ll Remodel ❑ Utilities ❑ Installation[Q Other ❑ Describe work: MHI (2 Bedroom) _ (MHU # 93 Z Z)ELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20GATO t000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty 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. cense .Jo. 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 OCCUR.&) NEW CONST. ( DWELLING OR ADONS. ACC. BLDGS. I 3.66 sq.ft. NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &\\ (SINGLE OUTLET CIR. 1 Ex. Occup( OR FIXTURES 20 760 A PPLNS. OR Ex. Occup. FIXED ETAs (RESID.1 EA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — 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 a..Pertificate of Workmen's Compensation Insurance or a Certificate 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g 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 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 against sai oun In consequence of the granting of this permit. X / Date r� j 5ignarLyy6 of Applicant — Owner Contractor E]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 570,00 Energy Inspection Fee $ occ CONST TY E TOTAL F $ 105.00 I HAz DF S IMP PLo cDF I PARCEL PD H Iss 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. ? By �6�'O�f/ LIC WO DSe !n d �> PERMIT EXPIRES a V �j Q Receipt No. 3 0 �` �— WHITE-D.P.W., YELLOW -ASSESSOR PINK -INSPECTOR. GOLDENROD -APPLICANT • v _ j A' COUNTYOF BUTTE - DEPARTMENTOF- EWELOPMENTSERVICES -BUILDING DIVISION ty r 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 1 Jy � PERMIT APPLICATION DATA SHEET OWNER J I7N '46) JI- c� A. P. No. �-� ly17 Proposed Building Use Building Inspector G- Date 2 $-3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: .. -'" 1 All items have been submitted . ........................ . DATE RECENED BY 2. Plot plans, 3/4 sets, signed by preparer of plans. ..`....... . 'S, Complete plans, 3/4 sets, signed by preparer of'plans. ....................... t4,. Engineered plans and calcs, 3/4 sets4with wet signature on plans . ............. 5.1,Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. . . 0. Fees of $ . .......... ; .. �.. . Impact fees as shown on attached schedule. ? 9 . �. ��?S�G3t�{ 12. California Department of Forestry plan appro /fees ............... . 113. Flood elevation letter (100 year flood) by California Engineer.. . pej 14. Sanitation and plot plan approval Health Department. ........... . 15. City'of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .4 ; 20._Pre-inspection for required. .. o e� is s nsp�or � (Date) 21. Contractors 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 . ....................................... . t. 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 . .......................................... - ' 29. Documentation of legal access. }�^ 30. Documentation of 50%461adivision developed or (A) Road improvements completedY s- and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ..... ............................................ . 33. 34. / When you issue the permit, process: as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other/41 Parcel Creation Acreage Applicant Date ^ v/ 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 t ermit ' s ice: (Circle new item not checked above). 1. Index permit for above items No. Pf 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 C nter by _ Date, Plans checked by Date Plans approved by Date Sets of plans Copy - =DepartmentofPu 'ink ,rile cat5)net Works AP folder COUNTY OF BUTTE - DEPARM40C OF PUBLIC WORIS - BUILDING DIVISION. 7 COMM CrJTM DRIVE - OROVILLE, CALIFORNL4 95965 - TELEPHONE (916)5387541 .lcl � POSFD. BUILDING USz 7"'3•'� A. P. NO. l Z`7 Y1 DATE REC .DATE. REC 1: School Dist_-ic Fees (pa=d at District Office) She-�iff Fee 4paid at Building Department) Residential / Z 3 .0 unit amt Commercial( per sq . f t .) Z' sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) R units amt. Commerical( per sq . ft.) 1 4 sq. 16t. amt. 4. Re=eata.on District Fees (paid at Dist=icc Office) .......................... 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other Hao o-) time of permit applicat_on, I was advised the above fees are required to be paid pr'_:- issuance of the permit. LICANT U �� DAA COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portioris•of-this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Secur'ty Num Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. _ BUTTE COUNTY SCHOOLS --IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District A.P. Number Property Owner C oglCID 2 cy- y� jo 4-lev Property Location/Address Jurisdiction Subdivison Residential Development No. of Living Units Commercial/Industrial Bu I Building Department No. (f City [::��County Lot No. 0 Sq. Footage - T �F .3-D Addition (Group R) U -)/ !//A 1-3X(0 0 Sq. Footage PO P- Addition (Including Exterior Roofed Areas) �AliO�f[G Date (Floor Plans reviewed by School District Personnel) I District Identification No. �.. B-etAG1 School District certifies that \`�� 0. (Applicant) J&2! Y-6 190C.." 3YC? -moo (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing 3 square feet. School District Representative " ' e .; r11 _-I . :. V, Paid by Check Number /V� . `Rem4rl,4: c Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County c o s mpact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) ' .. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �. APPLICATION RN24 PERMIT ASSESSOR PARCEL NUMBER 011-290-049 ZONING-- — FR -2 JA BUILDING PERMIT OWNER John Burge TELEPHONE 342-3680 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 567 E. 5th Ave. Chico 95926 576 10 368.00 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $10,36 .00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $105.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 52.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $172.50 X540 Cable Bridge Dr.. PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 2_ SUBDIVISION NAME PARCEL MAP —7,f---7 7 Water piping 7.00 7.00 Each qas water heater or vent—L_7.00 7,D® USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other DPt. (;Ara a SPECI v Gas piping system 1 - 5 outlets 1 5.00 ,5-19'5 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New I Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Det Garage Permit Fee Contractor , ELECTRICAL PERMIT Filing Fee 1 15.00 Main service 600V OR LESS 14,50 200A OR LESS 1 18.50 ' CONTRACTORS LICENSE LAW 1 declare under penalty 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. )cense 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 Main service 200A TO 1000A) 37.50 NEW CONST. \ ( DWELLING OCCUP.&\ X 3.54sq.ft. 20.15 OR AODNS. ACC, BLDGS. I NE w coNSTR ULT' -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS &1 SINGLE OUTLET CIR. / Ex. dAL.20 75 Occup( OR FIXTURES 464 Ex. Occup. OUTLETS FIXED PIRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 53.65 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 a ertificate of Workmen's Compensation Insurance or a Certificate eIConsent to Self -Insure. 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 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 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, judg encs, costs, and expenses which may in any way accrue against said oun in consequence of the granting of this perm. t. X Date � 7/yy Signatur of Applicant — Owner Contractor E] Agent ❑ An OSHA permit is required for excavations over $'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ins Energy Inspection Fee $ COYPPE COY //�! -7 TOTAL $ •' G7 HAz 0FEES IMP FL A c0F PARCE PO r— ISSUE 1 This permit is hereby issued under the applicable provi- I sions of the Butte Coun Code and/or resolutions to do work indicat d a r which fees have been paid. I OF PUBLIC WORKS i By Date — IT EXPIRES Date `r—/O — � Receipt No. 122700 $100.00// /;� ��y� f %� `J WHITE -a. P. W., YELLOW -ASSESSOR. PINK-INSPECTPEOR, GOLD I `�•-.-j;-``Ir•`'�i St� �" v.,,.f_�lr f :.`: �T. 7rP c,aR►ro '* 1�` y ' ��rr1� d , �� .r;�-`.+*:. � � �•..i� r'�^ �. ti ► 1F �` _ f - Y� it ti+' -*L ^Srrr.�i'-• ��, COUNTY OF BUTTE - DEPARTMEL7T O'F PUBLIC WORKS - BUILDING DIVISION r 7 COUNTY CENTER DRIVE-''OROVILLE, dXtIrdRNIA 95965 TELEPHONE (9116),68-7541)4. . PERMIT APPLICATION DATA SHEET OWNER yo - s 1✓ L) 4 (;Xi c.A,,P No. Proposed Building Use Building'Inspector Date kA %/q e At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. - Complete plans, 3/4 sets, signed by preparer of plans ...... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................'.... . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings. ........... .. . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manwfa,cturer's installation instructions, 2 sets. . 10. Fees of $ _ 7S.. s' .............................. fS l 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........ 1 Od elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approvaC14/La Health•Departmen . .`.......... . 15. City of Chico plumbing permit .............:..... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainag t '19. Driveway permit (construction approval required prior to occupan(P� i6d�. 20. Pre -inspection for Ire-Inspectionrequest required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ...........................:............. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access. !....................................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements ................ ------ 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. / When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation ih Acreage Applicant ate r Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other N Date By The following data must be submitted prior to permit issuance: (Circle view item not checked above). 1. Index permit for above items No. 2. Additional items required: 1 Contractor, designe , ow , was advised of above required data by _ phone _mail Counter by ate Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by -Date Plans checked by Date Plans approved by 1P 1L Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 'N owner location AP # Driveway permit 10k I Va /e has been issued for the above property. 4 All si ature date TO f 'Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance _ d �4, 11,,= '-Ll6� Ownetj Locati AP# Plan Approved for: Sewaqe Disposal Water Supply Fold final for: Water Supply Final.clearance O.R. for: Clearance for bedroom mobile home. NOTE *** Water Supply Other ;��6J Date Sani arian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllet California 95865 - Telephone: 919.'538-7541 APPLICATION -AND PERMIT PERMIT NO. Assa3s w w Nu L Z BUILDING PERMIT WN CA �� � U IL roSO. Lx Ns FT. OCC. BUILDING VALU TION OWNE AILING A 733 S � CON�tfCJOR� 3 AM THL NE CO(NNTRACCTTOOO RR•3 MAILING ADDRE33 Fireplace CONSTRUCTION LENOER UNKNOWN ,Total Valuation Is Filing Fee g 15,00 LEMOER•3 MAILING AOORE33 Permit Fee $ r O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADORE3S' Penalty $ BUILDING AOORESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.001 Solar or heat pump water heater 20.00 LOT NO. SUeOIVISION NAMEPARCEL MAP Water piping .7.00 G Each oas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other )? 627� � SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W I 1@ 15.00 TYPE OF WORK Ne Addition ❑ Remodeel ❑ Utill�ities ❑ Installation❑ Other ❑ Describ work: /L /9("/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 1 a. so Main* service 200ATOIo00AI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty 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 ❑ 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 CONST. DWELLING OCCUP.6) OR A00115. ACC. SLOGS. 3.6Asa.tt. O NEW CONSTR. UL .'.OUTLET NON.RSSIO 9RANCH r:IRC 'ITS @ 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. OCCUP(OUTLETS OR FIXTURES R 76d FIXED APPLNS. OR , Ex. Occup. OUTLETS IRESID.I EA.) 1 3.00 1 1 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — 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 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. Contractor 1 MECHANICAL PERMIT LFRlingFee 15.00 Heating Cooling Hood 6.50 I Ventilation Permit Fee $ L.22.niractor 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 Countyor 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 against said County in consequence of the granting of this petmM� /� ter/ Mobile Home Installation Fee S Energy Inspection Fee $ Occ I CONST TYPE TOTAL FEE $ ZZ 3, I nAt OFEES i IMP FLO COF PARCEL PO Flo ISSUE X Date S Signature of Applicant — Owner ❑ Contractor Cj . Agent An OSHA permit isreQuired lot eacovations over 5.0.. p and demolition or construct - :on of structures over j stories in helght. // Receipt No. 4yV �-�Tt•O. P. W., TCILO W-Aeet3 e0e, PINR•�wePCC TO ocwwoo•APPLICAwt This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicted above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUNTY OF BUTTE - Deogrzment,of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property mprovement (yes or no) •2. I (have have not) signed an application for a building ng permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Num Date NOTE: This Owner -Builder Verification is sent to you as required by Sections, 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. AUL 14 1992 CHICO UNIFIED SCHOOL DISTRICT 1163 EAST SEVENTH STREET CHICO, CALIFORNIA 95928 (916)891-3006 C.U.S.D. SCHOOL DEVELOPMENT REFUND AGREEMENT Terms 'and Conditions for obtaining a SCHOOL DEVELOPMENT REFUND pursuant to C..U. S. D.. Resolution No. -1/9/ %� I am requesting a SCHOOL DEVELOPMENT REFUND for fees paid on Assessor Parcel No. cTi== Li' } represented by C.U.S.D. ID No. C{.a04f9y for one of the following reasons: I will not be building a.residential unit on this parcel -and I have cancelled my building permit. Credit for demolition of an existing residence.(copy of permit & County Appraisal Report attached) Other Development fee paid Less administrative fee $ ,a:> ($2.50 per residential -unit) .Total refund $ t gR 2. y z Applicant -signature Date JC)) )r) L Cji.ri c Printed Name Address ^ r' Phone No. City/Zip 101?7 School District Representative Date White -applicant, pink -building department, yellow -school district REFUND.APP 'B.S. 43 (2/91). _ _;r•_..--r-,.�. -_ 'c'Rr n' .a v BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number Building Department No. —T • School District C�City Q County Z; Jurisdiction Property Owner Project Location/Address Subdivision Lot Number Residential Development: � a Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: D Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Represe ativ Date ***************************** ** ******* ************************* (Floor Plans rev by by school Di trict Personnel) District Id No. 1 7.2 d y "-f Chift 041f School District certifies that • � � 3��a Applic nt N me) (Phone Number) (Street Address) C h 1 r0 s �- (City) (State) (Zip* de). has complied with the requirements of Resolution No. by the pay nt of $ ���. /� representing square feet. School Distric ,Representative Date PAID BY CHECK NO. �o d 3a BANK NO PAID BY CASH white -applicant, yellow -building department, pink=school district SCHOOL.FEE (8/88) i RESIDENTIAL r ; 011-290-049 PERMIT#95-1701 BURGE, John 4540 Cable Bridge Dr., Chico Cont; Skycrest Bldg Systems C0 -vered Deck/MH JOB FINALED (Date) Signature zz�w J=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas: Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -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 J=OK O = Not OK = Not Applicable RESIDENTIAL. (! = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----- -------------------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V : Test -Fittings & Anchor -Nail Protection -------------- ----- -------------------- 19. Shower Pan: Test, First Floor -Tub Access 20. -Test -Tub &-- Shower. Second Floor -Tub Access --------------------------------- ------------------- - 21. Gas Pipe: Size & Anchors ----------- ------------------------------------------------------------- Date Card B_1 --- - Date - Card B-1 ------------ ------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except M's 22. Fixture & Transformer Clearance - Ins. Protection -------- ------------------------------------------------------------ --- - - 23. Elec_Receptacles Spacing -Lights & Switches at Doors - - -------------------------- 24. Size Boxes & No. of Conductors_Stapled ------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------- Equip Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --------- - -- ----------------------------------------------------------- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At ----------- -------------------------------- -------------------------- ---- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------------------- ------------- ----------- - --- - - 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------- - ---------------------------------- --------------- 31 -. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -------------- --------------------------------------------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date --------------Card B -t Date Card B-1 ------ - --------------------------- --------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except P's 34. A.C. Ducts Insulation & Support ------------------------------------------------------------------- - -------------- 35. Vent Fan; Exhaust above insulation -------------------------------- ------------- ------------- - -------------- ________ 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------- i--- ----------- ---------------------------------- 38 Attic -Access-&- Platform if Furnance in Attic ------------------------- --------------------------------------------------- Date Card B-1Date Card B-1 ------------------------ ----------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sits. Proper Material & Anchors - - -- ----------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------------------------------- -- 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ---- - ----- --- 43.- Fire --Stops: Furred Ceilings -Stairs -Chases -Tub -- - - -------------- ------------------------------------------- 44. Headers & Beam -Size & Bearing ;ingl6 & Duplex) - Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ____ -50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ --- - - 52. Ext_Doors_One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 54 plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ---------------------- --- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection-Sk l ig hts-Plastic 58. Shear Walls: Nailing -Bolts -------- -- 59. Insulation -Walls -Ceilings ------------------ 60. Infiltration -Walls -Windows ---------------------- ------------ - Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- 62-.- Smoke Detector ------- -------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------- -------------------- 64. Bedroom Exiting ---------------- 65. G.F.I.& Bath Fixtures & Tub Access -Spa ------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------------------- ------------- ----------67. Stairs -& Rails 68. Fireplace or Stove: Clearances -Hearth ------------ -------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt_& Appliance_Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter -------- ------ ------- 72. Garage -Fire Poor: Swing -Landing -Closer ---------------- 73. A.C. Duct in Garage -Damper ------- ---------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ---------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----- 7,. Insulation -Foam -Looked in Attic- ❑ Yes -------------------------------- - -------------- 78. Guard Rails & Deck Construction -Post Caps ------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes .._....---------------------------------- - 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish Unit Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -------------------------------- --- 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G F.I Receptacle -Underground - ---- ------------------------------ - - 86. Ventilation Throughout House - --- - ------------------ .. -- -------------------- ------------------- 87. Glass Protection - --- --------- 88 ------- ---------------- ----------- -- 88. Corrections from Previous Inspections -- ------- - ------ ------------------ ------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ------ ------- --------------------------------- ---------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - - - - - -------- 91. Energy Compliance Certificate -Other Certificates ----------------------------------------- --------- --- Date Card -B- t Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENTSF9VICES- 7 County Center Drive - Orovillg, California 959 telephone APPLMATIbN AND VERMIT BUILDING DIVISION (916) 538-7541 PERMIT NO. 95-/-70/ ASSESSOR PARCELNUMBER 011-290-049 ZONING FR2 BUILDING PERMIT OWNER JOHN BURGS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4540 CABLE BRIDGE DR 96 C 1248 CONTRACTOR'S NAME SKYCREST BUILDING SYSTEMS TELEPHONE 342-2694 CONTRACTORS MAILING ADDRESS 13468 HWY 99E CHICO 95973 Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ 31.OC ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 45 B B CO PERMITFEE $ 74.0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVERED BDECK Mobile Home I S I GI W 1 920.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service OOOV OR LESS ( zooA oR LEss ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. , License Class C1 7 Lic. No. g,9 ,�- / 2 OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET cIR. Ex. Occup. (OUTLET OR RES ) 2U @ ,.00 SAL .so NS. EX. Occup. OUTLEEDTS j COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CKLIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Ilk YA. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year floo by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner �. 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel -creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation 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. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from. the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant �T+^-''"4 .--�.-..� .. •1}-....,...�.'�.+r+:.ri..yY 7y^'+�'"1"L'."ha•....1�v'%"�ir�'v.+w^,.�i+�---rJ�'kCeok^""�-`r+�4vri�i�..;..vti;.ir'7�`'�'T'YYT"'*Ci"{/x.Y1�s�YY"v"r,.:--s .'nnrit,..,f ;.. �r,1Jt•-•!'IS . .,.-. ... COUNTY OF BUTTE - DEPARTMENT OF;D VfLOPMENTSERVICES -BUILDING DIVISIO 7 COUNTY CENTER DRIVE - OROVILLE, CTLIFORNIA 95965 -TELEPHONE (916) 538-7541 s PERMIT APPLICATION DATA SHEET OWNERA. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans; ............ 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ........................................... . '6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated' and A/C Bdildings. ...................... 8. Engineered truss details and layout in duplicatel(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. ....................... . elevation letter (100 year floo ) by California Engineer. .. ............ . ��Flon�d aitation and plot plan approval Q Health Department . ........... . 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: :... . 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . •Pre -Inspection requ� 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. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver 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' s : (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 J - Plans checked by Date Plans approved by '� Date '02 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works (lq o6 -� set df.P,lairs':and.spec#.Ptbaiions MU A .,kept rz tii� o� %a; .. c .. - , . �T be SCALE: r � 40' �• j tL11 tir�nes and it s iinlaT u1 to • oS �Qoag 0 ��o° YetnrtE?rtinnb. on �ame without Fitt n persiiissioii from the Depa ent. df-PubJlW,g� ' . # c�°j Q� CP "Q. mar , Cc�uebY:o i itte. b� . c �O _CAB D¢,°��4� BRI GE o� o S 71.33-30.. E 317.19' 20' BUILDING SETBACK LINE pi o. 1, PROPOSED i BLDG SITE ' \, r 114, 71 / N \ 1000 CAL SEPTIC TANK 74' N SEE DETAIL SHEET / G m ✓ I ro 1. t 100' / I EX. WELL • % ACTIVE UNE / REPLACEMENT UNE `� �i✓� = // \ sR a 4424'35' / 2000' X/l{ _ \ L a 15.50' / JJ 20' BUILDIWGI SETBACK LINE _ \ \) — — — — — G n ,� / 733'46" _ i� 271.09' ------ v 34'47 1'pa '3 000R 5.' L 0'3.37 JASON— COURT — w4 - zyryl e COUNTY OF NIUM BUILDING DEPT MAY 2 4 1993 .r Q. e COUNTY OF NIUM BUILDING DEPT MAY 2 4 1993 o-. e BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,'•CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: %, (f. I 3. Is the site currently under permit? Yes [a, No 1-1 (If yes, furnish permit number - lyq 4) OR Is the site an existing site? Yes F] No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank.and leach fields and clear of -all setbacks and easements? Yes I No (If no, clarify 5. What is the mobilehome electrical rating?---------------�0 00 Amps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Ido Amps 8. Is there any other electric load to be served by the mobilehome site service? ---------------------------------- Yes (If yes, identify the load and size: ?ff (Loud) _ N No i2l (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3/�'{ (in.) 10.. -What, _is _the type; of gas service? - _-==-_--_-_=---- G = Natural LP 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- f . 12. What is the mobilehome gas demand? -- ------------------- (BTU) *(This information not required if pipe length less than 6 ft, on natural gas or less than 50 ft. -on LPG.) - NEXT PAGE MUST BE COMPLETED TO PROCESS����, R G1'I�I!C R_Th*N� 6 j MOBILEHOME SUPPORT DATA If other than -.single wide, • Mobi1ehome Mfrt111ifM (j0"vC'1 furni'sliE..-etup Model No. Year Width A -(ft.) Box Length �� (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one)1. Concrete block.!/ U2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 pia—in Beams Line 2 Main Beams — — — I --Is ____ __ __ ]j: a 2 Tag or Triple I� Line 1 Line 1 Piers: Line 1 Ooenings: Size -Min- ------------ Size -Min- ------------------ 'k Spacing -Max. ----- Each Side of Openings From Ends -Max.------- '_ With Width over --------- rr Line 2 Piers: Size-Min------------- Spacing-Max ---------- �. From Ends -Max .------- Line 3 Piers: (Under Bearing Wall Only) Size -Min •------------------ x Spacing=Max.--------------- From Ends -Max.------ - ------ Line- 3 Roof Loads: Size -Min. ----------- - "x "x 'k 'k "x 11 "x "x 1. Location (From Front) :- -- Line -4 Piers: -- _ ._. _ - .- _ _ Line. 5 Piers.: (Under Bearing Walls Only Size -Min.------------ Size -Min------------------- Spacing -Max.--------- Spacing -Max ------------ ----- From Ends -Max .-------- From Ends -Max .------------- Line 5 Roof Wads: Size -Min.------------ N "x "x "x "x "x "x "x -- Location (From Ftont) _ o _ �_ _ _ - - �_ FL�v r � des ✓oNN �3�2c-�- �4 � 0 � _ - �° his e�4t sf pi a Md.8peolncatione IMWbe _ Opt on the job At ail tianea and it is unlawful to _ make any change8 or alterations on some without �. written permission from the ,Aep%rU"nt of. Publfa �Ar��C9ta�,tAr.oi"Aextx�, " 49 Smarr c 5 �/f►-o�M ��� ��.�,+ q . aL0 M 4 n7 uNa N��� �� 0 OQtt, 2� Revo o e P.c 4-- QQ#(� !v0 Q� V bid C19"J ng ini4 S_ `a E�f ��GZED oN No M � ck. 0 ,0 CiJ Cs < O J `.11o�o" aG 1 C��L� 821��C-rte 1�/L-- SOO. � � � FftclA 0%*1M �o�ER�Na� 5 SiMPS0d i A/►IGHO�S IL T I/p ICAL- ot . 4 x Z{ poS'i`,e _ S� r✓)� PS o. Pl 4 x u 7' M4uWr r8 4y all too F LO AD .�. Rev p 813/q400 PC -�q tl4ac/7 40 /w/ l a -liar x f'� 14-e A D roev' G as 17 c ON CACv TTe Col 7V P/ John Burge, C.P.A. 567 East Fifth Avenue Chico, California 95926 (916) 342-3680 i c S g >S W, 01, john ' Burge, C.P.A. 567 East Fifth Avenue Chico, California 95926 (916) 342-3680 0 DATE: 4�. l �� PERMIT #: %V e- A J ASSESSORS PARCEL #: OWNER'S NAME: /3 L)ft FEES: Amount_ and_ Purpose - REVISED PLAN' CHECK.: $. BALANCE OF- FEES : $" ADDITIONAL.. FEES $ REINSPECTION: FEE*: $ .� J c ` HERIFF FEE • $" 2 [ / / 3 O` % {�. CHICO URBAN AREA,FEE: $ p t% THERMALITO/N0. ORO TRAFFIC: $ OROVILLE. AREA.. TRAFFIC:. $" �J COPIES':. $' 13 IF' BALANCE:. OF' FEES OR ADDITIONAL VALUATION: VALUATION: $ ADDITIONAL.., VALUATION: $ (check one) COUNTY: CITY" OF BIGGS : CITY OF GRIDLEY: ( check... one:) RESIDENTIAL: COMMERCIAL: RECEIPT NUMBER: ZZIJ D 07 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA ) Agricultural Statement of Acknosledgement COUNTY OF Butte For Residential Development On 24 May 1993 before me, Joseph E. Montgomery, Notary Public DATE NAME, TITLE OF OFFICER - E.G., -JANE DOE, NOTARY PUBLIC' personally. appeared, John D. Burge personally known to me (bj �jglyip/r�h��jl�/tJi�/bj'��f/�'�ti�f,tdrfr/r�vi�,) to be the person(,) whose name(j) is/afd subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/Nr/tXtki authorized capacity00q), and that by his/Vor/tpoe signature(q) on the instrument the person(,), or the entity upon behalf of which the person($) acted, executed the instrument. WITNESS my hand and official seal. Joseph E. Nontgomeryg 4 EUFlk •, F Comm. #993473 V �® NOTARY PUBLIC CALIFORNIA C BUTTE CCUNTY (SEAL) C�OFOR Comm. Exphees May 2,1997 � NOTARY PUBLIC SIGNA E OPTIONAL INFORMATION TITLE OR TYPE OF DOCUMENT DATE OF DOCUMENT NUMBER OF PAGES SIGNER(S) OTHER THAN NAMED ABOVE r :Return to DPW AGRICULTURAL 'STATEMENT OF. AC',KNOWLEDGE= FOR RESIDENTIAL DEVELOPMEJNT SectAn 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising 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 occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. c: Dgl/tS 061 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property situate in the County of Butte, 'State of California, described as follows- II- � 1�� - E C �� I/ ""\ d_^_� -r- V- C k S j - Date: J 2Y -� PROPERTY OWNERS: v State of CIO,, ) On this the day of 19 7� before me, the SS. undersigned Notary Public, personally appeared County of ----7 John D. Burge XQ Personally known to me. [] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) name subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHERtOF,'I hereunto set my hand and official.seal. Joseph E. MontgomeryE (omm. n993473 �® o NOTARY PUELIC CALIFORNIA /y Present A.P. 6UTTE COUNTY No . �, , c°��, Crni:uc 17cy z. ;QCi -� Notary Public Joseph E. Montgomery Order No. 2-155093 ryz' SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel 2, as shown on that certain Parcel Map, being a portion of Section 19, Township 22 North, Range 3 East, M.D.B. & M., which Parcel Map was... recorded in the office of the Recorder. of the County of Butte, State of California, on February 6, 1980, in Book 75 of Maps, at page(s) 79. AP No. 011-290-049 PARCEL B: An easement 60 feet in width for ingress and egress and public utility. purposes described as follows: BEGINNING at the Southwest corner of Parcel No. 4 as shown on that .certain Parcel Map recorded in the office of the Recorder of the County of Butte, State of California, February 13, 1973, in Book 45 of Parcel Maps, at page 24; thence South 83° 16' 50" East .0 feet; thence South 73° 39' 46" East 30e—a� feet to the beginning ora --720 foot radius curve to the right; thenc ong the arc of said curve through a central angle of 44° 24' 55" an arc length of 15.50 feet to the beginning of a 50 foot radius curve to the left; thence along the arc,,of-said curve through a central angle of 268° 49' 50" an arc length of 34:60 feet to the beginning of a 20 foot radius curve to the right; them long the arc of said curve through a central angle of 44° 24' 55" an arc length.of 15.50 feet; thence North 730 39' 46" West 313.53 feet; thence North 83° 16' 50" West2x40.0 feet to a point on the Easterly line of Humbug Road; thence along sa-' Easterly line, South 06° 43' 10" West 60.00 feet to the point of beginning. PARCEL C: A portion of the Northwest quarter of the Southeast quarter of Section 19, Township 22 North, Range 3 East, M.D.B. & M., more particularly described as follows: An easement 60 feet in width for roadway and public utility purposes along with the right of use and maintenance for said pu�poses, described as follows: COMMENCING at the Southwest corner of a parcel of land described in Deed from Earl H. Garner, et ux, to Robert M. Johnson; et ux, recorded April 30, 1969, in Book 1564, of Butte County Official Records, at page 432; thence North 890"19' 15" East 129.22 feet along the South line thereof to the true point of beginning for the easement herein described; thence from said point of beginning and Funning along the centerline of said 60 foot easement, South 24° 441:16" West 439.98 feet; thence South 42° 27' 41" West (Continued) �9i-49742 Order No. 2-155093 392.46 feet; thence South 27° 31' 16" West 232.09 feet to a point that lies 30 feet North of the South line of the Northwest quarter of the Southeast quarter of said Section 19; thence South 89° 09' 24" West 265.31 feet parallel to the South line of said Northwest quarter of the Southeast quarter of Section 19; thence South 82' 55' 47" West 306.28 feet to a point in the centerline of Butte Creek and the end of a 60 foot easement herein described as Parcel D. PARCEL D: A portion of the Northwest quarter of the Southeast quarter of Section 19, Township 22 North, Range 3 East, M.D.B. & M.,.more particularly described as follows: An easement 60 feet in width for roadway and public utility purposes described as follows: BEGINNING at the terminus point of the above described Parcel C; thence from said point of beginning and running along the centerline of said 30 foot wide easement South 880 41' 41" West 202.53 feet; thence North 300 29' 14" West 212.05 feet; thence North 71° 33' 30" West 829.54 feet.to a point in the centerline of Humbug Road and the end of the easement herein described. END OF DOCUMENT -.4 &D'ENTIAL , ' F y 290 049' • PERMIT#95"0160 GE ;;-JAn'-4 0;Gable BridgChico t; Cousin Gary's,'_on `perm- fnd ' -3o57 OFFICE COPY Address S GAS Meter By-, - • " •meter By Date �— _ JOB FINALED (Da SIgnatur A J=OK O = Not OK Not Readyalale: MOBILE HOMES W Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1 oning Requirements -Setbacks Easements 22—Fudtings; Size -Spacing -Marriage Line MH Test-Demand-Valve—Connector 4.,JFItfctricity; MH Test -Crossovers -Breakers -Clearances rDrain; MH Test -Fall -Flex Connector ater; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval 8 s a lectricity Tagged 9. nsp.-Sketch Cert. of Occupancy Daterd -1 Date Card B-1 Date Card B-1 Date Card B-1 C4 ok z z- 3 S -0)6-0-760H , , is7s'/s MISCELLANEOUS Date :DECKS,- COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1� 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors. Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s _% 1. Setbacks -Easements �4 ('• 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date M1 Card B-1 Date Card B-1 d=OK O=Not OK = Not Applicable Not Ready -RESIDENTIAL (S=ingle & Duplex) = Date UND LOOK (Plans) OK except ft's Date FRAMING (Continued) Zoni Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors tg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47, Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles emwalls, Main; Steel - Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. &Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped _ _ 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped ---------------------- 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilatio 16. Insulation Date 0-7j- and B -%2Z Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except 1r's t6. Water Htr.: Vent -Access -Combustion Air -Baffle ----------------- - ------------------------------ 17. Water Pipe: Test & Anchor -Nail Protection ---------- ------ ------------------------------ 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------- --------------- - ------------------ 19. Shower Pan: Test. First Floor -Tub Access ----------------- ----------------------------------- 20. Test -Tub &---Shower.--Second Floor -Tub Access ----------------- ----------------- -- ---- 21. Gas Pipe: Size & Anchors --------- -------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------ - -------------------------------------------- Date Card B-1 Date Card B-1 Date 'ELECTRICAL (Permit) OK except N's 22. Fixture & Transformer Clearance -Ins. Protection ------- ----------- ------- ------------------------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- -- E-lec. Receptacles Size Boxes & No. of Conductors -Stapled ------- - - ------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------------- ------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --------------------------------------------------------- 28. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. _ ___ _Cu or AI 29. Range Circ ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --- --- --------------- -- --------------------------------- ------- ------------------------- -- 31. Equip_Clearances Panels-Motors-Mech. Equip. - ------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light ---------- --------------------------------------------------- --- ----- --- - - -- 33.1. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 - -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support - --------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------- - ------------------------ ----------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------ ---------- ----- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- ------------------------------------------------------------- 38. Attic -Access-&- Platform if Furnance in Attic ---------------------------------I---------------------------------------------- Date Card B-1 Date Card B-1 .--------------------------------------------------------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except fl's 39. Sits. Proper Material & Anchors - -- -------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------ ----------------------------------- 41. ------------------------ -41. Bearing Walls over Girders & Floor Nailing ----- --------------------------------------------- 42. ------------------ --- ---- 42. Draft Stop in Walls (rat proof) ----...------------------------------- ----------------------- ------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---- --- ------------------------------------------------- 44. Headers & Beam -Size & Bearing 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ----------------------- -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------- --- _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------- ---------------------------- - Date ________ Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date FINAL (Plans) OK except q's 61.- Ext. Steps -Door & Sidelight Protection -Landings ------------------------ - 62. Smoke Detector ------------------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------- - ------------- 64. Bedroom Exiting 65. G.F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel. Breaker Sizes & Labels _ 67. Stairs & Rails ---------------------- --.--- ------ -- 68. Fireplace or Stove: Clearances -Hearth ----------- ------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------------_------------- ___ - _71._-Elec. Outlets & Receptacles at Kit. Counter ---------------------- --- 72. Garage Fire Door; Swing -Landing -Closer ---------------- -- ------ --- ----- --- 73. -A.C.-Duct in Garage -Damper - ---------------------- 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location -------------------- ---- - -------- -- 76. Elec. Receptacles in Garage: (G.F.I.) -Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- -- 78. Guard Rails & Deck Construction -Post Caps ------------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -- - - - - -- - -- ------------- --------------------------- 80. Followinginstld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Unit; Disconnect. Electrical, Plumbing - --------------------------------------------- ---- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ------------- -------------------------- 84. Water Well: Disconnect, Electrical, Plumbing ---------------------- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ... --... .....6 ---------------- --------------------- 87. Glass Protection ----------------- 88. ---88. Corrections from Previous Inspections - - - - - - - --- - -- ---- •----------- 89. -- - --------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ----------------------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------- 91. ----- 91. Energy Compliance Certificate -Other Certificates •-------------------------------------- ------------- --- Date Card B-1 Date Card B-1 -- ---------------------------------------------'--- Date Card B-1 Date Card B-1 - ------------------------------------- --- Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 9965 - Telephone (916) 538-7541 rlT�o;% APPLICATION AND PERMIT 9 � _ �p� ASSESSOR PARCEL NUMBER 011-290-049 ZONING FIZZ BUILDING PERMIT OWNER JOHN BURGE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4540 CABLE BRIDGE DR CHICO 95926 1230 R 66,420 CONTRACTOR'S NAME COUSIN GARY'S TELEPHONE 342-2694 - CONTRACTOR'S MAILING ADDRESS 13468 WY 99, CHTCO 959?6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee 491 i $ 245.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14540 CARTE BRIDGE DRIVE CHICO PERMIT FEE $ 425.08 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 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF El Duplex O Mobilehome (X Other SPECIFY Gas piping system 1 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W @20.00 TYPE OF WORK New (RAddition O Remodel O Utilities ElInstallation O Other O Describework: MH PERM 2 BDRM REPLACEMENT PERMIT FEE $ 65.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 _ Main ServiceBOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. SO, OR ADDNS. ( & ACC. BLDS. ) 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business andEx. Professions Code and my license is in full force and effect. License No. E ,Z Classification y ] ❑ 1, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEWCONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS IRESID.I 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): O Thai _permit is for $100.00 (valuation) or less. O'f 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. O 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. 1 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, co ts, and expenses which may in any way accrue against said County in nsequenc o the g/ anting of this permit. X Date SigKatdre of A cant - O Owner b Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stori s 'n height. 11 Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 533.08 HAZ. D. F ES I RLOOD CD PA>k I T ISSUE �"� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date %Z PERMIT EXPIRES ON lDa l t ReceipiN�� `L t b � � f 0t1 % WHITE-D.D.S.-B.D. C NARY -ABBE R PINK -IN ECTOR GOLDENROD -APPLICANT UNTYOF BUTTE - DEPARTMENTOF DI V1fLOPMENTSERVICES -BUILDING DIVISION t F _ / i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 / PERMIT APPLICATIOR DATA SHEET i9-oyg OWNER �rin�"-'� � JR 9 � A. P. No. � ll- Proposed Building Use All aa,4n2 ���Si_;�_51rP, Building Inspector's L Date 17 1/ 5S- _oAl dime of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY`r 1. All items have been submitted . ........................................ 2. Plot plans, 3A sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 1 4. Engineered plans and caics, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation . .................... 7. Statement of Intent for Non -Heated and A/C Buildings . .................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. obilehome�data and manufacturer's installation instructions, 2 sets. ........... Fees of $ Si 3.jo - ............ ................ 1. Impact fees as shown on attached schedule. . 54-,H=�� . Del .............� -,. 12. California Department of Forestry plan approval/fees. ................ . 1A Flood elevation, letter (100 year flood) by California Engineer . ............4 ..... . Sanitation and plot plan approval 6016" Health Department. . . . . . . .I. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ........:....' 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage .0 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for to Building InsioA reque — p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification)'' ............... • 22. Certificate of Workmans Compensation Insurance. 23..Owner-Build Verification (Given to owner ,Mail to owner _). ........... 24. Recorde opy of Agricultural Acknowledgement Statement. ........�......... iter o signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . tter of intent on building use . ......................................... . 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 . ............... :...................... ............................................... DOG V Whe y,od Issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 3KZ - 269Mand hold for pickup at C Ni office. Deliver with inspector. Other Parcel,Creation ?? Acreage Applicant Date d�' �,i-- Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date 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: M 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 E.H. USE ONLY Plot Plan AttwW Poor Plan Attachod Seat to B.D. O7 j— / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance _ 1��t9 Owner Location - AP# Plan Approved for: Sewage Disposal Water'Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: N vironmental Veaiih 9pecialist Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER �,� _ ZONING BUILDING PERMIT OWNER O ,/► � TELEPHONE SQ, FT. OCC. BUILDING VALUATION A(IJiJ/{GAD �'`//j1j C/-� OWNEW9M - / J LV� 4,61e- R !/lL Cy/ G �J /� /2'ii Jf �% 23 eL CONTRACTOWS E , ops;.� �2 I TELEPHONE 3y2-Z6r _ CONrRACTOWS �'`AlLINO ADORE q C > Freplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ U ENOEWS MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO• Fling Fee q91 $ 20.00 Permit Fee $ Plan Checking Fee $ Zil .5-O ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ S'. PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 e H 1 C c7 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 SFO Duplex O Mobilehome Other SPFCIFY Gas piping system 1 - 5 outlets 15.00 j Building sewer 15.00 I Mobile Home S G I W @20.00 TYPE OF WORK New Addition O Remodel O Utilities O Installation O Other O OescribeWork: AIiAIKI�ehj4(' RIC 9 y 2 g- � 3 s' ^� PERMIT FEE $ Contractor ELECTRICAL PERMIT Fling Fee 20.00 Main Service ( BOOV OR LESS ) TOGA OR LESS 23.00 93- lygg - 93 - Main Service ( 200A To 1000A ) 46.00 NEW CONS f. OWELLINI:OCC UP. OR ADONS. ( 6 ACC. BLDS. ) So. 3.SC FT CONTRACTORS LICENSE LAW I declare 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. Classification O 1, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON.RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES } TO @ 1'ixi RAL. .50 Ex. Occup.Flxt:D APPv,s. oR ( OUTLETS I:SI6.I R ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc: Wiring 23.00 13 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 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. O 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 $ 3 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 1 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. 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5-0' deep and demolition or construction of structures over 3 stories in height. Contractor Mobile Home Installation Fee S Energy Inspection Fee $ occ CONI. IYIE TOTAL FEES ✓,l��C� I I H°Z D. FEES I WP I FLOOD I COF PARCEL PO HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMIT EXPIRES ON IOerel provisions to do work paid. Date 2z�J Receipt No. r J7, WHITE-O.D.S.-B.C. CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT wmsui;;w�+"'a.+st'Y.yt�+qr�i`��"�.yi�rtj'�'•�Krii-$��1�a+ l'C��'annf„��*ire(c°�4`!UCfi��'T�t3"y°rt`i'irm�(pa�7.yv� rx BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number 2- 9 fl ' 0"/Jurisdiction City �ounty C 'd Property Owner Property Location/Address �S-�% c VC - �/2 C-4// c r Subdivison Lot No. Residential Development Sq. Footage %Z.3o No. of Living MHI Addition (Grou R Units Commercial/Industrial- Sq. Footage New Addition (Including Exterior Roofed Areas) 9S� partment Representative Date tl (Floor Plans reviewed by School District Personnel) District Identification No. ' N` School District certifies that . 61(Applicant) ress) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No.47 - by payment of $ representing 3. C quare feet. ❑ Check here if fee received represents "Full Mitigation". School Distnc Reoresentative Date Paid by Check # Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee .. Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under. the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) reeform.wk, (a/ea) If .. Repurn to, DPW AGRICULTURAL STATEMENT OF IAC�JOWLEDGFr'1Fr�IT g 3 � 1 8 �i 2,. FOR RESIDENTIAL DEVELOPMEINT Section 26-8.1 of the Butte County Code requires this acknowledgement:be recorded'e. prior to issuance of a building permit. i 11'07 �■ The property described herein is adjacent 7 �tI to land or included within an area zoned Recorded I for agricultural purposes, and residents Official Records I of this property may be subject to incon- County of I veniences or discomfort arising from the I Butte i use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder I and - fertilizers; and from' - the pursuit' 8:02am 28 -May -93 I of agricultural operations including, but not limited:. to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke,. noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent. property should be or discomfort from normal, necessary farm operations. Rec Fee 11.00 Check 11.00 COUNTY OF BUTTE BUILDING -'7)FPT PUBL VS 3 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property situate in the County of Butte, -State of California, described as follows_; - - ��� C g - -Y-� � Date: '� PROPERTY OWNERS: State of \ ) On this the day of 197-) before me, the SS. undersigned Notary Public, personally appeared County of ) John D. Burge x . Personally known to me. M Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) name subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHERtOF,'I hereunto set my hand and official seal. r `° UFE•, ti Joseph E. Montgomery U ER Comm. 4993473 _ ®® ° NOTARY PUBLIC CALIFORNIA Present A.P. No . BUTTC COUNTY n °+ + Comm. E 'r ay 2, 1997 'a Notary Public Joseph E. Montgomery RECORDING REO.UESTED BY: . ,. AND WHEN RECORDED MAIL TO: COUNTY_.OF BUTTE - NAME - BUILDING'DIVISION STREET DEVELOPMENT SERVICES DEPT ADDRESS-- #7 COUNTY CENTER DRIVE . - -- CITY, OROVIL_ LE CA 95965-3397 STATE and ZIP • -- __.. 95-0250461' Rec :Fee .00. I- Total . 00 Recorded 1 Official. Records !- County of Butte Candace J. Grubbs -l-_- Recorder 2:35pm 27 -Jul -95 1 COBS XX 3 c►Wt—�+ar.vrrer_tr rs yes SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section. 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real.property and shall be deemed to give constructive. notice as to its contents to ail persons thereafter dealing with the real property. REAL PROPERTY WNER/LESSOR 4540 Cable Bridge Rd. MAILING ADDRESS Chico; Butte:; CA 95928 CITY COUNTY STATE ZIP Same INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STATE ZIP Same UNIT OWNER (If also Property owner, write "SAME'l Butte County -Building Division LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 County Center Dr. MAILING ADDRESS Oroville, Butte, CA 95965 CITY COUNTY STATE ZIP 95-0160 (916)538-7541 BUILDI PERM ONE NUMBER 7/17/95 SIGNATURE OF LOCM AC&NCY OFFICIAL DATE Cousin Gary's DEALER NAME (If not a dealer sale, writs "NONE'l 91265 MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION Skyline 1995 6511E MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 8D700708HA/8D700708HB 24 x 51 n1402935/nl4O2936 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 011-290-049 SEE ATTACHED �TLT Of7. p� HCO FORM 433(A) Rev.- 8/91 c yW �cA Itv n4V�� WHITE—County Recorder CANARY—HCO PINK—Applicant GOl0ENR00—Blinding Dept. - - BUILDING PERMIT NUMBER: 95-1060 - . Address or location of unit: 4540 CABLE BRIDGE RD., CHICO , CA -95928 _- Legal Description of Real Property: SEE - ATTACHED [X]Mobilehome/Manufactured Home [ ]Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JOHN BURGE Owner's address: 4540 CABLE BRIDGE RD., CHICO, CA 95928 INSIGNIA OF HUD NUMBER: n1402935/nI402936 SERIAL NUMBER OR V.I.N. 8D700708HA/8D700708HB MANUFACTURER'S NAME: SKYLINE YEAR: 1995 OFFICIAL APPROVING INSTALLATION:�-n�v_e PATE: PHONE: (916) 538-7541 H.C.D. 513C The land referred to herein is described as follows: A11 that certain real property situate in the County of Butte, State of California, described as follows: PARCEL A: Parcel. 2, .as shown on that certain Parcel Map, being.a portion of Section - 19; Township 22" North, . Range 3 Ea-st; - -M. D. B. &.M." which Parcel. Map was...- recorded in the office of -.the -Recorder of the County of.Butte, State of -- California,-on"February 6, 1980, in Book 75 of Maps; at page(s)-79. AP No. 011-290=049 - PARCEL B: An easement 60 feet in width for ingress"and egress and public utility. purposes described as follows: BEGINNING at the Southwest corner of Parcel No. 4 as shown on that .certain Parcel Map recorded in the office of the Recorder of the County of Butte, State of California, February 13, 13in Book 45 of Parcel Maps, at page. 24; thence South 83° 16' 50" East 2��375�.'2 feet; thence South 73° 39' 46" East �0� feet to the beginning o0 foot radius curve to the right; thence -ming the arc of said curve through a central angle of 44° 24' 55" an arc length of 15.50 feet to the beginning of a 50 foot radius curve to the left; thence along the arc f said curve through a central angle of 268° 49' 50" an arc length of 134:6© feet to the beginning of a 20 foot radius curve to the right; the�long the arc of said curve through a central angle of 446 24' 55" an arc length of 15.50 feet; thence North 730 39' 46" West 313.53 feet; thence North 830 16' 50" West 0.04jfeet to a point on the Easterly line of Humbug Road;, thence along sard--asterly line, South 06° 43' 10" West 60.00 feet to the point of beginning. PARCEL C: A portion of the Northwest quarter of the Southeast quarter of Section 19, Township 22 North, Range 3 East, M.D.B. & M., more particularly described as follows: An easement 60 feet in width for roadway and public utility purposes along with the right of use and maintenance for said purposes, described as follows: COMMENCING at the Southwest corner of a parcel of land described in Deed from Earl H. Garner, et ux, to Robert M. Johnson, et ux, recorded April 30, 1969, in Book 1564, of Butte County. Official Records, at page 432; thence North 89 ` 19' 15" East 129.22 feet along the South line thereof to the true point of beginning for the easement herein described; thence from said point of beginning and :running along the centerline of said 60 foot easement, South 240 44' 16" West 439.98 feet;.thence South 42.0.27' 41" West (Continued) PV 392.46 feet; thence South 27" 31' 16•" West 232.09 feet to a point that lies 30 feet North of the South line of the Northwest quarter of the Southeast quarter of said Section 19; thence South 890 09' 24" West 265.31 feet parallel to the South•line*of said Northwest quarter of the Southeast quarter of Section 19; thence South 82" 55' 47" West 306.28 feet to a point in 'the centerline of Butte Creek and the end of a 60 foot easement herein described as Parcel D. PARCEL D: A portion Qf the_Northwest quarter of the -Southeast quarter of -Section 19, 'Township 22 North; Range 3 East,- M.D.B.. -& _M.', .more particularly described --as follows: .. ._ An easement 60 feet in width for roadway and public utility, purposes ..described as follows : BEGINNING at the terminus point of the above described Parcel C; thence from said point of beginning and running along the centerline of said 30 foot wide easement South 880 41' 41" West 202.53 feet; thence North 300 29' 14" West 212.05 feet; thence North 71° 33' 30" West 829.54 feet -to a point in the centerline of Humbug Road and the end of the easement herein described. C)0 D� .95`~nl & s l �5 SKYCREST BUILDING SYSTEM i . 13468 HWy 99 0 CHICO, CA 95926 PAYTOTHE 19 90.3504/1211 ',ORDER OF Q` W I 57 Com- �GU TRI COIF �-_ NTIES DANK DOLLARS 1910 MARKET STREET P.O. BOX 4"Sa. REDDINO, CMI ORNIA 80001 ' :FOR 2i1 5045; 0762 11103022411n MAR- 2-95 THU 10:37 ACCOUNTING OFFICES 9163457651 P.O1 John Burge, CRA, -_567_ East_ Fi fth Avenue _ Chico, California 95926 -- . - (9I6) 342-3680 r r r-, li r -e 17'-- ���, h wts Y -- X4 qe �• 6K r y e. 9.3 218G4 Order No. 2-155093 Pr 392.46 feet; thence South 27° 31' 16" West 232.09 feet to a point that lies 30 feet North of the South line of the Northwest quarter of the Southeast quarter of said Section 19; thence South 89° 09' 24'. West 265.31 feet parallel -.to - the .South line of said Northwest quarter of the Southeast quarter of Section l9; thence South 82' 55' 47" West 306.28 feet to- - a .point_ in .the centerline of Butte - Creek and -the end - of a 60 foot _easement herein described -as Parcel D. PARCEL Dr A portion of the Northwest quarter of the Southeast quarter of Section. 19, Township 22 North, Range 3 East, M.D.B. & M.,.more particularly described as follows: An easement 60 feet in width for roadway and public utility.purposes described as follows: BEGINNING at the terminus point of the above described Parcel C; thence from said point of beginning and running along the centerline of said 30 foot wide easement South 880 41' 41" West 202.53 feet; thence North 300 29' 14" West 212.05 feet; thence North 71° 33' 30" West 829.54 feet -to a point in the centerline of Humbug Road and the end of the easement herein described. I CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT STATE OF CALIFORNIA ) Agricultural Statement of Acknosledgement COUNTY OF Butte For Residential Development On 24 May 1993 before me, Joseph E. Montgomery, Notary Public DATE NAME, TITLE OF OFFICER - E.G., "JANE DOE, NOTARY PUBLIC - personally appeared, Jolin D. Burge personally known to me G6/ pfdy�q�tp/ry��,E�h/tJS� j�/�f/��ti�t day/�,fd� kX to be the person(,) whose name(A) is/W subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/04r/t/hrsrF authorized capacity0ol), and that by his/Vor/oft signature(q) on the instrument the person(b), or the entity upon behalf of which the person($) acted, executed the instrument. WITNESS my hand and official seal. 0rti Joseph E. Montgomery lune: •. b .. Comm. k993s 3 V �® NOTARY PUC -IC Cr1LlFGRt 4H T BUTTE t;vUNY - Eroso Comm. :<piras \lay 2. 1597 (SEAL)--�-�-: NOTARY PUBLIC SIGNA E OPTIONAL INFORMATION TITLE OR TYPE OF DOCUMENT DATE OF DOCUMENT NUMBER OF PAGES SIGNER(S) OTHER THAN NAMED ABOVE END OF DOCUMENT _ '• .. • Irttorrontd ncouaarao av - �•. Htnur•T_r, TITU% & E". 4J. 0 ocn.2-155093 -IMI - ANO wr.tN nteorroeo MAIL TO 'JoFVa D, 13uanc10 - t .?S' ' a..r 567 F.,. -,t 5th AvTmuo Lc,Lrr� 91-4914?. A-- Chico, CA 95926 1 eeeA 11-0�9�'�2 I Roo Fee 9.00 L J 1 STF 2.00 Recorded 1 OMC 72.60 MAN, TAX aTATEMINTO TO O1liclal Records I Check 83.60 r County of 1 A9 ABOI/B Butte 1 Candace J. Grubbs 1 ss:.1� Recorder 1 880060 3 -Dec -91 1 VS 3 :%-a L J SPACE ABOVE THIS LIN! FOR RECORDER'S USE .P411-290-049� Individual Grant Deed THIS POAIA FURNISHED BY SIOWELL T1tte a ESCROW COMPANY The undersigned grantors) declare(s); Docvrncntsry tranf(ce tax is 972.60 ( as ) computed on full value of p(optery conveyed. or ( ) , computed on full value less value of liens and encumbrances remaining at time of sale. ( x ) Vnincorporated area: ( ) , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, 1f01110(DIx xlOc®t:tliritQo[;IOc ItF (IM3X%lf JaR7<ACS Ns' WILLIAM H. MC CLItITICK ant) ROSS: MARIE MC CLINTICKr- husband and wife who aoquired ti73; P WILIA M M. M. C'LIN11OCK R(ISSF, MARIE !X tZINIVdt hereby GRANT(S) a D. EPA%X, a Bingle taus the (olltswing dcuyiUd real property in the I ar:oe of Dae County of Dtutt s . State of CAlifornis; FW3- 7W ATTArWD 1XITS ILI? C KA LD36,L L 3lTICN /41 Oared; 1 "ry'^ *'t Or 12, 1991 - S (ATS: QI' ctirttNrek+/{A Ita..••-- � ifxacxl� Yom•~ � _ CUUNTV UF 11It.- }55. ?'�3 lau LV lnl t On h e. -t ..Ft. 1'l a 191h before me• the vnderspntd, If Notary Vubht In and fw'leW Siete, - = Pelsonally sppeaftd L +jt,�-.. FI Itt, C1...\•�\ — pirsunally knn.,n to ms or Ptovtd to me on the buil of wt• . . Nn. e,c,y w,•t,nti to be the rerwn �.1wr< nu,ro•, r• • - .ubetrdrd to the .ith-n intlrvmtM and atknowledged ,hat U, a\faVred the fame. r ,�. WITH►.\\ ,I,r bend —1 nfl.eiel vel. �'' •. ' (T%.. rt.a Iva eflit,J ewtr,J r•Ja . ti..,.,.. tj it .a., eruoe.OUNIV" MAIL TAX STATEMENTS AS DIRECTED A80VE .� 'r V r 9 3- 21804' Order No. 2-155093 F. SCHEDULE C r• The land referred to herein is described as follows: All that certain real property situate.in the County.of Butte., State -of' California, described as follows: of' PARCEL A: - -. Parcel 2, -.as shown on that certain -'Parcel Map, being a portion of _Section 19, -Township 22 -North, Range 3 East, M.D.B. & M., which Parcel Map was.. recorded in the office of the Recorder of the County of Butte, State of California, on February 6, 1980, in Book 75 of Maps, at page(s) 79. AP No. 011-290-049 PARCEL B: An easement 60 feet in width for ingress and egress and public utility. purposes described as follows: BEGINNING at the Southwest corner of Parcel No. 4 as shown on that.certair_ Parcel Map recorded in the office of the Recorder of the County of Butte, State of California, February 13, 1973, -in Book 45 of Parcel Maps, at page 24; thence South 83° 16' 50" East�5. feet, g East (3� feet to the beginning of a 20 foot radius curve to°the ,right; thenc Ong the arc of said curve through a central angle of 440 24' 55" an arc length of 15.50 feet to the beginning of a 50 foot radius curve to the left; thence along the arcf said curve through a central angle of 268° 49' 50" an arc length of 4:60 feet to the beginning of a 20 foot radius curve to the right; theiic�elong the arc of said curve through.a central angle of 44° 24' 55" an arc length of 15.50 feet; thence North 73° 39' 46" West 313.53 feet; thence North 830 16' 50" West 2r0.0 feet to a South 06°Point on t43'he ElOteWestrly 160e00ffeetto the Humbug Road; thence along sard�Easterly line, point of beginning. PARCEL C: A portion of the Northwest quarter of the Southeast quarter of Section 19, Township 22 North, Range 3 East, M.D.B. & M., more particularly described as follows: An easement 60 feet in width for roadway and uutility p with the right of use and maintenance for saidpurposes, describedeasalong follows: COMMENCING at the Southwest corner of a parcel from Earl H. Garner, et ux, to Robert M.Johnson, etnuxaerecorded1Aprrild30, 1969, in Book 1564, of Butte County Official Records, at page 432; thence North 8§0'19"15" East 129.22 feet along the South -line thereof to the true_ point of beginning for the easement herein described; thence from said point of_beginning and running along -the centerline -of said 60 foot easement, South 240 44' 16" West 439.98 feet; thence South 42° 27'West.411 .(Continued) - , Dated: !"MT -2r elr !z, STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT _ DIVISION- OF .C.ODES ,AND STANDARDS REGISTRATION. AND TITLING SECTION --- STATEMENT. --OF FACTS This unit is a: Mobilehome Commercial- Coach Floating -Home []Truck- Camper Decal (License) No..(s) Trade Name Serial No.(s) S1-eYI At (_E' 8D -�7o-.o7oa -Hq • 8D- O%°g-3 I/Me, the undersigned, hereby state. that the unit described above: IS NEW AND HAS NEVER PREVIOUSLY BEEN PLACED ON OR ATTACHED TO LAND. Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on L at c o Ci9 (gate) y) (State) Signet re of each affiant Printed name of each affiant C E h� C ciq u c P i9 /-4"F Address City __ C/-�/ C -O , State= C HCD 476.6 (Rev 11/86) ;. .;.,-RESIDENTIAL 1-29-0-049 �93- 465 B'-� BURGE, JOHN 01 4540 CABLE BRIDGE DR, CHICO METAL AWNINGS/MH JOB FINALED (Date) M/Ir. �! Signature V=OK O = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except "#'s 1. Zoning Requirements -Setbacks -Easements .2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance 8. Disconnect B. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2..Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECJCV. COVERS, CARPORTS, GARAGES. Plans OK except #'a ning Requirements -Setbacks -Easements . Footings, Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rolls 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing um. Awn,columns-Connectione-SpUce-D - nclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable Read Not Ready RESIDENTIAL (Single & Duplex) ' = Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #*a 16. Water Htr.; Vent -Access -Combustion Alr-Baffle 17. Water Pipe; Test & Anchor -Neil Protection _ 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except M'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except M's 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except M's 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mash -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insu lation-Wells-Celli ngs 60. Infiltration -Wal Is -Windows Date/Initials FINAL (Plana) OK except #'a 61. Ext. Steps -Door & Sidelight Protectlon-Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles In Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yea 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yea 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: COUNTY OF•BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION V 7 County Center Drive - Oroville, Calif %rnia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION;��AND PERMIT ASSESSOR PARCEL NUMBER 011-290-049 ZONING �— BUILDING PERMIT OWNERTELEPH JO1Ji�j ;SURGE NE D SQ. FT. OCC. BUILDING VALUATION 544 (Inv 00 OWNER'S MAILING ADDRESS 567 E. 5TH AVE muco CONTRACTOR'S NAME TELEPHONE UNKNOWN CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 64.2-5 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4540 CABLE RRIDWE DR T PERMIT FEE $ 183.35 PLUMBING PERMIT Filing Fee 20.00 Each Trap ;'7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome Ck Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20'00 TYPE OF WORK New O Addition Ox Remodel O Utilities O Installation O Other O Describework: PETAL AWNINGS PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee .. 20.00 REFER TO ivII:U 93-1497 Main Service ( 200' OR LESS ) 23.00 M.11I 93-1498 SPA #5153 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. ( D 3EACCG OCCUPOR ) 3.5C F° CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification • s the owner, or my employees with wages as their sole compensation, will do he 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-REs)D. ( BRANCH CIRCUITS ) -- @7.50 1 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) L. @ 1.00 BAL. 1@ so Ex. Occu FIXED APPLNS. OR p' 1 OUTLETS (RESID.) 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): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Bu Iding Division a Certificate of Workmen's Compensation Insurance ora rtificate of Consent to Self -insure. is hall 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 certifythat 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 all18� liabilities, judgments, osts, and expenses which may in any way accrue against said County in co seque a of the grant' of this permit. X Date [,J ���� Signature • f Applicant - Owner O Contractor O Agent An OSpermit is required for excavations over 5"0" deep and demolition or construction of structures over over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 25 HAZ• D. FEES IMP FLOOD 7— 1.CDF PARCEL PD HD UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC By / PERMIT EXPIRES ON l the applicable provisions Resolutions to do work been paid. WORKS Date ��} z 3 2 7 tOatel Receipt v <8� 148876 WHITE-D.D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - �,,�. r/itis a2 £ Gam i COU NTYOFBUTTE - DEPARTMENT OFDEIeOPMENT SERVICES - BUILDINGDIVISIO 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET m OWNER A. P. No. Z 3 - v Sr Proposed Building Use Al - x Building Inspector C_ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ... .................................... Plot plans;. 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by`preparer of plans . ...................... F3 .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered-fruss 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. 'tJ` G U 12. California Department of Forestry plan approval/fees......................... r' (✓ - v 7 3 Flood elevation letter (100 year flood) by California Engineer. . . /1 4. Sanitation and plot plan approval Health Department. ........... l 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about .(A)' Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for required. .. o Building �speaorDate c ) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _ ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .. 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation/of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets'zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: -�r Telephone and hold for pickup at Other Parcel Creation Acreage I to owner. Mail to contractor. office. Deliver with inspector. Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. .1 Air Pollution- Date Copy of plans sent Health Dept. Fire Dept. Other ,y. Date The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: to perirrl t * uance: (Circle new item not checked above). By b i Contractor, designer, eaaer, was advised of above required data by _ phone _ mail Counter bX� ate /0-27-9 Contr9ttor, designer, o�as advised of above required data by i_ -phone_ mail Counter by ate / I - Plans checked by Date Plans approved byDate CDdSets of plans in Copy - Department of Public Works ONLY rl.n roan Atwchea Floor Phn nuachhcd��'//yV� Sent to B.D. IA_ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -71 'O er r Location AP// Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final -clearance O.K. for: NOTE: Environmental Health Specialist 8/92 Date 14 q %OTE:—Al1 Materials & Workmanship Shall Bo in -Accordance with Recognized Good Practices and a quality prescribed for the Specified use in the Uniform Building, Plumbing d Mechmical Codes A the National Eleetricai*Code. t ALL STRUCTURES AND EQU OVERHANGS SHALL PE CLEAR A SET BACK OF ` FT. F S'FT. FROM THE REAR PI 0 FT. FROM THE ROAD CE CLEAR OF STRUCTURES AND it FOR A =' --T. SAVE OVERHI NG - specifications MUS be kep=01�� es and itis unlawfu to make any changes or alterations on same Athout written permission from the Department of P biic Works, my of Bute. /V e4z' TENT. iNCLUDING ALL EASEMENTS. M THE SIDE AND )ERTY LINES AND DRLINE SMALL BE IPMENT EXCEPT 2�� Y X3, 0 V � /J�hi '� C) W 2 (( BUTTE COUNTY BUILDING DEPARTMENT A P P R OV E D L � N � Udo �- t NW M � e -r W O � L U F� ALL STRUCTURES AND EQU OVERHANGS SHALL PE CLEAR A SET BACK OF ` FT. F S'FT. FROM THE REAR PI 0 FT. FROM THE ROAD CE CLEAR OF STRUCTURES AND it FOR A =' --T. SAVE OVERHI NG - specifications MUS be kep=01�� es and itis unlawfu to make any changes or alterations on same Athout written permission from the Department of P biic Works, my of Bute. /V e4z' TENT. iNCLUDING ALL EASEMENTS. M THE SIDE AND )ERTY LINES AND DRLINE SMALL BE IPMENT EXCEPT 2�� Y X3, 0 V � /J�hi '� C) W 2 (( BUTTE COUNTY BUILDING DEPARTMENT A P P R OV E D L war.Dd 111 ! _ L_ _ - : - ---- ---- - ,-- -- --- - ----- ,. ... - - -. - - '. :� .. fl'F. .. - _ - w . : '. t . . ._ ,-., .. ,� r 1. - , - , : .. , .. - , s . . '1 1 .. - .. _ _ - I - { - .:.Y: T'.al+iA.xY-_s- _ rr' _ .ay.--a�::lwr..:.iw' m.ict _ . - . - , .. - .. .. , , _ . ,' ss «... [ :