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017-160-004
- i ,`..-_. •.��,., , •� . � _ { ...r., f1 __ �"".L ,p..= .•r— �-�,"",,� y�} �.i: �ryp,•a,-�¢.r r ✓`;,.,.e- r ;�1 -� _ �w... / ... '�.' �--t ix*'=�.�p �y- 'r ,��1\ 111 LARRY J. LAMBERT '6 mi. N. of Covered B dge 1 w/s of Honey Run Rd . , ico .b. ;f `- {. r a ` Permit# 4 B,P,E;M("newSF) v ' ' ?55B(a!d'1 garage) -75 -7-/ �_ULPerms4v� b„ 4 }: 011-26-0-00493=969 B, \ MIONE,- LOU a 5150 OAK HAVEN'LN, CHICO CONTR: {TAC` CONST } CLOSET & REROOF/SF vl 1Tiyf1 Xi ' J ziA,[,c r ��.,�B08 0634 Jr � < `� •� _ �'r-017 160-004 � ' � # MISC�EI3L:ANEOUS�1� 1?rivate� r ; � � �.�G�UNN1,3�ErPOnOL�MASkTERB08-000�7,�'}i” • . { f "•`515'0 OA,K H+AUENdLN��r Jq ��ggiis,r ��'?,��r ��'� aka ,T J •: �MY r F1}'J'} vi {t d llt Tr r � 3 .3 V �.; ... of �{S,sl'�NiCC01&JUNCQxUItt C LORI; r 1 - i i Y/f �•� r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5150 OAK HAVEN LN Owner: Permit No: B08-0634 APN: 017-160-004 SAEZ FRANCISCO & JUNCO VI Issued Date: 04/09/2008 By KEJ Permit type: MISCELLANEOUS 5150 OAK HAVEN LN Subtype: Private Pool CHICO, CA 95928 Expiration Date: 04/09/2009 Description: GUNNITE POOL MASTER B08-000' Occupancy: Zoning: Contractor Applicant: Square Footage: WATER ART INC. DBA ADONIS POOL WATER ART INC. DBA ADOr Building Garage Remdl/Addn 12 PHEASANT RUN COURT 12 PHEASANT RUN COURT CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)891-1197 (530)891-1197 FEE INFORMATION DBEH Building Review Fee $78.90 DBMSC Swim Pool -Master Plan Co $512.42 Total Charged: $591.32 Fees Paid: $591.32 Balance Due: $0.00 Receipt No: B6952 LICENSED CONTRACTOR'S DECLARATION_ OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License WATER ART INC. DBA A O NI 266839 / C53 / 04/30/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that t 1 requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HERE Y AF I U R AL 0 ERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (comm( Ging ith ec on 7 0 of '� isi 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in fur orce nd ec of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 04/09/2008 the applicant to a civil penalty of not more than five hundred dollars ($500]; Please check one of the following: Con r tor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMP NSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one . WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). RHAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ElI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: ection 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: LINCOLN GENERALPOIic N ber:CWC00123500 Exp. Date:01/01/2009 Contractor's License Law.). (This section need not be comp et if e p rmit �s oror on�llars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY T IN THE �RF R CE O T E WORK FOR WHICH THIS PERMIT IS ISSUED, I sF�al not emplo erso n any a ner so as to become subject to the Workers' X 04/09/2008 kany Comp nsation ws of Ca' omi , an gree th t f I should become subject to the workers' come salion p visions Sec on 3 0 of lh bor Code, I shall forthwith comply with those Owner's Signature Date pro si ns. X 04/09/2008 I hereby certify that I have read t ' pplicetion and state that the above information is correct. I agree to comply with all ity and Coun o finances, rules, regulations, and State laws relating to building Sign u Date WARNING: FAILURE TO SECUR WORKERS' CO PENSATION COVERAGE IS UNLAWFUL, construction, and lh any d a co itions of permit. I agree to defend, indemnity, and hold harmless Bu C y, its cars ge and mployees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE in 'n i clu ing d h, d pro rty d mage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, th is n of lhi a it. I he by a nowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND us ocou ncy n sidew I , str 1, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. C y to an e o e me io ed roperty for inspection purposes. I hereby rt'ty that I am the pr any con u ri d t a on t�e p� arty ow r5 behall. .,`I C-0 (, 11J W 4/09/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a e of P mittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR DAgent for Owner MAgent for Contractor FILE COPY Lender's Address City State Zip a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds AAOfd ��o **PLEASE PRINT CLEARLY** � I j (� 6 0 P OWNER Last Name �eN cisco A Address 150 DAL City State� CAZip 517.8 gZU Fax 1 l/ E-mail CONTRACTOR Name 11®A)f5 aDLS Address rj9[1,7e5A-Ad-'2dN City States Zip /593 Pho �3� _ Fax E -mat Lic. �g Class APPLICANT NAME ARCHITECT/ENGINEER Name . At. t A<A4W-6 Address X14 New City C t (Got, State/ ,� �t Zi g O ZQ Phon ,, "1 Fax E-mail State License Number APPLICANT NAME Name A05-hjt5 C005 Address Z �� �n C14. 1�—State/'A City j/ f 1b Occ. zip 70 7-3 f�� Phon �l �( Fax �f T E-mail -&4d-- NF'r- i For office use only: Zoning Flood Zone Propert d?t6 SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT mm' BIN # LOCATION A# Propert d?t6 SRA Cross Street 0A) ZY U/L) WORKER'S COMPENSATION Policy Number ; 3560 1�+� Carrier 1A)60G/U If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description ope of W Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: —Other Total Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations, ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. _ ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B)"Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 April 9, 2008 B A C H M A N & ASSOCIATES BUTTE COUNTY DEVEMPMENT SERVICE - 7 COUNTY CENTER DRIVE OROVILLE, CA. 95965 ATTN: PHILO HUNT On Master Plan MP08 0007 I authorize ADONIS POOLS to use the Master Plan for SAEZ at 5150 Oak Haven, Chico, CA. 95928 APN 01.1-260-004. If I can answer any questions, please let me know. - Ph. 530-342-4136 VN SAO Eup Jr` 6-3,Le Sincerely, 0. � C-- 61 C.W.BACHMAN R.C.E. #16803�fr # Dana Point Road Chico, CA. 95928 BUTTE COUNTY APR - 7 2006 DEVELOPMENT jk SERVICES ENGINEERING SURVEYING PLANNING DESIGNING 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136 RESIDENTIAL 011-26-0-004 93-9691B,E MIONE, LOU rn 5150 OAK HAVEN LN, CHICO CONTR: TAC CONST 'a CLOSET & REROOF/SF k' I •1 l� 1j E SKIN M Mrd T 2A rf x: Ui f r' h ii Ti c?M'.f'� JOB FINALE Signature V=OK O= Not OK = Not Ready ble MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 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 -Teat -Wrap: / P L" ft. / /"Net. or/ {"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. 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 Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Siie-Depth-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftra: Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna-Connections-Spllce-Decai-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 #'s _ 1. Setbacks -Easements _ 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test k' ' r V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s tjt'Zoning-Setbacks-Easements-Flo d -Slope `�tg., Main; Soils-Elec. Grnd.- g. 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 B. 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 P! BING Permit OK except #'s 16. W r Htr.; Vent -Access -Combustion Air -Baffle 17. Wate ipe; Test & Anchor -Nail Protection 18. D.W.V.; est -Fittings & Anchor-Naii Protection 19. Shower Pa • Test, First Floor -Tub Access 20. Test Tub & S we r, Second Floor -Tub Access 21. Gas Pipe; Size &�SQchors Date/initials EL TRICAL Permit OK except #'s fixture & Transformer Clearance -Ins. Protection 26. Elec. Receptacles Spacing -Lights & Switches at Doors 24/Size Boxes & No. of Conductors -Stapled ex Installed Close to Edge of Studs & C.J. Equip.(0 oWM made up w/Meth. Fastners-Bond Gas & Water 27./1 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 O Yes ❑ No 36. Service -Riser Conductors & Ground -Main Disconnect V.,Equip. Clearances Panels -Motors -Mach. Equip. . Clothes Closet Light -Shower Light -Spa Light 'a37 -Smoke Detector C A-7 93 3 Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & SuDDort 35. Vent Fan; Exhaust abovo4nsulation 36. Condensate Drain verflow; Size & Grade 37. Furnance-Vent cress -Comb. Air -Return Air Vent -115 outlet 38. Attic Acce & Platform if Furnance in Attic Date/Initials FRA NO Plans OK except #'s 3 Sils, Proper Material & Anchors 49., Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41,,/Bearing Walls over Girders & Floor Nailing 42.,,Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Al/Pleaders & Beam -Size & Bearing Date/Initials FRAMING (Continued) -. d�Npngers-Post Caps -Anchors -Connectors ,4_6-etng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. d�°i•eplace Ties or Type A Flue -Fireplace Throat clearance %4@ -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles -48r-Bdrm^ Windows or Exiting Doors -Sill Hgt. & Dimensions -68--Garage-Fire Protection Framing , 5a=-Preperty Line Firewall & Openings eors-One 3' -Check Garage -3rd Story, 2 Exits 53-9tairs-Width-Headroom-Rise-Run-Landing-Fire Protection 5j,Vrywood on Roof Overhang -Attic Vents -Rafter Outriggers ing-Nailing Veneer 5�6�Siucoe Mesh -Drip Screed -Fd. Vents-Underflr. Access 5U.,16 -lazing Area -Glass Protection -Skylights -Plastic -66:"SflBar Walls; Nailing -Bolts Date/Initials FINAL lans OK except #'s t. Steps -Door & Sidelight Protection -Landings Smoke Detector -.68-"Ft7rnace; Vents -Clearance -Comb. Air -Connector - }o Garage; Above Floor -Ducts -Mach. Protection & .✓Bedroom Exiting `65�IigF.1. & Bath Fixtures & Tub Access -Spa 6&-"'Elec. Trim & Subpanel; Breaker Sizes & Labels emirs & Rails 48 -Fireplace or Stove; Clearances -Hearth 'f19 ec. Outlets at Wood Panel; Int. & Ext. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -74-Ere-c. Outlets & Receptacles at Kit. Counter 7�I. arage Fire Door; Swing -Lending -Closer ?T--A-b. Duct in Garage -Damper 4 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Gara e; Above Floor -Mach. Protection Plb.,e . & Mech. Equip. Listed for Location ei6-51ac. eceptacles in Garage; (G.F.I.)-Romex Protection 7t-4asulation-Foam-Looked in Attic O Yes -W&-ward Rails & Deck Construction -Post Caps 7 Pd. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -Ee-Following instld.; Drive 13 Yes 13 No; Walks 0 Yes 13 No; Planters ❑ Yes ❑ No -&+:1 ucco; Brown-Finish Unit; Disconnect, Electrical, Plumbing -86-i>ents Above Roof; Plbg: Appliance -Fireplace. -Clearance to Openings t8+4.. ter Well; Disconnect, Electrical, Plumbing '85 -Exterior Elec. Trim; G.F.I. Receptacle -Underground 8"entilation Throughout House -97 -Glass Protection %/Corrections from Previous Inspections 89. Ess Jast-Meters Tagged; Gas -Electric 80 er & Sewer Connected -C/O to Grade -HD Approval ALAnergy Compliance Certificate -Other Certificates mmants at Flnal: L Z 9 -4 -4, COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-754.1 747 Elliott -Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C' 1141 ol^/c 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 cqntact this office immediately. de le 440, F - Date REV 10192 3 Inspector C A(i ENERGY INSTALLATION CERTIFICATE Building Owner X cu 4LO"-e 2e Building Permit # ?3 - '2�" A4" Building Location ROOF Material Thickness(inches) EXTERIOR WALL DESCRIPTION OF INSULATION Brand Name The --=I Resistance (R Value) Material _ — t 3 JZ Brand Name ✓C ( i Thickness(inches) 3 .e Thermal Resistance(R Value) CEILING Batt or Blanket Type Brand Name Thickness(inches) r 4 ,� Thermal Resistance(R Value) - Loose Fill Type Brand Name . Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material_ Thickness(inches) Width(inches) FOUNDATION WAIL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, is consistent with- approved building department--plans--and at-tachment-sand- con- fqjjms-yj�4 requirement of Chapter 2-53 of Stated i o�i Energy Requiremen FIRM NAS /OWNER STATE CONTRACTOR'S LICENSE NO. TURF OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUIIL..DING CONTRACTOR/OWNER (Please Print) t'FIRM NAME)A /gin 14- - , IGNATURE OF BUILDING CONTRACTOR70WNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT 6F -,PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMITff PERMIT O. r i ASSES OR PARCEL NUMBER _ ZONING BUILDING PERMIT LOURMIONE TE�3"_06 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5150 OAK HAVEN LN CHICO 95926 CONTRACTOR'S NAME T.A.C. CONST—TOM CHASE TE'3�+3"—`�r94 96 R 4,896 34 SQ COMP 2 040 CONTRACTOR'S MAILING ADDRESS 2298 HONEY RUN RD CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 6,936.00 LENDER'S MAILING ADDRESS - ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee $ 75.00 Plan Checking Fee $ 37.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS 5150 OAK HAVEN LN CHICO Permit fee $ 147.50 PLUMBING PERMIT Filing Fee 15.00 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 EX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 515.00 TYPE OF WORK New ❑ Addition MK Remodel ❑ Utilities ❑ Installation[—] Other ❑ Describe work: REROOF & MASTER BDRM CLOSET Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW 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. 42 2% 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) EJI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATOIDODA) 37.50 NEW CONST. ! DWELLING OCCUP\ 3.64sq.ftI OR ADDNS. ACC. SLOGS. . 3.3 NEW CONSTR. ULTI-OUTLE NON•RESID BRANCH CIRC ITS T 5.00 (POWER APPARATUS e� (SINGLE OUTLET CIR. 20 76 Ex. Occup(ouTLETs OR FIXTURES FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 18.3 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 y� 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, judgments, costs, and expenses which may in any way accrue against against sal County in consequence of the granting of this permit. X /� /a /�/w� Date 4 " ��I— /s_ signature of Applicant — Owner❑ Contractor ® Agent ❑ An OSHA d permit is required for excavations over 5' deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occ -T CONST TYPE TOTAL FEE $ 205.86 I�-- HAz DF 5 IMP FLOOD CDF PARCEL �—� PD HD U i 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. LIC WORKS BY Date PERMIT EXPIRES Receipt No. 136051 WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I% it�1•r.....;(`"•..:wj-r..,,i��.�;,,,,(��y�,n+�+-cr..r,.- r�s'�'* .-�.�:`^"'-yri:[9ra.+^,Ye.•...,.:���v...:..rws:::.�,.�xl.s..., w : `+�^�..�.�... COUNTY OF BUTTE -DEPARTMENT OF DEVE�OPIN NT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATASHEET OWNER JL I A. P. No. QI I -a60- Proposed Building Use - .n' Q 8 041k,. 1• Building Inspector Date 44-1q-93 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: GATE 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 tf $ . • ule . 11. Impact fees as shown on attached schedule- ........................ z�- 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 required. .. o Build 9 �spedo�- (Date) 21. Contractor's license information. (No., Name Style, Classification) ................ 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner , Mail to owner _ ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use........................................... 28. Mobilehome utility clearance........................................... . 29. Documentation of legal access . .....................:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits. ........................ ............. 32. Plan check list . .................................................... . 33. i -34. When Ptu issue the permit, process as follows: Mail to owner. Mail to contractor. _I Telephone �3,q and hold for pickup at a ir,, 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: (Circle new t hecked above). 1. index permiffor 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 PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 15965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT 43SESSOR PARCEL NUMBER —00 Lf OWNER ZONING 1:712 117 BUILDING PERMIT TELEPHONE OO SO. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS 0 CONTRACZOR•S Iy�.ME _ TELEPHONE GJ (/ , r (� C NTRACTOR•S MAILING ADDRESS 22 0 amt /?ci CO dw. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee �� $ OnLICENSE r 50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ LA Penalty $ BUILDING ADDRESS �O Permit fee $11-1-76'0 PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 5.00 Solar or heat pump water heater 20.0 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping .00 Each qas water heater or vent 7.00 USE OF STRUCTURE�� 3F Duplex❑ Mobilehome❑ Other 666./ 9` SR.ECI FY A¢ Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S G @ 15.00 TYPE OF WORK New ❑ Addition)N� Remodel ❑ tilities ❑ Instal latign❑ Other ❑ Describe work: /.Pim — e60 � %�'(I�uJI(yi� (��/�ha�Hj (' Permit Fee $ Contractor ELECTRICAL PER Filing Fee 15.00 00V OR LESS Main service ZOO, OR LESS 18.50 CONTRACTORS LICENSE LAW 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. 'S 0�%`� 7 7 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not for sale. (Sec. 7044) intended or offered 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 IOOOA1 37.50 NEW CONST. DWELLING OCCUP.a OR AOONS. ACC. SLOGS. 3.66 sq.ft. t• NEWCON ST FL ULTI.— LET NON.RESID BRANCH CIRC ITS @ 5.00 (POWAPPARATUS o- l SINGLE OUTLET CIR, EX. OCCUp( OUTLETS OR FIXTURES20 76d FAL 249,8 FIXED APP S. OR EX. OCCUp. OUTLETS LE.,.1 EA.� j 3.001 Temporary service 115.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee S IX,36, 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 of Consent to Self -Insure. X71 I shall not employ any person in any manner so as to become subject yam• to the W. C. laws of California. dotice to Applicant: If after making this statement, should you become subject o the W. C. provisions of the Labor Code, you must forthwith comply with such Irovisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT IIingFee 15.00 Heating Cooling Hood 6.50 Ventilation [Permit Fee $ Contractor certify that I have read this application and state that the above information s correct. I agree to comply to all County Ordinances and State Laws relating building construction, and hereby authorize representatives of the Countyot ,utte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against II liabilities, judgments, costs, and expenses which may in any way accrue gainst said unty in consequen e o e granting of this permit. Date ' �2'�3 Ignature of Applicant — Owner ❑ Contractor__ ontractoreAgent ❑ n OSHA permit is required For excavations over 5' " dep and demolition or construct- In of structures over 3 storiesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ 4HAZ CONST TYPE TOTAL FEE $ 5% OFEES IMP FLOOD COF PARCEL PD HO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date eceipt No. I S LD V 5 NITf-O.P.W.. YELLOW-A33f33a R. PINK -INSPECTOR. GOL DfNROO-APPLICANT I 15-00 +� 3.36 18. 36 *Ii. 147.50 + 18.36 + 40-00 + 205.86 .*.I 15-00 I +✓ 75.00 +� 37.50 + 20-00 +� 147.50 *I I 15-00 +� 3.36 18. 36 *Ii. 147.50 + 18.36 + 40-00 + 205.86 .*.I F.H.J.1SE ONLY Hot Hwi Attu" I ched Floor Plan Atzaclwd TO: BLIiIdIng, Department FROM: Environmental Heal.th SUBJECT: Sanitation Clearance 1)-2(0-70 Owner Location AP# Plan Approved for: Sewaoc Disposal Water Supply: PLiblic Private Well Clearance for bedroom mobile home. Otherladkin PJn�,a± Hold final for: Final clearance O.K. for: NOTE: Enviro6mental Health Specialist 8/92 Date NOTZ.. Orkm 0"Y", Good r U1, thecl actices tl dtng p, OPecinUse .d and "ectr, l..pp b ech&,,, oll I J 4, This set of p1mis and kept on th9job at an tAm6s and it is make any changes or alterations on Writtl0n permission from the DOP" Works, CGUnV of BOU9. MUST be nl�awful to same without .Aof Publia F LL r pa ..SMUCWRE cLEAR.01- t, _p, 0VF_SMNGSS14ALLBF- rv. F.F�Qk jD[_: AVID SS -r BACK OF _/_0, . 91.1 TIJAS .nFE'..."pt &!ES AND FROM 'ic- rliv pp FT. FRO. 0 SHAD. BE FT. FRCtvj TjjE F .149 EXCEPT OF SrFUC _s AND A 2 FT- EA%JF- O'VER14ANG C) T �`\\y 00 J�. NOTE: All Mate Accordance ti�.t of a Qu21itj Pa -e in the Uniforrr, Colles and the I and Spec 7 'phis Set of. Pl�� tim88 kept on tne�lob at orterati ,Saxe a Ivy changes e . ssian written per> irom� of to , '�iu ork�' Gowa�y . %.A ' & Wor'hmanship Sh\ll Be In- ,ogzized Good Practic s and ed for the Specified use. ling, Plumbing & Mec aal. EleoYxi�al c6d ALL STRUO- ¢ESL ae Oi_ A SIDE AtOF .� . pL #{ �q t yM A S 6 \ l >4 ti'�v; +• 6s:,i.16'�.� VT. Un eS A7 FOR q 2 f, FA,VE OVER�9A�a• vv 0 60- 0Ocf QST be cation to d it is maw o on same PU thbUP / I sant of eOf� �• ✓2e- Poor cl qc Boor covFRlN - ��.G(. 5 S �� C?UIR�c• 2 Af VAN ` - - 1;5�_ e� ���- VO ( Cel _ ' I /8 � 1 � D✓e t•IgnpJ `sial( 00 /Z""Oil VAGIS �IA/a��`� VIDE EQUATE Bi�A616V1Q- _ - I C J— I71 _ , Zxy pe�xe jaefko/ �.r�,�+e�io� oK ��� N Q 'Alp �O t S a i L �c h 9 cS I i r\N i R�1 r t$ M PS I 1 � Q R�1 ,o i i' ADDITIONS TO RESIDENTIAL... BUI•LDIN.GS- ENERGY:' SHEET,` PACKAGE' COMPLIANCE;,: _— y Owner Permit: #" '9� Floor: Areaa The- following:, datar showing: mandatory- and- required featuresi sha:l.V be- install.e& for- addi.tionsr to- dwellings•.. Addi.tions,., to- dweII.ingsr - include- room., additions, converting: garages: and! pati.oss tm-, living; areas, .house -moves -that add- footage-and:attic-conversions-;-and�an.y--.----..__�_ space- that is- existing non -conditioned- space- thatis, converted? to - conditioned. space-: Remodeling= of- existing- condi.tioned4 space••is:• notT included. Climate-Zones.;—11: ands 16*' Component <=100 sgft• 101-499 500-999• >=10001Sgf t. Ceiling R-19- R-38 R-38 R-38 " Ins.. Wall Ins.• R-13 R-13 R-13 R-19, 21.. Floor Ins. R-13 R-19 R-19 R-19 Slab Edge NR NR, R-7 NR, R-7 NR, R-7 Ins. " Glass (U) .75 75 .65, .60 .65, .60 Max. Glass 50 sq.ft. . 16% + 16% + 16% Removed Removed Shading NR .66 .66 .66 Coeff(S&N) - Shading NR . 40 ,. .66 _ -..40, .6+6 . 40 ,. .66 Coeff(WSE) Thermal NR 5% Raised 5% Raised 5% Raised Mass .20% Slab 20%.Slab 20% Slab - Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling - SEER 10.0 SEER 10.0 SEER 10.0" SEER 10.0 Split Sys. Cooling - SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased # Allowed w/ Allowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation calculation * One entry/column.= req both zones, 2nd entry = req zone 16. SPECIAL FEATURES/REMARKS LOOSE FILL. INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows; caulking) VAPOR BARRIER (Zone -16) DUCTS PER UNIFORM MECHANICAL -CODE - Ch. 10 LIGHTING KITCHEN S BATH NOT'LESS.THAN 40 LUMENS/WATT" DESIGN COMPLIANCE' STATEMENT': The- above- building. - design- meets. the- requirements of Title -24, Parts: 1.. and 6 of then Californiay.Code- of Regulations. (Jan 93) SIGNATURE.:_OF"BUILDING. DESIGNER OR APP.L'ICANT_: 49-75B-.)P.E.M PERMIT NO. �` P • yr E • k M h MH UTIL. PERMIT NO. PERMIT EXPIRES r, DOWNER Larry Lambert CON TR. JLOCATION (A.P. 55-34-26 ) . 1.6 mi. N. of Covered Bridge, W/s of . Honey Run Rd., Chico L ,5 ee • fd -. • k, Temp. Power Pole ,r r, Called PG&E --' gyp. Elec. Serv. Called PG&E T-6�1—%� 0 Y`v = - Temp. Gas Serv. r Called PG&E JOB/' /--�� FINALED (Date) (Signature) ti j COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 BUILDING INSPECTION RECORD BUILDING BUILDING (Cont''d) PLUMBING ' Setback Firewall �— Soil Piping - 4-7S Forms:71 Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings I- 1GJ- % Windows2-31-2(5- 3rd Floor Stemwall - / Siding - 75 To out 41 Slab Roof Sheathing :- - 4 - Water Pi in 2 - 14 - 7S Piers - Z .- 7 Roofing Q --L/ - 7 Sewer - / "76 Garage �/� Fdn. Vents Fixtures Footings ! - Z- -72 Gara a Vents Water Htr. Stemwall - 7 Prov. for physically — Heaters Slab handicapped Appliances .... Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final %— Sanitation 9 Patio FIREPLACE Final Footings -' 7. Footing D'-7 ELECTRICAL Masonry Walls 41 7 - % Throat 5 aax Rough .Reinf. Steel - Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels ' Mesh J- �� el 0 EC -A NPVNA L Grd. Fault Prot. P--, Scratch ---- Heating °a -Service Brown Cooling Temp. Pole Finish Ducts Z - / - Underground Interior Lath Ventilation - - Permanent 25' if -26 Door Closer Final 4.. �' Final DATE REMARKS OR CORRECTIONS To iW,9in/ PANEL .74 16 To Main/ PxiN,L1 - 8 . F ES X h/ H W ~f /um? - N-t�� 4L�srl /� l�U / O�� y ni-lam 17-. q PP, Qt -CQ" )eQ d TO in�su� r a>^ 1.,f T 7---, c,14iZ4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK �Oto_ 7 County Center Drive � OeovWe, California 95965 Telephone:534541 APPLICATION AND PERMIT aurnunce representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. X Date J0 $ignatu ,r/rmitee or Agent Receipt No. 2_,?7;Z 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 bee aid. DIRECTOR F UBLIC WORKS B Date_ /Z-7-iJ uilding permit expires Date............................................�`"�'6 BUILDING Owner �0� !_ �P7- SQ. FT. OCC. BUILDING VALUATION Mailing Address p3 �j/ /ash/ g�', 140,w 2 01IN XA G'rYt cD Telephone No. /2 14( Fireplace Contractor 6 j✓iVL Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee t $ Oo r 07Z $ Building Address C�dE�D PLUMBING No. @ FEE PERMIT FILING FEE $2.00 If 1,06 r lam/4z,4ar✓E,l vw fp 4/-11 G O Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �'� ^�� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F N(rC' 4aai4at+cu Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' RW Im provements Lawn sprinkler system 2.00 Bldg s Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 'k r 4P& ZZ ZzLv O p py✓ 6;X- Main service incl. 1 meter if r"�- o_7J Additional meters, each 1.00 Single Family NJ Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ;20@25 bal 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ISI I have placed on file with the County of Butte a certificate of VW Workmen's Compensation Insurance. r-1 pi certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ aurnunce representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. X Date J0 $ignatu ,r/rmitee or Agent Receipt No. 2_,?7;Z 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 bee aid. DIRECTOR F UBLIC WORKS B Date_ /Z-7-iJ uilding permit expires Date............................................�`"�'6 COUNTY OF BUTTE — DEPARTMEIv PUBLIC WOR, S Q� C'] 7 County Center Drive _A ,Oiovfile, California 95965 Lj F Telephone, 531-4541 APPLICATION AND PERMIT u �cj✓icOcnlaUvcJ UI Me %,.UUMy UI Butte to enter upon the above-mentioned property for inspection purposes. X' Date Signatu ot.�& tee or Agent Receipt No;� White-D.P.W. "JYellow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUIMIC WORKS By Date Building permit expires Date ............... ./...-.z ...:%........ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION D O Mailing Address D 3�� C® Tel phon o.rt If_Fireplace ff �' % Q Contractor ® Total Valuation 5-r Qo Mailing Address r Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee 100 O $ z�eq Building AddressPLUMBING �'s G No. @ FEE PERMIT -FILING FEE $2.00 el o as G— 7- Each Trap 97 1.50 0/&1,95 AVC6 /C O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 5 — Zoning & Planning Gas piping system"l - 5 outlets 1.50 Each additional outlet .30 Sant t FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Pala sg -PBldg. Decl rcaK ation Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 41-1 Plans Recd Parcel pproval Plans&A�va1 Permit Fee $,1-7, 601$ =0 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1$3.00 5: 00 Main service incl. 1 meter I©� Additional meters, each 1 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -pane 12 or less) (mor an 12) Roee,Coqztop or Oven 1.00 �QD Water ater or Space Heater 1.00 Light fixtures bal 10 02 swi & fix outl O CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: H , ExIS4<or F.A.Furn.Motor 1.00 ,p0 Evap. cooler, gar. di sp. or D#W'O'1.00 /,40 Air tioner or heat pump /15-0 Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Misc. Classification wiring I am exempt -from the Contractors License Laws of the State of California. Permit Fee $ G WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. N31 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Dv Heating - �QD Cooling _ 60 Ventilation Hood 2.00 .40 Permit Fee �$ $151 7z I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE u �cj✓icOcnlaUvcJ UI Me %,.UUMy UI Butte to enter upon the above-mentioned property for inspection purposes. X' Date Signatu ot.�& tee or Agent Receipt No;� White-D.P.W. "JYellow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUIMIC WORKS By Date Building permit expires Date ............... ./...-.z ...:%........ b - R 4, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per -Building) School District.._.. � Building Department No. `Number . Q� I- Z(00- CallJurisdiction 0 City ®�ounty s Property Owner,nk Property Location/Address C.�i Subdivison Lot No. Residential Development 0 Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification No: %y 6 100 ( k r -LA School District certifies that �110on0a (Applicant) (Street Address) T—T (Phone Number) 0 ) i 06 C,s� (City) (State) (Zip Code) has complied with the requirements of Resolution No. S/ - 9a by payment of $ f representing 9 too square feet. � ao 93 School District Representative Date Paid by Check Number 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) feeformmkl (4/92)