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HomeMy WebLinkAbout017-170-0430 i t ` A. g DON SPANGLER X169 s/s Honey Run .Rd. approx, 1 mi. above bridge, Chico q3o F Permit-1294--z2B ,tE.,M�.... �. � V-30/% 1 (•new_.singl.e,..miai-l.y) 03-0933V . `CRUCES, ?s . b2166 HONEY RUN, CHICO Cont: BAIRD ROOFING- RE-ROOF'- 017-170-043 OOFING—RE-ROOFa 017-170-043 I CRUCES;*JOE I a • 1 I, 2166 HONEY RUN RD CHI, ` Cont: BAIRD ROOFING , , 1 RE ROOF =',' B06=2532'' ,•, ., 017-170-043 t i MISCELLANEOUS, Electric Panel t- j t- NEW ELECTRICAL PANEL. ;_ J • I 21 �� —xr nrn.T nn . - , Ilr 1 Cl t i i i t- 1 0 I y _ 017-170-043 "�-''06-2090 �. y CRUCES, JOE....M�.w` /►'Mat t '... &t j E, . P2166 HONEY RUN RDWCHICO }} N O T E S Con4' BAIRD ROOFING `F` `S t, : - 1 aRE ROOFS Y!RvxC""m . ti:, kt• ccan't • i RESIDENTIAL . APN: Permit No. t Ownei: ' t Site Address' Contractor. r Type of Permit: + eY' r r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PER= REINSPECTION FEE PAID ENV HLTH CLEARANCE .. ter,. •. DATE JOB • SIGNATURE: lilt• • - r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PER= REINSPECTION FEE PAID ENV HLTH CLEARANCE .. ter,. •. DATE JOB • SIGNATURE: +=OK o = Not OK MANUFACTURED HOMES DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn Test; FaIUCIO-Concrete 4 Wtr, Loctn-Test-Easeinent Nei!ded-Regulator 5 Elec Loctn•Clmcs-Grad Amp -Concrete 6 Yard Gas; Loctn Test Wrap Nat ❑ or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test -Demand Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-CIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD tabellinsignia Numbers Serial Numbers o'r mss' o'er �s 7 MISCELLANEOUS' DATE DECKS•COVERS'CARPORTS*GARAGES 1 Zoning -:Setbacks -Easements 2 Ftgs; SoitsSz-0pthSpacing-CnnctmSteel 3 Decks, Girders/Jotsts-Dcidng-Brcing Stairs-GuardlHandraiis 4 Wood Awn; Posts-Beams4ft# s=C_nnctrsShthg. Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs Trusses 9 Siding; Nailing VengerStucco-lath 10 Root; Shthg-Roofing 11 Ezt; Steps-Doors-Landrigs 12 Braced Wali pnls o� tea. o$ vim DATE 1POOL5 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec RcptdstWng; Distance -G171 5 Eiec pool Lgpg; 15 volts-GFI 6 Elec.Enchirs; Conduit Entries-TennInals•l-isted 7 Elec Bonding; Metal wIT Crcftng Egp-Htr 8 Elec Gmdng; Eqp w15' Crcltng Ecpr-Pool Ightg Bmces-Enclsrs-pnlboards-lnsultn•to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test Wtr Supply Test 11 Lt Niche , 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide d` o`er de a3� Pool Drawing = Nat OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Fig Main; Soils-Elec Grnd Ftp Dpth 54 Wtr Pipe- Test & Anchr-Nail Prtctn 3 Fig Garage; Soils-Steel-Elec Gmd Ftg Dpth 55 DWV; Test Fittings & Anchr. Nail Prfctn 4 Fig Porches/Decks; Soils -Steel Fig Dpth • ' S6 Shwr Pan; Test, First fir -Tub Arc 5 Stemwalts Main; Steel-Blockouts Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fre Sprinkler, Test 7 Slab, Steel Wrapped '60 Yard Gas Piping 8 Piers-Frplc FtgSteel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test ads dx 0�s� 11 Wtr Pipe; Test Anchrs-RgltrService Test 12: Elec Undrgmd DATE M E C H A N•I C A L 13 Plenums S. Ducts; Cimc-MaterialSupport4nsultn 61 AC Ducts Insulin & Support 14 GirdersSills-Anchr BoltsJoistsVnts-Cripples 62 Vent Fan, Exhatist abv Insulin 15 Acc & Vntitn 63 Condensate Drain & Ovrfiw, Sz & Grade ' 16 Insulation 64 Furnace -Vent Acc-Comb Air R&n/Vent 115 Outlet 65 Attic Arc & Pitfrm if Furnace in attic ell DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE fFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & S1deLt Prtctn-Landings 19 Bearing Walls ovet Girder: fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) ' 68 Furnace Vnts-Gime-Comb, Air•Cnnctr 21 Fire Stops; F.6rred CeilingsSta"-ChasersTubs In Garage; abv4lr-Ducts-Mech Prtctn 22 Headers & BeamsSz &'Bearing' _ 69 Bedroom Exiting 23 Hangers-P•ost:Caps-Anchrs-Pnnc ns 70 GFl & Bath Fxtrs & Tub Acc-Spa 24 CeiU'ng lolst:-Rftr Ties-Purl'uk-Roof Brac TnusShthg 71 GFl Are Fault 25 Frpte Tie's'or Type A Flui&F pie Throat Cimc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Arm Si &Rmz Piictn-0raR Stop -ins Baffies 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 73 Stairs, Guard/Handrails 28 Garage Fire PrtcM Framing -RC Channel 74 Frplc or Stove, Cimc-Hearth 75 See Outlets at Wood PnI, Int & Ext 29 Prprty Line FirewaQ& Opn0§' . 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 76 Ktchn, Fxtr & Appinc; Grhd-Air-Gap-Cooking Cirnc 77 31 Stairs; Width-HdrTn4Use-Run4-andrmg-Fire Prtctn Elec Outlets & Rcptcis at Kuhn Counter 78 Garage Fire Dobr, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic VntsWr Otitrgrs 79 AC Duct In Garage -Dampen 33 Siding -Nailing Veneer SO Wtr Htr Vnts-Cimc-Com Air Cnnctr-PRY; abv fU 34 Stucco lath Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass PrtctnSkyLis-Plastic • 81 Pimb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcis in Garage (GF) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cimc Dmge Planters Q Yes O No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs DATE ELECTRICAL 90 Wtr Well, Dscnnct, Elea Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgmd 40 Fxtr & Tmsfrmr Cimc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 VntItn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous inspctns 44 Eqp Gmd made up w/Mech Fstnm 95 Gas Test -Meters Tagged, Gas -Flet 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvi 46 2 Appinc Cires In Ktchn & Cndetr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz OCu orOAL 98 Address Posted AC Wire Sz Qa OCU or AL 99 Fire Sprinkler 48 RangeCii'c Q, OCUorOAL Oven Circ Q, O CU or OAL Insulated Neutral El Yes F-1 No a 49 Service -Riser Cndcrs &Gmd Main Dscnnct 50 Eqp Cimcs pnls-Motors-Meth Eqp 51 Clothes Closet LtShwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License ClCla s : Li�cee'nnse N� uumbb�er:� / Date: iC 1� � (,6ontraclor /T'TY // / ,/0il AI-A)Z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the "Contractors' State License Law for the following reason (Sec. .7031.5 Business and Professions Code: Any city or county which -requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner'of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such 'projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: .11 Carrier: / � T or -/ 0 /V_0 Policy #: C ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Jivith those ovisions. Date: Applicant: WARNING: re to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BP062090 Issued Date: 08/29/2006 APN: 017-170-043-000 Site Address: 2166 HONEY RUN RD CHI Map Index: Description: REROOF 20 SQ OVERLAY Owner: CRUCES, JOE & LINDA 2166 HONEY RUN RD CHICO, CA 95928 Applicant: BAIRD ROOFING CO 11025 MIDWAY CHICO, CA 95928 530-342=1631 Contractor: BAIRD ROOFING CO 11025 MIDWAY CHICO, CA 95928 530-342-1631 License #: 631460 Architect: Engineer: Total Square Ft: Valuation: Census Code: do work EXPIRES 0 S. F. $0.00 n d � v6�tla � lld. oa have been paid. ___L_— Date: Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct• and that I am the owner or the duly authorized agent of the owner'. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance o any official form or document of Butte County. thereby authorize representatives of Butte County,to_enter upon the -above mentioned property for in purjio Print Name: Signatur Date: , 0 Owner ❑ Contractor 13Agent for Owner )4gent for Contractor SOT BUTTE COUNTY 0 o DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS 0-� . " = 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0-- -=� 0 OFFICE #: (530) 538-7541 CSV N�� A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY/ -7-1-7 O _ d 43 OWNER Last Nameirst N11 JTC_Eel AM)q v Address N 160 City CA ate Zip Phoned i Fax 3VI Zip E -mai APPLICANT NAME CONTRACTOR Name City Address 0. AAF Occ. State Zip Phone Page Fax E-mail Date Approved: 1 APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Occ. State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name n V Address City rFax Zip Phone Occ. E-mail It APPLICANT i. 'l For office &4 only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP 6 BIN # Description or Scope gfWork: _ ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check. fees fo'r work plan checked and other department costs are not refundable. Received by: Receipt #: Date: Amount Bldg SRA Sheriff SMIP p� Other Ito IM Total OVER FOR SUBMITTAL REQUIREMEN 15 1' K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 6-16-04 1, LOCATION AP# Property A dress o9 _ f'l Cross Street WORKER'S COMPENSATION Policy Number r2c� y'—Nol Carrier JZ�fr& UA�� If hiring anyone odier than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope gfWork: _ ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check. fees fo'r work plan checked and other department costs are not refundable. Received by: Receipt #: Date: Amount Bldg SRA Sheriff SMIP p� Other Ito IM Total OVER FOR SUBMITTAL REQUIREMEN 15 1' K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 6-16-04 1, E BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2532 Issued: 10/26/2006 4 Address: 2166 HONEY RUN RD CHICO APN: 017-170-043 Permit Subtype: Electric Panel Owner: CRUCES, JOE & LINDA L Applicant: CRUCES, JOE & LINDA L Description: NEW ELECTRICAL PANEL MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE _0FFICECOPY`-F- Address GAS Meter By' µ—Date. ELECTRIC Meter By-- --1 Dat vw NOTES Project Final 801 % PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings III Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing -128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping - 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler -702 Do Not Insulate Until Above Signed Wall Insulation _ 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 P I 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: 2166 HONEY RUN RD Owner: permit No: B06-2532 APN: 017-170-043 CRUCES, JOE & LINDA L Issued Date: 10/26/2006 By KCG Permit type: MISCELLANEOUS 2166 HONEY RUN RD Subtype: Electric Panel CHICO, CA 95928 Expiration Date: 10/26/2007 Description: NEW ELECTRICAL PANEL (530) 342-1093 Occupancy: Zoning: FR5 Contractor Applicant: Square Footage: HANKINS ELECTRICAL CONTRACTING CRUCES, JOE & LINDA L Building Garage Remdl/Addn 139 INNSBROOK WAY 2166 HONEY RUN RD CHICO, CA 95973 CHICO, CA 95928 Other Porch/Patio Total . (530) 342-1093 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B668 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 HANKINS ELECTRICAL CONTE CSLB-854503 / C10 / 02/28/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. 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 10/26/2006 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor'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' COMPENSATION 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.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by j�j I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED Yom! CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 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' mproves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not a completed if the permit is for one hundreddollars ($100) oress. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ,,--,� r7 i CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS LSI ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' 10/26/2006 compensation provisions f Section 3700 of the Labor Code, I shall forthwith comply with those Ow is Sign re Date provisions. X 10/26/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Si re Date ARNIN AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND ALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, o,o in any way connected with H DRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is a DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. the above mentioned property for inspection purposes. I hereby certify that I am the am autho ize oact n the property owners behalf. - 10/26/2006' CONSTRUCTION LENDING AGENCYeAor I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency f fCountter a SI N] Prirlt Date the performance of the work for which this permit is issued. (3097 civ. code) 1:1 Contractor OR Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" - — - APPLICANT INFORMATION OWNER INFORMATION Last Name c City L? /� irst Name L/ o Mailing Address City City �+y/ev State StateC Zip9� y� Phone3 y� �b 3 Fax E-mail Lig. # 3 6 5 - — - APPLICANT INFORMATION CONTRACTOR Name City L? /� Address Zips 1 City Fax State Zip Phone ! ZJ- O Page Fax E-mail Lig. # 3 6 5 Class - — - APPLICANT INFORMATION ARCHITECT/ENGINEER Name City L? /� Address Zips 1 City Fax State Zip Phone Page Fax E-mail State License Number - — - APPLICANT INFORMATION Name doc .9X Address City L? /� Stal, Zips 1 Phone Fax E-mail APPLICANT SIGNATURE X For office use only: AP# Zoning Flood Zone SRA Yes No Occ. Policy Number Type Const. ` Subdivision Name LENDING AGENCY Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN N PROJECT LOCATION AP# Property Address 2/G o cV AG� City /fico Cross Street r//L E WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: - G EcfR/C/a J�/rG Sq FT- Living Garage Open Cov ❑ Structure Built without Permits. ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by' b, Amount: IV 55, 00 Bldg SRA Receipt #:c7 q Sheriff Q# QCe 4 `7 l l SMIP I & 0 j,, /� r Other Date: ( U ul i D � Total �._ . �w'r.1S.i� -' :. :'7y�.T_..v ,R,-7•�7P1W'�Y�w�'v11�! !'r._�,C �o.RY7'!\'sy '�s`7R'�vT'�":!: �`1 �+f1Rw+ a�'�c^.y .� a� �.. .,..�. Vri++, .�-.. �,� r ....,r ,.,,ai r- �.^ 7 ,r. �t COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUIL01 DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (5301)8-75403-0095 530) 8-754 0 �0 (Rev. 12/96) APPLICATION AND PERMIT C {�Ar � �� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER "r TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN,6f�iS U ADORES / r} /y it T / 1/66 CONr,QA DR'S NAME f TELEPHONE C RACTO155 MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ • ARCHITECT OR ENGINEER LICENSE NO. Film Fee '� $ 20.00 Permit Fee $ •(,� ARCHITECT OR ENGINEERS MAILING ADD - S Plan Checking Fee $ BUILDING ADDRESS (� Energy Plan Checking Fee $ $ PERMIT FEE $ 00 LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF�q Duplex ❑ Mobilehome ❑ Other SPECIE/ Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vena 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �L l r� 4 5� — Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600OR FS Main Service 2o.A VOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f ce and effect.// License Class Lic. No. �/ �� Vh 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. SLY I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance arrier and policy number are: Carrier irArE C-01,/ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wo{kers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply.with thoseprovisions.,, X i / { Date / Signature og Applicant - ❑ (Aner AContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWE1LMlCi OCCUP. So OR ADDNS. a ACC. BLDS. 3.5¢FT. tN. .c. D. MULTI.OUTLET @7,50 powFA APPARATL9 a sINGLE otmM CR. EX. Occup. OUTLET OR FIXTURES ML ® ':5. FI APPLNs. OR Ex. Occup. DU}�ETS RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 _ PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ 3 .cew�T.JvpE . TOTAL FEE $ 00 HA2. D F IMP FLOOD CDF PARCEL po HD ISSUE. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. _ I „ n /I f /, `'_ / _ 04 B JlL1LX.�' K.UJ' Date 7/� PERMIT EXPIRES ON / U `/ Date Receipt No. -;:SS WHITE-D.D.S.-B.D. CANARY -ASSESS R PINK -INSPECTOR GOLDENROD -APPLICANT �Q ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754103_„/"5 (Rev.12/95) APPLICATION AND PERMIT C (�� ASSESSOR PARCELNUMBERG J/_ j / v ZONING BUILDINGPERMIT OWNER 411V / /j� TELEPHONE SO. FT. OCC. BUILDING VALUATION J 00 . OW 5 IU 'ADDREEE% / ' / / (//]ry/9-�// / Y " [O / f V /� /'„ CO OR'S E T LEPM NE C O 5 IUNG DRES CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ Q ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ 24,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSJ /_ / LI/ l/�//l/f/C� Energy Plan Checking Fee $ $ PERMIT FEE $7t4t 00 LAT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: /2z C661— (�,� � �SSg — Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 "OOVOR LE Main 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 f ce and effect. // 7 License Class LIC. No. /f1 ,�//�/ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To 1000A 46.00 P. 3 so. NEw corsT.owEwNG occuSo ADDNS. ( FT. NOR EW CONST. MU�OUOEr NOWRESID. C @7.50 PowER APPARATUS 8 SINGLE OUTLET U OUTLET OR FIXTURES ' Ex. Occup.BAL o .so Ex. Occup. oFlx sR6.0 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. y1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance arrier and policy number are: Carrier S��r� 4(�AX Policy Num � Q L (The above sections need not bm e copleted if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the w kers' compensation provisions of ction 3700 of theUbode, I shall f with comply with those ro ' s. X Date _ _ Signa re o Applicant - ❑ Mner ontractor ❑Agent An OSHA rmit 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 � -3 r6eNax-PPE TOTAL FEE $ 444 M HAZ. D FE IMP FLOOD I CDF PARCEL PD HD Ir 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. B Date �^'� Q PERMIT EXPIRES ON _/_0 ! `/ Date Receipt No. �SS / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1294-72B I P 9EIM PERMIT NUMBER B P E PERMIT EXPIRES OWNER Don SDqngl Pr CONTR: owner LOCATION (A.P. s/s Honey Run Rd. approx'.'"i mi. above j bridge, Chico jt - 0 -7 DATE REMARKS OR CORRECTIONS � 5 L- D� �� 0 4` 5'�a�c, �,���ih�� •moi � � %L� � . � G'� ` 1 i I i COUNTY OF BUTTE Department of Public Works BUILDING INSPE^TION:,RECORD i !U Zoning Setback -7 / Forms Z/ 7� Foundation Piers &Girders Fireplace Rgh. Plumbing �— z-� --7L Bond Beam Lath &Plaster - Rein. Steel Gas Piping & Test Found. Vents Framing T' , -'� Z Plmg. Topout 9 - .7 . - % L _ Rough Elec. L - —5 — % Z Wtr. Htr. Furnace Kitchen Vent Firewall _ ELECTRIC Garage Vents GAS Sanitation & Water Temporary ��`� —% Z�� Temporary BUILDING Cert. of Occup. Final - Final Final DATE REMARKS OR CORRECTIONS � 5 L- D� �� 0 4` 5'�a�c, �,���ih�� •moi � � %L� � . � G'� ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 ��•� Telephone: -5'331230, Ext. 259 APPLICATION AND PERMIT V dutnorize representatives of the County of ttutte to enter upon the above-mentioned property for inspection purposes. X Date — as Signature of Permi tee Agent Receipt No. White-D.P.W. – Pink -Inspector – Goldenrod -Assessor - Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date -7—(--7 Z Building Permit Expires Date 7-(-'7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 6 o O Fireplace p Contractor Total Valuation 2 7 16— MaiIing Address Permit -Fee, 0-0 Plan Checking Fee &/or Penalty Permit Fee $ $ r+� Building Address .S N� %L I ro PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ,-6 4.,4p Each Trap 1.50 '; Crro Repair drainage or vent piping 1.50 Water piping 1.50 1,,—o Each gas water heater or vent 1.50 O �. _ _ Z A. P. No. .5�� Z Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept.anitatio PIannin Building sewer 5.00 Plans Fees W. C. L, --TR Encroachment Lawn sprinkler system 2.00 NEW E4--' ADDITION ❑ OTHER ❑ Permit Fee $ d?J"-v $ API a ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 g, u -to Main service incl. 1 meter r—p Additional meters, a ch 1.00 Sub -panel (12 ss) (more than 12) vZ USE OF STRUCTURE Single Family Duplex ❑ Others❑ R ge, dr er or war eater 1.00 �o Ove'15, Cook -top or space heater 1.00 Light fixtures 1010 7� Re ps., sw' hes & fix fodliets8ffip r CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: . Hood, Exan or F.A. Furn. Motor 1.00 Evap.cooler, ga sp.or1.00 Air conditioner or heat pump Water pump z coo Misc. wiring License No. Classification © i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ S WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 o'U Heating Cooling �9 Ventilation �SPermit Fee $ 13, CrP Inst rumentation q Motion $0.07/$1000 Evaluation $ / 3, $ I TOTAL PERMIT FEE $ (o�•y dutnorize representatives of the County of ttutte to enter upon the above-mentioned property for inspection purposes. X Date — as Signature of Permi tee Agent Receipt No. White-D.P.W. – Pink -Inspector – Goldenrod -Assessor - Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date -7—(--7 Z Building Permit Expires Date 7-(-'7