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017-250-003
1 r8•�" i _'s"[�T,r1• rte' ,j( �- .,,,,..a..-.a..,,,,,ip• t c—,�;i-�'�., ry _ NOW /" '�,': �' =.�% � `•'Y"` - � fir.: %.-+�• ..+� r � �(, T . A1' 10 8 �'3"P.:-,,. ..�- - - -� -- ------•--•moi= CkdW J CAM BEL AME A. TU7 S/S.Hum Chico 1 mi. E, o f. Sky 'ay 'SE cor Skywa Chi contra K. Lewis, Los os --7S (CERTIFICATE 10 8/26/81 emodel & car ort) --, ATEW OWNER 0, 7 UTTLE E end pri rd, 900'SW Humbug Rd app 8/10 mi'. E Skyway,Chico Permit#3512 18OP (extegndd gas • SF k _ ��o�.� V Permit #6149-80B,E new ( pri., arport & storage) �. J3'm Tuttle, ,�.�/ i S pri.rd"'a �7I�x�0 PP•800 SW of Humbug * Rd ,apg.8/10 of mi.E. Skyway, Chico ' antr 1 nita=pools' & ' ► , Plasferin ,E f 1 L Loomis,lCA. g� a Pie m t.1067-81BE(new'-pri r t �i ,� •.� swimmin'pool) 6 3 u NEW OWNER : RAYNpRT&'�' .FANCY' GIMBAL Cont: John Linhar.t � _ Permit #1605-86B,P,E(remodel/SF) ; t Contra John Linhart �27 Permit#1612-87P(plbg/1605-86)017-250-003 OS -36 DAUN, LOW ELL ' 342 HONEY RUN RD, CHICO ' Cont: GREENE ROOFING"::�� REMODEL /ADD/DEMO i A ♦ A .. rDAUN, 0-UO3 15-376 LnWELLONEY RUN Rl�,' CHf.co,N ® T E GREENS ROVFDM) �l� DE.lADD/DEMO T y FMK I RESIDENTIAL t APN: ' Permit No. _ Y� Owner. s 18 C�nu` src-c-. P c7� (fib L Site Address: c ��� �/a��♦���c� ��� 'f� Contractor. • Type of Permit: 3�50'1 rAt_ P1 PE To, • ,�`y OLz 'S(6& i=lR,- f i oiL- TG Cu `JE2 -A/UAQ ; OFFICE COPY LTRIC ss GAS LP } By fl Date l2- I 'O( - '`r• ' •B r ; Y Date SPECIAL CONDITIONS »y y p! CF�IE KFr0 BY T Y�. ` ❑ SRA ' ti ❑ FLOOD CERTIFICATE EQUIRED '^ ^❑FIRE -SPRINKLERS REQUIRED W r ❑ SPECIAL INSPECTION ITEMS •,- ❑ VERIFY ❑ USE PERMIT CONDITIONS f' ❑ SUB -STANDARD HOUSING LETTER �.,. ❑ ENCROACHMENT PERMIT 4, ;.,;s.x, ❑ REINSPECTION FEE PAID �t Q ENV HLTH CLEARANCE r r' ,tsx 'tDATEJOBFINALED:_, � SIGNATURE: i'���+.a��'�+*-���'"`r��,�-�' i + = 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; Fall/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd . IAmp-Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr .. 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test=Fall-Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers MISCELLANEOUS DATE IDECKS`C0VERS'CARP0RTS`GARAGES 1 Zoning Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing -CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs _ 6 Carports; Wndws-Doors _ 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath _ 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls o DATE JPOCILS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability _ 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs=pnlboards-Insultn 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 o' 04 d ds = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUND FLOOR I DATE IPLUMB NG oning-Setbacks-Easements-Flood-Slope 53 tr• Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils -Flet Grnd Ftg Dpth W i Test &Anchr-Nail Prtctn 3 Ftg Garage; Soils -Steel -Flet Grnd Ftg Dpth. �B,D Test Fittings &Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth A,o hwr Pan; Test, First flr-Tub Acc�"� 5 Stemwalls Main; Steel-Blockouts-Wrapped Te ub & Shwr, 2nd fir - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped as Pipe; Sz & Anchrs 44tu-Se --reST O W- 69 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, eel Wrapped 60 Yard Gas Piping s-Frplc Ftg-Steelt Fall -Fitting -Test -2 -way C/0 -Sewer Test 41 IF s Pipe; Sz Anchrs-Sz Test tr Pipe; Test-Anchrs-RgltrService Test 12 EI ndrgmd DATE MEC A N I C A L I s & Ducts; Clrnc-MaterialSupport-lnsultn Insulin & Support 1 irdersSills-Anchr Botts Joists-Vnts-Cripples �tFan, Exhaust abv Insulin 15 Acc & Vntltn Cate Drain & Ovrflw, Sz &Grade 16 Insulation ce-Vent Acc Comb Air RtrnNenf 115 Outlet `• iv^ W \ ttic Acc & Pltfrm if Furnace in attic 41 S c DATE F R N G Sil roper Materials &Anchrs DATE F A a1s��uds-Nailing Spacing & Braces -Plates -Sound t Steps -Door & SideLt Prtctn-Landings eafin�Wails over Girders & fir Nailing oke Detector to in Walls (rat proof) %aX-arnace Vnts-Clrnc-Comb, Air-Cnnctr tr o s, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn e er Beams-Sz & BearingErFl room Exiting ers-Post Caps-Anchrs-Cnnctns & Bath Fxtrs & Tub Acc-Spaeilin oist-Rftr Ties-Purlin-Roof Brac-TrussShthg Arc Fault 25 F c Ti or Type A Flue-Frplc Throat Clmcec Trim & Subpnl, Breaker Sis & Labels A A ; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 013 irs, Guard/Handrails ndws or Exiting Doors -Sill Ht & Dimensions VI'vr-P-1c or Stove, Clrnc-Hearth g re Prtctn Framing -RC Channel 75 Ele u ets at Wood Pnl, int &Ext l P Line Firewall & Opngs xtr & Appinc; Grnd-Air-Gap-Cooking Cirnc Do Ks -One T -Check Garage 3rd Story, 2 Exits tlets & Rcptcls at Ktchn Counter 31 S ' s Width-Hdrm-Rise-Run-Landing-Fire Prtctn Fire Door; Swing -Landing -Closure on RoOvrhng-Attic Vnts-Rftr Outrgrs IFQg"' ct in Garage -Damper PG1d.zidnQLA,ea0-CG ailing Veneer tr Htr; Vnts Clmc Com Air Cnnctr-PRV; abv fir o ath-Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain lass Prtctn-SkyLts-Plastic (a3 ffimmb; Elec & Mech Eqp Listed for Loctn ear Walls; N� $2'Erc Rcptcls in Garage (GFI) Romex Frtctn 411� nls 1.012 IND V � Iin-Foam -Looked in Attic 38 Insultn-Walls-Ceilings j5_GC(ard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 45.Fridn Vnts & Crawl Hole Dr Drnge & Wood -Earth 86 Clrnc Drnge Pla s ❑Yes DNo °'• cmc 0c Bro• �` 88`A�Unit Dscnnct, Elec-Plmb 89_VY6 abv Roof, Pimb-Appinc-Frplc-Clrnc to Opngs DATE E L T C A L bb-4tr Well, Dscnnct, Elec, Plmb 416 F rnsfrmr Clrnc4ns Prtctn 9� t Elec Trim, GFI Rcptcl-Undrgrnd cls Spacing-Lts & Switches at Doors 91y tftn thru House S ixe & No Of Cndctrs Stapled Q3 Bfass Prtctn x I stalled Close to Edge of Studs & CJ 4 r ctions from previous Inspctns E rn ade up w/Mech Fstnrs a Tes -Meters Tagged, Gas-Elec r g Electrode Bond Gas & Wtr Sewer Cnnctd-CIO to grade -HD Apprvl Appinc Cires in Ktchn & Cndctr Sz GFI Entergy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 9 ❑ CU or DAL 9S ddress Posted AC Wire Sz sa ❑CU or DAL 99 Fire Sprinkler 48 Range Circ ga CU or AL 9 Oven Circ ga D Cu or ❑AL In at d Neutral❑Yes DNo ° '3-kc(—o-1 l� C— o'er S ce-Riser Cndctrs & Grnd Main Dscnnct Eqp Clrncs pnls-Motors-Mech Eqp 51 C es Closet Lt-Shwr Lt -Spa Lt :. Smoke Detector 03,'15/2007 THU 15: 44 PAX 0001/001 INSULATION CERTIFICATE ► Job Number: 7597 CLFAW BRUNO 342 HONEY RUN RD., CHICO CA Contractor/Owner Name Job Address (street, city, state) BUTTE County Subdivision Name W Number DEAM2X= OF INSTALLATION 1. ROOF Material; Brand Name: Tkickness (inches): Thermal Resistance (R.Vs1w): 2. CEIkING . Bait or Blanket Type:- _ Fabea�l8ss Brand Name: I uuf Thicknew (inch a). 10 Thermal Resistance (B Vaiae): 30 Loose Fill Type: FiberOass Brand Name: Knauf Minimum Installed Weight/it .431 lb Aininium TY'hieknw: 10.25 inches Manddachwer's installed w•eilpt per square foot to achieve IMermall•Resistance (- Vakc): 30 3. EXTERIOR WA1LL Frame Type: A. Cavity Insolatiaam Material= _ Mergus Brand Name- Nnalf Thickness (inches): 6114 & 31/2 Thermal Resistance (lt Veluc): 19 & 13 S. Exterior Foam Sheathing Ma"al: Brand Name: Thickaess ('inches): Thermal Resistance (R -Value): 4. RAISFkD Material; ss Brand No- Knanf Thickness (inches): 61/4 Thermal Resistance (R Va We): 19 S. SLAB FLQQRIPERIMETFR A'iateria k Brand Name: Thiclmess (inches): Thermal Reaista= (13-WIue): Perimeter Insulation Depth Ine6es: 6. FOUNDATION WALL Material: Brand Name: Thickness (hiches): Thermal Resistance (It Valut): DECLARATION I hea:+cby certify that the above insulation was installed in the building at the above location in conformance: with the current Energy Afficiemy RYandatrdy for residential buildings (Title 24, part 6, California Code of Regulations) as indicated on the Certificate of Compliance,w applicable, 2, 3 & 4JJ)14 ;— fes` Chico Insulation & Fireplam es _ Item Number's Signa are and imte Installing Subcontractor (Co, Name) or Item Number's Signature and Date General Contractor (Co. Name) or Owner InstAing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner COUNTY OF BUTTE BUILDING DIVISION w. F DEPARTMENT OF DEVELOPMENT SERVICES Cr 7 County Center Drive • Oroville, CA - (530) 538-7541 r- 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. ?i Rbu 16 F r hE 0(F-A-2t4ti(CE 14N PAS/ I/(SPE C -Tion/ FEE 110 Cou/%,(TV A-( C f i FCla X_ 0 X_ -ro PROJEC- FINAL- 140 INAL1GLI i o i F( CE 07NJ C C 0-6 F _ET q —7 f Date _�� / f r Inspector ��� 1� q,,q L �2 REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE " BUILDING DIVISION A4 - DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE CSS -a -7C, y 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. ZOUI C)U'i c QTS - � P IZO V � Q E t'1'l �j � ► T i-1 � r C� t p�<� c' _i. o N A N C-, r I /;C� i rC°', F --b IC IRC°ii % 1 R6U / "N1/'6 C41I- St��l i3 f� �S'Tb2 PTA c ! 17 C 14r0-� lSc�ni� w�'Trl 'NK _Tc eC_ F1, Qz CIRc'u17- - -110, , A ,, ('0AH)tAC rt01Z NIA 16IA16 OUB Or` 'Y� IY�A /nl Pf1A/EL l C -Ab Al G -70 r,/9R,-9(7,L/ s V rZ go U I D C e AC e FC.czu PRFV 6,kn1 �)ti/ U/rE d N ALL 0ME61B65 SEAL E lzFl7in. lS /w r i2ii(o-,E 1 Rbj DE- cl)>= ?j�( r -e cL Date - 1 Inspector ! ��r2P f1 2 f 6 T REV 4/05 Phone # —5 3 - FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 e 1 e 1 Ccn�fP�� U-)/Tf4 TITC.0 aY /3cau/izE,,kie7A/?S Cv, � COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. .. - �a A routine inspectio indicates that the following violations of Butte County Ordinances exist at r the above addr s and should be corrected. Please call for re -inspection when correction of z work is com I�ed. If you have any questions pertaining to this matter, or need additional explanatio , please contact the Building Inspector as indicated below. GI/ i_�-1 3/L,( '' i73 /ill----� ' A< ///,- lZeW , ,'Z_. Date Al Inspector ��G�/�i %% / / Y ��� REV 4/05 Phone # " FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 , *� .. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 r� CORRECTION NOTICE �'• �r_ :rte, � ��_ =- �2%� y 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 call fgr�re-inspection when correction of work is completed. If you have any questions pertaining :to this matter, or need additional explanation, please contact the Building Inspector as indicated_ below. zm Date Inspector REV 4/05 / Phone # " FOR RE -INSPECTION CALL: -'538-7636 OR 891-2834 t BUTTE COUNTY '.t DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT. ,.s 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 i PERMIT -NO.. BP061555 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS DECLARATION l I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/28/2006 APN: 065-010-062-000 the Business and Professions Code, and my license is in full force and effect.lmCt�jQ�[u, ,5 License Class : �_ License Number: .,5741 Site Address: Nµ qq ^ ag Q,f4 j UU Map Index: �l qS 151 Date: Contractor.' 7y .DN } k Description: ELECTRICAL FOR WELL & FUTURE LOT OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the * DEVELOPMENT 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 Owner: AN HYUNGW & AHN SUKYOUNG 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 1294 WOODCROFT LANE she is exempt therefrom and the basis for the alleged exemption. Any PARADISE CA violation of Section 7031.5 by any applicant for apermit subjects the 85969 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 876-1100 (530) 680-6715 CELL ❑ 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, Applicant: TUAN DA BUI provided that such improvements are not intended or offered for 4995 MALIBU DR sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of ' PARADISE CA ti proving that he or she did not build or improve for the purpose of 95969 sale.). (530) 877-6821 ❑ 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.). Contractor: TUAN DA BUI ❑ 1 am Exempt under Article 3 of the Business and Professions Code 4995 MALIBU DR PARADISE CA Date: Owner: i. 95969 t (530) 877-6821 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 License #: 574105 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation i Engineer: ' insurance carrier and policy number are: / Carrier: (� (/ ` Policy #: 0 S. F. Total Square Ft: , ❑ 1 certify that in the performance of the work for which this permit is Valuation:$0.00 _ —a ___ _. issued, I shall not employ any person In any manner so as to 1,•-, = -� —' F7 C-1 Census Code: P&V become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' , OFFICE COPY compensation provisions of Section 3700 of the Labor Code, I shall forthwith those /r� 60 5�J�OI comply with provisions. r Address ` 'O R alm' 1� A J �► w !A Date: Oa • • - � � �, Applicant: ,(j-/�/ L'/ GAS Meter By Date WARNING: Failure to secure workers' compensation coverage is ELECTRIC V unlawful, and shall subject an employer to criminal penalties and oneMeter y By DatelSLoU� 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. 1i •/�//- /\� �J(/ " �� �j ' CONSTRUCTION LENDING AGENCY Thi permit's hereby under pllcable provisions of the Butte Count' Code and/or I hereby affirm that there is a construction lending agency for the Re olutio to do work indicated ove or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) . �j�- `7 �/ By: Date: w o1 Name: //---2- PERMIT EXPIRES ON: (� - � Address: Address: Date ❑ 1 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 ✓3, 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;beavoaer_�agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docu415t of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: l by F:;, / Signature: 11 Date: / ❑ Owner C}1 Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 _ PERMIT NO. BP053276 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 02/16/2006 APN: 017-250-003-000 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 : ✓ License Number: i 2 3 a0 -3 Site Address: 342 HONEY RUN RD CHI Date: 2 -/ 6-O & Contractor: Map Index: Description: ADDITION (1424) REMODEL (900) OWNER -BUILDER DECLARATION 1 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 Owner: DAUN, LOWELL G AND DOROTHY D 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 342 HONEY RUN RD the Contractor's State License Law (Chapter 9 commenting with Section CHICO, CA 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 95928 violation of Section 7031.5 by any applicant for a permit subjects the 530-892-1345 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 Applicant: BRUNO, GLENN 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 131 MAIN ST sale. If however, the building or improvements are sold within one CHICO, CA 95920 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, Contractor: BRUNO, GLENN and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 131 MAIN STCH ❑ I am Exempt under Article 3 of the Business and Professions Code ICO, CA 95920 Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 323003 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: g 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: Carrier: Total Square Ft: 1424 S.F. Policy #: Valuation: $92,560.00 �( I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: allure to secure workers' compensation coverage is unlawful„a d 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 ir. Section 3706 of the Labor code, interest, and attorney's fees. ��� CONSTRUCTION LENDING AGENCY This permit is hereby sued under the applicable provisions of the Butte County Code and/or 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.) Resolutions to ork indicated above for which fees have been paid. Name: By: Date: v Address: PERMIT EXPIRES 0 (Date) ❑ 1 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 of any o ial form or do ment of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. G U N Print Name: Signature: Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor S. C. Building Permit 01-16-04 pg 1 4 , • . 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 OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last NameDAu�( First ame , / Address 3 e� Z / OHG RUN City 4:z Stat ZipQ� Phone Q 9a . /3 y� v Fax E-mail CONTRACTOR Name GG.�NIV/2vNv Address City G State Zip'9s7 Z$ Phone Fax E-mai��Af� IS/tuUU LiWjg23oo3 I C*S APPLICANT INFORMATION ARCHITECT/ENGINEER Name Gc.c.vn� �3lj �,uv Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name L6tiiv u�uo Address City State Zip Phone Fax E-mail N T SICyVA TURE i Foro use only: nig Property Address ,3 YL j'*0&y /L� IQO Flood Zone I SRA Policy Number ) / r (ZA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT BP PROJECTLOCATION O/ 7 -zW/ f Property Address ,3 YL j'*0&y /L� IQO City Gff/G O Cross Street skrw Ry WORKER'S COMPENSATION - Policy Number ) / r (ZA 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:I�a� Emo4EL � i4/� i?/ocJ ;p-wo Sq FT- Living qg4C-ara^ �� Open Cov ❑ 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 workplay ch j p ot4er de artment costs are not I i �i : �Y refimrlahler. 1 �) / OVER FOR SUBMITTAL REQUIREMENTS 11 K•\Fr1RMC\RI In flim(: Fr)RhAC\RIrinAnnl.RiihRnmtc Mr. Paoe 1 of 2 by: Amount: V Bldg ' DU+SRA Receipt #: Sheriff SMIP Other Date: Total REV 8-12-05 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 manual, (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. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:l ( ASSESSOR PARCEL NUMBER o' l • ! UG v Proposed Building Use: A �� CQQI ermit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 15 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. / 4. Engineered truss details and layouts in duplicate. No faxesl ❑-� 5. Letter from Engineer or Architect for truss design review. ti. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. 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. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. br ❑ 11. Hazardous Material Form J ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ QVrosion Control Plan Required...........................................................ees as shown on the attached Schedule of Fees Due Sheet ............................i. ity of Chico Plumbing permit........................................................................ (� ❑ 21. Site plan and business license approval'from the Ch. Biggs........�heck.--- 1C<_ .. j 22. California Department of Forest Ian approval topaid. Sentby: �..... n23. Planning approval for (A) User (B) Parking: (C) Parce....... ZGi�b ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ i 25. Fire Marshall Review (commercial projects only). Sent by: ...................... NPDESForm............................................................................................. _ ncroachment Permit for driveway from the Public Works Dept ........................... Contractor's license information. (Number, Name Style, Classification) ................... Cl .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. Cl 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone 93 � \.2L,� and hold for pickup. have been informed of'W above items and requirements for obtaining a building permit. Applicant: Date: 1. Index pe�V pplication for -the above items numbered: Plan Check Letter items required ConCac't signer, owner, was advised of the above data by 'phone, ❑ mail, ❑ counter, by Date: 23'0 (� or, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, . ❑ mail, ❑ co919r, by Date: Plans reviewed by: Date: Plans approved by:� Date: /' d Structural reviewed by- Date: Structural approved by: Date: Note transfer by: Date: / Yellow: Building Division K/Building/Plan ChecklData Sheets/data sheet page 2 9.27.05 s: 9 NEC,2 8 .2005 � BUTTE COUNTY o II o DEPARTMENT OF DEVELOPMENT SERVICES o o BUILDING PERMIT APPLICATION o o AND. SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 O ' o OFFICE #: (530) 538-7541 C - A FEE WILL BE REOUIRED AT TIME OFAPPLICATION �(JNWebsite: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name V^/ First ame /MjA\ Address 3 y Z 14,4^6% Rum 12-4 City � q1Gb Slat ZipC�C Phone 9 ?z — /3 yJ Fax E-mail CONTRACTOR Name GLENN/2UNv Name Address /s/ ft4.,,v ST City G f /!G O City State Zip9S4?Z% Phone S9S - Phone Fax E-mailrvN /f /LUNO L�ij2 3003 Class r� vi r • v v . � APPLICANT INFORMATION ARCHITECT/ENGINEER Name GL G.Vi>✓ i3l1 vA)U Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Z -04-/v uN6 Address City State Zip Phone Fax E-mail NTSIGPNATUREPAP For o use only: nig 5 1 Flood Zone Cross Street skr��y SRA Policy Number ^I / r No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP , BIn PROJECTLOCATION Property Address 3 yL /Lv pj ALO City I CHl c O Cross Street skr��y WORKER'S COMPENSATION Policy Number ^I / r 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: j4gLl Ef»oiJ E G 1 4,0, /71 OAJ Sq FT- Living 14 C -Ora �,G- Open Cov OVER FOR SUBMITTAL REQUIRhMhN 15 1 ❑ 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. by: Amount: JL� �L. Bldg SRA Receipt #: Sheriff SMIP Other Date: 51G� Total W 7 z CDF FIRE SAFE REQUIREMENTS I I AP# 017-250-003 PERMIT # 05-3276 NAME: Daun Under authority of Public Resources Code Sec. 4290, the following checked items are required by the Butte County Fire Department and made a part of this permit. These requirements are minimums and may be superseded by Butte County local regulations, which equals or exceeds these standards. Butte County Building Inspectors will make compliance inspections. Driveway Standards [Xj All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. [X] Surface. All driveway surfaces and structures (bridges, culverts and other appurtenant structures which supplement the roadway bed or shoulders) shall provided unobstructed access to conventional drive vehicles, including sedans and fire apparatus weighing up to 40,000 pounds. [X] Grade. Not to exceed 16 percent unless paved or concreted. Grade will not exceed20 percent. Driveway Radius [X] No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. Pq The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet radius. [X] Turnarounds. Required if , driveway is over 300 feet in length, will have a minimum turning radius of 40 feet from the center of the road and be located within 50 feet of the buildings. pq Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 -foot taper on each end. [XJ Width. All driveways shall provide a minimum 10 -foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. [X] Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. Gates [X] 1. Gate entrances shall be at least two feet wider on each end than the roadway they serve. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on the roadway. 3. Where a one-way road with a single traffic lane provides access to a gate entrance, a 40 -foot turning radius shall be used. C IC F Is E Q U I R E M E N T S Z4 Addressing [X] All buildings shall have a permanently posted address, which shall be visible and legible from both directions of the road the address is located. The address shall be posted at the beginning of construction and maintained thereafter. Accessory buildings are not required to have a separate address posted. [X] Size of letters, numbers and symbols for addresses shall be a minimum of 3 inch letter height, 3/8 inch stroke, reflectorized, and contrast with the background color of the sign. [X] Where addresses cannot be seen from the roadway, the address shall also be posted a single post located at the intersection of the driveway and the road. Setback for Structure Defensible Space [X] Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided, for by the landowner. [X] 1. All parcels 1 acre and larger shall provide a minimum 30 -foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See "Other Requirements below. [X] Disposal of Vegetation and Fuels: Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction of flammable vegetation and fuels caused by site development and construction, road and driveway construction. Disposal shall be completed prior to completion of road construction or final building permit inspection. Other Requirements [XJ If your property was part of a parcel split after 1990, you may be required to install residential fire sprinklers. It is your responsibility to inspect the official parcel map to confirm if sprinklers are required. [ ] If Building Setback is 15 to 30 Feet: ✓ Class A roof ✓ Fully enclosed eaves [ ] If Building Setback is Less Than 15 Feet: ✓ Class A roof with fully enclosed'eaves and choose any 2 of the following: ❑ Metal or no doors on side toward property line with insufficient setback ❑ Interior automatic sprinkler system per NFPA 13D ❑ Glass area not to exceed 10°,6_ of wall area toward property line with insufficient setback ❑ Siding from the following list: o Stucco — 3 coat o Hardi-Board or Plank o Masonry o Masonry Veneer o Metal [ ] No Additional Requirements 12/28/2005 Darren Read Date Signature C F [a E BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner DAUN, LOWELL APN No: 17-250-003 Application Date 12/15/2005 Permit No: BP 5-3276 `eR,ECEIPT D TE Tech/nest 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $1,292.27 ;,775 316 44�y�j4 ) Plan Check portion of Permit Fee $516.91 2 FEMA NX Yes Flood Elevation Review $109.98 $109.98 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 $95.00 (State Responsibility Areal Building Inspection $109.98 $109.98 NON-REFUNDABLE portion of fees due at application $721.89 RECEIPT DATE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $831.871 4431911 1;/15/05 Karen_ • 4 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) x$9.26,* 7,.4 14 7 � 5 Additional Plan Check Fees (NON-REFUNDABLE) 6 Other*: 6a Other*: FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 7 IMPACT FEES - RESIDENTIAL* I Per Dwelling Per Dwelling Per Dwelling Applications After 2/14/05 # SFD MFD # MH County 4096.87 3071.14 3117.43 Chico Urban Area 5372.09 3995.45 4889.56 EI Medio Fire District 3128.31 2297.77 2326.36 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 7938.531 6757.081 7633.49 �Oc R-1 8031.53 6850.08 7726.49 ° R-2 7541.531 6360.081 7236.49 R-3 6780.531 5599.081 6475.49 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 8 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* 9 CHICO STORM DRAINAGE 770 Butte Creek $7,736 MASTER PLAN 771 Comanche Creek $8,069 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 New construction, vacant 774 Lindo Channel $8,139 land, on 1 acre or less - 775 SUDAD Ditch $6,975 Enter 1 or less acre value 776 Mud -Sycamore Creek $6,070 RECEIPT DATE Tech/Asst 1777 PV Ditch $8,603 9a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 10 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 10a Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office._, 11 SCHOOL DISTRICT FEES' Chi¢o Unified School DistnCt 062 • V26 )104W I ___ 111 11a RECREATION DISTRICT FEES' Chico' • mQl��d ib� 'f.TO • At the time of permit application, I as i 1<�theYabove ees�.e fired to be paid W Tse ua a permit. The fes ay be c a ged du'(p9 checking process: ` Applicant: Date: /,2 Pursuant to GovernmSpkode Section 66020,lou are hereby notified those Items followed by an "" may have been imposed on your project. You have 90 days from the date of apal of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Govdrr6ent Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 1105 Department Michael Crump, Director - Of public C3 f B U t...t Works LAND DEVELOPMENT DIVISION Storm Water Management pro;rarn 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant . Discharge Elimination System . (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Poi llution Prevention Plan (SWPPP) Acknowledgement [LESS THAI�d �1CRF Project Description- 71-,f a�E L Project Location audlor Parcel Number: gning below, I, the project owner/owner's agent, certify this project WILL By siNOT DISTURB acre or more of land and that I, the, do not need to apply for a Construction Storm Water Permit fron the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Perrnit from the State of California Regional Water Quality Control Board. i am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. sult in revocation of grading and/or other permits or other that disturbs one acre or more of land may re sanctions provided by law. Signed: Title: Date: TTFo& D'epartrnent ®f Public Works ° C o u n t y o f B u t t e O O O O 7 County Center Drive \O O Oroville, CA 95965 cOUNJ. Michael Crump, Director (530)538-7681 A y (FAX) 538-7171 veUe Wpp`� Shawn H. O'Brien, Assistant Director Assessors Parcel Number: ©1 -� - 2-50 " Dos Building permit # (Q'S-- Owners Name: L c3 cA-,) L= `` Owners Mailing Address: f4 O N e y Q --u,14 t2-0 Property Address: 04 M ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption:. - . - , ❑ Not a County maintained road ❑ Existing driveway conforms to County S-31 standard , ] Other 4'A- L Approved b Printed Name (90a, JC -/-,S Titleol Date 2 U CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage.' 2. An existing home with only minor remodeling or repairs. BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) ` `� a Building Permit Number (J5 Property Owner (s) L—�M4 0 Project Location /Address Subdivision Name CZ Assessable Sq. Ftge Type of Residential Development (check one) New Develo m Single Family -Detached Single Family -Attached Ll I-Alteration/Additio s Non -Residential to Residential Multi -Family Dwelling mile ome Mobile home replacement verified by Assessor Department Demo Permit (date issued Comments:_ / �C verified by Building Department Building Department 0 FRRPD 0 CARD 0 PRPD ❑ DRPD certifies that: Applicant Name Phone Number 15- 17' e-141 G o ,S— j Z Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. �'"®C� •t i by Payment of - Dwelling Units @ $ %� per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by ck No: Paid by Cash: Receipt No: Recreation and Park District Representative Date UFORMSWILDMG FORMS\park-rec standard form rev Ldoc School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM (One form per Building) Building Department No. 0111 �"�?% Jurisdiction: Q City County Property Location/Address Subdivision JN -/1 Ci0 Lot No. 6 �) - -510L -I G ,.AC6 I.............................................................. Residential Development Q Q Q :Sq. Footage ' �1 No of Living Mobile Home / 'Supplemental to O12 cW0 (Group_ R) Units Installation on ermit # C$ No foundation inspection) `• C(p �j (� U i ✓aCl ti ........... �................. ..... ...... c, a Deed Restricted Sq. Footage 1340 /W ' + (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial New Addition Building Department Representative Sq. Footage (Including Exterior Roofed Areas) Date r District Identification No. (Street Address) (City) School District certifies that (State) (Applicant) (Phone Number) (Zip Code) has complied with the requirements of Resolution No. WW by payment of $ � representing (J{lJ square feet. 1�13 2926 $ k ULL MITIGATION $ _ V Date Paid by Check # v� Remarks: Nodce: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. H, subsequent to the School District Representative signing thhi 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 GuaNty Act (CEQA), this project may be subject to additional school fees to fully mid" Its Impact on the school districrs schools. White (school district), Yellow (building department), Pink (applicant) feefam.xls (3/05W= 0 Vii' FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ,. ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION SForinsurance Comparry Use; BUILDING OWNER'S NAME %PolicyzNirriber T Lowell Daun BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. CompanysNAIC Number 342 Honey Run Rd. CITY STATE ZIP CODE Chico CA 95928 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUTTE COUNTY APN: 017-250-003 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL ADDITION LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( W-##' -##.##" or ##.##NAIP) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP COMM1UNrrY NAME & COMMUNITY NUMBER B2 COUNTY NAME B3. STATE BUTTE COUNTY UNINCORPORATED 00617 BUTTE. CA B4. MAP AND PANEL . FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX I B6. FIRM INDEX DATE I EFFECTIVFJREMSED DATE B8. FLOOD ZONE(S) (Lone A0, use depth of flooding) 06007CO510 D 4/2001000 AE 248 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other (Describe): B11: Indicate the elevation datum used for the BFE in B9: N NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: N Construction Drawings' N Building Under Construction" ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A9,A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARAE, ARIA1-A30, AR/AH, AR/AO Complete Items C3. -a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum -to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum N/A Conversion/Comments NGVD 29 Elevation reference mark used BC 1177 Does the elevation reference mark used appear on the FIRM? ❑ Yes N No ��• - " e :.r ^: o a) Top of bottom floor (including basement or enclosure) 253. 33 ft.(m) o b) Top of next higher floor 254. aft -(m) o c) Bottom of lowest horizontal structural member (V zones only) N_A • _ft(m) ob o d) Attached garage (top of slab) WA. _ft.(m) o e) Lowest elevation of machinery and/or equipment 253.43 ft.(m) S servicing the building (Describe in a Comments area) >S � r,:"U• ��� p o f) Lowest adjacent (finished) grade (LAG) 252.60 ft(m) o g) Highest adjacent (finished) grade (HAG) 253. 35 ft.(m),, o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade WA o i) Total area of all permanent openings (food vents) in C3.h WA sq. in. (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION Thiscertification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 8,. and C on this certificate represents my best efforts to interpret the data available. 1 understand that an false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. - CERTIFIERS NAME TIMOTHY C. WOOD LICENSE NUMBER R. C. E. 61779 EXP, of 11 11, TITLE REGISTERED PROFESSIONAL E I C I U riiGOMPANY NAME THE ENGINEERING GROUP, INC. ADDRESS STATE ZIP CODE 1250 EAST AVE UE . #10 0 CA 95926 SIGNATU DATEi ��( TELEPHONE J 530 899-0409 i FEMA Form 81-31 January 2003 _� See reverse side for continuation. ; -r Replaces all previous editions U946iNA-� I vi t3w�. IMPORTANT: In these spaces, copy the corresponding information from Section A. Ins""'GO'* paiiy;Use;( BUILEAG STREET ADDRESS (Including Apt, Unit, SuiLa, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. POfuy,Number 342 Honev Run Rd. CRY STATE ZIP CODE Company NAIL Number Chico CA 95928 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent1company, and (3) building owner. COMMENTS Pre -construction Addition flood certification. C3: Butte Co. BM 1177 FJ: 269.90 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the buildiing, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) [:]above or ❑ below (check one) the highest adjacent grade. (Use . natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher. floor or elevated floor (elevation b) of the building is —ft.(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner kir owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.1 only), and E for Zone A (without a FEMAassued or community - issued BFE) or Zone AO must sign here. The statements in Sedions A, B, C,: and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME TIMOTHY C. WOOD ADDRESS CITY S H t ur �,vuc 1250 EAST AVENOE 4tE#10 CHICO CA 95926 SIGNATURE / DATETELEPHONE ID 530899-0409 ❑ Check here if attachments SECTION G -'COMMUNITY INFORMATION.(OPTIONAL) The local official who is authorized by law or ordnance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. F1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate'the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA4ssued or communitymissued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes. FA PFRMrr NI IMRFR G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ft(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ fL(m) Datum: — LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS FEMA Form 81-31, January 2003 Replaces all previous editions FEDERAL EMERGENCY MANAGEMENT AGENCY ,a NATIONAL FLOOD INSURANCE PROGRAM' O.M.B. No. 3067-0077 ` Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A- PROPERTY OWNER INFORMATION ForlruuranceCompany. Use BUILDING OWNER'S NAME PohcyNumber Lowell Daun BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAILN�r�,�� k 342 Honey Run Rd. CITY STATE ZIP CODE Chico CA 95928 nrr �5 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUTTE COUNTYAPN: 017-250-003 DEVE OPMF *T BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) SERVICES RESIDEN11ALADDMON LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM7 SOURCE ❑ GPS (Type): ( #1P - ##' - ##.##" or ##.#####� ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAME B3. STATE BUTTE COUNTY UNINCORPORATED 00617 BUTTE CA B4. MAP AND PANEL B7. FIRM PANEL , , B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREMSED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 0600700510 D 4010/1000 AE 248 r 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ' . • ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located iri a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ® Construction Drawings' ® Building Under Construction' ❑ Finished Construction *Anew Elevation Certificate will be required when construction of the building is complete. , C2. Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, ARIAH, AR/AO. Complete Items C3. -a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. _ Datum N/A Conversion/Comments NGVD 29 Elevation reference mark used BC 1177 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (inducting basement or enclosure), 253. 33 ft.(m) m €e, 5' " •. o b) Top of next higher floor 254.33 ft.(m) N '-,z GV* O x''y1,,4 �;7 o c) Bottom of lowest horizontal structural member (V zones only) N_A . _ft.(m) y o d Attached a to of slab 9�9 (P )' NIA. _ft.(m) ��%a� i�a �``'I� � • o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 253.43 ft.(m) a o f) Lowest adjacent (finished) grade (LAG) 252.60 ft.(m) z,m o g) Highest adjacent (finished) grade (HAG) 253. 35 ft.(m) ��31,• ,� G o h) No. of permanent openingi (flood vents) within 1 ft. above adjacent grade N/A '��% . `" '��..� •"' db ''d o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U• S.'Code, Section 1001. CERTIFIERS NAME TIMOTHY C. WOOD LICENSE NUMBER R. C. E. 61779 EXP. / �o/o� TITLE 'REGISTERED COMPANY NAME THE ENGINEERING GROUP, INC. ADDRESS — CITY STATE ZJP CODE 1250 EAST AVENU" EST . #10 CHICO CA 95926 SIGNATURE DATE �� TELEPHONE �- 530 899-0409 FEMA Form 81-31 January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section k For Insurance Company use BUILDING STREETADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number' 3$2 Honey Run Rd. CITY STATE ZIP CODECompany NAIC Number. Chico CA 95928 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS Preconstruction Addition flood certification. C3: Butte Co. BM 1177 El: 269.90 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(crn) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft,(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sectors A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAAssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME TIMOTHY C. WOOD ADDRESS CITY STATE ZJP CODE 1250 EAST AVEC E S, tE #10 /1 CHICO CA 95926 QrAIATI IRP / nATC / _ TCI COUnKIC 530 899-0409 ❑ Check here if attachments SECTION G -COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA4ssued or community4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes, G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _. _ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS FEMA Form 81-31, January 2003 Replaces all previous editions ' FROM THE ENGINEERING GROUP INC. (THU)DEC 15 2005 15: 02/ST.15: 01/No.6800885482 P 1 THE ENGINEERING GROUP, INC. 1250 East Avenue, Suite 10 Chico, CA 95926 ` Ph: 530-899-0409' Fa: 530-899-0943 ax To:a-,Fax: _ V f ComParry Phone: ' From: Date: Re: Total Pages: ❑ Urgent ❑ For Review ❑ Please Comment OPlease Reply ❑Please Recycle • Comments: U , 0 ctni ' r FROM THE ENGINEERING GROUP INC. (THU)DEC 15 2005 15:02/ST.15:01/No.6800885482 P 2 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important Read the instructions on pages l - 7. SECTION A - PROPERTY OWNER INFORMATION Fpl(i;iretce;Caiyusg: `: BUILDING OWNER'S NAME Fotcji Number: Lowell Daun _ - BUILDING STREETADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. CQtnpanyyfC Nu[titei° 342 Honey Run Rd. CITY STATE ZIP CODE Chico CA 95928 PROPERTY DESCRIPTION (Lot and Block Number;, Tax Parcel Number, Legal Description, eta) BUTTE COUNTY APN: 017-250-003 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, ff necessary.) RESIDENTIAL ADDITION LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): ( ##'-##.##" or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME 8 COU"ITY NUMBER B2 COUNTY NAME -T 83. STATE BUTTE COUNTY UNINCORPORATED 00617 BUTTE CA BIO. Indicate the sourced the Base Flood Hevaticn (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Detemmined ❑ Other (Describe): _ 811. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 812_. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPO)? ❑ Yes ®No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ®Construction Drawings' ® Building Under Construction' ❑ Finished Construction A new Elevation Certificate will be required when construction of the building is complete. CZ Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. if no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, ARIAH, ARIAO Complete Items C3: a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum WA ConversionfComments NGVD 29 Elevation reference mark used BC 1177 Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No o a) Top of boom floor including basement orenclosure) 253. 3311L(m) o b) Top ofnexlhigherfloor 254.33ft(m) o c) Bottom of lowest horizontal structural member (V zones only) N_A . _ft:{m) .3�� o d) Attached garage (lop of slab) NIA. _ft(m) o e) Lowest elevation of machinery and/or equipment " ` ; y af ` Y, servicing the building (Describe in a Comments area) 253.43 ft(m) "' { o f) Lowest adace nt (finished) grade (LAG) 252.60 ft.(m) z' m �, , '''• D• _ _ -- _ -- - + o g) Highest adac ent (finished) grade (HAG) 253. 35 ft(m) permanent openings flood vents within 1 ft above adjacent grade NIA o i) Total area of all permanent openings (flood vents) in C3.h NIA sq. in. (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by taw to certify elevation information. I certify that (he information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIRER'S NAME TIMOTHY C. WOOD LICENSE NUMBER R. C. E. 61779 EXP S o�o� TITLE REGISTERED PROFESSIONAL ENGINEER COMPANY NAME THE ENGINEERING GROUP. INC. ADDRESSCITY STATE ZIP CODE 1250 EAST AVE UE . #10 CHICO CA 95926 DATE l �j/1/ t V o` TELEPHONE J 530899-040 FEMA Form 81-31pianuary 2003 See reverse side for continuation. Replaces all previous editions B4. MAP AND PANEL87. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUWER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREVISED DATE 138. FLOOD ZONE(S) (ZOMAO, use depth of kWirg) 0600700510 D 4/10/1000 AE 248 BIO. Indicate the sourced the Base Flood Hevaticn (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Detemmined ❑ Other (Describe): _ 811. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 812_. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPO)? ❑ Yes ®No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ®Construction Drawings' ® Building Under Construction' ❑ Finished Construction A new Elevation Certificate will be required when construction of the building is complete. CZ Building Diagram Number 8 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. if no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, ARIAH, ARIAO Complete Items C3: a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum WA ConversionfComments NGVD 29 Elevation reference mark used BC 1177 Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No o a) Top of boom floor including basement orenclosure) 253. 3311L(m) o b) Top ofnexlhigherfloor 254.33ft(m) o c) Bottom of lowest horizontal structural member (V zones only) N_A . _ft:{m) .3�� o d) Attached garage (lop of slab) NIA. _ft(m) o e) Lowest elevation of machinery and/or equipment " ` ; y af ` Y, servicing the building (Describe in a Comments area) 253.43 ft(m) "' { o f) Lowest adace nt (finished) grade (LAG) 252.60 ft.(m) z' m �, , '''• D• _ _ -- _ -- - + o g) Highest adac ent (finished) grade (HAG) 253. 35 ft(m) permanent openings flood vents within 1 ft above adjacent grade NIA o i) Total area of all permanent openings (flood vents) in C3.h NIA sq. in. (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by taw to certify elevation information. I certify that (he information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIRER'S NAME TIMOTHY C. WOOD LICENSE NUMBER R. C. E. 61779 EXP S o�o� TITLE REGISTERED PROFESSIONAL ENGINEER COMPANY NAME THE ENGINEERING GROUP. INC. ADDRESSCITY STATE ZIP CODE 1250 EAST AVE UE . #10 CHICO CA 95926 DATE l �j/1/ t V o` TELEPHONE J 530899-040 FEMA Form 81-31pianuary 2003 See reverse side for continuation. Replaces all previous editions FROM THE ENGINEERING GROUP INC. (THU)DEC 15 2005 15:03/ST.15:01/No.5800885482 P 3 IMPORTANT: In these spaces, copy the corresponding information from Section A For �iuuraiee.c oin�ai,y_Use:.. . . �. BUILDING STREET ADDRESS (Including Apt, Unit, Sui6e, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. t m9 iyriumber.:: 342 Holley Run Rd. CITY STATE ZIP CODE:.:..:.:,.._:: :: ':-: Chico CA 95928 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy bath sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS Pre -construction Addition flood certification. C3: Butte Co. BM 1177 El: 269.90 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items Ell through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Seton C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the budding for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (indt>dng basement or enclosure) of the buik9ng is _ ft(m) _in.((m) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft(m) _in.(crm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The Total official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (wifhout a FEMA4ssued or community - issued BFE) or Zone AO must sign here. The statements in Sections A A C, and E are Gored to the best ofmy knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE 1250 FAST AVE40E HE #10 CHICO CA 95926 SIGNATURE j DATE j7 /r TELEPHONE ( _ (,{ COMMENTS ❑ Check here if attachments SECTION G -'COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community off tial completed Section E for a budding located in Zone A (without a FEMAassued or oommunity4med BFE) or Zone A0. G3. ❑ The Wowing information (Items G4 -G9) is provided for community floodplain management purposes. [t���tl:7Srt1 DATE PERMIT ISSUED G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -bull lowest floor (inducting basemerd) of the building is: _. —ft(m) Datum: G9. BFE or (n Zone AO) depth of flooding at the building site is: _ _ Nrn) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE . DATE COMMENTS FEMA Form 81-31, January 2003 Replaces all previous editions TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.N. USE ONLY Plot Poen Attechod Roos Plan Attached _ Sent to G.D. !t 6-/// 21 yi L,eWc-l/ 04 -h 3 it Z /�b.,e01 vYt1241 j - t SO - 003 Owner Location AP# Plan Approved for: Sewage Disposal '>'—' Water Supply: Public Private Well Clearance for dwelling. Other 9=CMnOLL 1 No n C-'tC"S"i C �.t Hold final for: Final clearance O.K. for: 8/96 /6—%-�- —oN ..� U^ A l �d E o L I !-i A I` i Z._ 'J DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER, DRIVE, OROVILLE, CALIFORNIA 95955 Telephone: (916) 534-4681 H W. M'cDONALD Deputy Directw August 24, 1981 James A. Tuttle RE: Certificate of Compliance 36 A Nimshew Stage AP 40-45-0 KA 40-02-112. Chico, CA 95926 Dear Mr. Tuttle: Enclosed please find a copy of the Certificate of Compliance issued by the Butte County Department of Public. Works, which was recorded on August 4, 1981 , in Book 2645 .Page 675 i in the -Office of the Butte County Recorder. Issuance of this Certificate of Compliance was -approved by the Butte - County Subdivision Violation Committee on July 22, 197+. Should you have any questions regarding this matter, please contact this office. Very truly yours, Clay Castleberry Director of. Public .Works , J: hn Nendonsa assistant Director a4/ds enclosure �cc PLn=i-= wept. Chico Err. Health Dept. Bu i l"_; _ -pt. t t RETURN TO: Pub 1 ic. Works Land Development Section CERTIFICATE OF COMPLIANCE Issued to: Jim Tuttle 'JFFiC;AL PE"„FIDS BUTTE i?FCOROS RE'_<'_ir'_. TD BY PURUC WORKS CLAR .0 A. i31=LS01 : CLERK-R'ECCRDER FEE ` This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which created the parcel of. proerty identified below complies with the applicable provisions.of the Subdivision Map Act and of.Chapter 20 of the.Butte County Code. 1. Property location: The southeast corner of Skyway and Humbug Road. Northeast of Chico. 2. Assessor's Parcel Number: 40-45-03 also known as 40-02-112 Description: All that certain proep rty located in the County of Butte, State of California, more particularly described as follows: All that portion of the following described parcel lying Westerly of. the North and South centerline of.Section 4, Township 21 North, Range 2 East, M. D. B. & M. The westerly 400 feet of the following described parcel as measured at right angles to the westerly line of said parcel. A portion of Section 4, Township 21 North, Range 2 East, M. D. B.,& M., described as follows: .r BEGINNING at a point 7.90 chains or'521.40 feet South 00° 03' East from the corner of Sections 3, 4, 33 and 34, Townships 21 and 22 North, Range 2 East,. M. D. B. & M.; thence along line between said Sections 3 and 4, South 000 03' East, 217.60 feet to the intersection with the centerline'of Butte Creek as the same existed in 1884 and 1885; thence along said centerline of'said . Butte Creek, as the same existed in tte aforesaid years of 1884 and 1885 (as determined by sworn evidence of old pioneers, resident at that time) and (being the Northerly line of the prop.erty'now or formerly owned by William Bidsworth and Parrott Investment Company)on the following courses and distances; South 53° 55' West, 216.0 feet; thence South 560 40' West, 425..0 feet; thence South 53' 50' West, 175.0.feet; thence South 62° 10' West',, 574.0 feet; thence leaving last mentioned line, South 87 54'.West, 402.7 feet to a point on the Easterly edge of the dredger tailings; thence along the Easterly and Northerly edge of the dredger tailings, as follows:' North 22' 00' West, 150.00 feet; thence North 85° 00' West, 200.0 feet; thence South 72' 00' West, 280.0 feet; thence.South 78° 00' West, 235..0 feet; thence South. 810 20' West, 250.0 feet thence South 550 15'_ West,. 55.0 feet to a point on the North and South centerline of said Section 4, South 0° 10' West.1504.0 feet from the North quarter corner thereof, and.continuing South 770 00' West, 59.0 feet; thence South 59° 30' West, 252.0 feet; thence :South 730 30' West, 115.0 feet; thence North 88' 30' West,_580.O.feet; .thence South 85' 30' West, 340.0 feet; thence North 10.° 30' East to the Southerly line of the property now or formerly owned by Lyman W. Stephens; thence Easterly along the Southerly line of said Lyman W. Stephens parcel to the point of beginning: EXCEPTING THEREFROM all metals anal minerals,. iron, stone, sand' aid precious stones, in or upon part of the Northeast quarter of Section 4, above referred to as conveyed in the Deed to Johnston Rock Company, Inc., dated.March 26, 1937 and recorded April 1, 1937 in Book 179 of Official Records, at page 265, .records of Butte.County, California. ALSO EXCEPTING THEREFROM from the proVerty.above-described, the following described parcel: PAGE 2 AP #40-45-03 also known as 40-02-112 Tuttle - Certificate of Compliance A portion of Lot .l of Section 4, Township 21 North, Range 2 East, M. D. B. & M., lying between the center of the old Chico -Centerville County Road and the centerline of Butte Creek, as it existed in 1884 and 1885, in Butte County, State of California, more particularly described as follows: BEGINNING at a point on the Section line between.Sections 3,and 4, from which point the Northeast corner of Section 4 bears North 0° 03' West 521.4 feet, said point of beginning being also in the Chico -Centerville County Road; thence continuing along said.East line of Section 4, South 0° 03' East, 217.6 feet to the center of Butte Creek, as it existed in 1884 and 1885; thence following said old Butte Creek channel South 53° 55' West, 21,6.0 feet; thence South 56° 40' West, 425.0 feet; thence South 53° 50' West, 175.0 feet; thence South 62° 10' West, 44.12 feet to the South line of Lot 1 of said Section 4; thence leaving the said old creek channel and continuing along.said Lot line,'South 89° 57' West, 309.14 feet; thence North 18° 55' West 294.05 feet along.the center of an old existing levee road to its intersection with the old Chico -Centerville County Road; thence continuing along the said road, North 68° 49' East, 146.1 feet'; thence North 53° 33' East, 65.9 feet; thence North 65° 31' East, 100.0 feet; thence North 82° 54' East, 197.9 feet; thence North 77° 26' East, 128.5 feet; thence North .85° 05' East, 195.5 feet; thence South 73° 00' East, 71.0 feet; thence North . 46° 46' East, 354.08 feet to the point of beginning, subject.to the County.Road along the Northerly line thereof. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-.167' and Government Code, Section 66499.35(b) to protect the public health and public safety. NONE County of Butte Subdivision Violation Committee .X/ / zn---- ten END OF DOCUMENT it I nv1 END OF D0CU'��E�'� Status: ISSUED I APN: 017.250-003.000 9' Bin #: Bl_;�J Update Exit Back Site Address: 1342 HONEY RUN RD CHI f. Map index: . 1 Owner (Title):DAUN, LOWELL G AND DOROi Project Title: I Construction Information I Contractor: IRRUNg,_GLENN I Applicant: JBRI.NO, GLENN _ I Permit Category: BLDG-RES Conti Phone: I Architect: I> Construction Type: Conti. Lie. # 323003 Engineer: I I TotalValuation: _$92,560_00_ I Description:ADDITION_(1424) REMODEL_[900) — I Total Square Feet: 1;424_ . Permit Type: Fee Summary Required to Issue_ Construction Permit Fee: $0^00'F_J_ Planning: W1 Contractors Lie.: NPDES 0, Misc. Permit Fees: $1,292.27 • Fire:. 1 Workers Comp: Water: Strong Motion: _ ______$9.26 PW-Land Dvlmt: Owner/Builder: Health: Investigation Fees:_$0.00` PW Encroach: FVJ Sign Authorization: Sewer: Other Agency/Impact: _____ $0 00 Ag buffer: Erosion Control Plan: School Fee: Other Fees: $0.00 Ag Statement: Chico Plumb: Deed Restriction: TOTAL FEES: - Pre-Insp: Recreation Dist: Plan Check:' __$1,301.53. Soils Rpt/Eng. Found: Fees Paid: =$0 UO fire Sprinkler: [� AQMD: rl Other: Balance Due:=0-00 TRA: . Key Dates High School District: __ J MH Docs: Applied: 12/1-5/2005,) Elem School District: I Grant Deed ri Approved: fOl/23/2006J BP Renewal: / /_� —._ Water: I MH Title/Statement Issued:02/1_ti/2006_J Expired: /_/_J Sewer: I ILtr-legal owner Finaled: _/ /_� Voided: /_/_� Rec Dist: _ I HCD check $$ Census Data Census Class Code:_ 1 Intialized: 12115/2005} KJONES� BPO53276 APN#017-250-003 OWNER: DAUN TOTAL PERMIT COSTS $1,301.53 Building Permit Fees SMIP SRA FEMA REVIEW Receipt #460386 Dated 5/8/06 Receipt #455652 Dated 6/6/06 $1,292.27 $9.26 $204.98 $109.98 $1,616.49 F10 -BLDG F1001 $831.87 $736.87 $784.62 $775.36 $9:26 $1,616.49 SRA F100 $95.00 $831.87 $784.62 Wednesday, September 20, 2006 Counter( Karen Person I Payment Date Permit Number Receipt Number Check Number or Cas Parcel Number Applicant Received From Total Received Total Fees To Collect Development Services BUILDING DIVISION ver. 1.0 --_-- $784.6= $784.62 Fund 10 (Bldg Permits) I $775.36 SRA Fees (Fire) B$46/$43 $0.00 SHR Fees (Sheriff) B$25/$335 r $0.00 Copies/Document Sales $0.00 CUA (Chico Urban Area) B$25 $0.00 TUA (Therm. Urban Area) B$25/$570 $0.00 Water Tender Btln#= $200 $0.00' West Chico Fire Station $75 $0.00 Witness Fees B/AII $0.00 Recorders Fees (N.O.C) B$246/$54 $0.00 Thermalito Drainage $510 $0.00 Oroville Area Traffic $75 $0.00 NSF (Non Sufficient Funds) $25 $0.00 Notice of Violation B$150/$150 $0.00 NCSP Trails System $0.00 NCSP Roads/Bridges $0.00 I NCSP Storm Drainage $0.00 I NCSP Fire Station $0.00 j NCSP Parks $0.00 I Value Type �� $0.00 Revised 11/28/2005 DATE 2/17/2006 BAG # 316 DEPOSIT # 31 RANGE OF RECEIPTS: 444413-044434 MONEY COLLECTED: 02/16/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Page 1 of 4 10 BUILDING PERMITS -10 REMOVE NOTICE OF VIOLATION -10 RETURN CHECK FEE -10 AVA COURT RESTITUTION -10 COPIES PUBLIC SALES -10 WITNESS FEES -10 RECORDERS FEES -0100 FIRE - COMMCL PLNG REV FEES -0100 FIRE - SRA -1001 SMIP FEE PERMIT# RECEIPT# 4210500 101001 4350903 101001 4610105 101001 4617252 101001 4711910 101001 4712523 101001 4613701 101001 4617237 101001 4617240 101001 280 1011298 060361 444413 $ 55.00 060362 444414 $ 55.00 060363 444415 $ 55.00 060364 444416 $ 55.00 060365 444417 $ 55.00 060366 444418 $ 55.00 060367 444419 $ 55.00 060368 444420 $ 55.00 060369 444421 $ 55.00 060370 444422 $ 55.00 060371 444423 $ 373.93 043437 444424 $ 54.99 051940 444425 $ 2,391.67 $ 26.77 060061 444426 $ 1,908.27 $ 18.18 444427 $ 0.31 060372 444428 $ 549.90 060373 444429 $ 219.96 052154 444430 $ 1,387.18 $ 6.33 060374 444431 $ 110.00 060375 444432 $ 109.98 060376 444433 $ 395.93 $ 95.00 053276 444434 $ 775.36 $ 9.26 $ 8,827.17 1 $ - $ - $ - $ 0.31 $ - $ - $ - $ 95.00 $60.54 Page 1 of 4 Revised 11/28/2005 DATE 2/17/2006 BAG # 316 DEPOSIT # 31 RANGE OF RECEIPTS: 444413-444434 MONEY COLLECTED: 02/16/2006 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Revised 11/28/2005 DATE 2/17/2006 BAG # 316 DEPOSIT # 31 RANGE OF RECEIPTS: 444413-444434 MONEY COLLECTED: 02/16/2006 Page 2 of 4 Page 3 of 4 Er"m mm"m D7NAGE DEPOS T TRUST TRAILS SYSTEM ROADS & BRIDGES STORM DRAINAGE ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ Page 2 of 4 Page 3 of 4 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION Revised 11/28/2005 DATE 2/17/2006 BAG # 316 DEPOSIT # 31 RANGE OF RECEIPTS: 444413-444434 MONEY COLLECTED: 02/16/2006 Page 4 of 4 ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ ------------ Page 4 of 4 DEPARTMENT OF DEVELOPMENT SERVICES DEPOSIT SHEET - BUILDING DIVISION GRAND TOTAL TO BE DEPOSITED $ 21,373.65 PREPARED BY: Gwyn Benedict ext 7604 DATE: 02/17/2006 fib PERMIT NO. 6149-80B,E PERMIT EXPIRES�,�//®' OWNER Jim Tuttle CONTR. owner ASSESSOR PARCEL 40-45-3 LOCATION End of pri.rd.,app.800'W.of bend in rd., app.100'S.of Honey Run Rd.,app. 8/10 mi.E.of Skyway, Chico Temp. Power Pole Called PG&E i Temp. Elec. Service Y Called PG&E a Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature J = OK O = Not OK = Not Applicable• MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors , 7. Utility Clearance 7. Elea Card -BI Date i Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t � ' 1 t t V = OK 0-= Not OK Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = Date UNDERFLOOR Plans OK except hi's A Date FRAMING Continued 1. Zoning requirements-Setbacks-Easentnts 48. Property Lin Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd. / /" Fig. Depth 49. Ext. Doors -fine 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" tg. Depth 50. Stairs; Wid -Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils-Steof- / /" Ftg. Depth 51. Plywood 96 Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Blocko -Wrapped-Slab 52. Siding- iling-Veneer 6. Stemwalls, Garage; Steel-Blo outs -Wrapped -Slab 53. Stucco esh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft .-St I 54. Glazi Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -fes( -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size-Anch s 10. Water Pipe; Test -A hors -Regulator -Service Test 11. Electric; Undergro d 12. Plenums & Ducts; t learance-Material-Support-Ins. 113. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date It Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except W Card -BI Date Card -BI Date Date PLUMBING (Permit) OK a cept Ws 56. Ext. Steps -Door & Side ght Protection -Landings 57. Smoke Detector _ 14. Water Ht.; Vent-Acc s -Combustion Air 58. Furnace; Vents -Clear nce-Comb. Air -Connector - In Garage; Above Flo r-Ducts-Mech. Protection 15. Water Pipe; Test & nchors-Nail Protection 16. D.W.V.; Test-Fttn s & Anchors Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test First Floor -Tub Access 60. G.F.I. & Bath Fixtu es &Tub Access 18. Test Tub & Show r, 2nd Floor -Tub Access 61. Elec. Trim & Subp el; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stov ; Clearances -Hearth 64. Elec. Outlets at Pood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & A lance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets Receptacles at Kit. Counter Date ELECTRICAL Permit OK a ce t rs 67. Garage Fire D or; Swing -Landing -Closer 68. A.C. Duct in ara a -Damper 20. Fixture & Transformer learance-Ins. Protection 69. Wtr. Htr.; Ve ts-Clearance-Comb. Air-Connector-P.R.V.- In Garage; ove Floor-Mech. Protection 21. Elec. Receptacles &Switches at Doorso 70. Plb., Elec. Mech. Equip. Listed for Location 22. Size Boxes & No. off Stapled 71. Elec. Rece tacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed C se to Edgeoof Studs & C.J. to Ed f 24. Equip. Ground m e up w/Mech. Fasteners -Bond Gas & Water 72, Insulation Foam -Looked in Attic E3 Yes 25. 2 Appliance Cir uits in Kitchen &Conductor Size 73. Guard Ra' s &Deck Construction -Post Caps _ 26. Subfeed Wire 4he / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Ves & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked prider Floor 11 Yes 27. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated N ut❑Yes ❑No 75. Followg instld.: Drive El Yes E) No; Walks [I Yes ❑ No; 'ral Plantes ❑Yes ❑No 28. Service -R' er Conductors & Ground -Main Disconnect 76. Stucc ; Brown -Finish 29. Equip. CI arances; Panels-Motors-Mech. Equip. 77, A.C. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Venf. Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Wa r Well; Disconnect, Electrical, Plumbing 110 80. E erior Elec. Trim; G.F.I. Receptacle -Underground Card B -I ate Card -BI Date 81. V ntilation throughout House Card B -I Dal I V Card -BI Date 82. lass Protection Date MECHANICAL (Permit) OK except H's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & SLkport 851 Water & Sewer Connected -C/O to Grade -HD Approval _. 32. Vent Fan; Exhaust above ksulation 8 . Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Ove low; Size & Grade 34. Furnace -Vent; Access- omb. Air -Return Air Vent -115V outlet a 4n it e4LA-a- 35. Attic Access & Platforift if Furnace in Attic - Card -BI Date Card -BI ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Flpor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilin s- airs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bea ng Hangers -Post Caps-Anch rs-Connectors Cing. Joist-Rftr. Ties- rlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type Flue -Fireplace Throat 45. Attic Access; Size & jornex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or E ting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI NO 7 County Center Drive - Orovillde, CalArnia 95965 Telephone 916/534-4541 — APPLICATION AND PERMIT r A kill ASSESSOR PARCEL NUMBER - , L5 1-3 ZUING _S BUILDING PERMIT OWNER I ' TELEPHO NE� S SO. FT. OCC. BUILDING VALUATION 3 / OWNER'S MAILING ADDRESS 3 k 7 icv CONTRACTOR'S NAME l TELEPHONE - CONTRA T R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �941. UNKNOWN Total Valuation Is 61,2e19,40 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ' OU ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0 Penalty $ 96,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0 BUI LPING ADORESs �� C - PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00• Repair drainage or vent piping 5:00 v D Sl� fir Water piping LOT NO. SUBDIVISION N MEPARCEL MAP 1. Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE �)6r4 CLti+t�0�� SF ❑ Duplex[] Mobilehome❑ Other SPIECI FY Building sewer Lawn sprinkler system 5.00 i TYPE OF WORK New 2Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS S.00 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. ! DWELLING Ili) OR AODNS. l ACC. BLD I 24; Sq ft Z CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business—Ex. 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- ation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR -O TL T 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR (POWER. APPARATUS e) NON.RESID. SINGLE OUTLET CIR. Occup OUTLETS OR FIXTURES 150 250 BA 1 IXED APPLN5, OR EX. Occup. �OUTLETS (RESID.) EA. 2.00 Temporary service 10.00. Mobile Home Facilities 15.00 Misc. Wiring 7.50 1 Permit Fe S OF , S Contractor E MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 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 a said County in copse ence of the granting of.thi's permi Date _ l ' noture of Applicant — Owner Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ o&17,S' OCCUP. GROUP — I TIPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DJREC OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 93 Receipt .No. �_) 7 . �� WRITE -D. P. W., �LO W -AS -ASSESSOR, SO R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT"OF-PUBLIC WORKS — BUILDING DIVISION ,ti • 1 7 County Center Drive — 0roville, California 95965 — Telephone: 534-.4541 PERMIT APPLICATION DATA SHEET OWNER 41/r41& Proposed Building Use lex Permit fee based upon: Building Inspector Complete Othy(explain), Contract Price Permit No. A. P. No. r/�J 4,' S DPW Valuation - /r�-�10 At time of permit application, I was advised_the fol'lowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. Letter of signature authorization.......:..................................................... o 'tel 0. Sanitation approval from C /�v Health Dept.... Planning approval for ............. X12. Certificate oftWorkmen's Compensation Insurance ........................ ©�G 13. Contractors -License Information (no., name style, classification) .................. :............ 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. ec Pre -ins tion for re, ulred. Pre•inspec. request to Pre -inspection q bldg. inspector (date) 16. Other --,- When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pick-up at office. Deliver w/inspection. Other - Applicant -4,"'e, ,q- /./,�� Date Copy of plans sent Health Dept., Fire Dept., Other Date— During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of ap ation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer.; qtnerl was advised of above required data by Telephone it Other By /' Date Plans checked b Date Plans approved by Date 2 �d OTHER: Copy/DPW To: Bud.'! d ng Department From: Environmental Health Subject: Sanitation Clearance ' / I;oca ons/L'WIX) Plan approves fore Sewage disposal I.Mter. supply Hold final for: Final cIear€m,;e O.K. .for: clearances :for bedroom mobile roma Clear. snee for addition of {ether water su.ppl;;r water su,')pl; Note San t tarp an Date oop-, pu PERMIT NO. 1-067-81B,P,E PERMIT EXPIRES- 7/a OWNER'KH Jim Tuttle, CONTR. Bonita Pools & Plastering, Inc., Loomis 'ASSESSOR PARCEL 4045-3 LOCATION S/S pri.rd.,app.800'SW-ot Humbug Rd. (Honey Run Rd.),app.8/10 mi.E.of Skyway, Chico Temp. Power Pole Called PG&E Temp. Elec. Service Called Temp. Gas Service Called PG&E JO:F�fNAL Signatu J = OK O •_ Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) O -K except It's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rfirs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card - BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except Lt's Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Date POOLS fans) OK except H's 1. Zoning Requirements—Setbacks—Easements et ks—Easements 2. Footings; Size—Spacing—Marriage Line oils; Compaction—Strut a Stability 3. Gas; MH Test—Demand—Valve—Connector G o Structure; t • onnections—Thickness—Qeari Mana 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector / I ece tacles and Lighting; Distances—GFI 17 E oo lglitin ; 15+reits_ — 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/0 to Grade—HD Approval 8. Gas and Electricity Tagged le., Enclosures; Conduit Entries—Terminals—Listed let bnding; Metal w/5'—Circulating Equipment—Heater Z let.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes— Enc losures—PaneIboards— Ins. to Main in Conduit . 9. Exits; Insp.—Sketch 10. Cert. of Occupancy partment Approval 1 mb; Cir. Test—Water Supply Test ars cv Card B -I Date Card -BI Date Card -Bl - ate Card -BI zF Date Z Card B -I Date Card -BI Date Card -BI Dat Card -BI Date rt �R J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex)' * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer _ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except tt's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date PLUMBING 14. Date Card -BI Date (Permit) OK except N's Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 62. Stairs & Rails ---- 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except p's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72, 73. Insulation -Foam -Looked in Attic F] Yes Guard Rails & Deck Construction -Post Caps 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral []Yes ❑No 75. Following instld.: Drive ❑ Yes [-]No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 30. Clothes Closet Light -Shower Light 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Card B -I Date Card -BI Date Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date _- Card -BI -.---.Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors 37. Studs -Nailing, Spacing & Bracing -Plates -Sound _ -- 38. Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header _& Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-P'urlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Z5 46. 47. -.A I t i c Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534'4541' Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at ,the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. Inspector— - i Date ! 7/ J COUNTY OF BUTTE - DEPARITMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541 / APPLICATION AND PERMIT F 111411111 ASSESS O r"11 _ PARCE NUMBER - D ZON "G• • _�� V BUILDING PERMIT ilk OWNER ` TELEPHONE SQ. FT. OCC.. BUILDING VALUATION 0 0 OWNE AILING ADDRESS +�G C RACT R'SME - TELEPHONE f 'e , 5 1- '03 CONTRA� OR'S MAILIN ADDRESS /JdX �/�O�/i S Lf, Fireplace ' CONSTRUCTION LENDERUN KNOWN Total Valuation $ (� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee b btioo A HITYCT OR EN EER .. GGGtILf�Al E S O C; I ENSE NO. Plan Checking Fee $ d Penalty $ AR HITECT OR E GI EER'S M.AILI-NG ADDRESS p Permit fee $ 0o BU IN ADD SS r �/ ,s J PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00• GO Water piping p LOT NO. ,SUBDIVISION NAME s PARCEL MAP Each qas water heater or vente 5.00 Gas piping system 1 - 5 outlets O USE OF STRUCT%%YP�E SF ❑ Duplex❑ Mob ilehome❑'Other /!�. /tY6 / ' SPECIFY Building sewer Lawn sprinkler system 75.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit'Fee $ a25 -,0D Contractor 4 AJ s ELECTRICAL PERMIT Filing Fee 10.00 -Main service 600V OR LESS. 100 AMP OR LESS 5.00 ` Main service EA. ADD•L 100 AMP 2;50 NEW CONST. DWELLING OCCUP.E11 OR ADDNS. ACC. BLOGS. / 2�sgft 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 inL full force and effect. License No. -310 ,40 Classification C--,93 ❑ 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) FJ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ' ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW,.RESID R BRANCH CIRCT ITS2.50 ea NEW CONST R. POWER APPARATUS e NON•RESID. (SINGLE OUTLET CIR. 77 x. OccupOUTLETS OR FIX"TURES 5AL2j 00 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ,r�/ pp y 7.50 S U Permit Fee $ Z , Contractor E MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMIPENSATION'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 shal l be deemed revoked. Heating . Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I havereadthis 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 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 accrue1. against sai C u ty in consequence of the granting of this permit. X 'Date I _ a I Signatu plicant - Owner ❑ ontractor [:1 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories.in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Afo. 15'-0 OccuP. GROUP TYPE F CONST. I IPARCE r% Po ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above r which DIRECT CTPUBLIC � BY PERRVT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 11--7-J9%1� f/ `' �3] Receipt No. t7 ran WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ok b , ` A^<.9 y�j�r�af rol '� �- sngfc�✓ r 2-3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.., -52 ASSESSOR PARCEL NUMBER _ ZONING - — BUILDING' PERMIT OWNER — !�' /7E TELEP NE _ ~ /� SQ. FT. OCC. BUILDING VALUATION OWNE, )S MAI ING ADDRESS /21 . CONTRACTOR^' NA E /.' TELEPHONE CONTRACTOR'S MAIL NG ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A112AI f- LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD ANG A DRESS n r d� �s PLUMBING PERMIT Filing Fee 3.00 // 'p Hd � 9 ,- Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO./SUBDIVIS ON NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets nv USE OF STRUCTURE SF [?'."'Duplex[] Mobilehome❑ Other.. FY SPECI Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ �R/emodel ❑ Utilities ❑ Instal lay 'on C Other Describe work: / /1 ZK— Permit Fee $ - Contractor41116241d.111" e ELECTRICAL PERMIT Filing Fee 3.00 01 OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 2�sgft 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. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR UL I -OUTLET 2,50 ea NON-RESID. BRANCH CIRCUITS) NEW CONSTR. NO N.R ESI D. ( POWER APPARATUS. . OUTLET CIR&) Ex. Occup(OUTLETS OR FIXTURES BAS ,pte 09 FIXED APPLN5. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3:00 WORKMEN'S COMPENSATION INSURANCE 1 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. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply -to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot• 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 li_bilities, judgments, costs, and expenses which may in any way accrue agains said County in conseque ce of the granting of this pe mit. l U X.-�`' �'"�� /� � ,i, , c%Z�.�a. Date �v � Signature of Applicant — Owner -Z Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 37stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ .S,_ UD OccUP. GROUP I TYPE OF CONST. PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which C)IRECTOR OF PUBLIC By % % PERMIT EXPIRES"" ,Te_ the applicable provi- resolutions to do fees have been paid. WORKS Lo Date,? /9,, — s! Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, RINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534.4541 - Skyway'and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS / A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify thisLoffice 41 when correction of work is completed. If you have any question pertaining t this matter, or need additional explanation, please contact this office immetliately. Inspecto Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT Nwo,_ �t ASSESSOR PARCEL NUMBER _- ZONING , BUILDING PERMIT OWNER `` "-7,orw/G/ TELEPHONE SO. FT. OCC.1 BUILDING VALUATION O WNE S MAI ING ADDRESS CONTRACTOR'S NAMEI TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER A110 dZ1, UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BV7 NG A DRESS a Od is O PLUMBING PERMIT Filing Fee 3.00 'OQ Each Trap 2.00 Repair drainage or vent piping 2.00 G� Water piping LOT NO SUBDIVISION NAME PARCEL MAP Each qas water heater or vent -2.00 Gas piping system 1 -5 outlets O<� USE OF STRUCTURE SF DuplexR Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installa ,ion ❑ Other Describe work: ✓ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100V OR 0 AMP ORSLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20 sq ft 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. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am^exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS IN) NON.RESID, (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES so@zsm BAL@t0¢ FIXED APPLNS, OR Ex. Occup.(0UTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 authorize representatives of the Countyot 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 li ilities, judgments, costs, and expenses which may in any way accrue a 'ns said County in conseque a of the granting of this permit. PThis �/j'Datesions Si -tura of Applicant — Owneri)r 1Contractor 1:1Age4tY 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 $ Land Development Fee $ TOTAL PERMIT FEE $ 6700 occUP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE permit is hereby issued under of the Butte County Code and/or work indicated above for which RECTOR OF PUBLIC By PERMIT EXPIR the applicable provi- resolutions to do fees have been paid. WORKS Date�'��0-�(�� 7-10 Receipt No. sop?l%z, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT,OFNPUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — 0roville, Califo_,rnnia 9'5965 — Telephone: 534-4541 PERMIT APPLICATION DATA SHEET (/ a .-� Permit No. OWNER �/�/Gl/l�S ��////L A. P. No. Proposed Building Use Permit fee based upon: Complete Contract Price ,—DPW Valuation —Other (,explain) Building Inspector Date At time of permit application, I was advised t.6 following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate....... :........................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. ....... 7. Statement of Intent for Non -Heated & AC Buildings................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. /1,2. Certificate of Workmen's Compensation Insurance r GlC !/. 13. C-ori-t+ac-tor icense Information (no., name style, o�•us.r d/fir- classification) .................. :............ 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-insl ec. request to 16. Other bldg. inspector (date) When you issue the permit, process as follows:. Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. 4 -Other -S'.f�/£C� l.'?/�aC Co ac/ �'� Applican't� Date �6 0 Copy of .plans sent Health Dept., Fire Dept., Other Dater During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copy/DPW •COUNTY.OF BUTTE-- Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 -r OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has-been app-Hed for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building peniiit 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) -c, 2. I ( /have not - signed an application for a building permit 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 /(�'.v� Social Secu/rit number �; �/— Date '%//ti ,?o NOTE: This Owner -Builder Verification is sent 4 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. PERMIT NO. 5109-74B,P,E,M P E M 'MWUTIL. ,PERMIT NO. PERMIT EXPIRES 42 �31 DOWNER James Campbell 'CONTR. K. Lewis, Los Molinos OCATION (A.P. 40-02-112 s1s Humbug Rd, 1 mi. E. of Skyway, Chico 4 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED O (Date) (Signature) t i .f. ft COUNTY OF BUTTE —.DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall — S"� I Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings %S Windows 3rd Floor Stemwall 3 Siding To out Slab Roof Sheathing5 — Water Piping Piers Roofing — Sewer 7 Garage Fdn. Vents Fixtures — 7 cr Footings / 3 Garage Vents — Water Htr. ------- Stemwall Prov. for physically Heaters Slab handicapped Appliances — Carport Conformance of ex. Gas Piping & Test —� Footings structure Temp. Gas' Slab Final Sanitation Patio FIREPLACE Final 2 -6`26 - Footings A Footing ELECTRICAL Masonry Walls Throat R o u a h r/ a G Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing —% > —"?J Test Water Htr. Stucco Final Subpanels Mesh MECHANIC Grd. Fault Prot. Scratch Heating 5'—% Service Brown Cooling — Temp. Pole Finish —� ' % , Ducts Underground Iniefief-L-eth " S/,! dation Permanent Door Closer 5 J' Final — Final DATE REMARKS OR CORRECTIONS / /o-_7," T/0A/ % ;( r0 e a. Gvt�a� 7 V� � _� a c.,.r • iv COUNTY OF BUTTE - IDEPARTM' NT OF PUBLIC W ��o� 7 County Center Drive ii'. Qroµlle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT oua —Icc i cN I cacn rar l VW,)UI ull7 t�UUII Ly UI DUMC LU U1 tet UPUn Me above-mentioned property for inspection purposes. B XDate $ig—no ture of ermit e`7r Agent Receipt No. z�7ZL/ White-D.P.W. – Yell 104n Pink -inspector – (�oryd�jlp icant 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 F PUBLIC WORKS By Date 47_--217 7 ding permit expires Date...............17:?, BUILDING Owner ANE�--5 SO. FT. OCC. BUILDING VALUATION % J To• Mailing Address Telephone No. Alc. Fireplace Contractor 1- Eyj IS ArE£%71 Total Valuation to q7 Mailing Address x Permit Fee (o I Plan Checking Fee &/or Penalty S Qt -1805 9605-'H Telephone No. – — Permit Fee $ m Building Address -5/.5 �. /� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 p'j A 0 SK ttJ R Y Each Trap 1.50 ZJ,5-0 fO Repair. drainage or vent piping 1.50 Water piping 1.50 , Q Each gas water heater or vent 1.50 A. P. No. _ Q � Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F r S "( ire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im prov ents Lawn sprinkler system 2.00 I Rec'd7 Parce Approval Plo pproval Permit Fee $ d $ Q( NEW ❑ ADDITION M UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 .p0 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or I ss) (more than 12) b-60 Range, Cook -top or Oven 1.00 A` �i &.4eA6 -ip A aD N� Water Heater or Space Heater 1.00 Li ht fixtures QO bal d10 R ., s s &fix is 1010211025 7- p � f n/ Oft AW 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. an or F.A. Furn. Motor 1.00 , , Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat p 11-5-0 Water pump Mobil Home Facilities 5.00 License No. Classification Temp. Power Pole 5.00 Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $121.00 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. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner s as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 5,00 Heating 000 lob Cooling Ali 0 0 Ventilation Hood 2.00 Permit Fee $ $ T( TO � 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 oua —Icc i cN I cacn rar l VW,)UI ull7 t�UUII Ly UI DUMC LU U1 tet UPUn Me above-mentioned property for inspection purposes. B XDate $ig—no ture of ermit e`7r Agent Receipt No. z�7ZL/ White-D.P.W. – Yell 104n Pink -inspector – (�oryd�jlp icant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS By Date 47_--217 7 ding permit expires Date...............17:?, , W 1605-86B,P,E PERMIT NO .a . -PERMIT EXPIRES OWNER RAYNOR &NANCY GDIBAI, CONTR. JOHN LINHART d v ASSESSOR PARCEL 11-39-03 ©�111 LOCATION 342 Honey Run Rd,, Chico E �.• � ' 65� • La�icc�u✓S ,0 � 9 �` rA S-�3vc. �,I Opercr` — 16 OFFICE COPY. %3�grwei's nc.,wrcA �w��cfa5 a�_ cc l�S Address ; t GAS 0tl--r Meter By Date E ELECTRIC ' Meter By Date 9 Temp. Power Pole Called PG&E x Temp. Elea Servi, Called PG&E �r Temp. Gas Servi cE • Cal led PG&E JOB FINALED (D Signature C 9 J = OK 0 = Not OK = Not Applicable MOBILEHOMES '_MISCELLANEOUS= Not Ready, r t o A i �• Date UTILITIES (Plans) OK except #'s Date DECKS, -COVERS, CARPORTS, ETC. (Plans) OK except #•,s _ _ _MOBILEHOME 1. Zoning Requirements -Setbacks -Easements `- 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special' MH Support -Sketch - 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location-Test-Fall-C/0=Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed'(Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-$hthg.-Rfg.-Bracing _ 5, Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date . MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Card -BI Date Date Card -BI Date Date Card -B1 Date POOLS (Plans) OK except #'s 1. Zoning Req uire ments-Setbacks=Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line - 3. Gas; MH Test -Demand -Valve -Connector. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2, Soils; -Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining -- 4.-Elec.; Receptacles and Lighting`; Distances-GF.I 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water;'MH Test -Regulator -Connector 6, Elec.; Enclosures; Conduit Entries 'Termtnals-Listed= ---' - - 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7• Elec.; Bonding;.Metalw/5'_-Circu[at ing.Equipment-Heater B. Gas and Electricity Tagged - 8. Elec.; Grounding; Equip.w/5'--Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch. 10. Cert. of Occupancy 9. Health Department Approyal' 10. Plumb; Cir. Test -Water Supply Test i Card B-1 - Date '" Card -B1 Date Card-BI —Date Date Card -BI Date Card B -I Date "Card -BI ° Date ' Card -BI Date Card -Bt , Date 1.. i,i,1 `)Silt? .::%i't i•� lt,At ?2 a! s'W .;, ,, t., ttt:,r •+;r,. ,; ....,,tom• s:•o -r.,a �t,t,.,. �. .i:: _. �€ nit: .�•(... �, � ,r. -.:.i �)F,; .t .-..:',i � .. Ji A y ,7 r.,�1 I rav?.`E`. +,`IP. 1t �'t."., ... _ ,-. %9 !i:�-� lU... ,r:7•.!R�' ,il `'.Y(i+,,; •(3 . til F. [I t:• li ,rtl'"„"'Il I3 ;t,., ; •,:.. ; rets.,, 4 1.. i,i,1 `)Silt? .::%i't i•� lt,At ?2 a! s'W .;, ,, t., ttt:,r •+;r,. ,; ....,,tom• s:•o -r.,a �t,t,.,. �. .i:: _. �€ nit: .�•(... �, � ,r. -.:.i �)F,; .t .-..:',i � .. Ji A y ,7 r.,�1 I rav?.`E`. +,`IP. 1t �'t."., ... _ ,-. %9 !i:�-� lU... ,r:7•.!R�' ,il `'.Y(i+,,; •(3 . til F. [I t:• li ,rtl'"„"'Il I3 ;t,., ; •,:.. ; rets.,, V = OK 0 = Not OK -=_ NQtAgpficable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OKexcept#'s (Date FRAWICG Contin) 1. _Zoning requirements -Setbacks -Easements 413. Pro erty Line 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 3. Ftg., Garage; Soils -Steel- / - /" Fig. Depth _ 4. Ftg., Porches & Decks; Solls-Steel- / . /'• Ftg. Depth - 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Ste_mwalls, Garage: Steel -Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel B. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test _ 11. Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except WS ter Ht.: Vent -Access -Combustion Air IV, W r Pipe: Test & Anchors -Nail Protection 16 V.: Test-Fttngs & Anchors -Nail Protection 1 Shower Pan: Test, First Floor -Tub Access 1.8. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Date _ _ Card -BI _ Date_ Card -BI Date Card -BI Date Uate ELEC ICAL rermn UK except Ir "S 2�ure &Transform_ er Clearance -Ins. Protection 2 �EI `. Receptacles Spacing -Lights & Switches at Doors e Boxes & No. of Conductors -Stapled _ 2Y �Pe�mex Installed Close to Edge of Studs & C.J. 2�9/ FiQuip. Ground made up w/Mech. Fasteners-,Qnd Gas & Wate Z2 ppliance Circuits in Kitchen & Conductor-Tce 2 S feed Wire Size /,// ga. Cu o A3�.C_Wire Size / / ga. Cu or A 2 Range Circ. / �6! ga./. C or4Oven Circ. / / ga. Cu or At, Insulated Neutral es No pe=Riser Conductors & Ground -Main Disconnect . Clearances: Panels-Motors-Mech. Equip. 3e Clothes Closet Light -Shower Light Gard B•If Date Card -Bi Date Card B -I Date Card -BI Date Date MESiM�ANICAL (Perrr•u) OK except q's A.C. Ducts. Insulation & Support 32. nt Fan: Exhaust above Insulation 3 CQAndensate Drain & Overflow: Size & Grade 3- Furnace -Vent. Access -Comb. Air -Return Air Vent -115V outlet _ is Access & Platform if Furnace in Attic Card -BI (50 Date Card -BI Date Card -BI Date Card -BI Date Date FRAftU G(Plans) OK except N•s 3 SJle' Proper Material & Anchors 37. W Studs -Nailing, Spacing & Bracing -Plates -Sound 38ng Walls over Girders & Floor Nailing -- 39. Or If Stop rn Walls (rat proof) _ 4 Ftre Stops: Furred Ceilings _Stairs -Chases -Tub 44. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 49e-CTng-Jors1-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. treplace Ties or Type A Flue -Fireplace Throat ess. Size & Romex Protection -Draft Slop -Ins. Baffles 415. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions v4r--em-dg -r re Protection Framing (NOTE Anentry must be made each time you visit job site) Card -BI Card -BI Date awall & Openings 49c/Ext. Doors-One,3'-Check Garage -3rd story, 2 exits bOr6Mirs-Width-Headroom-Rise-Run-Landing-Fire Protection mod on Roof Overhang -Attic Vents -Rafter Outriggers - S2._.si*rn`n-r, S ina-Veneer - aJstg"Area-Glass Protection - tear Walls; Nailing -Bolts Date Card -BI Date Card -BL - Date Card -BI FI L (Plans) OK except N's - 56: ft. Steps -Door& Sidelight Protecti . Smoke Detector iderflr. Access ;-Plastic Date Date Date Landings -F-urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection "droom Exiting G.F.I. &e & Tub Access 61 ec. Tri Subuan_ reaks"Uzfas- be @P: -"Stairs & Rails 11 . 05-Pheplace or Stove; Clearances -Hearth ..64�E�ec. Outlets at Wood Panel; Int. & Ext. 661- Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer _BE--A.C. Duct in Garage -Damper AXWtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location .r1`llec. Receptacles in Garage; (G.F.I.)-Romex Protec. 7" 'aculation-Foam-Looked in Attic ❑Yes uard Rails & Deck Construction -Post Caps 7#. -Pdrt. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance _ Looked under Floor ❑ Yes 75. Following instld.' o: Walks C Yes ❑ No Planters .� 6. Stucco; wn-Ffaie?r . Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 38r+Mnts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -Z9__=er Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground ntilation throughout House las Protection _ rrections from Previous Inspections _ as Test -Meters Tagged; Gas -Electric _ me-wMer & Sewer Connected -C/O to Grade -HD Approval ` 7 nergy Compliance Certificate -Other Certificates _ Card -BI Date c Card -BI Date _ Card -BI ^, to Card -BI Date Card -BI G rte Card -BI Date Com rents at Final: C0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275t 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE �o—'s T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. .0-0� Inspector_ — Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751- 7 91-27517 County Center Drive, OroviIIe — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / J V W ii VP,- 4 4 ('Owb '& y Inspector \�F� Date Owner: T Permit No, M _ ENERGY C A R T• I_ F 'I C A T ION /1 -1-1% LO ATION A. P. No. DESCRIPTION OF INSULATION ROOF Material _ Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR IJALL. Material Brand Name Ti�i�✓ / �- Thickness(inches) Thermal Resistance(R Value)-% CEILING Batt or Blanket Type , Brand Name /_��T�I��✓ /l�� Thickness(inches) Thermal Resistance (R Value) Loose Fill Type Brand Name Minimum Thicknes5(Inches). Number 'of Bags Wt.' per bag lb. Area covered(ft. ) Thermal Resistance(R Value) FLOOR, ELEVATED ' ~Material Brand Name Thickness(inches) Thermal Resistance(R Value) FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value) .I hereby certify that the above insulation was installed in the above building in c fo ance with the State a ifornia Energy R�gnirements. H -iris In5uja-fion Co., Inc._ #378407 �---- STATE CONTRACTOR'S LICENSE NO. SIGNA tE/OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans'and attaclunents 14ve been installed as required by the State of California Energy Requirements. All equipment; devices and materials are of the quality -prescribed or are specifically approved by the State of California. FIRM /0 (P as print) STATE CONTRACTOR'S LICENSB NO. IG RE OF CENERYff GENE'CONTRACTOR OWNER 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. January 1984" �1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER„AA R TELEPHONE SO. FT. OCC. BUILDING VALUATION G o /�= :JVs C70 OWNER'S MAILING ADDRESS ,. CONTRACTOR'S NAME I z k,J L InJ i o, -r TELEPHONE 3�a-� �3 CONTRACTOR'S MAILING ADD�E'•S.S' �D�q /NS �i�.+Gv GI otCo Fireplace CONSTRUCTION LENDER t UNKNOWN -Total Valuation Is p 000 v� FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , 17” pp ARCHITECT OR ENGINEER AJ 0�'p LICENSE NO. Plan Checking Fee $ o� Energy Plan Checking Fee $ p ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L Permit fee $ ,l,©o PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 2. bo G� I c Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S; po Each qas water heater or vent 5.00 USE OF STRUCTURE SFU_ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer:J - 5.00 Savo Mobile Home S G W 10.00 ea TYPE OF WORK New❑ Additiofn❑ Remodels Utilities El Installation❑ Other El Describe work: 1��•.�ove 1a -` :3,.f !r)r�.�:/.�ct wrr-.bj5: r4e,-I.,,) c.e21,U-e "Vt,"dLnLAs Permit Fee $ ,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR LESS Main set-vice1 100 AMP OR LESS 10.00 DO'L 100 AMP Main servic uz4t 2.50 CONTRACTORS LICENSE LAW p y p I y (Check one): I declare under penalty of perjury ) ❑ 1 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. LLING OCCUP.&( yzQsgft 71415 DR ACDNS. ACC. BLDGS. / NEW CONST R. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS 6\ (SINGLE OUTLET CIR. J Ex. OCCup(OUTLETS OR FIXTURES 9A 50301 FIXED PR Ex. OCCUp. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ `, 9 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT F,4,11fig Fee 10.00 Heating Cooling Hood Z3.00 Ventilation Penult Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnif and eep_harmless the County of Butte against all liabilit' ju ents, c ts, d e uses which may in any way accrue against C y in c eget e e granting of this permit. 00 X Date 13 Signaure of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demoliti n or construct- ion of structures over 3 stories in h fight. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ occUP. CONST.TYPEJ FLOOq (//'// PAR PO ND SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date " �� Receipt No. Jr 91 UJ 317 / 5 WHITE-D.P.W., YELLOW -A58[940 INK -INSPECTOR, OLDENROD-APPLiC T .1 COUNTY OF BUTTE - DEPARTMENT IDF,PUBjLIC WORKS -BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE;'CAL EEXtNIA 95965 - TELEPHONE: 916/534-4541 4 PERM IT'APPL-ICATION DATA SHEET nn _ Permit No. OWNER t_yn,or' �� I �a� fir.. A. P. No. Proposed Building Use Permit Fee Based Upon: V Complete Contract Price DPW Valuation (� Other (Explain) Building Inspector\ KDate TG At time of permit application, I was advised the following data must/be submitted prior to permit processing and./or Issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . Statement of Intent for Non -Heated and AC Buildings. . . . Fees of $ 3 1-7 , 95 . . . . . . . . —710 Az 9. Letter of signature authorizatign. . . . . . . . 0. Sanitation approval from Chic-cl Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Con`tractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation DatPre-Inspa. 17. Pre -Inspection for Required- Building In request to p q Building Inspector 18. Recorded cony of Agricultural Ac nowled ment Statement. 19. Other Driveway permit const. approval rec fired prior to occu Date) ncy When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be ubmitted prior to permit issuance: (For required items not checked above at of ap ication, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer Owner) was advised of ab approvedPlans . U ���W,.o ..- mm Copy—DPW required data by Telephone By Date Date Mail Other Date ,jo Adq(. e -4 -mw 6 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER // - 3 9 " O ZONING. ' riS BUILDING PERMIT OWNER / TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MArLING ADDRESS 3 y a t/() CONTRACTOR'S NAME "" ---I- 'N -N -A 4 ) asf TELEPHONE CONTRACTOR'S MAILING ADDRESS (,� 6- 9 P P_ " '. i,[. Fireplace CONSTRUCTION LE DER UNKNOWN 1 Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r (' %I f1 ';/ Each Trap 2.00 { Solar or heat pump water heater 20,00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 S, N J USE OF STRUCTURE I SF Q Duplex❑ Mobilehome❑ Other ! SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea TYPE OF WO i New❑ Addition[]Remodel. ilities❑ Installation❑ Other Describe work: r C r � 2 -� his lwV /Y1 - ^ - Permit Fee $ ;; UU Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I I declare under penalty of perjury (check one): i l 4_1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions (J Code and my license is in full f rce acid effect. License No. O Classification !{�[ 1 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intender 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 ( DWELLING OCCUP.s!\ NEWC OR ADDNS. ONST. ACC. BLDGS. / +/ZQsgft NEW CONSTR MULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES .2ALO 90 Ex. Occup. OUTLETS ED P(RESID.)REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ,The permit is for $100.00 (valuation) or less. 0 1 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. F,I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to)save, indemnify an&keep hdrml s the County of Butte against all liabilities, judgments, costs and ex6enV9 which may in any way accrue against said County'in consequence•vi'the granting of this permit. X ���✓/���—�q _ Date // Signature of Applicant — Owner ❑ Contractor(X 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 00 OCCUP. CONST.TYPEJ FLOOD PARCEL P11 ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DI.AECTOR'OF PUBLIC / By r`� /� / r- PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. S< 3 0 XV WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER S _ 3c.a N1'141 BUILDING PERMIT OWNS TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S M LING ADDRESS U 0,vinj CONTRACTOR'S NAME `/ N 4 1 Gari••' TELEPHONE CONTRACTOR'S MAILING ADDRESS (o S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 Ch1 CV Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 S, U0 USE OF STRUCTURE SFk Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 u. Building sewer 5.00 Mobile Home S I G I W 0.00 ea. TYPE OF WORK New ❑ Addition ❑ Remode.1f] Utilities ❑ Installation[] Other ❑ Describe work: S>±� u�° '"`1 �%j " �� /Y1 Permit Fee $ Contractor ELECTRICAL PERMI Filing Fee 10.00 Main service 6001 OR LESS10.00 100 AMP OR LES Main service EA. ADD'L 100 A 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p i y (check.one): �,�ryl� I /lel am licensed under provisions of Chapt. 9, Div. 3 of the Business T —and Professions Code and my license is in full f9rce and effect. License No. q 2010 �� 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 OCC'/zQsgft OR ADDNS. ACC. BLDGS. NEW CONSTR ULTI.OUTLET2,50 ea NON.RESID BRANCH CIRC POWER APPARATUS 6 SINGLE OUTLET cIR. EX. OCCUp(OUTLETS OR FIXTURES 20®80C eAL93o Ex. OCCUp. OUTLETS FIXED (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, Ind mnify an keep "rml s the County of Butte against all liabilities judp5e's, cost wand a ens which may in any way accrue against al ou y� copse ence the antin of this permit. X / Date c% a Signature of Applicant — Owner ❑ Contractor Agent Elwork 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �s uta occuP. CONST.TTPc IFLOODIPARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County. Code and/or indicated above for which F PUBLIC By PERMIT EXPS Date I E the applicable provi- resolutions to do fees have been paid. WORKS D erX� " Receipt No. V,310 �� WHITE-D.P.W.. TELLOW-ASeE°eOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Owner: Addres BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 'SPECIAL INSPECTIONREPORT ell Building Type of Inspection requested: 1; Hou s ir-ig L/ 2. F inanc ing 4. Other (specify) Present use cf buildinF,: - P.#��ls- to of Inspection 2S Inspector -- ",7 // _i . — o 3. Change of Occupancy to A. Sanitation (Housin 1. Water closet: 2. Lavatory:_ Bathtub or shower.• 4. Kitchen sink: 5. Hot and cold water to fixtures: . 6., Heating fa.ciiities: --- 7. Natural: light and ventilation: _ 8. Room and space requirements: 9. Bedroom window or door for second exit:_ _ 10.- Infestation of insects, vermin, or. rodents: _ 11. Connection to sewage disposal.: '12. Connect. on to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. t's.ers and footings: 2. Floor constriction: 3. Wall construction: 4. Ceiling and roof construction:_ 5. Fircpl.aces: 6. C( -nm.. ents: C. Electrical i. Service and ground: 2. Rece;)ta.cles: 3. Fusing: � D. Plumbing 1. Fixtures connectnd and veiite.d: 2. ^a,s atl-er. he.ccter: �_ __� r 3. Cas heating vents 4. C crment s . E. Other 1 Maintenance and repair: 2; Fire hazards: 3. Safety.hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Cormercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically h.andicapped: 4. Restroom floors and walls: _ 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G Field Problems or Violations 1. Problep or •:violation (give complete description): 2. What Zction taken (gi a complete description): r 3. WUME action recommended: 77A. Information only - fi c-. B. Hold for ten (10) days, then write litter. C, Write letter. 77D. Other: n` (C ��, .,.'.+3 w�c�-t /�P� , r c TO: Blanding Department FROM: Environmental Health, Chico SUBJECT:. San talion Clearance Owner Location / APO Plan approved for: sewage disposal !/ water supply Hold final for: water supply ,Final clearance O.K.' for: V water supply � Clearance for bedroom mobile Dome. ether ldOt@soo Sanitarian — Date - vs T '77` C LFes. t�F fw. - t +G 1� r4 n f , r 3 3 5 I N L __.. I ._ . - - r T . 7 � i a T _ f' _ .p 3 i \\ L 1 _�3....C! C� i o r 5 0 8 _ 2 2 Gi -_ G c 3 1 JG. t h� � f. T F S /3 W E- E _ 1 A , "G i , G s ie. R i0 CS 1 a _ p � !� oW yy� 2 _ T --- _ A � _. P s 7el !o 4 zx t .. r' r."r vc� — �- r:2i�1�92_ f f3L. �}S7c 0 4 � A S $ G !'y S 1 , , t , Dl1-4 r2 5 P, t , -il � t �� hl q 5 � s , 1 orfT , Z +r. 1 s. s f� , i . r I i t a t I q "m _ I .... i+l.. 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