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Home My WebLink About018-450-022WILLIAM F. DERR t ,sN :.Stilson'�Canyon app. -!i2.0,0.' -.,E;. o:f zy s ;Lane, Chico Permit 2683-74B,P,E,M �`-- rt' (new singe family) ' cl i _ .Permit#_ _3566.-7 :fireplace-2683-7� .) _ Permit#_3567_-47 0 _s#._-R-FtvFT.tar._�hs2 Permit# 83B(extend fireplace & one ii in AO&Br 2683-74) 61j-'0'90-022 02-1260.�� DERR,.WILLIAM & LOUIS E 540 STILSON•CA' y ICO , r , STORAGE SHED '2. ��D a , A L » . I s 13 ',PERMIT NO. -2-&e' 74B P,E,M + P y E + M MH UTIL. PERMIT NO. PERMIT EXPIRES -7—/6-757 DOWNER William F. Derr CONTR. :'LOCATION (A.P. 46-54-22 ) s/s Stilson Canyon, app. 200' E. of Lazy S Lane, Chico fi eF F i r i Temp. Power Pole Called PG&E Temp. Elec..Serv.,` Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED ..._(Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING etback Firewall 'orms Parapets Main Bldg. Restroom Finish Footings Windows Stemwal I Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Garage Vents Stemwall Slab Prov. for physically handicapped Carport Footings Conformance of ex. structure Slab Final Patio FIREP Footings Footing f. Masonry Walls I Throat Reinf. Steel I Final FIRE SPRINKLERS Framing Test Stucco Final Mesh ME Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation 4 Door Closer Final Soil Piping 1st Floor 2nd Floor 3rd Floor To out c' Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping Temp. Gas Sanitation Final Fixtures & Test EUC Grd. Fault Prot. Temp. Pole Underground Permanent Final • ,--REMARKS OR •- • i / �. r✓ _ MORE. 'Vo b CG /l County of Butte DEPARTMENT OF PUBLIC WORKS - 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 I CORRECTION NOTICE I ........................................................ Building or Property Address A routine inspectio indicates that the following violations RtV %dina exist at the above address and sh d be e Please notify this office when f wor� completed. If you have any ft pert - i is matter, or need additional expl n p edontact this office immediatel . '..Se ... 1-41v ........ ........ ........................... . ................................................................... ............. .. . ............................................. .......... ................................. . .. ......................................................... 2 Date.............................. I pector .......................................................... Do Not Remove This Tog (400-4) . .. _ �.+;: a'. ar.. �yr�. . w � �,� ,,.�' `� �f�s'�'4sw.f�l'< to. .:SLS. .: •.'�1r`. �-;+.�. ��• , � ::�-� •,'�f'% +t_r!e'�'7Y ' •1}'K> 7rt-' .. ,�s)r".:: i r r l,J. r. •r.'- �:.: ,, ... .,... :...,-.c t,...�.. �.. ', �t.:r ..1-'SS�A�+2Ja' ._.,pF-. c:.a x. -...a- av .. ... • � r COUNTY OF BUTTE - DEPARTKJENT 'OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER r —SI/ _0*�.Z ZONING BUILDING PERMIT Ow E ,1<,,L 1 f4r►N TELEPHONE A" �!?Xc - SO. FT. OCC.BUILDING VALUATION f P. OWNER'S MAILING ADESS ,C/Y�U - CONTRACTOR'S NAME 1 f TELEPHONE "CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 4f__ UNKNOWN $ Total ValuationA119AI O Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 5, " AR_CJ.-IITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRS G/ / Zli PLUMBING PERMIT Fili Fee 10.00 n9 «/ Each Trap 2.00 Solar Water Heater 20.00 r ! / Water piping 5.00 LOT NO.SUBDIVISION NAME IPA%hC L MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ® Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other g Describe work: f )0. �. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 MN service 100V OR LESS 100 AMP OR LESS 10.00 ' y �� 14G4r /• Mal Service EA. ADD'L 100 AMP 2.50 NEONST. ( DWELLING OCCUP.&\ CRYDNS. ACC. BLDGS. I 21/41q 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 N CONSTR.ULTI.OUTLET 2.50 ea N-RESID. BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS &) (SINGLE SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES B� 50t FIXED APPLN5. OR ` EX. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 $ Contractor I certifythat I have read this application and state that the above information. is corret. 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said CCounty in conse uence of the granting of this per it. ~ X ' 7" Date / Signature of Applicant — Owne Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Ho"e Instillation Fee $ 30 TOT,5L/ PERMIT FtE $ J '- OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicate above for which DIRECTOR OF PUBLIC By l PERMIT e'"4 e L the applicable provi- resolutions to do fees have been paid. WORKS Date J • > 47. Opt !1- *U pover it zz 7 J Receipt No.� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.. 031 ASSESSOR PARCEL NUMBER -ate 1 ZONING BUILDING PERMIT OWWEFr W/L,L,/4M TELEPHONE 2v G S0. FT. OCC. BUILDING VALUATION O OWNER'S MAILING AD ESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ 7,50 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ J ARC�iITECT OR ENGINEER 4- LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ as BUILDING ADDR / PLUMBING PERMIT9 Filin Fee 10.00 << N Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME CEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF )6 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobi le Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other L6 Describe work: — P,d Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 �p r� Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 2t/Z0sgft ONTRACTORS 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 m license is in full force and effect. y License No. Classification ,k 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 ULT(.OUTLET 2,50 ea NON-RESID BRANCH CIRC 'ITS NEW CONSTR ( POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR, / Ex. Occu 22 L@ P/OUTLETS OR FIXTURES \ BAD L@3OQ FIXED APPLNS. OR Ex, OCCUp. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. 1 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 $ Contractor 1 certify that 1 have read this application and state that the above information. is correct. I agree to comply to all County Ordinances and State Laws relating0 to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st sai ounty in co se ence of the granting of this per W9_ ��({ X Date.—,. Signature of Applicant — Owne Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overr'3 stories in height. Mobile Ho a 4inst Ilation Fee $ �– TOTV PERMIT FEE $ 5-s- OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicate above for which DIR CTOR OF PUBLIC By. PERMIT e�(� the applicable provi- resolutions to do fees have been paid. WORKS 77 Date- Receipt No. � 7 y� f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1' COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC W RKS�� 7 County Center Drive — Orov-ille, California 95965 �Y Tel ephorrb: 534-4541 APPLICATION AND PERMIT ignoture of Permitee or Agent�. _ By _Date ��/- Receipt No. "7..� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B Iding permit expires Date BUIL ING Owner. D& SQ. FT. OCC. BUILDING VALUATION Mailing Address lole41- Telephone No. C CD OVT—o Fireplace 0. Contractor L Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ d Building AddressPLUMBING i �S' O R /� No. @ FEE PERMIT FILING FEE $3.00 c® / $ Each Trap 1.50 C n Repair drainage or vent piping 1.50 WaterP�P 9 i in 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Sa"itatfvff Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/.W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE ,PERMIT FILING FEE $3.00 Main service incl. 1 meter a Additional meters, each 1.00 Sub -panel (12 or less) (morethanl2) - Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range,. Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures2U,%25 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be•insured against liability for Workmen's Compensation. EJ'I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. RI certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws -relating to'building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. /�,, I'�rtP' TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated ` above for which fees have been paid. DIRECTOR OF/JP WORKS ignoture of Permitee or Agent�. _ By _Date ��/- Receipt No. "7..� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B Iding permit expires Date COUNTY OF BUTTE = DEPARTMENT OF PUBLIC k's 7 County.Center Drive — Oroville, California 95965 Tel ephon-e:• 534-4541 / ' APPLICATION AND PERMIT v authorize representatives of the County.of Butte to enter upon the above-mentioned property for inspection purposes. x 1 Date !' Re ISignature•of Permitee or Agent t No. White-D.P.W. — Yellow -Assessor — Pink -Inspector Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS ey Date 7 —7-4 - 7 J /uildin/9 permit expires Date %A: - — BUILDING' Owner SQ. FT. OCC. BUILDING VALUATION it/� C, Mai I ing Address C Telephone No S—O Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty - Telephone No. Permit Fee, j , Building AddressS C' O PLUMBING No. @ FEE PERMIT FILING FEE $3.00 X20 x CO -0 E Each Trap 1.50 i C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P.. No. —�, Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes WA< San"tion FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE ' PERMIT FILING FEE $3.00 1q %L- /,-P// Main service incl. 1 meter -— Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal 0100 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner_ or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's'Compensat ion Insurance. / I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling; Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read.this application and state that the above information is correct. I•agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County.of Butte to enter upon the above-mentioned property for inspection purposes. x 1 Date !' Re ISignature•of Permitee or Agent t No. White-D.P.W. — Yellow -Assessor — Pink -Inspector Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS ey Date 7 —7-4 - 7 J /uildin/9 permit expires Date %A: - — 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W 7 County Center Drive — Orovi Ile, California 95965 �� r Tel ephoMe: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. CJA e X MA9, �� Datej Signature of Permitee or Agent Receipt No. '/ 2�� 2 — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ` Date '7!(e — ?4— uiiding permit expires Date...................7.:- �.'. .. BUILDING Owner ` ( �.. r SQ. FT. OCC. BUILDING VALUATION Mailing Address 5- 2-( r id, h R 0e, c1Q ^al`� Telepho`eNo. 4 'j� cf Fireplace Contractor Total Valuation Z Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressPLUMBING _-sw 0 47 No. @ FEE PERMIT FILING FEE $2.00 G 00 Each Trap JL 1.50 [� Repair drainage or vent piping 1.50 Water piping 1.50 r Each gas water heater or vent 1.50 A. P. No. *' Z Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s C. "on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans P rcel D aration Parcel Ma P 60' R/W Im rove ents P Lawn sprinkler system 2.00 Bldg. Plans c'd Par Approvol Plans pproval Permit Fee $ `3u NEW Z ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meter ,-each 1.00 Sub -pane 2 or I_es morethan Single Family Er Duplex ❑ Mobil Home ❑ Others ❑ Rang Cook -top or Oven 1.00 10 ater Heate r Space Heater 1.00 ()d uresbal_ Flo Receps_I switches & fix & ets Z 7 7_- CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, x. rF.A. Furn. Motor 3 1.00 -3130 Evap. cooler, ga . isp. or D.W. 1.00 Air conditioner or heat pump )....,00 Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. '-Permit MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating D/��Gao 'GYM Cooling 4 .gam Ventilation Hood /.<�, 2.00 Fee $ $ 5, 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 $7 / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. CJA e X MA9, �� Datej Signature of Permitee or Agent Receipt No. '/ 2�� 2 — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ` Date '7!(e — ?4— uiiding permit expires Date...................7.:- �.'. .. Y 4. • NOTES RESIDENTIAL 4 F01i-090-022 02-1260 PERMIT NO. _.DERR; WIEEIAM•&•L-OUISE- 540 STI'LSON CANYON RD., CHICO r, STORAGE SHED 1� } i II SPECIAL CONDITIONS I 4 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED JOB FINALED (Date) a f Signature �' .(, = OK 4. 0 = Not CK K2IICa 1. = Not Applicable MOBILE HOMES = Not Ready 2. Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Well Clearance & Disconnect 2. Soils; Special MH Support Sketch 8. 3. Sewer; Location -Test -Fall -C/O -Concrete Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, ARPORT G RAGE Plans) OK except #'s 1. Z Requireme - acks- Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures arports; Windows -Doors 7. Electri Sills-Anchors-Studs-Rftrs-Trusses :Y Sidinq; Nail inq-Veneer>Stucco- Mesh Roof; Shthg-Roofinc Ext.; Steps -Doors -L Braced Wall Panels Date 4. Water; Location -Test -Easement Needed (Sketch) K2IICa 1. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 2. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG 3. 7. Well Clearance & Disconnect 4. 8. Utility Clearance 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Date Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card B-1 Date Card B-1 Date Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity;.MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector Date 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, ARPORT G RAGE Plans) OK except #'s 1. Z Requireme - acks- Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures arports; Windows -Doors 7. Electri Sills-Anchors-Studs-Rftrs-Trusses :Y Sidinq; Nail inq-Veneer>Stucco- Mesh Roof; Shthg-Roofinc Ext.; Steps -Doors -L Braced Wall Panels Date , 1p0- Card B-1 Dat Card B-1 Date Date K2IICa 1. ate Card B-1 I ( I OK except #'s S backs- asements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater c 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date FRAMING (Continued) Underfloor (Plans) OK except #'s 46. 1. Zoning-Setbacks-Easements-Flood-Slope 47. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 49. 4. Ftg., Porches & Decks; Soils-Steel-/ /" Fig. Depth 50. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 51. 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 52. 6a. Hold Downs and Special Anchors 53. 7. Slab, Steel-Wrapped 54. 8. Piers-Fireplace Ftg.-Steel 55. 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test 56. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 57. 11. Water Pipe; Test-Anchors-Regulator-Service Test 58. 12. Electric Underground 59. 13. Plenums & Ducts; Clearance-Material-Support-Ins. 60. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s PLUMBING (Permit) OK except #'s 63. 17. Water Htr.; Vent-Access-Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor-Nail Protection 65. 19. D.W.V.; Test Fittings & Anchor-Nail Protection 66. 20. Shower Pan; Test, First Floor-Tub Access 67. 21. Test Tub & Shower, Second Floor-Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance-Ins. Protection 74. 24. Elec. Receptacles Spacing-Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 80. 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O No 81. 31. Service-Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light-Shower Light-Spa Light 83. 34. Smoke Detector 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground MECHANICAL (Permit) OK except #'s 88. 35. A.C. Ducts Insulation & Support 89. 36. Vent Fan, Exhaust above insulation 90. 37. Condensate Drain & Overflow, Size & Grade 91. 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 92. 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing i jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. I nfiltratio n -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive ] Yes J No/Walks J Yes j No/Planters 0 Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) P IT NO. (Rev. 12/96) APPLICATION AND PERMIT 54 -/c� ASSESSOR PARCEL NUMBENG 011-090-0242 ZONIN R-1 BUI IN ERMIT OWNER DE R. WILLIAM & LOUISE TELEPHONE 342-0954 - SO. FT. OCC. BUILDING VALUATION 200 U 3600.00 OWNERS MAILING ADDRESS 540 STILSON CtkNYON RD. CHICO CA 9592. CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 3600.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 61-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 40.95 BUILDING ADDRESS 540 STILSON CANYON RD. CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 123.95 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other STORAGE SR .)7 SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: WOOD FRAKED STORAGE SHED (NO ELE=IC ) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home LS I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.0.,v, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Date��c� —+ ig tura of pplic ner 0 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A 1000A TONxi 46.00 . CUP. SO NEW CONSTDWEWEU OCCU OR ADDNS. ( a ACC. BLDS. 3.5QFT: ,,Dµp�I.T MULTI.OU CU 97,50 APPARATUS 6 SINGLE OUTLET GR. j 20 Ex. Occup. OUTLET OR FIXTURES SAL @'. 0 Ex. Occup. o Xux" RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOT L F E $ 12345 4117 p I P O I CDF /-91L I P HD el This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 2 Z Dae ReceiptNo. 353657 $123.`95 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,, �,. .. - , Y _,- r. ., �-t ,,,,,. ny.- s �- ...,�.S1yTi+. .- -. ,w •+n *'K v-�."+J"ryri`Xi �`�I'R•�._ _ ,.-. • a 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: O L ASSESSOR PARCEL NUMBER d �� 0 _0`� "' Proposed Building Use: 5k? Counter Technici e: �� / "r Items required in order to apply for a permit. All boxes MUST be checked OR marked n order to apply. r 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. 1 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 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 faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ng ed by the engineer. Items requited for initial plan review. If checked items have not been received, plan review cannot proceed. The permit willibe indexed and returned to the plan review line-up when required items are received. Date Received By ;J W—k& Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form..............................................:................................ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings................................ea�. Sanitation and plot plan approval from the Environmental Health Department intyof Chico Plumbing permit .......................................: .. ........ 18. ifornia Department of Forestry plan approval paid. Sent .by:.. ....... Tanning appro"val for (A) Use: O' 1< (B)Parking: (C) arc Che --'Z— C72 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ }{ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expire eunits_..,•......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H T' Statement of Facts ❑ Le from Legal Owner, ❑Check to H.C.D. $ ❑ 31. Other: ` ,n When issued Telephone and hold for pickup. I have been informed of y� abov i Pm�.•+�;-egtrir ments for obtaining a building permit. Applicanv: / / Date: 7 __/_ x.4,, 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required ,. Contractor, 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, ❑ counter by Date: Plans reviewed by: �� ,. Date: 5 Z) 0'Z Plans approved by: '2, Dater Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: s. Yellow: Building Division w6_4� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance EA, USE NLY Fiat Plan Attechad Ploaa Man Attache v Sent to 6.� d '2i1,e)q Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: ` Environmental Health Specialist Date 8/96 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide th major labor and materials for construction of the proposed property improvement : YES NO E3 F E 2. I HAVHAVE NOT signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYO SOCIAL SECURITY NUMBER: � �> DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under.limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: rltis Owner -Builder Information is required by Section 19810 of the Calijornla Health and Safety Code OVER . a . N� T"ES ,f45 raP 3 8A esL L- I , D a ?`/�. 1 h I• • D E T/A I L Ful.. �lElGnY'@ _- SECT rOtil s r , r CkAkV\1,\�E D C c t Gk -Al, FOP- LL 0 E R-V4 i cAI r. Jp llr{I� ds. z - C. W. BACHMAN RCE 16803 ROUTE 4 BOX 525 A CHICO. CALIFORNIA 95926 � ;, , �� '�. i P ; � � I . - �w�r.«Ai.�. � +,ase=rea�x.+. � FI r � �, ' f. i � � E � y �'. �.. .- �. �.. � � � i �. 1 vl n V `. � i y n' ,.. �p 1 i' G` "�N ''9" P -x yy 'mmr .:bt t � � I w �, "i '� i t '�� i a.y�.. ��: .._� i �per� nn. a �-'R-a'. .. v. �, aA.t'.�..p+i'ri'wbE.1CV'�±Y/Id�<Hh7rhpyM yit �. tA' {' '," � ., rw ..fir � � .. 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