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039-090-037
AP 39-0 -37 -. UCE MARTIN � S. 1 erringto Ave., Chico Permit 027- B,P(private agarage) "'""""" AP 39-09-37. Permi 2522-7 (util.�NLH� �OZ7 A MEC LOT BLOCK SUBDIV� /� `"AS / SUPPORT STRUCTURE .4?D TYPE OF ' S COMPACT ION TEST REQT�' PERMIT PERMIT NO. PLAN NO. DATE rasoj - ` ` 39-09-3D REMARKS 1 Permit# 3'25 =75 HIT I s sued/ tcr�Gs/?CdL,,� 39-09-37 H.E. Long Berrington Ave. ,Chico Permit #4231-80B,P,E,M(new single family brgezewa ) 039-09-0-037 95- 1198 B. LONG, HE: 1143 Berrington Dr, Chico /��/� (reroof/comp)SF North State Rfg 039-090-037 04-1745 RICHAR, LES 1143 BERRINGTON RD, CHI6ROOFING HALED Cont: GREENE � terms 0� ELE SER CH/SF PERMIT DESIGNATION: B—BUILDING E—ELECTRICAL U—USE PERMIT HM—HOUSE MOVING DEPARTMENT OF P—PLUMBING TV—RADIO-TV ANTENNA V—VARIANCE EP—ENCROACHMENT BUILDING AND SAFETY T—TRAILER S/W—SIDEWALK NOTICE S—SIGN PERMIT D D0910LITIOIv 600.1 ��^ INSPECTION RECORD BUILDING APPROVALS �W Ri W D IL Z ODI- p. a: U O Z OLLD J O LL.rc Z UJ 0W O F Zy w Z — Q a m _O dF W Q Z Ir _O RF W Q OW Kf W N Zg It 0W trI I W N a W Y p U U O oIII U J O Q ¢ �rc I:. W U IL w � J Z a SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DAVE SIG. DATE SIG. DATE SIG. DATE SIG. DATE JA//i;I /MM.IF».1111lI� PERMIT NUMBER: SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVA L.Q PERMIT NUMBER: SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MINCELLANE0114 APPRnV A L.q PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE BUTTE COUNTY DEPARTMENT OF DEVELOPMENT_ SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041745 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/22/2004 APN• 039-090-037-000 the Business and Professions Code, and my license is in full force and ' effect. p I (D f N3�� License Class: License Number: Site Address: 1143 BERRINGTON RD CHI I l(0 w Date: Contractor. (1G Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: UPGRADE MAIN SERVICE PANEL TO Contractors' State License Law for the following reason (Sec. 7031.5 (200AMP) 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: RICHER LESTER G &MARY S signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 1143 BERRINGTON RD 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95928 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, and who does i Applicant: RICHER LESTER G &MARY S such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for r sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of ; tt proving that he or she did not build or improve for the purpose of sale.). F ❑ I, as owner of the property, am exclusively, contracting with licensed contractors to construct the project (Sec. 7044; Business t and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improvesi-thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). (❑ :lam Exempt under Article 3 of the Business and Professions Codeij��-� —g COPY Date: Owner: OFFICE f WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: + Address License #: ❑ 1 have and will maintain a certificate of consent to self -insure for r., workers' compensation, as provided for by Section 3700 of the t . Labor Code, for the performance of the work for which this permit is issued. _,-Ii pates GAS Meter BY ❑ I have and will maintain workers' compensation insurance, as patrequired Architect: ELECTEAt by Section 3700 the Labor Code, for the performance of Engineer: B the work for which this permit is issued. My workers' compensation Meter insurance carrier and policy number are: Carrier.. s6k pomp. T wi' ionce- 1(mcl Total Square Ft: 0 S. F. Pony #: 11 "LSI y q 10 - C) O , .I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to `4i . become subject to the workers' compensation laws of California, 0"t, • and' agree that if I should become subject to She workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall r forthwith comply with th Ase provisions. Date: �, Applicant:' ' - WARNING: Fai ure to secure workers' compensation coverage isunlawful, P-(- and shall subject an employer to criminal penallies and one hundred thousand dollars ($100,000), in addition to the cost of�`� damages for in Section I: 1(�compensation, lVcode, as provided 3706 of the Laor interest, and attorney's fees. _.__ _ , , , u_Q j '-7 ricCct�}- CONSTRUCTION LENDING AGENCY This perrnibls ereby issued er th applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions o work Indi to ab r which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)- 6 z - Name: By: Date: � - \_-1 - Address: V V PERMIT EXPIRES ON: V . 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 official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. - - n I'� / Print Name: 1 L (- l�L 1��� Signature: I I I O LI Date: --f 13 Owner 13 Contractor 0 Agent for Owner �Agent for Contractor COUNTY OF BUTTE , ' BLILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drve • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. �R A routine inspection indicates that the fol owing violations of butte county Ordinances exist at the above address and should be corrected Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, . x please contact this office immediately. nc v —1— BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP041745 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/22/2004 APN: 039-090-037-000 the Business and Professions Code, and my license is in full force and effect. 1 LA, , ;q T7 c/ � D License Class: License Number: Site Address: 1143 BERRINGTON RD CHI Date: l(0 w Contractor. l Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: UPGRADE MAIN SERVICE PANEL TO Contractors' State License Law for the following reason (Sec. 7031.5 (200AMP) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of Owner: RICHER LESTER G &MARY S the Contractor's State License Law (Chapter 9 commencing with Section 1143 BERRINGTON RD 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95928 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: RICHER LESTER G & MARY S such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to,an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: El 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: POW- 10&6 V, fund Total Square Ft: 0 S. F. Policy a: ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: 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 complywith th se provisions. Date: Applicant: WARNING: Fai ure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of 1 I l 1 J compensation, damages as provided for in Section 3706 of the ----- code , interest, and attomey's fees.- - — V!__ — _ le -e C'e t P,+ u �5 CONSTRUCTION LENDING AGENCY This perm il kt§sereby issued er th!R applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutic s t.L.10 work in' to ab r which fees have been paid. / performance of the work for which this permit is issued (Sec 3097 Civ.) 6- & Z Name: BY /— D,atte:111{((((//// PERMIT EXPIRES ON: 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 & 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 official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: ��✓��/ - I I Q Date: I ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor 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 OF APPLICATION OWNER Names Address 11y� %Vq, �pr\ QD• City Ghi t U tate t zip mirk ; Phone 53() _ $ q q _ 3$12 Fax _ E-mail APPLICANT NAME CONTRACTOR Name ��` City C �� (U Address I mrb + j2d City C*LJ C U Fax _ StateCA Zip�s�,1 I Phones��. $�1` -0 `�O�i FaxS3O _ gc1`i _ Igq g`f E-mail Lic. # 4 3 7 Cla APPLICANT NAME ARCHITECT/ENGINEER Name City C �� (U Address zip a Sq'Z g City Fax _ State Zip Phone Page Fax E-mail State License Number APPLICANT NAME Name �1 4w K4 L(A 1 Address j n Lt /-l/b WW) Dq V City C �� (U StaterA zip a Sq'Z g Phoneg3o, goal_ OSIS Fax _ E-mail APPLICANT SIGNATURE X 9�A� I ForIce a onl Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. o(� -i-IN1 BP BIN # LOCATION AP# C)3 1 q — 0 q 0 - (7 'j % Property Address (' LA I��I Cross Street WORKER'S COMPENSATION Policy Number 1 q Lt (O - b 2) Carrier Sk19i+t C 0 M SA► 0 n g%6(0 (P W 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 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: ZOO -:;t y) S&YXA`C.e._ C.4CAVv M k'y..e4 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no' construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b��rm Amount: Bldg SRA Receipt #: Sheriff A; '- Date: C p — lP V% ( Other Total I I REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ .5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 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: ��� (�V� �i y -I C. ASSESSOR PARCEL NUM R 05 v'v�� Proposed Building Use: U �� ((k J_t r1_1 q `n SP✓✓ I q Counter Technician: Date: �' Y Items required in order to appy 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 oreparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed ty the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wit signature on plans AND 2 sets of stamped and.signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for Cuss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated amd A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheet3 and installation inst, (B) 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 ❑ 11. Site plan and business license apprtovgl from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval frcn the Environmental Health Deparment in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other__ Remaining items needed to issue the permit: (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers......................................................:..................................... ❑ 18. Agricultural Buffer clr and site plan qpr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required....................................................................... ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit....................................................................... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (gParking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................ ❑ 27. Encroachment Permit for driveway f om th ublic Works Dept .......................... 28. Pre -Inspection for et -e b-1, ec-) �CY V I Ce USB, rr 4.,,,,, ❑ 29. Contractor's license information. (NLmber, Name Style, Classificatoi n) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Giver to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ..... ................................ :............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance.............................................................. ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction ......................... _.............................................................. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statem=_nt of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the abpve items and rquyements for obtaining a building permit. (.,A(/� Y _Plan heck Letter Applicant: Date: 1. Index permi appli ion for a above items ere�9: 2. Additional items equired Contractor, designer, owner, was advised of the above cata by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above cata by ❑ phone, ❑ mail, ❑ counter, by _ Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Date: Date Date: ;- . PRE_INSPECTION REPORT OWNER: DATE: LOCATION:&,6kJV,\A.P. # o-�—D9 6 — 6� n '^ — CONTRACTOR: y ZONING: Ur— REASON FOR PRE -INSPECTION DATE TO INSPECTOR: i PERMIT HISTORY ( ) NONE SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Currently Occupied ( es ( ) No Abandoned/Vacant: Electric: 1 Electric Currently ( On ( ) Off Condition of Electric Gas: Currently Condition Sanitation: Plumbing Worldng tyes Obvious Sewage Problems ( ) Yes ACTION RECOMMENDED: Hold for permits or verify: _ Inspector: ISSUE ( ) Off, Mobile home # of Units: () No ( o &- Yes ( ) No Date: - W carr'Vrrrru RTTTT.7nT7VP_C nN RF.V'FRgF ANT) TNTITC ATF. 1,0C'ATTON ON PROPF.RTV 1<0 BUTTE CO TY DEPARTMENT OF DEVE PM T SERVICES BUILDING PERMI APP CATION AND SUBMITTAL . EQU REMENTS 24 HOUR INSPECTION#: OROVILL (530) 38-7636 - CHICO: (530) 891-2834 OFFICE #: � 30) 8-7541 A FEE WILL BE REQUIRED I IME OF APPLICATION OWNER Name ; kc, RI G9/10.Y Address City C,ht- L U tate (A Zip 619.12 Phone cJ3�i _ $q�-3$12 Fax E-mail — APPLICANT NAME CONTRACTOR Name i` City �� �� (U Address C ,b + j2d City 10 U Fax _ State Zip Phone53� . $q`j -d `,vq FaxS3o • S9 �{ " t0q gL4 E-mail Planner Lic. # 1 4.5-� r7 Cla APPLICANT NAME ARCHITECT/ENGINEER Name City �� �� (U Address Zip a Sc' 2 City Fax _ State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name k.,41h t &V Wei leA Address I�h kjo/) Oq V City �� �� (U State Zip a Sc' 2 Phone 530 S`1OSIS Fax _ E-mail _ APPLICANT SIGNATURE X I� u I' " ` ForIce ile only: Zoning I Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL KtUtJIMtmtN i s KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc PERMIT NO. 0C BP BIN # LOCATION AP# �JR CoQ (� 2 Property Address/ 21CKYIto Cross Street WORKER'S COMPENSATION Policy Number t-1 2,l _ 6 2) Carrier Skn+t 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: 200 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received bi[PT Amount: L " Bldg SRA Receipt M Sheriff SMIP Date: lQ L"/ Other L . Q0 Total Page 1 of 2 REV 4-30-04 i4 AP. 39-0 —37 UCE MARTIN 710 S T 1 erringto Ave., Chico Permit 027- B,P(private agarage) ;••--•''.- ' �. AP 39-09-37 Perini 2522-7 (util, MH) -25 �O LOT .BLOCK "' ��r i A�EC SUBDIVI' r iGAS 7 - �t/, SUPPORT STPUCTURE .�Z;1 TYPE OF PERMIT NO. PLAN NO. DATE�6 COMPACTION TEST REQ. PERMIT AP 39-09-37 _ �D r R E A R'K S Permit# 325 -7HI r- 5 Issued a I H 39-09-37 J j E. Long 1143 Berrington Ave.,Chico Permit #4231-80B,P,E,M(new single ' family Jys�� brpezewa 039-09-0-037 95— 138 B LONG. H.E. r � 1143 Berrington Dr, /� Chico �// 5 (reroof/comp)SF North State Rfg ----------------- 1 - PERMIT DESIGNATION: B—BUILDING 1 nc0ADYI, P—PLUMRInir i E—ELECTRICAL N U —USE PERMIT _ ; .... -, ', � .. .. _.-.y.�.,,,��;7„`_+-3,�'. � �i�!OX'y�i��""i+A.�l+'q^`"7�,]�X:'A-.IrX::w7-•. ... .^ .;,r `[039-og-0-037. %NG. 95-1198 BH.E.43 Berrington Dr, Chico eroof/�omp)SF North State Rfg OK Iva Aaa A) COUNTY OF BUTTE= DEPARTMENT•OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, C lifornia 95965 - Telephone (916) 538-7541PE NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-090-0371 ZONING SR BUILDING PERMIT OWNER MR & MRS LONG TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1143 BARRINGWIN DR moos 928 27 @ 60 1,620.W CONTRACTOR'S NAME 2251 PO BOX PARADISE CA TELEPHONE 95967 CONTRACTORS MAILING ADDRESS / r r �! " � ,� a . � � Freplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESSt ' Fling Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty IC $ BUILDINGADDRESS 1143 BEIRRINGTON DR PERMITFEE $ 59.00 CHICO PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF)O Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK LL New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other L'I Describe Work: __REROM W/Coap Mobile Home I S I G W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 OOOV OR LESS Main Service ( zOOA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / License Class � ? — c3 Lic. No. 7�3.� E� 4 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i ❑ 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. I ❑ 1 am exempt under Sec. Business and Professions Code for this reason ( NEW CONST. DWELLING OCCUR S0. OR ADDNS. ( & ACC. BUDS. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) '97.50 ( 8POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 BAL 9 1.00 .50 FIXED APPWS. OR Ex. Occup. ( OUTLETS PRESTO.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 I hereby affirm under penalty of perjury one of the following declarations:. ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by 'section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ///�(,llG I Date �' (� ' y5 Signatufe of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 59.00 HA2. I D. FEES I IMP I FLOOD [73F[;;;Z9 PD I HO ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ( Date PERMITEXPIRESON (Date) Receipt No. 1-16254 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, C9lifornit 95965 - Telephone (916) 538-7541 RE o• APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-090-037 ZONING SRI BUILDING PERMIT OWNER MR & MRS LONG TELEPHONE - SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1143 BARRINGTON DR _CHICO. 95928 27 @ 60 1,620.00 CONTRACTOR'S NAME 2251 PO BOX PARADISE. TELEPHONE CONTRACTORS MAILING ADDRESS j pi- p`o Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Fling Fee $ 20,00 Permit Fee $ 39.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1143 RERRINGTON DR PERMITFEE $ 59.00 NTCO PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF XD Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: _ RFRBOF 14COMP Mobile Home I S I GI W @20.00 E I PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 1 20.00 Main Service 000V OR LESS ( 21.0A OR LEss ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. — 9 Lic. No. License Class �63� 6'7 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 NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( 8 ACC. BLD S. ) 3.5tt FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 .POWER ( POWER APPARATUS ) OUTLET CIS. Ex. Occup. (OUTLET OR FIXTURES ) 2e @ I.50 BALI 0 so FIXED APPLNS. EX. Occup. OUTLETS RESD.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 gpmply with those provisions. p X 9/-,,/ ^ �/ _ Date Signat a of Applicant - ❑ Own6r Contr_actor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction/ of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 59.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. C BY Date (C PERMITEXPIRESON I (Date) Receipt No. 176254 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'MH Util. ,,PERMIT NO. 2522-75P,E a P E M F MH UTIL. PERMIT NO. PERMIT EXPIRES o OWNER Bruce Martin CONTR. SLOCATION (A.P. 39-09-37 ) 1145 Berrington, Chico • y i1 • 9 a i Temp. Power Pole Called PG&E Temp. Elea Serv: Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date (Signature) DATE REMARKS OR CORRECTIONS A0�3/LOi�l� �y 9a 1-� �'�► v X31 t. /-�Ora�c 5,FX � t dC- -70 Lv 4,C CSA L/I /V C 2orr'Acl - b lL 7"b C 0 v S sZ, 4, L �� G/,,� �-S 14L 3 v -75 cz�4 cinOvI b h`i I Al I (96 o �!H °Pito 1' L b Lt L b' Cv S c.L U S / n! 0 �ZZ 7i� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDINGI Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi p in —JO) %s Piers Roofing Sewer l0 3d —% Lam. Garage Fdn. Vents Fixtures Footings Garacie Vents Water Htr.—� Stemwall Slab Prov. for physically handicapped Heaters �- Appliances ---- Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final 24 + 7 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough °7 d ? Reinf. Steel Final Fixtures Bond Beam FIRE SPR4NKLERS Motors Framing Test 1 Water Htr. Stucco Final Subpanels Mesh MEC ICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent G� Door Closer Final I Final 2— -7 , DATE REMARKS OR CORRECTIONS A0�3/LOi�l� �y 9a 1-� �'�► v X31 t. /-�Ora�c 5,FX � t dC- -70 Lv 4,C CSA L/I /V C 2orr'Acl - b lL 7"b C 0 v S sZ, 4, L �� G/,,� �-S 14L 3 v -75 cz�4 cinOvI b h`i I Al I (96 o �!H °Pito 1' L b Lt L b' Cv S c.L U S / n! 0 �ZZ 7i� ...... .. .. :. ......... .............. ). Electrical A. Is service large -enough to provide adequate amperage -to mobi.l,ehome (must equal ra.l:ing of mobilehome with. a minimum of 1W amp) and faccil't,2&on lot, i.e., water pumps, garage, -ca bana, etc .. Yes No o i►/p B. Is there proper clearances -around panels? YesNo C. Is power supply cord o*-€eadj_-r assembly properly fused? Yes.° No D. Is continuity test satisfactory as per the following procedure? Yes No ✓^ rL�Henergize electrical wiring system of the mobilehome at the pedestal. -- --Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. N::: twitch all breakers and switches'in,the mobilehome to the "on" position. —h. Connect one lead of a test instrument to themobilehome grounding conductor and apply the.other lead to each mobilehome supply conductor, including neutral.. . -3�A11 non-current, carrying metal parts of the r-,iobilehome (aluminum siding, gas line, water line),. including fixtures and appliances, shall be tested for continuity from such equipment and the grounding. conductor. Upon completion -of the above procedure,' the power supply cord or feeder assembly- conductors.shall tie connected to the site-. service equipment. A further continuity . test -shall.'then be -made -..between .the grounding electrode and :the chassis of the•.-- mobilehome. Upon satisfactory completion of theel.ectrical.tests, the lot or.site service equipment -.-may be approved for energizing. 10... Is job. card. signed..by-Health.Dep-artment for water and sanitation? y 11. If everything okay, sign off card and tag services. MOBILEHOME DATA.. Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. ! %, Additional Information or Comments: 9 r. �©A(�nf CJ.Ff N nom. % oSsr19 h C G c. (` l-�� �lI MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w't equired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances.above ground? (Sec.5085) Yes _ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 50 -& 5083) Yes No 4. Is 46;re thee mobilehome level? (Sec. 5088) 'Yes' No 5. than a single unit, are crossover connections properly installed?. (Sec; 5088) Yes No 6. Water A, Is flex' e connector of.adequate size and properly. installed (1/2" ID min.)? (Sec: 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes C. Afflow - If coach is not State of California approved, does station have backflow device . and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule -40 DWV and have flex connectors at each end? Yes No .B.. Does it have..minimum 4" .per foot slope and is' it properly supported? Yes"" No C. Are any leaks detected in drainage system after run g 3 -gallons of water through each fixture including washing machine standpipe7, .Yes. No D.PI� oach isnot State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector n t more than 6 ft. long? Note: All piping is to be at least as large as the mobil me gas line iiilet without reductions other than the mobilehome connector. Yes' No B. Test OK as per following procedure? Yes t/ No 1. Open all appliance connector valves. 2, but off appliance burner and pilot valves. 3.it test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth podnd increments. Test for 10 min. without drr 0 onnect� on gas as meter to mobilehome with connector, turn test connections with g soapy water. C. Are all appliance vents properly installed? Yes"'' No . COUNTY OF BUTTE DEPARTMENT OF PUBLIC O S 7 County Center Drive — Oroville, California 95965 ` Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -m lone property for inspection purposes. / X Date 2 &� 7� Signature of Per itee or Agent Receipt No. 33a�s-� 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 0R PUBLIC WORKS By L Date 7— JL -;;,j wilding permit expires Date.%'f2 BUILDING Owner C / — 2 SQ. FT. OCC. BUILDING VALUATION Mailing Address 13E1?RlAi ' G Telep one No. / Fireplace Contractor ® �/?j Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. + Permit Fee Building Address S /2,e/J / C�PERMIT PLUMBING No.1 @ I FEE FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 • A. P. No. ^Q ^ 3 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Saai4a8ietr FireDep t. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration parcel Ma P 60' R/W Im r p oveme s Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Ap vol Plans proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTBLITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter �-� Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home �g Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater. 1.00 Light fixturesb p 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 $ is 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 �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 $ $ 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 TOTAL PERMIT E FE $ 3Q authorize representatives of the County of Butte to enter upon the above -m lone property for inspection purposes. / X Date 2 &� 7� Signature of Per itee or Agent Receipt No. 33a�s-� 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 0R PUBLIC WORKS By L Date 7— JL -;;,j wilding permit expires Date.%'f2 ,- COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKSg5�;li,?,— 7 7 County Center Drive - Oroville, California 95965 Tel ephene: 534-4541 APPLICATION AND PERMIT 1/ G BUILDING Owner ' UGf 7'�� SQ. FT. OCC. BUILDING VALUATION Mailing Address C"' G © Telephone No. S /`rte Fireplace Contractor Q (!% /I/ E Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penal ty Telephone No. Permit Fee Building Address ® PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Q� / G Each Trap 1.50 ' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Gas piping system 1 - 5 outlets 1.50 D. D Each additional outlet .30 F s W. _ atl'r� re Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel a p 60' R/W Imp m ro ements p Lawn sprinkler system 2.00 17/9Z9 . Plans Recd Parc pprovol P Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES � OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, U� Main service incl. 1 meter -34 dd 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 row SQ —T �- P_ Water Heater or Space Heater 1.00 Light fixtures y I�d2 ln 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 j:> /00 Mobil Home Facilities 5.00 S OC 7 Temp. Power Pole 5.00 License No. Classification Misc. wiring X ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ <00 10f 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. 51 certify that in the performance of the work for which this permit Js 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 $. $ 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 TOTAL PERMIT FEE $ S� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ;r, X Date(n ` ..2 — Signature of Permitee or Agent Receipt No. 3:31 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont 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 By ate Building permit expires Date ��— V. t Septic system and location - -Tr G6 -ou ' to. be as per Butte County Health Dept." Re quirements. fhe-, 9g Setback shall be 5 tt _ Ti't phe side property line and 50 ft. 'frort r the centerline installot-of, the . road, ;perm'ittinog A permiion of the mobilehoma,• a. maximum will be required for fhe im of a,-2 ft eave` overhang.- w • All utility connections shad. b�: locate&within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile , home. BUTTE COUNTY BUILDING •DEPARTHENT I hts set of .pians and —ipe6 s MUST be kept on `the job at all :tirmes end it . Is unlawful --to A P P R O V E D make any changes or alterations on samerwttheut written permisson from the Department of Publ;r Works, County of Butte. ; �' �''A) 1 to r ioiis-Dal tris rn.9t2Y? ');N92 1" ? Gs sd of fuo-c$uf2 rii6-ib ur.ai riffssi-i VIUOD sff 8 2f rihl''li;?') l HiQ il�ili .r 0'b�5 9r;ii `s/3tflC�OiC� abi2 sr� ,prI6119ve') :tt t; 6 }o murnix6m eT 1 fi: iK not 7`3il ZC7 yf it ifu HA �r � `il-tr,Iitritiw bsts:)ol • 9-nox{i :11i&m «,rit ia.. �ledcP.,n srl� to s'br2 ffisoi? t? -t.41 srit no .9MIA Y TL1t1Q +Tua TOf gAq_�CI OHIO IU8 Vq. eAt iol beimps-i ad IN limTsq f� ..9modell- om sO to no tolir h i 4*d Tdt]M anoitsMiswa bne inslq to tea of iu�wslnu at ti brig nwit i!Q is doi srit no tgex tuorl4imi a muz no anvitaisti!3 to dspr'+a& xm 'JAfxM ,iidua lo tnemt9pgsO -)& mmi nomim ioq nattitiw �ltt+� +0 YmUO3 ,2�w Rt 2 Bx 187 Chico Ca 25 Mar 75 County of Butte Rick B Martin is authorized to obtain and sign for permits due to construction on the property located on Barrington Dr, Chico - parcel 0-39-09-0-037. 4ru,ce-e FartIn a 4 .PHONE: 534-4541. 0 MOBILEIjO NSTAL TION INFO TIJON Lot Facilities 8H, Mobilehome'Data. 1-3" 1. Plot plan dimensioned, location of mobild 1. Length Width 2 11 W and utility connections? Manufacturer AJ Yes No Vehicle Serial No. / 2. nt 1 El�ctrical-service. equipment am city 0 I— Insignia Control o. 0 0. 04 Circuit b.re'aker ampacity 2... Feeder assem.blyampacity Permanent Wiring Connection Conduit size Am -pacify Power'supply cord (amps) 1570 geceptacle 0 "o, Ampae-ity- 3. Gas inlet size Gas: Natural X 4e!t�_,LPG _70 Mobilehome connector size Gas riser siqe--'� Capacity 4- Drain inlet S Te �'? 4-1 4. Drain connector: describe on re:ve-cse side 5..I -later riscr. size 5. I -later connector: describe on, -reverse side'' 6..Are utility coxinecClons located outside 6. Designed loads: the rear 1/3 of. the mobileltome.within Roof live load -A 0 1, feet of the left wall? Ye _X- 170 -lind load )Sf.' If not,- slio-,y d iner. s ions. above. (only for ob-L vanuf actured after - -7. Is the mobilehome clear of ' septic - tank, October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instructions? utility easements? Yes_No Yes— . No Vl*- 8.-- Do you. propose to do other work on the-. 8. Will the mobile. 'hornie' . b' e* installedon' 'a" Property other than the rpobilehome . which will require a permit! separate support tru cturel ..installation Yeses_ No Ye's No If so, specify 19,teIg (2 Yoko 6,2.00. 1 W17 -11I.. AULL, &e1n171` *For plans and specifications of support system, see -other side. 01 LOAD S 'PPOi TS . . ADDITIONAL CO2.1!7 %TS Drain Connecxor, Describe— 'e -It Wats. 'Connector, Describe 1-2ZX LOAD BEARING SUPPORT AND OOTIPIG M01" -KATION, Pier Spacing Used. Kaximum Pier Load :faximum Column Load (multi -units only) Soil Bearing Capacity Footing Diniension TYPE OF PIEI? USED . Steel Concrete Concrete Blbckc5_ Other VPE OF FOOTING. rL4M itI L USED Pressure Treated Wood Concrete . •Redurbod (Grade) Other Approved Type BUTTE COUNTY, R f. BUILDING DEPARTMOENT APPROVED PERMIT NO., 1027-75-B,P P E M MH UTIL. PERMIT NO. t-io -�� PERMIT EXPIRES A'OWNER ' Bruce Martin , (LOCATION (A.P. 39-09-37 1145 Berrington, Chico All Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E /emp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING BUILDING (.Cont'd) PLUMBING Setback Z Firewall Soil Piping Forms — Parapets 1st Floor `! T 24— 7 • Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing 3-7 ater Piping Piers Roofing Sewer —7 Garage Fdn. Vents Fixtures Footings �� arae Vents ' Water Htr. StemwaI1 Slab •- oZ J Prov. for physically " ►% handicapped X Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel FinalFixtures Bond Beam FIR SPRINKL Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts y Underground Interior Lath Ventilation / Permanent Door Closer Final Final DATE y"�% ` REMARKS OR CORRECTIONS C� 20 �/� �� / .� `X / Foo -TIAI; „ � :5 ? -&41 tool,)- d VA I SE 4,,14 v u n1 t' (� 14 Z F4 oo b /9 k4'-) -61AJ44-3,�5,2> o ���,�, ® uT"1CF---73 F/)0 -4/46s To- To '01ir-, 44T� O�3 i J�JAI -F�52 /Tf fir" 7�4-.r- 7, -(.WE 445 to iEU /,-5 L A -a b4%x- cu�14,L '72) A/ S I 7E 16EtD USF b OA11,16471m XZIA171-4, IS 13 E HOvje1F—Z> TO Ode," •V ,COUNTY OF BUTTE DEPARTMENT OF PUBLIC S/0 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 04 /1 C4E BUILDING Owner ARNk NA&/A/ SQ. FT. I OCC. BUILDING VALUATION O Mailing Address )eT 02 r� Telephone No. Fireplace Contractor Ow Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ C $ ©� Building Address ������ � PLUMBING No. @ FEE PERMIT FILING FEE 6.00 pC) `, Clot / 0 Each Trap 1.50 3, Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. '�0�% �—S 7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa ilk) Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Pa a P 60' R/W ImprovementsLawn sprinkler system 2.00 g. Plans Recd Parcel Approval PI Approval Permit Fee $ ,SO $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 n I K r4 Te4,4 C Water Heater or Space Heater 1.00 Light fixturesbai io 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 $ $ 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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEE PERMIT FILING FEE J$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. .1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ au "or ze representatives of the County of &itte to enter upon the above-mentioned property for inspection purpcses. X_j2J Date Signature of Perrmitee or nt Receipt No.A�) . 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 UBLIC WORKS BY Date _/0 —7 `r --/'o - 7 4uilding permit expires Date ........................................► v 4231-80$,P,E,M ' RMIT NO. 9 PERMIT EXPIRES ! /� OWNER H. E. T.ong owner CONTR. 39-09-37 ASSESSOR PARCEL LOCATION_ 1143 Berrington Ave., Chico p t NP �� /Uq/x l�JslD Temp. Power Pole Called PG&E Temp: Elec. Service Called PG&E r Temp. Gas Service Z� 42 } . Called PG&E �f i JOB FI ED (Date) !O D/ G Signature TI J = OK 0 = Not OK r - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Pip< OK except #'s Date FRAMING tinued 1 requirements-Setbacks-Easeme oV 4 o erty Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- - / g. xt. Doors -One 3' -Check Garage -3rd story, 2 exits arage; Soils -Steel- / /" Ftg. Defith Headroom -Rise -Run -Landing -Fire Protection %tq,,r Porches & Decks; Soils -Steel- / /" Ftg. Depth 11146jW 5 lywo on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer s,Garage; Steel -B I ockouts-Wrapped-S lab esh-Drip Screed-Fdn. Vents-Underflr. Access i Fireplace Ftg.-Steel 51>Klazing Area -Glass Protection -Skylights -Plastic Fall -Fittings -Test -2 way C/0 -Sewer Test ailing -Bolts J -,15 -as Pipe; Size -Anchors la,,Wafer Pipe; Test -Anchors -Regulator -Service Test Underground j s & Ducts; Clear e -Material -Support -Ins. ills -An olts-Joists-Vents-Cripples Card -BI Date and -BI Date Card- - C -BI Date Card -BI Date Date r7i b Card -BI Date tie C -BI e a -BI t Date FINAL Plans) OK except N's Card -BI Date Card -BI Oat Date P U ING (Permit) OK except q's / 56-'Ex!. ,Steps-Door & Sidelight Protection -Landings 5 ke Detector er Ht.; a Access-Con*496eR-Mr / 5 (% urnace; a Cle ra -Comb. Air -C n or- In rage; ove Flo-or-Ducts-Mech. Prole ton a er Pipe A rs-Nail ection W.V.; Ftt & An s -Nail ion e�room Exiting 1"hawer-Pew,-��s , st Floor -Tub 4eee5� dGe-G.F & Bath Fixtures & Tub Access 1 r, 2nd FI or -Tub Access dWtlec. TrimskSubpanel; Breaker Sizes -Labels j�j 1 as Pipe; S' & A ails F' r o Cle ces-N�cttr' ec.. outlets at Wood Panel; Int. & Ext. Card -BI Date 2 C BI Date i it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI ate Card -BI Date ec. Outlets &. Receptacles at Kit. Counter Date ELEC CAL Permit OK except q's -ZZ boo., Swjng-Landing-Closer Garp,mer ' Fi ure & Transformer Clearance -Ins. Protection 11 6 6 GL. 7�'T�c. tr. Htr.; e - Lear -Com -Con or -P. .V.- 1,19 1 r-Mech. Protection & Mech. Equip. Listed for Location 2 . Receptacles Spacing -Lights & Switc at Doors % S" a Boxes & No. of Conductors6,)— 7�acles in Garage; (G.F.I.)-Romex Protec. R ex Installed Close to Edge of Studs & C.J. sulation-Foam-Looked in Attic quip. - and made up w/Mech. Fasteners -Bond ater X i s &Deck Construction -Post Caps dn. Vents & Crawl Hole D -Drainage & Wood -Earth Clearance Looked under Floor es pliance Circuits in Kitchen &Conductor Size ubfeed Wire Size / ga. Cu A.C. Wire Size / , ga C or AI 2Tr-RWMjV- wc. / / ga. Cu or AI- rnFrife. 4� 4 ga. Cu or AI, Insu u s E] No j¢,�F lowing instld.: rive ❑ No; Walks es ❑ No; Planters es 11 No - iser Conductors & Ground -Main Disconnect-•?/ n -Finish 2 quip. Clearances; Panels-Motors-Mech. Equip. 7 A.C. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ents Abov Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 3 ose Light -Shower Light Card B -I Card B I Date A�d� Card -BI Date Date� Card -BI Date sconnect, Electrical, Plumbing xt or lac. Trim; G.F.I. Receptacle -Underground entilation throughout House ass Protection Date MECH CAL (Permit) OK except q's _ rrectio s from Previous Inspections g st-Meters Tagged; Gas -Electric. t s: Insulation & Support haust above Insulation _ ate rain &Overflow; Size &Grade urnace a ccess-Comb. Air-Retur tr Vent -1 utlet s & Platform if Furnace in Attic Card- Date Card -BI ateCa Bl Date i O Card -BI —Date �&6rt r & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates.ijr� Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMI (Plans) OK except q's 6 Comments at Final: 3 ill . Proper Material & Anchors _ ails: Studs -Nailing, Spacing & Bracing -_Plates_ -Sound 3 Beari g Walls over Girders &Floor Nailing_ 17 r 'Stop in Walls (rat proof) _ 4 it .Stops; Furred Ceilings -Stairs -Chases t f 5 / ��%75,w 4 eader & Beam -Size & Bearing angers -Post Caps -Anchors -Connectors q �� Ing. ist-Rftr. Ties-Purli oof Brac.-Trub�-Stt I ire laee-T•iee-er-T.ype ue-Firepiaca Throat 4 ti cess; Size & Romex Protection -Draft Stop -Ins. Baffles '4 drm_ Windows or Exiting Doors -Sill Hat. &Dimensions e Protection Framing _ - (NOTE: An entry must be made each time you visit jobsite) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN C NFORMANCE W H CURRENT ENERGY RVA ON REGULATIONS AT �^ �" -- CNSE� a . Io a ion) . BU ILD ING PERMIT NO. -qG31--5j A P . NO. 7 ,Q ?– J % THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge Single Glazed Fdn. Walls /JCA Special (Insulated) Aoud e QXel?z-ei Floors -r/ i/ CERT. & LABELED WDS. ". Walls o' & SLIDING DRS. N1A Ceiling/Roof L� // WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS 1477"/GX�idT Circulating Pipes INTERMITTENT IGNITION DEVICES APPROVED HEATER e/�— CERT. APPLIANCES . APPROVED WTR.HTR._� I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE'ENERGY CONSERVATION REQUIREMENTS AND AGREE -TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name O O v e f D 6— Signature of (please print) Insulation Applicator State Contracto License No. General Contractor/Owner Name' (pleas rint) Signature of General Contract /Own Date / Stapf Contractors LicWnse No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. I V = OK 0 = Not OK - = Not Applicable = Not Rea8y MOBILEROMES IMISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) Ok except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS; ETC. (Plans) OK except #'s 1. 'Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -$ketch 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.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k'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-Fleic 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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. 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 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 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WQRKS .. 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 Z3/11 - 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 this office when correction of w9rlc is completed. If you have any question pertaining to this matter, need itional explanation, please contact this office immediately. 19, 001. 10/1 Inspector - Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Droville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 A routine inspection indicates that the following violations of County Ordinance exist at the above address and shoull be corrected. Please notify this office when correction of work is completed. tf you have any question pertaining to this 1 Ins pec �%� ^Date - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chic) — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE A &1-4 41115111005 BUILDING OR PFOPERTY ADDRESS A routine inspection indicates that the 'following violations of County Ordinance exist at the above address and shoulc be corrected. Please notify this office when correction of work is completed. V you have any question pertaining to this matter, or need additional explanation„ please contact this office immediateiv. Inspector_�� Date < 9t/ rCOUNTv OF BUTTE ,DEPARTMENT :)F PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, -Droville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PF.OPERTY ADDSESS 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. N /---/ —_Z _ /% FAI Inspector r ._��Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT Fmills ;J ASSES R PARCEL NUMBER —� —. ZO BUILDING PER of 0 - HONE SO. FT. OCC. BUILDING VALUATION OW R'S MAI ING DR e.1' 44t t CONTRALTO 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ RCHITECT R NGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARC I ECT O ENGINE MAI LI DRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 0.00 ' Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping S-, LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent c=e99 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New e Addition E:1 Remo el❑ Utilities❑ Installation❑ Other E] Describe work: I Ele= Permit Fee $ It DO Contractor ELECTRICAL PERMIT Filing Fee 1600 Main service tOO AMP OR00V OR LESS5.00 O Main service EA. ADD -L -100 -AMP 2.50 NEW CONST. DWELLIN g OR ADDNS. (ACC. BL ) 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 ® 1, 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 CON5TR ULTI. UTL T NON-RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR. ( POWER APPARATUS &� NON-RESID, SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 50@25C BAL@10Q FIXED APP LNS. OR Ex. Occup. (ouTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 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 Filing Fee 10.00 Heating _S� A 13"T-151,00 Duo P- Cooling OD 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 of Butte to enter upon the above-mention,d property for inspection purposes. I also agre to save, indemnify and ep harmless the County of Butte against all liabil' ies, judgments, costs, expenses which may in any way accrue again s aid County in eq a of the granting of this per it. Date Signature of Applicant — Owner C rector ❑ Agen An OSHA permit is required For excavati s over 5'0" deep and demolition or construct- ion of structures over 3��sjjtories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ r OCCUP. GROUP ZYPE aF ONST. j/_ �r JPAIC / V PD J HD ISSUE This permit is hereby issued under sions of the tte County Code and/or work ind' ate above for whic DIRE 0 F LIC ERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS to `J Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT d 37� ez� � . I * � I I I 1, , .""', �1`% 'i I I Ii. I I , . . 'i -I' , . I � I � '. ;i, I � I � ,: , 11-111W "' 11 . , :, ,� :." , ,�� "l, , , , , ", I - ,, " I I � ., , I . , !41, :0, .�, �, f", 11 ". I I , I , , , , 1 , , . , _ . I , , I , , , , I I " � I " , I 0 , � � " - J �, �, , ;� .r� I �` .1111. 0 � � , "I' -, �, �11 �, , "f, i ��: 1 � f I ��� IF, � � I �� I , .1 '0 N I , � I � I � I I I t� : � , �. '. �� I : : I I ;r" 1), ,� � , I + �11' ! ,�, ��, I ea�4k ... .- 1� - � -4,*v �A,_'l ... ��,_n,fA4 , i " I , 9, i ii, � � "_�, � " "'._ 1, '', - _ .,.,- % �, I ,� � 41. , , ,� ,� ,� —111, ! ,� I I . " (0) -�,, � I I - _ -, - - I I --- ___ __ __ _ __ � , __,_.__,_,_____ . '--_� - __ � '' . 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