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HomeMy WebLinkAbout039-100-021I�L. 39-10-21 Dan Juanarena E/S Lone Pine Ave.,app.800'S.of Chico River Rd . , Cl*o contr: Jay Allspaugh, Chico Permit #802-80B,P,E,M(add kitchen & remod 1 int rior)F) Contr: Larry Gauer 39t0- rp Piermt#478-88B(reroof/SF) �1 IO r Ip I 39-10-21 3778-90P,M ! JUANARENA, Dan 11154 Lone Pine Ave, Chico Contr: Jessee. Heating & AC U (HVAC/sf) I a q ;' r Q) 1 cril r 1 -.r..r'^+•W��.•v�i¢FyA 7i:.'IN Fd7s :E31%+r- ,:.✓•,' e;. i •�.<;�.'�:'. g •,z � �, ��, M_ ..K j � . j,.. .+ <„�,�x.: y.. �+-.'tee i�<:W r 'b, r ,�.. �}.o-.r'�,F:FSj�*rV�rtil''''�.� `r+� rac?�f y` y� 1 '• /�....��-i�-•.f �--•^'fd. 1 39-10-21 3778-90P,M JUANARENA, Dan 11154 Lone Pine Ave, Chico Contr: Jessee Heating & AC t. (HVAC/sf) k • 1 / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, CgJifornia 95965 - Telephone: 916/538-7541 37 7_ APPLICATION AND PERMIT ASSE,S$OR PARCEL NUMBER 39-100-021 ZONING A-10 BUILDING PERMIT OWNER 4 Dan Juanarena TELEPHONE 342-7969 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 11154 LonePine Ave., Chico 95926 CONTRACTOR'S NAME Jessee Heating & Air Conditioning TELEPHONE -891-4926 CONTRACTOR'S MAILING ADDRESS 3025 South ate Lane, Chico 95928 Fireplace CONSTRUCTION LENDER UNKNOWN c Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 11154 Lone Pine Ave.. Chico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPAROL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE 3 SF I Duplex❑ Mobilehome❑ Other SPECIFY t Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK j New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation FJ 10ther ❑ Describe work: __ HVAC i _ Permit Fee $15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): (pl I am licensed under provisions of Chapt. 9, Div. 3 of the; Business and Professions Cod/et /a�nd y license is in full force and effect. License No. ()JggG� Classification I El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended dor offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h OR ACDNS. ( ACC. BLDGS. 2/z¢sgft NEW CONSTRESID, BRANCH2.50 ea NON-RESID BRANCH CIRC ITS /POWER APPARATUSe (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20@50t e AL@ 30 Ex. Occup. OUTLETS RESID IED ARPLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 1 6.00 6.00 Split Cooling 4 Ton 1 11.00 11.00 Hood 3.00 Ventilation Permit Fee $27.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinancss and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County: i consequence of the Ing of this permit. Date 10 5tnater 1 of Applicant — Owner 9 �/ 4 PP ❑ Contractor � Agenf ❑ An�OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ 42.00 FEE AL E HAz CUA PARK PAR PD HD Issu This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. ^ � p DIRECT OF PUF LIC WORKS O %Receipt C PERMIT EXPIRES Date 73998 No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERIT Niq O. ASSESSOR PARCEL NUMBER 39-100-021 ZONING -- A-10 BUILDING PERMIT OWNER Dan Juanarena TELEPHONE 342-7969 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 11154 LonePine Ave., Chico 95926 CONTRACTOR'S NAME Jessee Heating & Air Conditioning TELEPHONE 891-4926 CONTRACTOR'S MAILING ADDRESS 3025 Southgate Lane, Chico 95928 Fireplace CONSTRUCTION LENDER UNKNOWN p Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 11154 Lone Pine Ave. Chico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 r USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other 9 SPECIFY Gas piping system 1 - 5 outlets j 5.00 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation( Other ❑ Describe work: HVAC Permit Fee $15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): (p7 t I`7/V-' I am licensed under provisions Of Chapt. 9, Div. 3 Of the Business and Professions Code and y license is in full force and effect. License No. av��" Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.9 NEA ENNS. ( A 2y2osgft ULTB OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 9AL0S 0¢ FIXED Ex. Occup. OUTLETS P(RESID .)OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. j� 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 1 16.00 1 6.00 Split Coolin g 4 Ton 1 11.00 11.00 Hood 3,00 Ventilation Permit it Fee $27.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstid County ' con ee uence of the r Ing of this permit. X C. Date Signatur of Applicant — Owner ElContractor N Agent El An A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ 42.00 0 HAz CUA PARK L FLD PAR HD Issu This permit is nereby issued under sions of the Butte County Code and/or work -'cated above for which fees DI OFPU LI Y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 73998 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTPOF P `B U LIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 FERMIT APPLICATIM DATA SHEET Permit No. OWNER & /t//l A A. P. - OG - U � Proposed Building Use— H 11 c— _ Building Inspector Date U �� At time of permit application, I was advisee the following data must be submitted prior to permit, processing and/or issuance: DATE RECEIVED APPROVED V 1. All items have been submitted. ........... ......................... 2. Plot plans in duplicate/triplicate, signed by 1preparer of plans........ 3. Complete plans in duplicatE/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with,wet signature on plans . . 5. Hazardous Material Form .. . .............. ........................ 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate required prior to plan check) 9. Mobilehome installation data including manufacturer's installation' instructions ............... ....................................... . 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing perm. it ..................................... 16. Plot plan and business license approval from City of .(see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be requirec- Contact Land Development Section DPW tb 19. Driveway permit (construction approval requred prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Datey 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorizaton................................... 26. 27. f When you issue the permit, proces3 as follows: Mail to owner. Mail to contractor. Telephone and hold for p ckup at _office. Deliver w/inspector. A p p l i c�� The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additional items required: Contractor, designer, owner, was advised cf above required dEta by_phone_-jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Copy—DPW Date Pans approved by Sets of plans on hold in . File cabinet AP folder Date 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL/��t.1 @R� O - / (� (� ZONI - �r� BUILDING PERMIT °W e fl �� y Q, /P�° j ✓`•7 �/ SQ. FT. OCC. BUILDING VALUATION O WNEfj'S/MvAI LIN ADDRESS EOSS � / / S y� "CPHCio CO TRACTOR'S ME TELEPHONE CO RAC TOR'S AILING ADD ESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10_00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS c_—v •�/ Permit tee $ / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 f% Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition[—] Remodel[:] Utilities ❑ InstallatiOther ❑ Describe work: 14 V4 Permit Fee $ 122) Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 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 F -1I, 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 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.� ) D(ACONSTR. , �z¢sgft ULTCC.BI OUTLET NEW NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 200502 000(P 30 FIXED APPLNS. Ex. Occup. OUT ETS IRESIO IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin g 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating 1 Conlin g �D Hood 3,00 r Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant — Owner 01 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 7-1 TOTE $ �•©� HAZ CUA PARKFt�_! PAR PD HD ISSUE permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.7� _ Q q "1h WHITE-O.P.W., YELLOW -ASSESSOR PINK -INSPECTOR. GOLDENROD -APPLICANT Temp. Power Pole. Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service. Called PG&E ! + JOB FINALED (Date) G signature = OK 0 Not ,OK Not Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -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 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elea 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -Bt Date Card -B/ Date 10. Roof; Shthg-Roofing Card -81 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size-Spacing-Marriage'Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date = OK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready -Date UNDERFLOOR (Plans) OK except #'s - 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -81 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rht proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing 'Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In ir-Connector-P.R.V:In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes O No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -81 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ASID PERMIT PERMIT ASSESSOR PARCEL NUMBER ZONI G - v BUILDING PERMIT OWNER al7JAR A51 TELEPHONE SO. FT. OCC. BUILDING VA DATION <1117 OWNER'S MAILING ADDRESS CONTR CTO 'S NAMETELEPHONE I CONTRACTOR' AI G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFg Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 Pa TYPE OF WORK New ❑ Addition ❑ Remodel ❑ t lities Installation❑ Other gl Describe war Z a V f�P %1!'iZ%� Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 9 . Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 El 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) P --I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.5i) OR ADDNS. ACC. BLOGS. , /20sgft NEW CONSTR. TI -OUTLET 2,50 ea NON-RESID .BRA C CIRC TS /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20 0 0 SA 0 EX. OCCup. OUTLETS P(RESID )FIXED ALNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee S 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 becomesubject 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 Cooling Hood 3.00 Ventilation permit Fee S Contractor I 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 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 againstoc�u al abilities, judgments, costs, and expenses which may in any way accrue a ain said 'n consequence of the granting of this permit. X Dater.�D - �� Signature of Ap 'cant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ g/ �oNST, rPa ISCHOOL RIAOD PARCEL PD ND ISY5; This permit is hereby issued under sions of the Butte County Code and/or work Aicated a ove for which IR CTOR OF PUBLIC BY IT PIRES Date PER EX the applicable provi- resolutions to do fees have been paid. WORKS Date �iZ -- �� 2Z Receipt No. � �� C2 WHITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT e�� �``Y..���1`� =�C. �'�,:}rl�'c-� 1.�i• *��;`"•;�;+�..c"'".:4. i' M���6;.V..F���t�;y` ��•.. ta.�. } £'� �i1�,Ya�t �� i�eJ�'ttt ��Y�x_�,� 1 COUNTY OF BUTTE - DEPARTMENT_ OF PUBLIC WORKS'- BUILbING•D!V,IS�IOh 7 COUNTY CENTER DRIVE - OFIOVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 t DERMIT APPL�I� *-1% DATA SHEET -7� � Permit No. / // OWNER // � eZ)9®l%,P/��/1J/z% � A. P. No. Proposed Building Use Building Inspector Date o2 y U At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE'RECEIVED APPROVED 1. 2. 4. 5. 6. 7 8. 9. 10. 11. 12. 13. -14. -.— -..._ 15. 16. 17. 18. 19. 20. 21. 22. All items have been submitted. . . . . . . . . . . . Plot plans in duplicate/triplicate, signed by preparer of plans. _ -� mplete plans i n�a�e.�txi.p�.i.Ea+,.��:��ed�by-�repar�er=�f�piat a Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . School Distr ct ''Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings. Fees of $ . . . , . . , , Letter of signature authorization. . . . . . . . Sanitation approval from _ Health Dept. , Planning approval for (A) Use: (B) Parking: Certificate of Workmen's CDmpensation InEurance. . . . . . Contractor's License Infornation (no., name style, classif.) Owner -Builder Verification (Given to owne-E], Mail to owner ❑) _ Improvements may be required. . . . . . . . . . . . Mobilehome Installation Data. , Pre-Inspec.request to Pre -Inspection for ----- _ _ _ Required. Building Inspector Recorded copy of Agricultuial Acknowledgnent Statement. Driveway Permit, Plot plan approval from cit- of When, you issue the permit, proc=_ss as follows:-NVMail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other App ican (Date) 6 t e—lt—I� Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advisad of above required data by_phone_mail—counter by Contractor, designer, owner, was advisad ct above required data by—phone —ma il_countWby Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder - date _ date' Q^�/ Date- Sets ate PERMIT NO. 802-80B,P,E%M PERMIT EXPIRES OWNER Dan Juanarena CONTR. H Jay Allspaugh, Chico LOCATION (A.P. 39-10-21 ) E/S Lone Pine Ave., app.800'S.of Chico River Rd., Chico Temp. Power Pole Called PG&E _ Temp. Elec. Serv., Called PG&E _ Temp. Gas Serv. _ Called PCS E _ JOB r-raming Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE. REMARKS OR CORRECTIONS -�� . o (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF JBUTTE — DEPARTMENT OF -PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING BUILDING (Cont'd) PLUMBING' Setback Firewall Soil Piping 3� �V Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing o Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph slcally handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE. Final, Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors r-raming Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE. REMARKS OR CORRECTIONS -�� . o (NOTE: An entry must be made on this form each time you visit the job site.) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS.HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGUIyATIONS AT S GO EP/ , (location) BUILDING PERMIT NO. T A 'P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER.AP-PROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge. Single Glazed Fdn. Walls Special (Insulated) 7' Floors - CERT. & LABELED WDS. Walls // & SLIDING DRS. Ceiling/Roof WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS Circulating Pipes INTERMITTENT IGNITION DEV S - ;APPROVED HEATER - CERT. APPLIANCES APPROVED WTR.IITR. 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 TIIIS CERTIF CATE AS SUB.*FITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name J A Dr(Ac 11 —� (please print) Signature of General Contractor/Owner Date //Z;), S ateontractors License No. '7E -JO 5' ' THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL. ?SPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DUdF' ;. COUNTY OF BUTTE DEPARTMENT -OF PUBLIC WORKS 695 Oleander Avenue, Chico -' Phone 343-4211, Exz. 70 7 County CentF„r Drive, ;Orovil'°e — Phone 534-4541, Skyway and Elliott Road, Paracise — Phone 877-34`35 CORRECTION NOTICE z — 42�� Ac'%fa g - -,R BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should "be corrected. PleEse notify this office when correction of work is completed. If you have any quession pertaining to this Inspector`���il v�//�/•// Date �/ �� R - r FINAL Permit No. Entrance Steps, Door & Sidelight Protection mo a Detector -- ents. Clearances. Combustion Air.:Connectorvin Garaize-Height & Mech.Protection c5_ R_d oom Rxiting _ Bath Fixtures ectric Trim & Sub Panel --Labels 8 Gtai+" Rails 115. r -Vents, Clearances, Combustion Air, P.R.V., Connector'In Garage -Height & Mech.Protection irewa s & Openings --Area Separation Walls 1 Receptacles in Garage G.F.I. Romex rotect 18. sulation--Foam--Looked in Attic Yes ails and Deck Construction 2 oundation Vents &.Crawl ole Door --Drainage & Wood -Earth Clearances -- Looked Under Floor Yes 426-- ^�*=ng. Installed: Drive L_f Yes 1__1 No; Walks I _j Yes 1 _1 No; Planters or _ Wing Walls %�_/ Yes = No ---Creating Drainage Problems 7-7 Yes %—) No 23. ni --Disconnect Clearances Breaker & Conductor Size --115V Outlet 2 ents Above Roof --Plumbing, Appliances, Fireplace --Clearance to Openings 25-T..at-eT–Well-Disconnect, Electrical, Plumbing tariar Electrical Trim & G.F.I. Receptacle 27 t7�tion Throughout House 28. Ctection 2 orrections from Previous Inspections lin"On rortifirata OF ABOVE COMPLETED / / EXCEPT / _�s Z si nea• liate• ABOVE LISTED CORRECTIONS COMPLETED SIGN .J RD ; Signed: Date -4- J PLUMBING --Above Floor Permit No. s --Combustion 4. Shower Pan --Test. First floor --Tub Access 5. Test Tub & Shower, second floor --Tub Access 6. Gas Pipe --Size & Anchors 7. Sign Job Card . ..... ALL OF ABOVE COMPLETED L- _I EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS'COMPLETED Date: ELECTRICAL --Above Floor Permit No. 1. Clearance & Insulation Protection at Flush Light Fixtures 2. Elec. Receptacles Spacing --Lights & Switches at Doors 3. Size -Boxes & No. of Conductors --Stapled 4. Romex Installed Close to Edge of Studs & C.J. 5. Equip. Ground made up w/Mech. Fasteners 6. 2 Appliance Circuits in Kitchen & Conductor Size 7. Sub Feeders --Wire size Q ga. Cu or Al. Breaker Size Q Amp. -- Insulated NeutKal, Yes No Q 8. Range Circuit ga. Cu or Al, Breaker Size = Amp. --Oven Circuit j ga. Cu or Al, Breaker Size C1 Amp. 9. Service --Riser Conductors & Ground 10. Bond Gas & Water Pipes _ 11 Clothes Closet Light --Shower Light 12. Sign Job Card _ ALL OF ABOVE COMPLETED L_J EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: ... .... .. .. -..-..------------------------------ MECHANICAL --Above Floor Permit No. .... ........ ...... ................... 1 A C Ducts --Insulation & Support 2. Vent Fan --Exhaust Above Insulation. 3. Condensate Drain & Overflow --Size & Grade___ 4. Furnace--Vent--Access-Comb.Air--Return Air Vent --115V Outlet 5. Attic Access & Platform if Furnace in Attic 6 Sign Job Card ALL OF ABOVE COMPLETED EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: IMM . FRAMING Pergiit No•. 1. Plans 2. Sills --Proper Material and Anchors 3. Walls--Studs--Nailing & Spacing & Bracing --Plates 4. Bearing Walls.over Girders & Floor Nailing 5'. Draft Stop in Walls (rat -proof) 6. Fire Stops --Furred Ceilings--Stairs--Chases--Tub 7. Header & Beam --Size & Bearing 8. Hangers --Post Caps--Anchors--Connectors 9. Ceiling Joists, Rafter Ties, Purlins, Roof Bracing, Trusses, Sheathing, Roofing 10. Fireplace Ties or Type A Flue --Fireplace Throat 11. Attic Access --Size.'& Romex Protection 12. Bedroom Windows or Exiting_ -Doors --Sill Hgt. & Dimensions 13. Garage Fire Protection Framing 14. Area Separation Walls --1 hr. Fire --2 hr. Fire` 15. Ext. Doors --One 3' - Check Garage 16. Stairs --Width, Headroom, Rise, Run, Landing --Fire Protection 17. Plywood on -Roof Overhang --Attic Vents --Rafter Outriggers 18.-.Sidink--Nailing--Veneer 19. Stucco Mesh, Drip Screed & Foundation Vents & Underfloor Access 20. Glass Protection if required 21. Sign Job Card ALL OF ABOVE COMPLETED/ / EXCEPT LISTED CORRECTIONS COMPLETED =2- SIGN Signed• Date• c UNDERFLOOR -Easements Permit No. 3.L/Soils-"Footings & Stemwall--/U/" Fill Required--Steel--.BlocK-outs--tiec.Uround -4_- ��lace Footing & Steel 5 Plumbing--Drain--Fall-Fittings--Wrapped in Concrete e-- ize & Test r� e -Wiest—& Ancobi rs- - Electric Tl„etc--Cl earance--Material & Sunnort & Insulation OVE COMPLETED Signed: Date: l< ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD Signed: Date: -1- COUNTY OF BUTTE L DEPARTMENT OF PUBLIC WORKS 7 &nty CenterDri'Ve - Oroville, California 95965 Telephone: 534-4541 Fa� 49 APPLICATION AND PERMIT . _ >I Code which requires every employer to be Insured against liability for Workmen's Compensation. ❑ -I-have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x4 r Date Signet re of Permitee o'A/gent Re ipt N,��L/ White-D.P.W. - Yellow Assessor - Pink -Inspector - Goldenrod -Applicant Coolin Ventilation Hood 2.00 2. 0 Permit Fee $ 9,CO $ 91 PIP Land Development Fee $ TOTAL PERMIT FEE $/37 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. DIREC R OF LIC WORKS BY Date 47-c— Jul C.� Building permit expires Date "�� BUILDING Owner DAA -,_TIAS - A SQ. FT. OCC. BUILDING VA U TI 0 '3 Mailing Address �- T Telephone No. Contractor 7-P4 AILL SPAUG(41 Mailing Address iljGo (�1`t9�� Fireplace Total Valuation 5j C/ �o�� C f i7 hone No. 1-7 Per .C7 C� Building Address 4=— S LotJ4 /^%s tJV 6 �Q �+' —Plan ecki &/or Penalty ep,pb Permit Fee dZ (7Of S -' CL`KCO /2lVLsQ% PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap z0 /O,CB OR C0 Repair drainage or vent piping 1.50 A. P. No. 1.. io - �d oning & Planning Water piping : Each gas water heater or vent 1.50 FJ4s I C. Spilki6nil Fire Dept. I Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EQA P rking sans arcel Declaration Parcel Ma P 60' /W Im r p ovements Ea additional outlet 30 wilding sewer 5.00 Bldg. lans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ .Qz .ITu4a 1J 1"{.+I/ W�� l I�Tf \Zj R ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L. 100 AMP 2.50 - Main service OVER 100100 AMPsoov OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 AI NEW CONST. LLING OCCUP. 4' 2�S OR ADDNS. . BLDGS. of 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: '0116[ ie k NEW CONSTR MULTI.OUTL T NO N•R ESID BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES) B ALL @2; Ex. QCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 1-1 Mobile Home Facilities 15.00 License No. �S� S `J Classification Misc. Wiring FO&04I1JMML 6.25 Z: ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ J WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 7•V!✓ Heating h0c7- If e. tY9 Code which requires every employer to be Insured against liability for Workmen's Compensation. ❑ -I-have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x4 r Date Signet re of Permitee o'A/gent Re ipt N,��L/ White-D.P.W. - Yellow Assessor - Pink -Inspector - Goldenrod -Applicant Coolin Ventilation Hood 2.00 2. 0 Permit Fee $ 9,CO $ 91 PIP Land Development Fee $ TOTAL PERMIT FEE $/37 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. DIREC R OF LIC WORKS BY Date 47-c— Jul C.� Building permit expires Date "�� Of e �COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS —BUILDING DIVISION County rive-- 0rPvif e,Califor. x595965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET A , Permit No. OWNER ®A� �J (� -} A.P. No. 0 �( Proposed Building Use fTICA) j J2 E)),oOL L, Permit fee based upon: Complete Contract Price ✓ DPW Valuation _-0t�:he ( AR' ain1 Building Inspector/�Lt� `%e >'� Date ' At time of permit application,�l was advised the following data must be submitted prioeto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/`triplicate............................................................... .3. Complete plans in dupicate/triplicate.................................................. 4. Complete engineered pians and calcs.... _............................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent fo- Non -Heated &.AC Buildings ................... 8. Fees of $_............................................... Z9. Letter of signature authorization.. ................................................ K 10. Sanitation approval from CPly Health Dept...(��Q 11. Planning approval for ............. 12. Certificate of Workmer's Compensation Insurance ........................ 13. Contractors License In=ormation (no., name style, classification) ............................... 14. Improvements may be -equired. Contact Land Development Section cf Dept. Public V*orks (see addressbelow) . ............... ................................ _.............................................. 15. Pre -inspection for required. Pre-inspec. request to 16. Other bldg. inspector (date) When you issue the permit, process as follows: Mail to owner ✓ Mail to contractor. Telephone and hold for pick-up at office. Deliver w/inspection. Other Applicant U�>.A ��� �.%. � Date ;L �/`1 .1 opy of plans sent Health Dept., Y Fire Dept., Other uring t e pan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time o1 application, circle item.) 1. Index permit for above Items No. 2. Additional items regjired: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: Copv/DPW Toa Building Depa:c"ir�ent From-.. Environmental.Health Subiec:ta Satitation Clearance Owner location Plans approved for: Sewage Disposal Hold final for: Final clearance O.K. for: Ao,�- � Water Supply j Water Supply Water Supply. Clearance for bedroom mobile home. Ot) er Clearance for addition of Note* * .....� C) a�nir IAll I IIIiItIIIIIIIIimp ItIIlitIIiIIIIAll. 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