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039-180-008
AP 39-18-8 R. BUZARD n/s Elk Ave. between Pierce Rd. & So. Miller Ave., Chico (AG. BUILDING EXEMPTION FILED 10/22/80) 039-180-008 01-2851 CINQUINI, RON INALED 3616 ELK AVE, CHICO REROOF 039480-008 CINQUINI, RON 3616 ELK AVE, CHICO DECK & CARPORT I 039-180-008 CINQUINI, RON 3616 ELK AVE, CHICO Cont: OWNER MISC ELE FOR BP#03-0577 Ar � J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7C/ I _ ^CBtuly - (Rev. 12/96) APPLICATION AND PERMIT `'(J(J (jo ASSESSORPARCELNUMBER O I /7�i\ /�,[-� C�Jy`�J V V ZONING BUILDING PERMIT OWNER ad QQ In kw E SO. FT. OCC. BUILDING VALUATION -OWNERS DRES _ `7/C'•/l CONTRA NAME T NONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS I.WUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS U-1 Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: /� 4nr Of I • ` O Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service E0.A OR LESS zaOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, 9 ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: R( 1, 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 Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCURSO OR ADDNS. a ACC. BLAS. 3.5¢T; NEW CONST. MULTI - NON -REBID. @7.50 POWER APPARATUS a SINGLE OUTIET CIR. Ex. OCCU OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. OFIExxEDA Aa oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ,121-()D 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. 4 >,l X Z �� Date / / % Signature of Appli t - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit i required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica d a ove for ich fees have been paid. By6/4)V�Date PERMIT EXPI ES ON Date Receipt No.311 U71 1 TAU), WHITE-D.D.S.-B.D. CA A Y ASS OR PINK -INSPECTOR GOLDENROD -APPLICANT 039-180-008 01-2..851 CINQUINI, RON 3616 ELK'AVE; CHICO =, REROOF; S rl COUNTY OF BUTTE - DEPARTMENT -OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541. PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 61_ D6 el1, ASSESSOR PARCEL NUMBER(-) 1_ /1?0_ a08 ZONING A -in BUILDING PERMIT OWNER TELIEP�"Or,"�'�RbSQ.. OCC. BUILDING VALUATION /�+� ('� ^/� OWNE� MAILING RDFT/'. l �+- We i `iClb / 5I a J 5CONTiACTTORR''S NAAM.E� j�TELEPHONE ice'( .i. rl4J l- CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ APS(n{ - DC) ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ _ / ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS V f 14/ Energy Plan Checking Fee $ C__,li�-iC PERMIT FEE $ 14,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SIX Duplex ❑ Mobilehome ❑ Other ' ` SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: W /,'LC.o1--H A Ca )ll M) s Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 60 Main Service 200A OR LESS l 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: [$ , as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation ,,of one hundred dollars ($100) or less.) 1 i 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X.- ! : i ✓�-""'-' Date / /5 i = Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit i required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLMIO OCC P. 3.5¢F7. OR ADDNS. a ACC. BLDG EW GUMT. NON -REBID. MULTI-DLm:ET 97.50 PaWER AP ARATUS 8 SINGLE - CIR. EX. Occup. OUTLETdA FIXTURES BAL ®1.30 Ex. Occup. OUTLE>3TSR� .GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation , 1 PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC .. ,coNsr. TYPE TOTAL FEE $ ' y 0-0 HAZ. D. FEES IMP V -FLOOD CDF PARCEL ro HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated,above for which fees have been paid. r �� �. „n � C � Date By 11 �-lL I PERMIT EXPIRES ON `� ~ 5 . 6 a" (Da to) Receipt No. :Z RAW h741, au WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 RMIT NO. (Rev. 12/96) APP PLICATION AND PERMIT I ASSESSOR PARCEL NUMBER 39A go_ 006? =DNI G—I n BUILDINGPERMIT OWNER I TELEP ONE 3 s-4 SO. FT. OCC. BUILDING VALUATION / s .OWN 5 J AD E CONTRACTOR'S NAMETELEPHONE ectL#LaA� CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ . 00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ / ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS / (o Elk 01w Energy Plan Checking Fee $ $ PERMIT FEE $ r 00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF,K Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water hes r 23.00 Water piping 15.00 Each as water heater or nt 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ Lo • Gas piping system 1 - 5 bets 15.00 Building sewer 115.00 Mobile Home I S I GI W 1 020.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for a following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (TIbie above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certiy 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 �' Date /(�j = 6 Signature of Appli t - ❑Owner 11 Contractor ❑Agent An OSHA permit i required for excavations over 60" deep and demolition or construction�e of structures over 3 stories in height. Main Service 46.00 ToNG NEW CONST. DWEWOC EL C P. 3.SQ�. OR AODNS. & ACC. NON- ROERID.' MULTbD RANCH C11 UrTs 97.50 POWER AP ARATUS & SINGLE 9PBE CIR. 20 Ex. Occup.DU lET R FIXTURES a''0° BAL a .so OP°� DEA. 5.00 Ex. Occup.P"'E A Temporary Servic 23.00 Mobile Home Fac ities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PER Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation If III( PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ -OCC.- _TOTAL .CONST, FEE $ , (� IMP I FLOOD I CDF PARCEL Pp HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. n �:/f- _ r_G j By XGG� Date :7 PERMIT EXPIRES ON ��— O I ate Receipt No. .0 WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide he majbr labor and materials for construction of the proposed property improwt hent : YES NO 2. I HAVE ❑ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ,- I I t_ - CITY: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: x PROPERTYOWNER: SOCIAL SECURITY NUMBER/*" ,:,-�DATE• NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and. returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded t %the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at;1020.N Street, Sacramento, CA. 95814. Please complete the -"Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mi rely, �0-1 Mic el C. Vi ira, C.B.O. M ger, Building Inspection .K - NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code - OVER NOTES RESIDENTIAL PERMIT NO. _ 039-180-008 CINQUINI, RON 3616 ELK AVE, CHICO DECK & CARPORT. SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE. -REQ" FIRE SPRINKLERS REQ. SPECIAL INSPE.CTIORITEMS VERIFY USE PERMIT CONDITIONS. SUB -STANDARD HOUSING•LETTER' (--- I q --cry JOB FINALED (Date) Signature i 1 r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE. -REQ" FIRE SPRINKLERS REQ. SPECIAL INSPE.CTIORITEMS VERIFY USE PERMIT CONDITIONS. SUB -STANDARD HOUSING•LETTER' (--- I q --cry JOB FINALED (Date) Signature J=OK 0 = Not OK - = Not Applicable, . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect B. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Ele &000Frmg.; - nch t -R - ru es 9 Sidi ailing -Veneer -Stucco -Mesh 1 oof; Shthg-Roofing 11. E!S, teps- Doors- Landings 1 .. raced Wall Panels Date Card B-1 Date Card B-1 Dated Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready PLUMBING (Permit) OK except #'s - RESIDENTIAL Date UNDE OR (Plans) OK except #'s Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 18. ing-Setbacks-Easements-Flood-Slope Plywood on Roof Overhang -Attic Vents -Rafter Outriggers g/Ptg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 58. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Glazing Area -Glass Protection -Skylights -Plastic 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 61. 2. 3. Date Date 5. Stemwalls, Main; Steel-Blockouts-Wrapped 64. 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped Smoke Detector 6a. Hold Downs and Special Anchors Date 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 24. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 25. 11. Water Pipe; Test -Anchors -Regulator -Service Test 26. 12. Electric Underground 27. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 28. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 29. 15. Access & Ventilation 30. 16. Insulation 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Energy Compliance Certificate -Other Certificates Date 7•-2-Q3 Service -Riser Conductors & Ground Main Disconnect Card B-1 Date Card B-1 Date Equip. Clearances Panels-Motors-Mech. Equip. Card B-1 r Date Card B-1 Date PLUMBING (Permit) OK except #'s 53. 17. Water Htr.; Vent -Access -Combustion Air Baffle Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 18. Water Pipe; Test & Anchor -Nail Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 19. D.W.V.; Test Fittings & Anchor -Nail Protection 58. 20. Shower Pan; Test, First Floor -Tub Access Glazing Area -Glass Protection -Skylights -Plastic 21. Test Tub & Shower, Second Floor -Tub Access 61. 2. 3. Date Date 22. Gas Pipe; Sixe & Anchors 64. 23. Fire Sprinkler; Test Smoke Detector Plb.; Elec. & Mech. Equip. Listed for Location 79. Date 80. Card B-1 Date Card B-1 Date Guard Rails & Deck Construction -Post Caps Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Clearance Looked under Floor Cl Yes 24. Fixture & Transformer Clearance -Ins. Protection 84. 25. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Unit Disconnect, Electrical -Plumbing 26. Size Boxes & No. of Conductors Stapled 87. 27. Romex Installed Close to Edge of Studs & C.J. Exterior Elec. Trim, G.F.I. Receptacle -Underground 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 90. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Corrections from Previous Inspections 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 93. 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No Energy Compliance Certificate -Other Certificates 32. Service -Riser Conductors & Ground Main Disconnect 96. 33. Equip. Clearances Panels-Motors-Mech. Equip. Card B-1 Date Card B-1 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing (Single & Duplex) Datq FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. 2. 3. Date Date Brace Interior/Exterior Wall Panels Insulation -Walls -Ceilings Infiltration -Walls -Windows Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Cl Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE t , BUILDING DIVISION'.'': DEPARTMENT OF DEVELOPMENT SERVICES ' 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 015 77 OWNER PERMIT NO. A routine inspection indicat that the following violations of butte county Ordinances exist at the above address and sh�i6 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, please contact th' office immediately. �.a- //,/ Date v a Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION [DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Dn QJ\ r, 03- 5�� OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) , APPLICATION AND PERMIT 63-08 ASSESSOR PARCEL NUMBER *1�9-1 r — O ZONING ` 0 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION C fACUT i C, OWNERS !AILING ADDRESS r L, T'; n CONTRACTOR'S NAME IQHIIQQCA �" TELEPHONE CONTRACTOfis MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAULING ADDRESS Total Valuation $ 29 4 A ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee BUILDINGADDRESS 3610 FLi;AVE,CHTCO . . Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF 0, Duplex ❑ Mobilehome ❑ Other •' SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition =; Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ::. Describe Work: '_T)O COV D•'(;K c°r C'ARD(Y'T AIM ;Z7PL/�''� ,OOF STn\UCTU?F. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGL License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license aw for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall comply with those provisions. _ Date � Z FE 3 Ap ant - ❑ Owner ❑ Contractor ❑ Agent bgnZatLureof An OSHA permi Is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLG OCCUP. SO OR ADDNS. ( 8 ACC. BLAS, NEW CONST. MULTI -OUTLET NOWRESID. 07.50 C OIfTLET COWER APPARATUS 8 E IR. Ex. Occup. OUTLET OR FDRURES SAL @ .50 Ex. Occup. DU�TLFTS RESID°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 406. HAz. D. FEES _ IMP _ FLOOD _ CDF PARCEL PO _ HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. n By D to o��J PERMIT EXPIRES ON pgfe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OFF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive * Oroville, California 95965 a, Telephone (530) 538-7541 p,MAT N0. APPLI CATION AND PERMIT n��T :S657AMRC'�NYi�BI —O BUILDiNGPERMIT n� SQ. FT. 0= SUfLDING VALUATION Mom Mm 4 db EWs=s=M MALa+s A T otmi valuation s oZ 20.00 Permit Fee s �3 41. do CR e MUM A=R= Plan Cheziding Fee S / / Energy Plan Ch®cidng Fee S PERMFT FEE S arm °' mum PAFNRU.4AP PLUMBING'PERMIT FFs+g Fee 20.D0 East Trap 7.DD LtSEOFSTRUCiLRE 3F ,i�Daptex D WbbOehoms O Other SPS" Solar or hest pump weiar hemmer 23.DD Wain 01ping 15.00 Each an wetet heir or vent 15.00 TYPE OF WORK New 0 U:F= 0 el 0 UMfts D O Other Desks Work Gss p1pin qmhm 9 -5 outlets 15.00 sewer 15.00 Wbbh Homo ISIGIWI C20.OD PmWT F:S S ' ELECrAICAL PEWIT Fftg Fee 20.00 Main SWAM 2SA0 *?SkAIT FEE PAlD $ SRS $ $PERMIT $ ' AM0VW R. 0$ �tz . ~P+C i iJAA am -� a To IS Km two COMM M Mole, Seroi== ate► 70 taa k 4SOD Rim OR AM=° sz,� r� SSSS_ T C°T7S0 sM. can E� O ovner OR FCMMS emAsosEXS.OD lbble Hamm Facmes 20.DD lms% WHM2 MOD FEE S RECHAN)CAL PERMIT Fig Fee 2 D. Do Heating C00% Hood 6.50 ver�iafic�u PERMIT FEE s Moble Home Ins n Fee = S Energy Inspecion FeeWo " HXZ I L FM TOTAL FEE S sQ F"00 I aoP I P4FC3 I PV 0 This pwmll is hereby hm and under the app{i,-abls provisions of the Butte County Code andJar Rwohnnns to do wo* indcabd above for whiff fees haus been paid By Dais Rez*N:Lt PERMIT EX?IRES ON tlrl4T ."—r .B.a. eu,aat li mEtsOR Pu 4=?E=R 6MME ROD-APPLCA 1 Cmn.� O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES �( NO ❑ (T I HAVE'X HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SI7D: PROPERTYOWNER: 411 Z' -- DATE: DATE:_ NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. RU OWNER BUILDER INFORMATION Dear Property Owner: O.B.-1 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the Caltfornia Health and Safety Code. OVER BUTTE COUNTY BUILDING DEPARTMENT 7 County Center Drive Oroville, CA. 95965 PHONE: 916-534-4541 AGRICULTURAL BUILDING Exemption Form �� C-/'-7 /0/- , owner of the property located at (please print) //- t-,, 9:-: -Z .4U� /7r rwn I Assessor Parcel # ��/ , intend to construct a ' x ' agricultural building on this property. (specify type of const ction & siding) I declare the building will be used to house 0"—qz� , (specify use from definition below) which conforms to the Ag. building definition. Agricultural building is defined as follows: Agricultural building.is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products.* This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. I understand if I change the use or occupancy of this building I will be sub- ject to the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Property Owner Date Building Inspp/eec�ctor receiving form L-- Comments: -e%1% Duplicate to field inspector - Date %eq BUTTE COUNTY BUILDING DEPARTMENT 7 County Center Drive Oroville, CA. 95965 PHONE: 916-534-4541 AGRICULTURAL BUILDING Exemption Form I, -iJ9- V f IJc�z A-iLC% , owner of the property located at, (please print) Assessor Parcel �� �- - , intend to construct a ' x /`v-0 ' S' agricultural building on this property. 3 (specify type of construction & siding) I declare the building will be used to house (specify use from def nition below) which conforms to the Ag. building definition. Agricultural building is defined as follows: Agricultural building.is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. I understand if I change the use or occupancy of this building I will be sub- ject to the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Property Owner Date //- ;z_ I/- SIU Building Inspector receiving form Comments: Duplicate to field inspector - Date . �, •;. �i . o� .,� a �G �p 9 C� �•� "F �n �� �'i,� O /c- r�u` N� /� FOR BUILDING DIVISION USE ONLY.- Receipt NLY: Receipt Information: Number: 530 P-3 % Date: / Issued To: C�v� q a.GIZ& Amount: Processin Fee: $ g Fees Retained: P# �, Processin Fee: $ g Procssin F e i- g,ee:$ /Bldg Filing Fee: $ _ { Bldg'Filing Fee: $ Plbg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Elec Filing Fee: $ Mech. Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Plan Check Fee: $ Inspection Fee: $ Inspection Fee: $ ' SRA P/C Fee: $ SRA P/C Fee: $ $ Other: $ /Other: N _ Total Amount Retained: $ TOTAL REFUND DUE:$ $ Amount from 440-001 $ Amount from $ Amount from $ Amount from $ J:\My Documents\REFUND CLAIM APPLICATION.doc 12/17/02 Butte County Department of Development Services Building Division REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked are not refundable. Fees paid to other County Departments are not covered by this claim. [Butte County Code Section 3-41(t)] CLAIMANT'S NAME: MAILING ADDRESS: ASSESSOR'S PARCEL #: D (D BUILDING PERMIT #: 1 -- �g J RECEIPT NUMBER(S): �p 1 A request for refund of fees paid on the above receipt number(s) is for the following reasons: 1%, Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded.) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Other (specify): Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans ti Signature Date A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. J:\My Documents\REFUND CLAIM APPLICATION.doc 12/17/02 COUNTY OF BUTTE. 336837 KOFFI�CIA"L 5CEIV T)AC 4!D 1/--5 20�oFFICEVOR DEPARTMENT - RECEIPT Received from 3 The Sum of For t Received: C)3 —, $o-- 0b 0 CASH ❑ CHECK9 n4VC.n R1ISINFSS FORMS • 19161 7436511 Received By Title By - 1 V- f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT !—� ASSESSOR PARCEL NUMBER - , /,� �..� r ZONING A BUILDING PERMIT OWNER '' 1 �, ` _I �• f�; l TELEPHONE y ,' ��,/t,,� SO. FT. OCC. BUILDING VALUATION .` :.", 6—n OWNERS MAILING ADDRESS , CONTRACTOR'S NAME I TELEPHONE / L , CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ",q, - ,yr -Plan ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ f 1 PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP Pilin PLUMBING PERMITg Fee 20.00 Each Trap / 7.00 USEOFSTRUCTURE SF Or Duplex ❑ Mobilehome ❑ Other `► SPECIFY Solar or heat pump water heater 23.00 Water piping / 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilifies ❑ Installation ❑ Other ❑ Describe Work: Pr — t?i' W i ! r { ,f l 0 L I )fL ( % � ��. i L /' / Ir Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 020.00 PERMIT FEE $ f ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR LESSp/ 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law forthe following reason: O"'1, 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 Main Service TO 1000A/ 46.00 E NEW CONST. DWEwNGOccup. 3.SQF°; OR ADDDONS. &WST Ae.MULTI-OUTLET NON-RESID. BRANCH CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ourLET OR FDRURES BAL Q ': 0 Ex. Occup. ouTTtrs ALNS oD ICA 5.00 Temporary Service` 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation hof one hundred dollars ($100) or less.) D 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 ,F' . P1�,. , — Date �i-� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit i required equired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heatingf Cooling Hood / 6.50 Ventilation r PERMIT FEI: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ t CONST TYPE d/\ i TOTAL FEE $ HAZ, D. FEES IMP y FLOOD CR PARCEL PD HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r By Date PERMIT EXPIRES ON ^' �- ate Receipt No. -� -, ��, - f / �/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION FOR YOUR CONVENIENCE USE THIS CARD WHEN CALLING FOR INSPECTION 24 HOUR INSPECTION REQUEST SERVICE Phone Numbers: Oroville-Offiee=538_ 636 Chico Office: 891-2834 (Lines will be out Please write down your information prior to calling this number Sequence of information required *rrequired to make inspection request: Building Permit # ay01 — P w Owner's Name Job Location Type of Inspection Wanted Date Inspection Wanted Speak slowly and clearly. PLEASE USE THIS SERVICE FOR ALL INSPECTION REQUESTS For other business contact: Oroville Office - 538-7541 (Monday - Friday,. 8:00 - 4:00) Chico Office - 891-2751 (Monday - Friday, 8:00-12:00 & 1:00 - 4:00) N` N ' O CO) O � f Mam _a n Cl)c O rn c -0 Cl) O �Cl) r� a ---1 C) _ rn— cn zv vrn z D e� CD'n z C) r a rn_ -no am:m 1 O a =v �m- z 90> �a v 0 N ill COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754RMIT No. (Rev. 12/96) APPLICATION AND PERMIT bi-D,&57 ASSESSOR PARCEL NUMBERS^ So -®g =DNI _In BUILDING PERMIT OWNER .. .J t TE ,J°ONE - qq8 SO. FT. OCC. BUILDING VALUATION r S owN s � AD 495M6 b CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fire LENDER'S MAILING ADDRESS Iace Total Valuation $ CU A5 D. U ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS Vl �., n /� }�+` J`(/'fes` C&w Energy Plan Checking Fee S $ PERMIT FEE $ 444,CD LAT NO. SUSDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF,K Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heatdr 23.00 Water piping 15.00 Each gas water heater or y6nt 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: W • 15b• Gas piping system 1 - 5 Otlets 15.00 Building sewer I15.00 Mobile Home IS Gil W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ��ORLERS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for a following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number ( .be above sections need not be completed if the permit is for work of a valuation �f{ 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 Date Signature of Appli t - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit i required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Z. Mein Service WELLING A TO +oma 46.00So NEW CONST. DWE OR ADDNS. 6 ACO. O P. SO 3.5QFr, NON-RESINEW D. ' MULTI-OUITS @7,50 PowER AP ARATUS a SINGLE CIR, EX. Occu OUT ET R FIXTURES eAL @ �.w FIXE APPINS. OR Ex. Occup.D ESID, 5.00 Temporary Servic 23.00 Mobile Home Facilities 20 00 Misc. Wirinq 23.00 PERMIT FEE $ MECHANICAL PERMfT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ oc _ TYPE A L TOTAL FEE $ D. IMP FiooD cDF PARCEL PD HD IssuE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have been paid. n� //��� -� � �Q�IX G(� ' S�G By Date PERMIT EXPIRES ON P-5 - O ate Receipt No. + t0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ou C >FC -00 UZM X G) 0 000 m<C 0 Fn Z 5� z :f1 --der No. No. i. pan No. „ICN RECORDED MAIL TO: MENDEL t_'.. TOCHTERMAN Attorney at Law 341 Broadway Chico, California 95926 MAIL TAX STATEMENTS TO:NONE DDCI1h1�JTAA1f TRMfSfER TAX t`—.._.�.._—_._..--. ` • C014w"d on the canldanHon or value of property eomayad: OR M; V 1 ri n 1 a M2we S g ...... Computed rot the eenslderstlon or value Ieea Ilene or eneurttbrarxet Route 3, Box 178 + fng a 0mnor __ Chico, California 95926 . Bnatur ,O !!5 or A.0411"datwminlry seI x — F rm Name GA �+f � E POR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, A-?, Ole A- to - MARY C. SILVA, a widow, dealing with her sole and separate property hereby GRANT(S) to MARY VIRGINIA MEWES, an unmarried,. woman, as her sole and separate property the real property in the County of Butte , State of California, described as Lot 80 according to that certain map entitled "John Crouch Subdivision, part of the Farwell Rancho, Butte County, California" which map was filed in the office of the Recorder of the County of Butte, December 7, 1908, in Map Book. 6, page 81. Containing 12.21 acres, more or less. Subject to existing rights of way. Dated-9ar_ch__26 • 1974�L .4 i 3TAPE OF CALIFORNIA ATTORNEY F1aR 2T 10 49 p Sri- (gd ©g6 w COUNTY fi'_'COCOlUER t— E On_ March 26,__1974 226:11 SPACE ABOVE THIS I.INE FOR RECOROSR•S U3E MAIL TAX STATEMENTS TO:NONE DDCI1h1�JTAA1f TRMfSfER TAX t`—.._.�.._—_._..--. ` • C014w"d on the canldanHon or value of property eomayad: OR M; V 1 ri n 1 a M2we S g ...... Computed rot the eenslderstlon or value Ieea Ilene or eneurttbrarxet Route 3, Box 178 + fng a 0mnor __ Chico, California 95926 . Bnatur ,O !!5 or A.0411"datwminlry seI x — F rm Name GA �+f � E POR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, A-?, Ole A- to - MARY C. SILVA, a widow, dealing with her sole and separate property hereby GRANT(S) to MARY VIRGINIA MEWES, an unmarried,. woman, as her sole and separate property the real property in the County of Butte , State of California, described as Lot 80 according to that certain map entitled "John Crouch Subdivision, part of the Farwell Rancho, Butte County, California" which map was filed in the office of the Recorder of the County of Butte, December 7, 1908, in Map Book. 6, page 81. Containing 12.21 acres, more or less. Subject to existing rights of way. Dated-9ar_ch__26 • 1974�L .4 i 3TAPE OF CALIFORNIA ca COUNTY OF 1 w On_ March 26,__1974 before mo, the undersigned. a Notary Public In and for said s State. personally appeared ass+utttitesuminnntnlntr SEALE m Mary C_ Silva OFFICIAL MENDEL B. TOCNTERMAN I ---... .� --- f10TAay Fustic CAL11ea111A li u .rn to me to be the person —_ whose name __is__ *N"AL ee1M la riff :ubtcribad to the within instrument and acknowledged that coumv O vim exacuted the sans. My Cemrladeu EspLea OA. 22, 1977 �timnimtintan WITNESS my hand and official seal, Signature (T1h vw for official nourlN steel) 1002(10/69) MAIL TAX STATEMENTS AS DIRECTED ABOVE END OF DCICUMW