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039-190-024
39-19-24 Glenn Wood S/S Stevens Ave.,app.1/10 rni.W.of Lone- Pine Ave., Chico Permit#1 o7 -81B P E M(nepw�sin le .family) 9-19-24 stove)SF, 39-19-24� J Permit#2358-83B(lst renewal/1798=82) •39-19-24 370-9 B :WOOD, Glenn; 3925 Stevens Avenue, Chic�I�o (o install woodstove/sf) �I l 039-1.90-024 OS -0753 WOOD, GLEN 3925 STEVEN AVE, CHICO Cont: PERFECTION POOLS NEW POOL MSTRO1-500 ,_ `, �, � �I r � �I ; BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BPO50753 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/18/2005 APN: 039-190-024-000 the Business and Professions Code, and my license is in full force and effect. 5466 S License Class: G - S�' License Number: f Site Address: 3925 STEVENS AVE CHI Date: �- ��Contractor. 'P— F -C (-'dr'P Map Index: Description: pool master 01-500 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: WOOD GLENN R &AMANDA R permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 3925 STEVENS AVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95928-9536 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: PERFECTION POOL AND SPAS owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 172 E 20TH ST proving that he or she did not build or improve for the purpose of CHICO, CA 95928 sale.). 530-895-0437 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: PERFECTION POOL AND SPAS ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 172 E 20TH ST CHICO, CA 95928 WORKERS'COMPENSATIONDECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-895-0437 O I_have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 566654 Labor Code, for the performance of the work for which this permit /is issued. U, I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number are: a Engineer: Carrier: n Policy #: 1217-I—certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I Applicant: � " %�fi� `Z/ 11 WARNING: Fail re to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the a plicable provisions of the Butte County Cody ?nrVor I hereby affirm that there is a construction lending agency for the Resolut' n o d"ork indicated abov for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)G 6-L% Name: BY ( Date: PERMIT EXPIRES ON: Dat Address: O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of ayOofficial form or docum of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpoose Print Name:uv✓ f " r �GL �a �c Signature: / S Date: 021`' ( 2_0 /0-5 ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQ UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Last Name wed irst Name 6- 1 Address 2_5 ST_+.c,,t A., L City c4f z�& State C4 Zp q_i4 it Phone eqS 31/� Fax E-mail C Mel -2-S APPLICANT NAME CONTRACTOR Name j' 'Pod lS Address t 7 "2- 4�r 2-6-T-4, !g1 -- City 6JI-Licd State I Zip,1-5gZV Phone ggS_py-37 Fax -gels _D�;Ct E-mail Phone Lics 6c6" lo -V6 APPLICANT NAME ARCHITECT/ENGINEER Address - Name f� SRA A Address / 3 6 tI 7 t9-aw .. �✓ ] c tet-. +`, City Cfii �CtJ State e �Pof Sq 73 Phone Date Approved: Fax E-mail State License Number APPLICANT NAME Name Address - City (21-1 Q'_1-0 State CSR SRA Phone 2 d Fax E-mail APPLICANT S/GNA URE X -z�— For office use only: Zoning 1,4a 1 Flood Zone JAA I SRA I Yes I No Occ. TypdConst. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 0�-: BP BIN # LOCATION AP# e4 Prope3 etS A TcvPyt ✓ City C�,) C_ h t C t, Cross Street Z_ P, -e- .?t .' C_ SRA WORKER'S COMPENSATION Policy Number 2 _ Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY _ Name Address Description or Scope of Work: 34t�x17� Sq. Footage] ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a pemut has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV 6-16-04 Received by: Amount _ Bldg SRA Recei #: Sheriff � / SMIP Date: Other 7—Total K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV 6-16-04 SUBMITTAL REQUIREMENTS F ,, The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN IN% Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the en idnnee_r Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ S. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION V KAFORMBUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 05_07S3 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET I www.buttecounty.net/dds j Q, OWNER: ` 004 ASSESSOR PARCEL NUMBER r " t(�Q_- O 2� Proposed Building Use: OO � Permit Technician: Date: Items required in order t6 apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or .4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings. ❑ 12. Hazardous Material Form. ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) e� 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers ❑ 17. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 18. Soils Report and/or Engineered Foundation required. ❑ 19. Erosion Control Plan Required. ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 21. City of Chico Plumbing permit. ❑ 22. Site plan and business license approval from the City of Biggs. ❑ / 23. California Department of Forestry plan approval ❑ paid. Cd" 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _Drainage. Z 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 28. Contractor's license information. (Number, Name Style, Classification). ❑ 29. Worker's Compensation Carrier and Policy Number. ❑ 30. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 31. Letter of Signature authorization. ❑ 32. Recorded copy of Agricultural Acknowledgment Statement. ❑ 33. Existing violations and/or expired permits. ❑ 34. Deed Restriction. ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ❑ 36. Other: ❑ 37. Other: When issued Telephone hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees, and other department costs are not refundable. Original -Applicant c COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �C� ��� ASSESSOR PARCEL NUMBER 3 ! O- O�T_ 07 Proposed Building Use: 0 `/%% Permit TechnicianC4*b�: Date: oda U C� Items required in order t8 apply for a permit. All boxes MUST be checked OR marked NA in order to apply. J 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stam ed and wet -signed by the engineer. ate, ae 10 Flood Elevation Certificate, wet -stamped and signed, in duplicate. q//310s- W* `1 ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) -I 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑„ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by o, � 18. Soils Report and/or Engineered Foundation required ........................................... ❑ .. 19. Erosion Control Plan Required........................................................................ ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ . ❑ 22. Site plan and business license approval from the City of Biggs .............................. ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval for (A) Use: .Q�(B)Parking: (C) Parcel Check: ........... ...... S �� ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ IZ26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 1330. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: o When issued Telephone .VirO G�n and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. al items required Co besigner, owner, was advised of the above data by ne, ❑ mail, ❑ counter, b Date: Ci ract , designer, owner, was advised of the above data by fe' phone, ii mail, ❑ counter, by Date: ctor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ cou ter by Date: Plans reviewed by: Date: Plans approved by: L- Date: U Structural reviewed y: Date: : Structural approved b Date: Note transfer by: 1.Date: Yellow: Building Division C� �/&/o Y J TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached A ---- Floor Floor Plan Attached Sent to B.D. / 4)�61-� 3 q - �CIEA z3i-/20-04Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: ` Final clearance O.K. for: NOTE: Environments Health Specialist Date 8/96 oA- Department of Public Works 0 C o u n t y o f B u t t e 0 1. Michael Crump, Director LAND DEVELOPMENT DIVISION o / Storm Water Management Program t, 7 County Center Drive Oroville, CA 95965 AC�UC WOF�S (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACRE1 Project Description: Project Location and/or Parcel Number: 0 3 q l 9O -- -07-4— By signing below, I, the project owner/owner's agent, certify that this project WIILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 3/ 2—'�— /05 l.,ess than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 GN ' — ' 1757-81B,P,E,M PERMIT NO. PERMIT EXPIRES Glenn Wood OWNER CONTR. owner 39-19-24 ASSESSOR PARCEL S/S Stevens Ave.,app.1/10 mi. LOCATION W.cf Lone Pine Ave., Chico 1; r Temp. Power Pole 4 Called PG E Temp Elec. Service Called PG&E Temp. Gas Servi.�e Cal led P/E JOB F ALED (Date) . 4 �!/�+ Signature_ J = OK, 0 = Not OK = Not Applicable MOBILEHaMES i * = Not Ready r� MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 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.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp-Con&ete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI. Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5.Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector - 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch , 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Card'B-I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date J j j I 1 J OK O = Not OK - = NotApplicable � = Not Readead• RESIDENTIAL (Single and Duplgx) - Dated j Card -BI Date Date UNDERFLOOR Plans OK except #'s t .EC CAL Permit OK except N's Date FRAMING Continued Duct in Garage -Damper F' ure &Transformer Clearance -Ins. Protection �_. o 'ng.requirements-Setbacks-Easements E Receptacles Spacing -Lights & Switches at Doors 1 S' Boxes & No. of Conductors -Stapled j 4q!!? arty Line Firewall & Openings R ex Installed Close to Edge of Studs & C Ground made up w/Mech. Fasteners LQo as Wate l , -Main; Soils -Steel -E d.- / t •' Ftg. Depth f Rails & Deck Construction -Post Caps E _Doors -One 3' -Check Garage -3rd story, 2 Fdn. Vents &Crawl Hole D r -Drainage &Wood -Earth Clearance. Lo6ked under Floor es ange Circ. /6, / ga. C' or AI -Oven Circ / �/ ga C or AI, sulated Neutral s ❑No ! tg., Garage; Soils -Steel- / /" Ftg. Depth iS . Unit, sconnect-Clrnces-Brkr. & Cond. Si et • s; Width -Headroom -Rise -Run- Land in it ectio Clothes Closet Light -Shower Light r 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth -A@_A4a4er Well; Disconnect, Electrical, Plumbing PI ood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card -BI Dat lation throughout House walls, Main; Steel-Blockouls-Wrappe S temwalls, Garage** Steel-Blockouls-Wrapped S lass Protection t Plailing-Veneer StgOC15 Mesh -Drip Screed-Fdn. Vents-Underflr. Access t Ducts; Insulation & Support iers-Fireplac - _ Vent Fan; Exhaust above Insulation 55r- Glazing Area -Glass Protection -Skylights -Plastic tMMT'WaRs; Nailing -Bolts 8. D.W.V.: F itti gs T -2 waiK/Oi0ewer Test / "pe; Siz ors Water Pipe; Test -Anchors -Regulator -Service Test ����JJJJ 1. -J lec[ric; Underground enums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date i Card -BI Dat.a I Card -BI Date Card -BI Date ZZ Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's Card -BI Date 1454aCard-BI Da Date PLUM O -(Permit) OK exce t'N's k ge' W. Steps -Door & Sidelight Protection -Landings 47-ISmoke Detector _ to t.; VvV--A s-Combusti� 5 urnace; Vents -Clearance -Comb. Air -Connector - In-Arage; Above Floor-Ducts-Mech. Protection ter Pipe; TejA Anchofs::fNail Protection } . D.W.V.; tf a8'An s -Na otection room Exiting 1 owe Floor -T ccess- • G.F.I. & Bath Fixtures & Tub Access t 1 . Test Tub & Shower, 2nd Floor- ss p - %7L . G f ILt✓ lec. Trim & Subpanel; Breaker Sizes -Labels T9: ,. Gas-P1pE'Sze & Anchors 6' St irs & Rails ireplace or Stove; Clearances -Hearth 1 -64_-ffae. Outlets at Wood Panel; Int. & Ext. Date Card -BI Date " . Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Dated j Card -BI Date c. Outlets & Receptacles at Kit. Counter t .EC CAL Permit OK except N's . Gar ge Fire Door; Swing -Landing -Closer Duct in Garage -Damper F' ure &Transformer Clearance -Ins. Protection �_. Wtr. tr.; Vents -Clearance -Comb. Air-Connecto - Mage; Above Floor-Mech. Protection P. .V. E Receptacles Spacing -Lights & Switches at Doors 1 S' Boxes & No. of Conductors -Stapled j Pte., Elec. & Mech. Equip. Listed for Location wopec. Receptacles in Garage; (G.F.I.)-Romex Protec. R ex Installed Close to Edge of Studs & C Ground made up w/Mech. Fasteners LQo as Wate . Insulation -Foam -Looked in Attic ❑Yes pliance Circuits in Kitchen & Conductor Size Rails & Deck Construction -Post Caps u eed Wire Size / / a. Cu At A.C. Wire Size / / ga. Cu or Al Fdn. Vents &Crawl Hole D r -Drainage &Wood -Earth Clearance. Lo6ked under Floor es ange Circ. /6, / ga. C' or AI -Oven Circ / �/ ga C or AI, sulated Neutral s ❑No ! Following instld.: Dive ❑ Yes Walks Yes 4E Planters ❑Yes o i S22ice-Riser Conductors 8 r n Main D' connect . Unit, sconnect-Clrnces-Brkr. & Cond. Si et E ip. Clearances; Panels -Mo ors-Mech. Equip. } Clothes Closet Light -Shower Light r Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -A@_A4a4er Well; Disconnect, Electrical, Plumbing 60—E5,Wrior Elec. Trim; G.F.I. Receptacle -Underground Date Card -BI Dat lation throughout House Dat - and -BI Dat lass Protection C NICAL (Permit) OK except N's Corrections from Previous Inspections est -Meters Tagged; Gas -Electric Ducts; Insulation & Support ater & Sewer Connected -C/O to Grade -HD Approval _ Vent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates , . GeFkjensaTrDrain & Overflow; Size & Grade urnace-Ven :_Access -Comb. Air -Return Air Vent -115V outlet —A ccess & Platform if Furnace in Attic Card -BI Date _Date Card -BI Date Card -BI Date • to and -BI Date Card -BI Date (,5 A OK except N's C AeTments at Final: Si er Materianchors W Studs -Nailing, Spacing & Bracing -Plates -Sound _ arFng Walls over Girders & F.loor Nailing} It Stop in Walls, ro F' tops; Fur dC e4,14' , gs-61W ha'ses ,H � r & Beam -Size & B6aring r �Ha ers-Post - hors -Connectors L In .Joist- tr. -Purli oof-jws&-$hthnq -Rfnq. - tia r �tace_T�ac-w 'Type lue-Fire'p+ase-�I�eat Z'e Access; Size & Romex Protection -Draft Stop -Ins. Baffles _Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing (NOTE: An entry must be ma� each time youvisit jobsite) Card -131 Card -BI Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CO ,RECTION NOTICE aze BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspecior,---� ,�! %//.�%.� Date COUNTY OF BUTTE - - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office Inspector 6'�"��7. Cf/'�� Date ///� F THIS IS TO INSTALLED AT - f RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS (location)- BUILDING PERMIT N0. / %5�% V IjPy �!fl A;P. N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors_ IV - / 9 Walls 9—/3 Ceiling/Roof Ducts v Circulating Pipes APPROVED HEATER_ APPROVED VTR.IITR. �— GLAZING: Single Glazed CA e Special ( Insulated) o%h6Le a✓p-ys✓iir---Q CERT. & LABELED WDS.. & SLIDING DRS. [/ WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES t--- I / I DECLARE THAT ALL REQUIRED ITEMS AS NOTED -ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS .OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name 6Ze NV Y 14)66 61 Signature of (please //C> �print) Q Insulation Applicator-,cy�-�^ State Contractors License No. _ General Contractor/O;mer Name '&Z e Al Al /o W,0,0 (please rint) Signature of D General Contractor/Owner , /� tat Date Z State Contractor License No. vc p,�04,7of"Ajf THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELT."' ' COUNTY OF BUTTS - DEI'ARTM�_:NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 5 /'%? o / APPLICATION AND PERMIT L/ ASSESSO�PAR.CE✓Nil. E y �Z� BUILDING PERMIT ow R I= O TELEPHONE SQ. FT. OCC. BUILDING VALUATION 0 OWNER' MAILING ADDR SS D r19 0'y CONTRACTOR'S NAME TELEPHONE ©a6l. 1 44W Vd t.Q V CONTRACTOR'S1 IN ADDRESS Fireplace 14&&C 14 1901 Q C) CONSTRUCTION LENDER UNKNOW Total Valu IOn I $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 410AIr LICENSE NO. Plan Checking Fee $ l Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee _ $ �! v BUILDINC�A DRE55 � �, (iZ fj PLUMBING PERMIT Filing Fee 10.00 1.J 1 > Each Trap QJ 2.00 , pv Repair drainage or vent piping 5.00 C �v Water piping 00 OT NO. 1StABDIVISION NA E PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFDuplex Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Penult Fee $ pp Contractor jjecl ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 �Qp Main service EA. ADD'L 100 AMP 2.50 r NEW CONST. ( DWELLING- P N\ OR ADDNS. ACC. BLDG / p� sq ft O CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OU LET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTPOWER APPARATUS a\ NON- R RESID. ( ,A SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES BAL21 ' FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Penult Fee $ r rJ Contractor G/' MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to beccme subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating if QO dAe.106 J45 V Cooling N Z Hood 3.00 Qp Ventilation Z 00 Permit Fee S qZ 0 p Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga'ns s id County in cc se ue ce of th granting of this permitoe a�/ X���r.�,/ Date Signature of Applicant — Owner EEr' ❑ AgentF1 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 $ ` TOTAL PERMIT FEE $ U OCCUP. GROUP TYPE of C NST. PARCE PD HD 550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By r PE T EXPIR S Date the applicable provi- resolutions to do fees have been paid. WORKS Date./ -/-f-.?/ ,? Z— ;,—/` F—,?' Receipt No. .5"D ;,7/ U WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY.OR BUTTE Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) y e S 2. I (have/have not) a/ 2 signed an application for a'building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed cons truct'o Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person�o coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No.. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work it/D N i Signed: , ) Property Owner (�(/ Social Security.numbe Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to'issue the permit. 6 le,70' 2 Kac-0, 19 �a� 4 n N H r COUNTY 000 U�TT't, - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive- Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. I' -I e__ ASSESSOR PARCEL NUMBER -"" , ZONING BUILDING PERMIT OWNER' r TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I /f IQ L�. CONSTRUCTION LENDER UNKNOWN Total Valuation $ /{ IQ t1 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS __. - ` Permit Fee $ ` ARCHITECT OR ENGINEER J ifPenalt LICENSE NO. Plan Checking Fee $ y $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS _:l 1A 1 Ll + ' i 'I V PLUMBING PERMIT Filing Fee 10.00 I ' � / , r l Imo'✓ � 7�..1 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME - PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE t SF ❑ Duplex f_1 Mobilehome❑ , Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othern, Describe work: 1 ��� ` •S 1�y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW OR ADDNST (ACCLBLDGS.LING CCUP.M1 / 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR / POWER APPARATUS e� NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 in consequence of .the granting of this permit. •'� X - c Date Signature of Applicant — 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 $ TOTAL PERMIT FEE $ 0ccUP. GROUP TYPE OF CONST. F PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - Receipt No. f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE -"OC( Z - OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. /S� `� �S �•cJ3 /IXcIr lit/G i Inspector �t 1W COUNTY OF u-rT&_ - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER � � TELEPHONE SO. FT. OCC. BUILDING VALUATION t 1 ' OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE 1 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee r • $ ARCHITECT OR ENGINEER LICENSE NO. ' Plan Checking Fee. $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ' BUILDING ADDRESS � PLUMBING PERMIT Filin Fee 10.00 9 i ' Each Trap 2.00 Solar Water Heater 20.00 I , Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I GJWJ 10.00e4 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Installation ❑ Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ACDNS. l ACC. BLDGS. 21/20sgft CONTR TORS LICENSE LAW I declare under penalty of perjury heck one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2.50 ea No N.R ESID BRANCH CIRC ITS NEW CONSTF POWER APPARATUS &') NON•RESID. SINGLE OUTLET CIR. / FIXTURES 9AL030 Ex. Occu 9AL@30 p�OFIXED APPLNSXOR EX. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. EJ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, 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. X Date Signature of Applicant — 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 $ TOTAL PERMIT FEE $ , OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt 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 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSES ARCEL NUMBER .� ZONING BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VA141ATION OW EAILING ADDRESS 00 CONTRACTOR• AME TELEPHONE NTRACTOR•S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fe4-' Penalty $ l ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI G ADORE , PLUMBING PERMIT Filing Fee 10.00 16Z &a vh2 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other 9 SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Dps4be work: — !!! Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC, BLDGS. 2thQsgft CONTRACTORS LICENSE LAW I declare under penal y of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR. //POWER APPARATUS & NON -R ESID. 151NGLE OUTLET CIR. Ex. Occu 2D@B0a OR FIXTURES L030 BA P�oED A FIXED APP LNS, OR Ex. OCCUp. OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare unddroenalty 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. t, r� ff f►q-* I shall not employ any person In anyrmanner so as to become subject to the W. C. laws of California. °`I ti!I.E?� Notice to Applicant: If after making thisIstatement, should.you become subject to the W. C. provisions of the Labor Code, you,must forthwith comply with such provisions or this permit shall be deemed revoked. �';) Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I 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 liabilities, judgments, costs, and expenses which may in any way accrue n s 'd County in conseq ence f the granting of this permi Date Oign'otureof Applicant — 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 $ TOTAL PERMIT FEE $ OCCOP, GROUP I TYPE OF CONST. I PARCEL PO HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ?ECT R OF PUBLIC BY 0. PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS Date — — Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT e� COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of.the proposed property improvement (yes or no). 2. I (have/have not) �,n,v P 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 /U p Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name WO A/ --P Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 9N'e. Signed : ✓��1� ,p /�G�s� Property Owner Social Secur' y umber Date 8 3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASS SOR PARC Lel ZONING O . 2 BUILDING PERMIT 0 - TEL PHONE SO. FT. OCC. BUILDING VALUATION MAILING DDRESS qC OWftTA—CTOR'S C NAME TELEPHONE CONTRA'CTOR'S MAILING ADDRESS Fireplace /Ooo CONSTRUCTION _CTION LENDER •M"_A`ILI-NG UNKNOWN Total Valuation $ V Filing Fee 10.00 LEN�v/DEE`R'`'SSS ADDRESS Permit Fee $ ARC ITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS A V PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Repair drainage or vent piping 5.00 C/Ll. Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets �,{ USE OF STRUCTURE SF LXI Duplex❑ Mobilehome❑ Other T" SPECIFY Building sewer Lawn sprinkler system 5.00 _+ 1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherx, Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1P0ov OR LESS 100 AMOR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP-5i OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NON.RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. / POWER APPARATUS S) \SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR Ex. Occup.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I 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 he granting of this permit �i / %� _ ' Date G 'Z -Z Signature of Applicant — Owner ❑ Contractor ❑ Agent21 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 $ TOTAL PERMIT FEE $ o;'q OCCOP. GROUP I TYPE OF CONST, I PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated ab ve for which DIrV7 UBLIC By PERMIT XPFRES Date the applicable provi- resolutions to do fees have been paid. WORKS a -66" Receipt NO. 0 a 3f� WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Q r COUNTY OF BUTTE - Department of Public Works _ h 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. 'I (have/have not) /fci Vf. . signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security numb r Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. iAC d1.1ico 0r;t2 ' w , AV, i"ri 3 a o 0 }. ,._ a. ; , ... �..n••q,SP,.Rr t ^moi".�;R� :.'.q� �.�. 7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WRKS PERMIT NO. ' TCounty Center Drive - Oroville, Caiifornta X5965 - Telephone: 916,538F7541 ' r.�.�� APPLICATION AND PERMIT 1 ASSESSOR PARC NUMBER /9- ly ZONING I A-1-0 I BUILDING PERMIT OWNER �a `� �✓o o� TELEPHONE Q>5f- SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS J92<' rfJ� %aJ CHica f� 5552 CONTRA C TOR'S``NA^ME TELEPHONE CONTRA TOR'S MAILING ADDRESS Fireplace J o CONSTRUCTION LENDER UNKNOWN Total Valuation is o o 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 31-L,5 V ,J S /�� Each Trap 2.00 C%-�/ L 0 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 SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other RI Describe work: Woo J0 .$d"n✓-p _ 3 5-J -- 4:-:� 3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyOR of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license is In full force and effect. �,License No. Classification l_/I/ JKJ I, as the owner, or my employees with wages as their sole compen- sation,gwill 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.& ADDNS. ACC. BLDGS. 2/,20sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES e20®501 AL930 FIXED APLNS EX. Occup. OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, an expenses which may in any way accrue against said County in consequence of the granting of this perm't. X A c �t-�+ /"� v�' �'�_ Date /> / .� Signature of Applicant — Owner9f 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 TOTAL FEE $ Z, �Q HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS I ` �'✓�i� 7-- Y/ 9 J By. r / l Date PERMIIT/EXPIRES Date Receipt No. S�C)7 3 WNITE-D.r.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, I afifo nia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 70 - 90 ASSESSOR PARC NUMBER Z ZONING /.N•Z0 f BUILDING PERMIT OWNER L/L W00,0 TELEPHONE CW -3;i SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �`i 2 v -ii ✓6 AV& � H� c 0 61 g S -6, 09 CONTRACTOR'S NAME TELEPHONE CONTRA TOR'S MAILING ADDRESS Fireplace J�j /�O a CONSTRUCTION LENDER UNKNOWN Total Valuation $ o O Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 112.5—D 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 �,z S v��✓� 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 SF[�rDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel [JUti lities EDInstallation❑ Other W Describe work: j�Wo 0 iID 51�'�✓/ _ /6 -2 3 SS - GS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 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): ❑ 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 le 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.g , OR ACDNS- ACC, BLDGS. 2/ztisgft NEW CONSTR. RANCH TLET NON•R ESID BRANCH CIRC ITS 2,50 ea CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu 20 a Soe Occup(OUTLETS OR FIXTURES eAL030 FIXED APPLNS. EX. Occup. OUTLETS IIRESID .)OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 00 15. 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. 2rI shal l 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 Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, an expenses which may in any way accrue against s •d County in ConsQquence f the granting of this permi . X , (y �' Date Signature of Applicant — 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 $ occ CONST TYPE �Q TOTAL FEE $ AL HAZ CUA PARK FLD PAR PD HD ISSUE This permit is hereby issued under the applicable provi- sions or the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By. Date Z� % L•� PER XPIRES Date Receipt No. 5-5-0 % J WHIT!-D.P. W., YELLOW -ASST SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Debarrment of Public_Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541'' 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 the major labor and materials for construction of the proposed property improvement (yes or no) y P__S`. 2. I (have/have not) .� q U signed an application for a building permit for the proposed work. 3. I have contracted with the following person (.firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan*to provide portions of this work,.but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner .Social Security/ Number % Date 2 917 ►i NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKS - BUILDING DIVISION .. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER G/_ 0^JA. P. No. 19— 15– 2-'i Proposed Building Use s 4LqaaSdnJ-0— Building Inspector Date Z 4 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 4- 1 DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer 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 permit ..................................... 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 required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 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 authorization ................................... 26. 27. When you issue the permit, process as follows:/Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other 14 Applicant zejlDate Copy of plans sent Health Dept., Fire Dept., Other Date 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 of above required data by_phone_—nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder , Copy—DPW FEDERAL EMERGENCY MANAGEMENT AGENCY =Expires 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM 31; 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7.:., SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Po1iry Number` BUILDING STREZT ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NA1C. Number 312-5 STATE ZIP CODE C° N I Lo CA C/5 C1 _ ROPERTY DESCRIPTION (Lot and BI ck Numbers, Tax Parcel Number, Legal Description, etc.) ARIV 1W 102V BUILDING USE e. . Residential, No i -residential, Addition, Accessory, ( 9 , ry Use a Comments area, if necessary.) .ATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE:1_1GPS (Type): or *#.; #°) j�`},NAD 1927 1_1 NAD 1983 9USGS Quad Map L_J Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 31. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE � ® ©7 C -C)56 C' TE' �R B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7:, FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONES) . (Zone AO, use depth of flooding) � 0. Indicate the source of the Base Flood Elevation (SFE) data or:base flood depth entered in B9. - J_) FIS Profile J_J FIRM J_J Communi Determined (_J Other (Describe): 1. Indicate the elevation datum used for the BFE in B9:J NGVD 1929 (J NAVD 1988 (_j Other (Describe): 2. is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? J_ I Yes I I No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Building elevations are based on:* Drawings* j_jBuilding Under Construction* J_JFinished Construction `A new Elevation Certificate will be required when construction of the building is complete. 'auilding Diagram Number..—" (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum 19 Conversion/Comments Elevation reference mark used �c'r"� - °2-3 Does the elevation reference mark used appear on the FIRM? WYes !_J No ❑ a) Top of bottom floor (including basement or enclosure) I)>A _ ft.(m) ❑ b) Top of next higher floor AM — ft.{m) p 4Rt� ESS 1, ❑ c) Bottom of lowest horizontal structural member (V zones only)A)A _ ft.(m) W. ❑ d) Attached garage (top of slab) ,el.'s — ft.(m) E"= / � ��� X, X41 ❑ e) Lowest elevation of machinery and/or equipment rr+ servicingthe building Describe in a Comments area. 9 { ) -(m) Ei rj no.68Ci- 7� ❑ 0 Lowest adjacent (finished) grade (LAG) ft.(m) d Z ❑ g) Highest adjacent (finished) grade {HAG} ❑ h) No. of permanent openings (flood vents) within l ft. above adjacent grade dA -�-�� - CIVIL Cy / j ❑ i) Total area of all permanent openings (flood vents) in C3.h_ sq. in. (sq. cm) ,Jb-. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION is certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to,certil qf* that the information in SectYons A, 'B, and C on this certificate represents my best efforts to inter] rf the nderstand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section RTIFIFR'S NAME LICENSE N MBER CO PANY,"DRE CITY j 394/46 FQ / nn! k7G/�%� Ch//4c`) lb T LAForrn 81-31 JUL On AFF RFVP:R.SF .CInF= F(1R C`.ONTINI IATh on. _>_�t✓nu>vt��� x37,,,2 _e��.3'� - PP;Dl Ar..P:C Al I PRFVInl15 FT717i0NS MPORTANT. In these spaces, copy the corresponding information from Section A. For Insurance Company Use:::: ': 3UILDING STREET ADDRESS (Including Apt., U`Unit,uite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 17 <I 17Yn I SATE ZIP CODE Company NA1C Number l= cix> A SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) 'opy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. ;OMMENTS ' )_I Check here if attachments SECTION >_ - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) ;r Zone AO and Zone A (without BFE), complete Items El. through E4. If the Elevation Certificate is intended for use as supporting it'ormation for a LOMA or LOMR-F, Section C must be completed. 1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) L The top of the bottom floor (including basement or enclosure) of the building is J^J_ ft.(m) 1_1 Jin.(cm) 1_1 above or I below (check one) the highest adjacent grade. (Use natural grade, if available.) 1. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is ft.(m) J_J_Jin.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on' front of form. •. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1 Yes J 1 No 1_1 Unknown. The local official must certify this information'in Section -G. _RECTION F'=PROPERTY OWNER fOR OWNER'S REPRESENTATIVE) CERTIFICATION ie property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.1 only), ana In Tor zone A rithout a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and. E are correct to e best of my knowledge. ROPE RTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME )DRESS CITY STATE ZIP CODE GNATUREDATE TELEPHONE )MMENTS Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete :tions A, Bi C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. �J The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or�.arcf5 teen, ;iho, s authorized by state or local law to certify elevation information. (indicate the source and date of the elevatic)e, ata'In the Comments area below.) .. J_J A corrlfraunity.of6rial completed„ Section E for a building located in Zone'A (without a FEMA -issued or community -issued B or Zonefl \ (_( The_follo)k.it g information (I6ms C4-1, 9) is provided for community floodplain management purposes. • , + , » t r. ,..-..,-r,�,,.,,Tr nc �n�aoi �el.lf Ff(�(:f".i IPANCY ABEDi' : ' ! G5i DATE PERMIT ISSUED vo, un ISSUED This permit has been issued for: ;`�_J,New Construction 1_1 Substantial Improvement ft.(m) Elevation as -built lowest'fioor. (including basement) of the building is: { ) Datum: BFE or {in done AO) depth of floodi'ng�at the building site is: _ ft. (m) Datum: DAL OFFICIAL'S NAME p� ; �" TITLE MMUNITY NAME TELEPHONE NATURE DATE N 6, Form 81-31, JUL 00 Check here if attachments REPLACES ALL PREVIOUS EDITIONS Eire MOON - BUILDING PLAN APF , Ise, Date: F akng:_- Landscaping: T/Xk Other APPROVED Butte County Environ toj4jealth EnAronmentall Health tce MAR 1 6 2005 ignatu Chico, CA Mt I t-- f— BUILDING DIVISICCX'" Assessor's Parcel Number: APPROVED Owner Name /Address Phone No.I-,. —FC Site Location Contact: Name i Phone —77 Lk DIRECTION ELLIS A&E SUPPLIES #4006r. 7— JT,'w . 11 /0->/ /1 C c�t BUTTE COUNTY" BUILDING D1V1SV',7' APP'?MT D. -v 897 EAST 20TH STREET PERFECTION CHICO, CA 95928 ®`®® ,; r (916) 895-0437 License #566654 4 ;a POOL GENERAL SPECIFICATIONS SIZE-3q1X)7'AREA41S11'0 DEPTHIT051t SHAPE LINER POOL CAPACITY 15 el 00 GALS. Pump MOTORH.P. I ph. H.P. FILTER 148ffFr' 1)e SO. FT. V14146WA;WE & SKIMMER 7r.4, a RETURNLINE MAIN DRAIN W® SKIMMER MODEL tA-- BACKWASH LINE OF %" FILL LINE ANTI SIPHON VALVE HEATER SIZE —e-$ BTU GASLINE BY: VENTED BY: LIGHT �574— &14. J` CLOCK i ii'<: ELECTRIC BY: ELECTRICAL BONDING BY: Pj-'Tis. if - POOL CLEANER CtfbefffN*TOR BOARD — SIZE BOARD SUPPORTS LADDER — MODEL Water SLIDE # Color Hookup GRADING STUB PLUMB OYES v<0 - DECK BY; rm NOTES SCALE 118" = 1"W". 47- 6�c 7 4, L-- 7-e- t - ALL i I , A -to ? OWN BY. DATE CK'D BY. DATE;;' NOT TO SCALE DEEP END SHALLOW END UNLESS OTHERWISE SPECIFIED: POOL IS ISHALLOW TO a/DEEP I HAVE RECEIVED A COPY OF THIS PLAN AND HEREBY APPROVE POOL AND, EQUIPMENT LOCATION R'S SIGNATURE DATE :7,7- 897 EAST 20TH STREET PERFECTION CHICO, CA 95928 ®`®® ,; r (916) 895-0437 License #566654 4 ;a 6 r x t c i 171- I �__�.; � __ �'', , '' � , 1 I- I � I -_ ___� --- � 11 - . .- 11.1 .11 - 11 .1. I . � 1, 11 - I'll I i ,� - I I � - - .1 I -1 _11.1- . ''I 117 I I.I.-I-1 .. .... . � , , ,. 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