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HomeMy WebLinkAbout039-240-084AP 39-24 10QAi�f� Leonard McKee �� (USE PERMIT to allow segregation of STEWART, Curtis Jr. 166 ;...x r. • • a homesite in an A-20 zone on SE corner F imple & 'Dayton -Durham Hwy•, Durham) - 4/16/81 ` Durham .Highway ].L,./ mi East of Fimple 39-24-84 815-91B, P, E Durham yy', DOTY, James COMPLETE 9-7-62 2869 Durham Dayton Hwy, Durha (remodel bath/sf) F }' TAYLOR, J.H. 454-70B T 407-70P 66 039-240=084`` - - s/s Dayton Durham H - 01-2536 ti✓Y• opp. Fim le MORJSON, BRENtT i i CONTR: Swimking Pools, 26 J St., �' Durham 2$69 DU -fir , Marysville DAYTON; DURH_. (new• swimming.. pool-), E CONT: BAIRD ROOFING `2 - 70 REROOF 039=240-084 I MORRISON, ROBERT 05-04 2869 DURHAM DAYTON HW DURHAM Cont: MCCLELLAND AIR CONDI REPLACE FURNACE AND AC 039-240-084 ' _ MORRISON 05- ]�3g� 2869 DUR D MDAYTONHwy 31 3 Cont: ANDY WILLIIOIT r MODEL -KITCHEN S , (1 • a60 i Butte County Department of Development Services. euTie artrA N OT E S 7 County Center Drive, Oroville, CA 95965 530 538-7601 ac�uNty• ( ) vnv�,v.buttecounty nevdds RESIDENTIAL AP 14: 039-240-084 Owner: �MORRISON_ Site Address: i f 2869 DURHAM DAYTON HWY, ' DURHAM - Contractor ! Cont: ANDY WILLHOIT REMODEL -KITCHEN Type of Permit: ' • e - 1 f ) 4 ' SPECIAL CONDITIO SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINAL CHECKED BY } f SIGNATURE: i = OK 0 = Not OK RESIDENTIAL (Single & Duplex) .DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ` 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel -Blockouts-Wrapped 621 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1l Wtr Pipe; Test-Anchrs-Rgitr-Service Test 12 Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE F M N G 1Y S' roper Materials & Anchrs 1 IIs Studs -Nailing Spacing & Braces -Plates -Sound 1 .Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) Er2qcers-Post 'Stops, Furred Ceilings -Stairs -Chasers -Tubs ers & BeamsSz & Bearing Caps-Anchrs-Cnnctns 4vteffing Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 ncco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws DATE JELECTRICAL 40 F & Trnsfrmr Clmc-Ins Prtctn 4mRcptcls Spacing-Lts & Switches at Doors �3 moxes & No Of Cndctrs Stapled ex Installed Close to Edge of Studs & CJ g5Gqp Grnd made up w/Mech Fstnrs dng Electrode Bond Gas &Wtr ppinc Cires in Ktchn & Cndctr Sz GFI feed Wire Sz ea ❑ CU or DAL Wire Sz ga❑C or❑AL Range Circ 6 ga CU or ❑AL Oven Circ 9 CU or ❑AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt moke Detector PLUMBING VHtr; Vent-Acc-Cmbstn Air Baffle '- !tPipe; Test & Anchr-Nail Prtctn �uWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 T�rrYTub & Shwr, 2nd flr - Tub•Acc Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping el ,e--- m` '6.'. o` DATE IMECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc �& Pltfrm if Furnace in attic FINAL 66 Efs-Door & SideLt Prtctn-Landings ff-Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-fir-Ducts-Mech Prtctn 69 Bedroom Exiting 70 �IecTrim ult &Tub Acc-Spa 71 ult Subpnl, Breaker Szs & Labels 73 Stairs, Guar andrails 74 Frplc or ve, Clmc-Hearth 75 EI ets at Wood Pnl, Int & Ext t , Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc ec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntitn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 En mpinc Cert -Other Certs d98'A dress Posted 99 Fire Sp ' er `r 0 0e o` = OK v NM OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S'C O V E R S`C A R P O R T S `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs -Cnnctrs -S hthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -Anchrs-Stu ds -Rftrs -Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls s` °'o °` d DATE 1POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bakes-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide s` Pool Drawing BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP053003 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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: 01/19/2006 APN: 039-240-084-000 the Business and Professions Code, and my license is in full force and effect. License Class : _ License Number: 7S6 �5 Site Address: 2.869 DURHAM DAYTON HWY DUR Date: -0(0 Contractor: 1Tr)01 W i lihol l— Map Index: OWNER -BUILDER DECLARATION Description: REMODEL OF KITCHEN (592) 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 MORRISON ROBERT BRENT & SIBYL L permit to construct, alter, improve, demolish, or repair any structure, prior Owner: 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 P O BOX 668 the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or DURHAM CA she is exempt therefrom and the basis for the alleged exemption. Any 95938 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).): (530) 893-4764 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an MORRISON ROBERT BRENT &SIBYL L owner of property who builds or improves thereon, and who does Applicant: such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for P O BOX 668 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of DURHAM, CA proving that he or she did not build or improve for the purpose of 95938 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: HOME PREP ❑ 1 am Exempt under Article 3 of the Business and Professions Code WILLHOIT, ANDY 3017 SANDI DR Date: owner: CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION 530-897-0274 I hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for License #: 756653 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#. Total Square Ft: 0 S. F.. I certify that in the performance of the work for which this permit is Valuation: $0.09 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall v forthwith comply with those provisions. Date: Applicant: A WARNING: Failure 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 dreby issde der t �appli ble provisions of the Butie County Code and/or I hereby affirm that there Is a construction lending agency for the Resolutio o do wofkn ' ated a ve fo hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By. Date: Name: � � Address: _ r PERMIT EXPIRES ON: (Date) 7 �� ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage. handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes./C Print Name: y V �' (() l� Signature: Dale: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor / B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY - PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BPO53003 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16.04 pg 11 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: 01/19/2006 APN: 039-240-084-000 the Business and Professions Code, and my license is in full force and effect. License Class :� License Number: �5 Site Address: 2.869 DURHAM DAYTON HWY DUR ��_ Date: _1 �I Iy w Contractor: 7TTt,� i 1) hoi r �1 Map Index: Description: REMODEL OF KITCHEN (592) 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: MORRISON ROBERT BRENT &SIBYL L 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 P O BOX 668 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 DURHAM, CA she is exempt therefrom and the basis for the alleged exemption. Any 95938 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).): (530) 893-4764 Cl 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: MORRISON ROBERT BRENT &SIBYL L 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 P O BOX 668 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of DURHAM, CA proving that he or she did not build or improve for the purpose of 95938 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: HOME PREP ❑ 1 am Exempt under Article 3 of the Business and Professions Code WILLHOIT, ANDY 3017 SANDI DR Date: owner: CHICO, CA 95973 530-897-0274 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for License #: 756653 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F.... I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to ^ become subject to the workers' compensation laws of California, Census Code: / and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall O forthwith comply with those provisions. VI Date: Applicant: WARNING: Failure 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 Thit!nff der t 1ppli ble provisions of the Butie County Code and/or fees have been I hereby affirm that there is a construction lending agency for the Red a ve fo hich paid. �'—�S/ performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: Qj PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that'I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. ((� k.0 Signature: �� Print Name: t/�' L \ Date: , I ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 11 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER M OP N' cSO I PROP ED BUILDING USE �j �'ly ►c� f��JYi)OC�` )BUILDING PERMIT FEES 560-90 ((�� --- Balance Due ..................... $ =) 60.90 --- FEMA Flood elevation review ... $ 42. al plan checking Fee.... $ L DISTRICT FEES �)(/%2- pSchool District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) ommercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP 9. DRAINAGE FEE 10. OTHER 11. OTHER At time of permit may be changed c APPLICANT A.P.# 03q 24()- 084 DATE RECEIPT # DATE REC. 4052/q ob T I was advised the above fees are required to be paid prior to issuance of the permit. These fees the plan process. DATE 0 to a Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 - A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name Mei- R -\S o rJ irst Name r (S Address 2Q�O01 D"'hru.w, po. bn City Q Q d va W." State C"A' Zip Phone 3 _ Ln to y Fax E-mail CONTRACTOR Namet'z 0 i mxo r - 13 Address ©n s o n ot; 0 T- City C�\Zo State C� Zip cl 9�3 Phone Fax Salt E-mailLic. av)8 W @5a�e a , # 75�cv53 Class B ARCHITECT/ENGINEER Name e -T-0 M O­D�")E- Address e [�- S+ . cityZo State Zip Ste( Phone l'1 Fax E-mail State License Number t-�o . GZ 0 Le 0(o APPLICANT NAME Namely W \ 1 Igo Address 3o \1 Save oU, r - City C.RZ.O State C"' zip, 53 Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning 1 �-2 01 Flood Zone Cross Street SRA I Yes KNo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPC) 153003 BIN # Description or Scope of Work: t2e rv� ocFe � — y-�`fi�l�.en Sq. Footage 5 q ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. 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. OVER FOR SUBMITTAL REQUIREMENTS - I KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receivedby:<•G- Amount: 3�3og3 Bldg ))11 fi �7 SRA Receipt #-t'A uy I Sheriff e,heck*g2t3 CEAID Date: I L -L{ -b,5 ( other 15 3�3• �13 Total REV 6-16-04 qL�OCATION AP# 3 1- )-`-t 0— D v Q 1 f Property Address2 IDjr QvA oLk,i AW �ity u!(A0.yw\ Cross Street WORKER'S COMPENSATION Policy Number 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: t2e rv� ocFe � — y-�`fi�l�.en Sq. Footage 5 q ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. 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. OVER FOR SUBMITTAL REQUIREMENTS - I KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receivedby:<•G- Amount: 3�3og3 Bldg ))11 fi �7 SRA Receipt #-t'A uy I Sheriff e,heck*g2t3 CEAID Date: I L -L{ -b,5 ( other 15 3�3• �13 Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer: NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed ❑ 3. 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 ❑ 7. 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 engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: - ^ ASSESSOR PARCEL NUMBER n • 24 _ • CAI Proposed Building Use: i414PA �Mnat Permit Technician: Date: ! , -1� Items required in order to apply for a permit. All boxes MUST e cb�ed OR marked NA in order to apply. 1. Site plansl33 or 4 sets, signed by the preparer of the plans. 2. Complete plans�,�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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. gtA 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. Hazardous Material Form ❑ 1f2. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner. Sent by ❑ 17. Soils Report and/or Engineered Foundation required .......... ...:........................... ❑ V v 18. Erosion Control Plan Required ................................................... " 19. Fees as shown on the attached Schedule of Fees Due Sheet ........ ...Q�. C/ �- 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. -+ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 191=4 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29.-'0orker's Compensation Carrier and Policy Number ....................... I.................. ❑ - 30.E 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....: !.. ........... L.h`.!... ❑ 36. Other: ❑ 37. Other: When issued Telephone (no� Ra:_-_[)TJJ.1and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: tt Date: q log os 1. Index permitplication for the abo a items numbered: I ! 0 4" Plan Check Lett r 2. Additional items required " ontracto designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by _ Date: 17-15 - 65 Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by r Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ codntet,'01 ) i Date: Plans reviewed by: Date: Plans approved by: ` Date: 11.Z z Structural reviewedDat . Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Buildin /Plan Check/Data Sheets/data sheet 9 page 2 9.27.05 L Department of Public Works tl o� C o u s t y o f B u t t e e Director LAND DEVELOPMENT DIVISION J. Michael Crump Storm Water Management Program ! oy 7 Counvj Center Drive Oroville, CA 95965 p g (5 30) 538-7266 AUC WaF� (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Pian (SWPPP) Acknowledgement jLESS TH�11�d ACRE1 Project ' Description: D p Project Location and/or Parcel Number: •03ti-Lqo— o 9--`f -By signing below, I, the project ownerlowner's agent, certify that this project WELL NOT DISTURB 1 acre or more of land and that L 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: �M Title: Date: 1 105 BUTTE COUNTY lDEVELOPM NT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) >�V_URHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) �j " 2 �� ��� 7 Building Permit Number Property Owner (s) J IV Project Location /Address �% �/ l/✓L — % / Subdivision Name Assessable Sq. Ftge New Development =,,"A-1teration/Addition(s) Mobile home Type of Residential Development (check one) Single Family -Detached Non -Residential to Residential Mobile home replacement Demo Permit (date issued ) Comments: Single Family -Attached Multi -Family Dwelling verified by Assessor Department Cifiec y Building Department 0 FRRPD ❑ CARD 0 PRPD X DRPD certifies that: A -r) Av( AJ 1 t t Sel 7- O 2-7 �{ Applican Name Phone Number 3011 Saw>_�- �h • C ',i c�a 15q 7 3 Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of'. Dwelling Units @ $ Square Feet @ $ Remarks: per unit for a total of $ per sq foot for a total of $ Paid by Check No: Paid by Cash: Receipt No: and Park District Representative Date P0 DO BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One .form per Building) School District /w/ / Building Department No. A.P. Number V 3 �I 0A'-1 nsdiction: Q City linty Property Owner Property Location/Address Subdivision Lot No. .......................... Residential Development 0 M Q '•: Sq. Footage 12 N!;Living Mobile Home Addition/ "Supplemental to (Group. R) Units. Installation Conversion Permit # `• No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 0 �.� New Addition Building District Identification No. b 3a tet" Sq. Footage (Including Exterior Roofed Areas) Date 12 "-t Yt UN l F/L-i School District certifies that (Applicant) IRS (A q b Lice l 7aY 1'&n (Street Address) (Phone Number) A -hl (City) Ciq (Zip Code) has complied with the requirements of Resolution No. y- Z. by payment of $ representing w 3 square feet. B 2926 i ULL MITIGATION f o to School District Representative', Date Paid by Check # //' Remarks:, `FC5 Gt),4 ly E7 - lJ 7V ) &y-9 � Nodes: You may protest the ImposMan. ofthe tees Identified aboveby submktlng a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely wrltbn protest will prohibit you from challenging the Imposition of the fees In any court action. M, subsequent to the School District Representative signing this Bulb County Schools impact Fes Carf111catlon Farm, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school hes to fully mitigate Its Impact on the.school distrieri schools. femorm.xls (3105)< w NOTES RESIDENTIAL 039 240-084 05-0461 PERMIT NO. MORRISON, ROBERT 2869 DURHAM DAYTON HWY, DURHAM Cont: MCCLELLAND AIR CONDI REPLACE FURNACE AND AC OI SPECIAL CONDITIONS II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature CHECKED BY J=OK Card B-1 Date Card B-1 0 = Not OK 1. . = No Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Gas; MH Test -Demand -Valve -Connector 1. Zoning Requirements -Setbacks -Easements Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Special MH Support Sketch 3. Sewer; Location-T&M-Fall-C/O-Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /' Nat. or / /" L "ft./ /' LPG' 7. Well Clearance & Disconnect 8. 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. Verifv #'s with C 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. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date 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-Linina 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 RESIDENTIAL (Single & Duplex) . Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date Card B-1 Date Card B-1 Date 59. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Shear Walls; Nailing -Bolts 24. Fixture & Transformer Clearance -Ins. Protection Brace Interior/Exterior Wall Panels 25. Elec. Receptacles Spacing -Lights & Switches at Doors Insulation -Walls -Ceilings 26. Size Boxes & No. of Conductors Stapled Infiltration -Walls -Windows 27. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 70. Stairs & Rails Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 36. A.C. Ducts Insulation & Support Elec. Outlets & Receptacles at Kit. Counter 37. Vent Fan, Exhaust above insulation Garage Fire Door; Swing -Landing -Closure 38. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 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 81. 41. Sills Proper Materials & Anchors 82. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 83. 44. Draft Stop in Walls (rat proof) 84. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 85. 46. Headers & Beams -Size & Bearing Date 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. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date 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 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 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: i- BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50461 B. C. Building Permit U1-76-04 pg 1 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: 02/17/2005 APN: 039-240-084-000 the Business and Professions Code, and my license is in full force and effect.' License Class: `Q License Num - <s Site Address: 2869 DURHAM DAYTON HWY DUR -be/r: - Contractori;% kill&moo/ Date: oZ'•%�•O�:/%/ Map Index: Description: REPLACE FURNACE AND AC OWNER -BUILDER DECLARATION I 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: MORRISON ROBERT BRENT &SIBYL L 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 p O BOX 668 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 DURHAM, CA she is exempt therefrom and the basis for the alleged exemption. Any 95938 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).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: MCCLELLAND AIR CONDITIONING, INC 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 690 THUNDERBOLT STREET proving that he or she did not build or improve for the purpose of CHICO, CA 95973 sale.). (530) 891-6202 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Pfofessions Code. The Contractors' State License Law does not abply 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: MCCLELLAND AIR CONDITIONING, INC ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: owner: 690 THUNDERBOLT STREET CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (530) 891-6202 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 345121 Labor Code, for the performance of the work for which this permit' — — — \ is issued. - — — — — — — J�p' I have and will maintain workers' compensation insurance, as OFFICE COPY 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: Engineer: Address A % 1--V IV d Carrier: Policy #: O Q % % ') GAS Dat@_ Meter By ❑ 1 certify that in the performance of the work for which this permit is Total Square Ft: ELECTRIC Date issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Meter By Valuation: $( 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 complywith those provisions. Date: 1 / �it7 G Applicant: I 7 t) l - WARNING: Failure to- secure rkers' compensation coverage is unlawful, and shall subject an ployer to criminal penalties and one / PPP/ hundred thousand dollars n addition to the cost of �// `] provided for compensation, damages as provided for in Section 3706 of the Labor / (� code, interest, and attorney's fees. vv CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is he issue under the appficabl ovisions of the Butte County G de and/or Resolutions o work I icate ab for ich fees ave been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ,A By: Date: Name: PERMIT PIRES ON:-- I r�Z, '•'`. Address: ate (� 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos Print Name::/•y/ "c e- / �,DGsS Signature: 1 Date: � ❑ ❑ Agent for Owner Agent for Contractor ❑ Owner Contractor B. C. Building Permit U1-76-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50461 B. C. Building Permit 01-16-04 pq 1 LICENSED CONTRACTORS DECLARATION j 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: 02/17/2005 APN: 039-240-084-000 the Business and Professions Code, and my license is in full force and effect. 2 License Class: G —VD License �- Site Address: 2869 DURHAM DAYTON HWY DUR �Num_be/r:J Date: 1Z_ O�Contractor:�/1G(. It -11', Map Index: Description: REPLACE FURNACE AND AC OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MORRISON ROBERT BRENT &SIBYL L 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 P O BOX 668 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 DURHAM, CA she is exempt therefrom and the basis for the alleged exemption. Any 95938 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).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: MCCLELLAND AIR CONDITIONING, INC 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 690 THUNDERBOLT STREET proving that he or she did not build or improve for the purpose of CHICO, CA 95973 sale.). (530) 891-6202 C3 1, 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: MCCLELLAND AIR CONDITIONING, INC ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 690 THUNDERBOLT STREET CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (530) 891-6202 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 345121 Labor Code, for the performance of the work for which this permit' \ is issued. rq 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: Engineer: S ?� T� �V A16 Carrier: Policy #: O o ❑ 1 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 complywiththose provisions. Date: / �Z`�-�/ J `� ✓ (' / Applicant: WARNING: Failure to- secure rkers' compensation coverage is unlawful, and shall subject an ployer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of /7 compensation, damages as provided for in Section 3706 of the Labor / �� code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is he issueo under the applicapblIgjacyisions of the Butte County C de and/or Resolutions o work i icate ab for ich fees ave been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �7 BY: Date: . Name: PERMIT PIRES ON: '-ti Address: ate CA I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives off Butte County to enter upon the above mentioned property for inspection purpos . ""z � e- � e� oaT Ls Signature: Print Name: �12� / Date: /7 ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor B. C. Building Permit 01-16-04 pq 1 �vT rF BUTTE COUNTY 0 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS o,_ = • = 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 o OFFICE M (530) 538-7541 cOU Nay A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use o OWNER L Name i Name Address��6 ,41 City No StateC Zi Phone Fax E-mail Phone APPLICANT SIGNATURE X For office use o CONTRACTOR Name McClelland Air C6nd. Inc Address Air Cond.Inc Address No State 801 Maruader Street City Chico State CA Zip 95973 Phone 891-6202 Fax 891-5137 E-mail Lic. # 345121 Clast _ 2 APPLICANT SIGNATURE X For office use o ARCHITECT/ENGINEER Name McClelland Air C6nd. Inc Address SRA City No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use o APPLICANT NAME Name McClelland Air C6nd. Inc Address SRA City No Slate Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use o Zoning Property Address Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP BIN # LOCATION a V 0 C9 10 Property Address City j Cross Street Sheriff SMIP WORKER'S COMPENSATION Policy Number 00471 Carrier State Fund 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: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy, (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. K:IFORMSIBUILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 Received L by:� Amount: Bldg SRA Receipt M Y Sheriff SMIP Date: 716 S_ Other Total K:IFORMSIBUILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 039-240-084 01-2536 MORRISON; . RENT 2869 DURHAM DAYTON, DURH CONT: BAIRD ROOFING REROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53&7541 PERMIT NO. (Rev. APPLICATIONAND'PERMIT '/ �•0, rf.. ASSESSOR PARCEL NUMBER _ /� f / C `G ZONING BUILDING PERMIT OWNER :tzj r. E TEL,EPHO r SQ. FT. OCC. BUILDING VALUATION y C 7 I ��A14 ' f Y OJ OWNERS MAILING ADDRESS '•� - • ��5ce Cowl, CONT CT S ME�� ELEPHOHONE, 13115Z COM6 TOii MATUNG ADDRESS /j �� /( 1J( ^I1 CONSTRU TION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ Lf (U ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS amlmay Energy Plan Checking Fee $ $ PERMIT FEE $ to LAT No. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat eump water heater 23.00 Water piping "'– �.15.00 Each gas water heater or vent TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ufi�liti'es ❑ Installation ❑ Other 13 Describe Work: `4 ,S�l/ /� ( 1,&d C + %%I/�(� Ytt (_GSL /� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service 20.AORLESS 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. ( �� I OWNER-BUILDERDECLARATION'DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 'NTQ7_4'/int Policy Number � & (The above sections need not be`completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,�, X t ���'/�%� r/t. %' I��.�%�_,� Date / : G i ) t - r . aa— r Signature of Appllcarit - ❑ Owner ❑ Contractor ❑ Agent -1$/ " / - An OSHA permit is required for excavations over 60" deep and demolition or construction� of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. Sa OR ADDNS. ( a ACC. BLOCS. 3.5¢FT: NON•fW R61D. CYRQUITS I�7,50 POWER APPARATUS & SINGLE O CIR. EX. OCCU OUTLET OR FOCTU 20 @ 1.00 flAL .50 APPLNs. OR Ex. Occup.ounETs RES,D. EA 5.00 Temporary Service 23.0 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ ' J HAz. D IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Bute" County Code and/or Resolutions to do indicated bove for which fees have been paid. / r r• By .i1 ' !,, Date PERMIT EXPIRES ON /t% i�- Date work r _c, Receipt No. {V WHITE-D.D.S.•B.D. CANARWAS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville; California 95965 • Telephone (530) 538-7541 PE IT o. (Rev.12/96) APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER(/n �9 V y ZONING. I BUILDING PERMIT . OWNER ` Ho E SO. FT. OCC. BUILDING VALUATION a% / / `� O • OWNERS UNG ADDRESS �r'' a 740 CONT S /J /J J coNTMdtdn,s MAILING ADDRESSWa'K NO (—T/', CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ /60 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 71 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS </ + RIAILI 12$ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 9 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heaLeump water heater 23.00 Water piping 15.00 Each gas water heater or vent TYPE OF WORK New ❑ Addition ❑l//Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: T(�� �6,"' G�G� S�IC� hy, OW & C --n-1/04 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ChapterOR 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 Li, No. OWNER -BUILDER DECLARATION- 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 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. `Td1f 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 00 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 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 workggrs' compensation provisions of se 'on 3700 of the Labor Co e, I shall fort 4vith comply with those provisions. �f X ,�/_ — Date Signet e' f plica t - ❑ O ❑ Contractor ❑ Agent An OSHA er itis required for excavations over 60" deep and demolitio or construction of structur over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR SO ADONS. (I a ACC. BLDS. 3.50FT; NOµH64ID ULTI-OUTLET H CIRCUITS @7.50 POELPARATUS a SINGLE o CIR. Ex. Occup. oLmFr oR rrocruR L @ ,.00 BAL @ .SO Ex. Occup.OUUTTLEDTSA RESID.OEA 5.00 Temporary Service 23.0 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ C(% ,�. D FEES IMP I FLOOD I CDF I PARCEL PD I HD 6 UE This permit is hereby issued under the applicable provisions of the B County Code and/or Resolutions to do work indica d bove for which fe ave been paid. By Date U' PERMIT EXPIRES O to Receipt No. WHITE-D.D.S.•B.D. CANARWA ESSOR INK -INSPECTOR GOLDENROD -APPLICANT Butte counig y - r LAND .OF NATURAL WEALTH AND BEAUTY PLANNING COMMISSION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965' PHONE: 534-4601 I April 16, 1981 CERTIFIED - RETURN RECEIPT Leonard C. McKee P.O. Box 80 Durham, CA 95938 Re: Use Permit .AP 39-24-10 Dear Mr. McKee:. Enclosed is your validated Use Permit No. 81-17 to allow the scgregation of a homesite in an "A-20" (Agricultural - ';0 acre parcels) zone located on the.southeast corner of Fimple and Dayton Durham Highway, identified as AP 39-24- 10, Durham. If you should have any questions concerning this matter, please feel free to contact -this office. Sincerely, , er5��, ettye��/ it Direcior of Planning BB jc Enc. cc: Butte County Health Dept. Dept. of Public Works l) Fire Department PAGE 1 f 2 ` USE PERMIT i BUTTE COUNTY PLANNING COMMISSION DATE (Registered mail receipt) • • 81-17 • PERMIT NO. oun 39-24-10 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Leonard C. McKee NAME is hereby granted a Use Permit in accordance with application filed: 12/10/80 to allow the seareaation Of homesite in an "A-20" (Agrieultt(date) - 20 acre parcels) tone located pin thp- araithetaRt corner of Finn1n &nA ftovtnn Thirhart Mllahwav, identified as AP 39-24-10, Durham. 1• Failure to comply with the conditions specifies herein as -the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit in accor- dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be com- pleted by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: 1. The parcels shall be created pursuant to the requirements of the State Subdivision Map Act and Chapter 20 of the Butte County Code. 2. Any development is to meet Environmental Health requirements. 3. Prior to the division being effective, the owner or owners of, the property included in the approved development plan shall execute and cause to be recorded in the office of the Recorder of Butte County a restriction binding upon the original owners and their heirs, suc- cessors and assigns, which disallows additional dwellings from being located on the property until& either of the following occurs: a. The property is rezoned to any other tone; or b. At least ten (10) years has elapsed from the date of recordation and the Planning Commission finds circumstances regarding said property and other properties in the area have changed sufficientl to reconsider the res+trittien,(Soo the attached Open Area Agreeme4' -.� I hereby declare under penalty of perjury that I have read the foregoing conditions, that'they`are in fact the conditions which were ,imposed upon the granting of this use permit, and -that I agree to abide fully by said conditions. Dated: y/ Applicant NOTE: Issuance of his,variance does not waive requirement of obtaining Building and Health,Department permits before starting construction, nor does it waive ny,other requirements. . r CC: -Health Department --� Department of Public Works (2) �.. Fire Department chairman of Planning commission BUTTE COUNTY PLANNING COMMISSION •e • UUN 1W.- PAGE 2 of 2 USE PERMIT J/-ir':99/ DATE (Registered mail receipt) 61.17 PERMIT NO. 39-24.1© ASSESSOR'S PARCEL NO. Pursuant to the. provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Leonard C. McKee NAME is hereby granted a Use Permit - in accordance with application filed: 12/10/80 to allow the safrraoatk#:n,>r: of homesite in an "A-2011 zone (date)located on the southeait corner of Fimole and Dayton Durham HiahwAy., Ide'ntifinA rig AP %4-7A.IA Durham. 1. Failure to comply with the conditions specifies herein as the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit in accor- dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be com- pleted by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: 4. The applicant must also comply with all other applicable State and local statutes, ordinances and regulations. .. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this variance does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Health Department Department of Public Works (2) Fire Department Chairman of Planning Commission PARCEL SPLIT WORK SHEET Comb.O Bound. Rev jr N®w Parcel C2— Maint. Code - 119 Retire 0 f 901 Delete etals Parcel Number 001 Status Code A G-7"- Page Change0 {4 -(I Code Area Split Q Date Gf - 2 - Mapper Mapper 002 Code Area n -7 D - O 72.- 003 Assessed Owner /yl C icF- 6� L F- 0111-4 R C1 A /yZ ._ CB 004 c% Owner 005 Street Address O n �. 006 City and State R f-1 A M C e 007 Zip Code �/��-�/ F 8 008_ Property Location / , -7 / .4 C- 023 02 .3 Book & Page Recorded / 7 7/ E 6? 8 Date -7f Maint. y`' Maint. PC. L PM 6 3 r ///ZMaint, Code Code _ 8 / Code Code Owner e t a 1 n a m e Fractional Interest Tax $ Deed of Trust First Second Benf. Benf. SEE OTHER SIDE FOR ADDITIONAL INSTRUCTIONS COPY - PUBLIC WORKS (Y signature v=0k O=Not OKNot = Not Ready MOBILE MOBILE HOMES Date M06ILE 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE NOME 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 M 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Stops -Doors -Landings Date Card B-1 Date Card B-1 Date 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts -GF] 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth I 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped I 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped B. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 1Q,-WM9rTitr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Nail Protection Jam• D.W.V.; Test -Fittings & Anchor -Nail Protection f9�ver Pan; Test, First Floor -Tub Access t Tub & Shower, Second Floor -Tub Access Pt -6a3 Pipe; Size & Anchors Date �L��7; ( Card B-1 C,.i-r Date Card B-1 Date Rel Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection X. Elec. Receptacles Spacing -Lights & Switches at Doors aw-size Boxes & No. of Conductors -Stapled 2 . Romex Installed Close to Edge of Studs & C.J. 26 -Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27 -2 -Appliance Circuts in Kitchen & Conductor Size/GFI 28: Su feed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 3�Fquip. Clearances Panels-Motors-Mech. Equip. 32=. othes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. V t Fan; Ex ust above insulation 36. Con to Drain & Overflow; Size & Grade 37. F' ance- nt; Access -Comb. Air -Return Air Vent -115 outlet 38 is Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 3t -"Vs, Proper Material & Anchors AQ Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 111. Bearing Walls over Girders & Floor Nailing 0.. Draft Stop in Walls (rat proof) re Stops; Furred Ceilings -Stairs -Chases -Tub 94. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 5. Hangers -Post Caps -Anchors -Connectors 40-Ct111j. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. re lace Ties or Type A Flue -Fireplace Throat clearance 48,.Aui0.Access; Size & Romex Protection -Draft Stop -Ins. Baffles 451.-4kifm. Windows or Exiting Doors -Sill Hgt..& Dimensions 51%-13arage Fire Protection Framing 5;_pinperty Line Firewall & Openings 5&ZE0. Doors -One T -Check Garage -3rd Story, 2 Exits 53y-Smtrs; Width -Headroom -Rise -Run -Landing -Fire Protection 54,pfywood on Roof Overhang -Attic Vents -Rafter Outriggers 5e Siding -Nailing Veneer 56.6tacco Mesh -Drip Screed -Fd. Vents-Underflr. Access ;V: Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 5,9,,,lhsulation-Walls-Ceilings filtration -Walls -Windows Date �� �, Card 8-1C.T[�.. Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL SPlans) OK except #'s Wr.'M. Steps -Door & Sidelight Protection -Landings Of -Smoke Detector 43_F4+rnace; Vents -Clearance -Comb. Air -Connector - In Garaoe: Above Floor-Ducts-Mech. Protection 84r13edroom Exiting . G.F.I. & Bath Fixtures & Tub Access -Spa W!F-lec. Trim & Subpanel; Breaker Sizes & Labels 63_44irs & Rails 68 --Fireplace or Stove; Clearances -Hearth 69--Efec. Outlets at Wood Panel; Int. & Ext. 70rktt-Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71.-1Ec. Outlets & Receptacles at Kit. Counter 72 -Garage Fire Door; Swing -Landing -Closer 73--f,6. Duct in Garage -Damper 74-Wtf. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection Rf Plb., Elec. & Mech. Equip. Listed for Location 7&.-Elec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic ❑ Yes 79-6eierd Rails & Deck Construction -Post Caps 7 n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 8Q. -Following instld.; Drive 11 Yes ❑ No; Walks O Yes 0 No; Planters ❑ Yes O No 81-&UUco; Brown -Finish 82-- . Unit; Disconnect, Electrical, Plumbing 83'Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84 --Water Well; Disconnect, Electrical, Plumbing 8t-'esit'Brior Elec. Trim; G.F.I. Receptacle -Underground Visz*entilation Throughout House ai"Glass Protection VT. Corrections from Previous Inspections 89-01-s7est-Meters Tagged; Gas -Electric 9 Water & Sewer Connected -C/O to Grade -HD Approval 94--�y Compliance Certificate -Other Certificates Date r,t(rZCard B-1 (rC, Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. RL— Qll AA ASSESSOR PARCEL NUMBER ZONING A20H BUILDING PERMIT DIN ER aes Doty ur TELEPHONE 345-7937 SO. FT. OCC. BUILDING VALUATION 10 D f(NF�: s tSox In� "Tfurham, 95938 CrNTRACTOR'S NAME 8wner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C NSTRUCTION LENDER done UNKNOWN Total Valuation $ 900.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 16.00 A CHITECT OR ENGINEER one o LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 'W "GDuXaEm'sDayton Rd. Permit fee $ 41.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 4.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF f2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Add ition❑ RemodeOM Utilities ❑ Instal lation❑ Other ❑ Describe work: remodel bathroom Permit Fee $ 19.00 Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 100V DR LESSAMP10.00 1AMP 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. 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) E:1I, 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.& OR AODNS. ACC. BLDGS. ,/22sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu 20050t eALO 30 FIXED APPLNS. OR \ EX. Occup. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00- Misc. Ilyirin g 15.00 Permit Fee $ 95 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. Contractor MECHANICAL PERMIT Filing 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. 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 againsts d Count�,c equence of the granting of this permit. %� �' Date 3'L l� `l� sign ure 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 TOTALFEE $ 85.00 HAi. CUA- PARK SCHL fLD CDF I PAR PO ) HD. I I This permit is hereby issued unser the sions of the Butte County. Code and/or work indicated bove for which fees I CT OF PUBLIC % By f �' PERMIT EXPIRE Date - applicable provi- resolutions to do have been paid. WORKS ate ✓Z 2 7/0 Receipt No. 88231 WNITC-O.P.W.. YELLOW-ASSESSOR.,PINK-IN9PECTOR, GOLDENROD -APPLICANT M COUNTY OF BUTTE - DEPARTME,,,NT.017IPUBLIC WORKS - BUILDING DIVISION A 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET t t Permit No. OWNER _t_'>C1+i64 A. P. No Proposed Building Use �ft'�i Building Inspector Date '/81' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans in duplicate/triplicate, signed by,preparer of plans........ 3. Complete plans in du lic iplicate, signed by prepares. 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 Jntent 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 _a' 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. Contractors 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 Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By. 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---mall—co nter by ..date - Contractor, designer, owner, was advised of above required data by_phone_mall_co nter by date_ Plans checked by Date Pans approved by Date li Sets of plans on hold in File cabinet _//_AP folder Copy—DPW OWNERS NAM d RECEIVED BY: -�5�-- DATE: G' A.P. PERPIIT 1# TIME: , �( RESIDENTIAL _ NON RESIDENTIAL RECEIPT # REQUIRED PRIOR TO PERMIT ISSUANCE ~ C<OM DATA REQUESTED BY PLAN CHECKER ENGINEERING OTHER REQUESTED BY CORRECTION YES _ NO ITEM: LOCATION IN BUILDING WHERE CHANGE OCCURS: WHEN APPROVED, PROCESS. AS FOLLOWS: Mail to owner Mail to contractor COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039 3 -a41 — zon /7�& BUILDING PERMIT " _ OWNER or es TELEPHONE 34(T --7f SO. FT. OCC. BUILDING VALUATION JV ) O SOXI IN �2 ESS�U•�r I•I V CONTRACTOR'SM o L'SN e TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireolac CONSTRUCTION LENDER UNKNOWN Total Valuation Is DOr Oo LENDER'S MAILING ADDRESS Filing Fee CW ;000 Dn•^l Cie $ ARCH17SCT OR L.v ;1:1EER7 ICENSE NO. Plan Che;;,;ing Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee Penalty $ _ BUILDING ADDRESS Q v Pae 4iD,%,nAi Rbo Permit fee $ t O PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 q.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 55,00 100 Each qas water heater or vent 5,00 " y - USE OF STRUCTURE SF i� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel]/ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: Reftodelf3ATilkooM CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County or occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEES �� 0 1 also agree to save, indemnify and keep harmless the County of Butte against HA2 CUA PARK scHL :LD i ECOF l PAR Po 5i Ho. ssuE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X This permit is hereby issued under the appllcaole provl- Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ElContractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 sttoories inheght. Receipt No. 23 Cpf 7ig• d"0 By Date WHITE-O.P.W., TELLOW-ASeESS R, PINK -INSPECTOR, GOLOENROO-APPLICANT PERMIT EXPIRES Date Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 1 OR AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.EI OR ADONS. ( ACC. BLOGS. '/Z¢sq it NEW CONSTR. ULT' -OUTLET .NO'N:RESIO BRANCH CIRC ITS 2.50 ea - POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050t e ALO 30t FIXED APPLNS. OR 1 Ex. Occup. OUTLETS IRESIO.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 %5 Permit Fee $25 Do Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ I 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County or occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEES �� 0 1 also agree to save, indemnify and keep harmless the County of Butte against HA2 CUA PARK scHL :LD i ECOF l PAR Po 5i Ho. ssuE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X This permit is hereby issued under the appllcaole provl- Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ElContractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 sttoories inheght. Receipt No. 23 Cpf 7ig• d"0 By Date WHITE-O.P.W., TELLOW-ASeESS R, PINK -INSPECTOR, GOLOENROO-APPLICANT PERMIT EXPIRES Date Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 1 OR AMP ORLESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.EI OR ADONS. ( ACC. BLOGS. '/Z¢sq it NEW CONSTR. ULT' -OUTLET .NO'N:RESIO BRANCH CIRC ITS 2.50 ea - POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050t e ALO 30t FIXED APPLNS. OR 1 Ex. Occup. OUTLETS IRESIO.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 %5 Permit Fee $25 Do Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ A! C� I+r�� ,:rissr+It7f:'�.�"4��w•� � z�t5'���'ra�� ��;�Or-�-:..�'ir_'; � �1i1L! �'afi.✓1� tC(JG :i �3-`,_'•r�r3.7.) i} fillK y;,j •tt�.f.t'�� c'rli'iffi":��.:::7Qr E'1^� 2��kii�{ 3() i:3c' cl;�f� 7P daj stit no ton'! Mol no;?irm.cj i'}stiiiw lur" r + F