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039-270-085
r 39-27t �s 03 9-a.? Larry Lambert 9 SW corner of Ord Ferry Rd. & Perkins St. , lot 72, Dayton 94Q / PAFiPKJ)Vs RD. Permit # 14-79B,P,E,M(new single ) family + r -- - _ 39-27-85 N�0� r LINO .RICCI. Perkins Rd, Dayton f- • _ %� a►���Qll a Contr: Steve Sicke Permit #1237-84B E (addi ion/SF) 039-27-0-085 92-3792E RICCI, Lino & Nina 9491 Perkins Rd,Dayton j elec sery & spa circuit/sf 039-270-085 02-1855 RICCI, LINO 9491 PERKINS RD., CHICO 0 RE -ROOF 1 1 r a I F 1 39-27t �s 03 9-a.? Larry Lambert 9 SW corner of Ord Ferry Rd. & Perkins St. , lot 72, Dayton 94Q / PAFiPKJ)Vs RD. Permit # 14-79B,P,E,M(new single ) family + r -- - _ 39-27-85 N�0� r LINO .RICCI. Perkins Rd, Dayton f- • _ %� a►���Qll a Contr: Steve Sicke Permit #1237-84B E (addi ion/SF) 039-27-0-085 92-3792E RICCI, Lino & Nina 9491 Perkins Rd,Dayton j elec sery & spa circuit/sf 039-270-085 02-1855 RICCI, LINO 9491 PERKINS RD., CHICO 0 RE -ROOF 1 1 r a I 1 ` _ 039-27-0-085 92-3792E 3 27 085 9 2-3792E: E� -0 LinoNina 9 R I, ICCI, & Nina 1 P i s 9491 Perkins Rd,Day�ton j / f elec sery & spa circuit/sf 07< c 4,.Zc I Hael OFFICE COPY Address GAS Meter By ELECTRIC' Date Meter By Date I Hael COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �a 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 039-270-085 ZONING A-40 ' BUILDING PERMIT OWNER Lino & Nina Ricci TELEPHONE 895-1160 SO. FT. OCC., BUILDING VALUATION OWNER'S MAILING ADDRESS 9491 Perkins Rd., Dayton 95926 CONTRACTOR'S NAME Unknmm TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 9491 Perkins Rd. Dayton Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF � Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [N Installation Jt Other ❑ Describe work: Upgrade Main Service + Spa [;irquit Permit Fee $ Contractor ELECTRICAL PERMIT Filing•Fee 15.00 Main service 200A OR LESS JL 18.50 1 t3 • Main service 2oGATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business(POWER and Professions Code and my license is In full force and effect. License No. Classification F -1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 19 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.60 sq.ft. OR ADDNS. ACC. BLDGS. II NEW CONSTR. ULTI.OUTLET @ 5 00 NO N.RESID BRANCH CIRC ITS APPARATUS R. SINGLE OUTLET CI6 20 76 Ex. Occup(OUTLETS OR FIXTURESFIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 ov IN1o,. Wiring Spa Electric 1 15.00 •00 Pre—Inspection 1 0.0( Permit Fee $ 6 . 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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnifyand keep harmless the County of Butte against all liabilities, judgments, cost , and expenses which may in any way accrue agai s said County i. con `e uence of the granting of this permit. XDate/1) ��.Z G Signature of Applicant — Owner © Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 68 50 • HAz I DFEES IMP FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte,G'ounty Code and/or resolutions to do i work indicated,52ovf jor Aich fees have been paid. I DIIRE�C QR OF'`PUBLIC WORKS By PERMITfEXPIRESMDate - Receipt No. 126079 WHITE-D.P.W., YELLOW-ASSFSSOR• PINK -INSPECTOR, GOLDENROD -APPLICANT A -1 . 16 t ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS4 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT_q �; �,�: ? - � 9 PERMIT NO. -1:_> —_ ASSESSOR PARCEL NUMBER 039-270-085 ZONING A-40 BUILDING PE OWNER Lino & Nina Ricci TELEPHONE 895-1160 S0. FT. OCC. BUILDING VALUATION' OWNER'S MAILING ADDRESS 9491 Perkins Rd. Dayton 95926 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee --i- 1 Perkins Rd. Dayton 9491 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 7 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mob le Home S I G I W @ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: Upgrade Main Service + Spa Circuit Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 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 Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) [ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUP.&\ OR ACDNS. ACC. BLDGS. // 3.6Q sq.ft. NEW CONSTR ULTI.OUT LET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURESF 20 9751 AL. CiD 45 FIXED APPLNS. EX. Occup. OU LETS I.RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 %%X Wiring Spa Electric 1 15.00 15.00 Pre—Inspection 1 20.0 20.00 Permit Fee $ 68.50 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, c , and expenses which may in any way accrue agai said Coun coZence-of the granting of this permit. Date Signatur of Applicant — Owner Contractor ❑ Agent ❑ An OSHA ion of structures tover 3gstories oin heigvhttions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 68.50 HAz I D 111 IMP I -FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte ounty de and/or resolutions to do work indicate ove hich fees have been paid. 1 EC PUBLIC WORKS ByPE RQ IT PIR Date Receipt No. 126079 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS - BUILDING -DIVISION 7 COUNTY CENTER DRIVE - 4,OROVILLE,„CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT A-1PPOCATION DATA SHEET " it OWNER �% /l/ /� /-� �iC.s No. Proposed Building Use Building Inspector ',Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . .......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ..... .............................. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19 Driveway permit (co truejion appro I r� id`Vor to occupancy). sped;.on. Pre -inspection for required. to Building Inepie.edq. uor_/ /rV .�-� �-(Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ r 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. T�W en u issue tt o ess as follows: Mai to owner. Mail to contractor. Telephon and hold for pickup at / office. Deliver with inspector. Other Parcel Creation 9 Acreage Applicant M ' /'- 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 _ mail Counter by 1 Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by ! Date Plans checked by Date Plans approved by I Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works PRE -INSPECTION OWNER: �l L— , r ATE LOCATION: CONTRACTOR: �/(�/ /l/ ZONING PRE -INSPECTION FOR: DATE TO INSPECTOR �� Z PERMITHISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: jtnlGLC- TENNANT: OCCUPIED HEATED -COOLED OTHER COMMENTS: HAS ELECTRIC �E:] HAS GAS HAS SANITATION FACILITIES F-1 PERSON CONTACTED ACTION RECOMMENDED: ISSUE 0 HOLD FOR OTHER: r BY a�, l i r-,r�� DATE I (F -o7 y j 039-270-085 02-1855 RICCI, LINO 9491 PERKINS RD.,, -6 -ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P pIZ N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /)%c/ o U ZONING BUILDINGPERMIT OWNER - TELEPHONE SO. FT. OCC. BUILDING VALUATION 17C G'N OWNER'S MAIUNG ADDRESS CONTRACTOR'S NAME !1../* TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ GJ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS ICI. ` Energy Plan Checking Fee $ $ PERMIT FEE $ C, , C& LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ID Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: I. kk I / , , y , F , ,, 7 S (fc/ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoDA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: flI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service PODA To ,000A 46.00 NEW CONST. DWEl1M1G OCCUP. SO OR ADDNS. ( a Acc. sLos. 3.50FT. NON -R610 T. MULTI CIRCUITS .OUTLET @7,50 a OUTLET CIR. OWELER APPARATUS @1: oOWNER-BUILDER Ex. Occup. OUTLET OR FD(TURES ani FIXED APPLNS. OR 5,00 Ex. Occup. O.RM. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall / not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with'those provisions. �/ . X l ' A t:�.i t Date Sighatbre of Ap licant - Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte, County Code and/or Resolutions to do work indicated a -Ove for which fees gave been paid. , By4u Date PERMIT EXPIRES ON Date Receipt No. IS qor C% * WHITE-D.D.S.-B.D. CANARY -ASSESS 101`1 PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ��S v 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ` P.ER N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER/'� y.r� ✓, �. [V1 ZONING BUILDING PERMIT OWNERTELEPHONE L /No tJin/A SO. FT. OCC. BUILDING VALUATION .�Af � ` G .OWNER MAILING ADDRESS ^/ T /�/,1 S l� C "Ge CONTRACTOR'S NAME • - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ pld ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ Iq do ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS P %/�/ �%/� 7 % 6/ � /V' Energy Plan Checking Fee $ $ PERMIT FEE $ , LOT NO. SUBDN 5 JJA� E ^ � PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF K Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1�1( Other ❑ Describe Work:nC D M �C' ,�12 0®F /��l�L-�-L�NJ [-C/�/ % g 7 J ri � i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S G ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: XI, 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zooA TO ,000A 46.00 NEW CONST. DW ,"NG OCCUP. SO OR ADONIS. ( a ACC. sLos. 3.5¢FT: �N-a�°S,oT. MULTI-OLfTLUIT. @7,50 APPARATUS a sINGLE olm cIR. Ex. Occup. OUTLET OR FWURES BAL 20 @ I; o Ex. Occup. oFF EiFrsAFs oFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wi ose provisions. X Date �f�r/ Sighatkire of Ap licant Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ j HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Bu County Code and r Resolutions to do work indicat a ova for which fe have been paid. ° By Date PERMIT EXPIRES ate Receipt No. WHITE-D.D.S.-B.D. CANARY -AS ES R PI -INSPECTOR GOLDENROD -APPLICANT FA O.B.- OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verificationIs received. 1. I personally plan to provide th major labor and materials for construction of the proposed property ' rovement : NO E 2. 11 AVE HAVE NOT 13 signed an application for a building permit for the proposed work. 3. 11 contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF. WORK SIGNED: P ROPERTYO WNER: SOCIAL SECURITY NUMBER: DATE: fl� NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. Ifyou plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Mt reiA(6k, &Jic el C. Vi ira, C.B.O. Manfiger, Building Inspection NOTE: rlris Owner -Builder Information Ir required by Section 19830 of the CaWornla Health and Safety Coda OVER PEWIT Nle. 1814-79B,P,E,M •/��/�� PERMIT EXPIRES OWNER Larry Lambert CONTR. owner 39-27-68 port. 9 LOCATION (A.P. ) SW Corner of Ord Ferry Rd. & Perkins St., lot 72, Dayton _i 4 i 2 J y M 6 - f l r Power Pole TerTemp. d PG&E Q lec. Serv. - ed PG&E i as Serv. ed PG&E FINALED�LLL� COUNTY OF. BUTTE DEPARTMENT. OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING .0 BUILDING (Cont'd) PLUMBING Setback S Firewall ZZ- Soil Piping YC --s - Forms 1 - Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings 01Windows i -7 l Z 3rd Floor Stemwal I 1 Siding To out / Z= Slab Roof Sheathina Water Pipin'g'.. Piers r .Z ✓% 7% Roofing _ Sewer Garage Fixtures Footin s Sternwak,71 Gs S Gavage-Verrts� Insulation Water Htr. Heaters Slab (, Car ort Footings 3 o Prov. for ph s W4eMCon ot-ex.r b ructure A liances Gas Piping &Test Temp. Gas Slab Final - Sanitation Patio F EPLACE Final Footings Footing ECTRICAL Masonry Walls Throat 74 Rou h Reinf. Steel Final 7i Fixtures Bond BeArn FI ME SP J MilkERS Motors Mesh C NICAL" Grd. Fault Prot. l Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts l Underground d Interior Lath Ventilation -Permanent Door Closer Final T Final i MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 11 (NOTE: An entry must be made on this form each time you visit the job site.) �. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7'County Center Drive — Oroville, California 95965 Telephone: 534-4541 A APPLICATION AND PERMIT AA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Z- Signatu o ermitee%or Agent Receipt No. ( �) White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abover hich fees have been paid. d EC OF PUEJLIC WORKS Date Building permit expires Date " '0 BUILDING Owner /} UiV L~9 CRT SQ. T. OCC. BUILDING VA ATION Mailing Address OL V049p Telephone No. ep Contractor L A-F—p— Y \/. L gA,16ce / Mailing Address 6O j( 14& //� 7 /"_!-; E 5x4 • Fireplace rep I ace Total Valuation a� O �� C �� 7 Z� `�604A)&�,�'�� sleBhon Permit Fee 197,o Building Address 5 �75� PlanChecking ng FeeB/or Penalty Fee Permit Fee -7,00 % Ll<; or vevter-46V 11i_e1AJ,s PLUMBING No.1 @ FEE s` PERMIT FILING FEE $3.00 i 0 Each Trap 1.50 / LVT Dt k M Repair drainage or vent piping 1.50 //��a17j / p A. P. No.3t?— �7 4 /'�v (� Zoning lila i Water piping 1.50 Each gas water heater or vent 1.50 F s / 4'C. Sa i n Fire Dept. Fire Zone Use Pe it Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel ap 60' R/W I Improv eme Each additional outlet .30 Building sewer 5.00 Parcelroyal Pla pprovaI Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ i $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5, �D Main service 100V OR LESS 100 AMP OR LESS 5•00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING OC g OR ADDNS. ACC. BLDGS. 2P,q ft D CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Calif nla Business Professions Code under the name style of: i� 100 License No. 25 Y��i3 ClassificationtL� — NEW CONSTR BRANCH CI ET NON.CONS ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. EX. OCCup(OUTLETS OR FIXTIIRES 50@25 Ex. OCCU FIXED APPLNS. OR Occup. (RESID.) EAY 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ cJ [ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Q '�L�O 00Code ' Cooling .aIT Ventilation Hood 2.00 Z_,.0D Permit Fee $ /3,00 $ /37z/ 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 Land Development Fee $ o29 QV TOTAL PERMIT FEE y W / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Z- Signatu o ermitee%or Agent Receipt No. ( �) White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abover hich fees have been paid. d EC OF PUEJLIC WORKS Date Building permit expires Date " '0 5 • RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED CONFORMANCE iWTH �CURRENJ ENERGY,CONSERVATION GULATIONS AT (location) BUILDING PERMIT NO. A.P. NO.29`02%`• THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls , Floors !? Walls Ceiling/Roof Ducts �/ Circulating Pipes,'.'}. APPROVED HEATER APPROVED WTR. HTR., GLAZING: Single Glazed Special (Insulated) [/ CERT, & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS y INTERMITTENT IGNITION D�VICES�_ CERT. APPLIANCES c/ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED., Insulation Applicator Name0A1,K r _'�ys4� Signature of (please print) Insulation Applicator - ` State Contractors License No.,� !�-2d General Contractor/Owner Name I_AM I�FR,7-- Signature of (please print) s General Contractor/Owner ww �/� uLW" Date State Contracto s License No.� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMEI°I PRIOR TO REQUESTING FINAL INSPECTION A:YD SHALL BE POSTED IN A,CONSPI:CUOUS LOCATION W ITR IN THE DWELLING. PERMIT NO. 1237-84B,E j, PERMIT EXPIRES ± OWNER LINO RICCI CONTR. Steve Sicke ASSESSOR PARCEL 39-27-85 LOCATION 9491 Perkins Rd, Dayton k t 5 t i I. 'S Temp. Power Pole Galled PG&E Temp. Elec. Service / � Called PG&E d ,t Temp. Gas Service Called PG&E JOB FINALED (Date) Signature — "Ae, W J = OK Condensate Drain & Overil_ow_, Size & Grade �' 0 = Not OK Card -81 - = NotAppliicaby RESIDENTIAL (Single and f Duplex) .f = Not'Heady _ 16. D.W.V.: est-Fttngs & Anchors -Nail Protection _ 17. 18. Shower an; Test, First Floor -Tub Access Test ub & Shower, 2nd Floor -Tub Access - 19. Date UNDERFLOOR Plans) OK except #'s Date FRAMING Continued _. oning requirements -Setbacks -Easements ?3. Guard Rails & beck Construction -Post Caps _,�Q Appliance Circuits in Kitchen & Conductor Size Property Line Firewall &_Openings -_--- tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth •-26.-9ubfee_d Wire Size / / ga. Cu or AI_-A.C. Wire Size / / ga. Cu or AI xt. Doors -One 3'-Check_Garage-3rd story, 2 exits -_tg_•,_Garage: Soiis-Steel- / /" Fig. Depth - _ i'S�Followin y ins[Id.: Drive [i Yes [_ No; Walks Ej Yes i No; ays; Width -Headroom -Rise -Run -Landing -Fire Protection— - -4 g., Porches & Decks; Soils -Steel- / /" Ftg. Depth Planters [,Yes ❑No - 28�Service-Riser Conductors & Ground -Main Disconnect---_ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers --- temwalls, Main; Steel -6lockouts-Wrapped- - --.24-Equip. Clearances_ Panels-Motors-Mech. Equip. - -- - iding-Nailing-Veneer _-_- __ --6:--9temwalis,_Garage; Steel -8lockouts-Wrapped -Slab -59. Stucco Mesh -Drip Screed-Fdn. Vents-_Underflr. Access__ - v 7. Piers -Fireplace Ftg.-Steel - - -Z•9:-Water Weil; Disconnect, Electrical, Plumbing — Card B -I 1. Date 1 ��) V Card 81 Date �__..._.-__ -4-1 '�1.-�-.—_.._.__._--_�__.__.`-. -_- Glazing Area -Glass Protection -Skylights -Plastic -- _ 8.__D.W.V. Fall -Fittings -Test -2 way C/0 -Sewer Test Card B -I Date Card -BI Date -55 -Shear Walls; Nailing -Bolts --- - _-- 9. Gas Pipe: Size -Anchors - i�orrections from Previous Inspections -_ 10. Water Pipe: Test -Anchors -Regulator -Service Test_ "BT—Gas Test -Meters Tagged; Gas -Electric A.C. Ducts: Insulation & Support - 11. _Electric; Underground _ �3�ilt Fara; Exhaust above Insulation _ — -_ 12. Plenums & Ducts; Clearance-Material-_Su_pport-Ins. - 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date — T�r� _- Card -BI Date Card -BI Date Card-91_____Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date Date FINAL OK except N's I -Door & Sidelight Protection -Landings lector f=urnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection <' 9 -Bedroom Exiti II-60-rv.F.I. & Bath Fixtures & Tub Access .-FIT-'Elec. Trim & Subpanel; Breaker Sizes-Labels -6P--6tairs & Rails _63 -Fireplace or Stove; Clearances -Hearth Alec. Outlets at Wood Panel; Int. & Ext. -t35-- it. Fixt. & Apot ance; Grnd.-Air Gap -Cooking Clearance 6G. -Flet Outlets & Receptacles at Kit. Counter _ Door; Swing -Landing -Closer R9t.'A C Duct in Garage -Damper Date ELECTRICAL (Permit) OK except q's Condensate Drain & Overil_ow_, Size & Grade • Card -81 Date Card -BI Date Card -81 Date Card -81 Data Date PLUMBING (Per it) OK except p's _ 14. 15 Water Ht.: ent-Access-Combustion Air Water Pipj: Test & Anchors -Nail Protection _ 16. D.W.V.: est-Fttngs & Anchors -Nail Protection _ 17. 18. Shower an; Test, First Floor -Tub Access Test ub & Shower, 2nd Floor -Tub Access - 19. Gas ioe: Size & Anchors Card-91_____Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date Date FINAL OK except N's I -Door & Sidelight Protection -Landings lector f=urnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection <' 9 -Bedroom Exiti II-60-rv.F.I. & Bath Fixtures & Tub Access .-FIT-'Elec. Trim & Subpanel; Breaker Sizes-Labels -6P--6tairs & Rails _63 -Fireplace or Stove; Clearances -Hearth Alec. Outlets at Wood Panel; Int. & Ext. -t35-- it. Fixt. & Apot ance; Grnd.-Air Gap -Cooking Clearance 6G. -Flet Outlets & Receptacles at Kit. Counter _ Door; Swing -Landing -Closer R9t.'A C Duct in Garage -Damper Date ELECTRICAL (Permit) OK except q's Condensate Drain & Overil_ow_, Size & Grade -- - - Wtr. Htr.; Vents-Clearance=Comb. Air-Connector-P.R.V.- -_�_fi-Fixture &Transformer Clearance -Ins. Protection -ew.-Furnace-Vent; Access-Comb._Air-Return Air Vent_ -115V outlet In Garage; Above Floor-Mech. Protection — -21. !Dec Receptacles Spacing -Lights & Switches at Doors - - . Plb., Elec. & Mech. Equip. Listed for Location 22 Size Boxes & No of Conductors -Stapled -- - _ Dat Card -BI Date �t .p -1. -Flet. Receptacles in Garage; (G.F.L)-Romex Protec. .1,� _21 Romex Installed Close to Edge of Studs & C.J. Card -BI ?2 -'insulation -Foam -Looked in Attic El Yes r2LI.,-Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water -- - Date ?3. Guard Rails & beck Construction -Post Caps _,�Q Appliance Circuits in Kitchen & Conductor Size a7st---Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance •-26.-9ubfee_d Wire Size / / ga. Cu or AI_-A.C. Wire Size / / ga. Cu or AI Looked under Floor ❑ Yes �27"Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or At, - _ i'S�Followin y ins[Id.: Drive [i Yes [_ No; Walks Ej Yes i No; Insulated Neutral ' -Yes ''rINo _ -- _—_ _ _ Planters [,Yes ❑No - 28�Service-Riser Conductors & Ground -Main Disconnect---_ ------- �--gtucco- Brown -Finish - --.24-Equip. Clearances_ Panels-Motors-Mech. Equip. - -- A,C. Unit; Disconnect-Clrn_ces-Brkr. & Cord. Size -115V Outlet - e29:-elothes Closet Light -Shower Light - -- _ -787-yents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs__ ---------- - - ^- -- ----- --- -Z•9:-Water Weil; Disconnect, Electrical, Plumbing — Card B -I 1. Date 1 ��) V Card 81 Date �__..._.-__ -4-1 '�1.-�-.—_.._.__._--_�__.__.`-. -_- erior Elec. Trim; G.F.I. Receptacle -Underground 43. 'Ventilation throughout House Card B -I Date Card -BI Date ' , Glass Protection— _-- - i�orrections from Previous Inspections Date MECHANICAL (Pear. -it) OK except p's _ "BT—Gas Test -Meters Tagged; Gas -Electric A.C. Ducts: Insulation & Support _ 65 -Wates-& Sewer Connected=C/O to Grade -HD Approval _ �3�ilt Fara; Exhaust above Insulation _ nergy Compliance Certificate -Other Certificates Condensate Drain & Overil_ow_, Size & Grade - 1_ -ew.-Furnace-Vent; Access-Comb._Air-Return Air Vent_ -115V outlet -- e e . -Attic Access & Platform if Furnace in Attic ---- --- Card BI •-�.� _ Dat Card -BI Date --- Crd-BI Date Card_ -BI_ -_� Card -BI Date Card -BI Date Card -BI Date Card -BI ate Card -BI Date Date FRAMING(Plans) OK except Y's Comments at Final - S Ils; Proper Material & Anchors 37� Walls: Muds -Nailing, Spacing &Bracing-_Plates-Sounp-- _ -_------_ Bearing Walls over Girders & Floor Nailih_g __•-,___._-__--__-_- ._-__--_- -- Draft Stop in Walls (rat proof) ------- _ rjp�Fue Stops: Furred Ceilin!cs-Stairs-Chases_Tub----------- ------------•-------- ------ ¢�!�eacier &Beam -Size & Bearing- gg/fangers-Post Caps -Anchors -Connectors r - ' -. Clnq. Jois;-Rltr. Ties-Purlin-Root Brnc.-Truss-Shthng.-Rfnq. ---------- - - ^- -- ----- --- Ftreplace Ties or Type A Flue -Fireplace Throat . Attic Access Size & Rom x Protection -Draft Step -Ins. Baffles ' arm. Windows or Earring DcorSill Hqt_ & Dimensions- _-- - Garea.qe Fire Protecting: r:raminq --- - (NOTE Anentrymust he made each time youvisit lobsile) v/ = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS a, Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS. COVERS. CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easenients 1. Zoning Requirements -Setbacks -Easements 2. Soils: Special MH Support -Sketch 2. Footings: Size -Depth -Spacing -Connectors 3. Decks: Girders and/or Joists-Deckiiig-gracing-S(airs-Rails 3. Sewer: Location -Test -Fall -C/0 -Concrete 4. Water; Local i on-Test-Easernew Needed (Sketch) 4. Wood Awn.; Posts- Beams -R ftrs.-Connec. -Shihg.- R fg. -Brac i ng 5. Electricity: Location-Clearances-Grnd.-/ Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas: Location -Test -Wrap: / /"L"ft./ / Nat. or/ /"L"ft./ P. LPG 7. Utility Clearance 6. Carports: Windows -Doors 7. Elec. Card -BI Card -81 Date Date Card -Bl. Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except 1. Zoning Requirements -Setbacks -Easements Ca rd -Bl Card -81 Date Date Card -81 Date Date Card -Bi Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure: Stee I -Connect i ons -T h ickness-Dead Men -Lin -ng 4. Electricity; MH Test -Crossov ers- Brea kers-C I earances 4. Elec.: Receptacles and Lighting: Distances-GFI 5. Drain; MH Test -Fal! -Flex Connector 5. Elec.: Pool Lighting: 15 volts-GFI 6. Water; MH Test-Regulalor-Connector 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval S. Gas and Electricity Tagged 7. Elec.: Bonding� Metal w/5' -Circulating Equipment -Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enc I osures- Pane I board s- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb: C ir. Test -Water Supply Test Card B -I Card B-1 Date Card -Bi Date Date Card -81 Date Card -Bi Card -BI Date Card -BI Date Date Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751, - 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 V CORRECTION NOTICE IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. It you have any question pertaining to this mKtterk or need additional explanation, please contact this office immediately. Inspector Da Si COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. It you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector 1, -il\ X. -I , 11^ 3:111 IV` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONJUND PERMIT %Cr, PERM�T NO. )IS — ASS ESS -OR f.��UMBER Mr�� —, 7 ZONING BUILDING PERMIT/ ow�� KW4, 71ELEPHONE SQ.FT. OCC. BUILDING VALUATVI� /,)Ls T 'Zo, 0 OWNER'S I qLNJ ADD R]�� mg gdi -V n In, n. oo CONTRACZPJL'S NAM 14,WN , �J� TELEPHONE CONTRAC ,,=ILING ADDRESS 11 1 F i rep I ace CONSTRUCTION LENDER I /?A� UNKNOWN Total Valuation 0 , Oro Filing Fee $ 10.00 — LENDER'S MAILING ADDRESS Permit Fee $ 65, Q6 ARCHITECT OR ENGINEER A-tAA_ LICENSE NO. Plan Checking Fee $ 3 2,56 Penalty NsAnfm $ S�, 00 — ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Coll PLUMBING PERMIT FilingFee 10.00 O'�4 Each Trap 2.00 Solar Water Heater 20-00 C-11 V Water piping 5.00 LOT NO. SUBDIVISION NAME' PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 5 outlets 5.00 USE OF STRUCTURE SF Ej DuplexF� MobilehomeFl Other 1716W ��� &l.'. SPECIM Z Building sewer 5.00 Mobile Home G W 10-00ea TYPE OF WORK NewF_J Addition0f Remodel[:] Ut i I IA -i es 0 1 al atIonE] Other Describe work: �sft� Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. E .&) OR ADDNS. ( DAN.M50—CUP 21/20sqft CONTRACTORS LICENSE LAW I declao under penalty of perjury (check one): P1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business f and Professions Code and my license is in full force and e fect. License No. 3)0 13 S - Classification 8_1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NE NSTR. ULT'_OU LET . W CO S, D, (MRANC. CTIRC11TS) 2.50 ea N N -RE B NEW.CONSTRL (POWER APPARATUS.&') NON-RESID. SINGLE OUTLET CIR 20@50t Ex. Occup(OUTLETS OR F1 TURES 113ALO 30�t Ex. FIXED APPLNSXOR Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1 Permit Fee $ Contractor MECHANICAL PERMIT F! I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare un)er penalty of perjury (check one): F� Xe permit is for $100,.00 (valuation) or less. I . n ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certifi Cate of Consent to Self-In1ure. 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit- Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree. to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai sai7d' in consequence of the granting of this permit. "I"te !�A IIIS T�' Sign Applicant 1.1rclr ature of OwnerEl Co -5/ Agent'[� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCLIP* GROUI I TYPE .1�.NST. F 111-7L I This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR CTOR UBLIC I By PERMIT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS D . Iff4g, Receipt NO. I K's ch WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-JN�PECTOR. GOLDENROD-APPL I CANT QWT-4Q.r XWOU r Permit No. / )_ 3 7 — 9 Y ENERGY C ERT,IF ICAT ION �,ql Pe r A ip s AA LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material 170P Thickness(l'nches)" EXTERIOR WALL material 13,,_+� r-(�Ct ..Thickness(inches) 3�S CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOORI ELEVATED Material Thickness(inch6s) FLOOR2 SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name orvetj5 coy 04't'JA Thermal Resistance(R ValAie) Brand Name Otuctos COTNI*W� Thermal Resistance(R Valug) R-fj Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name g Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of Califorri'31-a Energy- Requirements. FIRM NAME/OWNER STATE'CONTRACTOR'S LICENSE NO. :�I'dNATURflff INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials'are of the quality prescribed or are specifically approved by the State of California. Sf 'C U C' S) -C k _P_ ILO OR FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. A� Elple SIGNATURE OF GENERAL CONTRACTOR/OWNER I / DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTME14T PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. * January 1984