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HomeMy WebLinkAbout039-270-114�. f -39-27-114 LARRY LAMBERT) 9454 Perkins -Road, Dayton Ot117Contr: Larry Lambert, Chico Permit #1.397-83B,P,E,M(new singlefamily 29-27-114 • NEW OWNER JACK HAWKINS aim► 9454 Perkins Rd, Chico Contr: Servamatic Solar System Permit#4045-83P(solar water heater)SF 039-270-114' PERMIT#94-1742 HAWKINS, JACK & KATHLEEN 9454 PERKINS ST., DAYTON GAS LINE FOR -RANGE/SF 7 I7 7 039-270-114 05-1409 HAWKINS, JACK 9454.PERKINS RD, DAYTON Cont: G&R ROOFING REROOF 25 SQ f,.; •a �. f -39-27-114 LARRY LAMBERT) 9454 Perkins -Road, Dayton Ot117Contr: Larry Lambert, Chico Permit #1.397-83B,P,E,M(new singlefamily 29-27-114 • NEW OWNER JACK HAWKINS aim► 9454 Perkins Rd, Chico Contr: Servamatic Solar System Permit#4045-83P(solar water heater)SF 039-270-114' PERMIT#94-1742 HAWKINS, JACK & KATHLEEN 9454 PERKINS ST., DAYTON GAS LINE FOR -RANGE/SF 7 I7 7 039-270-114 05-1409 HAWKINS, JACK 9454.PERKINS RD, DAYTON Cont: G&R ROOFING REROOF 25 SQ BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP051409 OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. 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: 05/31/2005 APN: 039-270-114-000 the Business and Professions Code, and my license is in full force and effect. c License Class: 3 7 License Number: Site Address: 9454 PERKINS RD DAY Dater Contractor: 6 Z 2 Map Index: OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am exempt from the Description: re roof 25 squares Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HAWKINS JACK L & KATHLEEN M 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 the Contractor's State License Law (Chapter 9 commencing with Section 9454 PERKINS RD 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95928 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 owner of property who builds or improves thereon, and who does Applicant: G & R ROOFING 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 2587 NORD AVENUE year of completion, the owner -builder will have the burden of CHICO CA 95973 proving that he or she did not build or Improve for the purpose of sale.). (530) 894-6537 ❑ 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 Contractor: G & R ROOFING pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 2587 NORD AVENUE Date: Owner: - CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION (530) 894-6537 I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self -insure for License #: 773913 workers' compensation, as provided for by Section 3700 of the Labor Code• for the performance of the work for which this permit )s'issued. 9--.1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation g insurance carrier and policy number are: Carrier: Policy#: �D �C)_(a4_1 `-6Vf Total Square Ft: 0 S. F. ❑ 1 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 Census Code: become subject to the 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 12 forthwith comply/with those provisions. / Date: %!'. U• `7> 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 This permit is hejd6y Issued under -t appli able pro,visions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to o work ingic ve f w 'ch f s have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) S Name: l �b BY Date: PERMIT EXPIRES ON: Address: Date ❑ 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. M'Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 o 'cial form or document of Butte County. I hereby '2uthorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.' Z Print Name: F _ nr 0_�, Signature: Date: /3-) 6 O Owner Contractor El Agent for Owner ❑ Agent for Contractor VErAKTMEN'1' OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECnON#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE il:. (530) 538-7541 •.. . A FEE WILL BEREQUIREDAT.TIME OFAPPLICA.TION. . Website•. VAM.butteeounty.net/dds *PLEASE PRINT CLEARLY** OWNER ARCtIMSCTIENGINEER A � City � � Zp Phone Fax E-mail APPLICANT SIGNATURE Xi ror omee use onV, Zoning' Flood Zone SRq Yes 00C. ZC Const Subdivision Name::!7 ok Page Lot Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:IFORMSSUiLDING FORMSXBIdoAooiSuhRnmte dnr. No Pana 1 n1 NO. qo� 1 BIN. N LOCATION ARCtIMSCTIENGINEER CONTRACTOR, Name Address O Iiia` Address Cam State Zp Phone Fax el 2 5 -' Fax E-mail Phone _ &S -7 Fax 3 — -71e E-matl Li CIL 73 9Z 31 APPLICANT SIGNATURE Xi ror omee use onV, Zoning' Flood Zone SRq Yes 00C. ZC Const Subdivision Name::!7 ok Page Lot Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:IFORMSSUiLDING FORMSXBIdoAooiSuhRnmte dnr. No Pana 1 n1 NO. qo� 1 BIN. N LOCATION ARCtIMSCTIENGINEER Name i> Ablr O � . Address WORKER'S COMPENSATION city Cam State Zp Phone Fax el 2 5 -' Fax E-mail Slate Lio nse Number APPLICANT SIGNATURE Xi ror omee use onV, Zoning' Flood Zone SRq Yes 00C. ZC Const Subdivision Name::!7 ok Page Lot Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:IFORMSSUiLDING FORMSXBIdoAooiSuhRnmte dnr. No Pana 1 n1 NO. qo� 1 BIN. N LOCATION APPUCANT NAME Name. Address i> Ablr O � . Ju WORKER'S COMPENSATION Policy Number ' /.3 O to Cam Phone - S Fax el 2 5 -' E-mail APPLICANT SIGNATURE Xi ror omee use onV, Zoning' Flood Zone SRq Yes 00C. ZC Const Subdivision Name::!7 ok Page Lot Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:IFORMSSUiLDING FORMSXBIdoAooiSuhRnmte dnr. No Pana 1 n1 NO. qo� 1 BIN. N LOCATION Prope A L1 `/ R,alcrUUS CRY Cross Street WORKER'S COMPENSATION Policy Number ' /.3 O to Cam NhMg anyone other than license cor►tractom. a ceMcate of worker's c0mpense6ton must be shown at:the time of permit Issuance. LENDING AGENCY .Name Address.. . Description or Scope of We ��l r OJ C li C�itJ 60 `' I. xk Sq. footage �� 0 ❑ Structure Buift.wkhout Permits ❑ Proposed Change of 00Wpancy (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 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 � ,CG J_L Received b� Receipt M Date: Amount / Bldg SRA Sheriff SMTP Other 7 om" o o7 n• ��'1 9454, - -1,1 4 PE R'M I.T #94-17412039- HAWKINS,JACK'SKATHLEEN 945PERKINS ,ST .i DAYTON G SLINE FORRANGE/SF. �/��/�S-I fi r7c, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Cayfornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION 'ASVD PERMIT ASSESSOR PARCEL NUMBER —270-114 ZONING SRI UZDING PERMIT OWNER TELEPHONE 342-0827 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME NNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9454 PERKINS ST, DAYTON PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ,@ Duplex ❑ Mobilehome C)Other SPECIFY Gas piping system 1 5 outlets 15.00 255.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities F1 Insiallation ❑ Other O N Describework: GAS LINE — M INTERIOR FOR RANGE PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 j Main Service ( 101 01 LESS IF 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 '-` NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FSTD.. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. ; License No. Classification 79 I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors: (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason t NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE i 1 declare under penalty of perjury (check one): I ❑ This permit is for $100.00 (valuation) or less. ) ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I IX I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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 against said C)1u)nty in con equencg of the grantin of ;his permit. X ' ~,✓ Date 6 Signature of Applic nt , Owner O Contractor ❑Agent An jOSHA permit is required 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 $ 35.00 HAZ- I D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable of the Buttq County Code and/or Resolutions indicated abgve for which fees have been By � �-4-y1, I PERMIT EXPIRES ONn" lDetel provisions to do work paid. Date L(� v Receipt No. 162993 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovit%, Cai%*arn a 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCELNUMBER — — ZONING SR1 ,19GUILDING PERMIT OWNER JACK & KATHLEEN HAWKINS TELEPHONE 342-0817 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9454 PERKINS, CHICO 95998 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9454 PERKINS ST DAYTON PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF §P Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15 , 00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities N Installation ❑ Other ❑ Describework: GAS LINE — INTERIOR FOR RANGE PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5C SO , FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWERAPPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) e2a @ 1.00 Ex. Occup.FIXED .OR ( OUTLETS (RESTRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring j 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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 li lilies, judgments, costs, and expenses which may in any way accrue against said C ty in con equenc of the grantin ofiis permit. XDate V S' ature of Applic t Owner ❑ Contractor ❑ Agent n OSHA permit is required for excavations over 5"0" deep and demolition or o truction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HA2• D. FEES IMP F100D COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Bu County Code and/or Resolutions to do work indica dab a for w I h fees have been paid. By .Date Q� PERMITEXPIRESON -ZI-7 IDatel Receipt No. 162993 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Departme-nt of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attentiou Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and, issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to_provide the major labor and materials for construction of the proposed property improvement (yes or no) ,- 2. I (have/have not) O-15 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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: Property Owner Social Se�,urit� N ber 21 Date /� I � Q NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _ APPLICATIbN AND PERMIT . . r PERMIT NO. f l ASSESSOR PARCEL NUMBERZONING / - 1 11 y' BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS /f rel l� i1: :END:1 -„ f.•.! i ) ., " /� Fireplace CONSTRUCTION LER- UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS '�' !ter ' ril, ! ✓, PLUMBING PERMIT Filing Fee 10.00 .� Each Trap 2.00 Solar Water Heater 20.00 j - Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities'0 Instal lation ❑ Other ❑ Describe work: . - Permit Fee $ ^ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2Ih¢sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness and Professions Code and m licese is in full force and effect. y n License No. ' %''�AClassification t --� El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &) NON-RESID. \SINGLE OUTLET CIR. Ex. Occu / 20@50t P\ o Ts OR FIXTURES BAL@30 FIXED Ex. Occup. our ETS PR (RESID•)EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue[ against said County in consequence of the granting of this permit. X o Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 1 "',, n OCCUP. GROUP I TYPE of CONST. -I PARCEL I PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC .i By, PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date l l' Receipt No. �: , / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONAD .PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -"2'--7 —J/ f ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME Alem T LEP=ONE CJJQQONTTTRRACTOR S AILING ADDRESS JZ)Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF yDuplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition F1 Remodel❑ Utilities Installation❑ Other Describework: z—�('e 2%. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): Ln I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y License No. �1c��a Classification C. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR L UTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS .&') NON-RESID. (SINGLE OUTLET CIR. Ex. OccuP ( 20050¢ OR FIXTURES BAL030 FXA PP LHS FIXED A OR Ex. OCCUp.IED OUTLETS (RESI,D,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare un er penalty of perjury (check one): ❑ e permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c st and expenses which may in any way accrue agai t i Co my i c u ce of the granting of this permit. X Date Signatureplicant — Owner❑ Contractor ❑ Agent An OSHA per it 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 $j��gp OCcUP. GROUP I TYPE of CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PER PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date "S Receipt No. ���D / WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT LU PERMIT NO. j97=�v PERMIT EXPIRES OWNERrF�t$Ft� CONTR. Larry Jay Lambert 1 ASSESSOR PARCEL 39-27-114 w LOCATION 9454 Perkins Rd, Dayton _ V ,7 I Temp. Power Pole Called Pr -AF Tem . Elec. Called P Temp. Gas Se Cal led Pi JOB FINALE Signature J = OK 0 = Not rJK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors _ 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Bracing 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./ /"LPG - --- 6. Carports; Windows -Doors , 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line '2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date, Card B -I Date Card -BI Date Card -BI Date Card -BI Date J -SOK 0,,_ PWt OK t = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) :$ = Date UNQEp�!COOR (Plans) OK except N's Date FRAMING (Continued) 1. on' equirements-Setbacks-Easements •4&3,.Property Line Firewall & Openings 2 g., Main; Soils-Steer-F�d.- / Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Garage; Soils -Steel- / /" Ftg. Depth jf6s Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth.5&v--Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. temwalls, Main; Steel-Blockouts-Wrapped-S140h� 62-etzling-Nailing-Veneer 6. emwalls, Garage; Steel - Bloc kouts-Wrapped-S Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel ' -Vg'.-Glazing Area -Glass Protection -Skylights -Plastic _- ViB V.V.: -Fit s -T r- 2 L-4 C/ a est S5 Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. ater Pipe; Test -Anchors -Regulator -Service Test —,dElectric: Underground ) 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date -71-L,43 Card -BI Date Card -B Date 9- Card -BI Date Car I Date Card -BI Date Card -BI Dat / Card -BI Date Date FINAL (Plans) OK except N's ppb Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except td's 512,-SThoke Detector _ ^i��Vater Ht.; Vent -Access -Combustion Air 6*--1iJrnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection jio. Bedroom Exiting t& --Water Pipe T Anchors -Nail Protection D.W.V.: st- ttngs & Anchors -Nat Pr tection 17. Shower Pan; Test, First Floor u ccess .F.I. & Bath Fixtures & Tub Access 4S, -Test Tub & Shower, 2nd Floor -Tub Access fi Qe= Trim & Subpanel; Breaker Sizes -Labels _ 49---6as Pipe; Size & Anchors _ Fireplace or Stove; Clearances -Hearth 4�ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date1 1,1 Card -BI Date • Kit. Ftxt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Elec. Outlets &'Receptacles at Kit. Counter r DateELECTRICAL Permit OK except N's gage Fire Door; Swing -Landing -Closer 60. arage-Damper Fixture &Transformer Clearance -Ins. Protection Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection - _ 22 -Tlec. Receptacles Spacing -Lights & Switches at Doors p Elec. &Mech. Equip. Listed for Location - _ Sze Boxes & No. of Conductors -Stapled ; Receptacles in Garage; F.I.)-Romex Protec. 2�Romex Installed Close to Edge of Studs & C.J. — /Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water nsu lat ion- Foam- Looked in Attic s °Deck Construction -Post Caps 2 Appliance Circuits in Kitchen & Conductor Size _ tJ-ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al' 7-q, d V4a& & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 2j_-.�ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 25r -Following instld.: Drive esNo; Walks E&, -Y9 -s ❑ No; Planters ❑C�Yes ❑ 2$/Service-Riser Conductors & Ground -Main Disconnect aDt'Equip. Clearances; Panels-Motors-Mech. Equip. - C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -__ ZW.Clothes Closet Light -Shower Light — --9P-Water U ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Well; Disconnect, Electrical, Plumbing ---- 69 erior Elec. Trim; G.F.I. Receptacle -Underground Card B -I �(�d�— Date7�_ j ` Card -BI Date entilation throughout House Card B -I Date Card -BI Date ass Protection Date MECHANICAL (Perrr,it) OK except dd's t _ 9&"-1rom Previous Inspections )� agged; Gas -Electric Ducts: Insulation &Support 85. r & Se r onnected-C/O to Grade -HD Approval _ fVieon�r�Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates - i densate Drain _& Overilow; Size & Grade 44.• Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet •2Y Attic Access & Platform if Furnace in Attic Card -BI Card -BI // ` _DaIC7 /, d 1 rV Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date C - Date Card -BI Date C I Date Card -BI Date Comments at Final: Date FRING A (Plans) OK except q's Siits; Proper Material &Anchors t ,y _ __ _ �4�-_Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38, Bearing Walls over Girders & Floor Nailing___ - 3U!Draft Stop in Walls (rat proof) _ _448- Fire Stops; Furred Ceilings -Stairs -Chases -Tub - i� Header _&_Beam -Size & Bearing 42! Hangers -Post Caps -Anchors -Connectors 4t,;ng. Joist-Rftr. Tie - -Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Flu Fi place Throat _ - Attic Access: Size & R_ ex Pr ction Draft Stop -Ins. Baffles ._Windows or Exiting Doors -Sill Hgt. &_Dimensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27..51 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector, r ZO Date ` RESIDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN STALLF,Dx/IL�"WiV3 LS E�AREGULATIONS ��AT3�i A (location BUILDING PERMIT N0. 7— 4 A.P. NO,,37 oZ% 11Y% THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge_ Fdn. Walls 0 Floors - 6► Walls_ Ceiling/Roof 00 — Ducts . L +sL� Circulating Pipes 1 APPROVED HF_aTER APPROVED 14TR.HTR. GLAZING: S Z!z _ Special (Insulated) CERT. & LABELED WDS . 71 & SLID ItiG DRS.— t WEATHERSTRIPPED DRS.' 094 144 BACK: D.M.[PERED FANS INTEM-1-IT d ENT IGN IT IONIDEV ICES CERT. APPLIANCES 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 CERTIF ICATE .AS SUBMI-TTED. Insulation Applicator. Name L,A __J. Signature of (pl se print) Insulation Applicator State Contractors License No. A,�6 General Contractor/Owner Name (pl ase rint) S igi _ ture of General Contractor/Otmer_ ate . 7 '0 7 . State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SIL.�LL BE POSTED IN A CONSPICUOUS. LOCATION WIT117SI THE DWELLING. COUNTY OF BUTTE - DEIPARTIIAENT OF PUBLIC WORKS _ . 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND -PERMIT ASSES O PARCEL NUMBER a ZL ZO INJG O BUILDING PERMIT OWNER T LEPHONE S0. FT. OCC, BUILDING VALUATION <Od OWNEPt'SMAILINGIDDREpts Om 0, DO CONT ACTOR'S NAME TELEPHONE CONTRACTOR/ MOILINt DDRES �� A ��~: Fireplace A Z 000, co CON RUCTION LENDEij„ UNKNOWN r Total Val Ion 1 $ Filing Fee � 10.00 LENDER'S MAI LAADDRESS Q Permit Fee $ ARCHITECT OR NGINEER LICENSE NO. Plan Checking Fee $ .S Penalty $ ARV. I E OR ENGINEER'S MAILING ADDRESS Permit fee $ s BUILD�G DR�aSS f' Com'./ Ae PLUMBING PERMIT Filing Fee 10.00 - r � i� Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 p LOT NO. SUBDIVISION NAME ARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 rv�j Mobile Home S G W 10.00 e TYPE OF WORK New Addition E:1 Remodel❑ Utilities❑ Installation[] Other❑ Describe work: J /7 C &J f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 BOOV OR LESS Main service 100 AMP OR LESS 10.00 OO Main service EA. ADD'L 100 AMP 2.50 117, J-0 NEW CONST.DWELLING OR ADDNS. (ACC. BLD 21/2(tsqft1X 11, U CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): �I am licensed under provisions of Chapt. 9, Div. 3 of the Bus inessX and Professi ns Code and m license is in full force and effect. y License No. Classification 9-1 ❑ 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) ❑ 1, 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 CONSTIRU TI.OUT E 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &) / NON-RESID. (SINGLE OUTLET CIR. / 20050a Ex. Occup(o OR FIXTURES BAL080 IED APPLNS OR EX. OCCUp- OUTLETS (RESID.I EA.) 2.00 Temporary service g' 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ vo— Contractor b CrIsC MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): e permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department � a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating 0 O £' �j Cooling Hood 3.00 a Ventilation ,,/ permit Fee $ Contractor7%e—_,/,/ 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, indemni and keep harmless the County of Butte against all liabilit' judgments, ts, and expenses which may in any way accrue against County ' co. n Ing of this permit. S �3 X Date 0 Signature of A i t — owner ❑ Contractor Agent ❑ An OSHA per it is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR F ft OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date`s r 2-21-F-3. �-^ Q v ��� / Receipt No. JU S727 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � � j ,.. ?.r . 6 ` �� �i ' ,� c {{ _. '. , �" �� �� .; �,. ., r ,,;'.. �..+ i .. �` � ' . � i Vle ' ';� 1. � ' {r'' � I u, i ' i 7 i �, ,,, . a :, � �� — � � ,, ,: ,, ,: s_...�. s,, ,. ,, <� _, .; ., �'. ,.� � � �.. � '.. � i +YI �. ,. FIT _ r _ , : �.k i p I � F I a' t Y 1 i — I t I 1 I ' f