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HomeMy WebLinkAbout039-360-037r - - - 37 37 " - 39-36-37 GORDON KNIGHT C� 7/ T5/g/17, 1230 Orchard Way, Chico Contr: Smith Const. 0 �� o / Permit#1188-87(fire damage repair) 39-36-37 Permit #16 - 8B(pri: det. g rage) �, - ------------ ---------- CODE CODE E RE NT - 39-36-33 Pe-89B(to complete _ / -'3 Za �Z 16 _gg) 039-36-0-037 ..t_�� .. .. 91-4099 = �j:-#; R •t' l:r ,cid KNIGHT GORDON CONTR : UNKNOWN r COMPLA �;T'"10'1N5PECTQa 1230 ORCHARD WAY, CH ELEC SERV /SF' J 5 5�f � / / �_ .i f i d a i. F �•_ /� � 39-36-37 92=2240P,E . KNIGHT, Gordon ' 1230 Orchard Way, Chico"� gas & elec/garage, A 039-360-037 PERMIT#96-2424 KNIGHT, Gordon E. 1230 Orchard Way, Chico'�f Reroof/SF 039-360-037 PERMIT#96-2571 .KNIGHT, Gordon 1230'Orchard Way,Chico Cont: Air-Art Htg & AC Htg &.AC/SF l T r - - - 37 37 ® � � I �Y �_--- --� , � �r r� 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23.. 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service_ hereinafter mentioned, over the age of eighteen years and not a party to ti vwithin action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On September 3, 2002, 1 served the foregoing 10 Day Letter on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope X In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. In the United States Postal Service Mail in Oroville, California. Gordon Knight 1230 Orchard Way Chico, CA. 95928 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on September 3, 2002, at Oroville, California. A A PERMIT#96-2424 'KNIGHT, Gordorit -1230 Orchard Way,'Chic'ol Reroof/SF .- ' I �,��.� r -7 1q? , X X �"� r�y"'{�I[F`wir�o',. , . + ��,•;r�S'�`,;n)`an►i}�'�� t^9'Lq'hr'__ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538"-7541ERMI NO,. APPLICATION AND PERMIT (96 _� )V ASSESSOR PARCEL NUMBER -039-360-037 ZONING SRI (BUILDING PERMIT OWNER GORDON EKNIGHT TELEPHONE 343-5953 SO. FT. OCC. BUILDING VALUATION 20 SQ 1200 OWNERS MAILING ADDRESS 2 0 ORCHARD WAY 1230 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 29,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 1230 ORCHARD WA PERMITFEE $ 49.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFYM Duplex ❑ Mobilehome ❑ Other SPECIFY I Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 20 SQ COMP REROOF Mobile Home S I GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service / I OR LESS 200A OR LESS / 23.00 Main Service ( zooA To ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) s0. 3.5Q FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup. ( ) 20 @ I.00 BAL 0 .50 Ex. Occup. (oFXEEDrs PLNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 ,=i�ytyY L ��+�l�fii/l __-- Date �:% —L/ — %tel/ _ Signature of Applicant -J Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ R3 cc :�N�T. TYPE TOTAL FEE $ 49.00 HAZ. O. FEES ----- IMP FLOOD CDF PARCEL PD HD ISSu This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I __._..- applicable provisions Resolutions to do work been paid. f .. Date /J)// (Date) Receipt No. 205272 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT x X COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive - Oroville, California .95965 - Telephone (916) 5 -754/ R I NO APPLICATIO,WAND PERMIT (p ASSESSOR PARCEL NUMBER -039-360-037 ZONINGUILDING SR1 PERMIT OWNER GORDONE KNIGHT TELEPHONE 343-5953 SQ. FT. OCC. BUILDING VALUATION 20 C04P 1200 OWNERS MAILING ADDRESS 1230 ORCHARD WAY CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS I ?In ORCHARD WAY PERMITFEE $ 4 .00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 Water piping 15.00 USEOFSTRUCTURE SF)M Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UGIities ❑ Installation ❑ Other ❑ Describe Work: 20 SQ COMP REROOF Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for 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 NEW CONST. DWELLING OCCUR OR ( &ACC. ) so. 3.5Q FT. CNS. NEW CONST. MULTI-OUTLETLET NON•RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL Q .50 Ex. Occup. (oFIXEEDrs PLNS. OR .A ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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. ty �j , Xi1 Date©_— L/=! G/ _ Signature of Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC R3 CONST. TYPE VN TOTAL F 0 EE $ 49.0 HV D. FEES IMP FLOOD CDF PARCEL PD HD I0 SSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have �__ By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date�1Y. ^ �v / (Date) Receipt No. gn6977 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M rJ _�...... _.._._.. __ .� JV c.:Cw . �:::;.;�;<•,::;...;;;::::vi<•n::::.�o:::•:<t•>}i4��,;:ivi�5�:?:R`>Y ai ... .. ,. \.v v. Attention Property Owner: An "owner-builder"Abuilding~ permit has been applied for in your name and bearing your signature..,'. w :: ,w _.. , ;•t .+ ': - ..... 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 uritil this verification is :received.' " G i'i�'.'•+ rid •;. j � •x. � )* w , +- ....._ _. � �• 1. I personally plan to provide the major labor and materials for . construction of the proposed property improvement: YES[ • NO[ ]. 2. I HAVE[] HAVE NOT[ ]signed an application for a building permit for the proposed work- 3. ork3. I have contracted -.with' `the 'following person (firm) to provide • the proposed construction: NAME: - ADDRESS: COY: 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:.. r CTI'Y: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide•the work indicated: NAMEADDRESS PHONE TYPE OF WORK t ' SIGNED: X PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: LC�—/ 7 -fie NOTE: This owner -Builder Verification is required by Section 19831 and 19832 or the California Health and Safety Code. This verification must be completed and returned to our off -ice before we are permitted to issue the permit. OVER Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of retard on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 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. 0 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 withholdin& federal social security taxes, workers compensation insurance disability insurance costs, and unemployment compensation contributions. 0 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. - - 0 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 "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Singel ' ._ _ Michal C. veira, C.B.O. Manager, Building Inspection NO'T'E: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ­7 c"h 039-360-037 PERMIT#96-2571 KNIGHT, Gordon 1230 Orchard Way,- Chico Cont 'Air-A Htrt Htg & AC i g & AUSF - J illalq'7 ' " SK- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 .County Center Drive - Oroville, Californla 95965 - Telephone (916) 538-Z6'41 NO. APPLICATIONANCIVERMIT "JERMIT a7/ ASSESSOR PARCEL NUMBER 039-360-037 ZONING SR1 BUIk6INGPERMIT OWNER CORDON K74IGHT 343 NE 5953 SQ. FT. OCC/ BUILDING VALUATION OWNER'S MAILING ADDRESS Wky CONTRACTOR'S NAME AIR -ART HTG & A/C TELEPHONE 895-1420 CONTRACTOR'S MAILING ADDRESS 1407 ATM_ ND ST Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ 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 1230 ORCHARD WAY, CHICO PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNtSION'SNAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U61ities ❑ Installation ❑ Other Describe Work: HEATING & AIR CONDITIONING SYSTEM — Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service800v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED - ONTRACTOR'S DECLARATION I hereby affirm under pe f erjury that I am licensed under provisions of Chapter 9 (commencing with Section Oj''�� Division 3 of the Business and Professions Code, and my license is in full force an License Class �' - -2u 3 5 3 O Z OWNEM_BUi,1�DR,,,DECLARAT,ON 1 hereb affirm under enal of er'u thae t from the Contractors License Y penalty perjury rYP Law for the following reason: Q I, as owner of the property, or my employees with 4 s4eir sole compensation, will do the work, and the structure is not intendeded for sale.❑ I, as owner of the property, am exclusively contractih licensed contractors " to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( d ACC. BLDS. ) SD. 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRC ITS @7.50 (P°WER "OU ) d SIN LE OUTLET CTR. Ex. Occup. LET 04 FIXTURES (' ) 20 Qa 1.00 �L S0 Ex. OCCU FIXED APPLNS. OR p ("OUTLETS (RESID.) EA 5.00 Temporary, Service 23.00 Mobile, Home Facilities 20.00 Misc. Wiring23.00 PERMITFEE $ Contractor WORKERS' MP NSATION DECLARATION I hereby affirm under penalty of Fier) o f of the following declarations: ❑ 1 have and will maintain E� rtiffl!a4� onsent to self -insure for workers' compensation, as provi �b Sec 1 700 of the Labor Code, for the .performance of the work f r 1c (�` s permi is issued. 1 I have and will maintain w ers' colnn¢¢at' n insurance, as required by Section 3700 of the Labor Code, fo a ormallce of work for which this permit is issued. My workers' compensati0 in rance carri r and policy number are: Carrier Policy Number (The above sections need not be ompleted 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 forthwi codply with those provisions. //- / �/C Date ___---- Signature of Applicant - O Owner AContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PE MIT Filing Fee 20.00 Heating -15.00 Cooling ;� Hoo& i 6.50 Ventilation / / p RMITFEE $ O OO Contractot n Mobile Home Install ti Fee $ Energy Inspection -5 $ occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. — D. FEES IMP FLOOD CDF ,PARCEL - - - .PD- HO-1ISSU This permit is hereby issued under the of the Butte County Code and/OF indicated above for which fees have By00,11- % --� PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. '? d �S ( I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING 7 County Center Drive - Oroville,, California 95965 -Telephone (916) 5` RERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-360-037 ZONING SR1 BUI ING PERMIT OWNER GORDONKNIGHT TELEPHONE 343-5953 SO. FT. OCC BUILDING VALUATION OWNER'S MAILING ADDRESS 1230 ORCHARD WAY CONTRACTOR'S NAME AIR -ART HTG & A/C TELEPHONE 895-1420 CONTRACTORS MAILING ADDRESS 1407 ALMOND ST 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 $ BUILDINGADDRESS 1230 ORCHARD WAY CHICO PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF J7 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: HEATING & AIR CONDITIONING SYSTEM Mobile Home S I G W1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 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 C_ z o Lic. No. -335 30'L OWNER -BUILDER 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 withwages 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 NEW CONST. DWELLING OCCUP. So. OR ( 8 ACC. ) 3.50 FT. CONST. MULTI-OUTLENS. NEW C UTLEBUDS T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (BAL 20 0 +.50 OUTLET OR FIXTURES ) EX. OCCU FIXED APPLNS. OR p• ( OUTLETS (RESID.) FA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor 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. 14 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 Filing Fee 20.00 Heating 15.00 Cooling 15.00 Hood 6.50 Ventilation PERMITFEE $ 50-00 Contractor 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 forthw- co ly with os provisions. p Date — "7� Signature of Applicant - ❑ wner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. I D. FEES IMP FLOOD CDF U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B Date Y PERMITEXPIRESON Il 1Z 16 (ate) ReceiptNO.�(� bS�� WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;�c.' �"'rz•..-. .� �t�� -i..;. ,•a�... wty t;:"•�s''%'�f'..`��,S1Aje C;:�.dC'<�r4tL,;:ri�''k�r;.'\.r.,�,: .r:,-,:'J!-�wti:�_,+'-�:r•F;e_..:%...J.�=�+^�vYam!"�,,;_,:7�F'K'�^-.iii-�Y'-r ''i''.p,,i. _ _�" -•ffi '' 39 36-37 X92-2240P,E KNIGHT, Gordon 1230 Orchard Way,Chico z gas & elec/garage( L t�. .fiN 1 )tj r All - t • e 1 5 ryIG COUNTY OF BUTTE"t DEPARTMENT OF PUBLIC WORKS PERMIT No. 7 County Center Drive - Orovllle• cumorop 95985 - Telephone: 916/538.7541,--e, APPLICATION AND PERMIT ASSESSOR PARCEL NUMBTR 039.360-037 ZONING SR -1 BUILDING PERMIT OWNER TELEPHONE Gordon' might `3435953 OWNER'S MAILINGAnDRESS - 1230 Orchard Way, Chico 45928 SQ. FT. OCC. BUILDING VALUATION CONTRACTOR'SNAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 1230 Orchard Way. Chico Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME • PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE ) SF ❑ Duplex❑ Mobilehome❑ Other GaraRe 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 Installation❑ Other ❑ Describe work: Gas & Electric to Garage Permit Fee $20„00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 - _ Main service 600VORLESS 18.50 200A OR LESS Main service 20CATO IOOOAI 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 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) L� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING oCCUP.E 3.64sq.ft. OR ACDNS. (ACC. BLDGS. NEW RESID,CONSTBRANCH @ 5.00 NO N•R ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIS. 20 76 Ex. Occup(OUTLETS OR FIXTURES JAL 0 FIXED APLN S' Ex. Occup. OUTLETS PIRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 15.00 Permit Fee $ 30.00 — 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. L� 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 FiIingFee 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 inspect ion, 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 againo said County in cons, nce of the granting of this//permit. X Date (1 --- Z Signature of Applicant — Owner Contractor 11 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 Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE g50" 00 HAz I DFEES I IMP I FLOOD I CDF I PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicat d4bove for which fees have been paid. DI ECT OF PUBLIC WORKS BY e e /--t"' Date , PERMIT EXPIRES Date G - A °3 - 73 Receipt No. 116988 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEP/?,.gTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Ce!Ifornia gages - Telephone: 916/538.7541 APPLICATION AND PERMIT PERMIT NO. A99E9SOR PARC9L N 039-360-037 ZONING SR -1 BUILDING PERMIT OWNER TELEPHONE Gordon%;: Knight _ 343=5953 OWNER'S MAILINGIADDRESS 1230 Orchard Way, Chico 95928 SO. FT. OCC. BUILDING VALUA ON CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 1230 Orchard Way, Chico 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 Garage SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: Gas & Electric to Garage Permit Fee 1 $20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATO 1000A1 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 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 r sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft. OR ADDNS. ACC, BLDG S. // NEW CON5TR ULTI.OUTLET @ 5-00 NON-R ESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. 760 Ex. Occup(OUTLETS OR FIXTURES I20 EX. OCCUp. OUTLETS PFIXED APLNS(RESID,)REA.) ! 3.0f) Temporary service 15.00 Mobile Home Facilities 15.00 g 1 15.00 Misc. Wiring 15.00 Permit Fee $ 30.00 — 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 f Consent to Self -Insure. L1 ' 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai said County in con nce of th granting of this permit. Date G -Zl 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 $50.00 HAz 1 0FEES I IMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Bu to County Code and/or resolutions to do work Indl a above for which fees have been paid. E OF PUBLIC WORKS BY-�� Date - PERMIT EXPIRES Date G -A-1 -" Receipt No. 116988 WHITE-D.P.W., TELLOW-A58E990R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE. - DEPARTMEWt,;dI�UBLIC WORKS -BUILDING DIVISION Z07 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Vo. o. / Proposed Building Us C �_ - Building Inspector Date At time of mit application, I was advised the following data, must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ..........<:�.. . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ............ 10. Fees of$ .......................................... 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: I . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... 6n r*.q* 20. Pre -inspection for to Buil ing Ins ectuors - required. . to Building Inspector (Dale). 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 ) ............ 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. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel CreationZ Acreage Applica Q Date cl__27 12 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 _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works "„,'.',a^".YY�ve¢"�"�a�'F'KYtk�l�i Tii!i�.iTiv'!°M�3�T�4Y��i.`aMF^+4ryiH;�i�i�M'!l�_ti`;.�•..._,w'tKr�r�:;�-�'^�., ,�(,�,1+�,.,Ka;F:�.;..n..�"vT{'i�(,'�'».✓ r ... 039-36-0-037 91-4099 R KNIGHT, GORDON CONTR: UNKNOWN 1230 ORCHARD WAY, CHICO ELEC SERV/SF OFFICE COPY Address' 100 041Z -C.04 GAS Meter By '' Date r ELECTRIC' .� Meter'By " /� �..�-�-Date lid, A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541 > APPLICATION AND PERMIT A93E�SOR ARC L NUMB R 39-36-37 ZONING B.UILpI.NG PERMIT OWNER Gordon E. Lni ht TELEPHONE 343-5953 SO, FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1230 Orchard Way, Chico 95928 CONTRACTOR'SNAME PG & E nknol,lrn TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 0 W Each Trap 1 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 [3 Duplex❑ Mobilehome❑ Other ? SPECIFY f Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 015.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ® Installation ❑ Other ❑ Describe work:_ Upgrade Service Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 j Main service 200A OR LESS 11 18.50 18.% Main service 200A TO IOOOA) 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 and Professions Code and my license Is In full force and effect.SINGLE 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) ' 0/1, 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 CONST. (DWELLING OCCUP.d\ OR ADONS. ACC. BLDGS. I 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NO N.RESID BRANCH CIRC ITS ^ 5.00 POWERAPPARATUS d OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURESFIXED 20 76 APPLNS. Ex. Occup. OUTLETS (RESID.)REA.1 3.00 Temporary service 15.00 Mobile Home Facilities Ho --- 15.00 Misc. g 1 15.00 15�(� Permit Fee $48.50 — 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 FiIingFee 15.00 Heating Cooling Hood 6.50 i Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga/i.pstt al County in c e Gence of the granting of this permit. Date �..,Z�,.e (� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA ion of structures tover 3q stories ineheigfattions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P OCC CONST TYPE TOTAL FEE 48.50 HAz 11 FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DI5gCT0W0F PUBLIC By _ /i PERM/I_XPIRES a e applicable provi- resolutions to do have been paid. WORKS Date/%rt�!/ Receipt NO. 103985 WNITE-D.P.W.. YELLOW-ASSF330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PIQBLIC�WORKS- 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ViV I G4iT ?/ - q0 9 ct OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. F- f? (,� C Iz A (' I"E: A 12 -5 To E Mi R 5 A I -rO C -L CA Ei r i/A 1 o�\J IS r� o Ir- A J A )e' r NA T r e 'S E 12 A I -^I A T (,-,,v F C r (f I R C t, I I If 7 0 N170 �Ca0CV � kl.,r �6,F, YrT- D te -'r a Inspector REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AN& PERMIT nn ASSESSOR PARCEL NUMBER 39-36-37 �' "' ZONING BUILDING PERMIT OWNER Gordon E. Knight TELEPHONE 343-5953 SQ. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS 1230 Orchard Way, Chico 95928 CONTRACTOR'SNAME PG & E Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 123n orchard Way. Chico 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 [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work: Upgrade Service _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 1 18.50 18.50 Main service 200A TO IOOOA1 .37,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBU 91 ness 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) l, 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.q� OR ADONS. ( ACC. SLOGS. 1 3.64sq.ft. NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POW6 ER APPARATUS (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS (RESID )REA.1 .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 9 1 '15.00 15.00 Permit Fee $48-50 — 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 FiIingFee 1 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, indemnify and keep harmless the County of Butte against all liabilities, judgments, cos s, and expenses which may in any way accrue agai ai C•pun�ty in c e enc@ of the granting of this permit. Gp� Date l� 2Z� 7 X 0 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 Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $8.50 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD HD IssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DI CTO F PUBLIC By PERMX IRES Date applicable provi- resolutions to do have been paid. WORKS Date// -2 :f /s., i�� 9Z Receipt No. 103985 WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .SPR .. ) . - .. r .._ ., � •-+y+•. _ . v�..� .n � � ` ; . - l :,.�. ..',l_` y:�?"'J�I+T�"%�� 7 1��`�rY - YY ,. COUNTY OF BUTTE - DEPARTMENT 0, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEXAI!IP6P IIA 95965 - TELEPHONE: 916/538-7541 PERMITVAPP'CICATION DATA SHEET 1 OWNER +_ Permit No. /v l� �7 / '�� A. P. Proposed Building UseBuilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: v/ DATE RECEIVED APPROVED 1. All items have been submitted. ..... ............................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ .., 3. domplete plans in duplicate/triplicate, signed by preparer. of plans . . { 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... .7: Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department • 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section„DPW 19. Driveway permit (construction approval required prior to occupancy) 20. •Building Pre -Inspection for required...Pre-Inspec. request to ; Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... ` 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... { 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ...................................' 26. ' 27. ' When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl ib(IDate a / Copy of Hdz-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. Additi&al items required: Contractor, designer, owner, was advised of above required data by_phone--jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date Plans checked by Date Plans approved by 1 Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916.'538-7541 APPLICATION 'A'ND PERMIT PERMIT NO. ASSESSOR= RL NUMB R 1 „ - /� a ��/ z'ONING - BUILDING PERMIT O NER orb-ON3- TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER-5 MAI ING A DRE55 CONTME TELEPHONE CONTRACTOR'S MAILIA4G ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN e Total Valuation $ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee _ $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S M_AILING ADDRESS Penalty $ BUILD) G–ADDRESS v( (J Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 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 15.001 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ UtilitieseInstal lation❑ Other ❑ Describe work: 62 aADEz�Gi ;f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 Main service 200ATOI000A1 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 d Professions Code and my license is in full force and effect. i ense No. Classification •` ❑ as the owner, or my employees with wages as their sole compen- sawill do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING 0CCUP.&) OR ACDNS. 1 ACC. BLDGS. 3.60sq.ft. NEW RESIC.R ULTI.OUT LET NON •R ESI O. BRANCH CIRCI'ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES !20 766 RAL a Ex. Occup. OUTLFIXED TS P(RESIO.)OR 60 I 3.00 Temporary service 15.00tion, Mobile Home Facilities 1 15.00 Misc. �Virin g 15.00 Q Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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, indemnify and keep harmless the County of Butte, against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant – Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ r HAz 1 0FEES I IMP I FLOOD I COF I PAR EL I PO HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. PERMIT EXPIRES OWNER GORDON KNIGHT CONTR. OWNER ASSESSOR PARCEL 39-36-37 LOCATION 1230 Orchard Way, Chico 4e Z46Z 1ZCA1 T,14" Q,e /1W 7 lei Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) 0 Signature = OK 0 = Not OK = Not Readyiable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s - Date 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch i 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L'ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Utility Clearance Card -81 Date Card -131 Date Card -131 Date Card -61 Date Date MOBILEHOME INSTALLATION (Plans) OK e) 1. Zoning Requirements -Setbacks -Easements #'s 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 f 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card -61 Date Card -81 Date I ELLANEOU RTS,G ES, (P OK except #'s lents- acks- s�— ki Rails 4: s- s �rtiEleC' . Frmg; Sills-Anchors-Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh 1WFRoof; Shthg-Roofing 1YExt.; Steps -Doors -Landings Card -61 Dateg /i_ e Card -131 Date Card -81 P r Date 6,% ego Card -61 Date 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-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-Panel board s -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -81 Date Card -131 Date Card -61 Date sl g O�A1, "440 ova G, 1-1-4e r� J oGv go C)o = OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) _ Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51, Property Line Firewall & Openings , 8. Piers -Fireplace Ftg.-Steel - 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -81 Date Card -131 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection \ 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 67. Stairs &Rails Card -B1 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing-Landing-Closer73. 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location ` 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 1 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps \ 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood - Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92• Roofing Certificate Card -131 Date Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub .44. Header & Beam -Size & Bearing (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 AM PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 37— 36-3-7 ZONING SX 1 BUILDING PERMIT OWNET p� on/ %2`►/i Thr �L/EPHONE �73' � SO. FT. OCC. BUILDING VALU TION iro Goy can(56-6 OWNER'S MAILING ADDRESS O �G CONTR.A/CTO�Rw'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS (, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ pe?0.00 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 /2-3D © Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other MJU4,fZ& SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New ❑ AdditionEl Remodel ❑ Utilities ❑ Installation❑ Other 10%LII Describe work: C-�- Pl4fVNr1J,_ i01iP*C//1:0 .� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. L' ense 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING oCCUP.. OR ADDN5. ACC. BLDGS. , 2/zQsgft NEW CONSTRMULTI-OUTLET NON.RE51D BRANCHPC IRC ITS 2,50 ea POWER AARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 200500 eAL030 Ex. Occup. OUTLETS FIXED P(RESID 1REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 g Hood 3.00 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, osts and expenses which may in any way acc ue ag s ounty in c equ a d1 the gr nti of this permit 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 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE � TOTAL FEE $ 8 7" HAZ CLIAPARK SCHL FLD PAR PDD H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate 9 � 5 89 �� �3%stories Receipt No. 7 / S6`r WNIT!-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT NON-RESIDENTIAL BUILDINGS ENERGY CONSERVATION STANDARDS Statement of Intent for Non -Heated and/or'Non-Air Conditioned Buildings r I, r., Oq ( , owner of the building to be constructed as a (please print) aan1 Ca Q ?:5 under AA G ) at _ /Z. �fZ%.1_•-•-��1� 0, 9-1 (bldg.permit no.) (location) �(C_t) , hereby certify that I do not intend to heat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. .I understand that if I do heat or cool this building in the future, that I will be subject to the energy requirements in effect at that time. I understand that if I change the use or occupancy of this building in the future, that I will .be subject to the energy -requirements in effect at that time for that specific occupancy. r I also understand that if I become subject to the energy requirements in the future, it may be necessary to redesign and/or alter (1) the building envelope, (2) the insulation requirements of the heating, ventilating, and air conditioning systems, (3) the heating, ventilating, and air conditioning equipment, (4) the service water heating, and (5) the lighting of the building to comply with the regulations.. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Department. I r Signature of Building • Owner Mailing Address . Telephone No. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner=builder" building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property provement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person(firm _to _provide the proposed construction: Name Address / City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the-ma-ioz work: Name. _- Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner�" Social Secur' y Numr - - Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO �^ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT1-Dtta'�ND PERMIT ASSESS PARCEL/NUMBER ZrBUILDING PERMIT (p r OW R PHO E ��� / /l SO. FT.. OCC. BUILDING VALUATION � A NER'S MAILING ADDRESS/V CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LEND L ENDER,slm AI LING ADDRESS ARCHITECT OR ENGIN ER ARCHITEENGINEER'S MAILI BUILDING ADDRESS LOT NAME Fireplace UNKNOWN Total Valuation $ Filing Fee Permit Fee LICENSE NO. Plan Checking Fee Energy Plan Checking Fee PARCEL MAP USE OF STRUCTURE, SF❑ Duplex❑ Mobilehome❑ Other P&1 6 SPECIFY TYPE OF WORK Ne __14 Addition ❑y� Remod77el ❑ Utilities ❑ Installation❑ Other F-1 Describe work: 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. ❑ 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County in consequ ce of the gran ing of this permit. —0 Date C) 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. Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water Lor vent Gas piping system 1 - 5 o ets Building sewer Mobile Home S G W Permit Fee $ Contractor 11 ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.d` OR ADDNS. ACC. BLDGS. / 2/20sgf NEW CONSTR. MULTI -OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. $ Ex. Occu p OUTLETS OR TURES 200501 DAL030 EX. OCCUR. FIXOUT LETS ED P(RESID.) E 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heat i no Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , OCCUP. CONST.TYP6 SCHOOL PLOD PARCEL .. 0 XD 1 This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS /"I ,-I— /l i s J -L ,I, Receipt No. I� _ By Date WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PE T EXPIRES Date `r+ .... - i r _ .. . - . .. , r •, :7,:.i *�bEL-.n':tr.'i. t r ,^r'/...'SF1,,Y... . .+; .. •:.Y..,;filEiF''�'":5 tea-•. Al COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION a 7 COUNTY CENTER DRIVE - 6ROVfLL1� C LIFO'ANIA 95965'- TELEPHONE: 916/538-7541 PERMMAPPLICATION DATA SHEET Permit No. 22// OWNER /` ' " �.� A. P. No. Proposed Building Use /i`�yG� �" Building Inspecto Date a�X 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 duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . . , , , , 9. Letter of signature authoriz�io . 10. Sanitation approval from Health Dept. 11.t Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to. Building Inspector°ted 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to°owner, Mail to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector. Other Applican Zfii ate Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permi y's uance: (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---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Da e,' Plans approved by Date -,5-- ,5--1 __L Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM:. Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. NOTE. *** San tarian Water Supply Water Supply 0 the r CqLweu d.L� 6L Date ri COUNTY OF BUTTE - department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building -permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1.. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ' 2. .I (have/have not)signed an application for a building permit for the proposed wor k. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work { Signed Property Owner Social Security Wumber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. / PERMIT'NO. _ 1188-87B, E PERMIT EXPIRES GORDO KN GHT OWNER ' r CONTR. SMITH CONSTRUCTION X41 •,tr,$ {.. r. ASSESSOR PARCEL 39-36-37 LOCATION 1230 Orchard Way, Chico r M 3 Temp. Power. Pole_ Called PG&E t Temp. Elec. Service k Called PC Temp. Gas Sei Cal led PG JOB FINALE( Signature 1 OK 0 = Not OK = Not Applicable MOBILEHOMES - MISCELLANEOUS = Not Ready 104 Date MOBILEHOME UTILITIES (Plans) OK except H'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 4. Water; LocatiorrTest- Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails _ 4. Wood Awn.; Posts-Beams-R1trs.-Connec.-Shthg.-Rfg:-Bracing 5. Electricity; Local ion-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures �- 6. Gas; Location-Test-Wrep:/ /"L" ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. -- - Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except Ws 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; Shael-Connections-Thickness-Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting: 15 volts-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances .5. Drain; MH Test -Fall -Flex Connector 1; 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes- Enc losures- Panelboards- 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 1 Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J . OK O = Not OK - = Not Applicable * - Nor Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except M's 1. _Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /' Ftg. Depth _ -- 3. Fig., Garage; Soils-Sleel- / /" Fig. Depth Porches & Decks; Soils -Steel- / /" Fig. Depth - S. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab -_ - 6. Stemwalls, Garage: Steel -Bloc kouts-Wrapped-Slab __ __-- 7. Piers -Fireplace Ftg.-Steel -- 8. D.W.V.: Fall -Fillings -Test -2 way C/0 -Sewer Test -- _9_. Gas Pipe: Size -Anchors 10. Waier Pipe; Test -Anchors -Regulator -Service Test _ - 11. Electric; Underground - 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor 80its-Joists-Vents-Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except 11's 14. Water Ht.: Vent -Access -Combustion Air 15. Pipe Water Test & Anchors -Nail Protection 16. D.W.V_.: Test-Fttn_gs &_Anchors -Nail Protection 17. Shower Pan: Test,:First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Cartl_BI Date- _ Card•BI Date Card -BI - Date Cara -BI Date Date ELECTRICAL (Permit) OK except WS 20. Fixture & Transformer Clearance -Ins. Protection_ 21. Elec. Receptacles Spacing -Lights & Switches at Doors _ 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed _Clo_se_to-Edge of Studs & C.J. 24. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & C_onductor Size 26. Subteed Wire Size % / ga. Cu 01 AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes . -'No - 28. Service -Riser Conductors &Ground -Main Disconnect__ 29. Equip. Clearances: Panels -_Motors -March. Equip. 30. Clothes Closet Light -Shower Light--- 3ard B -I Date Card -BI Date - - - -- _ard B-1 Doto Card -81---•-- - Date --- -- ------ MECHANICAL (Pern•It) OK except p's 31. A.C. Ducts. Insulation &_Support_ 32. Vent Fan: Exhaust above Insulation - 33. Condensate Dram & Overflow. Size & Grade Date --- -- FRAMING (Continued) 46. Property Line Firewall & Openings 49, Ext. Doors -One 3' -Check Garage-_3rd3rd story. 2 exits 50. Stairs; Width-Headroom_Rise-R_un_-Landing_Fi�e protection 51, Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52, Stdlrg-Nailing-Veneer - 53. Stucco klesh-Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic i 55. Shear Walls; Nailing -Bolts Card -81 Date Card -BI Date Card -BI Card -81 Date Date Card -81 Date Date Card -BI bate FINAL (Plans) OK except M's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Fumace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61, Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. 64. Fireplace or Stove: Clearances -Hearth Elec, Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & A fiance: rod, -Air Gap -Cooking Clearance 66. Elec. Outlets &ecepta les a suntan 67. Garage Fire D Swin L din Closer 68. A.C. Duct in Ga a e a 69. Wir. Htr.: Ve - lea c - mb. Air-Connector-P.R.V.- In Garage; eve loon M ch. Protection 70. PID.. Etec. chl Equip, isted for Location 71. Elec, Receplac s I Garag .F.I.)-Romex Protec. - 72. Insulation -Foam -Looked i AttV ❑Yes 73. Guard Rails & Deck Const ction Post Cars 74. 75. Fdn. Vents & Crawl '-tole oor-Da-& Wood -Earth Clearance Looked under Floor C Y_ Following ins_tld.: Drive [ Ye ❑ No; Walks C Yes [:No: Planters ('Yes JNo 76. Stucco: Brown -Finish _ - 77. 78. A.C. Unit: Disconnect-Clrnce Rr r. & Cond. Si7e-115V Outlet Vents Above Roof: Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. _Water Well. Disconnect, Electrical, Plumbing 80. _ Exterior Elec. Trim: G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged: Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates --_-_ 34. ornate -Vent. Access -Comb. Air -Return Air Vent -115V outlet --------- - -- - 31.;. Attic Access & Platform if Furnace in Attic --- - --- ----- -- - Card -BI Date ward -BI _ Date Card -81 Date Card -81 Date Card_Bl_ Date ,ard-Bt Date Card -BI Date - Card -BI --- pate----- Card -BI Date J:de. FRAMING Plans) OK except a's Comments at Final - J6. Sills. Proper Material & Anchors --- - -- -- ---- -- -- -� --- i 37. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -. - .-___--_ -- ---- --- 38. [3.:119 Walla over Girders & Floor Nailing 39. Orals Slop it Walls (rat proof) ---- 40. Fire Stops Funed Cerlutys-SIMIS-Chases-Tub _ - 41 Fh•ader & Ra.un-$r;e & Br:umg 42. H.uhlers-Post Caps-Anchor-:-Cunnectr>rs - - - --- - - 43. Clnyf. Jursl-Kiln. Tres-f'wlnt-Roof.-- 4-1. Fueprac. 1 n•s or Type A Flu.-Fneplace Throat 41,. Arlo Ar (es, Srt. & Runrrtx Proteclwn-Di.tlt Slop -Ins. Haffle, 46. 0,11n. Wutduas ur Exiling DWis-Sill Hgi. & Drmensrutis COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Ca:iJor6ia St5965 - Telephone 916/534-4541 APPLICATIONAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMER --4� 3 - ZONING BUILDING PERMIT owN opo �ncL TELEPHONE SQ. FT. OCC. BUILDING VAL ATION �. �Cf1M OWNS 'S MAILING ADDRESS z v 0wc w CONTRACTOR•5NAME ITELEPHONE CONTRACTOR'S MAILING ADD t2 E55 CD Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER ARCH LICENSE NO. Plan Checking Fee Q$ $ VZ4 Z L- Energy Plan Checking- Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS i2�v c�eC fu Permit fee $ IZ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water eater or vent 5.00 USE OF STRUCTURE SF Roe Duplex❑ Mobilehome❑ Other SPECIFY Gas pipin stem 1 - 5 outlets 5.00 Buildi sewer 5.00 Mobi a Home TS G W 10.00 ea TYPE QF; -WORK , New❑ Addition❑ Remodel Utilities❑ Installation[] Other❑ Describe work: l�12 i�.l%t/1 %� 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 CONTRACTORS LICENSE LAW I declare er 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. 46 S&50 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& �20Sgft OR ADDNS. ACC. BLDGS. , NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OccU OUTLETS OR FIXTURES 20050c p� SAL03o Ex. Occup. OUTLETS FIXED P(RESID.)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 i ,� Permit Fee $ )� WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): permit is for $100.00 (valuation) or less. 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 FiIingFee 10.00 Heating Cooling g Hood3.00 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. 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 s C unty in consequence of the granting of this permit. X �� Date Signature of Applicant — Owner El Contractor Oko"Agenr An OSHA permit is required for excavations over 5)" deep and demoliti n orc# tract- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ /Q r occUP. CONST.T74 �a D I FLOOD PARCEL PD ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �� !/ ®+� Receipt No. %K27 3 D J�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSP ECTO GOLDENROD-APPLIC T r r .. r."'"`j r e l a... d9 - �? IT `' f •. COUNTY OF BUTTE - DEPARTMENTOF`t' UBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CR1L'l• �RNI•Af35965 - TELEPHONE: 916/534-4541 t PERMIT APPLICATION DATA SHEET Permit No. OWNER t2��C7hl �/VLC9l-�1#. A. . No. Proposed Building Use S F.*� ���,u - Building Inspector b Date / $7 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. . . . . . . . . . . . _jp4�.�2. Plot plans in duplicate./triplicate, signed by preparer of plans. , r 13: Complete plans in duplicate./triplicate, signed by preparer of plans. JL4. Complete engineered plans and calcs, with wet signature on plans. LI-5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . Statement of Intent for Imo -Heated and AC Buildings. . . . Fees of $ /0. n 0 . . . . . . . . . g 4')_AdA­-9. Letter of signature authorization. t_) /34-0. Sanitation approval from Health Dept. Planning approval for (A) Use: (B) Parking: 1 , Certificate of Workmen's Compensation Insurance. . . . . I -M�%f7 3. Contractor's License Information (no., name style, classif.) Am rV7 Ji/y,44 - Owner -Builder Verification (Given to owner[], Mail to owner ❑ ), �Zy�L15:- Improvements may be required. . . . . . , . . . . —b—A4-1.6-'Mobilehome Installation Data. . . . . . . . . Pre-Inspec. request to -17�Pre-Inspection for Required. Building Inspector 641' Recorded copy of Agricultural Acknowledgment Statement. DDriveway Permit. 0 Plot plan approval from city of - - 21. - Z 22. When you issue the permit, process as follows: —Mail to owner, M&I to contractor. Telephone and. hold for pickup at—off ice, Deliver w/inspector. Other Applicant vet' / Gam"' Date e✓ Z Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. CS A 2. Additional items required: (Circle new item not the ed above). i { Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by -� date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. ORDER NUMBER FIRE INCIDENT .a FIRENUMBER G.•, L N!•oaoLL REPORT FC -18(3/88) ORIGIN LOCATION ` 2 SEC. TOWNSHIPy9 RANGE -� N L ❑ S _� r_1. LJU K-10 STARTO. COU TY It FIRE NAME, thru CIS MILES.1- _ n:>J+ f ! DIRECrTION � ' r ❑ fRp�A IN. ;.;NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., .ETC!: � 3 IRE +�r.,+�!'�•�a��;1 •� •�, � � j� 2 � 4"t� * •• A 7 ql�, NCIDENT TYPE, ❑ FOREST INDUSTRY ❑ RANCH -FARM 3 IRE ❑ FALSE ALARM -'i0 TO j ";'` 4"t� * •• A 7 ql�, ❑ ROAD ❑ WILDLAND ❑ UTILITY, RAILROAD ❑ NON-WILDLAND + `+BLOCK 10 ❑ OTHER ' .t; t RESPONSIB-ILITY r r 4A 4B J STATE ZONE 'STATUTORY Other than T 8 Y G 0 ❑ WILDLAND'SURNED OR THREATENED RESPONSIBILITY AGRICULTURAL PROD Os0 p CDF LOCAL GOVT. CONTRAC[I UNPROTECTED (to AT ORIGIN) (Other than T 8 Y G) STATE DWELLINGS Op ❑ ASSIST OTHER AGENCY (Not r) 1 ❑ U.S.F.S. 00 LOCAL ZONE CDF LOCAL GOVT. CONTRACT OTHER STRUCTURES. ❑ B.L.M. ASSIST OTHER AGENCY City) ❑ B.I.A. VEHICLES 8 CONTENTS (Not ❑ OTHER FEDERAL OTHER ©FEDERAL ZONE' , 1 ❑ ASSIST FED. AGENCY (Not Mil.) ❑ OTHER t: I TOTAL,::;, 0 ❑ CDF LOCAL GOVT. CONTRACT Op MISC. AND OTHER ASSIST CITY, CONTRACT CO., MIL, OTHER CAUSE (STARTS IN iv I U V OR U ONLY) ❑ LIGHTNING f, . ❑ DEBRIS Q PLAY W/FIRE ❑ CAMPFIRE ❑ ARSON &OTHER/MISC. El 1 SMOKINGEl EQUIPMENT LAND USE' (STARTS 'IN . 0 0 O OR' O I ONLY) .DOMESTIC +{ . - 1 ' ❑ FOREST INDUSTRY ❑ RANCH -FARM ❑ RECREATION ❑ DUMP ❑ OTHER INDUSTRY-COMRCL. ❑ ROAD ❑ WILDLAND ❑ UTILITY, RAILROAD ❑ NON-WILDLAND ❑ UTILITY;, ELECTRIC ❑ OTHER YOUNG GROWTH: DAMAGE! 161 ' (Z7 45)"na (ts) nNiw % S DAMAGE ' Number Rau off to Nearest $100 1 2 s/ora s TIMBER 8/OR' YOUNG GROWTH: 'WILDLAND VEGETATION Other than T 8 Y G AGRICULTURAL PROD ". ��• (Other than T 8 Y G) DWELLINGS 8/OR CONTENTS OTHER STRUCTURES. &/OR CONTENTS VEHICLES 8 CONTENTS OTHER t: I TOTAL,::;, ; ' ;•;{�,#• : $ ON ARRIVAL (0 VEGETATION FIRES ONLY) SIZE DISTANCE (Origin to head) VVtA 1 HtK ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE' 10 OVER PLEASE CDF 7540-1 9001 1 8 86 39812 10 ORDER N UMBER REG. R.U. INCIDENT. , NO.. YEAR qaL FIRE PFrnpn '41V t'N CRFW/nVFR14FAn RFrnRn I GO TO @ LOOKOUT: (If 1 ST. or 2ND. reaort made by Lookout SITE NAME: SITE NAME! I L CDF CDF STATE & LOCAL GOVT. CONTRACT OUTSIDE2 1 � PERSON AIRCRAFT 46F STATE & LOCAL GOVT. CONTRACT ORGAN- errt, 1ST.C D Di: ata, AIRCRAFT CREW NAME IZATION FIRE STARED INSIDE 4 l CREW NAME IZATION HOURS , FIRE DISCOVERED I 1— FIRST REPORT 114 ILI I SECOND REPORT FIRST ATTACK BY CDF FIRE CONTAINED jg3c;j '41V t'N CRFW/nVFR14FAn RFrnRn I GO TO @ LOOKOUT: (If 1 ST. or 2ND. reaort made by Lookout SITE NAME: SITE NAME! I L CDF CDF STATE & LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT 46F STATE & LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CREW NAME IZATION HOURS FLT. HRS. CREW NAME IZATION HOURS FLT. HRS. I ST. ATK j CDF C CDF OVERHEAD TOTAL ON A\ FIRES, ENTER TOTALS BELOW U.S.F.S. (Incl. Overhead) TOTAL OTHER FEDERAL (Incl. Overhead) TOTAL FIRE DIST. & OTHER LOCAL TOTAL PAID HOURLY (E.F.F.) TOTALj VOLUNTEERS (Unpaid) TOTAL, FC ATTACHED -18B (Additional crew activity) I . COMMENTS lips MAP IS: ❑ ONE SECTION ❑ FOUR'SECTiONS:, [:],MAP ATTACHED CA 41 W i W-1 j L ORIGINAL REPORT BY: SIGNATURE ITO APPROVED BY: DATE INTL. DATE