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039-360-104
30-36-104 03 17 - z (00 - LYMAN & SUZAN HEGAN -1-34.,Shawna Lane;- C?ntr: Western Sierra Const, i I c L N & LYMA U N HE 34. Sha na - La ne C 1-1- w C tr . I 2 n . Western t ern S 3 -ex P rm3jt#1761-83B,P,E,M(new single /family) 0 03 9-3 0_ 1 0 39-360-104 02-0869 McC R��, Ti McCAR'tY Tim V 1, 1134 ShA w -iia, Lane; Chico Cont:`Sierra. Rdofhlig Reroof/sF,P-M-0,t -0 - ------------- 039-366-164,-' 02-1380, si MCCARTHY,-,TIM &JODIE 1134'SHAWNA:LN." CHICO IME CONT: BOWEN POOLS POOL 039-360-104 04-3322 - T M , MCCAR Yo,'Fl, 1.134-SHA.\k'N A LN,-*CIJ CO CONT:,OWNFR zv ONE,TINE TO FINAL 0271380 -N, - 4 ® MOM I �f 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** OWNER CONTRACTOR VirsLName t� Address L( ;5' �i4-A VJISA Lr� City Gi-i-L GO State CA Zip Phone . •� 3 Fax E-mail I . ARCHITECT/ENGINEER I Name Address City ate Phone / State License Number CONTRACTOR Name Flood Zone SRA Yes No Address WORKER'S COMPENSATION City Subdivision Name State Zip -Phone Lot # -Fa E-mail Date Approved: Lic. # Class I . ARCHITECT/ENGINEER I Name Address City ate Phone / State License Number For office use only: if JSMAPhone Zoning Flood Zone SRA Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name For office use only: l 0 V Zoning Flood Zone SRA Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. BPD y �3 BIN # LOCATION l 0 V PropertyAdd es` City�Cd Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -lam Address Description or Scope of Work: Sq. Footage P e,2 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be OVER FOR SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: sG�tr���2/Z Receipt #:7/� Date: Bldg SRA Sheriff SMIP Other REV 7-27-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043322 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/19/2004 APN• 039-360-104-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1134 SHAWNA LN CHI Date: Contractor. Ma p Index: Description: final inspection for BP02-1380 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MCCARTHY TIMOTHY F & JODELL B permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a JOHNSTON signed statement that he or she is licensed pursuant to the provisions of 1134 SHAWNA LN the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95928 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: MCCARTHY TIMOTHY F & JODELL'B owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, JOHNSTON provided that such improvements are not intended or offered for 1134'SHAWNA LN sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA proving that he or she did not build or improve for the purpose of 95928 sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ lam ExemptunderArticle 3 of the Busine aannndd Pr ions Code Date: NO�t7 Owner: �v WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: ,2 i certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /VO ✓ Date: j0 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor v/ code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resoluti o do work indi ted a e for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) O Name: B Date: — Address: PERMIT EXPIRES ON: 112 p S to ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte C unty. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. C Print Name: ' ` !A Signature: Date: 1Q I1.0\/ (31+ Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor NOTES : RESIDENTIAL I t 039-360-104 i , 02-1380 ' PERMIT NI.MCCARTHY;-TIMI`& JODIE ---- k 1134 SHAWNA LN., CHICO CONT: BOWEN POOLS ;r POOL �' '•„' . r • t� s IIJJ t�^ y Vl' ? ' SPECIAL CONDITIONS CHECKED BY SRA ;FLOOD CERTIFICATE REQ.. - ; FIRE SPRINKLERS REQ. r” SPECIAL INSPECTION ITEMS i VERIFY t . USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER y z JOB FINALED (Date) L :; Signature ° COUNTY OF BUTTE Bl'.II DING DIVISION r DEPARTMENT OF DEVELOPMENT SERVICES r 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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 notice this office when correction of work is y completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date REV COUNTY OF BUTTE BUILDING DIVISION N DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541, CORRECTION NOTICE "A K OWNER PERMIT NO. f A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice 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.' -SA LA.) 611ce :a $Y ? Ti 4� K� Date '� W -Inspector REV 10/92' _ COUNTY OF BUTTE ' BMLDINCi. DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ;= 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont,this office immediately. V ll --'o S l /-1 /7%7/lC B- e9ly /-ki v Z >-' ei x<,. V V= OK _0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance 8 Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval .43"Elec,?400l 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s e cks-Easements oils ompaction-Structure Stability ool Stru re; Steel -Connections -Thickness Dea en -Lining c.; Re eptacles and Lighting, Distance-GFI .43"Elec,?400l ' ghting; 15 Volts-GFI le .; ErXfosures; Conduit Entries -Terminals -Listed le onding; Metal w/5' -Circulating Equip. -Heater lec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosure s- Pane lboards-Ins. to Main in Conduit 9. He Ith Department Approval 1 lumb.; Cir. Test- er Supply n Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 51C,111 - `{errs Lj ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date 23. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouis-Wrapped 6. Stemwalls, Garage; Steel -Blackouts -Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Fig. -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 37. Condensate Drain & Overflow, Size & Grade Date 38. Card B-1 Date Card B-1 Date 39. Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection Date 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 42. Bearing Walls over Girders & Floor Nailing Date 43. Card B-1 Date Card B-1 Date 44. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Ramex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 58. Glazing Area -Glass Protection -Skylights -Plastic Date 59. Card B-1 Date Card B-1 Date 60. Card B-1 Date Card B-1 Date 61. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation Date 37. Condensate Drain & Overflow, Size & Grade Date 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Date 39. Attic Access & Platform if Furnace in Attic 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector Date 65. Card B-1 Date Card B-1 Date 66. Card B-1 Date Card B-1 Date 67. FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Dupldx) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive'] Yes ] NoMalks J Yes 7 No/Planters ] Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT' 1� ASSESSOR PARCEL NUMBER 039-360-204 ZONING BUILDING PERMIT OWNER Tim & Jodie TELEPHONE 34'' SO. FT. OCC. BUILDING VALUATION cont. 22,5W. OWKER'S1MA LI4 NG. ADDRESSLn•, Chico CA 95926 C,O�,NT�RACTOR�'S(_]yNAME� i� TELEPHONE 34.5— D7V7 rll l t Ave• adw, CA 95926 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 234.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS A Energy Plan Checking Fee $ $ PERMIT FEE $ 22 2n.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other R..4 � �'r'rPEC�� Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mestere Plan ..97 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 "OOV OR LESS Main Service 200AORLESS23.00 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.POWEPPARATUS License Class C --T3 Lic. NO. C A��' 55-12.9 � OWNER -BUILDER DECLARATION 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 Main Service 2 TO lOaoA 46.00so NEW CONST. OWEWNG OCCUP. SO EL OR ADDNS. ( a ACC. BLos. 3.5QFT: NOµF61oT MULTI -OUTLET 97,50 6 SINGLE RAO20 UTLET CIS. Ex. Occup. OUTLET OR FIXTURES @''00 BAL @ .50 FIXI Ex. Occup.OUTLETS Aa OR) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 Pool Fly PERMIT FEE $ • 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' compMpapon insurance carrier and policy number are: Carrier c-7�T is.) h.) r i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number .,,, -> (The above sections need no4' a completed if th6 permit is for work of a valuation of one hundred dollars ($100) or less.) j❑. 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 ifI should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ <+ _ 11A k.JE:.-. Date Signature of Applicant - ❑ 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 $ occ CONST. TYPE TOTAL FEE $ 362,00 of �HAZ. . p, FEES IMP +.. %.- FLOOD CDF PARCEL PD — HD SSU 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. t/ /�MC `1` C� By Date F7 PERMIT EXPIRES ON ? Date Receipt No. C, ` !�j� '+ 1� '"� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7r-41 RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT r, ASSESSOR PARCEL NUMBER 039-350-104 ZONING BUILDING PERMIT OWNER Tim ' Jodie McCarthy345-5339 TELEPHONE SO. FT. OCC. BUILDING VALUATION cont. 22,500. Ofll � is '1aSIn. , C1�co Q; 95926 MRACTOR' NAM ��ea SPOO,S1 TELEPHONE 345-2503 `§ffCr1 L1rt! v�. , Mico Qi 95926 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 234.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93-00 BUILDING ADDRESS SK.Y. _ Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 'Each Solar or heat pump water heater 23.00 Water piping 15.00 15.00 as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Mdstir PI A i 908-97 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class C - S3 Lic. NO. Co,,*-� 3�� 2- � � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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_' comon insurance calrier and policy number are: Carrier j) Policy Number (The above sections need not -be completed if thpermit 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. L_ yam,of nX 6 LL/L' �, d am-.. Date 5--30- 0-2— S' nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO +000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. S. 3.50FT; NON.N•RDSID. MULTI.OUCT @7,50 APPAMTUS 8 SINGLE OIJn ET CIR. Ex. OCCU OUTLET OR FIXTURES URES B20 I; 0 Rl 5.00 Ex. Occup. ouT ED s = ,GE Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 -2ool Elect ci PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 362.00 HAZ. `- D. FEES IMP FLOOD CDF PARC PD HD sS This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. r z Da J U ?h� 03 10ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • r.arV 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 =� �17 219d', APPLICATION AND PERMIT — P` ' sEs:oQ•AAOEtNuueA �q BUILDINGPERMIT !! i TE75"E J3••3 SQ. FT. I OCC. j BUILDING VALUATION I s7W'•ER - 1 9 MAA:Nd SS = QAC rOQ S NA uE—� I rEEEP�ONE7- i —... Fireplace { I "- I u� C]r,sraucrlcmtEPoEA _E•.OEQ S •wv.G AOORESS Total Valuation +AC-rrECT OR :K.iNEEA ucENSE NO Filing Fee ( S 2) C. .�-C..ITEcr on ENGw SEAS VA.L;NG •DCQESS Permit Fee I S Plan Checking Fee S AOOREss Energy Plan Checking Fee I S j I � S PERMIT FEE S urNo I :sueorvsJON SNAME PAACEL MAP PLUMBING PERMIT � Filing Fee 2o.GC USEOFSTRUCTURE S: ❑ Duplex O Mobilehome O Other s�`� Each Trap { 7.00; Solar or heat pump water heater { j 23.001 Water piping 15.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities O Installation ❑ Other O Describe Work: SM �L Each es water heater or vent j { 15.00 Gas piping system 1 . 5 outlets { { 15.001 Building sewer I { 15.00' Mobile Home I S j G W j { @20.00' PERMIT FEE j S ELECTRICAL PERMIT j I Fling Fee` 20.0 400YMain Service M"OR LE SS iooA OR LESS I 1 23.00 • APEP.#ZT FEE Poo12I s �A . �uI'�♦ SHOUFF �9 w � t�U( " TO Ft" stVTO COMA Main Service 200A TO 1000A { j 46.00; NEW CONST, Ow 14 OCCYP. OR AOONS. ( a k= mos. { ! 3. Sc FT. NMYLTI.OVrLET 1gHRE5l0ffiAmcm c1gcurTs @7.50; POwEA APPA,PATUS A sMOLE OUTLET CIA { I I Ex. Occup. ounEr OR F ruREsao 7 eA� . .w I MEO APPUIs. OR I S.00 Ex. Occup. OVTtETS IAESIO EA 1 _ Temporary Service I 23.00 Mobile Home Facilities ! 20.00 Misc. Wirin I 23.00' © I I 1 t�Q•!� PERMIT FEE S MECHANICAL PERMIT Fling Fee 1 20 C Heating CoolingI I ; Hood j 6.50: Ventilation PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Foo S °" `°ter ry" TOTAL FEE $ j -=� w-I _. PAR'CA s permit is hereby issued under the applicable provisions F'.the Butte County Code end/or Resolutions to do wor< icated above for which feet have been paid. By Date RecelptNo. PERMIT EXPIRES ON WNITe•0 0.1.•1.0. CANARY -ASSESSOR PINK•INSPGCTOR 00LOeNROO-APPLICANT I Mew E.H. USE ONLY * X ' (' Pian l ch d riceau P9 (� V 7 s an A4U48c1s®d ,T M Sant to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 34 -it/_ -a32-- -300 --/O� Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8196 039-360-104 == 02-0869 MXARTY,�] 4 1 134 Sha vna L'a' neCl hico Cont; Sierra Roofing Reroof/S F .t I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541r ,e� (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 3 36 — /0'/ ZONING BUILDING PERMIT OWNERTELEPHONE e. Q SO. FT. OCC. BUILDING VALUATION O I NG ADOR S G Aes S'oO CONE Cj'T-OR'S NAME TELEPHONE .—f ` 7 CONI TORS MAID ADDRESS _ L 1 % / 75—f X •L7� AG. IW 4J CONSTRUCTION NDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ % Z.► ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ 410 PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF�uplex ❑ Mobilehome ❑ Other spEclFv Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑emodel ❑ Utilities %(1❑ Installation 13 OtherRr/EC` Describe Work: J II�ke �" (�Lv�G1%S►/�IlGh Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR IES: 23.00 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 i full fo ce and effect. /_/y License Class �A Lic. No. (� zJ 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 with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service f000 200ALICENSED TONG 46.00 NEW CONST. DWEW WEE OCC OR ADDNS. ( a ACC. BIAS.UP. SO 3.5¢FT. NEW CONSMULTI.O NO.FIESIDUTLET . BRANCH @7.50 POWER APPARATUS a sINGL E OunET cIR. Ex. Occup.OUTLET OR FIXTURES BAL @ L: 0 Ex. Occup. oflxuTlFfs REFS OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the La or Code, for the performance of work for which this permit is issued. My workers' o p ns# In insu?pce carrier an golicy number are: Carrier / MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars. ($100) or less.) ❑ 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 lam� of Californ' , and agree that if I should become subject to the workers' mnsati isions of section 3700 of the Labor Code, forthw'torf"i" y e isions.This X Date Si • ature of Applicant - ❑ Owner ontractor ❑ 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 TOTAL FEE $'' CONLD.FEES .. HAZ. IMP FLOOD CDF PARCEL PD HD 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. By /� f/—,%—Date A� PERMIT EXPIRES ON Date ' Receipt No. Z v/ 7 v_ j WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P,�R�11T (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER - J b `% / _ /L/ c\ 1 ZONING BUILDING PERMIT OWNER TELEPH NE SO. FT. OCC. BUILDING VALUATION `S .O NG ADDR CONT CTOR'S NAS � TELEPHONE COM TORS MAI ADD ESS CONSTRUCTION LkNDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ O ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAULING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 11314 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ,,121""'Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ emodel ❑ Utilities ❑ Installation ❑ Other, (//` e Describe Work: 5 ` Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OR Main Service ZDO"00A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 i9L f�ull)fo ce and effect. J_yM�� License Class ?i 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: ❑ 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 Main Service zouA TO l 46.00SO NEW coNsr. owET.uNo Occup. so U OR ( a ACc. BLDs. 3.5¢FT: CNS. NEW CONST. I.OUTLET @7.50 NON•REsID. MULT POWER APPARATUS a SINGLE ourLEr CIR. EX. OCCU . OUTUET OR FIXTURES SAL @ 1. 0 Ex. Occup. o.ED AEs o.oE, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the e ormance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the La or Code, for the performance of work for which this permit is issued. My workers' o p7ens Insur a carrier licy number are: Carrier �CA Policy Number (The above sections need not be completed if the plermit 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 laym of CaliforrP, and agree that if I should become subject to the workers' m nsation Isions of section 3700 of the Labor Code, I shall hw• c y Be visions. X Date L Si of Appli nt - Owner Contractor ❑ Age t jature An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ l HAZ. p. FEES IMP FLOOD COF PARCEL PD HD IS 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. By ate EXPIRES ON >, le Receipt No.PERMIT WHITE-D.D.S.-B.D. NARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT /�I Il V �r I z YYY m PERMIT NO. "1761-83B,P,E,M PERMIT EXPIRES e OWNER LYMAN & SUZAN HEGAN I CONTR. Western Sierra Const, Chico ASSESSOR PARCEL 39-36-104 i' LOCATION 1134 Shawna Lane, Chico zidl Q��/ 3Y IS a jk 1 A r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E n Temp. Gas Service rs' �3 /\c" ... Called PG&& E JOB FINALED (Date) L t ' Signature - 4 �4 Zrotl ��1//MA��jI//J �.• i. j /�I Il V �r I z YYY m PERMIT NO. "1761-83B,P,E,M PERMIT EXPIRES e OWNER LYMAN & SUZAN HEGAN I CONTR. Western Sierra Const, Chico ASSESSOR PARCEL 39-36-104 i' LOCATION 1134 Shawna Lane, Chico zidl Q��/ 3Y IS a jk 1 A r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E n Temp. Gas Service rs' �3 /\c" ... Called PG&& E JOB FINALED (Date) L t ' Signature - 4 �4 Zrotl � r % Y r FICE COPY I i Address GAS Date Meter ELECTRIC Date Meter By . d: 1 RES XDENTIAL ENFRCY CO'NSERVATION STANDARDS CONSTRUCT16N COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFOMkNCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Shawna Ln. Chico (location) BUrLDINC PERMIT N0. A.P. N0. THE FOLLOWING RAVE BEEN INSTALLED AS PER APPROVED.PLANS- (Check each item or write N/A if not applicable)- INSIILAT ION : CLAZ INC : Slab Edge SinLle Glazed . Intent. 14alls CT FG z" R-11 Special (Insul"ated) Floors CERT. & LABELED WDS. Ext Walls CT FG 3 7817 R-_13 & SLIDING DRS. Cciting/RoodC/FG 13 3/4" WEA1IiUSTRIPPLD DRS. b=*z R-30 BACK, DAM1'ERED FANS Circulating. Pipes INTEMIT'iE14T IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES APPROVED 14TR.11TR. I DECLARE THAT ALL REQUIRED ITS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDA14CE W1SM WITH THE ENERGY CONSERVATION RE•QUIRL'MENTS AND AC 'E TO - TILE COMPLETENESS OF TRIS CERTIFICATE AS SUILMITTED. Insulation Applicator Naffe__jjfj.Wk.jjL Signature of (plea: t) —p— Insulation Applicatot�,� State l,untraCwrL License No. 378407 General Contractor/(timer Name Signature of (please rint) Cener.il Contractor/Owner 7 Date /o `-J 4.1 State Contractors License THIS CERTIFICATE MUST- Qe ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO RIQUESTINC FINAL 1NSPE.CTION AM) SMU. BE POSTED IN A CONSPICUOUS LOCATION 'W1rItIN THE DWEI.I.INC. DEPARTMENT OF PUBLIC WORKS !.) - . L BEAUT r 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFF Director January 8, 1985 Western Sierra Construction Owner: Lyman& Susan Hegan Rt.#2 Box 832 RE: Building Permit No. 1761-83 Chico, CA 95926 Expires 6/22/84 (A.P. No. 39-36-104 ) Dear Sirs : . With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but.not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The -.renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the Chico office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of.the application form. Thank you for your prompt attention concerning this matter. JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Chico Yours very truly, William Cheff Director of Public Works CF. Glander hief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-29'61, Ext. 57 • yam- :..-, utte County LAND OF 'NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (till) CHEFF. •. Acting Director May 1,1984 Western Const. Owner: Lyman & Suzan Hegan Rt' .4t.2 Box 832 RE: Building Permit o. 1761-83 Expires ` Chico, CA 95926 6�27,'f4 (A.P. No. - - ) Dear Sirs: With reference to the above subject, our records indicate that your Building Permit will expire on the,above date. Building permits are valid for one year and should construction be started but,not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing -Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not•renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If'your construction is completed or shopld you have any question concerning this matter, please contact the Chaco office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned,to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Acting Director of Public'Works JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector Chico .F. Glander Chief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise - 747 ElliottRd/872-2961,'Ext: 57 OK O = Not OK = Not Applicable MOBILEHOMES f = Not Ready MISCELLANEOUS ~' Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG 6. Carports; Windows -Doors ` 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI '.1 -,+ . Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans)' OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers- Brea kers-Clearances• _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date ! "Card -BI Date Card -BI Date Card B-1 Date Card -BI Date ' Card -BI Date Card -BI Date a W = Ok - 0 = Not OK - = Not Applicable RESIDENTIAL )Single and Duplex) x = No;aReady Date UNDERFLOOR (PlailssOK except #'s Date FRA G Continued 1 oning requirements -Setbacks -Easements Property Line Firewall & Openings , Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4W.;Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Z.AFtg., Garage; Soils -Steel- / /" Ftg. Depth -SL7' Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" FI9,00epth S*r Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 6w'15emwalls, Main; Steel-Blockouts-Wrapped 52. Siding -Nailing -Veneer 6lSStemwalls, Garage; Steel-Blockouts-Wrapped 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. P' rs-Fireplace Ftg.-Steel 54 --Glazing Area -Glass Protection -Skylights -Plastic Fall -Fittings -Test -2 way C/O -Sewer Test 'JT. --Shear Walls; Nailing -Bolts --@.,'`Ras Pipe; Size -Anchors ater Pipe; Test -Anchors -Regulator -Service Test lectric; Underground 'T2JtPlenums & Ducts; Clearance -Material -Support -Ins. 13*irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -B Date Card -BI Data Card- Date III Card -BI Date Card -BI Date Card -BI 'bate C d -BI Dat Card -BI Date Date FINA tans) OK except.N's Card -BI Date and -BI Date Date PLUMBING (Permit) OK except q's 5 xt. Steps -Door.& Sidelight Protection -Landings 5V Sm a Detector _ 14. Water Ht.; Vent- ccess- ombustion Air Anchors -Nail Protection 5 urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection flogs & Anchors -Nail Protection 5 e oom Exiting ,d3_ Shower Pan; Test, First Floor -Tub Access .F.I. & Bath Fixtures & Tub Access 7'T�'� est Tub &Shower, 2nd Floor -Tub Access 61. let. Trim & Subpanel; Breaker Sizes -Labels 1 as Pipe; Size &Anchors Rails 69elo Fireplace or Stove; Clearances -Hearth Card-BI��Date 121 Card -BI Date U.—"Elec. Outlets at Wood Panel; Int. & Ext. 6 ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -Bl Date Card -BI Date 6 ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's Garage Fire Door; Swing -Landing -Closer ct to Garage -Damper Fixture &Transformer Clearance -Ins. Protection Wt tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- age; Above Floor -Meth. Protection —I Tec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. & Mech. Equip. Listed for Location Sr.—Size Boxes & No. of Conductors-StapledEI .Receptacles in Garage; (G. F.I.)-Rome Protec. mex Installed Close to Edge of Studs & C.J. — - - Equip. Ground made up w/Mech. Fasteners as Water 2 Appliance Circuits in Kitchen & Conductor Size 7 nsulation-Foam-Looked in Attic es its & Deck Construction -Post Caps c. VQ"L x Crawl Hole Door -Drainage & Wood -Earth Clear nce Loomed under Floor ❑ Yes .2& Subieed Wire Size i / a. Cu or AI-A.C. Wire Size / / ga. Cu or AI Mange Circ. / / ga. or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral `Wes ❑No /Service -Riser Conductors & Ground -Main Disconnect 7 ollowing instl � Drive es [3 No; Walks es C] No; Planters MY es ❑No 4-4"MCi-Brown-Finish - 28/Equip. Clearances; Panels-Motors-Mech. Equip. 7 .C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 3telothes Closet Light -Shower Light _ 7 nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --------------------- -----.— Card B-1 ---Card-BI Date Card B -I Date Card -BI Date 7 er Well; Disconnect, Electrical, Plumbing 80o00E>terior Elec. Trim; G.F.I. Receptacle -Underground 84^entilation throughout House Protection Date MECHANICAL (Perrrit) OK except N'sest-Meters _ 8 Corrections from Previous Inspections Tagged; Gas -Electric Ducts; Insulation & Support J ; r & SdweTTo_nnected-C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ --B@.—Vent Fan_ Exhaust above Insulation _ .23— Condensate Drain _& Overflow; Size & Grade 34.. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet ^41—Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date / Card -BI Date �f _4/t Card -BI Date °/�/ ` _ L/li _ _d Card -BI / Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: _ — - _`Sills; Proper Material & Anchors _ y?'Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound -Se'Bearing Walls_ over Girders & Floor Nailing_ _ 4? Draft Stop in Walls (rat proof) 46rFire Stops; Furred Ceilings -Stairs -Chases - Tub - jw5���e^�� _ T %Header & Beam -Size & Bearing 42. Hangers<�Anchors-Connectors - - - - Ing. Joist-Rftr. Tie_sJ�-'u+��. �n-Roof Brac.-Truss -Si ng.-Rfng. Fi ace Ties or�Fireplace Throat flit Access: Size & Romex Protection -Draft Stop -Ins. Baffles ^46!Bdrm. Windows or Exiting Doors -_Sill mensions__ l.3 Garage Fire Protection Framing_ (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OW PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. It you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. y� . U o ^ gar,��1s W-� _ o►v-Ea�-I- co .�-c�u��or Inspector` Date • COUNTY OF BUTTE 4. FbEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 J 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 17 nwNFR =MRA— . A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. • i' YARM - VMV�;# WA. li COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE J BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whenorrection of work is completed. If you have any question pertaining to this matt or need additional explanation, please contact this office immediately. �r rA) ,' Inspector Date ` ~ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ` APPLICATION AND PERMITA 11 PERMIT NO/� ASSESSOR PARCEL =UMBE Z31 c`) BUILDING PERMIT OWNE TELEPHONE SO. FT. OCC. BUILDING VA A I N OWNER'SIAAILING ADDRESS O C QNTR ACr R'S NAME ' rA"SA'= TELEPHONE CONTRACTOR'S MAILING AD RESS a _b�$I= eg aI Fireplace " 't CO STRUCTION LENDER UNKNOWN Total Valuation $Li LL Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ' 3 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $j BUILDI GrADDR 5sPLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 QO Solar Water Heater 20.00 Water piping 5.00 �^ LOT `{J\ SUBDIVISION NAME PARCEL MAP 1-7L?� Each qas water heater or vent 5.00 3^ Gas piping system 1 - 5 outlets 5.00 ,S,®'G USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 S ,i© Mob! le Home S G W 10.00 e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ .0-6 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.OWELLIN & OR ADDNS. ACC. BL S. 2/20Sgft CONTRACTORS LICENSE LAW I decl a 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 f ce and effect. 3 / License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR U TI—OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea NEW CONSTPOWER APPARATUS & NON- RRESID. ( SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES 20e50e BAL030 IXEDTS EX. OCCup. OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ he permit is for $100.00 (valuation) or less. 4I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 0 Q Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to a'e, indemnify and keep harmless the County of Butte against all liabil' `ies, ju gments, cost , and expenses which may in any way accrue61-1 against Pi C u ty in onse nce of the granting of this permit. X f Date - 0 Signature of Applicant - O ner ❑ Contractor Agent ❑ An OSHA permit is required for excavations o r " d e and demolition or construct- ion of structures over 3 stories in height. 41 Q Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ,� occ0 GR TYPE OF CONST. N 1,—Ip��,Ssur This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By PE EXPIRES Date- the applicable provi- resolutions to do fees have been paid. WORKS Date G- Zy /L7,—r�4 y .-�J .�� .00 Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK-INSP R, OLDEN D APPLICANT COUNTY OF BUTTE - DEPARTMENT.OF•PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET '' 11 Permit No. / OWNER v� /`t `� A. P. No.a G. i7 Proposed Building Use `1 Permit Fee Based Upon: Complete Contract Price L-/_�DPW Valuation Ot ;r•M(Exlain) f Building Inspector \ Date At time of permit application, I was advised thil e following data must be submitted prior to permit processing and/or issuance: r DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement.. . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . /9. Letter of signature authorization, . . . . . . . . . . C ]4. Sanitation approval from rJA I ,,— Health Dept. 11. 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 owner, Mail to owner Q•) r�N 15. Improvements may be required. . . . ... . . . . . . ; 16. Mobilehome Installation Data. . . . . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required. gildpa_I (Date) r3�f8. Other p 1`4, / When you issue the permit, process as follows: Ma Telephone?W SNAL and hold for pickup at Other Applicant I to owner. Mail to contractor. office. Deliver w/inspector. Date4 i3 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of a plica •o ' le item:) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone By Plans -checked by Date Plans approved by Date Other: _ Copy—DPW Mail Other Date TO: Building Department , FROM; Environmental.Health, Chico SUBJECT: Sanitation Clearance Owndr Location AP ,Plann approved for; sewage disposal ✓ water supply Hold final final for: water supply Final clearance OA. for: water supply Clearance for bedroom mobihom Other Note' anitarian Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL, DEVELOPMENT Section 26-8.1 of the Butte County Code 'requires this acknowledgement t` be recorded prior to issuance of a building permit. G�.��W�• ��`SQp"d�M.er JUN 3r cif:, 10,R1 CLEli K - RECORP, �` The property described herein is adjacent to land or included FEE y within an area zoned for agricultural purposes, and residents of 83-1800 this property may be subject to inconveniences or discomfort arising ' from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established. agricul- tutal.zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared' to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, �nnnr�f... i ne fnl ln.+e• DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: A portion of the North 1/2 of Lot 63 of Stanley Park, according to the Official Map thereof recorded in the office of the Recorder of the County Page 105, of Butte, State of California, May 7, 1906, in Map Book 6, at more particularly described as follows: Parcel 3, as shown on that certain Parcel Map recorded in the Office California, on Nove.mb,pr of the Recorder of the County of Butte, State of 26, 1980, in Book 79 of Parcel Maps, at Page 89. TOGETHER WITH a 50 foot non-exclusive easement for ingress and egress to herein. and public utility purposes as shown on the Parcel Map referred Date: State of Calif. ) ) SS. County of Butte PR ERTY OWNERS �2Z On this the 7th day of ,Tune 9—.Ea- 11 before me, the undersigned Notary Public, personally appeared Lyman R Hagen and Susan M Hagen pq known tto, me to be the person(s) whose name(s) are OFFICIAL SE AL subscribed to the within instrument and acknowledged CHARLOTTE ANNE ALDAX that they executed the same for the purposes -� NOL97 NEUC - CAUFOHNIA ' BUTTE COUNTY therein contained. My Commission Expires Nov. 7,1986 • IN WITNESS WHEREOF, I hereunto set my hand and official seal. NQ Notary Public Present A.P. N0. ' OWNER RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # ZZ6Z__,P,I A.P. #_D�� 3 iia A. GENERAL ning requirements (sideyards and parking). Valuation. �><Signature by R.C.E. or Architect (if required). $.' PLOTeePLAN Complete parcel size and dimensions. Setbacks,. sideyards, easements, etc. Other buildings or structures. /Q Grading, fills, drainage. C FLOOR PLAN >4 Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). ,/ ,Allowable glazing for energy requirements (20% max. per.State law). .�! Human impact glass (Sec. 5406). y� Required room sizes, ceiling heights (Sec. 1407). 'G.F.C.I.'s-in baths and exterior outlets (Sec. 210-8). •,..��ight fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. ' .Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). >; Fireplace location. 1 Smoke detectors (Sec. 1413). ":STFJJCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. �3Elevations and wall construction details complete enough to construct building. Roof.construction details complete enough to construct building' fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISIGELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and'overhangs. Stairway details (Sec. 3305). guardrail details (Sec. 1716). 14rick or storie veneer (Chapter 30). �c Exterior plaster - weep screeds (Sec-. 4706 & 4708). Proper roof pitch for roof covering JChapter 32). Rafter ties or bearing ridge beam. Garage door or porch.header sizes. . Adequate bracing. 'IQ4 Tiving area over garage.,- complete 1 -hour separation required including supporting walls and posts; etc. ° �k. Two (2) exits on three-story dwellings (Sec. 3302). COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER IT O. ASSESSOR PARCEL NUMBER 39-36-104 ZONING BUILDING PERMIT OWNER t Lyman & Susan He an TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME _ Western Sierra Const. TELEPHONE 89$-3495 lst & 2nd renewals CONTRACTOR'S MAILING ADDRESS Rt- ft2 Box 832, Chicc) Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee 3- FEE x 2 $ 317.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 327.50 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 1134 Shawna Ln. Each Trap 2.00 Solar Water Heater 20.00 Chico Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G W 10 .00e TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other Describe work: — 1st & 2nd renewals Permit #1761-83 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;00 AOR MP LESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under pens ty 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 son NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/4sgft NEW CONSTR. ULT I -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50 ea NEW CONSTR POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. OCC. 20e50C P�ouTLErs OR FIXTURES DAL®a09! EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under natty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Inst said County in consequence of the granting of this permit. Date gnat.,. of Applicant — Owner ❑ Controctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 327.50 OCCUP. GROUP I TYPE OF CONST, PARCELJ Po No I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date 6/22/86 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califorpia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ZONING 5� OWNER BUILDING PERMIT /_ 'SO. FT. , — '- TELEPHONE OCC. I BUILDING VALUATION s icoFireplace " CONSTRUCTION LENDE UNKNOWN C Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee OQ $ 1000 Permit Fee M fee $ e ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 IBy S/a Z ulga_ Each Trap 2.00 Solar Water Heater 20.00 � G Water piping 5.00 Lo. suaDlvlsloN NAME �— PARCEL MAP /--� Each qas water heater or vent 5,00 Gas piping system 1 -5 outlets 5.00 ,-,/ USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI GJWJ 10.00 e TYPE OF WORK New❑ Addition❑ RemodelUtilities❑ Installation❑ Pther❑ D�� w ��1 � �!n/-� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10D0v OR LES oo AMP ORS SLESS 10.00 Main service EA. ADD•L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under pen It of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this r ason ORKMEN'S COMPENSATION INSURANCE I declare undeifp4nalty 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. NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. 2/20sgft NEW CONSTR BRANCH CIRCT Ts 2.50 ea NEW CONSTR /POWER APPARATUS &1 NON-RESID, \SINGLE OUTLET CIR. IEx. Occu xoeeoe P�OUTLETS OR FIXTURES 200990 Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 'Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s 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 Inst said County in consequence of the granting of this permit. XThis Date ignature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ TOTAL PERMIT FEE $ 7- -CUP. GROUP I TYPE OF CONST. PARCEL PD HDISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-D.P.W., YELLOW -ASSESSOR, PINK-INS-ECTOR, GOLDENROD -APPLICANT TTI- f77'i-%�: -K "v 7., v I V, n Ve �4- P.� 05 vi il, R iie J. 7 1, 1. � t. � �k , ;'IT'' �t -- - I -_ " - "%-," I >,ti- � , ., - - , , It I 4� ei 4 - I - � -�It ., 11--`--�--- - 1, -, I., - . 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