HomeMy WebLinkAbout039-370-091a
v
Q!
Dr. John Cunningham
1133 Stanley Ave., Chico
contr; Holiday Pools, Chico
Permit #817-77B P,E(new private
swimming pool) . ?�
39-37-Wr Q `
Cont rry Tupper
Permi #727 roof/SF)
Contr;
Pe� 88-86E(ele ser ch/SF)
039-370-091 04-2865
HOUSER, STEVEN & CAROL
1133 STANLEY AVE, CHICO
Cont: RRR ROFFING
RE -ROOF (50 SQ)
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAM (530)538-2140
WEBSITE: www.buttecounty.neAdds.
PERMIT NO.
BP042865
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: 09/30/2004 APN' 039-370-091-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number: r7 1-7.V -
Site Address: 1133 STANLEY AVE CHI
Date:qawal Contractor.
Map Index:
Description: REROOF 50 SQ
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
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: HOUSER STEVEN C & CAROL
to its issuance, also requires the applicant for such permit to file a
1133 STANLEY AVE
signed statement that he or she is licensed pursuant to the provisions of
CHICO CA
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
95928-6944
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
`
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant'' HOUSER STEVEN C & CAROL
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
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
Contractor: RRR ROOFING
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.).
716 HAZEL STREET
❑ 1 am Exempt under Article 3 of the Business and Professions Code
CHICO, CA 95928
530-345-9646
Date: Owner:
License M 717351
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of pery'ury 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
Architect:
is issued.
Engineer:
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: V t 2X_%%Q Ic3-SO D214
Total Square Ft: 0 S. F.
11.J I
Policy #: 00S -000-7CA SE)
Valuation: $0.00
Census Code:
❑ I certify that in the performance of the work for which this permit is
issued, 1 shall not employ any person in any manner so as to
'
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.
3v t v�"I
Date:
rt
Applican oce
✓>
is
WARNING: Failure to secure workers' compensation coverage
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
z,
r 1�
code, interest, and attorney's fees.
I
LENDING AGENCY _
e applicable provisions of the Butte County Code and e
This pmg��6
__CONSTRUCTION
I hereby affirm that there is a construction lending agency for the
Resolve for which fees have been paid.
7
performance of the work for which this permit is issued (Sec 3097 Civ.)
I -`
By: Date:
Name:
EXPI S N: - <5_5Address:
PERMIT
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize represent ives of Butte County to enter the above mentioned property for inspection purposes. �
�uppoon
on S , 1" ((X
Print Name: 1 v Signature:
C, I3010LA
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED AT TIME OF APPLICATION
"PLEASE PRINT CLEARLY"
OWNER
Last Name
irst Namb,,,,(--
Address 1 13�5 EA -an Lx�'_
City �_�_ t Lv
State C�
Z
Phone _ y a
Fax
E-mail
CONTRACTOR
Name -
Address .`7
City Ct+ t LCA
State CIS-
01119s
Phone �cJ _q Lo(_t to
Fax 3-q S _l�:7&47
E-mail
Lic.#-7I-7 51
Classes,
I
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City Q C.
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City Q C.
Stated
Zip
Phone _0
Fax
E-mail
APPLICANT SIGNATURE
For office use only:
Zoning
Property Address
Flood Zone
Cross Street
TC 7 Z�
SRA
Yes
No
Occ.
Type Const
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
BPZ�5
BIN #
LOCATION
AP# ' -:5,1 J, 61
Property Address
City
Cross Street
TC 7 Z�
WORKER'S COMPENSATION
Policy Number.f
pc- Ovo -7 410a
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
OVER FOR SUBMITTAL REQUIREMENTS 11
K:\FORMSMILDING FORMS161dgApp1SubRgmts.doc Page 1 of 2
Description or Scope of Work:
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
r
Received by: Amount: f Bldg
SRA
Receipt M Sheriff
4'l '?-� SMIP
Date: � � Other
Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only). —
❑ 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be'required after Plan Check'and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
metunas can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
TO: Building Department
FROM: Encroachment Permit Section
RE: Dii.veway Clearance
22 -3 7 - 07
owner location AP #
Driveway permit -7'0 -4F' has been issued for the above property.
number-
s ignaeure
date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965- Telephone 916/534-4541 \
APPLICATION A -RD PERMIT .
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. Oct. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
w
CONTRACTOR'S'MAILING ADDRESS
F {, , {
Fireplace
CONSTRUCTION LENDER
J,
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
1\/ . -
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
r
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 0 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other o
Describe work: ;E! -i.- -* �e;4—, , ,-k. (f k" ..ra _
!iiea: 72 % �,�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
,-
��• �� �;.
Main service 600V OR ESS
100 AMP OR LESS
10.00 r
,1
Main service EA. ADO'L 100 AMP
2.50 -
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions /Code/and. my license is in full force and effect.
License No. 'v't+• �� ! 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 OCCU1.8d
OR ADONS. ACC. BLDGS. 2,h Qsq ft
NEW CONSTR. ULTI.OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 2ALO3 t
eL030
FIXED APPLNS
Ex. Occup. OUTLETS ((RESID.)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):
❑ 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 said County in consequence of the granting of this permit. //
X , Z Date �- ' J�
' �
Signature of Applicant - Owner ❑ *n�actorl❑ 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 $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPE
FLOOD
PARCEL
PD
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
I
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date '
Receipt No. .� -L.1� f�17 /
WHITE-O.P.W.. YELLOW-ASsr33OR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cali#ornia 95-965 - Telephone 916/534-4541
APPL-Jk,CATIDN ANa PERMIT
ASSEOR PARCEL NUMBER
7-
ZONING
-
BUILDING PERMIT
OWNER r
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
LA r (nwr+
CONTRACT NAME
TELEPHONE-
CONTRACTOR ' MAILING AFORESS
ACTION
Fireplace
CONSLENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
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 heater or vent
5.00
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
9,1- SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities r❑ Installation ❑ Other
Describe work: l�+P�cti �c�r.+i��ew4 �— _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
6-60Voo
Main service AMP ORSLESS
10.00 &0(3
Main service EA. AOD'L too AMP
2.50 p
CONTRACTORS LICENSE LAW
nder penalty of perjury (check one):
I dec;r/luam licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions, JCode a my license is in full f rce and effect.
License No¢S,u/ Classification
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
oR ADDNST DWELLIN GOCCS. UP.&) yzQsgft
NEW CONSTR MULTI -OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS 2)
SINGLE OUTLET CIR.
2 0050t
Ex. Occup( OR FIXTURES .AL@30
200030
Ex. Occup. OUTLETS FIXED P(RESID.)LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 /�j�, Oa
/ o
Permit Fee $
Contractor
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
I 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
FiIingFee 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
against 7aid County in conseq ence of the granting of this permit.
X Date —J
Signature of plicant — Owner❑ n octor ❑ 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 $
TOTAL PERMIT FEE $
OCCUP,
CONST.TYPC
FLOOD
PARCEL
PD
NO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
TOR PUBLIC
BY 577A
PERMI XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.Sa��
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
/ - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIV. S°ION ,
� ;..: r.... t,
7, COUNTY CENTER DRIVE - OROVILLE0NC AIA 95965 - TELEPHONE: 916/534-4, 0541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER �—Qhty Cuwn�IN A. P. No. 3T-37— 5-2
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector I Date '4/
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. . . . . . . . . . .
3. Complete plans in duplicate/tri.plicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan , . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from 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 ❑ )
15. Improvements may be required. . . . . . . . . . . .
r
16. Mobilehome Installation Data. • ' •. s•
Ir r 6-ec"- s'<—Lquired•Pre-Inp
erequest to (Date)17. Pre -Inspection fo
Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement. . .
19. Other Driveway permit (const. approval required prior to occupancy)
r
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
r
d Appl ican Date
Copy of plans sent ' Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior tollpermit issuance.
(For required items not checked above at time of application, ciy/le item.)
1., Index permit. -for above Items No.
c/
2. Additional items required: d
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By l Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
' 7 County Center Drive - Orov_ille, Califor�ia.g5965 - Telephone 916/534-4541
APPLICATWN AND, PERMIT
i
PERMIT NO.
'ASSEOR PARCEL NUMBER ZONING
r 9UIL- G eFPA
OWNER - TELEPHONE SQ. FT. I OCG`, NG VALUATION
I t,,nIrJ .r- I=7� &
CONTRA OR' MAILING A RESS
\ � L
CONSTIRUCTION LENDER UNKNOWN
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OFIIENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
LOT NO. (SUBDIVISION NAME (PARCEL MAP
�—/ USE OF STRUCTURE
S1M ' Duplex ❑ Mobi lehome ❑ Other
SPECIFY. 1
Fireplace
Total Valuation
Filing Fee
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
Solar or heat'pump water heater
Water piping
Each qas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home I S I G W
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities Installation❑ Other Permit Fee
Describe work: (5 1 - < ;fir.. < c e 4C1ELs1/� �-- _ Contractor
ELECTRICAL PERMIT
�
Main service e00100VAMP OR OR LEss LESS
Main service EA. ADD'L 100 AMP
CONTRACTORS LICENSE LAW } NEW CONST. / DWELLING oCCUP.N)
OR ADDNS. 1 ACC. BLDGS.
I declar under penalty of perjury (check one): NEW CONST R.MULTI-OUTLET \
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Codeand-my license is in full rce and effect.
License No� d U / Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
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
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
agai st ' id t'o0ty in consequence of the granting of this permit.
XDateSignoture of 11plicant — Owncr n actor ❑ Agent
i
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height. 1.
Receipt No.�?�Ss.�
Wi11TC-D.P.W.. YLLL0W-A:9J41030A. PINK-INSa CCTOR. COLDJNF20D•APPL. I CANT
10.00
1 11
$
Filing Fee 10.00
10.00 le), 0
2.50 �---Q
'/z2sq it
2.50 ea
POWER APPARATUS e \
SINGLE OUTLET CIR. i
Ex. Occu p OUTLETS OR FIXTURES
es0L1050
3 0
FIXED APLNS.
Ex. OCCUp. OU LETS (PRESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
15-00
0 s,7. ;,
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee
10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
Mobile Home Installation Fee
$
Energy Inspection Fee
$
TOTAL PERMIT FEE
$
OCCUP.1 CONST.TYPti I I FL0001 PARCEL
I PD
NO 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_ ._
CXPIRES Date
Date
�A-7--7-7
817-77[B,P,E,��
PERMIT NO.
PERMIT EXPIRES 6
,
OWNER Dr. John Cunningham
,JCONTR. Holiday Pools, Chico
?( LOCATION (A.P. 39-37-22
r 1133 Stanley Ave., Chico
f
1
Z
xr
r .
i
cg" ,
ti.
Temp. Powe /Pole-
CalleIPG&E
y
Temp�Elec. Serv.
G�alled PG&E
r
Te p. Gas Serv.
Called PG&E
JOB
FINALED L ��
(Date) Q
(Signature)
F
i
f
Brown
• f
f
I i
COUNTY OF BUTTE — DEPARTMENT- OF POBLIC WORKS'
r
BUILDING INSPECTION RECORC
BUILDING BUILDING (Cont'd)
PLUMBING
Setback 37�
Firewall
A.Soil Pipin
Forms —j F—
'Parapets j
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows —'
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents V
Fixtures
.Footings
Stemwa l l
Garage Vents
V Insulation
dtlebe•FIft 7"
Heaters y
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of
structure
A liances
Gas Piping & Testes 7C/
Temp. Gas ----
Slab
Final L1
Sanitation
Patio
FIRE LACE
Final 'U
Footings
Footing
ELECTRICAL
Masonry Wall
Throat
Rough
Reinf. Steel 3"
Final
Fixtures
Bond Beam 3—
FIRE SP INKL-5,RS
Motors
Framing
Test X
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating 7
Service l
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
I E ME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
• _REMARKS OR •• •
� r
i
(NOTE: An entry must be made on this form each time you visit the job site.)
wwmmawolffial;
)COUNTY OF BUTTE" DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 V / �%�
t'`• 'TeSphohe:•534+4541 /
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x Date Phi - �.
g ure of Permitee or Agent
Receipt No. � ) (0 O / Ke
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 UBLIC WORKS
By Date Z— Zy 7 7
wilding permit expires Date
BUILDING
Owner pp. 70"Al CUIVNIlVCSQ.
FT. OCC. BUILDING VALUATION
Mailing Address /L33 57A E
�G
w�j w
C'
;elephone No.
J
�
Fireplace
Contractor // A P 100'04S
Total Valuation atJ (, �.
Mailing Address_
70 U - ' VE
Permit Fee ' ,0
Plan Checking Fee&/or Penalty
1 C
Telephone No.
�,/4/
Permit Fee $ yQ °�
(jC
Building Address 11 7-.4
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 013Each
Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.- ,; 0 2
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
WC. JQA4
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Parcel
Declaration
parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
pP•llans
i�rys Z
Parcel Approval
PI Approval
Permit Fee $
$ ,51
NEW �C ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3oe
Main service 10000 AMP ORSLESS 5.00
Main service EA, ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
��/ /• _ ^�P�
VA Ztr�t/ V
NEW CONST. DWELLING OCCUP, &
OR ADDNS. ACC. BLDGS. 2�Sq ft
NEWCONSTR. MULTI.OUTLET
NON -RESID, ( BRANCH CIRCUITS) 2.50ea
•
NEW CONSTR. (POWER APPARATUS 8,
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
y
O G
Ex. Occup(OUTLETS OR FIXTURES) BAL@109
Ex. Occu FIXED APPLNS, OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No..209'-32 2 Classification C-62
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
MI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F -1I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @IFEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PEFEE
$RMIT S� •
��
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x Date Phi - �.
g ure of Permitee or Agent
Receipt No. � ) (0 O / Ke
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 UBLIC WORKS
By Date Z— Zy 7 7
wilding permit expires Date
t
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Californi$ 95805; Telephone 916/534-4541
APPLICATION AND 'PERMIT
ASSESSOR PARCEL NUMBER
ZONING -
BUILDING PERMIT
OWNER a
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR - AME /
/Vi
TELEPHONE
CONTRACTOR'S MAILING ADD-RESS ,
- v � ;
Fireplace
CONSTRUCTIONLENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty _
$
BUILDING ADDRESS
�
Permit fee
$ .
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
r
t , .
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 [3, Duplex F-1 Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition [:]Remodel [IUtilities ❑ Installation❑ Other ❑
Describe work: �� -, f " �- �✓ ..•� _
,,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service aoov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
• -❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS
and Professions Code and my license is in full force and effect.
,1 _*//"/ � �
License No..- 4. 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUPM y2�sgft
OR ADDNS. \ ACC. BLDGS.
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRCUITS
2,50 ea
/POWER APPARATUS .&)
(SINGLE OUTLET CIR.
Ex. OCCUp�OUTLETS OR FIXTURES SALO 200530
FIXED APPLNS. OR
Ex. Occup. 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 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.
a* I shall not employ ay.person. in any manner so as to become subject
to the W. C. laws of �atd nig(. �\ •.
Notice to Applicant: If after making this stateinent, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be, deemed,,revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application andastate that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize Tepresentatives 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
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ® Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 7:
OCCUP.
CONST.TYPEJ
I
FLOOD
PARCEL
I PD
1 No
1 ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREdCTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-O.r.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERI4I�T•N0.
7 County Center Drive - Orovil,jeXalifornia 95965 - Telephone 916/534-4541or
/�
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ct�� ...
Z NING +^
BUILDING PERMIT
OWNE /
♦r C.►�4.W � N
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
p.
v V r 0lD
OWNER'S WAILING ADDRESS
S
CONTRA OR AME
.
TELEPHONE
t _
7
-
CONTRA OR' MAILING A E S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $��
i 0 O
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ S_Z>
ARCHITECT OR ENGINEER
Ivo
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
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
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑] --Remodel [:]Uti lities [IInstallation❑ Other E]
Describe work: 1-e t'oopy- 4-.., '44'. 11511199N
i�u(v�s
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I deVtr penalty of perjury (check One):
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 a9ea �„� Classification
7-
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM ,
OR ADDNS. ACC. BLDGS. h2sgft
NEW CONSTR ULTI.OUTLET 2,50 ea
NON•RESID BRANCH CIRC ITS
/POWER APPARATUS 61
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES BAL@30
eALe3o
FIXED APPLNS. OR \
Ex. Occup. OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring15.00
Permit Fee $
Contractor
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
okt to Self -Insure.
shallhall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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
against aid County in cons quence of the granting of this permit.
X ' ate
Signatur.0 Applicant — Owner WContractor 1V Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures�^overc3 storires�in height.��
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ "7a. 5-0
Occup,
CONST.TYPC
[FLOODIPARCELI
PD
ND
saOE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
:DI!R CTOR OF PUBLIC
�nReceipt
By� ! �n�� �
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
3�t+
No. J �J� J
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Ir