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Home My WebLink About039-380-013.f �izv 4 . q�,'�yy 039-380-010 PERMIT#98-125AG REISWIG, Douglas #98-2439 1184 Marion Ave., Chico .039-380-010 REISWIG, DOUGLAS Ag Ex Permit-Tools,Mower & Equip 1184 MAR1OrN AVE. CHICO OWNER3�'VV0 ADD 2ND ELECT. FOR GARAGE 039-380-010 #98-2473 REISWIG, DOUGLAS 1 184 MARIAN AVE. CHICO OWNER ADD WATER LINE/GAS LINE 4 039-38-0-010 .. 99-0383 BPE REISWIG, Douglas 1184 Marian Avenue; Chico (new 31dAl garage) 039-380-010 00-0706E REISWIG, Douglas 1184 Marini Ave., Cluco Plbg for Det Garage yolo ' . ,..� .�. ....-.,r .. .; .a � `"wi .- -. ."r"_ ._�Tr-r ,. '�9`r:-:�"�.:•s`�7..�vv,.:3 �+i: __.N.'+-^+,aW+Yc+�+yh.+..n.,i!-". �✓ . r L 010 #98-2473' G, DOUGLAS RIAN AVE. CHICO TER LINE/GAS LINE V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -% 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT" ASSESSOR PARCEL NUMBER 34-T90-0 1 ZONING BUILDING PERMIT OWNER p �,.rc- ClQa.� TELEPHONE 073.3030 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDR � I _ A `�� 1+ (J.4)1V/ 1lJ/1. ' .- CONTRACTORS NA TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS _ ^\ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF �) Duplex ❑ Mobilehome ❑ Other r SPECIFY Solar or heat pump water heater 23.00 Water piping 1 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ /R``em��od,,ell ❑ itUdlides ❑ Installation ❑ Other ❑ Describe Work: rtA- `1� ,J ct�\ �0 .� , (.0 C k C A cia .sl.Q nuc. w1alc__ ,L1"C.. Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ t" ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: J<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 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) <1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 9 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with -Wase provisions. C p� X .rte4 Date " ` L/ _ Si n lic nt - Owner ❑ Contractor ❑ Agent 9 PP 9 An OSHA permit is required for excavations over 60" deep and demolition or constructionr�•�• of structures over 3 stories in height. Main Service zooA To IuooA 46.00 NEW CONST. DWELIJNG OCCUP. SO OR ADONS. ( a Acc. Bins. 3.5¢FT: NoµaESID ANCHOU CLET @7,50 POWER APPARATUS a SINGLE 0UrLE'T CIR. 20 .00 EX. OCCu OUTLET OR FIXTURES BAL @ �. 0 FlXED All 5.00 Ex. Occup. oLrTLETS RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ..3 PERMIT FEE $ MECHANICAL PERMIT' Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ 3 coNST,JYPE V j� TOTAL FEE $ `'/ 3. (� p FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE 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. �-,,, By2,i� t.�l.LJi Date /U-2299 PERMIT EXPIRES ON Io-? Z'`i9 ate ReceiptNo. ? 5_Q75 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Vol COUNTY OF BUTTE -DEPARTMENT OF DEVELOMENTr SERVICES -BUILDING DIVISION~a�%3 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039- 396-01 D ZONING BUILDING PERMIT OWNER TELEPHONE W3-30.30 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADD V14 a ^ _ //'�' •l/.jX1J/►^, CONTRACTOR'S NA�!k L — t TELEPHONE CONTRACTORS MARLING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ('7 �/� (;t/ lX� 'r 1r \ Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF k Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5, Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ r Describe Work: ` Gas piping system 1 -5 outlets 15.00 5',0() Building sewer 15.00 Mobile Home I S I G I W ' @20.00 PERMIT FEE S 50, 06 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class LIC. No. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ,K -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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) 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 w' ose visions. G� (� V - — ` e/ X _ Date II 7 Signat a of Appy nt - caner ❑ 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 1000A 46.00 NEW CONST. DWELLING MUP. SG OR ADONS. 6 ACC. BLDS. 3.50FT. tNJ RESINST' MULTBRANCI.OUTLET @7.50 d OUTLET CIR.OWER APPARATUS 20@ 1.00OWNER-BUILDER Ex. Occup. OUTLET OR FIXTURES SAL p ,50 Ex. Occup. DiLT �°rs p IES p,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.0() PERMIT FEE $ 143,00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Mobile Home Installation Fee $ Energy Inspection Fee $ Cc -3 QeN6*_Ty PE E' V ( TOTAL FEE $ 9 3.c)o HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD I HD Ir This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. By Date 10-22-V PERMIT EXPIRES ON 0_221— j9 Date Receipt No. 2_5'07 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT q`. I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signatut+e, Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES; NO 0 2. I FL4,VEA HAVE NOT E3 signed an application for a building permit for the proposed wo& 3. I have contracted with the following person (firm) to provide the proposed constrtxttoa:. NAME: ADDRESS: CITY; PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate; supervise, and provide the major work: NAME: ' ADDRESS: CTTY• PHONE: I CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: KPROPERTYOWNER: SOCIAL SECURITY NUMBER: 4ATE:_10 -- _2,- q 18 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of tlie. California Health and Safety Code. This verification must he completed and returned to our office before we are permitted to issue the permit. A i � OWNER BUJLDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection. you should be aware that as "owner-buildee, you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (Inchrding materials and other costa) is 5300 or more for the entire project, and such persons are not licensed as contractoii or subcontractom then you may be an employer. ♦ If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security tastes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ' ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete -the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi Ara, C.B.O. M ger, Building Inspection NOTE. This Owner-Builder•Injormatlon is required by Section 19830 of the Ca/ jornla Heald: and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 541PERMIT,�VO. (Rev. 12/96) APPLICATION AND PERMIT („� ASSESSOR PARCEL NUMBER {r,� (/�} 1 �y`) 1- 3 9 0 r n I o../ ZONIIINNNGD - i _' BU INGPERMIT _ OWNERG 1 � TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERSMAIUNG f' ADDRESS A C..E�� .� rt�A u4 ! n t� (V1NAMMJEIj ��2 (!v'JLJ• lif CONTRACTOR'S ^ /� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ,. Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSj Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBONSIOWS NAME PARCELIMAP 1 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 , USEOFSTRUCTURE SF Y Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK { New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other) �( j� Describe Work: F ( fit. % t t cl (f j' A .0 Lo C.'r' Gas piping stem 1 - 5 outlets 15.00 Building sewer 1 15.00 Mobile Home S G W @20.00 PERMIT FEE $ _ ELECTRICAL PERMIT Fee 20.00 RLESSFling Main Service800V 20 A OR LESS f 23.00 A LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. a ACC. BUDS. SO 3.S¢FT. EW N"ONR6DT- BMuLTI-OUTLET @7,50 POWER APPARATUS 6 SINGLE OUTLET CIR. J1 1 Ex. OCCU OUTLET OR FIXTURES 20 SAL O'. 0 Ex. Occup. o'.'ED AEs� 0 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed H the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith com ,*�with-those provisions. 000 X 1 Date �t _ Signature of Ap '8'ant -f Owner ❑Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionA� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ cc PE co T•1_ TOTAL FEE $ L417,00 HOZ. D. FE IMP FLOOD CDF PARCEL PD HD I E' ... ^,, ..► This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON/-/ -� I provisions to do work paid. 41- 7' ere Receipt No. —0 ?(a 1AL1 i M WHITE-D.D.S.--B.D. CANARY -ASSESSOR / PINK -INSPECTOR GOLDENROD -APPLICANT 1. ! COUNTY OF BUTTE - DEPARTMENT OF DEV.ELOP41ENT SERVICES - BUILDING ISION v L' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 53 541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT C., ASSESSOR PARCEL NUMBERZONING _3g ee_ BU DING PERMIT OWNER S TELEPHONE SQ. FT. OCC. BUILDING VALUATION .OWNER'S rT AD RES CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUPFG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 pffM USEOFSTRUCTURE SF)( Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)( Describe Work: T OCA" Q 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 Fling Fee 20.00 600V 0 R LE Main Service 2o..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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .JK' 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 Mairi Service -- TO 10 A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BUDS. SO 3.50FT. T. I,DµpESID. MULCTI.OUTLET @7,50 b OUTLET CIOWER APVARATUS R. Ex. Occup. OUTLET ORFIXTURES 201•00 BAL o .50 FIXED TIRUNS. 0 Ex. Occup. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: , I , Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling , Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 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 , orthwfth com provisions. X Date t(--7—Zvoo . Signature of Ap ant - 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 $ PE ® TOTAL FEE $ I.0 d Ll HAZ. D. FE IMP FLOOD L_ C4PARCEL PD _ HD — — ------ This permit is hereby issued under of the Butte County Code and/or indicate bove for which fees have 41)11491) By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date (D, I,) Receipt No. WHITE-D.D.S.- .D. CANARY -ASSESSOR f PIN -INSPECTOR GOLDENROD -APPLICANT i OWNER -BUILDER ,VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until' this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property ' rovement . YES - NO E32. I HAVE HAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (firm) to.provic�e: tbe..proposed cons4w low NAME: ADDRESS:: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired. the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:. PHONE: CONTRACTOR'S LICENSE NO. f S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: , NAME ADDRESS PHONE TYPE OF WORK SIGNED: �PROPERTYOWNER: �(n (i A -�e �s SOCIAL SECURITY NUMBER: - DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: 0 An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and• to have a business license from the city or county. They are also required by law to put their Gcease number on all permits for which they apply.. Ifyoti piers to d6( -y; our own work, with the aicepdon of various trades that you plan to su6contracf,y'oashoWd be aware of the following information for your benefit and protection: . ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the endre.project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, ��1 I el C. Vi ira, C.B.O. ger, Building Inspection NOT£.• This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code - OVER BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT caRMIT NO. — . _ fatZ Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR P CEL NO. O I ZONING 2— OWNER PHONE NO. 3U3a102 OWNER'S ADDRES isL m aAkzn q U -t- LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTUR fl .'X __!_� ' = J 2-8 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME-_ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING L lOFFCCONSTRUCTION ROOF COVERING FLOOR TYPE ESTIMATED COST $ (000.00 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. (7--\ Date 0—? 0`" vl OJ p(Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. Receipt No. 01SO-T3_1 Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOOD I PARCEL I P.D. I ROOFING I ISSUE Date 'l"+� „ rr�•-:T �....- �, �.r�7f+"'*w.--+V+.,; .� tii�` 039-380-010' #98-243' x= REISWIG, DOUGLAS 1184 MARION AVE. CHICO OWNER ADD 2ND ELECT. FOR GARAGE Tl - sods) t p y .. r I - OFFICE COPY Address�%�%l,u�t,/ l /e! 1 �rl,�� GAS '/& '/ f Meter By ---- Date ELECTRIC Meter By Dqte�li Aa- OUNTY OF BUTTE - DEPARTMENT QF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No. 39 (Rev.12/96) APPLICATION AND PERMITg4 ASSESSOR PARCEL NUMB (j\/ C�32--3F6-010 ZONING s -1 BUILDING PERMIT OWNER 1. TELEPHONE ,\ 113 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDSS' ` ///�Y"' l CONTRACTOR'S NAME &.(. , A- \ TELEPHONE .CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS tU, ��y\ �,�w� Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: F t rZ kM !_' J ,1� , ' - /+, (` a .i.: cii x t Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ V ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZoOA OR LESS 23.00 3.01) 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 in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) Ci 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 compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with ose-provisions. /� _ p Date _ Signature`' -6f Applica - POwner ❑ Contra for ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. TO Main Service 200A 1000A 46.00 NEW CONST. DWELLING CUP. SO OCCU OR ADONS. ( a ACC. BLDs. 3.5QFT: NEW CONST. MULTI.OUTLET NO.RESID. @7.50 OWER APPARATUS 8 PSINGLE OUTLIEr CIR. Ex. Occup. OUTLET OR FIXTURES BAL p I. 0 Ex. Occup. ouT Ers FIX6 D.OER RA 5.00 ' Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 wa, zl yj a PERMIT FEE S .11� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE: Vworkers' 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/Jf�it Date ;I /f PERMIT EXPIRES ON ,' 10 ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT [ 7 COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES k 411 Main Street • Chico, CA • (530) 891!2751' 7 County Center Drive • Oroville, CA • (530) 538-7541 e v CORRECTION NOTICE ee 115AI /!s 9,9, o3,?3 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 contact this office immediately. .. l � [/ �`�•e_ v`f,PL �/�s ,raw' 1�.�, `.3 4 / e v Al 1,14 A Date � v / Z Inspector Xf ' R �V 10/92 � �' �f� y''L`iEig".; y-5..�t � t �1 YIS ".:i;' • �:..rl"�=✓^ "f�'��„"v'6"'a-r..�YS�t'ti'�s+-l"�"?':^�,o'w�r '? { COUNTY OF BUTTE f ;BUILDING 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 ad&ess 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. Date < Inspector -t h REV 10/92 COUNTY OF BUTTE. , BUILDING DIVISION • DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 98-o�y3� 1` f 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. 4 .F T o rf &rl< it Zee !fi i c /lnn..wnXr t- a%J 4• Q r�g .� A ` (�E 1 5 LSI � •y,02�L�C , A1/ '06G/ Sir 1/ i C 'e- / 4.11 A& �0ri n L-S.oA-_„-<t /. ,j,ar vie- e s Date m Inspector REV 10 2 (Rev. 12/96) A _COUNTY OF BUTTE-, DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 i t6lephone (530) 538-7541 P ,T�0. APPLICATION AND PERMIT qg ASSESSOR PARCEL NUM! ^ ^ — ��! R I �l U U U 6 57 ZONING 9 2-I BUILDING PERMIT OWNER TELEPHONE 3, D162 SO. FT. OCC. BUILDING VALUATION .OWNERS MAID 17 S ,` S9 2 Y /�f //�L��'��'1 ,LIT -L/�G(,T TELEPHONE CONTRACTOR'S�NAME GL "L CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ^^aA- 4 I' ► `�� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Q ( Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherx Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZooA OR LESS 23.00 Z3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O 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 Zoog TO i000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. 8 ACC. BLOS. SO 3.5¢FT. T. P1OWROSID MULTI -OUTLET CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FocruREs 00 BAS p �: o P Ex. Occup. Dura RM.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) *511:�l 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 Q Xv Date /b — — `� _ Signature of Applica wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction ures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of 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. 1►12— 24 Dat U I(Date) tReceiptNo. D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENTSERVICES - BUILDING DIVISION - - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: Lt� � ASSESSOR PARCEL ?- ER:D- Proposed Building Use: Building Inspector: Date: 16 -7 / 99 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By �.All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ D3 : ------------------------------------------- ------------- ❑3: Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 07.'Statement of Intent for Non -Heated and A/C Buildings.---,---='------------------------------------------------ ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ----------------------------------------- =--------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- 1115.. ------------------------------------------ ❑15: City of Chico plumbing permit. ----------------------------------------------------------------------------------- 016. Plot plan and business license approval from the City of Biggs ------------------------------------------------ 1117. --------------------------------------------- ❑17. Planning° approval for (A) Use: (B) Parking: ----------------- -------- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy) ------------------- s ------- 020. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- �' 1122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------ -------------- 1126. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ---------------------------------------------==---------------------------- 1128. Existing violations and/or expired permits. --------------------------I-------------------------------------------- ❑29. 433 A, PGrant Deed ❑ M.H. Title, ❑ Check to H.C.D $--------------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. *Telephone 3 Y3 —,X) 0 Z and hold for pickup at � office. ❑ D ector. XApplicant: Date: ( D Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisi6n counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by,: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by; Date: Yellow Copy - Department of Development Services, Building Division'. + OWNER: LOCATION: -1 IN m Cd/l A �. CONTRACTOR:' GUA-Q/A PRE -INSPECTION FOR: Z t -aq 7j,4 b f NQS dY,-rr- PERMIT HISTORY: [ ]NONE TYPE OF OCCUPANCY: J . . DATE: ( 0-26 A.P.#: 3q - 3S6-01 b ZONING: [)]AS FOLLOWS: $ F 5`7 ing Description: [ ] Commercial/Usage: _ ] Residential/# of Units ] Currently Occupied. ] AbandonedNacant. DATE TO INSPECTOR 10 - Z I -q 6 BUILDING INSPECTOR'S REPORT [- ] Yes [ ] No Electric is currently : [ ] On [ J Off Condition of electrical? Mobile Home: Yes[ ] No[ ] e-0� CL-- a, Natural [ ] Propane[ ] None(] Currently On[ ] ' Off[ ] Obvious problems: .AA Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ] Obvious Sewage Problems: ction Recommended: (Issue [ ]Hold for: ector• QiE��G�< Date: r May 1995 4.7 NOTES RESIDENTIAL 039-38-0-010 99-0383 BEE 1184 Marian Avenue, Chico PERIV, REISWIG, - Dougj��,�, (new garage) y o3la SPECIAL CONDITIONS CHECKED BY — SRA — FLOOD CERTIFICATE REQ. — FIRE SPRINKLERS REQ. — SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 0 4"t (19'w - -l e- P-,- 67L - Olt JOB FINALED (Date) Signature = OR 0 = Not OK = Not Applicable • = Not Ready MOBILE HOMES Date ' MOBILE HOME UTILITIES (Plans) OK except #'s { Date 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Water; Location -Test -Easement Needed (Sketch) t. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /' Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 10. Plumb.; Cir. Test -Water Supply Test 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 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 r MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s { Date Zoning Requirements -Setbacks -Easements 3 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. CarwAs: Windows -Doors (BoO'Frm ills- chors-Studs-Rftrs-Trusses / 1. d' : Naiiina-Veneer-Stucco-Mesh 0 Wall Panels Date Card B-1 Date Card B-1 Date 5 Card B-1 C16,J Date Card B-1 { Date FINAL (Plans) OK except #'s 1t 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness r Dead Men -Lining 7 E 4. Elec.; Receptacles and Lighting, Distance-GFI i 5. Elec.; Pool Lighting; 15 Volts-GFI t. 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed j7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater I 1 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easements-Flood-Slope Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils-Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 7. Slab, Steel-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers-Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test-Anchors-Regulator-Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance-Material-Support-Ins. Brace Interior/Exterior Wall Panels 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent-Access-Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor-Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor-Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor-Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor-Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance-Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing-Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al-Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service-Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive 7 Yes ,J No/Walks J Yes Z) No/Planters p Yes ❑ No 33. Clothes Closet Light-Shower Light-Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet Water & Sewer Connected -C/0 to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic 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 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 & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Roll 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 T -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 -Mach. 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 7 Yes ,J No/Walks J Yes Z) No/Planters p Yes ❑ 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/0 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 393 7 County Center Drive • Oroville, California, 95965 • Telephone (530) 538-7 PE,RMLT.NO. (Rev. 12/96) APPLICATION AND PERMIT i ASSE15Q{i�RW-M-EE-'b10 3�f 3� U ZON§_1 BUILDING PERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 1184 MARIAN AVENUE, CHICO CA 95998 CONTRACTOR'S NAME TELEPHONE QWNRR U 28,224 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 278.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 180-00 BUILDI�1 4EsAARIAN AVENUE, CHICO 1 OLS 1�^ Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New di Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 28 X 56 DETACHED GARAGE Gas piping system 1 - 5 outlets 15.00 15. 00 Building sewer 15.00 Mobile Home I S I G I W F 20.00 PERMIT FEE $ c;7 OQ ELECTRICAL PERMIT I Fling Feel 20.00 a00VOR LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.FSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 'W -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 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. SO OR ADDNS. ( a ACC. S.3.5aFT: T. NON-RES1D. MULTI.O CIRCUITS @7,50 8 OUTLEr CIR.OWER APPARATUS OUTLET OR F°cruREs 20 � '�0° Ex. Occu BAL o .50 Ex. Occup.ouTLEEDrs RESIo °En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ Qn WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall nemploy any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X - Date Z �� + Signature of Ap • an -Xownef ❑ Contractor ❑ Agent 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 $ co PE cot TOTAL FEE $ HAZ. I D FEES IMP FLDO C PARC SUE 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 D to PERMIT EXPIRES ON 7O I Date Receipt No. 2.5 '% 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) 538-754y, PERIA (Rev. 12/96) APPLICATION AND -PERMIT `� ASSESSOR PARCEL NUMBER �> 00..oto SRI ZONINGTSQ. BUILDING PERMIT OWNED - TELEPHO EOCC. BUILDING VALUATION OWNER'S MAILING AO 4 � `�K /� vn1/ `c�� r/�7 V� hTELEPHONE CONTRACTOR'S NAME Owl ` _rf VW iry CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $` Z"1 8 -'- ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee lb Q BUILDING ADDRESS' fly r n /� Energy Plan Checking Fee PERMIT FEE $ JcO I LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00; Each Trap 7.00 —7 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFv Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 S TYPE OF WORK New 17 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 j Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 'A00RLE: S 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 WORKERS' COMPENSATION DECLARATION . 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply withth ro ' 'ons. �� X Date Signature of Applican - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. a ACC. BLAS. 3.50x: ,moi NEW CONST. MULTI.OUTLET NON-RESID. @7.50 POWER APPARATUS 8 SINGLE our. CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL @ 1 .50 FIXED ALNs. OR Ex. Occu . ounETs PPRESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 7y6 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ y occ CONST. TYPE TOTAL FEE $ HAZ. D� IMP FLooD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I i the applicable provisions Resolutions to do work been paid. Date Date Receipt No. i 5-75 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your dp&V m Please complete and return this information at your earliest opportunity to avoid -in necessary deLy in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for constructioa of the proposed property improvement : YESII NO O 2. I HAVE. HAVE NOT 0 signed an application for a building permit for the proposed woo& 3. I have contracted .with the following person (firm) to provide the proposed eonstrnctioo:' .'; . NAME: ADDRESS L.. L�ii"i • Vii:. � r PHONE: ' . . CONTRACTOR'S LICENSE NO. 4. I plan to. provide portions of this'** but I have. hired the following -person to coat', ..: supervise; am prd;ide the major work: t NAME: . ADDRESS s ' CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to prgvida the work indicatedi NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: Z— Z 6- g 9 NOTE: This Owner -Builder Ver flcation is required by Section 19831 and 19831 ofdis• California Health and Safety Code. This verification must -be -completed and returned to our office before we are permitted to issue the permit OVER 'H3AO VP00 4-11PS Puc rm02H D1ruol1DO OW 10 Of 861 uo/laas d9 pulnb-J sr u01; wJolul'jaP11 ng -J 0 srru -31ON uopoadsul Su!piing 'ia8 n)q •p•g•�'en !A •� la o!iN 'dial t •paum3ar $! uonaoyuaA ag3 1pun pants! aq 3ou 111M 3ltwad Su!pl!nq OU •ua33ew asajp jo aree+a ax nod M tanjuoa use am Im os uuaj s!y3 jo ap!s 2044W oq3 uo MuO'Mg!DA JOPPg Jawinp„.atl3 a3alduroo amid- . 'bi SO 'V:)'03uaweues loans K ozol 3a Jo Aluni66 mod m paaog asuaol� a3e3s s�o3oenuo� ay3 S�u uoo Aq pau. uqo aq Aero sJd6oenuoo poswa!13noge uogmwojul oslad am umo na Stnuuo ora eta ` ' ` liN 3l] . j»d ssaltm sJanMo doodad Aq pauSls aq o3 pannbw Sod as si!uuad �!PI!nfl 'd1I� I pue Jogai uMo mR �o ml 8ufPjAcud s! jowno. duWwd atp 3ey3 Suutldun dlmoouom l!uuod �!PTlnq .fipllnq numo„ ue amoos o3 s!'sromnum aq o3 Sulssajwd suossad pasuao!lun jo 03 321 3uanbo4 V •Suoplpuoo pa3Tmg jopm dluo'iop=oagns to .ro3num pasuawl it 3notp!m 'snodoldwo uMo imp gSnonp jo dllmouid .3(1oM na4 uuojad 03 pamolla an sjo3oenuoo pasuao!l Sou ala oqm snumo d3»dwd 'ales joj papua3uq sl aart3ortDs a� ti ;.• •s3uap!wv lewmpu13o uolslnlQ atp pua nuambd 3gauag jo 3uouwvda(l all lamuoo'mri aims Jopvn saopaSllgo mod 3noge uoueuuojtn og!oads avow Jo3 •(uopeJ3slu!wpy mmsng IIewS 'S'fl alp `4 + n�j! 'p6a) aowas antranaV leura3ul ay3 3oenuoo'Mel le raped »pun suope8!igo mod 3noge uoi uuojtq og!oads avow J0.4 •adumnsu! uouesuodwoo s;jm poM m ioadsw ip1m snouas 4ppodsv ars qsu asay3 pus 'suopeS!lgo asay3 mo due., Sou op nod jt not jo j s>(su le aueuy aq .fsW aratl 1, V16.13mmoo, nopssaadwoo 3uaurdoldwoun pus's3soo aouemsul 14!1!geSlp 'a3urmsm uopumadwoa sm4iom 's” 4pnm laldds p' nM Implogg3lM m awoou! 1waPaj Pus ams Sulpnloul suopvl!lgo IwAas or mafgns aro nWX pus J.^doldwa uv ss s3uawtumoi) jwapa j pue a3$3S oy31pim. Jawsw 3snw nod 'iadoldwi ue m nod jl .♦ ~� 'JaAoldwo uv aq Auto nod uay3 'srolsauoogns Jo trap Quoo ss pasuaa!l Sou ars suosiad qmw pus 'i3afwd amus alp Joj ajow Jo OOES s! (s3soo »tpo put s!alieaaw Ealpnloul) 3110M ag3 pw •dlltrrsj a3a!pawarl mod usg31ay3o suosrad duo aluSua osuwag3o Jo doldwa no t jl :nopaa3wd pua 3gauaq mod joj uo!xwojtq Suunolig ay3 jo aleti►e aq pings nod loar3noogns o3 usld nod 3eg3 sapm snouaa jo uopdooxa ag3 g3lm 43pom ono mod op o3 utld nodjl •dldda dag3 q*mm J03 suuuad lis uo .:agwnu asuawl nay3 and o3 enel Aq pannbal osle an ,4ayl •d3unoa to /it* all wog asuawl ssaulsnq s aAsq o3 pue s!uloj!ls:) jo almS ay3 Aq papuoq pus pasuaoll aq o3 mol Aq pa!!nbai am simmuo, •aweu lay totry Ut 3!=ad ladold alt loj sa!ldde uoslad imp j! /Cnl!ge!l alglssod wog jlasmod 3oa3old Avw nod'jlasmod ustp lay3o auoawos Aq pauuojlad Sutaq s! MioM moxj1 WoM uMo Jlag3 Supwojisd dllsumiad an: Aay3 ssalun slauMo Auadwd Aq paug!s aq o3 pmnbal Sou alt s3!tulad Stnpling -i!tulad s qmt w puooau jo d3rsd alglsuodsar atl3 aJs no t ,,japllnq-JauA+o„ ss M anMs aq pinoys noA'uo!moid moXiod •pag!oads MawaAardun duadwd jo mPllnq ag3 ss jlasmoA Supsll sumu mod u! pa33!wgns uaaq sey 3!uuad Stgpl!nq a loj uoueo!ldde W :JauA%o A1radOld lead NOI.LVIAI OMNI 2iM11119 H TNTIMO TO: Building Department. FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached . Floor Plan Attached eJ' Sent to B.D. 3F- olpo - a 16 Owner Location AP# Plan Approved for: Sewage Disposal -,e Water Supply: Publicss Private Well Clearance for—din►erc,� Other ��„06�✓ u.lo a,/�,��•rr� lexcfy�w- Hold final for: Final clearance O.K. •for: NOTE: Environmental Health Specialist 8/96 Date COUNTY OF BUTTE - DEPARTMENT OF DE.VEL•OPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT"PLICA TION DATA SHEET OWNER: &U41,0Z. RP 1 ala ASSESSOR PARCEL NUMBER: 3`7 , 3q - 0/ O Proposed Building Use: / Building Inspector: Date: 212 :15!� At time of permit applic ion, was advised the following data must be submitted prior to permit pro essing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- E9. Complete plansOV4 sets, signed by the preparer of plans. ----- 61JL4------------------------------------------ 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ �. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees.------------- 3. Flood elevation certificate. --------------------------------------------- Sanitation and plot plan approval C y1410 Health Department. 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -----------------` ❑ 20. Pre -inspection for required Request to Building Inspector on ti (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carver and policy number. ----------------------------------------- 7----------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- ❑30.Other:. ------- en you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. elephone ''O% "30.30 and hold for pickup at CHI E � office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: O Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildi�}g _ivision counter, by D e: Plans reviewed by: Date: Plans approved by: �Jiy� Date. Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Voll.,.,, 0-, - n-4-+ Aug -24-98 02:29P Butte County Planning 530 538 7601 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING rn: ONE: BUILDING PMT. M 0�� .� OD o U SIR- i OWNER: IC(S P eiSwi P.O1 _ PHONE: L'il ' 3 0 5 G MAIL ADDRESS: �'� M a i- i a ✓1-e c c, C 0 CA � a9-z� - SITE ADDRESS: 5,q h/L�e PROPOSED USE: 6Gn ra.a-e X94 01) 6�h2 o r-�5 , /GuD for c c%S Ot r S fl iA /r Lo Ai Gt irn �a I(ex t 5+0 r e yyt W O r tl'(r v� �O �S f� fir( fo, le PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE PRECEDE EACH COMMENT WITH RELATED QUESTION 0) GENERAL INFORMATION: 1. Is there a primary dwelling on the property? 2. Is the structure already built, under construction, or under notice of code violation? 3. Will items produced in this building be offered for sale? 4. Will the public have access to this building? 5. Will any advertising, on or off site, be associated with the use of this building? 6. Will this building be occupied at any time as a sleeping quarters? 7. Will this building be occupied at any time as an eating area? 8. Will this budding be occupied at any time as a cooking area? 9. Will this budding be occupied at any time as a living area? SITE CONDITIONS: 10. Is the structure foundation within 5' of septic tank or 10' of leach lines? 11. Is any portion of the proposed structure located closer than 20' to your front property fine? 12. Do you plan to add a driveway or modify wdsting access to a county maintained road? 13. Will the proposed structure encroach within any recorded easement? CONSTRUCTION FEATURES: 14. Will this budding have insulated floor, walls, or ceiling? 15. Wig this building be heated or cooled? 16. Will this building have a water closet/toilet? 17. Will this building have a sink? 18. Will this building have a water heater? 19. What type of floor covering will the building have? Ajo 20. What type of wall covering will the building have? iv --t a 501, I 2 L C r t 0 Y Yes: k No: Yes: No: Yes: Yes: No: A -- Yes: No: >el Yes: No: e Yes: No: Yes: No: X Yes: No: Yes: No: Yes: No: Yes: No: Yes: No: Yes: No: Yes: No: Yes: _� No: Yes: No: Yes: No: x Yes: X No: P,r('O Aug -24-98 02:29P Butte County Planning 530 538 7601 P.02 ADDITIONAL INFORMATION: I hearby affirm under penally of perjury the above Irdromation Is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. 1 understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale. OWNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE FOR DEPARTMENTAL USE REVIEWED BY: DATE: COMMENTS: