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HomeMy WebLinkAbout039-440-02839-44-28 FRED COENSGEN g�� Q 1 7.2.0_ Sky_w,q:.y.-Aven,.w.Chico__ Permit#2055-86B,E(conv co v porch P n ning rm &entry way)SF 0397440-028 PERMIT#94-2631 MARTINEZ; ROBERTO 720 SKYWAY AVE. . CHICO''-, ---CONT -FOUR-SEASONS-RO.OFING u REROOF PATIO AREA/SF ` , , r e t� r t9 Cl yi h 039-440-028': PERMIT#94-3248 0 eW__71_� i` MARTINEZ: ' ROBERTO. ` Y 720 SKYWAY AVE., CHICO. CONT; TERRY FAHEY Z / /�3 K ELE SER CH/SF; 9y 2z, j.' ,�ps, - ".� vt'+Twf :ry^4. '"" �, � .,...•- ..r; .,mac... ..,,� -. j.. �..,,.,�. r-..., ` PERMIT#96'; 0085*� �MARTINEZ;t:Robe, for •720 Skyw 4Ave ;i�{Chi co -. Cont;`41our Seasons Roofingq . Reroof/SE e t� r t9 Cl yi h i` Y . e t� r t9 Cl yi h r � � � "'�C;:. Y"•."1t wt� ... .�.�.,.-._n�,.{��„C^Ti`��'."•.._ ...S «, �,v• 'f Uf'•r'K�A."'�iy�"�� "'�. �.... fs ,+ f. y,, �� ,�.•J� �,.` S 039 440--'028 PERMIT#96, 0085. ' 'MARTINEZ- Roberto- �.�i . 720 Skyway Ave. ;, Chico ! 1. Cont;. Four ,Seasons 'Roofing Reroof/SF • s f• - 1 } . R 1 I 1 t 1 ' I �1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVIS N 7 County Center Drive - Oroville, Califorpia 95965 - Telephone (916) 538-75 PERMIT NO, APPLICATION AND PERMIT 9�'" 009 1�5— ASSESSOR PARCEL NUMBER 63 F </ D .� rte,. ZOT! ? BUILDAIGPERMIT OWNERt f� �f t, . _ I, /•+ M,4 AOWNERS TELEPHONE FT, OCC. BUILDING VALUATION SOZ- MAILING ADDRESS Z U 1 G CONTRACTOR'S . E / ...r C►o TELEPHONE 6 IV ral lop CONTRACTORS 7UNG ADDRESS rel o e WAX' C !-� / ca Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDINGADDRESS a PERMITFEE $ �d PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. SUBDNISroN'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF B"uplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑,.-R model ❑ Utilities ❑ Installation ❑ Other 4R` Describe Work: c /�f�t� jf�- Mobile Home I S I GI W @20.00 _ PERMITFEE Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, ) and my license is in full force and effect. License Class G3 Lic. No. was—;, -10 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( s ACC. BWS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL SO FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 70 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number Z'-4. Z„ ­ 074 — map j $ (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 with those provisions> / X __ ___ Date / A7 Z!q' j Signature of Applic t - ❑ Owner ❑ Contractor �IJAgenr An OSHA permit is equired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ S� HAZ. D. FEES I IMP I FLOOD CDF PARCEL PD 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. BY Date PERMITEXPIRESONf f s (Date) Receipt No. 7_/4 JV6 WHITE-D.D.S.-B.D.- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLIGAT`I(�N'AND PERMIT ��- 008�� ASSESSOR PARCEL NUMBER (JJ` J` 'J � s . `O _ Q rY/ ZONIq tZ BUILD G PERMIT OWNER TELEF NE SO, FT, OCC. BUILDING VALUATION OWNERS MAILINGADD Ess CONTRACTOR'S �►IE ^ cam` T�FfONE CONTRACTORS ILING ADDRESS I %'"I (D !� %�- C %t / Cz Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUILDINGADDRESS PERMITFEE _ ,G3tts PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23,00 /� USEOFSTRUCTURE SF Er Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition model ❑ Unities ❑ Installation ❑ Other 4B'-- Describe Work: F7 Mobile Home ISI GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 2 0:0 0 Main Service eoov oR LEss ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class �� Lic. No. 6O.5-7 -4s OWNER -BUILDER DECLARATION( 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR DNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL .50 FIXED EX. Occup. OUTLETS (RES D.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. 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 5 r>07 )q MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number x—®74— ats�aq-� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 11-17 -— X Signature of Applic tr_ ❑ Owner ❑ Conactor Agen p An OSHA permit is equired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date l /0 (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 039-440- 028- PERMIT#94-2631 :-MARTINEZ,-ROBERTO 720 SKYWAY AVE., CHICO CONT: FOUR SEASONS ROOFING REROOF PATIO AREA/SF9e / . OFFICE COPY Address GAS Meter 131=2 y � ELECTRIC �� Meter By �Date . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541E`RMIT NO. 40 APPLICATIO AND PERMIT / �" � ASSESSOR PARCEL NUMBER 039-440-028 ZONING SR1 'BUILDING PERMIT OWNER ROBERTO MARTINEZ TELEPHONE SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS`8 0 1 CHICO 95928` so CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE CONTRACTOR'S MAILING ADDRESS 2358 MOYER WAY, CHIC0 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 720 SKYWAY AVENUE. CHICOPERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 ` Solar or heat pump water heaterJ@2 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping Each gas water heater or vent USE OF STRUCTURE SF Duplex O Mobilehome O Other SPECIFYTYPE Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W OF WORKPERMIT New O Addition ❑ Remodel O Utilities O Installation ❑ Other �1 Describework: REROOP ENCLOSED PATIO AREA >M ROLL FEE Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. OLDS. ) s0, 3.50 FT. NEW CONST. MULTI -OUTLET .NON-RESID. 1 BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) Cil, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) C)I am exempt under Sec. Business and Professions Code forthis reason ( POW ER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL. .60 Ex. Occup.FI%ED APPLNS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service ' 23.00 Mobile Home Facilities 20.00 Misc. Wiring 2 3.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ICertificate of Consent to Self -insure. *1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ✓�� L6 X /��K.yr� ' /C�/j Date �" �0 `/ Signature of Applicant - ❑ Owner, Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35,OC "AZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte-Co�,my Code and/or Resolutions indicated above far which fees ha a been BY k::Z4�4� (6"ate PERMIT EXPIRES ON /Date! provisions to do work paid. ! i o/ *0 �% % t/ Receipt No. IlPt/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville; 4Cafifor"rk95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT Z;" ;-)(,o 3/ ASSESSOR PARCEL NUMBER 039-440-028 ZONING SR1 tUILDING PERMIT OWNER MARTINEZ TELEPHONEROBERTO go, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 720 SKYWAY CHICO 95928 -AVE, CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 720 SKYWAY AVENUE CHICO PERMIT FEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 00 Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describework: REROOF' ENCLOSED PATIO AREA WITH ROLL PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service I OOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5C FgT0,. NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under peialty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions rode and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt ender Sec. Business and Professions Code forthis reason I POWER APPARATUS ) & SINGLE OUTLET CIH. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1 00 Ex. Occup.FIXED AP PUNS. OR ( OUTLETS (RESID.► EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate cf Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I hare read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the a:)ove 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 cons •auence of the ranting of this permit. �qyX Date y^ Signature of Applicant - ❑ Own Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 35.0 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable of the Bu my Code and/or Resolutions indicatef above f r whichfee y been Byk��a PERMIT EXPIRES ON (Date) provisions to do work paid. �r f f _ _I Receipt No. I WHITE-D.D.S.-B.C. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, Gafi#orn& 95965 - Telephone (916) 538-754 ERMIT o. APPLICATION AND PERMIT _44- ASSESSOR PARCEL NUMBER 19-440-028 WILDING ILDING PERMIT OWNER n TELEPHONE 345-0116 SQ. FT, OCC. BUILDING VALUATION OWNER'S MAKING ADDRESS 790 SKYWAY CONTRACTOR'S NAME TERRY EATIFY TELEPHONE 589-3907 CONTRACTOR'S MAILING ADDRESS PO BOX 794 QJRQyTT,T,F, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 720 SKYWAY AVE PERMIT FEE $ 1 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ] Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel Cl Utilities 1:1Installation O Other O Describework: UPGRADE PANEL PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (FIRE DAMAGE) Main Service ( 200A OR LESS 1 23.00 Main Service , 200A TO 1000A 1 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLOS. 1 g 3.50 FT,O, NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS I @7.50 CONTRACTORS LICENSE LAW I d re under penalty of perjury (check one) am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. #1/ is ( Classification 0--f 19 O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a artificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costsjAd expenses which may in any way accrue against said Cou n 'co nsaque e o e anting of this permit. X Date �"� Si nature of A cant - Ow er Contractor O Agent Ari OSHA pe mit is required for excavations over 5"0" deep and demolition construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 43.00 HAZ• 1 D. FEES I IMP I FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code d/or Resolutions to do work above whic feehave been paid. Date ES ON IDarel Jindicated Receipt No. 170678 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICAERMITEXPI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center. Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER zON BUILDING PERMIT OWNEREPHONE / SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDR n y0 S� , / rJ—(/ lel CONTRACTOR'S NAME \`II TELEPHONE ` CONTRACTOR'S MAILING' �- j /; i (`� 0 K_ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Ening Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS72/ PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF/ Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition O Remodel ElUtilities ❑ Installation ElOther O Describe Work: -�/ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 " Main Service ( 'VOR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( & ACC. BLOS. ) SO 3.50 FT. NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason ( POW ER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ L� 1 O Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC 101ST. Tres TOTAL FEE $ HAZ. I D. FEES IMP f FLOOD I CDF P RCEL PO HD ISSUE This permit is hereby issued under the applicab;e provisions of the Butte County Code and/or Resolutions !o do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON [Date) Receipt No. /v�J WHITE-D.D.S���j A ESSOR PINK -INSPECTOR GOLDEN ESSOR PINK•INSPECTOR GOLD ENROD•APPLICANT PAGE -S OF CDF / BCFD DAILY INCIDENT LOG L> - DAY/DATE TO 0800 INCA PIA # A 8T TIME LOCATI N:"101 t CAUSE:. �v7 /bAMAGE! 't�51 / 0 *4**4***4*iil 1•IIJV": * * * * * * * * V WNER TEN NT WRA., R P -macML - O 13Z. B I {3 MISC.: j� 000. FIDE # NAME 1 Y E WoRtflMEALln, STARTTIME CONiRQLJIME R.O. . STA: LOCATION- . %TA : Z Ont. v PERMIT NO. 2055786B,E PERMIT EXPIRES- OWNER XPIRES OWNER FRED COENSGEN i CONTR. owner ASSESSOR PARCEL 39-44-28 LOCATION 720 Skyway Ave; Chico i d �.I Temp. Power Pole Called PG&E Temp. Elec. Service i; Called PG&E Temp. Gas Service Called PG&E JOB FINALE[ Signature J'= 'OK _ 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS ''. '' 1, Date MOBILEHOME UTILITIES (Plans) OK except k;s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK'except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-R(g.-Bracing 5. Electricity;•Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L" ft./ /"Nat. or/ L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date ` POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5.• Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. 'Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane Iboards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date F J = OK 0 = Not OK Not ARplicable RESIDENTIAL (Single and Duplex) } = Not Ready , Date UNDERFLOOR (Plans) OK except#'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements I . Property Line Firewall & I 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49!ETOoors-One 3' -Check Garage -3rd story, 2 exits 3 Ftg., Garage; Soils -Steel- / /" Ftg. Depth _ 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10, Water Pipe: Test -Anchors -Regulator -Service Test IA -Electric; Underground 4Q_-P-tenums & Ducc Clearance -Material -Support -Ins. 13.-Qisdec8-SjJd�-Anchor Bolt -Joists-Vents-Cripples Card -BI /!/f Date) i2Card-BI Date CaIT93, Date Card -BI Date Date PLUMBING (Permit) OK exce s 14. Water Ht.: Vent-Acc s -Combustion Air 15. Water Pipe: Test Anchors -Nail Protection 16. D.W.V.: Test ttngs & Anchors -Nail Protection 17. Shower P . Test, First Floor -Tub Access 18. Test b & Shower, 2nd Floor -Tub Access_ 19. Ga Pipe: Size & Anchors Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Date EECTRICAL Perrnit OK except #'s 2 Fixture & Transformer Clearance -Ins. Protection 1. Elec. Receptacles Spacing -Lights & Switches at Doors 2. Sizex Inse Boxes & No. of Conductors -Stapled--- Romtalled Close to Edge of Studs & C.J. 2 Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 5. 2 Appliance Circuits in Kitchen & C_onductor Size 6. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes _,No . Service -Riser Conductors & Ground -Main Disconnect _ Equip. Clearances: Panels-Motors-Mech. Equip. 3 Clothes Closet Light -Shower Light - - �%A,, / Card B -I D24�/ 1 � Card -Bi Date -- Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts, Insulation Support _ 32. Vent Fan: Exhaust ove Insulation 33. Condensate Or & Overflow; Size _& Grade 34. Furnace-Ve . Access -Comb. Air -Return Air_ Vent -115V outlet _ - 35. Atlic Acc s & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Card -BI Caid-BI Date Card -BI Date _ Card -BI 5G- t ts;-Width-Headroom-Rise-Run-Landing-Fire Protection 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Undertlr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 65r84ea"alls; Naili Card -BI 0 ,' Date Card -BI Date Gard -BI Date Date FINA 5&o"E teps-Door & Sidelight Protection -Landings V/Ismoke Detector II -Its F"r^ P encs -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection icing IIBath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 093 -Stove; Clearances -Hearth 6#.-EI�e-9aNa€s at Wood Panel: Int. & Ext. I Ix & Appliance; Grnd.-Air Gap poking Clearance Elec. Outlets & Receptacles at Kit. Counter moire Door; Swing -Landing -Closer S&_ A,G_9ucLitLGarage-Damper i 69 W;r W entS-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 14r-•P4b:-Q,ec. & Mech. Equip. Listed for Location Receptacles in Garage; (G.F.I.)-Romex Protec. uTaPion-Foam-Looked in Attic ❑Yes . uarai & Deck Construction -Post Caps 74. - rainage & Wood -Earth Clearan e/ _ Loo d -under Floor es _ 7 ollowing instld. ive ❑ No; Walks es ❑ No; P rs s ❑ No 7 Stucco; wn-Finish Z .7-�s A[7fiit; Disconnect-Clrnces-Brkr & Cond. Size -115V Outlet Ter-dVII-M Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79�WzrtecWell; Disconnect, Electrical, Plumbing BtTfD,t6ior Elec. Trim; G.F.I. Receptacle -Underground S Ven 'lation throughout House &olllas Protection -- - 8 orrec ' ns from Previous Inspections j1 est -Meters Tagged; Gas -Electric & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date FRAfyytlfG(Plans) OK except #'s 3 SiI s; Proper Material & Anchors 3 a•Ils. Studs -Nailing, Spacing & Bracing -Plates -Sound 3$,/3earing Walls over Girders & Floor Nailing �9--BiafPStop in Walls (rat proof) _yQ_F- e•Stops. Furred Ceilings-Stair_s_-Chases-Tub ager & Beam -Size & Bearing 4'angers-Post Caps -Anchors -Connectors 4Q. Cing. Joist-Rfti. Ties-Purlin-Root Brac.-Truss-Shthng.-Ring. fireplace Ties or Type A Flue -Fireplace Throat Date®// j `/ (79rd=BI Date Date Card -BI Date Date Card -B1 Date Com rents at Final: 45 AIIi.c-Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46-•BVrtrr;%Windows or Exiting Doors -Sill Hgl. & Dimensions arage Fire Protection Framing (NOTE An entry must be made each time you visit job site) Card -BI Date Card -BI Date Card -BI Date 5&o"E teps-Door & Sidelight Protection -Landings V/Ismoke Detector II -Its F"r^ P encs -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection icing IIBath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 093 -Stove; Clearances -Hearth 6#.-EI�e-9aNa€s at Wood Panel: Int. & Ext. I Ix & Appliance; Grnd.-Air Gap poking Clearance Elec. Outlets & Receptacles at Kit. Counter moire Door; Swing -Landing -Closer S&_ A,G_9ucLitLGarage-Damper i 69 W;r W entS-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 14r-•P4b:-Q,ec. & Mech. Equip. Listed for Location Receptacles in Garage; (G.F.I.)-Romex Protec. uTaPion-Foam-Looked in Attic ❑Yes . uarai & Deck Construction -Post Caps 74. - rainage & Wood -Earth Clearan e/ _ Loo d -under Floor es _ 7 ollowing instld. ive ❑ No; Walks es ❑ No; P rs s ❑ No 7 Stucco; wn-Finish Z .7-�s A[7fiit; Disconnect-Clrnces-Brkr & Cond. Size -115V Outlet Ter-dVII-M Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79�WzrtecWell; Disconnect, Electrical, Plumbing BtTfD,t6ior Elec. Trim; G.F.I. Receptacle -Underground S Ven 'lation throughout House &olllas Protection -- - 8 orrec ' ns from Previous Inspections j1 est -Meters Tagged; Gas -Electric & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date FRAfyytlfG(Plans) OK except #'s 3 SiI s; Proper Material & Anchors 3 a•Ils. Studs -Nailing, Spacing & Bracing -Plates -Sound 3$,/3earing Walls over Girders & Floor Nailing �9--BiafPStop in Walls (rat proof) _yQ_F- e•Stops. Furred Ceilings-Stair_s_-Chases-Tub ager & Beam -Size & Bearing 4'angers-Post Caps -Anchors -Connectors 4Q. Cing. Joist-Rfti. Ties-Purlin-Root Brac.-Truss-Shthng.-Ring. fireplace Ties or Type A Flue -Fireplace Throat Date®// j `/ (79rd=BI Date Date Card -BI Date Date Card -B1 Date Com rents at Final: 45 AIIi.c-Access. Size & Romex Protection -Draft Stop -Ins. Baffles 46-•BVrtrr;%Windows or Exiting Doors -Sill Hgl. & Dimensions arage Fire Protection Framing (NOTE An entry must be made each time you visit job site) Owner: Permit No. ENERGY C -E R T I F ICAT ION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material. Thickness(inches) EXTERIOR WALL Material_ Thickness(inche gY�� CEILING Batt or Blanket Type_s Thickness(inches) Z5 h Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED ` Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal°Resistance (R Value) Brand Name Vka y,UQ Thermal Resistance(R Value) l Brand Name MaA^4 kc, Thermal Resistance(R Value) a Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Mm,✓v; �(e Thermal Resistance(R Value) 9/ Brand Name Thermal.Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. F RM /OWNER STATE CONTRACTOR'S LICENSE NO. SIG TURF OF INST LATIO APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are svecifically avuroved by the State of California. FI NAME R (P1 se print) STATE CONTRACTOR'S LICENSE NO. STURIE OF GENERAL CO CTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE S - w A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 4tom T, o, Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE � ems. �,sce� ac�sS-filo OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. s ' 4 c -r, --f5 /it iv�s t-.�-rt e -:Jnr,.e- jou. uirw �/S G U CO h Puce e'c� d e -o /Nth .4%4 • 'D n. S/ GI' r w h Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 A.4-1 APPLICATION AND PERMIT v . ASSESSOR PARCEL N MBER. ZONING LA. BUILDING PERMIT. OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION C-C7LI � J �I Q • 0 D OWNER'S MAILING ADDRESS V CONTRACTOR'S NAME. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER N06-0— UNKNOWN Total Valuation $� 3 70 00 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 90 ARCHITECT OR ENGINEER VEER ,\V O LICENSE NO. Plan Checking Fee .$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS'l V V Permit fee $ aZ , S' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water hea r 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater o vent 5.00 USE OF STRUCTURE SF2�_ Duplex❑ Mobilehome❑ Other - SPECIFY Gas piping system 1 Y6 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition[] Remodel Utilitieso Installation ❑ Other [JPermit Describe work: C C j2000, ��_ Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA 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 BusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees With wages as their sole 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. D E LING oCcuP.y , OR ACDNS. (ACC. BLDGS. /z ¢sq ft NEW CONSTR. RANCHUTLET 2.50 ea NO N.R ESID BRANCH CIRC ITS APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2L SOC eAeao FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 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 -XJ 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. I also agree to save, indemnify and keep harmless the County of Butte against all liab'litIes' judgments, costs, and expenses which may in any way accrue against aid C unty in :o equence of the granting of this permit. X Date %'- 22 -is/ Signa re of Applicant - Owner Contractor ❑ Agent ❑ i. SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over a stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30 , b0 TOTAL PERMIT FEE $ occuP. CONST.TYPE FLOOD ARCEL PD HD ._ ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC PU9&;1IRKS B PERMIT EXPIRES Date ' the applicable provi- resolutions to do fees ave been paid. Date , Receipt No. �d y WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;= fNLir `'VIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Proposed Building Use Permit No. A. P. No. 39'-</`/" �7 t t OI N W 1 wA, P,-. Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector R, e Date 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/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plane. . . . . . . . 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. . . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner, Mail to owner 5. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . • . 17. Pre -Inspection for Required- BuilPre-ding request to (Dote) p q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement . ._ 19. Other Driveway permit (const. appro� al required prior to occupancy) When ou issue the permit, process as follows: Mail to. owner. Mail to contractor. f Telephone �`�5 ���� and hold for pickup atCki ro office. Deliver w/inspector. nth-. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above a im f application, circle item.) 1. Index permit for above Items No. 2. Additional items required: ��, (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By ` Date Plans checked by Date Plans approved by vDate`-3e- /- Other: 0C-0IVk&-,S PL *d O/L) F1 C,/" Copy -DPW i6 J 1rcl4 Rrsfed Q yoA _ 86 416 se St ---- - ----- - To! Rate d o-tyitu_MV...-7nS?eCfo — --- T�s_do.��Me•�f.zs_a�O.Clzb�dk �'r_-ou-' dav�/f�r_ _Al ��z�h e .� �peKl.. r act A '. actr behi f t ak&4 _J _ bv,14,hy rM�t�dr inO�iTi'Cb1//0►e a ovY �S/p��7d*1��y./"eside C -At'-PZO S4_,vay. Avc.jbev, C14. 9.�9Z�'._ e.dd�1iorrrze he, -- A .. ijft a// Ieja/ Spe e, Mea //y w 'p%a P* ja Coo v c°✓tj frf ill (a pproki Mdtd1 y 80 ,t1t) of h1c Co ve reef po r o h At a —_--- _I"e /446r for /r!!S Ow_hew_,bv�%der' �OnVe,rsi0�r Will b e ro vrcjod 6 y m2es elf" a hd my Imm a diato- f nl;lV. � � �'., y c .\ . � ;� � a .a � . � 1.+.: ��. + a .. l ��.... '- � �� a t+ a. � .a + a . . ' � Y i ' t _ � 1,,. i � �, �� � a �i a .,+ 1 • R.� k' L 1 . �� + � . a � a '� e�. ' a +:. :� . �t P �� ----- � � tai •I�t�� a . � ' a.�, �ye,q � �s.�1 � '� 1.� � ; � 1 i` �. a t A yl ` e a 'a t t{ E � �a . �t j � + ' r'�'+ 1 � i � .'1 .'" �'c-��. 1 ♦ 4� a, ,.� �A, ..111 � � � ,♦1� � � � � o ,, ,t_ ~ \�� COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Ye.0 2. I (have/have not) &V e, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction* Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name" ��1! Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name ^�/ Address Phone Type of Work -1(� E . C Signed: Property Owner 0 Social Security Nu ber f Date `Tq 1 14 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This ,verification must be completed and returned to our office before we are per- mitted to issue the permit. -9 9—yd/ ,z / a w_ , ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT N0. .'�05� 86 PACKAGE "A" (Additions) NAME JOB ADDRESS • TYPE OF WOR INSTALLED K 4L)F..._ . FORM 7 SQUARE FOOTAGE Existing Residence New Addition %8 New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for, additions. to dwellings. Additions to dwellings include room additions, .converti'ng garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of. existing conditioned space is not included. ZONE 11 ZONE 12' ZONE 16 APPLIES TO NEW AREA CEILING. v-30 R-30 R-38 &ALL R-11 R-11 _ R-19 1/fLOOR R-11, R-11 R-19 SLAB R- 7 R-11 R- 7 t, LAZING ,65 .65 .65 SHADING vSOUTH --OPTIMUM OVERHANG or .36 S,C, _AeST .36 S.C. to-60SE FILL INSULATION (Density) �4FILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch, 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT ZIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 z f. *1 HEATING. VENTILATING.AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 . model number solar fraction collector area collector crientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump Btu/hr El EERY (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (4) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) [3* Active Solar (collector brand and model number) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form X64) or other -approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration C de. i SIGNATURE OF BUILDING DESIGNER APPLICANT i AWAMW, 'I, , -;li'f,T,, � I lc 11'r,1111 till., I - NNW "llievsk QM i; it , I -, 1111f.- � I """I"', �,, ." 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