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040-320-002
- -- - �--� 40-32-2 --- , West Valley Const.Co. .11276idwaay, Chico Permit #10'1�7.-881,B,E,M(remodel,/office & equipment "rep"a r) ' 4 0-3-2 —2 C o n t r : J & J E:1se�iC Permit#11.6%1 81E (add' 1 ele/1017- 81) 040-32-0-002 #98-2791 SCHULTZ, RUSSELL p 11276 MIDWAY.,CHICOa��1 I' CHICO ELECTRIC �1 OVERHEAD ELEC TO UNDERGR I r M I1 1 it �� zy�ET�r'" l5'+'+�t L. �';s��� �-��r Nf,t r4.��a'7'-`,'��� � •�-.`,.. � s'�>T�.,. t � ��, � .ice , � F 4 L � i t � X�. y �•�,�k.. fir. 'j� ` � r '040-32-0-002 998-_2791 1< SCHULTZ, RUSSELL ,S 7r Jr1 wY'..le'r 11276 NIIDWAY•,CHICO'i CHICO ELECTRIC OVERHEAD ELEC. TO UNDERGR COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE IT NO. (Rev. 12/96) APPLICATION AND PERMIT �";MII ASSES VYUL' M^UIW2 zoR-22 BUILDING PERMIT OWNERT.MSM,L SHUL,Z TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERg!r4 NrSRWEidRY ST, SAN 30SE 95126 CONTRALTOJ t MEy �:AI�LEC'1'RIC TELEPH 8901'—' X391-1933 CONTRACTORS MAILING ADDRESS A W. -,T R CHIM 9473 _-N .0 CONSTRUCTION LENDER ' Fireplace . LENDER'S MAILING ADDRESS J Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINIT IIS6 MIDWAY, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other OFFICE/SHOP SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O. Describe Work: OVERHEAD SEWM UNDERGROM Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE : ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service OA 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. -J2 License Class CiO / 13 Lic. No. �� J 4�3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46. 00 T200A CCU000A NEW CONST. DWEWNG OCCUP. SO so OR ADDNS. ( DT ACC. BLDS. 3.5¢FT. =RESIDT' MULTI.OUTLET @7,50 POWER APPARATUS asINGLE ourLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES SAL @ .50 Ex. Occup. oLITEis q�lp °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - • 00 PRE INSP .3. PERMIT FEE $ "��' WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and�will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( 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 1� . AW — Policy Number �N)'7 P 5(0!1 4; Y (The above sections need not be completed it 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'HA2. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw#9 comply with ose provisions. ' X PJ/Date 17. Sig ngttlre"oft Applicant - ❑ Owner ❑Contractor P 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 S Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE TOTALFEE$ 66,00 EocCONST. D. FEES IMP I FLOOD I CDF PARCEL I PO I H112 This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B �.. b f9 Date 2 Iq he"' y PERMIT EXPIRES ON Date Receipt No. - i ` / i 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 • Oroviile,`California 95965 • Telephone (530) 538-7541NQ/ (Rev. 12/96) APPLICATION AND PERMIT q I ASSES$Qij P/\ROJGUM�002 ZO"_°2 BUILDING PERMIT OWNER�RJUU�SJSELL SHULTZ TELEPHONE SO. Fr, OCC. BUILDING VALUATION °WNERAJ ""WMURY ST, SAN JOSE 95126 c "T ffftLECTRIC TE871"E1933 CONTRACTOR'S MAILING ADDRESS 36 LTST EATON RD, CHICO 95973 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDIN11279 MIDWAY, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other OFFICE/SHOP SPECIFY Each Trap 1 7.00 Solar or heat pump 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 0[ Describe Work: OVERHEAT) SERVTO UNDERGROUND Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 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 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full /force and effect. 2 ' 1 45 License Class t`U ! Its Lic. No. q �� 7 Cy 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [� 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 rrier and policy number are: Carrier ��(LE►�Adl�I,LNt'� Main Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP.� SaSO. DWE200ALLING OR ( MDS.Fr. NEW9 cad MULACC. r NON-RESID. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIS. .00 EX. OCCU . OUTLET OR FIXTURES BAL @ I.50 FIXED . Ex. Occup. OUTLETS REESI0°ER,,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 PRF INSP V3.00 PERMIT FEE $ nn MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number s M>A -7 (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 rovisions of section 3700 of the Labor Code, I shall forthwcomply with a provisions. ' X Date % g Sign dKire-off Applicant - ❑ wner ❑ Contractor )v 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 Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 66.00 HAz. D. FEES IMP I FLOOD COF pgRCEI p° HD ISSU 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 o.' Receipt No. WHITE-D.D.S.-B.D. . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT se�� 5-(f- LOCATION: c LOCATION: /%Z 7� Rljz-aa Ilk> CONTRACTOR: 61 PRE -INSPECTION FOR: 00 iv /�_ 7 •�, v er la e a- PERMTr HISTORY: [ ]NONE [,4&—FOLLOWS: TYPE OF OCCUPANCY: D �T �c C ng Description: DATE: /�-- Z— 9 AP.#. e�!;>V,1)— .32—'a0,) _ ZONING: C LA DATE TO INSPECTOR: %'2- 2 INSPECTOR'S REPORT M Commercial/Usage: i//ir-114 A*� ��✓Gi6e�S [ ] Residential/# of Units: Mobile Home: Yes[ ] No[ ] p -s] Currently Occupied. [ ] Abandoned/Vacant. ' -A Yes [ ] No Electric is currently : [ ] On [ ] Off Condition of electrical? <?i2V Natural( ] Propane[ ] None[ J Currently On[ ] O$[ ] Obvious problems: itation: Plumbing working YestS-] No[ ] Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ] Obvious Sewage Problems: lection Recommended: MIssue [ ]Hold for: nspector: �� Date: —Z—e4zi May 1995 4.7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 q,&a IJ NO. (Rev. 12/96) APPLICATION AND PERMIT �"� ASSESSOR PARCELNUMSER yo--32d-to�� ZONING BUILDING PERMIT OWNER �>ti s e l S cin 'A. (- TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNERS "UNG AO 8 8 s �Oi, d..� A 0 S 12 CONTRACTOR'S NAME TELEPHONE CONTRACTORSAWl�r1G� ADDRESS �© C A 1 &C) �'IILEIJ�N�`D`/qER T CONSTRUCTION Fireplace LENDERS MAIUNG ADDRESS Total Valuation S ARCHITECT OR ENGINEER LICENSE NO. Pilin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee 5 SU0.°INGADDRESS Ener Plan Checking Fee S 9Y 9 a hl G PERMIT FEE $ LOT NO. SUBDNBIONSH ME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE � SF ❑ Duplex ❑ Mobilehome Other >,' e- e_ Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK / New ❑ Addition ❑. Remodel ❑ AAGtim ❑ Installation ❑ Other p/ Describe Work: D i N q ?'r—a-.,I v'c.r li P�< <� ,S P i (/ �- Q D (,+•it✓G< <i �o a .y,� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W §20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo=OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60' deep and demolition or construction of structures over 3 stories In height Main Service zooA TO + 46.00 NEW CONST. DWELLNIO OCCUP. SO OR AOONS. a ACC. 999. 3.50FT. pNONAE°SIO,' MULTFOUTL @7,50 POWER APPARATUS & SINGLE OUTLET CIR EX. Occup.°tOR"R� BAL ®I� Ex. Occup. ounFrsAIL.ic.°REw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 P_,' D b Vre- ', v PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ MZ. I o. FEES IMP I FLOOD COF PARCEL Po HD ISSUE 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 provisions to do work paid. la Receipt No. 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 (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: til 5 5 e I i 5e_ k_ ,, I+ ASSESSOR PARCEL NUMBER: O S/ D- 3 2 O O O 2 - Proposed Proposed Building Use: i' Building Inspector: ✓L Date: /2 - Z - 9 rRf At time of permit application, I wai6advisedthe following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. 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. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. 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. ----------------------------------------- =--------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval 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. ----------------------- ❑ 1.9. croachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0. Pre -inspection for )5 L.�i C e. required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------- 0 22. 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. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- ❑30.other: ------- Wh ou issue -the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. L►Telephone 3 3 and hold for pickup at L� o ce. ❑ D�Z_Date: nspector. 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: ❑ 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, ❑ 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. BUTTE COUNTY PLANNING COMMISSION USE PERMIT DATE (Registered mail receipt) PERMIT NO. ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: is hereby granted a Use Permit NAME in accordance with application filed: �7��'' to allow (date) -t ^r �� 1. Failure to comply with the conditions specifies herein as the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit in accor- dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be com- pleted by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: hereby declare under penalty of perjury that I have read the foregoing conditions, ` that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this variance does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Health Department Department of Public Works (2) Fire Department Chairman of Planning Commission ,USE 'PERMIT - July 230 1981 BUTTE COUNTY PLANNING COMMISSION _ DATE (Registered mail receipt) • 81-33 • • PERMIT NO. • o�n 40-32-2 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: IWIS4 VAI_i-PY rnmQTRT1rTTnV.1 is hereby granted a Use Permit NAME in accordance with application filed: S,/7/01 to allow••+�.+•-�.��, ..X "flammable date ,, ... Ft�n1 4r tern r�nA•arn�w..n.i at�•�..,r+ ♦�rbeIznnn. .,..,� � nnn ,�.,� �.,-,1 SPECIAL CONDITIONS CONTINUES: to minimize the hazard from a motor vehicle striking the dispensers. (PD) G. Install°a chonieal fire extinguisher, determined to be suitable by the Butte County Piro Dept.. within an adequate distance from the fuel dispenser. (Planning Dept.)- ;': Applicant will notify the Butte County Air Pollution Cont rot District (by phone or mail) when construction.is complete. Upon notification and prior to issuance of a permit=to-operate, the APCD will roview.the construction for conformance with the ap- proved construction plans as submittod to tho APCD, and will, also review the construction for conformance with all conditions made -a part of this permit -to -construct. Operation prior to such review and before issuance of a permit -to -operate is a violation of the butte County APCD rules and regulations. 8. (APCD construction will include ARB approved Phase 1 vapor'', recovery equipment which will provide 900 or greater vapor re- covery on otorage tank loading operations. Such equPpment *gust be installed and operated prior to issuance of a permit -to - operate (APCD) ..eJ. Tanks not to* bo located in the PG&E ea' omea�t,fgvised plan .to be i(_ f J BUTTE COUNTY PLANNING COMMISSION USE PERMIT ,�1-','7 "", „ s, DATE (Registered mail receipt) PERMIT NO. ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: is hereby granted a Use Permit NAME ` J_ ;C in accordance with application filed: "17 + to allow �� date 1• Failure to comply with the conditions specifies herein as the basis for approval of appli- cation and issuance of Permit,, constitutes cause for the revocation of said permit in accor- dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2. Unless otherwise provided for in a condition to a use permit, all conditions must be com- pleted by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: d , I hereby declare under penalty -of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this variance does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Health Department Department of Public Works (2) Fire Department Chairman of Planning Commission bell", PERMIT NO. — 1017-81B,E,M PERMIT EXPIRES OWNER West Valley Const.Co. CONTR. owner ' ASSESSOR PARCEL 40-32-2 LOCATION 11276 Midway, Chico 6, .4 _ n ` A, } �. Temp. Power Pole Called PG&E Z I Temp. Elec. Service -j 4 t Called PG&E / ' Temp. Gas Service 1 Called PG&E A k JOB FINALE Date) , . y Si na lure g <� a.. y N O N- R E S I D E N T I A L B U I L D I N G S , ENERGY CONS E R V A T ION S T A N D A R D S t CONSTRUCTION COMPLIANCE CERTIFICATE I HEREBY CERTIFY, BASED UPON PERSONAL KNOWLEDGE, THAT THE WORK APPEARS TO HAVE BEEN PERFORMED AND THAT THE MATERIALS USED AND INSTALLED APPEAR IN EVERY MATERIAL RESPECT TO'BE IN COMPLIANCE WITH THE APPROVED PLANS AND SPECIFICATIONS FOR. _ o—Z P/ (Building Permit Number) V -AJ (UBC Occupancy Type) .(Location) Signer's Name r4 (Pleas prink) Signature ,�, �,_ Date Job Capacity Av . piss f�1a•�a ����+��' (contractor, engin er, owner, etc.) Chapter 6 of the Energy -Conservation Design Manual reads in part ...."must ' be signed by the building owner, or the general building contractor, the design architect, design engineer, or an approved inspector or inspection agency The certificate.presumes a personal knowledge of the work and materials used; this means knowledge obtained from periodic, diligent - .site visits and reports from others engaged on the site.'.' Y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ♦ 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number for the following: Use Classification}'SCC? y�`-'?t� ` a ' 1t on u. Address or Location 'f'h 4+ ""' \�8^' •� Group e° occupancy; Type construction. It is hereby certified for the occupancy described above and may be occupied. Date Director of Publi . orks By POST IN A CONSPICUOUS PLACE (Over) .t NOTICE A new Certificate of Occupancy is required If the use or occupancy of this building changes. This Certificate of Occupancy shall be posted In a conspicuous place and is not to be removed by other than the Building Inspector. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS per- 196 Memorial Way, Chico — Phone: 891-2751 7 County Centtr Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADQ ESS 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 ter, or need additional explanation, please contact this office immediately. l -G /.>s / 7 �/7�Cr /(��"slI i t1 S�ii�-/%i,4,1,- Inspector/!/��� �� Date , `'O z COUNTY OF BUTTE DEPARTMENT OF PUBLJC WOKS c 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 17 BUILDING OR PROPERTY ADDWESS 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 co/lection of work is completed. If you have any question pertaining to this mattey, or need additional explanation, please contact this office immediately. S OAC /.UlU /� t V-/ =2ZEF C/l r Ins'ector `� i� / Date '� �� ��d COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — 1 -tone: 891-2751 7 County Center Drive, OroviIle — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY AD KESS 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. il��!�,/u S� �� / L1 !1 fcc a�E� i6 c� /)�.✓cam �:,�/ .SFL[diC� f W X AJ4 C � 3 vac �,v Aadc.✓4c.9 o *-7 '2'4/ l Df`/� Cs Inspector Date 54/0'k V - OK' • O = Not OK w - = Not Ap9tcable RESIDENTIAL (Single and Duplex) * = Not R' ady Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) T 1. Zoning requirements -Setbacks -Easements rop ine Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49, -,Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 'S07.-3tairs--W+dth-Headroom-Rise-Run- Land ing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth of O4erhang-Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab moiling -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 13--&+neevWesh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-St azing Area -GI Prote tion -Skylights -Plastic 8. D.W.V.: Fall -Fittings Test -2 way C/O -Sewer Test 7557-tf123r' Uls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Ancho -Regulator-Service Test �_.. 11. Electric; Underground 12. Plenums & Ducts; CI arance-Material-Support-Ins. 13. Girders -Sills -Anchor olts-Joists-Vents-Cripples Card-BIUI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings �cvetectorff� Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except s 14. Water Ht.; Vent- Access -C ustion Air 58. Furna�te4eFlx-Comb. Air -Connector - In Ga e* or ucts-Mech. Protection 15. Water Pipe; Test & Anchors -Na Protection 16. D.W.V.; Test-Fttngs & Anchor -Nail Protection "59 --Eh_- rayffrExiting 17. Shower Pan; Test, First Flo -Tub Access ath Fixtures & Tub Access 18. Test Tub & Shower, 2nd F oor-Tub Access 5 -/� Elec. u • Breaker Sizes a�el 19. Gas Pipe; Size & Anchor -t2. s Rails or Stove; Clearances -Hearth j y lec. Outlets at Wood Panel; Int. & Ext. -ftrt'Ftxt-'& Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date GAlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s �6�r--6areeJe-Fire Door; Swing -Landing -Closer - Garage -Damper sformer Clearance -Ins. Protection •69. W! +:rYents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection gReceptacles Spacing -Lights &Switches at Doors g --,Size eze Boxes & No. of Conductors -Stapled & Mech. Equip. Listed for Location ex Installed Close to Edge of Studs C.J. es in Garage; (G.F.I.)-Romex Protec. Equip. Ground made up w/Mech. Fasteners-BondGae.& Water °t°n^�'��^^e Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. ea AI-A.C. Wire Size / / ga. Cu or Al nsulation-,-Looked in Attic 2+*es s Deck Construction -Post Ca p raw Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ` nnQ Mrr / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No Id.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El No Zg�"Service-R Conductors & nd-Main 'connect -Finish 29. Equip. Clearances; Panels-MotorsMech. Equip. 30. Clothes Closet Light -Shower Lightt nnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 vbUVU; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7Q,- Weaee4k4t--Btsconnect, Electrical, Plumbing Card B-1 Date /� Card -BI Date 80 Eotte!��9F Trim; G.F.I. Receptacle -Underground entilation throughout House Card B -I Date Card -BI Date ection Date MECNICAL (Permit) OK cept #'s Corpctions from Previous Inspections Sys Test -Meters Tag Elea ic" ap"A.C. Ducts; Insulat n & S ort r Connected -C/0 to Grade -HD Approval _ _ -80—AW-tan; Exhaust above Insulation 33-`6en�ensate Drain & Overflow; Size & Grade Energy Compliance Certificate -Other Certificates urnace-Ven ; Acces's omb u en 115V outlet 35. Attic Access & Platform i urnace in Attic C� NG�� Card -BI Date Card -BI Date Card -BI Q Date Card -BI Date Card -BI Date Card -BI Date Card -BI M Date S`lf �,� Card -BI Date „e Card -BI Date Card -BI Date Comments at Final: Date FRAMI G Plans) OK except #'s ill ;Proper Material &Anchors _ 32, --falls; Studs -Nailing, Spacing & Bracing -Plates -Sound ^96.-eertiwg Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) ed Ceilings -Stairs -Chases -Tub +}.---Meader-&-Beam-Size & Bearing D2-�1amJ2Ts-P�st Caps -A chors-Connectors 4fi�ng tat-Rftr �ies-PvFlin.= Roel-Bcaa- . -44 --- F+rep+eee-Ties-� A Flue -Fireplace Throat _ ttic Access; Size &'-Ramex-Rre+eetion-D s �#9--�Qntr-Windows or Exiting Doors -Sill Hgt. & Dimensions 4,-�.�e•^ Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLi NEOJS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q'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.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -B1 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 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT'OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541. r / _ / �1 APPLICATION Af1D PERMIT A SWA ASSES OR PPAARAEL NUMBER , 2 ZONING At- 2: BUILDING PERMIT OWN RTELEPHONE G� S'' SO. FT. OCC. BUILDING VALUATION OW R'S WILING ADDRIXSS t� CONTRACTOR'S'NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS. Fireplace CONSTRUCTION LENDER - . UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Al am pa I LICENSE NO. Plan Checking Fee $ OD Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee, $ BUILDING ADDRESS 1:Z Lo aw PLUMBING PERMIT - Filing Fee 10.00 Each Trap 2.00' Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME ]PARCEL MAP Each qas water heater or vent - - 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTE SF ❑ Duplex❑ Mobilehome❑ Other C-Q� v E VI Building sewer wn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Rem del [� ti iti s ❑ Installation ❑ Other ❑ Describe work: Y J'11 ^(- S 1 `��.Sa Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. _ 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El licensed under provisions of Chapt. 9, Div. 3 of the Business andd Professions Code and my license is in full force and effect. License No. Classification el, 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 None -Resin R' BRANCH CILETITS 2.50 ea r NEW CONSTR. / POWER APPARATUS e) \\ NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR .FIXTURES a �� FIXED APPLNS. OR Ex. OCCUp.�OUTLETS (RESID•) EA.). 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. FVI have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this. permit shall be deemed revoked. Heating ,pM r� L�, Cooling Hood 3.00 Ventilation Permit Fee S 7� Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue^Z against said County in consequence of the granting of this permit. nr�This X Date & b% Signature of Applicant — Owner Contractor ❑ Agento An OSHA permit is required for excavations over'5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ oecuP. GRouP TYPE IF CONST. "J — 11ARCE PD ND _ ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR R OF -PUBLIC , By P IT EX %RES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �1 'D WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT WEST VALLEY CONSTRUCTION 00., INC. This set of plans and specifications MUST be P. o: Box 3239 kept on the job at all times and it is unlawful to Chico, Calif. 95927 T&11, YY1W . LIC��'T A 1*4T• . mace any char:�q�s or alterefior& on same W*hout (L $EC'T101� �oaS ?/IAC written -p<;mrr; .pion from the Department of Public Works, County of Butte. I � Z %(p 3 -h sic DMTL mee) ANO Iota S 'C AitcwoR.AtcE � �e rr• p�AT� � �� 72"Z �Ca 16�o e, �--+■_-`ter ay�i�. FrialSli�S �� STC . T i (<EEP RAW kgN\P nnttJ T W� vnit) . T/ ctsu ftl rINck loft 10- 4M J rar0,C. IIID zerPop— EX.cf PT �xcNAN E." of PQRT$ 'kft M4114TT-44Ce 1L7tQN\R\ACc , . . tJo oP� a FSA rn WELb113 4 o(R TNg . 'ASE. o� i�l4H�'f . F\.prnMABu LOWDS NOTE:—All Mat rials & Workmanship Shall ed 'ill Accord o Weond s ribed for he SP Reconized �inedcusee n th qualityofaP Uniform Building, Plumbing & Mec'nanu:u o e the National Electrical Code. 101`7-gl • BUTTE COU TY BUILDING DEPA TM�N1 APPRO E.D,:f: "9-2 acc TOt 11- CO3ST I)i ' I 1 i 3 � ro N 3 N i W I� 1 J rar0,C. IIID zerPop— EX.cf PT �xcNAN E." of PQRT$ 'kft M4114TT-44Ce 1L7tQN\R\ACc , . . tJo oP� a FSA rn WELb113 4 o(R TNg . 'ASE. o� i�l4H�'f . F\.prnMABu LOWDS NOTE:—All Mat rials & Workmanship Shall ed 'ill Accord o Weond s ribed for he SP Reconized �inedcusee n th qualityofaP Uniform Building, Plumbing & Mec'nanu:u o e the National Electrical Code. 101`7-gl • BUTTE COU TY BUILDING DEPA TM�N1 APPRO E.D,:f: "9-2 acc TOt 11- CO3ST I)i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ;PERMIT NA 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 eff APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (' _ 2 _ ZONgNG Al_ Z BUILWING PERMIT OWNER / Ale S. # a., � 0., C���� TELEPHONE 3�S = S2 SO. FT. OCC. BUILDING VALUATION O R'S MAILING DRESS / e .;',S D, Qv 2C51G°LS c ed CONTRACTOR'S NAME f --/TELEPHONE t 4+ CONTRACTOR'S AILING ADDRESS v v CL �U •1CONSTRUCrION Fireplace LE ER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS _T49 -4100 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEERLING ADDRESS 'SM I Permit fee $ BUILDING ADDRESS �Gidcticp PLUMBING PERMIT Filing Fee 10.00 " Each Trap 2.00 Repair drainage or vent piping 5.00 C''%(c �o Water piping LOT NO. SUBDIVISION NAME- - PARCEL MAP Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE / SF ❑ Duplex❑ Mobilehome❑ Other— SPECIFY I Building sewer Lawn sprinkler system 5.00 T_ TYPE OF WORK New ❑ AdditionD, Remodel❑ Uirili ies [A Installation❑ Other ❑ Describe work:' v p� C- /0� 7—Bi Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main eOOV OR LESS servi100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.al) OR ADDNS, ACC, BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of. perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification 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 CONSTR -OU LET /S'.Co BRANCH CIRCUITS) (�2.50ea /J`CO NEW CONSTR POWER APPARATUS / 6� NON-RESID, (SINGLE OUTLET CIR. EX. DCCUp OUTLETS OR FIXTURES_ gA@2j FIXED00 APPLNS, OR EX. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 . Mobile Home Facilities 15.00 Misc. Wiring 7.50 7, &V Permit Fee $ ,Z,ro Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. g?oo1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against -all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ' /This _ _ G-• Date Signature of Applicant— Owner ®^Controctor ❑ Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 3 z,& -o Occup: GROUP TYPE OF CONST. PARCEL PD HD SSUE L� permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC t By. '"' PERMIT EXPIR S Date T �% the applicable provi- resolutions to do fees have been paid. WORKS Date'¢` %c9l 9—•cPr-- Receipt No. _,S-0lS-2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT R®BERT B:' ,HEATO Arch,itect 2044 PALM AVENUE k - NON - RES IDEN'F•IAL Bt1.ILD ING-S CHICO ' CA 9 5926 343-8038 E NE RG Y C ONS E R V A T I,0N S TAN DA RDS DESIGN COMPLIANCE'STATEMENT THE ENERGY CONSERVATION STANDARDS FOR NON-RESIDENTIAL BU ILD INGS HAVE BEEN REVIEWED BY ME ; PURSUANT TO SECTION T20 -1451(a), AND I HEREBY CERTIFY THAT THESE PLANS AND OTHER REQUIRED DOCUMENTATION CONFORM SUSTANTIALLY WITH THE REGULATIONS FOR THIS UBC OCCUPANCY TYPE 8- 2. A/14License No. Building Envelope. (please print and sign name) HVAC Systems and' �� Equipment , (please print and sign name) Service Water AfA- Heating (please print and sign name) Electric Distribution: and Lighting (please print and sign name) Other - Specify (Energy Budget, Non-Depletable) AIA - (please print and sign name) NOTE: THIS STATEMENT MUST APPEAR ON THE PLANS AND MUST BE SIGNED.BY THE ARCHITECT OR ENGINEER ASSUMING RESPONSIBILITY. . S41 Z+f 2S Z ROBERT B. HEATON of l DOCUMENTATION 2 Architect "Form 5 FORM BUILDING LIGHTING COMPLIANCE 2044 PALM AVENUE `3 CHICO, CA 95926 343-8038 Project Title )Alp—STi,z Lr_ rIOA) Documented by Location ebeGO Date 3 P/ Project Designer J 4 J EZ t'ZT2l C. Checked by Date Room Room RCR Task Areas Note Sq. Ft. No. Sq. Ft. Total Watts Allotted Design No. Sq. Ft. Annl_ 10rr (lrr /T—le Q„ G• /c„ C• W-- Vel _». . S41 Z+f I 1 I Page Total I ' 2S Z 0-.5' of l / I G00 2 ov `3 -703 3 2� _s OSI T� s loo / .Sly I 'S'D Zo 413 J J 3 3z -o 416-6- Z7 "S LLW" OAA 12�� .� 2-7?j20 %-b I C. ET I . I ' I I I I I I I ®- --- I -- I 1 I Page Total I ' WEST VALLEY. CONS -1 RUCTION CO.,' INC. F. O. Fox X239 Chico, Calif. 95927 i 0 2 7� 1' ►1� wa� Ave. . u 042. - N 7 J �LAv,.G(A �oOiM �1 9 / ro- ZI u N