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040-380-006
P. 40-38-6 { C , V Et�Y rt 18 Eyt , , co�2�2'-Y CO P o a, sd e, Chico '71 ertt�]4t�51771B (new single family' A. P. 0-38 6✓ i Ethe ton, C �3/ �� � 180 state ., C ico Perit CON t Jo ar sale, 1050 Salem St. g -7 P Chico (spr' er system) i A.P..40-38-6 I Cecil._ Etherton 180 Estates Dr., Paradise CONTR: Holiday Pools Permit -37.1-72B (Swimming Pool) �`""' °°�%! �� I 40-38-06 LEON MICHAL 180 estates Dr, Chico ContR: Butte RoofingQ0 PErmit#3181'88B(reroof/SF) �, ,•97 2537 B, �'- 040 38 0.-006 t^. .MICHAL';° Leon �.N�c r�180 Estates :Dr; ,ChicoSNw. ; (dry.rot`7repaiY(,Clark PesttiConw. . � I 11 FA CY . 7.7.411 1 - V �Y 1 � 1 t� t . 1 • S � - r - _. '. _ rA - r -�.-.. - - - 'r .�--�-r- . -. ..._i _ - s - i - - - r i• ._ .. _ . _ _. _ � � ,T_ _ „_� _ . ��t �� ' �� 'i icy--. �-.�� �.-�� � � - .� � _ .�--...:` � .�. _ ._ _ .. � �� � ��.�.� 371-72 rrf;,PERMIT NUMBER — B f '` P 317-72 320-72 E PERMIT EXPIRES of --8— / 3 ° OWNER Cecil Etherton / k CONTR: Holiday Pools, Chico LOCATION (A.P. 40-38-6 180 Estates Dr., Chico h�. b t A a ' • `n f y qr COUNTY OF BUTTE Department of Public Works ` BUILDING INSPECTION 'RECORD 4 ZoningSetback /� % c Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel_ —7 Z-G!�• Gas Piping & Test Found. Vents Framing Plmg. TopoutGtr JU )ZA� Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS /ion �vir es JVD Ci��✓ir�� �oar4 CYh�7 �<%r%r . e� g - /0 - 7 i p r� v �cl -e '13 ce. ,� �r vs -" At" ice-a""t COUNTY OF BUTTE s DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - broville, California 95965 Phone: 533-1230, Ext. 259 A P PLICATION AND BUILDING PERMIT Permittee Owner+^ Mailing Address Contractor Mailing Address i% -'7 BLDG. Address NEW 0T ADDITION El REPAIRS EJ OTHER 0 F 0 U N D A T 1 0 N MATERIAL EXTERIOR PIERS Others Single Multi Width at To USE OF STRUCTURE Family E:1 Duplex %0 Dw,e(l%ling F-1 P Others} -^- • / �"`r�/ Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders ' joists - 1st Floor Joists- 2nd Floor ; Fireplace Joists -Ceiling' ' Total Valuation ~ " �1 •---- Exterior Stdds' Permit Fee .2 Interior Studs Plan Ch; ing'Fe-e;&%or Penalty 1� Roof Rafters Total Permit Fee 4 1� Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name style of...........:.i 0 License No..•••...................... , Classification,,,,•••G ••4 and certify that the aforesaid license is in -4u11 force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Q Basis, if any, for other statutory exemption................................................................................................. ...............................:................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X .%wZ,�. S Date SIGNATURE OF PERMITTEE OR AGENT Receipt No . ..................... ........::............f......................................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS a � BY................................................`..............� Date .......... Permit Expires Datc,•••;;••,••;.., ,,,•,r or A. P. No.�CJ Fire Zone Zoning e, -Sanitation Planning Plans. Fees`a/s/' W.0 4 R/W Encroachment NEW 0T ADDITION El REPAIRS EJ OTHER 0 F 0 U N D A T 1 0 N MATERIAL EXTERIOR PIERS Others Single Multi Width at To USE OF STRUCTURE Family E:1 Duplex %0 Dw,e(l%ling F-1 P Others} -^- • / �"`r�/ Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders ' joists - 1st Floor Joists- 2nd Floor ; Fireplace Joists -Ceiling' ' Total Valuation ~ " �1 •---- Exterior Stdds' Permit Fee .2 Interior Studs Plan Ch; ing'Fe-e;&%or Penalty 1� Roof Rafters Total Permit Fee 4 1� Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name style of...........:.i 0 License No..•••...................... , Classification,,,,•••G ••4 and certify that the aforesaid license is in -4u11 force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Q Basis, if any, for other statutory exemption................................................................................................. ...............................:................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X .%wZ,�. S Date SIGNATURE OF PERMITTEE OR AGENT Receipt No . ..................... ........::............f......................................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS a � BY................................................`..............� Date .......... Permit Expires Datc,•••;;••,••;.., ,,,•,r or r COUNTY OF BUTTE �? DEPARTMENT OF PUBLIC WORKS` d 7 County Center Drive - broville, California 95965 Phone: 533-1230, Ext. 259 �APPLICATION AND PLUMBING PERMIT Permittee Owner (_..i� �_� i"� A.P. No.. 410 Mailing Address Contractor Mailing Addre BLDG. Addre DESCRIPTION OF WORK No. @ Fee NEW,® ADDITION Q REPAIRS E] PERMIT FILING FEE $2.00 Zi Each fixture or trap or set of fixtures on one trap 1.50 OTHERS: Repair or alteration drainage or vent piping 1.50 Remarks: Installation or repair water piping 1.50 USE OF STRUCTURE Single Multi RESIDENTIAL Family Duplex Dwelling 0 OTHERS:r� Remarks: Each gas water heater,:or gas heater vent - 1.50 r Gas piping system 1 - 5 outlets 1.50 Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 TOTAL FEE I $ f _-S' 0 CONTRACTORS LICENS A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed /under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under.the name style of .....✓'�/ l% /l�S........................................................................................................................................................................ .........,..... License No.,;?, Classification ...... G 3 and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, ( Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption.................................................................................................................................................................: ............................................................................................................................................................................................................................................................ WORKMEN'S COMPENSATION INSURANCE I atn aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 1 certify that I have read this application and stare that the above information is correct. I agree to comply with 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 purp�ossee`ss x>' Date `'.........Date ..-z...:,z SIGNATURE OF PERMITTEE OR AGENT Receipt No.............` �......................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. )DIRECTOR OF PUBLIC WORKS By..^�.---f........................Date �?7.. L APPLI COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 PHONE: 533-1230, Ext. 259 CATION AND ELECTRICAL PERMIT • a . Permittee Owner {ter/ .y a .��'Lrr.-._ A. P. No. Mailing Address Contractor i % cr- ��G+ • i'y—y / �s.r- �..� Mailing Address C) BLDG. Address D ��.1/ E�,r� /( / /•� � DESCRIPTION 'OF WORK NEW Or ADDITION f__j METER SERVICE e OTHERS: Remarks USE OF STRUCTURE Single Muld Family Q Duplex Dwelling 0 r OTHERS: R em ark s: PERMIT FILING FEE No. Fee _- =2.00 Supplementary Filing Fee 1.00 Main Service (12 or (more than Sub -panel Iess') 12) Each - Range, Dryer or Water Heater Each L00 Oven, Cook -Top or Space Heater Each -50 Light Fixtures First 20.20 Each Additional 10 . •f/ / Receptacles., Switches & Fixture Outlets / 5 First 20 .20 Each Additional. .10 Hood, Exhaust Fan or F.A. Fuca Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Water Pump / ' -�' '�- / I 7 I I 12 Misc. TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business tit Professions Code under the name styleof,/��//.�// Y /w✓L �........... __ . .......................................................................................................... License Classification,,,,,,,, ................. . and certify that the aforesaid license is in full force and effect. ............... B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, foz.other statutory exemption....................................................................................................._.._...._............. _........_... ...._.. .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. DIRECTOR OF PUBLIC WORKS X............j, ..................................}..... SIGNATURE OF PERMITTEE OR AGENT By.......................................................................... Date ...................... .,..... .... ReceiptNo..................................................................... L: PERMIT NUMBER _ B 517-71 .. P 41)1-71 r. 469-71 E PERMIT EXPIRES 40WNER C.V. Etherton CONTR: John Barksdale, Chico LOCATION (A.P. 40-38-6 180 Estates Dr., Chico 1 PERMIT NUMBER _ B 517-71 .. P 41)1-71 r. 469-71 E PERMIT EXPIRES 40WNER C.V. Etherton CONTR: John Barksdale, Chico LOCATION (A.P. 40-38-6 180 Estates Dr., Chico 1 x. N 1. f DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning CkZ�,/ 5 - 5 ` ? / Setback P 45 —c5Z-a-- %/ Forms Foundation vAk G-7 Piers & Girders `=-,e- —Z/ Fireplace �� %-'l f 71- Rgh. Plumbing Bond Beam Lath & Plaster '`-=- Rein. Steel Gas Piping & Test Found. Vents % Framing cQ to'/ Plmg. Topout i --7/ Rough Elec. ? Wtr. Htr. ��c'�� ' �` Furnace 9%, -T Kitchen Vent Firewall�� Garage Vent %�1 ::7 Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final 'F Final X Final :1` —/,:? DATE REMARKS OR CORRECTIONS rTM COUNTY OF BUTTE DEPARTMEN„T� OF, PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner Mailing Address Contractor Mailing Address BLDG. Address r A. P. No. Fire Zone Sanitation -- Plans Zoning - -planning Fees . W.C. Encroachment NEW ❑ ADDITION ❑ REPAIRS ❑ OTHER ❑ F 0 U N D A T 10 N Others MATERIAL EXTERIOR PIERS Single Multi Width at Top USE OF STRUCTURE Family 0 Duplex ❑ Dwelling ❑ Others Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders joists - 1st Floor Joists- 2nd Floor r Fireplace 1 ' 1) / Joists -'Ceiling Total Valuation / G Exterior Stdds Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee ` �.' Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ License No.:*.....;..:....;.... .., Classification ........................ .................... . and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER 8 OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws.of the State of California under Sec. 7031.5 because (check one): ❑ I . am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors. (Sec. 7044). ❑ I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). ❑ Basis,. if any, for other statutory exemption............................................................. WORKMEN'S COMPENSATION INSURANCE I am_ aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply to all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X.............................................................................. Date .............................:. SIGNATURE OF PERMITTEE OR AGENT Receipt No ....................................... r This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY................................................................................ Date ................................ Permit Expires Date .................................. COUNTY OF BUTTE DEPARTMENT Of PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 Phonet 533.1230, Ext. 259 APPLICAT.ION AND PLUMBING PERMIT Permittee Owner o ' er• A.P. No. Mailing Address Contractor f +_ C Mailing Address ''� -�� L". ..'-' t '4 :' t .�. BLDG. Address DESCRIPTION OF WORK No. @ Fee $2.00 NEW 0•- ADDITION REPAIRS PERMIT FILING FEE Each fixture or trap or set of fixtures on one trap , 1' ; 1.50 -, OTHERS: Repair -or alteration drainage or vent piping 1.50 Remarks: Installation or repair water piping 1.50 , Each gas water heater or gas heater vent 1.50 USE OF STRUCTURE Gas piping system I - 5 outlets 1.50 Single Multi RESIDENTIAL Family 0"" Duplex Dwelling Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 OTHERS: Remarks: TOTAL FEE I $ A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div.` 3, of the State of California Business & Professions Code under the name styleof .........L..5:.......:.............�........�..{`:..........� ...... S?............................................................................................................................................... License No..:..2.,,! ;{ Classification,,,,,,,,,,, , +' .............. and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, for other statutory exemption................................................................................................................................................................., ................................................................ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with 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. ................. Date ..................................... SIGNATURE OF PERMITTEE OR AGENT Receipt No. .. .......................................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date .............................. COUNTY OF BUTTE �d DEPARTMENT OF PUBLIC WORKS �✓,}��� "� �,��>.- ' 7 County Center Drivje - Oroville, California 95965 d PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner A. P. No. Mailing Address Contractor Mailing Address BLDG. Address DESCRIPTION OF WORK NEW F__j ADDITION F__j METER SERVICE 0 OTHERS: Remarks: PERMIT FILING FEE No. Fee $2.00 Supplementary Filing Fee 1.00 Main Service (12 or (more than Sub -Panel less) 12) Each Range, Dryer or Water Heater Each L00 Oven, Cook -Top or Space Heater Each :..50 Light Fixtures First 20 .20 Each Additional 10 USE OF STRUCTURE Single Multi "Family 0 Duplex Q Dwelling Q Rece tacles„ Switches & Fixture Outlets First 20 .20 Each Additional :10 Hood, Exhaust Fan or F.A. Furor Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 OTHERS: Misc. R em ark s: TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business dt Professions Code under the name styleof ...........................:.....::. ......... .............................. :........................................................................................................ ................................................. ... . License No. Classification,,,,,,,,,,,;,,, , and certify that the aforesaid license is in full force and effect - B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: 1 am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, focother statutory exemption.....................................................................................................»........_............»_........... ....».. .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that 1 have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection; purposes. DIRECTOR OF PUBLIC WORKS X_ :... ......... ......... ............i................................ Date ......................................... SIGNATURE OF PERMITTEE OR AGENT By.......................................................................... Date ...............................». Receipt No . ............... :.............. ...................................... T - COUNTY OF BUTTE DEPARTMISN..T OT PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 A P P L I C A T I O N AND PLUMBING P E R MIT f Permittee Owner i A.P. No. Mailing Address Contractor Mailing Address BLDG. Address ell.— DESCRIPTION OF WORK No. @ Fee 52.00 NEW ADDITION ED REPAIRS 0 PERMIT FILING FEE Each fixture or trap or set of fixtures on one trap 1.50 OTHERS: Repair or alteration drainage �J or vent piping 1.50 r Remarks: Installation or repair water piping 1.50 Each gas water heater or USE OF STRUCTURE gas heater vent 1.50 Gas piping system 1 - 5 outlets 1.50 Single Multi RESIDENTIAL Family ©' Duplex 0 Dwelling E] Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 OTHERS: Remarks: TOTAL FEE $ CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................. License No. /,; `„�, /, Classification,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,'a, -,r, and certify that the aforesaid license is in full force and effect. .............. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption.................................................................................................................................................................. ............................................................ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with 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. Date SIGNATURE OF PERMITTEE OR AGENT Receipt No. .................................................................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date .............................. .���+!fj�**4;�i?:9'•;����Y;S�ifi:Fy`3��i"d."�i��"?'rr, egrW�`7� ,+'3�'�`•'c�'�'�i'-�r-41i!':�.;:uV'r?"�"..-%:�..,.y,�...- ... r. ..,., ., i� • d� 040-38-0-006 97-253,7 B . MICHAL, Leone 180 Estates'Dr Chico -.(dry r.ot repair{ Clark.Pest Con ` �a.2 i e • ;;kl.r„ 11 COUNTY OF BUTTE- DEPARTMENT OFJ3EVELOPMENT SERVICES -BUILDING DIV!ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 8 9,7' ;t S s 0-2 ASSESSOR PARCEL NUMBER ZONING BU I TNG PERMIT OWNER LEON MICHAL TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 116P BEL MR DR- BARBA. CONTRACTOR' - TELEPHONE ' 1P —8611-624—BUO EST 2100 CONTRACTOR'S - I AD SS 515 GARDEN HWY. YUBA CITY CA 95991 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ 2100.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 180 ESTATES DR. Energy Plan Checking Fee $ CHICO PERMIT FEE S 74.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 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 IX Describe Work: DRY ROT REPAIR OF WALL STUDS PLATE RAFTERS RIM JOIST AND SHEATHING. ALL REPAIRS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S LIKE FOR LIRE ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioonoRLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./ License Class ;Y;Z`,'Ca,0`cl �,r�aE sYLic. No. PQ �-Z `o 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 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( & ADC. BLDS. 3.5¢FT. NEW CONST. MULTI.OUTLET I c TS 97.50 NON-RES.D. ANCH CIRCUITS POWER APPARATUS BSINGLE OUTLET CTR. OUTLET OR FIXTURES 20 I@: I.00 Ex. Occup.BAL @ .50 50 Ex. Occup. ouTrs AEsED oOea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. P 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: CarrierApPL)a T C1&44A6i4etZ- P1,eA-_At-JtrtJ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) of 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 com Ay-Wi�h fKose provisions. X _ Date 7 •Signaturere "�of�cant - ❑ Owner IT Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74„00 HAZ. D. FEES IMP FLOOD A 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. �+-- Date D BY �/�y`001Z _7 _ PERMIT EXPIRES ON 7 Date Receipt No. 231218/'74.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I QUADRUPLICATE STATE ()i CALIFOHNIA For Local Fdquirements WELL CO,MPLEtTION REPORT Paye _ O� Refer to Inr/ruin n Pattipblet Owner's Well No. No. 5�2019 Date Work Began Ended Local Permit Agency Permit No Permit Date U n .,JC ry l V STATE WELL NO./STATION NO. C LATITUDE LONGITUDE I I I I I I I 1 1 1 1 1 1 APN/TRS/OTHER TOTAL DEPTH OF BORING / (F �t)r TOTAL DEPTH OF COMPLETED WELL ! (Feet) SOUTH Illustrate or Describe Distance of Well from Landmarks such as Roads, Buildings, Fences, Rivers, etc. PLEASE BE ACCURATE & COMPLETE. Domestic Public Irrigation Industrial .TEST WELL" CATHODIC PROTEC TION _ OTHER (Specify) DRILLING - METHOD, RILLINGMETHOD FLUID ' WATER LEVEL & YIELD OF COMPLETED WELL DEPTH OF STATIC WATER LEVEL (Ft.) & DATE MEASURED ESTIMATED YIELD (GPM) & TEST TYPE % TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft.) " May not be representative of a well's long -tern yield. DEPTH CASING(S) DEPTH ANNULAR MATERIAL FROM SURFACE BORE- TYPE FROM SURFACE TYPE HOLE — INTERNAL GAUGE SLOT SIZE DIA. c z MATERIAL/ CE- BEN- (Inches) z W =� a DIAMETER OR WALL IF ANY FILTER PACK Ft. to 'Ft. m �� J GRADE (Inches) THICKNESS (Inches) Ft. to Ft. MENT TONITE FILL (TYPE/SIZE) ATTACHMENTS (�) — Geologic Log Well Construction Diagram GeophysicalLog(s) Soil/ Water Chemical Analyses Other CERTIFICATION STATEMENT I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief. NAME (PERSON, FIRM, OR CORPORATION) (TYPED OR PRINTED) ADDRESS CITY STATE ZIP ATTACH ADDITIONAL INFORMATION. IF IT EXISTS. I Signed WELL DRILLER/AUTHORIZED REPRESENTATIVE DI Dwll IMIREV IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM GEOLOGIC LOG WELL OWNER ORIENTATION VERTICAL _ HORIZONTAL _ ANGLE _ (SPECIFY) Name ` MailingAddress "' t DEPTH TO FIRST WATER (Ft.) BELOW SURFACE DSUM :- SURFACE DESCRIPTION CITY WELL LOCATION Address t" STATE ZIP Ft. to Ft.-„ Describe material, grain size, color, etc. _ City t• County .� _,:.i �•: ( APN Book Page Parcelor Township Range Section ` or Latitude i i NORTH Longitude DEG. MIN. SEC. ) i WES- DEG. MIN. SEC. ' '-" �•' � LOCATION SKETCH CTIVITY (�L )— NORTH _NEW WELL f' j MODIFICATION/ REPAIR r i _ Deepen - ' _ Other (Specify) - `y _ DESTROY (Describe Procedures and Material; Under "GEOLOGIC LOG' uj �� ' PLANNED USES) • 3 '-x"'- W _MONITORING WATER SUPPLY TOTAL DEPTH OF BORING / (F �t)r TOTAL DEPTH OF COMPLETED WELL ! (Feet) SOUTH Illustrate or Describe Distance of Well from Landmarks such as Roads, Buildings, Fences, Rivers, etc. PLEASE BE ACCURATE & COMPLETE. Domestic Public Irrigation Industrial .TEST WELL" CATHODIC PROTEC TION _ OTHER (Specify) DRILLING - METHOD, RILLINGMETHOD FLUID ' WATER LEVEL & YIELD OF COMPLETED WELL DEPTH OF STATIC WATER LEVEL (Ft.) & DATE MEASURED ESTIMATED YIELD (GPM) & TEST TYPE % TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft.) " May not be representative of a well's long -tern yield. DEPTH CASING(S) DEPTH ANNULAR MATERIAL FROM SURFACE BORE- TYPE FROM SURFACE TYPE HOLE — INTERNAL GAUGE SLOT SIZE DIA. c z MATERIAL/ CE- BEN- (Inches) z W =� a DIAMETER OR WALL IF ANY FILTER PACK Ft. to 'Ft. m �� J GRADE (Inches) THICKNESS (Inches) Ft. to Ft. MENT TONITE FILL (TYPE/SIZE) ATTACHMENTS (�) — Geologic Log Well Construction Diagram GeophysicalLog(s) Soil/ Water Chemical Analyses Other CERTIFICATION STATEMENT I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief. NAME (PERSON, FIRM, OR CORPORATION) (TYPED OR PRINTED) ADDRESS CITY STATE ZIP ATTACH ADDITIONAL INFORMATION. IF IT EXISTS. I Signed WELL DRILLER/AUTHORIZED REPRESENTATIVE DI Dwll IMIREV IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM COUNTY OF BUTTE- DEPARTMENT OF DEVELdPMENT SERVICES - BUILDINGDIVI ON 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7 1 P MIT No. (Rev. 12/96) APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER 40-380-086 ZONING R-1 BU ING PERMIT OWNER LEON MICHAL TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 2100 OWNERS MAILING ADDRESS BEL AIR DR. SANTA BARBARA 0105 CONTRACTOR' TELEPHONE CONTRACTOR'S 515 GARDEN HWY. YUBA CITY CA 95991 CONSTRUCTION LENDER Fireplace LENDER'SMAILING ADDRESS ' Total Valuation $ 2100.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 180 ESTATES DR. Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ 74.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 15 Describe Work: DRY ROT REPAIR OF WALL STUDS PLATE RAFTERS RIM JOIST AND SHEATHING. ALL REPAIRS Gas piping system 1 - 5 outlets 1 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ LIKE FOR LIKE ELECTRICAL PERMIT Filing Fee 20.00 a00V OR LESS Main Service OAORLESS 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 epP d effect. n License CIaSS �Ta�i.fJTf1:0L, �DA R.o'Lic. No. P4 Z2� 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 200A To 1000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( a ACC. BLDS. so 3.52FT; NEW CONST. NON•R S D. ANCTI-OU CUI ga 7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL @@ I:50 Ex. Occup. OUTETs RESIEPPLND.GFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. Jl? 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 work rs' compensation insurance carrier and policy number are: CarrierAR'*u(L 7- 4RU-A6kc/L— pUcASAtJVtJ Policy Number ZO Z _7 O( (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'HAZ. 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 forth ith co r I t se provisions. Date �2�� 7 ignature o pplicant - ❑ Owner IN Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction, of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 74.00 O. FEES IMP FLOOD A CDF PARCEL pp HD 1 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. q l•� By Date — J / PERMIT EXPIRES ON 7 -- 2 — !� Date Receipt No. 2�1 Ofl WHITE-D.D.S.-B.D. A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California X5965 - Telephone (916) 538-7541 PERMIT APPLICATION AND PERMIT ASSESSORPARCELNUMaER Zomma _ BUILDING PERMIT OWNER LraN fA I C,P� reuwaNa SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS JILlo ar=e Aig WZ AmTA o, '13/,DS CONTRACTOR'S NAME TELEINONE L 40- K CST C.C. f1i iV-16 c CONTRACTOR'S MAILING ADDRESS 51 (5A W w . Yoga C ITS CA 9519 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuatlon $ ARCNrTECT OR ENGINEER LICENSE No. Filing Fee $ 20.0c Permit Fee S ,UtJ ARCWTECT OR ENOwEER'S MAILING ADDRESS Plan Checking Fee b SUILDWGADDRESS / g p ES-rAT&5 D 2 CHI ce 9 59z Energy Plan Checking Fee $ $ PERMIT FEE $ 7COQ L7TNo. SueavISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SFJ(Duplex O Mobilehome 0 Other SP�� Solar or heat pump water heater 23.00 Water i in 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition 0 Remodel Or Utilities ❑ Installation 0 Other' Describe Work: bee 1207 Rt- pAr (Z nr* W *ez !sruoS P 'I�rj RiJFiZ=x-S 2 1 m Joi oL- 5)1FAT•HQQ 9 • 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 FD� Lr ,� ELECTRICAL PERMIT'..- Filing Fee 20.00 Main Service = o9R LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 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. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this 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.) O I certify that in the performance of the work for which this permit is issued. I shall employ any person in any manner s0 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 0 Owner 0 Contractor O Agent An OSHA permit is required for excavations over S'0" deep and demolition or construction of structures over 3 stories in height. Mein Service zooA To I000A 46.00 NEW CONST. OWELLWG OCCUP. SG OR ADONS. ( a ACC..0cc 3.5¢x' NDµRa� T MULTIFOIft1Er @7.50 6 PSWOLEOWER �A"Tus OUTLET CIR. zo ®I.00 1 Ex. Occup. ovn.ErORrxruREs 9AL -.50 Ex. Occu .ouxrE.0s�Eusio.102, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI` f Mobile Home Installation Fee $ Energy Inspection Fee t occ CONST TYPE TOTAjLF EE $not Z. D, TEES iMP Cor PARCEL Po NO Es�E 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 PERMIT EXPIRES ON Dore) ReceiptNo. g4l 17 wwre-o 0 5.•8.0. CANAR -A SESSOR PINK -INSPECTOR GOLOENROO•APPLICANT Ill III.DINt TNO. 180 WOOD DES it r ;OYINU PESTS AND QVIGANISM S INSREM ION REPORT This EPOR1- TI1is is an inspectiqn report o ly -- ncm a Notice of Completion ADI)FII-SS OR Pf-101'ER1-Y INSPECTED S'I'I2CF 1' - - -- -- ---,_ CI'F' Z.II' c'1 tl •Nil' I ):\'I'I (tl; INSI'li( I Ir itd Nu. ul' ('1 )I )1 • 1I'agcs Estates 1)1-ivc Chico 959213-741.1- 0-I Novcnthcr iii , 19117 4 - --- - Affix stamp here on Board copy only GLAItIS 1'I:S'I' CON'1'RO1., • \ I ,I(:I:NSJ iI)'I�I?S'f (UN fI:OI . ��a■■■■� «�ttt���t► ( )H R.A'I'01I 1�=AN I'Al I:1:'I' 515 Garden I li ghwa • Yuh;t (:it CA 95991 IN � CLARK■ 91)�• �� )' III S/IIfa:I7Ilil.l).:1NY (1l ll�.til1(1NS • 916-674-20. 9(111-62-1-845(1 R11"VI ItIiIURIT �4mmPEST CONTROLosiv. I'a.+c: 916-674 5190 SI IM 11,1) 13); RIil FIMI:I)_I'O I IINI/I IFIZ I:I:01STRA'I'ION N 1180226 RGI'r)li'I' d 0-4 15592 1 2 5I'nnll' 11 59(>785\, IiSc "Rr 1\4' # OIZ1)f:Rl sl) BY: -Dolores-Cheek c/o 1140 BcI Air Drive, S:luta C3arbara, CA 93105 I:lil'OIZ'I' SIiN'I"I'O: I_,eon �9ichal 11,10 Be Air 1)rive, Sankt Barbara, CA 93105 111\1()PI:R'1'Y ON\'N1 12: Leon Michal 1140 Bet Air Min, Santa Ilarhara, (:i\ '.1.31115 PARTY IN INI'IiRFST: lti. �If)IC /1l,)I:J -- i11l�IW ll.11, tll.l.4JJIl/��, 9. I)GCKS^_PATIOS _ Concrete patio I0. 011 II ill - INFERIOR - See lxtxe_s --->_ I I.O']'I lull-13XTEIZIOR - See boxes -> Reis is a corrected report. Dale: 11-21-97 Stawp#:596864V See #10A In the body of this report. �� s OL,✓l���c-� Inspected by -Scutt 1zobe SR:laa rpt )'I'I:: Questions or problems concerning the al sal vices performed may be directed to the Sirucl You arc entitled to obtain copies of all reports a1 Ir,iyntcnl of a $2 n0 search fcc lo: Slntcuu:ll I'lisl t'nulrul linarll, 1,1'2'2 111)\\1: /\ve., Ste. a, Sac.uunl:ntl,, l :1lifnrnl:t'/5?2'25-a_ttft. IB MAGI 2 O1� S'I'ANUAIII) INSI)IeC'I'ION ItG'1'(.)It'1' ON'1'111!; lll(011Eit'l'Y I,O(:ik'I'lel) A'I': Acldress of I'rolx.rl�' Insl�ccicd; 180 _ Eslates I)rivc BLDG. NO. s rlifa;l 596785V H118/9-7 STAMP NO. DATF OF INSI'I TCI'ION n -t-155')2 — CO. Itra'Orr1%NO UNINSPECTED AREAS NOT INCLUDED IN THIS Rf;POR"I' PER 851(1(b)(8): F-wcpt as noted below we did not inspect detached sUllctures or decks. We did not inspect any wood member that was covered by inst.11atic,ll, plaster, paint, stucco, rile or any other material. We did not inspect wood nlenlbers hidden by floor covering, chatlels, or furniture. We did not inspect the interior of hollow walls, or the spaces bel%VCell a ceiling or soffit below. Conditions conducive to an infestation or infection by wood destroying orgallisnls could exist in any unintipecicd area. Phis report expresses no opinion regarding the condition of rininspcctcd areas. Although it appears to be not prad:licable to open these areas for inspection, Clark Pest Control will inspect any of them at your direction and additional expense. We do not have the expertise to inspect for building code violations or the qualit} of work cumplctcd::by c�tlle'ts. We recommend lhal you contact a licensed engineer for opinions beyond the scope of c ur license. for. inlStsrat#aktl�il as to the condition of electrical systems, plumbing, and appliances (inclu(Iing leaks), we recommend that y0'tg'tr)loy a home inspection service. THE EXTERIOR OF THE ROOD COVERING WAS NOT INSPECTED. IPl°�I.I WANT JTIE WATERTIGHTNESS OF THE ROOF 1) 'ERMINED, YOU SHOULD.CONTACT A ROOFING,. CONTRACTOR WI10 IS LICENSED BYTI II- CONTIZAC"1�OR STATE LICENSE BOARD. We Evill, for our full inspection fee, reinspect this structure. We will conlplele areinspectloll of this property within 10 working days after the reinspection has been ordered. This bid is based on what is visible and accessible today I f-18-97. If the crewperson (operator) Finds more damage a supplemental report and a nc\t, bid will be given. SUBS'1`IZUCTU RE AREA BINDING # I A : Wood decay fungi is struclundly damaging the rine joist and suhlloe)r al the subarcn. RECOMMENDATION: Remove 20 lineal feet of darllaged materials at tile rim joisl and sublloor. Replace with new materials. FINDING #113 : Wood decay fungi is infecting the surface of s111).' l woodl members. RL�C.OMMENDATION: Apply a solution of disodiunl octabe)ralc 1clrahydrute to adjacent unpain(cd woc)ol surfaces to arrest infestation or infection. STA LL SI IOW ER FINDING #2A : Grout and/or caulk is missing al the Iloc.lr acljacenl to the stall shower. R COMMENDATION: Regrout and caulk as necessary. Plcilse 11010 (lull regrouling and caulking is considered a temporary repair and must be periodically maintained by the homeowner. GARAGES FINDING #8A : Wood decay fungi is structurally damaging the paneling al 1114.`inicrior of the shed. RECOMMENDATION: Remove enough paneling to further inspect adjaCCllt M)odl InCIllbels. 11 '110 I C1r1I1CI- Clanlage is noted, replace paneling. No painting included. Paneling Illy not rrlatch the ori§sllal pillIC1'11. r INI)ING #813 : Wood decay fungi is structurally damaging the base of the woe(, bench support posts al the shed. RECOMMENDATION: Cut off the damaged portion and resupport. O'THE'R - INTERIOR FINDING #10A : The toilet in the hall balhrc.oml is rocking on its drain flange" R1_:' -COMMENDATION: Remove toilet and inspect wood framing nlcnlbus alit) snhfloccring. II' no further (lanlage is I'ound reset the commode on a new wax seal. O'I'LIER - EXTERIOR i�'INI)ING #IIA : Wood dlecay fungi is slructuri111y damaging the solliling al etre cava;. t RECOMMENDATION: Remove t1p to C square feel of sol'I'il al the Cil\,Cs .to I.urlhcr insprct adjacent w000t members. 11' no further damage is noted, replace soffiting. No painting included. ;- -)ING# 1 113 : Wood decay fungi is structurally damaging the base of the Ic _M111-1111 and siding, at the shed. RI --COMMENDATION 'Cut oft' the base of the siding and install a pressure LI'Gawd 2X6 trim board along the base of the shed. No painting inleuded. CLARK P><+ST ICON'1'11011,, License Nninber P 226 1'AGI 3 01+ STANDARD INSPEC'T'ION 12d?d'l)dt'i' QN 'I'ddd I'dtOpj! 12TY LOCATED AT' Address of Proverl)' ( 'llico Inspected: 123(1 I sl.cics I )ri vc _ T3T.DG. NO. S'I ltlasl'--------- CITY 596785V 1 11181 17 „ 04- 15592 STAMP NO. I>A'I'Ii C)I' INTI?("I Ic)N (.,o. IZI-TOIZT NO (IF ANY) I'l>auik you for calling Clark Pest Control;WC sincerely apprecla(c yrxu butiine s. II yclu ha►� c ,uta' clt+eslicnls rc:g�uilinb Illis report, please contact our office and ask for Sc:rlll IZ0l99e. C1f.,AIiIK PI+:S'1' C'ON�l'I�d:)I,, License Number l� 226 ,. 'AT4. PA(;I 4 01eS'1'ANDARO 1NSi'1 ('T10N tlEPOI(T0N'1'lli: 1'l2c)i'Islt'I'1' I.O('A'l'h;ID A'I': .\+lilrrss c)1 1'rc►I,crt j. lusp�rlccl: Itj(1 lislalcs Orivr-- - 131.1)G. No. S'I'RLsII ,', ('I'I'1' ,•' + 04- 15502 590785V I Ii 18+97 STAMP NO. DA'I'I: ()l: INSI'li("VION c(). ). RI:I'(1R•I• NO IIS STRIJCI'I1REPit PTA RED BY VAIt1011,SRECIS'I'EItk,l)C:OMI'ANIhNSIlOU(.,1) NOTICE: itEPOR'1'SONT1 LIST IIESAMI+ FINDINGS (i.c.' EI.tMI'I'1? INh1!:S'IA"I'1(.)NS,'I'l�;ltMl'1'1? DAMAGE, FUNGUS DAMACA!, We.). COMPANV'IY) IIOWI?VF,It, 'ItI�,CONII\lisNl)/Vl'IONS'I'(') CORItECI"1'IIL,SL; FINDINGS MAY VARY.FROM CONIVANY. YOl) IUWEA RI(;11TT0 SIS EK A SECOND OPINION FROM ANU'I'I IF it COMPANY. NOTICF,: '1'111; CHARGE FOR SERVICE THAT TIPS COMPANY SI11i('0NTRA("1S TO ANOTHER' i REGISTERED COMPANY MAY INCLUDl? WOOD DESTROYING PESTS ANN ORGANISMS INSPECTION REPORT This is all inspection report only — nat a Notice of Completion A 1-11-10 r-QCZ nM DQr)Qf=QTV IKIqPF-(.TF-r) 131:11DING NO. STREET CITY ZIP COI INTY DATFOHNISPI.ClU N No. of F 0 1) I F; CODli C Pages 180 Estates Drive Chico 928-7-114 04 November 25 1997 3 CLARK rigs PEST CONTROLmag PIZO226 CLARK PEST CONTROL 515 Garden I lighway - Yuba City, CA 95991 916-674-2900. 800-624-8450 Fax: 916-674-5190 REPORT # 04-155925 I S'f596878V I 140 Bel Air Drive, Santa Barbara, CA 93105 I :TORT S1 Leon Miclial 1140 Bel Ali- Drive, Santa Barbara, CA 93105 h\'0PH'Z. FY OWNER: Leoll Michal 114013el Air Drive, Santa Barbara, (':A 93 105 M 11'.'1'1' iN INTE'RE )I-tollull Rcool-IF-1 i- tAIIIA Z0142111 11010 U11 uU01 IVVY — y A LlCflNsEm ri.:,ST'C0NTROl. 011F.izivroR Is -AN FX11-IRTIN HISIFIER FIELD. AMY 01 ll;STIONS Rl1;L.-.kTlvFT0T1 IIS RFPORT S1101. 11,I) BI-,* RLI 'l-AZRIA)TO 111NIMER ESCROW/i DIAGRAtA AND EXPLANATION Of-, FINDINGS ('This report is limited to structure orsy!iclttres shown on diagram) NOT TO SCALE i' .i.UPPLEMENTAL REPORT � 116.3 '(1B. 11 B. n A X/ Fl-' ZONT ,11Sj)CCICdb)' Scott R022eSR:laa License No. I `R24034 Signalilre YFF: ( -problems concerning the above report Sholild budireclud to [lie Iiiii-esolved(Itieslit)ii.,;(ii- eni, h '.)LIeslions or i,-cs pci-fornied may be direcled to the S1111CILlral Pest Conlrol Board at (213) 897-7838,(415).557-9114,(916) 263-2533. �ou are en(itled to obtain copies of all reporls and completion notices on this properly filed with the Board dUl-ill" the preceding two )-cars upon I t' I. ylllen(ofa $2.00 search fee to: Struclural Pest Control Board, 1-122 1 lowl.,\vc., Ste. 3, Sacarrienlo, California 95825-3280. SjIl)l)j eillell till l'el)oI* i I ... ! *[' * j Original * . ' leinspectlon Report afe: 11! 18/97 Limited Report :: Stamp # _596785V 1) I N F' S D F 0 1) I F; 1: C E S Alel'illDescriplioll N 1.1 T U B R Y II N T 1-1 A KI A R A 1) H 11 X C 14 0 lie story, wood fralne, brick & stucco exterior, furnished, carpeted, occupied, 1-1 T W G 1: 1) T I. 1, E W '111posip -001. Z R 0 S 0 Y 11 1, S S E R S I R 1) 0 11. 0 1 L S V r, l(-'1SNEl)j),l, F3 I )AEEA ,pcctionTiw Posted: Subareaf 1 11 1: A N R M R 1) k R1: f; M O K S A 1N'l • I 0 NR I B I S 'her Inspection Tags: ---- R I E E 'I T v I T kirk Pest Control 11-18-97. I: R S f A S 11 A N M S C R i St I S S SUBSTRUC-71,TRE AREA See boxes --- > X E X .STAH.SHOWER-- StipplemelllalRepor( .FO11NDATfONS-- So tementalRepori 1-101\10 ifi-S — STEPS -- Supplemental Report V1 Supplemental Report SupplemenlalRepod A'1 -FIC SPACES -- Supplernenlal Report GARAUH'S -- Supplemental Report. DECKS — PATIOS -- Supplemental Report I. OTI 11 INTERIOR -- Supplemental Report .OTl4'F`R—EXTERIOR -- See l-mes --- > I I I X I I I xI I FI DIAGRAtA AND EXPLANATION Of-, FINDINGS ('This report is limited to structure orsy!iclttres shown on diagram) NOT TO SCALE i' .i.UPPLEMENTAL REPORT � 116.3 '(1B. 11 B. n A X/ Fl-' ZONT ,11Sj)CCICdb)' Scott R022eSR:laa License No. I `R24034 Signalilre YFF: ( -problems concerning the above report Sholild budireclud to [lie Iiiii-esolved(Itieslit)ii.,;(ii- eni, h '.)LIeslions or i,-cs pci-fornied may be direcled to the S1111CILlral Pest Conlrol Board at (213) 897-7838,(415).557-9114,(916) 263-2533. �ou are en(itled to obtain copies of all reporls and completion notices on this properly filed with the Board dUl-ill" the preceding two )-cars upon I t' I. ylllen(ofa $2.00 search fee to: Struclural Pest Control Board, 1-122 1 lowl.,\vc., Ste. 3, Sacarrienlo, California 95825-3280. _dress of I +nt�crl� Lispected: PAGI 2 OPS'I'ANDAI(l) INSI'tt,C'L'1Oi-J 1t Li l'ORI' ON THE PR(')IIER'I'Y LO(,A'I'El) A'I': on BLDG. NO. 596878V STAMP NO. Lslalcs Drive STREET 11/25/97 O17 INSPT:EriON Chico an, 04-15592S H CO. REPORT NO 'I his inspection supplements and becomes a part of our original inspection dated 1 1-18-97/#04-15592/596785V and c.irinot be considered a separate report. This bid is based on what is visible and accessible today 11-25-97. If* the t _�\ •person (operator) finds more damage a supplernental report and a new bid \vIll be given, IBSTRUCTURE AREA LADING #IA. l : After opening this area per iteral #1 A 01'01,11 -original report, it was noted that fungi is . l making the wall studs, the top and bottom plates, and the decorative column supports, .'COMMENDATION: Remove up to 75 lineal beet of damaged framing at the interior, Replace �witittijr✓�� materials. lllowe and replace the rest ol' the damaged subfloor and rine Joist. Apply a solution ol' disodium oc1ab�lrate rahydrate to adjacent unpainted wood surfaces to arrest infestation or infection. Replace wallboard and'cedar l;,neling. c 'ITIER - EXTERIOR I`•NDING #I 1A.1 : After removing the damaged soll'it per item #1 IA 01'01.11 -original report, it was noted that wood d Cay I`ungi is damaging the trusses, sheathing; and riikcr tails. It has not yet been determined where the leak is tiling I'rom. :COMMENDATION: Remove up to 12 lineal feet ol" damaged framing at the caves. Replace with ne\v materials. place sheathing and soffit. No painting included. Additional costs may incurs it a roofing contractor has to be nlracted to patch the leak. If parties in interest require it certification of watertightness or other roof information, we :gest they employ a licensed roofing contractor. f :I\JDING #1113.1 : After opening the siding, it was noted that wood decay I'ungi is damaged the studs and wall plate :t the shed. W:COMMENDATION: Remove up to 30 lineal feet ol" I'rarning and up to 321 square Deet of siding to I'urther inspect n tjacent wood members. If no l'urther damage is noted, replace siding and framing. No painting included. 'f NDING #1113.2 : After opening the siding, it was noted that wood decay Fungi is damaging the surl'ace ol' the .c. rior framing. ;COMMENDATION: Apply a solution of diSodlllm octaboratc tetrahydrale to adjacent unpainted wood surfaces t, arrest infestation or infection. LADING #1 113.3 : The way the exterior asphalt and concrete have been built rip around the exterior allows moisture I.seep into the interior of the shed during the heavy rain. r' { +�1.::COMMENDATION: The owner should employ a consulting enginccr to make recommendations I'or permanent 4 ?;.rrectiwc measures. 'I c. building permit fee includes: purchase ol' building permit, ordering and scheduling necessary inspections, and �j Citing time for Clark employees. Parties in interest may reduce charges to $100 or the permit cost (whichever is .,ater) by agreeing to wait at the property for all inspections, including scheduling, and waiting Yor the final -pecttion. If the building deparinneni requires work in addition to the work spccifI " in this report, it will be -nlplcted only after written authorization has been received. Any additional work \viII generate additional charges. %f''e I tcl* (s) which will require a building permit are the I'(.)llowing: #1 A. 1, J I A.1, 1 113.1. l !:unk you for calling Clark Pest Control; we sincerely appreciate your business. 11• you have any questions regarding tl.i :report, please contact out- office and ask l'or Scott Rogge. Ark's Pest -A-. program will protect your home or business against infestations of ants, cockroaches, fleas, r. mcc, rats and°oilier pests. Call for a free estimate. j CLARK PEST CONTROL, License Number PR226 5 1dress of • 11 it��clt;l;� •PAGI 3 : I'ROI'ERTV LOCAIED AT: E�(1I'I)t 180 BLDG. NO. Eslales Drive SI'RL'171' ( alico (71' 596878V 11/24/97 (4-1.3592S STAMP NO. DATE OI 1NSPIC.1'iON CO, REPORT NO, 1 QI ANY) NOTICE::REP.ORTS ONTI-11S STRUCTURE PREPARED BY VARIOUS REGISTERED COMPAN_ _ SHOULD . LIST THE SAME FINDINGS (i.e. TERMITE INFESTATIONS, TER(V1I'1'E DAMAGE, FUNGUS DAMAGE, etc.). HOWEVER, RECOMMENDATIONS TO CORRECT THESE FINDINGS MAY VARY FROM COMPANY TO CQIVIPANY: YOU HAVE A 12IG1IT'f0 SFEKA SECOND OPINION FROM ANOTHER COMPANY NOTICE: THE CHARGE FOR SERVICE THAT THIS COMPANY SUBCONTRACTS TO ANOTHER REGISTERED COMPANY MAY INCLUDE THE COMPANY'S CHARGES FOR ARRANGING AND, ADVH1RLC L1LI+1,fH ' ' �'C A121� 1'IsS'Y' CON'1'RUL'S BIOU 1VIAY'� ,PAYING 1 I -TC SUBCONTRAC 1'012. YOU MAY ACCE 1 (. .' � , CONI'RACP}DIRrCfffWITHANOTHERREGISTI+RE1)COMPANYLICENSLDTOPERF6 AmWORK.Y 5 II,, YOI1tCHOOSE TO CONTRACT DIRECTLY WITH ANOTHER REGIST1+�Rl:D COMPANY,,%ARK•PEST-' . CONT!ZOLWfU,NOT1IE RI?St'ONS1131,E FOR ANYACT OR OMISSION IN 7'HE PERFORMAN& ORWORK THATYOU'DI11ECTLY CONTRACI' WITH ANOT1-IERT0 PERFORM. 2� Pesti(40es& are the products Clark Pest Control uses to control the target pests listed in your agreement. Pesticides make a better life for al]Tby helping control dise<rse carriers and wood destroying insects, thus protecting our health and property Wlen properly, used,;pestrcides pose no problems to humans or the eirvironment. Your Clark Technician is a State certified applicator whose knowledge is constantly being upgraded through regularly scheduled training sessions. If you have any questions,,please callus at0ur,t0 j ;fi�e.number: 1-800-936-3339. ODOR: 1n+a proper termite control application (except fumigation) a nor -toxic odor will be produced,'M a resulto veot evaporation;'Tlie odor will dissipate in approximately 60 days. The odor contains no technical pesticide and is,hp- hau dolts. PFSTf 0JW,_' Amorphous Silica Gel, BoricAcid, Chlorpyrifos, Chloropicrin,' Cypermethrin, Disodituri OcpborateTetrahaW,, He flur eron; Hydramethylnon, imidacloprid, MetarfiiziumAnisopliae:.,MetliyltBromide, Permethrin, Sulflruarriid, Sulfiuyl F1,i�ide;'7rna`Namhanate. Clark Pest Control will not apply any compound' not authorized'for useii ;California 0ISIVFtON PESTICIDES ARETOXIC CHEMICALS. Structural Pest Control Operators aft licensed'apd regulated 6y.did Sttuc4u4T,estlControl Board, and apply pesticides which are registered and approved for use by theCalifornia Departrrienf of. Pesticide ggg4h fon and the United States Environmental Protection Agency, Registration is,granted.yytienahe State findsahat IJMed:on existiirg scientific evidence there are no appreciable risks if proper use conditions-are,folloWy Qr,that the risks are. outweighed by the benefits. The degree of risk depends upon the degree of exposure, so exposum shouldbe minimized. If within 24 hours following an application you experience symptoms similar to'common seasonal illness; comparable to the flih.,contact Clark'Pest Control (1 -800 -WE -NEED -YOU), your physician, and/or your area Poison Control" Center.. fgf,.yqur, area,Poison Control Center, contact the following: Northern California (1-800-342-9293), Central'VAey (1-800-34b-5922); Noi fBay'(1-800-523-2222), South Bay (1-800-662-9886). •F,URTHER INFORMATION: Contact any of the following: Your pest control operator ,is :Clark Pest; ,Control, (1-800-.4.21-7829); forRegulatory Information call the Structural Pest Control Board (916-263-2433); or write 1422 116we.Ave., Suite 3 Sacramento, CA 95825-3280. For answers to your health questions, call the County Health Depar nent (see list below), and:f6p application information, contact the County Agriculture Commissioner (see list below). Corn Health Dept Alameda; (510) 567-6700 Ariiador" x(209) 223-6407 Butte: (916) 538-7581 Calaye'as': (209) 754-6460 Colusa: (916) 458-0380 CQntra Costa: (510) 646-2521 E1;:Dorado; - (916) 621-6100 .Lake: (707) 263-2222 .Madera: (209) 675-7893 1Vlaiin' (415) 499-6879 Mariposa: (209) 966-3689 ;Mendocino: (707) 463-4134 Merced: (209) 385-7391 Monterey,: (408) 647-7654 AR. Comm. (510) 670-5232 (209) 223-6481 (916) 538-7381 (209) 754-6504 (916) 458-5867 (510) 646-5250 (916) 621-5520 (707) 263-02.1.7 (209) 675-7876 (415) 899-8601 (209) 966-2075 (707) 463-4208 (209) 385-7431 (408) 647-7629 Napa: . (707) 2853 5535-4461 (707) 253-4357 .NBTada: C�A YEAST C(8��R1 County Health Dept. Placer: (916) 889-7141. Sacramento: (916) 875-5656 San Benito: (408) 637-5367 San Francisco:(415) 554-2500 San Joaquin: (209) 468-3400 San Mateo: (415) 573-2757 Santa Clara: (408) 299-6060+ Santa Cru Z: (408) 454-2022. Sierra: (916) 993-6700 Solano: (707) 4211-6770 Sonoma: (707) 525-6500 Stanislaus: (209) 525 -4154 - Sutter: (916) 822-7400 Tuolumne: (209) 533-5990 Yolo: (916) 666-8649 Yub : " (916):741-"6366, Ucense�Yumber PR226 AR. Comm. '(916) 889-7372 (916) 875-6603 (408) 637-534j'• (41.5) 285-501+ (209) 468-330" (415) 363-4700 (408)-299-2171 (408), 763-808 (916)' 283-636 (.707) 421-7465 (707) 527-2371 (209) 525-4610 (916),822-7500- .(209) 916).822-7500.(209) 533=569 ts. (9160 "666-$11:40: x(916),741-64_94- 9/19/97 (916),741-6484:9/19/97 f, .. .� _ .. �_ ,. �'i'.., ^'S•?�ti: �,.i-, _ _ � .�.-a is � `� -� - ��' � -,,. ,.�". '. '_ � ._ G s�/ �.�. ,.. .. - ,' �! - , - e a ; , � . q,T�T..-'yg:�.f Y i . � `{,Items-r'�i ���'•:.9.: ,� 1 ' . ail' . . . '.C".. d _ �r. � br COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS \ PERMIT NO. 7 Count Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATLDN AND PERMIT ASSESSOR PARCEL NUMB R ( ZONING BUILDING PEFWIT• OWNER cj� TEL P'H NE a SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS - J )y/y fr CONTRA TOR'S NAME TELEPHONE . �� �, 3 4 -- i - W /� CONTR CTOR•S MAILING ADDRESS C� l� S -.I"7 f -� J t J •Z� Fireplace CONSTRUCTION L NDER' UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS\ Permit Fee $ 41* ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILrDING ADDRESS"\ Permit fee $ , t� PLUMBING PERMIT Filing Fee 10.00 j1 �.1%-M' ..1,--.;•t-. w.,.-..., TY 2.00.. � .Each Trap ,1 ri- 1,_ .02._ .. . \ .... _ , _ _ �� ;� �, • \ ' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP > Water piping 5.00 Each qas water heater or vent 5.00 USE.OF•STRUCTURE' SF Duplex❑ Mobilehome❑ Other 1 • SPECIFY Gas piping system 1 -5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El Other Describe work: � - d' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 100V OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS % and Professions Code and my license is in full force and effect. License No. ��s_ Classification �'i T ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.y\ '/z2sgft OR AODNS. 1 ACC. BLOGS. 1 NEW CONSTR.TI-OUTLET '2,50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. z oesoe EX. OCcup(OUTLETS OR FIXTURES .ALO 30 EX. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor, WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check oris:): I `. ❑ The permit is for $100.00 (valuation) or less. `� ©I have placed on file with the County of Butte Building Department a Certificate of Workken's Compensation Insurance or a Certificate of Consent to Self-Insu ,e,. ❑ I shall not employ any Berson `in any manner so as to become subject to the W. C. Iaws.of Cajilor`nie.I Notice to Applicant: If after making this s atement;.should you become subjectpermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal l,6e deemed revoked.` MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling / Hood 3.00 Ventilation Fee = 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 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. `�/ X ��� P, •- �!` -�!. --- Date �U�/ V - — - Signature of Applicant — Owner F1 Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep anAemolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ S Occup. CONST,TYPEJ SCHOOL PL.00D PARCEL PD I ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By /DIR.ECTOIROF PUBLIIC,/WORKS P RMIAXPIRES Date r Receipt No. /�� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC � 7 County Center Drive - Oroville, California 95965 -Telephone: APPLIWIA. AXD' PERMIT WORKS PERM1 /No 916/538-7541 S/ S �/ ASSESS R PARNU B R ZONIN BUILDING PERMIT OWNER TEL PH NE SO. FT. OCC, BUILDING VALUATION YL D OWNER'S ANG ADD SS CON RA TOR'S NA E ` TELEPHONE CONTR TOR'S AILING AO E v `' Gq J -IJ --7 Fireplace CONSIMUCTION LeNDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ; ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee !$ S <U PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFV Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ( Permit Fee $ Describe work: - / Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV DR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.m) yz¢sgft I declare under penalty of perjury (check one): A OR DDNS. ACC. BLDGS. NEW CONSTR MULTI—OUTLET 2,50 ea I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID .BRA CH CIRC ITS POWER APPARATUS e) and Professions Code and my license is in full forc a effect. SINGLE OUTLET CIR. License No. Classification C— Ex. OCcup(OUTLETS OR FIXTURES 200 AL@3t 5 ALeo El 1, the employees with wages as their so(e compen- \ Ex. Occup. OUTLETS FIXED P(RESID.)REA.J 2.00 as owner, or my sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,. should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shatI be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee s is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ S' 1 also agree to save, indemnify and keep harmless the County of Butte against occuP. CONST.TYPE SCHOOL FLOODPARCEL PD ND s9UE all liabilities, ,.judgments, costs, and expenses which may in any way accrue against sai County in c ns - ence of the granting of this permit. �/ ¢ This permit is hereby issued under the applicable provi- X Date L �`(4 a� sions of the Butte County Code and/or resolutions to do .- 0�1 ° Signature of Applicant -- Owner❑ Contractor ❑ Agentj work Indic above for which fee have been aid. P An OSHA permit is required for excavations over 5'0" deep and demolition or construct- IREC A F PUB ORKS ion of structures over 3 stories in height. Receipt No. By to WHIT[-D.P.W.. YELLOW-ASSE390R. PINK -INSPECTOR. COLDENROO-APPLI CANT P XPIRES Date 8861 L Z d3S S)WOM omnd 10 '1d30 311!19 jp A1tdf10D