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HomeMy WebLinkAbout040-470-009a 40-47-9 D ke Homes -- /S Istachio Dr., app.125'S.of Entler A , In 9,_Southgate Acrco;,Chico Per i\' #'40**=80B(gew"single "•family) Y 40-47-9 � � Contr : ,L. V, lumbin�gyA Chi��� � - P rmit#5732-8 (plbg% ©41c: 0-47-9 Contr: McClelland A, Chico %Ile � Permit#5769-80M(mech/4 -80)SF 40-47-9 Contr :Re d Francis Electra P�mYt#139-81E (ele/4041-80)SF 40-47-9 James D� on 5 Pistac io Dr ._f'' ico u I�(/ contr : Holiday P s. _- . 'Permit #502-82B, a pri.swimming pool &spa) - 49 -47-9 > Con tr: Sunshine Pools of Chico Permit#106 -82B , P , E(new private swimmin, pool)I �a 1 (0 ) it 040-4702009 PER 97-1 105 'RYSTROM, Steve & •vienne �. 5 Pistachio D .. , . Chico s(�� Add Offic Carport/SF 040-470-009 00-208 )�� RYSTROM, STEVE 5 PISTACHIO DR., DURHAN4. CONTR:N/A- � REROOF O/ 040-470-009 6S-2186 RYSTROM 5 PISTACHIO DR, CHICO Cont: POPP'S CONST CO REMODEL -KITCHEN BUS=1373— ` - _ 040-4/0-009 MISCELLANEOUS Storage Shed STORAGE SHED 12X20=240 SQ.FT. 5 PISTACHIO DR RYSTROM STEVEN D & V, 1 F �4 i I a 40-47-9 D ke Homes -- /S Istachio Dr., app.125'S.of Entler A , In 9,_Southgate Acrco;,Chico Per i\' #'40**=80B(gew"single "•family) Y 40-47-9 � � Contr : ,L. V, lumbin�gyA Chi��� � - P rmit#5732-8 (plbg% ©41c: 0-47-9 Contr: McClelland A, Chico %Ile � Permit#5769-80M(mech/4 -80)SF 40-47-9 Contr :Re d Francis Electra P�mYt#139-81E (ele/4041-80)SF 40-47-9 James D� on 5 Pistac io Dr ._f'' ico u I�(/ contr : Holiday P s. _- . 'Permit #502-82B, a pri.swimming pool &spa) - 49 -47-9 > Con tr: Sunshine Pools of Chico Permit#106 -82B , P , E(new private swimmin, pool)I �a 1 (0 ) it 040-4702009 PER 97-1 105 'RYSTROM, Steve & •vienne �. 5 Pistachio D .. , . Chico s(�� Add Offic Carport/SF 040-470-009 00-208 )�� RYSTROM, STEVE 5 PISTACHIO DR., DURHAN4. CONTR:N/A- � REROOF O/ 040-470-009 6S-2186 RYSTROM 5 PISTACHIO DR, CHICO Cont: POPP'S CONST CO REMODEL -KITCHEN BUS=1373— ` - _ 040-4/0-009 MISCELLANEOUS Storage Shed STORAGE SHED 12X20=240 SQ.FT. 5 PISTACHIO DR RYSTROM STEVEN D & V, 1 F �4 'a hy, M-� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION,(IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 5 PISTACHIO DR Owner: Permit NO: B08-1373 APN: 040-470-009 RYSTROM STEVEN D & V, Issued Date: 08/06/2008 By KCG Permit type: MISCELLANEOUS 5 PISTACHIO DR Subtype: Storage Shed CHICO, CA 95928 Expiration Date: 08/06/2009 Description: STORAGE SHED 240 SQ.FT. (530) 345-4700 Occupancy: Zoning: SRI 0 Contractor Applicant: Square Footage: RYSTROM STEVEN D & V, Building Garage Remdl/Addn 5 PISTACHIO DR 240 CHICO, CA 95928 Other Porch/Patio Total (530)345-4700 240 FEE INFORMATION DBEH Building Review Fee $78.90 DBF Storage Shed Plan Check $241.16 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Garage/Shop/Strge Wood F $361.74 DBSMIP Residential $0.58 Total Charged: $896.38 Fees Paid: $896.38 Balance Due: $0.00 Receipt No: B8190 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION' Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 08/06/2008 penalty [$500]; check one of the following: Contractor's Signature Date �Please y[ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE ILS COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does _ WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Cartier: Policy Number. Exp. Date: (This section need not a completed if the permit is or once Hundred dollars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: y r I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS p[ GI / V ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' _ Compensation Laws of California, and agree that if I shoulo beco subject to the workers' • X 08/06/2008 compensation provisions of Section 3700 o ab de, 1 II forthwith comply with those Owner's Signature 10,17 Date provisions. X 08/06/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize re resentatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection p se y certify that I am the property ow=n autor to act on a pr erty owns dCil�� 08/06/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Pe ittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Q,� IT, 1-6wner 1:1 Contractor OR; Agent for Owner QAgent for Contractor l� FILE COPY Lender's Address City State Zip f BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. ,g6g-/3173 BIN A le) **When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name cs 7� r,,, First Namec----4 Mailing Address 1_�_ /moo� City e41 ev State Zip t,67 . `l Phone�. �� � -7 -7 Fc30 J Y E-mail APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name ® U,/ 1-e e Address City State Zip Phone Fax E-mail A P PL I CAXT7 S I G_NAVTURF XSAO PROJECT LOCATION Property Address Tf' ac 47v Zl- Citye ("L; -ro C, 9s9� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 0ghn — Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): S For office use only: 6 6 f-116) Zoning S ,j I Flood Zone SRA I Yes I No Occ. Type Const. BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-1373 Job Address: 5 PISTACHIO DR Contractor: Printed: 07/21/2008 8:36 am Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee DBFIRE Fire Inspection (SRA) 0021-540013-4614901-10101 $78.90 07/21/2008 $78.90 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-10101 $107.00 07/21/2008 $107.00 DBMSC Garage/Shop/Strge Wood F 0100-450001-4617240-10101 $107.00 07/21/2008 $107.00 DBSMIP Residential 0010-440001-4210500-10101 $361.74 DBF Storage Shed Plan Check 1001-0-280-1011298 $0.58 0010-440001-4210501-10101 $241.16 07/21/2008 $241.16 Printed By: Tammie Powell 896.38 $534.06 Balance Due: $362.32 At the time of permit application, I w,;advised the above fees are required prior to issuance of the permit. These fees y change di i t a ecking process. Signature: Date: 07/21/2008 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 0 O 0 O National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B08-1373 Date: 07/21/2008 Location: 5 PISTACHIO DR By: TMP Parcel Number: 040-470-009 Sub Type: Storage Shed Owner Name: RYSTROM STEVEN D & V, Phone: (530) 345-4700 Description: STORAGE SHED 12X20=240 SQXT. By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 07/21/2008 California Department of Forestry and Fire Protection Butte County Fire Department . Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B08-1373 Date: 07/21/2008 Location: 5 PISTACHIO DR By: TMP Parcel Number: 040-470-009 Sub Type: Storage Shed Owner Name: RYSTROM STEVEN D & V, Phone: (530) 345-4700 Description: STORAGE SHED 12X20=240 SQ.FT. To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 07/21/2008 Date Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protplan/protplan.htmi Rev'd 5/7/07 APPLICANT Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municiDalcodes.lexisnexis.com/codes/butteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-1373 Location: 5 PISTACHIO DR Parcel Number: 040-470-009 Date: 07/21/2008 Owner Name: RYSTROM STEVEN D & V, Phone: (530) 345-4700 Description: STORAGE SHED 12X20=240 SQ.FT. Signature of Applicant: Date: 07/21/2008 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY P�O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . (YES R NO) HAV VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: STORAGE SHED 12X20=240 SQ.FT. Reference Number: B08-1373 Applicant Name: RYSTROM STEVEN D & V, Owner's Name: RYSTROM STEVEN D & V, AP # Signature of Property Owner: Date: :040-470-009 �� /- e� EDGAR N 74 5,495.535 ., E2,OSL ,]l8. 6Y •• xae°eSb7•C, a6.4i 02,E __\ 'r•n. BASIS OP BEARINGS j A� ' PIPE OPEN O `FDO Vz'1RON E Q / ,F OPEN ]L'. .4 a"E SCALE 1"• 100' /" .... ON EAST RAIL / 'VICAI OF SN.R.R. TRA116 N 743,9119.612 COUNTY •l StA. -55.35 F0.3A"IRON F0. 3A•IROw E 2,053,808.473 : �7A•r PIPE OPEM - FIPE-RCE 7294 x36.43'07"E 201.12' N}fi•4507°= 1013.03 (1016.58 R-8 950°20'10'E/ • •� r_ z5e.1 ENTLER AVENUE w56�'O2'C 3]7zsla' $ -' I+s.oa' goo."'.. -2]2.54 �1z4.97' tix4.e6' \� N!-fi°I4i O)E 202.51' M56°4307 C -M). _ NST4]07 C-20].00' SB°.J'0]•E _ A I - r 6 n - �q�' i T • h F0. RH.NAIL B TI ' m 1 < I ae, a eouxrr ^L• srs. a Io.>z nx'Lr COR. OF weorvlswn SOUTHGATE - 7 �et ;°, j -ml - lrO 6 N �� 8�!' 1m j ml �■. 6 - N 746, 99S.19S 0.63 AC, v c 0.6. AC. I ii v �R•+V a1 E 2,036, J94.6ri ACHES n of 0.64 K I- C _ n IU RUED- "s s6°4i W"IO' _ N58°4]'0'2"E N56°43'OYE' I' .6a6°4!•oT'W" c _ LOCA r/ON MAP O JRULr R2Y.48 - _II v I_- _72].00' l- -SSP. UE.-�2l.00-- =: I --`-222.52•--I P.U. �- HO SCALE 2' t k9 ±A 7/�c, p•81 `ln _ LEGEND 0.8 ] AL. 1 8 v. D.B K. 0.64 c 1 R DAN- 3%°4i0)•W Mab°eia7"E NS6°43'07•E P I Sa8.43'07•W 0 SET 3/4' IRON PIPE TAGGED R.C.E. 14203 222.45'. 'I � -7 223,00 W .'.225.00' ' �l � WT r � 'E2Y.80' 10'PLLE. I ...B L I I 1 � SET 11/4' IRON PIPE TAGGED R.C.E. 14203, SUBDIVISION COINER J 4' tri a° v$ X " 1\3cml $ 7Q w1 A SFT COUNTY OF BUTTE CENTERL IM£ NONVN[wt " O.eJ AL I .� 3 ip�.6V4 AC. I _ 0.64 nC.! I - my y^=��Oi63lAC7. J!"E ° COMPUTED POINT, NOTHIMO SEl =Nse•43,07,E Nae°4!'oiE =ssfi•4ioi W 3 FOUND MONUMENT As DESCRIBED 3DUET222.TV-ao eA l 2 ± I`-m.u. T- ]Bu,E---oo-_-1 1., -222.63'-F]b Ua-pB. .L SL.BIlILD1xasereALw LMEPU.E. PUBLIC UTILITY EASEMENT 0.63AC, - , 063AG' Y50.E. STORM ORMN EASEMENT E%IST.9!6 °0301•W N56°1]'07"E NS6°4]'07"E CL.F.S. A. LEACH FREE SETO?C% AREA FENCCBa29 WELL LOCATION LOT NUMBER Of THE .I.F ENTLER RANCH t0' P.u:E F0. VE "IRON \ fi ' PIPE OPER ��__!! n1.0¢ �{2.-1P'S0.E.BRUEy j� �; Imo` \\S) ' j o - E%ISL fFNCE�-�- FCSS! - _ _ _ l\\ D B111. N// o YRO °ryRt 5 3 w m 15- - - -16 F. RCE ]294 / 4 T u I.zS AC. _ ^ 1.26 AC. n "a PIPE OPENIs FTI 3/4' IRON W N0. I4MJ I m 2' B.G.E. " I 12 9.0.E ry 1Y'B.p E. " / lR-Y BMI n � J F-6 1 / BI Pve E.E� 12'9.D.E- N �PIPE OPEN * F a 14!.02' ESY, J]'� '-T y255.00' 235.00' a 0 f-'- 252.]2'- 958°42'42"W T� 435.2Y' ' 856.42 42"W / •II �A'll P J \• 356.42'42W 1015.05'I1016.58R-1112) �� 'IF OF CR\�FO�� . •5804 CURVE DArA SOUTHGATE ACRES _ .��_• 936°4242•W DELTA RADIUS sac E% Si 90°a0 oo' za oo' S1 az' FD. y4•RON ACREAGE IN LOTS 15.14 FD yi IRON FENCE SPE"� ACREAGE IN ROADS 2.31 SUBDIVISION PIPE R.CE. 7294 // OB 44.24'53' 20.00' 15.50' / \ FENCE J Q 4.•24 ss 30.00' 38. IV \ TOTAL I7.45 LOT 14 AND A PORTION OF LOT 13 OF THE OD 90°00.00' 50.00' 70.1.' \ "REVISED MAP OF THE SECOND SUBDIVISION . Q 269°49.50" 50,00' 2346d _.RESOLUr/ON NOTES OF THE J.F. ENTLER RANCH, ON FILE IN BK. 8 THE NOR" v'LY BOUNDARY OF THIS SUBDIVISION -5 OF MAPS, PG. 2 ESTABLISHED BY U31NG THE CENTERLINE of ENTLER AVE., A� SET BY BUTTE CO 0.P,W. THE SOUTH E'LY BOUNDARY BAS/S OF BEAR/NGS RECORD REFERENCES sourEScoge en o°v LOT s2Nax0"ONFTNEDSOUTN"EFLYTLINE To"v SITUATE IN SEC. 6, T21N., R.2 E., M.D.B. B M. THE BASIS OF BEARINGS FOR THIS IAP IS TME CALIFORNI& R -I REVISED MAPOF THE SECOND SUBDIVISION OF THE j. F. LOT 17 OF SAID J.F. ENTLER ETC. BUTTE COUNTY, CALIFORNIA AS SHOWNESYSTEM ZONE 2 ON LOCATION MAP.' BETWEEN "EDOAIi AND "VICKI, 3"BUTTTLER E"COUNTY RECORDEDL RECORp. IN BOOK 8 OF MAPS; PAGE OWNERS AND SUBDIVIDERS CONVERSION FACTOR FROM GINO TO GROUND DISTANCE 15.99997!4 R-2 THAT CERTAIN DEED RECORDED IN BOON 1755, BUTTE MALCOLM D. JAYRED and WM. S. TOWNE COUNTY OFFICIAL RECORDS AT PAGE 151. AlMCCAIN ASSOCIATES (9161 8 91-1063 492 RIO LI N00 AVENUE CHICO, CALIFORNIA 95926 CONSULTING ENGINEERS SURVEYORS SHEET OF 2 AF NO. 4G G4-33 B 37 IBN 4 SOUTHGATE ACRES 40-47 LOT 14, PTN. LOTi3, 2ND. SUB. J.F. ENTLER RANCH 04 Ell I I I I SOUTHGATE ACRES SUB. M.O.R.72,Pgs.15A6 ENTLER (_ __ -- -- — --� — -- 2.51 205AQ 20500 2012.34 31.42 31.42 I 31.42 31.42 1 O s O 10 10 I It (D I _ 20 20 N Le 225.001 22500 222.57 �( I 3 W l" = 1od 2 2 O °' o0i �8 J B I a a 19 m N O h `✓ I N h Q' N 19 n p - N .45 225.001 225.00 222.60 Y tu W m � 3 G)_ ami 8) B I ma 13 13 $ 18 16 =N 4L.N n N 04 1.42 J 225.00 225.00 3 22263 O W O I � 4 O4 y @ O 7 i w 11 f4 � 17 17 g 4 205.00 205.00 202.66 I 1 t2 • i ,e OO IS 16 3 6 255.00 1 1 233.00 I 25272 1015.05 02 All Assessors' maps are prepared for focal property assessment purposes ONLY and the parcels shown thereon may not comply with State and toed suboWisionor6 meas. No rkbVity Is assumed for the use of the information shown on any Assessors' mop. Assessors Map No.40-47 County of Suffe, Calif. OWNERS CERTFFICATE We, MALCOLM 0. JAYRED and WM S TOWNE, as owed,. of he tend included in SOUTHGATE ACRES SUBDIVISION as answer, within the bNdarlm. An the —.ad map, do he,eby certily that w e IN Only Persons whose consent i necessary to pose c lea title to said land And recordation d mid map a. shown within the baderlble. Thal Pert ion of ENTLER AVENUE, DUNN OR AVE and LEWIS AVENUE, os shown within In. borderline of .Aid map, are hereby offered tun dedication and granted ref. for Public use MAouldy rood purposes. We after far dedication, ad do horsey dedicala be Specific purpose., the fellosing: (A) Easements far light and air mer that strip at. land lying between caulty read right- of-way and In. Iina shown Ord desigmled "Building Setback Line; mid .trip to be kept Nen and free of buildings. (e) An statement for public utility purposes, including water, Barre,, drainage, electric, goo and ccmmuni,o.Na .recd His,, mer, an And under Inose strip. of land shown an the annexed map m "Public Utility Easement." (C) Ane ant ted storm drainage Purposes an and oder those strips of land shown an the oma ad map as"Slorm Drain Easement." 1A RE..E- MALCOLM JA REO 1 A W . S. TOWNE ACKNOWLEDGEMENT STATE OF CALIFORNIA) COUNTY OF)ss. on thi.�yzdswy A.� e>� . in the gem /991 , W fm. In �. a Notary Public to and d shote, dew -111 appeored MALCOLM D. JA ED, Mown to me e be the person whose recto a mbsaribed to the within imtrumant, And acMnledged that nee .alert Me seed WITNESS my hand and official &SOL ONICIAL SQAL xo»4ra¢�NYN ogrguvaamu t yam: mniMArm Not err w Ic y. q s. 3-111 mese.. A. .seat ACKNOWLEDGEMENT STATE OF CALIFORNIA Iwo COUNTY OF1 On thi.14 day o(tl{vp a, len the Year ZJEU , before ma Q(ce a Notary Public nand I r d state, personally appeared WM. S, TOWN , known a me to be ma per when 'name is Subscribed to the within ilsirument,ord acknowledged that he ...led the came. WITNESS my hard and official seal. ft OFv1C1AL.5[AL /yy� m wP.o-aanoant w - osbe 6,2 4 I9J Notary Pu is t!Q1ISi11, a6 -i 4., a Nml'. SURVEYORS CERT/F/CATS 1, Everd A McCain, do hereby ortity Mat I an o Registered Civil Engineer of IM State of Catifanio, that the aneted map of SOUTHGATE ACRES SUBDIVISION represents A survey made by m ander my direction in SEPTEMBER 1979 , that it is me and amope m pfete m swn, that umts shown thereon are Set n their correct position and m sufficient to enable thea.enureey e he retraced. O YgOFESSIC,y4Y F/J✓%J? E he `vp0 A. EVERD A. McCA1N _Y R.C.E. 14203 w � i Ro. lJ.pli a it se "OF CAUtFO�� COUNTY SURVEYORS CERTIFICATE I hereby ce,Iify that I have ea ined Ina final Imp of SOUTHGATE ACRES SUBDIVISION, that if ie Substantially In. sem a. appealed on the rental I- map an file, and any . appro,ed alterations thereof, that all provisions of the Subdivision Mop Act of the Slate of California Ord any local ardimnces applicable at the little of vpproml of mid L., ive map have been ,complied with and I an satisfied that the map is tec Mically call.. CLAY CAST BERRY R.0 E. 14224 County Surveyor County of Butte COUNTY AUD/TORS CERTIFICATE 1h—certify that Ihace ore no Nene of unpaid County or Special District Tmlm agaiml any of the IoM. shown an iha axompanyng Subdivision Map, e.cept faces which we ed maea an a list, but l yet payable. TaSpecial Assessments which are A lien but not yet Payable, I estimate to be in it. amount of 63y eY Doled this ,yoJ day of f. 19 9F _Z County Aedi Deputy 161 COUNTYCLERKS CERT/F/LATE I, L a m K R roe I z e. COnnly Clark of the Canty of Butts, Slate W Ca1(lomie, do hereby agcknowlWq IN _ ronipt of emisfactory secaity in the Auditors estimated amount of IY L34. oo to insure payment of tame which ail A Nen but rel yet payable. That portion of ENTLER AVENUE, as clown w,thin the borderline an Me aanaaed mit and offered for dedication to the public and granted in tea to the public far count road purposes, soner.ls for light ore air and for public utility purposes, easements for d,anage purposes, were =UPled on behalf of the public. That portion of DUNN DRIVE and of LEWIS DRIVE, as shown within IN borderline an the messed mop and offered for dedication to the public for county two Purposes, was not accepted at cab lime an behalf of the public. �`TA, counterk By C�Oa� Deputy RECORDERS CERTIFICATE Filed in the- office of the Recorder of OR, County of Butte, Stale of Califomia, at i�.M. on th-12-M day of--/ p ty _ , 19Z2, n Map Back at Popes - /2r- and1�, at t_ . he request of Mccain Associates. RECORDING NO._�3S4SLa SUBDIVISION NOS^ < 2A. W— OQ >? G — -, �+Coun`tyy R.wrder By Co.. _ _ Q` Deputy SOUTHGATE ACLS SUBDIVISION LOT 14 AND A PORTION OF LOT 13 OF THE "REVISED MAP OF THE SECOND SUBDIVISION OF THE J. F. ENTLER RANCH; ON FILE IN BK. 8 OF MAPS, PG. 2 SITUATE - IN SEC. 6, T.21 N., R.2E, M.D.B. B M. BUTTE COUNTY, CALIFORNIA OWNERS AND SUBDIVIDERS MALCOLM D. JAYRED and WM. S. TOWNE �` M2 RIO U ASSOCIATES I91s1e91-ie6A 492 RIO UmaO AvbrpE cNlcq ULIraRxM 95926 CONSULTING ENGINEERS SURVEYORS SHEET 1 OF As No. 40-4>4-35 B by No BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE At: (530) 538-7541 PERMIT NO. BPO52186 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 08/15/2005 APN: 040-470-009-000 the Business and Professions Code, and my license is in full force and effect.` 6 �_ Site Address: 5 PISTACHIO DR CHI License Class: License Number: Date: Contractor: �� l L ?4- p Map Index: such work himself or herself or through his or her own employees, Description: re model kitchen (200) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the sale. If however, the building or improvements are sold within one Contractors' State License Law for the following reason (Sec. 7031.5 year of completion, the owner -builder will have the burden of Business and Professions Code: Any city or county which requires a Owner: RYSTROM STEVEN D..& VIVIENNE R permit to construct, alter, improve, demolish, or repair any structure, prior sale.). to its issuance, also requires the applicant for such permit to file a ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business signed statement that he or she is licensed pursuant to the provisions of 5 PISTACHIO DR the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or Any 95928 she is exempt therefrom and the basis for the alleged exemption. pursuant to the Contractors' State License Law.). violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I am Exempt under Article 3 of the Business and Professions Code ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not . intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an Applicant: POPP'S CONSTRUCTION CO owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 18 PISTACHIO DR sale. If however, the building or improvements are sold within one CHICO, CA 95928 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: POPP'S CONSTRUCTION CO and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 18 PISTACHIO DR ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 511846 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:, Carrier: 0 S. F. Total Square Ft: � Policy #: Valuation: $0.00 i� I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' / v compensation provisions of Section 3700 of the Labor Code, I shall I Com/ forthwith comply with those provisions. Date: Applicant: \ ( J WARNING: Failure to secureor compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor, code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is herqK issued un r the app cabl - rovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to o work in a abov o Awhifees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) r— / S—Q Name: BY Da/tem--- PERMIT EXPIRES ON: P3� —6,6 Address: _ 1 (Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Y R M AQ Signature Date: / R ❑ Owner IX Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name First t�ry�,ni 1e V'v Address L r a K City („ StateC6 Zip ' p X17 Phone 2 ^�, J W Fax E-mail X CONTRACTOR Name Address F Y � L �b d City City C A <<co stowZi Stnia. fi PhoneZ Zip Fax v E-mail r 4 Lic. Date Approved: X APPLICANT NAME ARCHITECT/ENGINEER Name Address 16 Address City C A <<co City Stnia. fi State Zip Phone Fa((xx 2 fZ 7 T Fax E-mail Date Approved: State License Number APPLICANT NAME Name wo i rec n �- �" Flood Zone Address 16 SRA City C A <<co No Stnia. fi Type Const. Phone L��ll/yZ �y,q3Z_ Book Fa((xx 2 fZ 7 T E-mail Dt4 ,VA._ bo At- L9CO✓MCA,5 C _,,ARP03�7W SIGNATURE MENROMM For office use only: Zoning Flood Zone City i SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. 5-78 BIN # Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 Received by: Z2 V C Receipt #* "T 1 v\ - Dater 6 ti H3 Amount: Bldg SRA Sheriff SMIP REV 2-24-05 �/ r1 ,y�LOCATION AP# © / a — 1 7(/ —e()O q Property Address i sT e-yro 2 City i Cross Street EIV t/ --c. r'— WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name li4- 14, Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 Received by: Z2 V C Receipt #* "T 1 v\ - Dater 6 ti H3 Amount: Bldg SRA Sheriff SMIP REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D), Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D.) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be.required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from. the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:IFORMSSUILDING F0RMS113IdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 h�.��7�.J�1+7.e�`�+=.,,1.:rs'^+•�.k�`�t-�41��R'��a""2wry.arc...a..4s�r�:w.....1y.•r:'w+MrSn6_bstsgr.:�; ,�.�a=w•S^�.-„ r.�{. 040-470-009 00-2081 RYSTROM, STEVE 5 PISTACHIO DR.,,DURHAM CONTR:N/A REROOF ` F h .✓ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINCYDIVI'S*%ION 7 County Center Drive • Oroville, California 95965 • Telephorm (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Cl Y ASSESSOR PARCEL NUMBER VO -W40 -009Q ZONIN� N , �`J BUILDING PERMIT OWNER kLA'atuym TEEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG.ADDRESS n CONTRACTOR'S NAME TELEPHONE - CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ,fSr rZ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63 no ARCHITECT OR ENGINEERS MAILING ADDRESS , Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ t l PERMIT FEE S '93.00 LOT NO. SUBDIVISION'S NAME PARCELS MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFT 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 ❑11 Describe Work: C E a R �L�.V •I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 - Mobile Home S G W 920.00 PERMIT FEE $ tl ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200A 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. G License Class `•.-� '� q Lic. NO. 77177:561 I OWNER -BUILDER DECLARATIONEx. I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' copensation insurancetcarrier an olicyy ber are: Carrier I / (%Y //^I, 67<1��NC' Policy Number � "7 6 X10 _ (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 tha 'rf I should become subject to the workirs' compensation p[ o�visions�of�sectio 3700 of the Labor Code, I shall forth with co (ji with th �e rovi§idns. X2 _Date 4j5 W Signature of Appli ❑ Owner � Con actor ❑ Agent An OSHA permit' equired for excavations over 5'0" deep and demolition or construction of structures ov. 3 stories in height. Main Service TO 46. 00 CCU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING so OR ADDNS. ( & ACC. BLDS. 3.50FT; =RESIDT MULTI.OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 O 1.00 Occup. OUTLET OR FDrrURES BAL @ .50 FUCEDA PPUNS. OR Ex. Occup. ourLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. r n BY t �%/iI �/J Date �oIwt�tY�' PERMIT EXPIRES ON Date ReceiptNo.� �� 7FC3.f WHITE-D.D.S.-B.D. CANARYASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUOY-ONBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County > P Center Drive • Oroville, California 95965 • Tele ho 530 538-7541 RMIT O. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONIN5,z` BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAI/y/�l ADDRE'` /^�,/'� n ,,/� (\�'� �p� CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ i ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3 aQ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS •COA Energy Plan Checking Fee $ QUA1 PERMIT FEE $ . Q LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF� Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 0OR UES Main Service . ' 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 I full force. and effect. �'� �G License Class Lic. No. ��// OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so WEE200A NEW CONST. DWELLING OCC P. CC OR ADONS. a ACC. SO 3.5Q�: MULTI -OUTLET CONST. BRANCH CIRCU 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 p I. o FIXED APPLNS. . OR Ex. Occup. ounErs RESIDEA 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers',gyrrintjpp�insurancetC�er a oli tri are: Carrier VV �� Imo{//���UyY II JJ 1* Policy Number kno -z 15 Do (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 thatif I should become subject to the 'compensation provisions sectio 3700 of the Labor Code, I shall wo kitth fo co I�' with th a 'r ` i ns X Date 14-0 W Signature of Appli t - ❑Owner ❑ Contractor ❑ Agent An OSHA permit' quired for excavations over 60" deep and demolition or construction of structures ov 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 $ HAZ. D. FEES IMP FLOOD cOF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. By Date �io[Sy PERMIT EXPIRES ON a��- QQ/ ate Receipt No. ZZ .3 •�D WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -d 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541gM `R�s (Rev. 12/96) APPLICATION AND PERMIT J41ffOMELdl1 r �(V11IIVIENNE ZONING SRl BUILDINGPERMIT §TEVE & RYSTROM TELEPHONE 1345-4700 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5 PISTACHIO DR., CHICO 59 R 31,914. 95 U 1,710. CONTRACTOR'S NAME TELEPHONE �✓�� J'lfj�V�7 V4� c ,' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1 _ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 0.00 Permit Fee $ 48t r,30 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee 0, G��%.- $ Energy Plan Checking Fee $ $ 23.00 BUILDING ADDRESS 5 PISTACHIO DR. CHICO PERMIT FEE $ --68i71515' IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE Each Trap 3 1 7.00 21.00 Solar or heat pump water heater 23.00 SF)ff Duplex ❑ Mobilehome ❑ Other Water piping 15.00 15.00 SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition)[X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Building sewer 15.00 Describe Work: Ann OFFICE AND CARPORT Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors Main Service 200A TO I000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BUDS. SO p 3.5QFT. 2p.50 NEW CONST. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 "00 SAL. .50 NS Ex. Occup. ouiLEeors RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason PERMIT FEE $ 48.50 WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 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 Heating DUCTS 15.00 Cooling Hood 6.50 performance of the work for which this permit is issued. Ventilation ❑ 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 PERMIT FEt $ J5. 00 Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall Energy Inspection Fee $ C CONST. PE /QCTOTAL FE v`�, Flu 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 "� 0. FEES IMP FLoo AV c- ^F I p�CEL Vp X 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. forthwith comply with those provisions. II Date/., � :7 Signature of Applicant - Owner ❑ Contractor ❑ Agin An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. By Date PERMIT EXPIRES ON Receipt No. 222260/332.50// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT DW9 • 'til (Rev 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION ' tin . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ��"� F.�§7YffD—SIOVE11 ZONIN�SR1BUILDINGPERMIT VIVIENNE RYSTROM 345-4700 HONE SO. Fr. OCC. BUILDING VALUATION OWNE MAIUNG.ADDRESS 5.P_�STACHIO DR . , CHICO 59 R 31,914. 95 U 1,710. CONTRACTOR'S, NAME TELEPHONE _[�/��1 _12109(y 7 .a,J CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS - ' Fireplace Total Valuation $ , ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 K Permit Fee , $ ��y��p 3887 V ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ 1152750 BUILDING ADDRESS 5 PISTACHIO DR. CHICO Energy Plan Checking Fee $ 23.00 - $ 43 , PERMIT FEE $ . LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USE OF STRUCTURE SFU Duplex ❑ Mobilehome ❑ Other ' SPECIFY Each Trap 3 7.00 21.00 Solar or heat . pump water heater 23.00 ' Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition XX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD OFFICE: AND CARPORT Gas piping system 1 - 5 outlets 15,00 -Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S 56. ELECTRICAL -PERMIT Fling Fee 20.00 - Main Servicezo,,AoRLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Law ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. -, ❑ 1 am exempt under Sec. Business and Professions Code for this ,reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLos. • So 3.52FT. 28.50 rN,o RES DT MULCTI.00UTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup.CUTLET OR FaruREs 20 � '"0O BAL .50 LNS Ex. Occup. oui�Ts RES D.OEA ,5.00 Temporary Service r 23.00 IF Mobile Home Facilities 20.00 Misc. Wirina r 23.00 t PERMIT FEE $ 48.50 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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 Y MECHANICAL PERMIT Fling Fee 20.00 Heating DUCTS 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) I "certify that in the performance of the work for which this permit is issued, I shall not `employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those'provisions. �/� .�, , / ;X C'�I �l,( —_ Date -- x Signature of Applicant - Owner "Contractor ❑ Agen 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 $• UU , c coNSTM PE TOTAL FE r.F =§8. HAZ. D. FEES IMP y F OD CDF PARCEL PD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Da te Receipt No. 222260/332.50// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION A�-i 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541gpiPERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT t , 0- �S�E,xSSOgP�RCEINUMBER (,71L��YNM77 ZONING SRI BUILDING PERMIT ,- 9M 9 VE & VIVIE W RYSTRW TELEPHONE 345Y-4700 g0, �, OCC. BUILDING VALUATION OWN 'S MAILING ADDRESS 5 ISTACHIO DR., CHICO 59 R 32 914. 95 U 1.710. CONTRACTOR'S NAME TELEPHONE 7„r CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ -475; i1*7 f-;C� ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee t / $ 38&.-% ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2'2:50 BUILDING ADDRESS 5 PISTACHIO DR., CHICO Energy Plan Checking Fee $ 23.00 $ q PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFXY Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 1 7.00 21.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition}IX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD f�FFI(:T? AND CARPORT Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home, S G W Q20.00 PERMIT FEE S56. ELECTRICAL PERMIT Fling Fee 20.00 a0OVOR LESS Main Service z00A OR LEss 23.00 ry• LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9i commencn with Section of othe Business and Code, 9(commencing ti7000 )f Di3fhBid Professions and my license Is In full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ;E 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 ADDNS. ( 8 ACC. BLOCS. SO 3.50FT. 28.50 NEW CONST. MULTI -OUTLET NON-RESID. AN @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR.20 i EX. OCCu OUTLET OR FIXTURES BAL p I.50 Ex. Occup. ouT T. RES,DOE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 4$•50 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 MECHANICAL PERMIT Fling Fee 20.00 Heating DUM 15,00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35 • 00 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _II �I til U) k.f r 'I"1 t �Date eqC% :T__ Signature of Applicant - 9 Owner ❑ Contractor ❑ Agen 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 FE ,$ HAZ. D. FEES IMP _.-- FL�ODj W� cDF PARCEL .— PD rW ]� ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON i Date ReceiptNo. Z222OU 332.50%% WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 16 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California '95965 - Telephone (916) 538-7541qt PERMIT NO. (9111.12/96) APPLICATION AND PERMIT n �;SFSSOF3�ER I.� ZONING SR BUILDING PERMIT TELEPHONE ME IS wvrmw RYA 345-4700 MMMd' 1R.. CHIC - SO. FT. OCC. BUILDING VALUATION 59 R 31,914, 95 U 1.710. CONTRACTOR'S NAME TELEPHONE /1/�N) i1n y ^/�� rye• r I CONTRACTOR'S MAILING ADDRESS r CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ -45 j'}"i> Z ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee + $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee .c $ BUILDING ADDRESS 5 PWAMO M. CHIC Energy Plan Checking Fee $ 29.00 $ '7 !;! * j PERMIT FEE $ .48V. LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE S05 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 1 7.00, 21.00 Solar or heat pump water heater 23.00 Water piping 15.00 1S•Ot7 Each as water heater or vent 15.00 TYPE OF WORK New ❑ AdditionlK Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADD OFFICE AND CARPIS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S 56 (� ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. AI, 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 IOooA 46.00 NEW CONST. ( ADDWELLING OCCUP. OR , MU�IC-OUTLS. 3.50F .. 28.50 � L/ coNST. NON-RESID. I @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR.e Ex. OCCu OUTLET OR FIXTURES aAL (W. 50 Ex. Occup. OUTELETS RESDOEA.00 Temporary Service 1123.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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. ❑ 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 MECHANICAL PERMIT Fling Fee 20.00 Heating D . 15.00 Cooling Hood 6.50 Ventilation QL An PERMIT FEE $ ' 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / *le-1 X , Je ( , 0 12 f . t /�l 1I % Date FRSignature of Applicant - Owner ❑ Contractor ❑ Ag 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'$ NAZ. D.FEES IMP _... F]rV f1�/ cOF PARCEL PD _C HD IssuE This permit is hereby issued under the applicable provisions of the Butte CountyCode and/or Resolutions to do work indicated above fowhich fees have been paid. By Date PERMIT EXPIRES ON Date Receipt No. UU 33 ' M7 7 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 OWNERS �, ASSESSOR PARhsu �be ® Q r�%�j Proposed Building Use: Building Inspector:Date: At time of permit applica , I was advised the following data must mittd prior to perm- it�processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------=---------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation.---------------------------------------------------- t . 117. Statement of Intent for Non -Heated and A/C Buildings. 1 -------------- A__ _____:_ -`7 f. � ❑ 8. Hazardous Material Form.----------------------------------------------------------------------------------------- `" F, ❑9 anufactured Home data and installation instructionsv �0. fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. 1113. Flood elevation certificate. ----- 6.i and plot plan approv ❑ 15. City of Chico plumbing permit. ie,Dovrn Specifications. ------------------ Department. ❑ 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 ElImprovements, ElDrak�'inage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number. ----------------------- --=--------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ' ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ --------------- 030. Other: ------- When you issue the venrut' proce s as follows 11Mail to owner, ❑Mail to contractor. ❑ Telephone `t """t % and hold for pickup at C 411office. ❑ De 'ver with inspector. Applicant- Date: 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: �C7 �� ❑ Plan Check List 2. Additional items required: Contractor, design owner as advised of the above required data by grphone, ❑ mail, ❑ Building Division &tinter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisionounter, 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 abov required data by ❑ phone, ❑ mail, ❑ BuildingDivi ion counter, by Date: Plans reviewed by: Date: Plans approved by: 7S Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached tS Floor Plan Art Jr • Sent to B.D. (J / �Cys7�rdrri J (f'is 7�oG�i is l/r �6 - 470- Oo9 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwe l+"x. Other o lTl�e, �mA r -y7 Hold final for: Final clearance O.K. for: NOTE: Enviro mental H th Specialist 8/96 Date t f IN t.ni Me COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE. CA 95965 TELEPHONE (916) 5384541 SCHEDULE OF FEES DUE OWNER, Use,0�W A.P. #ock) PROPOSED BUILDING USE /� DATE 6 ` 1. B —wee UILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ............ $ -- Revised Plan Checking Fee ......, ... $ Z2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units 'Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) REC # DATE REC 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT L, DATE (,9 Original -Owner Copy -Building Div. (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT 1?7 -/at<� ASSESSOR PARCEL NUMBER , zON3-6Ps. - BUILDING PERMIT OWNER TELFDHON�`�' `)j% SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS , •�t_l%���/" I/l ,. V O CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS , CONSTRUCTION LENDER LENDERS MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. ­Rling Fee - $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ �- BUILDINGADDRESS C u Q ,T Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF 'F Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 [ •c-0 Solar or heat pump water heater 1 23.00 Water piping 15.00 / Each as water heater or.vent 15.00 TYPE OF WORK New ❑ Addition * Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GrT 61 -ib Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Feel 20.00 a*OVMain Service zoOA OR LE 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class - Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers compensation, as provided for by section 3700 of the Labor Code, for the performance of the- work for which this permit is issued. ❑ 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.) ❑ 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. U X Date Signature of Applicant _k Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in h fight. Main Service 200A TO i000A 46.00 NEW CONST. DWELIJNGOCCUP. s0' OR ADDNS. ( a ACC. BLDS. 3.52~7 NEW CONST- MULTI.OUTLET NON.RESID. B CIRCUITS 97.50 I POWER APPARATUS ' d SINGLE ourLET cIR Ex. Occup. OUTLET OR FIXTURES BAL @ I.w Ex. Occup. ouXTlFis I'M.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee '20.00 Heating u>u / — Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ �ly� HAz. D. FEES IMP F D CDF PARCEL PD H (ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Datel Receipt No. 777o 7Q WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT x040-470-009 PERMIT#97-1305 RYSTROM,.•Steve & Vivienne ' 5 Pistachio Dr., Chico , Add Office & Carport/SF I 040-470-009 PERMIT#97-1305 RYSTROM, Steve & Viviehne 5 Pistachio Dr., Chico Add Office & Carport/SF COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. 040-470-009 PERMIT#97-1305 1rRYSTROM,-Steve-&-Viviehne--'"~"" 15,,Pistachio Dr., Chico AddOffiar ice & Cport/SFr, No PERMITTEE MUST CALL FOR INSPECTIONS Footings Piers Underground Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Framing Ipo Not;lnstall_Floor or .lab UnUI;A6ove Slgned Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan Do Not:;insulate Untit AboveSrgged; Insulation rirepiace rooting Fireplace Throat llo Not:::ConUnue Fireplace Until Aliove Srgned Stucco Lath Scratch and Brown Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY resses,.: _.........Information::,T-,:24 Oroville 7 Coun Dr. 538-7541 538-7636 Chico GMIJUW. 891-2751 891-2834 Revised 7/94 y LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Dear PropIrty Owner: We have issued a permit to construct a new building, an addition,. or to do remodeling on your property. This letter is to inform you we have approved the building plans submitted for conformance with code requirements. We will only inspect the construction for. conformance with code requirements. It is your responsibility to see that .the building conforms to your plans and expectations. Should you have any questions concerning this letter or any other matter pertaining to the construction, please do not hesitate to -contact this office. 't { ' i��T �l.�(,��� i. "-,u'Sw: fi ';z., f'`, }�`E NA,5�a `� �Y` R'•, f.� j. ti RE: Attached Building Permit Dear Permittee: uite Count, LAND rIF NATURAL `N GALT H y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Attached is your building permit along with the approved set of plans and a job card. Please post the job card on the job site in a conspicuous location for the inspector to sign during the various phases of construction, and also have the approved set of plans on the site at all times. Inspections will not be made if the job card and approved plans are not on the job at the time of inspection. Please review the approved set. of plains Ktbefo-re construction and make note of any corrections made in wed. If any of these notes or corrections are not clear to you, please contact this office - do not proceed with the work without making the correction. The job card must be signed by the inspector before proceeding with each item listed. Should he not sign the card, a white correction notice will list the corrections to be made and a call back inspection must be made before going any further. Please allow 24 hours for inspection service. As a reminder to you, it is illegal to occupy this building or portion of building for which this permit is issued without approval from this office. On certain occasions a temporary occupancy will be permitted. Please do not confuse gas or electrical service to the building as an occupancy clearance. Before occupancy, all of the "final items" listed on the job card must be signed by the inspector or special permission given. Your permit expires one year from date of issuance. If the work has started, but is not completed and finaled by the expiration date, a renewal permit is required. If the renewal application has not been made within 30 days of the original permit expiration date; or if the work has not commenced, a new permit application and fees will be required. URgn completion of the work covered by this permit, Blease contact this office for final inspection. i Should you have any questions concerning this letter or any other matter pertaining to building construction, please do not hesitate to contact this office. MickYael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection attachments _.. ;F�.. v, ,.,.•,.�,,...,..,. RESIDENTIAL '040-470-009 PERMIT#97-1305 PERMIT NO; RYSTROM, Steve & Vivienne_ 5 Pistachio Dr., Chico y PERMIT Exj Add Office _& Carport/SF CONTR. ASSESSOR PARCEL LOCATION Temp. Power Pole _ Called PG&E_ Temp. Elec. Service Called PG&E _ Temp. Gas Service _ Called PG&E JOB FINALED (Date) Signature V.= QK - O = Not OK Not NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Testf811.CI0-Concrete 4. Water, Locabon-Test-Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestVWrap; / mit. / /Nat or/ /"L"fL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card 0-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements- Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Lire Date 3. Gas; MH Test )emarK Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 MISCELLANEOUS Da�-DECKS, C¢fla A% CARPORTS, GANAGPS (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements - 2. ,Footing% SoilsSize-Depth-Spacing-Connectors-Steel 3. Deoks; Girders and/or Joists-Decking-BracingStairs-Retls 4. Wood Awn.; Posts-Beams-Rfirs.-Corinectors Shthg.-,ifg.-Bracing ' 5. Alum. Awn.; Columns-Connectons-Splice-Der-aEnctosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall, Panels Date Card B-1• Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks Easements 2: Soils; Compaction -Structure Stability 3. Pool Structure;. Steel -Connections -Thickness Dead Men-Liriing 4. Elec. Receptacles and Lighting, Distance-GFI S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5'-irculating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxesfncbsures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not Applicah1P Not Ready Date FRAMING (Continued) UNDERFLOOR (Plans) OK except #'s 46. Hangers -Post Caps -Anchors -Connectors 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / /` Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ N Ftg. Depth 51. Garage Fire Protection Framing 5. Stemwalls, Main; Steel-Blockouts-Wrapped 52. Property Line Firewall & Openings 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 58. Glazing Area -Glass Protection -Skylights -Plastic 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 61. Insulation -Walls -Ceilings 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Card B-1 Date Card B-1 13. Pienums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 63. Ext Steps -Door & Sidelight Protection -Landings 15. Access & Ventilation 16. Insulation 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 71. Elec. Outlets at Wood Panel, Int. & Ext. PLUMBING (Permit) OK except #'s 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 17. Water Htr.; Vent -Access -Combustion Air Baffle 73. Elec. Outlets & Recepticales at Kit. Counter 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 79. Insulation -Foam -Looked in Attic 22. Gas Pipe; Sixe & Anchors 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes Date Card B-1 Date Card B-1 Date 84. A.C. Unit Disconnect, Electrical -Plumbing Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 88. Ventilation Throught House 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 93. Energy Compliance Certificate -Other Certificates 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Date 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No Date 31. Service -Riser Conductors & Ground -Main Disconect Card B-1 Date Card B-1 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing . 43. Draft Stop in Walls (rat proof) 44. =ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shfing.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of Coimplianm Residential / vroloct t iue Clh c.a, C6q. Project Address `P"-, VC i( rA uocUm tauon Authop// Telephone R C-- �f S,F � / i 1-1,G1 �'I Compliance Method (Package, Point Sys em or Computer) Climate Zone GENERAL INFORMATION Total Conditioned Floor Area: / It Building Type: X_ Single Family Addition (check one or more) Multi -Family EExxiisting-Plus-AdditIon Front Orientation: North / East / South _!sM II Orientations (input orientation in degre trce one.) Number of Dwelling Units: Floor Construction Type:I�a61ft ised Floor (circle one or both) BUILDING SHELL INSULATION (Page 1 of 2) CF -1 R a: Plan Check / Date Field Check/ Date Construction Component Insulation Assembly Location/Comments Type R -Value U -Value (attic, to garage, typical etc.) Wall .............. Wall .............. Roof ............. 3 g ^, Roof ............. Floor ............. Floor ............. Slab Edge ..... FENESTRATION Shading Devices Fenestration Area Fenestration Interior Exterior Overhang Framing Type Orientation (sf) U -Value (roller blind, etc.) (shadescreen, etc.) (yes/no) (metalmood/vinyn Front..... (W) Front..... ( ) Left....... (,q) -9 Left.. (. )_._ Rear.... (t_) Rear..... Right..... Right..... ( ) Skylight ....... Skylight ....... THERMAL MASS i ype/covering Area (slab/exposed, tile, etc.) (sf) Rovlaod January 1992 Thickne (inches(Ln(rim ${chen bath, etc.) SUILDI y� � 'r3 \.�► � 3 � Rs Certificate of Compliance: Residential A - (Page 2 of 2) CF -1 R HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and, Duct or Type (furnace, heat Efficiency Location Piping Thermostat pump, etc.) (AFUE/HSPF) (ducts/attic, etc.) R -Value Type Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type (split or package) WATER HEATING SYSTEMS Energyl External Ratedl Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standbyl Insulation Type Type in System. or Btu/hr) (gallons) Efficiency Loss N R -Value 1. ;For small gas storage (rated input S 75,000 Btu/hr), oloctrlc resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated Input 2 75,000 BtuMr), list Rated Input, Recovery Efficiency and Standby Loss. ;.For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate .of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certiricate has been signed by the individual with overall design responsibirty. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business & Professions Code) Name: k nde/Firm: 6q . r �j- Address: (: ki Telephone: gq y . 5 7/1) Lic: A: (signa. tqK jdate) Enforcement Agency Name: Tide: Agency: Telephone: (signature/stamp) (date) :Revls*d January 1992 .. Documentation Author Name: nde/Firm: Address: Telephone: ) (signatuydf (date) Mandatory Measures Checklist: Residential MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated Into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures * §I50(a): Minimum R-19 ceiling insulation. §150(b): Loose rill Insulation manufacturer's labeled R -Value. * §150(c): Minimum R-13 wall Insulation In framed walls (does not apply to exterior mass walls). * §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised Moors. §150(1): Slab edge insulation - water absorption rale no greater'than 0.3%, water vapor transmission rate no greater than 2.0 perminch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and InfiltratioNExfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. §150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(Q:. Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. x §150(): Setback thermostat on all applicable heating systems. §15007: Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior Insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). - 3. Afi buried or exposed piping insulated In recirculating sections of hot water system. 4. Coofing system piping below 55'F insulated. 5. Piping insulated between heating source and indirect hot water tank. * §150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. •2. System is installed with: a. At least 36' pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no. continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) Lighting Measures .? §150(k): 40 lumensAW or greater for generallighting in kitchens and rooms with water closets; and recessedcoling fixtures IC (insulation cover) approved. Rovlsed Jandary*1902 RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: PLAN CHECKER: BUILDINGPERMITNUMBER: A. P. NUMBER: GENERAL: Zoning requirements: (side yards and number of permitted living units). Valuation. 3� Plans signed by designer. Proper description of work on application. Existing violations on property. LItems on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. C T PLAN: Complete parcel size and dimensions. Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood h�z..t d. Special conditions on -creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). [Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall,.door size and closer (Section 302.4). Minimum of one 3'0" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). .Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS: .1,." Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). ,2� Standard bracing or engineered design (Section 2326.11.3). 'r Clerestory requiring balloon framing and/or engineering. 4" Three story building requiring engineered calculations and plans. 1-5- Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. �7! Elevations and wall construction details complete enough to construct building. �S! Roof construction details complete enough to construct building. A- Rafter ties or bearing ridge beam. x-10. Fireplace construction details and calc. if necessary. -1-i' Garage door and/or porch header sizes. ,;-- Stud heights. _.13--- Adobe soils - special foundation design. -M-" . Retaining walls requiring design. -15. Special Inspection requirements. Header size. June 1997 3.2 MISCELLANEOUS ITEMS TO LOOK OUT FOR: Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. __9 Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). -Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. 15 Energy design. -1 . Flashing at all exterior openings. C.D.F. responsible area requirements. Automatic Fire Sprinkler Systems (Section 310.10) For Inspection Jacket: Flood Hazard/Elevation Certificate SRA Requirements Special Inspection Requirements Automatic Fire Sprinklers June 1997 3.2 GREGORY A. PEITZ . IARCHITECT 1907 Mangrove, Suite E; Chico, CA 95926 (916) 894-5719 Structural Calculations for .: �YST ARCy�. v �r No. C_ 21283 ��. REN.. Ky LOAD SUMMARY *Use normal force method *Exposure B *Basic wind speed: 75 mph P = Ce Cq qs I Walls P = .62 * 1.3 * 14.5 * 1.0 = .0117 ksf < 15 ft. P = .67 * 1.3 * 14.5 * 1.0 = .0126 ksf @ 20 ft. P = .72 * 1.3 *.14.5 * 1.0 = .0136 ksf @ 25 P = .76 * 1.3 * 14.5 * 1.0 = .0143 ksf @ 30 -ft. ft. Roofs 2:12 to less than 9:12 P = .62 * 1.0 * 14.5 * 1.0 = .009 ksf < 15 ft. P = .67 * 1.0 * 14.5 * 1.0 = .010 ksf @ 20 ft. P = .72 * 1.0 * 14.5 * 1.0 = .011 ksf @ 25 ft. P = .76 * 1.0 * 14.5 * 1.0 = .011 ksf @ 30 ft. Roofs 9:12 to 12.12 P = .62 * 1.1 * 14.5 * 1.0 = .010 ksf < 15.ft. P = .67 * 1.1 * 14.5 * 1.0 = .011 ksf'@ 20 ft. P = .72 * 1.1 * 14.5 * 1.0 = .012 ksf @ 25 ft. P = .76 * 1.1 * 14.5 * 1.0 = .012 ksf @ 30.ft. 22-141 50 SHEETS {�1 22-142 100 SHEETS -PAP 22-144 200 SHEETS � �0- iii %A4Ain coo �Na aa^ N N N N N N v r /0-01 27, o l • Ra (fib • ��D fI t �— O � 3 22-141 50 SHEETS 22-142 100 SHEETS AMPAC 22-144 200 SHEETS : � \J) U, NJ : � �22-141 50 SHEETS , 22-142 100 SHEETS HMPAO 22-144 200 SHEETS 22-141 50 SHEETS 22-142 100 SHEETS- AMPAO 22-144 200 SHEETS 04 � � c � QI o o o Ul c a R, N 1 r (�V -e ' �-✓ vi 4t C,d-9'7Lzto•3�%z�.� d(v..`{.. I l Cmp.Pay.l ,,._ . I I ' oDi. oµ I ap �r APPROVED Jan -21-96 04:17P FLOOD PLAIN DECLARATION I declare the actual value of the proposed construction work under build- ing permit application at E P/ _e2-iglch IP D1/ A.P. # y 140-�90-0 for adck 7 7does not equal or exceed the definition of "Substantial Improvement."* P.02 I am aware the building site is in a flood -plain arca, even though I am not required to comply with the flood plain management crl eria. PROPERTY OWNER 6k V -e, VIVV.14 PV S� ADDRESS 5 O% S VG�/t%�L PHONE NO. 3 7 DATE �� // �f *Substantial improvement is defined as follows: Any repair, reconstruc- tion, or improvement of structure, the cost of which equals or exceeds 50% of the market value of the structure either, (a) before the improvement or repair is started, or (b) if the structure has been damaged, and is being restored, before the damage occurred. NOTE: Documentation may be required to substantiate costs. eaut4, -,oufte ORtlViLLt;J4 FORNIA GENERAL CLAIM CLAIMANT: — Bill Horn II ADDRESS: 1170 East Lassen Avenue CITY & STATE: Chico, CA 95926 IMPORTANT: DATE OF CLAIM: Ma 10 1982 SEE INSTRUCTIONS Y ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 5/10/82 Owner decided not to build pool (Bldg Permit #502-82B,P,E-- Receipt 61141 -dated 2/26/92 -AP 0 -47 -09 -owner James Johnson Building Permit Fee Paid ----------------- $135.00 etain iling tee-------- $10.00 Retain plan check fee---- 10.00 ---------- $20.00 -------- Refund Due----------------'-------------- $115.00-----$115.00 Plumbing Permit Fee Paid-----------------$ 32.50 Retain filing fee------------------------ 10.00 Refund due ------------------------------------------- $ 22.50 Electrical permit fee paid --------------- $ 17.50 Retain filing fee------------------------ 10.00 Refund due-------------- -- 7.50 i TOTAL REFUND DUE -------------------------------------- $145.00 $145 00 TOTAL • $145 00 I, theundersigned, declare under penalty of perjury that the services or articles claimed have been performed r delivered, and that this claim is true and correctas stated. ✓ y Dated this �.r�..r............ day of...� 19I%*,* `.et /C C. Calif.�C ............. ...... ............ ......... g ....... � nature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or d, livered and that there is a Budget Appropiiation❑ or Specific Board Approvals (Checkone) for the same. Datedthis .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. ....................................................................................... ..... Code ..........: .......... :..::.Code>:.......: ': .....PAYABLE FROM ...... .... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR c COD_ DEPT:. &SUB. ' PR.OJ. SUB. OBJ.. CLAIM N0. INVOICE NO.' INVOICE DATE DISC. GROSS AMOUNT EN:CUMB. SUB -DIST.. ' ' r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO. 7 County Center Drive - Oroville,.Califorr%i3 95965 Telephone 916/5 -4541 APP,LIPTION AND PERMIT AA ASSEfl OR'PAbR EL NUMBER - ® - ZONING BUILDING PERMIT OWNER Mr. and Mrs. James D. Johnson TELEPHONE 3.4508202 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5 Pistachio Drive Chico, CA 95926 CONTRACTOR'S NAME Holiday Pools TELEPHONE 1.343-8245 CONTRACTOR'S MAILING ADDRESS 1170 E. Lassen Avenue Chico, CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 21 . 700.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 115.00 ARCHITECT OR ENGINEER McCaim Associates - Jim Januar LICENSE No. C-23-379 Plan Checking Fee ,$ 10.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 492 Rio Lindo Permit fee $ 135.00 BUILDING ADDRESS 5 Pistachio Drive Chico CA 959.26 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping. 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each gas water heater or vent 1 5.00 Gas piping system 1 - 5 outlets 1 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other = private pool & spa SPECIFY Building sewer Lawn sprinkler system 5.00 :L 7.50 TYPE OF WORK New [� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Construct steel reinforced guni.te pool and spa and install related equipment .and decking Permit Fee $ 32.50 Contractor Holiday Pools ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR0V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.01 OR ADDNS, t ACC. BLDGS. 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): X❑ 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: 41,2026 Classification C-53 ❑ 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 CONSTR I.OU. LET 2.50 ea NON•RESID BRANCH CIRCUITS NEW CONSTR. POWER APPARATUS S NON-RESID, (SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES a �@1 00 FIXED APPLN5. OR Ex. Occup.(ouT LE TS (RESID•) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring all for 12001 & 7.50 7.50 Permit Fee $ 17.50 Contractor Valley Electric 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. n I have placed on file with the County of Butte Building Department LXX 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 complj'Wiih such provisions or this permit shall be deemed revoked. tI;' Heating Cooling Hood �. 3.00 Ventilation ` Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against` all liabilities, judgments, costs, and expenses which may in any way accrue agai laid Count in consequence o the granting of this permit. X Date '2Z26/8-2 Signature of Applicant - Owner Ll Contractor U Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ �. t. TtOT'A&P.ERMIT r. _ FEE $ 185.00 occoP:.GROYP I TYPE of CONST. PARCEL PD I HD t' 155 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been pais. WORKS Date3-3 �� Z Receipt NO.� WHITE-O.P.W., YELLOW ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT WdSIpI et��Z�21� 0 .1 S�b�M un8 yo dN C l0 f PERMIT NO. 1067-82B,P ` 4 ,PERMIT EXPIRES 2. OWNER James Johnson CONTR. Sunshine Pools of Chico ASSESSOR PARCEL 40-47=9 LOCATION #5 Pistachio Drive, Chico t L' Signature r F` i `F lV:r i 4: u; Temp. Power Pole— ole_Called CalledPG&E Temp. Elec. Service_ Called PG&E_ . �Gas rvi ce _ .a Called PG&E 4' JOB FItALe (Date) Signature r r H y ✓ = OK 0 = Not OK Not Applicable MOBILEHOMES = Not Ready — i MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS OVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easementsequirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spaci,nd—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.—Conner.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocationrTest—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors 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 Card -BI Date Date Card -BI Date P00 (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements 1 etbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2 t , Compaction—Structure Stability - 3. Gas; MH Test—Demand—Valve—ConnectorU,-'Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearancesec 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/O to Grade—HD Approval 8. Gas and Electricity Tagged��L ��'T eceptacles and Lighting; Distances—GFI le , ool Lighting; 15 volts—GFI c.; Enclosures; Conduit Entries—Terminals—Listed lec.; Bonding; Metal w/5'—Circulating Equipment—Heater 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 Plumb; Cir. Test—Water Supply Test 44 Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -B Dat $-Z. Card -BI Date V = OK 0 = Not OK = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s 4- D9te FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line 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 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection j 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors } 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge.of Studs & C.J. 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic F) Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N _ 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes []No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- Card -BI Date Card -BI Date Card -BI _ _Date Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -_Size_& Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist -RfIr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Cnunty Center r)rive - Ornville_ Califnrnia QFQR5 - Tolanhnna Q1R/SQA-Ar41 APPLICATION AND PERMIT PERMIT NO. 'WI Af ASSESSOR ARCEL NUMBER i ZONING 6 B DING PERMIT OWNER - Z7L_2141sAl TELEPHONE SQ. FT. C. BUILDING VALUATION 0 OWNE'R'S MAILING ADDRESS C TRAC �R'/S NAME ^ AZ�N ✓ ` TELEPHONE NT ACTOR'S AI ING A DRESS G/ Fireplace CONSTRUCTIOIN LENDER UNKNOWN Total Valuation $ Q 0 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ AR IT T OR ENG( ER G C l�LLG.y (CENSE NO. 03 Plan Checking Fee $ Penalty $G ARCHITECT O _8UIrDINa Permit fee $ , �S ADDRESS GCI PLUMBING PERMIT Filin Fee 10.00 Filing Fee Trap 2.00 Repair drainage or vent piping 5.00 Ceo Water piping LOT NO. [SUBDIVISION NAME !/ S PARCEL MAP Each qas water heater or vent 5.00 oy Gas piping system 1 - 5 outlets 6U USE OF STRUCT E t SF© Duplex❑ Mob ilehome❑ Other / � � SPECT WY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ddition ❑ Remodel[:] Utilities❑ Installation❑ Other Describe work: Permit Fee $ ' OV Contractor r/ ELECTRICAL PERMIT FifingFee 10.00 Main service 100 AMP 011 OR ORSLESS 5,00 Main service EA. ADO'L 100 AMP 2;50 NEW CONST. DWELING OR ADDNS. (ACCLBLDGS.CCUP.y) 22 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 aClassification .7 �/ and y license is in ful force ^a`_j��d effect. License No. '35-7,75 "� ❑ I, as the owner, or my emp(o ees 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 CO ID R BRANCH TLETITS 2.50 ea NEW CONSTR/ POWER APPARATUS e% NON.RESID. \SINGLE OUTLET CIR, 50@251 Ex. OCC up(OUTLETS OR FIXTURES BALM Ex. OCCup.(OUT E TS P(RESID.)FIXED APLNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring4C G 7.50 U Permit Fee $ Contractor Yzi�C WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. i� 1 shall not employ any person in any manner so as to become subject J� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. i agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 against said County inc onse ence of the granting of this permit. X % jvL, ® 4.'—�5>� 2 Date Signature of Applicant — Owner ❑ Contractor X Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE ,140Y '5076 occuP. GROUP M_ I TYPE F CON PARC PD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PER EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date —�J_��� t S Irl' 3 /3 Receipt No. l� ! ,3 � / WNITE-D.P.W., 1'EL LOW -AS 8l990R, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT NO. 4041-80B_& ' . PERMIT EXPIRES '- OWNER Drake Homes owner CONTR. 40-47-9 ASSESSOR PARCEL LOCATION E/S Pistachio Dr., app.125'S.o= Entler Ave., lot 9, Southgate Ac=es, Chico /a . � Temp. Power Pole ! Y Called PG&E / Temp. Elec. Service X 0 - Called PG&E 1 a� Temp. Gas Service . 4?eAzz Called PG&E ,t r JOB FINALE[ Signature J = OK O = Not OK — = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) . •• Date UND FLOOR Plans OK except #'s Date FRA #G Continued Z ing requirements—Setback — asements 4 Pr rty Line Firewall &Openings Ftg., Main; Soils—Steel—EI — / /" Ftg. Depth t. Doors—One 3'—Check Garage -3rd story, 2 exits 2-0 g. Garage; Soils—Steel— /J'7—/" Ftg. Depth tairs; Width—Headroom—Rise—Run—Landing—Fire Protection Porches & Decks; Soils—Steel— /'lj /'LZtq. Depth Plywood on Roof Overhang—Attic Vents—Rafter Outriggers em s, , tee Blockouts—Wrapped lab t ing—Nailing—Veneer 6 to GarB@ ,Steel—Blockouts—Wrappe Slab cco Mesh—Drip Screed—Fdn. Vents—Underflr. Access rs—Firepla a Ftg. teel i t't0 / 5 zing Area—Glass Protection—Skylights—Plastic 1-40 D.W.V.: F —Fitt gs—T —2 w /O—S Test 5 Shear Walls; Nailing—Bolts e; Size—Anchors -+G---WvCeT'Pipe; Test—Anchors—Regulator—Service Test 1+.-E4ecr-c; Underground -fQ.._P_1e+wrtt5 & Ducts; Clearance—Material—Support—Ins. 't9:--GiFders—Sills—Anchor Bolts—Joists—Vents—Cripples Card -BI Date Card -BI Date Card -BI Date, Card -BI Date It Card -BI Dat Zp Card -BI Date oe / Card -BI Date (r Card -BI Date Date FINA (Plans) OK except N's Card -BI Dat g Card -BI Date Z D toING (Per except N's U 5 t. Steps—Door & Sidelight Protection—Landings oke Detector f Water Ht.; Access—Combustion Air 5 Furnace; Vents—Clearance—Comb. Air—Connector- In Garage; Above Floor—Ducts—Mech. Protection 1 er Pipe; Test & Anchors—Nail Protection 1 V.; Test—Fttngs & Anchors—Nail Pr tection 5 Broom Exiting 1 o er Pan; Test, First Floor—Tu cress 6 .F.I. & Bath Fixtures & Tub Access 6 1 est Tub & Shower, 2nd Floor—Tub Access ec. Trim & Subpanel; Breaker Sizes—Labels 1 as Pipe; Size & A hors S airs & Rails —EgollFjreplace or Stove; Clearances -Hearth 6 ec. Outlets at Wood Panel; Int. & Ext. Card -B Date Card -BI Date At.AUliance; Grnd.—Air Gap—Cooking Clearance Card -BI Date Card -BI Date ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's Garage Fire Door; Swing—Landing—Closer Garage—Damper 2 . Fi .cure & Transformer Clearance—Ins. Protection tr. Htr.; Vents—Clearance—Comb. Air—Connector—P.R.V.— In arage; Above Floor—Mech. Protection 2 . I . Receptacles Spacing—Lights & Switches at Doors 7 ly!, Elec. & Mech. Equip. Listed for Location Size Bax No. of C dors to 7 1 . Receptacles in Garage; (G.F.I.)—Rome Protec. 2 me -installed se d of Studs & C.J. 7 ns lotion—Foam—Looked in Attic quip. Grou d up w/ a h.'Fasteners—Bond & Water r s'& D n—Po s 2 liance Circuits in Kitchen &Conductor Size 7 Fdn. Vents & CrawlHole Dor—Dr inage & Wood -Earth Clearance Looked under Floor% 2 u / ga. Cu or AI—A.C. Wire Size / / ga. Cu o AI ng it A ,gam 9u or I Oven Circ. / / ga. Cu or AI 3�d �¢ Insu d utra es No 7 ollowing,instld. Drive s No; Walks es ❑ No; Daifers es No 2 ervice—Riser Conductors & Ground—Main Disconnect 7 ticco; Brown—Fi h 2 q . Clearances; Panels—Motors—Mech. Equip. 7 .C. Unit; Disconnect—Clrnces—Brkr. & Cond. Size—;(15fl Outlet 36,—'Clothes Closet Light—Shower Light 7V V is Above Roof; 1 6g.—Applian '—Firepl.—Cleara ce Opngs. 7 ester Well; Dis nett, Electr I, Plum LEbelxterior Card B-I_Date _ Card -81 Date Elec. Trim; G.F.I. Receptacle—Undergrou d V r(iilation throughout House Card B -I �� Dat �Jp/2q Card -BI Date ss Protection Date CH 1V'ICAL (Permit OK xcept N's M000"C rections from Previous Inspections 8 Gas Test—Meters Tag a s—Electric Ducts; I s n & S ort 6 ater & Sewer n rte —C/O to Grade—HD Approvest Fan; Exhaust above Insulation W3ondensate Drain & Overflow: Size & Grade Energy Compliance Certificate—Other Certificates 34--'F nate—Vent; Access -Comb. Air—Return Air Vent -115V outlet 3 Attic Access &Platform if Furnace in Attic _ _.._ Card -BI ]�J�-- Date ,j (, Card-BIDate Card -BI `J—' Date $ Card -BI Date Card -BI Date Card -BI Date Card -BI Dat Card BI Date Card -BI Date Card -BI Date Date FRAMI G(Plans) OK except a's Comments at Final: t Proper Material & Anchors maIts: Studs—Nailing, Spacing & Bracing—Plates—Sound 3818 Bring Walls over Girders & Floor Nailing 3 Draf_ top in Walls (rat proof) �/ey it tops; Furred Ceilin s—Stairs Chases ub 4 ea er & Beam—Size & Bearing 1 4 apgers—Pos —Anchors Connector 4 Ing. Joist _Rftr. a Purlin— roc.—Truss—Shthnq.—Rfnq. 7 ! Fir lace Ties or ype A Flue—Fireploat Y 4 ttic Access Size & Romex Protection—Draft Stop—Ins. Baffles _ Bdrm. Windows or Exiting Doors—Sill Hot. & Dimensions _ 4Q,-,Carage-,Fiiire Protection Framing (NOTE: An entry must be made each time you visit job site) J = OK t 0 = Not OK - = Not•Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date ." MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -'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-Carnd.-/ / 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. T Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except 11's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except N'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 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot 9, Southgate Acres, Chico (location BUILDING PERMIT NO. 15PCDIf/— S D A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge / Fdn. Walls Floors N/A Walls R11 Ceiling/Roof R30, Ducts Circulating Pipes APPROVED HEATER APPROVED WATER HEATER GLAZING: Single i Sin glle Glazed .Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPPLIANCES I DECLARE THAT ALL REQUIRED -ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Nl,�CKOLS'ON INSULA. TI;ON rN-C . please print) Signature of . Insulation Applicator State !Dontractfts License No. 2124.61 General Contractor/ Owner Name p rqk E Jf 0 7ES (please print) 01 Signature of General Contractor/Owner ZDate State Contractors ,gl+Pi/—4v4/ Q License No.37tjf OT THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. 70 ¢- COUNTY OF BUTTE •DEPARTMENT OF PUBLIC WORKS 6§5 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. Inspector/1-A �� Date /,/, g"? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 'r. PERM T N0. /, AYMOR 7±L UMBER , ZONING �L��[[�t////�7 �0 FIL-1 lej BUILDING PERMIT - Q OWNERy/� TELEPHONE C94�6/ SO. FT. OCC. BUILDI VALUATION OWNER• AILIN, ADD r -St, r- CONTRAC AOC— E M�� TF�Fp �V3 VX^ .�.H / CONTRACTOR O'S AlM/Iit- y� � kRF#1 CONSTRUIC(TTION LENDERrr 'UNKNOWN Fireplace A Total Valuation $ LENDER'S MAILING ACORAESs Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ G J Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit flee $ •SG' Bul DING ADDRESS s PiSi AC�'f-ia ��e' � A pp, /2� SOUThF PLUMBING PERMIT Filing Fee 3.00 fTLC-e n w jW� . ,V /- Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LO NO. SUBDIVISION NAME S01vTNe;A7C- Ar__ S PARCEL MAP 7Z--iSGas Each qas water heater or vent 2.00 piping system 1 - 5 outlets USE OF STRUCTURE SF 0 --'Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New [Addition ❑ Remo Utilities ❑ Installation ❑ Other ❑ Describe work: Ben #72 6 —7 / Z-7& Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service S 1000 AMP ORLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. / 20sgft 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 Profession�Co nd y license is in full f7prce and effect. License No. Classification J ❑ I, as the owner, or my employees with wagds 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 CO ID R BRANCH MULTI-OUTLET 2.50 ea NEW NON-RESID. CONSTR ( SINGLE OUTLET CIRPOWER APPARATUS.&) 8 so@asc Ex. Occup(OUTLETS OR FIXTURES gqL@1� FIXED APPLNS• OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE i declare under penalty of perjury (check one): he permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation :h Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also ree t save, 'nd nify keep harmless the County of Butte against all I' dgm nt , o d expenses which, may in any way accrue a aid C un i en of the granting of this permit. Date � Signature of Applicant — Owner ❑ `actor El Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP �_ TYPE OF CONST. PA %RCE PD ND IssliE r✓ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P IT 'EXPIF&S Date the applicable provi- resolutions to do fees have been paid WORKS Date F /o ,f 0 Receipt N OP t WHITE -D. P.W YELLO 50 K -I NSPE L E_NRSD-APPLICANT ' RESIDENTIAL PLAN CHECKING GUIDE ,. (S.F., DUPLEX, & MISC. ONLY) OWNER A. GENERAL Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbaeks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Bldg. Permit �k A.P. # C. FLOOR PLAN Complete to scale plan with dimensions. .a! Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). 4. Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). G..F,C,1,°s in baths and exterior outlets (Sec. -210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. � �. Locations of water heater, h ating & cooling equipment, other electrical or gas equipment, and plumbing fixt es. Garage firewall, door size, and closer (Sec, 503(d)(4)). d 1 - 3°0" exterior exit door (Sec, 3303d). Fireplace location, ;Ielloo' Smo1:e detectors (Sec. 1413). D. STRUCTURAL DETAILS .�10,'Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. evations and wall construction details complete enough to construct building. Roof construction details complete enough to.construct building. Fireplace -construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law)., E. MISCELLANEOUS ITEMS TO LOOK_ OUT FOR CCX plywood on exposed locations and overhangs. A Stal-k-u y details (Sec, 3305) . Ct!ardrail details (Sec, 1716) . Brick or stone veneer (Chapter 30). S/ Enterior plaster o weep screeds (Sec. 4706 & 4708). Proper roof pitch -for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. 11�r, Living area over garage - complete 1 -hour separation required including supporting . walls and posts, etc. JA Two (2) exits on three-story dwellings (Sec. 3302). a 41 UJ Qc ET I —All Qvlcrterials ���orkrrta;es!1ip Shall 'Be in E TR S Accordance wi-i'l Re-cog„ized Good Practices and - of a quali,l,y prescrioree ed Tor tSpecified use in the ` I Uniform Building, Plum.; ing 0 Mechanical Codes one - the National Eiech•ical Code. r� - - - - ---- 225.00' A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of �stE ctures or equipment except a'2f'„,eav verhang. • - WILITY. Lo'� �;�,�ie/. �G.I°320l 41 .- I l _T-`�- KOOM FlH. CON C• W1411 E.061N6 a SCORE LINES -� AS SHOWN 4I�LEw1.15 N C- , g WE S I ..P L ✓� �t �J di N I 1 YJ E L.1, • This*set of plans and specif'c-tions MUST b ® kept on the job at all times and it is unlawful to� ma'<e any -chnnges or alterations on same without - written permission fr6m the Department of Publi=l ` Works, County of Butte. AK EA See Raffer P n on file for building plans. r Lh l` '704 E' Vfx �� � - - boo Ch4L . TANK W/ 125 L.F. OF V cairn LEar.H TRENCH BUTTE COLATY - 100�LF.S.A. BUILDING DEPARn?IENT 1. -- 11x.00 APPROVF en C �4^'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �a� 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT � 4 "t, . ..,,- PERMIT NO. /l ASSESSOR PARCEL NRR / , / ZONING BUILDING PERMI OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER MAI G ADD SS ,- / N RA TOR'S ME CONTRALTO MAILING DORIES /off( `UNKNOWN CONSTRUCTION LENDER Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. • SUBDI SION NAME / .PARCEL MAP Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets LkSE OF STRUCTURE SF�O Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Renjodel ❑ Uti Iities Installation Other Describe work: �— 8"— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 8000 AMP OR001 OR SLESS 5.00 N`11241JA 41-6 ,/ 'C Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2�sgft 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 Professio de and my license is in full force aal effect. �...� �p License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET NOIN RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. 50 250 Ex. Occup(o X OR FIXTURES BAL@101 IED APPLNS Ex. Occup.(OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. %71 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee l40.00 Heating D Lo Cooling e71J Hood 2.00 Ventilation ,D o?.D Permit F $ 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 ree to save, indemnify and keep harmless the County of Butte against all Ii N ities, judgments, costs, and expenses which may in any way accrue agai s said County In cons ence of the granting of this permit. %� AIM- Date %/✓/7r�O - Sig ature of Applicant — Owner Contractor ❑ Agent A 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 $ Land Development Fee $ TOTAL PERMIT FEE $Q 00 OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ss.E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECT R OF PUBLIC BYC Q PERMIT EXPIRES Date the applicable prov - resolutions to db fees have been paid. WORKS o p— Date -7 Receipt No. q Lp � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT N he r I�,�atat 111011619l 'y 08619 .1 /10rV ",'y S'�bOM 'D170h 8ddnp -0 ZZ)OOL'30 e . i i � 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. J ASSESS R PARCEL NUMBE • ' Q._ S!'— ZONI G X;� _ / BUILDING PERM OWNPER // s_.T TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONTR CTOR'S NA TELEPHONE 7 CON RAC R'S MAILIN ADDRESS —ER CONSTRUCTION LEND UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI I G A DRESS / ` O /ls-- Savl PLUMBING PERMIT Filing Fee /&.00 Each Trap 2.00 761, 0 p Repair drainage or vent piping 2.00 %" Water piping Q LOT NO. SU DIVISION NAME PARCEL MAP Each qas water heater or ven f -AB Gas piping system 1 - 5 outlets , G ,// USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer G Lawn sprinkler system H::2.00 TYPE OF WORK New r_1 Addition❑e Rem del�Utilities❑ Installation❑ Other Describework: IS -49Y4 /t ,%Jy Permit Fee $ o Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare penalty of perjury (check One): am licensed under provisions of Chapt. 9, Div. 3 of the BUslness and Professions Code and my license is in full force and ffect. License No. g5V O S / 3 Classification C _ 4 ❑ 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 CONSTR U TI.OUTLET 2,50 ea NON-RES'BRANCH CIRCUITS NEW CONSTRL ( POWER APPARATUS & 1 NON-RESID. SINGLE OUTLET CIR. / Ex. Occ Up(OUTLETS OR FIXTURES 50@250 BALLIDIOQ FIXED APPLNS. OR Ex. Occup -(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai ounty in consequen a of the granting of this permit. e X/1? Date /Is�/s// s '— (Yd Signature of Applicant — Owner [J Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD Ss.E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IQCTOR OF PUBLIC By PERMIT a the applicable prov - resolutions to do fees have been paid. WORKS p p Date O� Receipt NV3 O ,� 0 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .17_ r�/� ZO BUILDING PERMIT OWNER /1 / P� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S ADDRESS COXRACTOROIV NAM ` e �oFH �� s • ,�Pc TELEPHONE 3Y�-i�v CONTRACTOR'S MAILI G ADDRESS - 71 V- Fireplace CONSTRUCTION LENDER UNKNOWN, Total Valuation $ Filing Fee - $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER /VOQ✓ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEE 'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS /� . PLUMBING PERMIT Fee 10.00 Fllln Fee Filing Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SU�B+DI VIS�IOO NAME ( .JOZ[�"� PARCEL MAP Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [�J' Duplex F-1 Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 - TYPE OF WORK New B— Addition ❑ Remod l ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �c: GGA^ /� i� �D S�/— F/D�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 100 AMP OR LESS 5.00 Js0o Main service EA. ADD'L 100 AMP 2;50 6-0 NEW CONST. DWELLING OR ADDNS. ACC. BLD 2d sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �l am licensed under provisions of Chapt. 9, Div. 3 of the Business50@2SC and Profess' s Code a d my license is in full force Band effect. License No. ��Z Classification C'/6 ❑ 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 rNt-_W QQSID R BRANCH CIRCTITS) 2.50 ea NEw CONSTR. POWER APPARATUS &I NON -R ESI I ( SINGLE OUTLET CIR,, Ex. OCCUp OUTLETS OR FIXTURES BAL@100 Ex. OCCup.(OUT IXED ETS_ P(RESID )LISIS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee - 10 -OC WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 Contractor - I certify that I have read this application and state that the above information 1s 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 W conseq n 'f the granting of this permit. X Date Signature of Applicant - Own Contractor �-Agent An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE ,� $ `�0 OCCUP. GROUP I TYPE OF CONST, I PARCEL Pb 1 No IrSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT E ate _ the applicable provi- resolutions to do fees have been paid. WORKS Date — P Z,2( � Receipt No. 4!Z� S-67 /� _T WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, SPCTOR, GOLDENROD -APPLICANT