Loading...
HomeMy WebLinkAbout042-020-085A.P . 42-02 N- 8 C & T CONST S'1 3365 -Bell Rd., Chico ���"'lll Permit 2071-72B,P,E,Mio23� ?� (new single family) 0 042-020-085 02-2114 Lor BLOCK suaorv. PASSOVOY, MICR. AEL est CAROL _ 3365 BELL RD., CHICO CCU P. TYPE of CONT: K -DESIGNERS PERMIT PERMIT NO. PLAN NO. DATE ISSUE VINYL SIDING �� TE ISSUED REMARKS B07-2452 042-020-085 MISCELLANEOUS Electrical MISC ELECT, LINE FOR SPA 3365 BELL RD ALAN J. DORR 1 PERMIT DESIGNATION: B -BUILDING DEPARTMENT OF P -PLUMBING BUILDING AND SAFETY T -TRAILER E -ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-SIDEWALK NOTICE S_ SIGN PERMIT HM -HOUSE MOVING EP -ENCROACHMENT D - DEMOLITION 600.1 INSPECTION RECORD BUILDING APPROVALS }ILI w rci aZ DESIGNATION Z 2 O r -I QED °LL'o LL � Z Ir III U.1 Ow Wy � z 2 i a O w� zggg K O m� Kw Ow wN Kw Ow wN '�a FwY 4I1 VO °um wJ �� U Q a 'LL I J 1 Z ! LL SIG. DATE SIG. DATE I SIG. i DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE /3J17/1w., tj PERMIT NUMBERi SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBER: SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBERs DESIGNATION "4 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3365 BELL RD Owner: Permit N0: B07-2452 APN: 042-020-085 ALAN J. DORR Issued Date: 12/04/2007 By KCG Permit type: MISCELLANEOUS 3365 BELL RD Subtype: Electrical CHICO, CA 95973 Expiration Date: 12/03/2008 Description: MISC ELECT, LINE FOR SPA (530) 354-6453 Occupancy: Zoning: A5 Contractor Applicant: Square Footage: APPLE ELECTRIC ALAN J. DORR Building Garage RemdUAddn P O BOX 4294 3365 BELL RD CHICO, CA 95927 CHICO, CA 95973 Other Porch/Patio Total (530) 893-1673 (530) 354-6453 g"► - . _ _ FEE INFORMATION DBE Mise Residential Wiring $58.00 DBE Swimming Pool/Spa $58.00 F LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires APPLE ELECTRIC 667439 / C10 / 05/31/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 12/04/2007 Contractor's Signature Date I``�7WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Cartier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundred dollars ($100) or Foss ) I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS kSSUED, 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X � 12/04/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ' CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Total Charged: $116.00 Fees Paid: Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any 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]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or iprove 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves t ereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). 0 1 AM EXEMPT under Section B. & P.C. for this 12/04/2007 Owners Signature Date 12 - I 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 construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with 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 representatives of Butte County to enter a o entioned property for inspection purposes. I hereby certify that I am the property �o r or am autho 'zed to act on the property owner's behalf. , A {—cerrJ C)OQ(2, 12/04/2007 Contractor - OR DAgent for Owner Agent for Contractor Lender's Address City State Zip I FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 . FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION! . Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Doi�- r- I First Xe Mailing Address 3� SOS rs-T--VL CityG0 1 CJO StateGX Zip��Cl Phone 3S�/� fS 3 Fax E-mail a -r\. O r f C� � n l'Y1 S rt G o rot CONTRACTOR Name y,\f AI'>�j— Address P . o City -M (C-0 , Stagi�— — Zip�� yZ� Phone 70 ` Fax E-mail Lic.# Class APPLICANT SIGNATURE X PERMIT NO. X07-215 BIN # PROJECT LO ATION AP# p�2—o20 Property Address City C -CA 1 C 6 . 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 Addres • o (pax 17YS Mot ro ; I -g -c> so DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov . ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name Address SlAc� _IIS O Ca 00 ILK City State Zip Phone Zip Fax Email Fax State License Number APPLICANT SIGNATURE X PERMIT NO. X07-215 BIN # PROJECT LO ATION AP# p�2—o20 Property Address City C -CA 1 C 6 . 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 Addres • o (pax 17YS Mot ro ; I -g -c> so DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov . ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name SlAc� _IIS O Ca 00 ILK Address City No State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. X07-215 BIN # PROJECT LO ATION AP# p�2—o20 Property Address City C -CA 1 C 6 . 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 Addres • o (pax 17YS Mot ro ; I -g -c> so DESCRIPTION OR SCOPE OF WORK: Sq FT- Living Garage Open Cov . ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodSRA I Yes No Occ. n:Type Const: j NOTES k3 RESIDENTIAL F.042-020,0857702-2114 PERMIT NO. [ rPASSOVOY, MICHAEL -&r CAROL" 3365 BELL RD., CHICO CONT: K -DESIGNERS VINYLSIDING ' } i �Y SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1' 1. JOB FINALED (D �G Signature 1' i r I SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1' 1. JOB FINALED (D �G Signature ,/ = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. •Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / /'Nat. or./ /"L"ft./ PLPG Ext.; Steps -Doors -Landings 7. Well Clearance 8 Disconnect 6. 8. Utility Clearance 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit Date Health Department Approval Card B-1 Date Card B-1 Date Plumb.; Cir. Test -Water Supply Test Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-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 FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elect; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable • = Not Ready RESIDENTIAL (; Date Date Underfloor (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning -Setbacks -Easements -Flood -Slope MECHANICAL (Permit) OK except #'s 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth A.C. Ducts Insulation & Support 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Vent Fan, Exhaust above insulation 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth Condensate Drain & Overflow, Size & Grade 5. Stemwalls, Main; Steel-Blockouts-Wrapped Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Attic Access & Platform if Furnace in Attic 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Card B-1 Date Card B-1 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation I nfi Itratio n -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 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 Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date 40. Card B-1 Date Card B-1 Date Walls Studs -Nailing Spacing & Braces -Plates -Sound MECHANICAL (Permit) OK except #'s Bearing Walls over Girders & Floor Nailing 35. A.C. Ducts Insulation & Support 44. 36. Vent Fan, Exhaust above insulation Headers & Beams -Size & Bearing 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date 55. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 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. I nfi Itratio n -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes ] No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N9. (Rev. 12/96) APPLICATION AND PERMIT I- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER R C P CNG -.OWNERS TELEPHONE ai1315 SQ. FT. OCC. BUILDING VALUATION 9 MAIU-� ✓+r rvv• ADDRES 3365 til. CONTRACTOR'S NAME TELEPHONE I • C. 7 CONTRACTORS MAILING ADDRESS e v .w w 1111140 Ct S DGMBM CONSTRUCTION LENDER - r R� Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9315 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $1 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: VIM SIDING 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 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zooOA oa LEN 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 61h �/ Lic. No. i ,r ��� ` 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. M 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' pensation insurance carrier and policy number are: Carrie1--OAf /`i �~ti" a� �a `ri %�� Policy Number "?1�_N 9C_ - (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. / Date f{' /� Signature of Applicant - ❑ Owner ❑ Contractor ®gent _ An OSHA permit is required for excavations over 5'0" deep and demolition or construction" of structures over 3 stories in height. Main Service TO 46.00 NEW CONST. pELDWELLING OCUP. SO DWCC OR ADDNS. a ACC. ns. 3.5QFT: Bi NONNEW RESIO. T. MULTI -OUTLET @7.50 POWER APPARATUS a swGLE ourLET aR. Zo p ,.� Ex. Occup. ° OR FIXTURES SAL ® .50 Ex. Occup. ..FIXEDs pES�iD,°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $137.00 HAZ. D. FEES IMP FLOOD �--•- CDF 1 1 PARCEL PD HD ISSU_e V 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 pa'd. By VVV //)< �,. Date ( f' PERMIT EXPIRES ON � (Det -)t Receipt No. �.� � �>(."' � . .f �-7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT D COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-020-085 ZONING BUILDING PERMIT . OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION Cont . OWNER'S MAILING ADORES CONTRACTOR'S NAME K-DF.qT(-,NaS 91IJ-621-9300 TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS tFireplace otal Valuation $ 9119 ARCHITECT OR ENGINEER LICENSE NO. ilin Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: VINYL SIDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 voLE Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./ License Class Lic. NO.'gg©+� OWNER -BUILDER �LA ATION 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 astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. so 3.50FT. T. NON-REOSID. MULTI -OUTLET @7.50 POWEPUS a SINGLER AOUTLETPARATCSI R. EX. OCCU . OUTLET OR FIXTURES .00 BAL O I.50 Ex. Occup. OIRLEEDTS Rap °pp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. LSI 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 cor*lpensation i rance carrieran��policy number are: — Carrier b ry Policy Number '95) 7%'19 (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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ _ DDaate� 14 CT. _ Signature of Applicant - ❑Owner ❑Contractor Q'Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in heigh MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONA TOTAL FEE $ 137, 00 �H�AIMP FLOOD COF I PARCEL I PD HD I S Thi ermit is hereb issued under the of th Butte u Co and/or indica a ab w is fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work- been per. a l(/ ale Receipt No. �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR P K -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT C (Rev.12/96):_: APPLICATION AND PERMIT ASSESSORPARCELNUMCF; /� U �O If ZONING BUILDING PERMIT /'► �'R OWNER ASS(/ V ♦/ Lk&7 FT. OCC. BU I ------------ Fireplace Total Valuation S Filing Fee E V UATION _ 20.00 DINNERS DBEs /2-A) It CONTRACTOR'S TELEPHONE s /� • 30 CONTRACTOq1 3 ADDRE CONSTRUCTION LENDER LENDER'S 114Aa1NG ADDRESS ARCHITECT OR ENGINEERLICENSE NO. ARCMTECT Oa ENGINEERS MAILING ADDRESS BUILDING ADDRESS 33 on ot &ZEnergy Permit Fee $ Plan Checkin Fee $ Plan Checking Fee S - $ PERMIT FEE S IDT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT ding Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEc�v Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping15.00 New ❑ Addition ❑ Remod ❑ Describe Work: TYPE OF WORK UtlGties ❑ Insta O Other ❑ Each gas water heater or vent 1 5.00 Gas piping system t - 5 15.00 Buildin sew 15.00 Mobile Home ISI G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Fee 20.00 Main Service 200AA oa mss 23.00 ' �• OCooling 3�///\ S/ g� 7 • • �� ;sA•�Q I Main Service tow TO 1000A 46.00 NEW CONST: OR ADDNS. D a ACC. BIOD�SUP. 3.5¢F7. NOKRESID. MULT�OUILET @7.50 GPOWER APP s s a0. Ex, C OVRET OR FDRUREs 2001-5001 EX. OCCU POLED APPLNS. OR OUTLETS ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL P Filing Fee 20.00 Heating oolin Hood 6.50 Ventilation i PERMIT FEt: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES NAZ. D. FEES IMP FLOOD COf PMC0. PO HD ' ISSUE i 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 (Date) COUNTY OF BUTTE Department of Public Works' BUILDING INS?ECTION RECORD Zoning Setback r�d Z" Z Forms Foundation �' �� Piers & Girders _/ _(�_le -'G Firep ac` 7r-?�" % Z �C '�„z 4:,- Rgh. Plumbing Bond Beam Lath &Plaster•- I / Rein. Steel Gas Piping & Test ��� ZD '-7 �_' Found. Vents d-”" t2 '? Framing fi-14•-2 2-- Plmg. Topout - Rough Elec. :2 Wtr. Htr. Furnace % 3 Kitchen Vent A %- 21-1 Firewall 4 - 7 -'7 Garage Vents 4--1%'% 15 Sanitation & Water ELECTRIC GAS BUILDING Temporary �� Zd 7Z Temporary Cert. of Occup. Final 4 ( % - 7 R-2Final �-- % ^l Final DATE REMARKS OR CORRECTIONS r - �J •pr6c:clq 9ilt�r,G� lvtT'oo� %✓/ �j tet. ! d/7,ry� I P (�._ �: ,- ,�� .. - �' .. .��r T. el PERMIT NUMBER 2071-72BpPpEp, P E PERMIT EXPIRES O -,2 73 OWNER C. & T. Construction CONTR: owner LOCATION (A.P. 42-02-50 3365 Bell Rd.) Chico dell v 74 /0 t c COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 9,1 7 County Center Drive — Oroville, California 95965 9,V -7/- Telephone: 633-1230, Ext. 259 APPLICATION AND PERMIT BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mai I i ng Address � D Fireplace Contractor c ,,,, Total Valuation O -2— Mai I ing Mailing Address I Permit Fee , �•� 0r- , $ TZ o-2 Plan Checking Fee &/or Penalty Permit Fee $0­ Building Address � � /�� �, PLUMBING No. @ FEE PERMIT FILING FEE $2.00 , �� G�� �. Each Trap 1.50 2 o.p' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.i9 Z--J Zoning �— Gas piping system 1 - 5 outlets 1.50 , j t Each additional outlet .50 Fire Zone Fire Dept. 'OIC Planning Building sewer 5.00 Plans f/ Fees ✓ W. C. R/W I Encroachment Lawn sprinkler system 2.00 NEW Q� ADDITION ❑ OTHER,❑ Permit Fee $ 17, nv ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub-panel (12 o ess) (more than 12), USE OF STRUCTURE Single Family Q---Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook-top or space heater 1.00 Light fixtures 20 P 25 Receps., sw t es & fix ou lets , (� p CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of 'the State of California, Business & Professions Code under the name style of: Hod, Ex. ran orF..A. n. Motor 1.00 �, «p Evap. cooler, garoeisp. or D 2 1.00 Air conditioner or heat pump l J Water pump H,-"2 /. vd Misc. wiring License No. Classification_ ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $30 , a $3o-(0o WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. I certifythat I have read this application and state that the above pp 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- entioned pro rt ection purposes. Date �'Z7_72 ' Signature of Permitee or Agent Receipt No. White-D.P.W. — Pink-Inspector — Goldenrod-Assessor — Yellow-Applicant MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 ,`�. -0 Heating F-© Cooling czs-p Ventilation Z Permit Fee $ tate Fee for Strong Motion $0.07/$1000 Evaluation nstrumentfor S F $ A X TOTAL PERMIT FEE $ �� . �b 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. DIRECTOR PUBLIC WORKS �7 Date00-2-�� %L p� a �� 73 Building Permit Expires Dateo