HomeMy WebLinkAbout042-030-062- + - - - 42-03-62...
i LAWRENCE GETGEN •"!
625 LaBonita-Ct, Chic'
Permit��294-$3B,P,E,M(ne single family `!
private workshop) _
042-030-062 PERMIT#96-1900 }
BARCELONA, Jim & Dianne
625 LaBonita Ct., Chico'
Cont:.Bob Carper I�
New Pri Det Garage w, -o
2
S
RES DENTIAL
042-030-062 PERMIT#96-1900
{ BARCELONA, Jim & Dianne
625 LaBonita Ct., Chico
Cont: Bob Carper j
' New Pri Det;Garage - J
a
t
} p
JOB FINALE
jSignature
Ul
el
V=OK
O = Not OK
NotApplicableMOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /°L'ft.
/ /Nat. or/ /"L"ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
1
Date Card B-1 Date Card B-1
Date 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
3. Gas; MH Test Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector i
7. Water and Sewer Connected -C/O to Grade -HD Approval j
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert. j
10. Exits; Insp.-Sketch
11. Cert of Occupancy
f
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANgGUS
Date DEC S, COVERS, CARPORTS, 9MAGES ans OK except #'s
VZ ing Requirements -Setbacks -Easements
2 tings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK ex pt #'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. Elec.; 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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
O = NNot OK o RESIDENTIAL (Single & Duplex)
- = Not Applicable
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ PFtg. Depth
49.
4.
Ftg. Porches & Decks; SoilsSteel-/ PFtg. Depth
50.
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8. Piers -Fireplace FW. Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
59.
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
60.
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
61.
15. Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card E-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
Ext Steps -Door & Sidelight Protection -Landings
18.
Water Pipe; Test & Anchor -Nail Protection
Smoke Detector
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
20.
Shower Pan; Test, First Floor -Tub Access
Bedroom Exiting
21.
Test Tub & Shower, Second Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
22.
Gas Pipe; Sixe & Anchors
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
23.
Fixture & Transformer Clearance -Ins. Protection
Elec. Outlets & Recepticales at Kit. Counter
24.
Elec. Receptacles Spac ng -Lights & Switches at Doors
Garage Fire Door; Swing -Landing -closure
25.
Size Boxes & No. of Conductors Stapled
A.C. Duct in Garage -Damper
26.
Romex Installed Close to Edge of Studs & C.J.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
Plb., Elec. & Mech. Equip. Listed for Location
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
Insulation -Foam -Looked in Attic
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
Guard rails & Deck Construction -Post Caps
31.
Service -Riser Conductors & Ground -Main Disconect
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor p Yes
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
Following Instld./Drive Q Yes 0 NoAtValks 0 Yes Q No/Planters 0 Yes 0 No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throught House
35.
A.C. Ducts Insulation & Support
Glass Protection
36.
Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
37.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
Water & Sewer Connected -C/O to Grade -HD Approval
39.
Attic Access & Platform if Furnace in Attic
Energy Compliance Certificate -Other Certificates
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Plans) OK except #'s
Card B-1 Date Card B-1
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
Date
FRAMING (Continued) _
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: 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 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 -Meth. 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.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 p Yes
82.
Following Instld./Drive Q Yes 0 NoAtValks 0 Yes Q 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/O 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:
ENGINEERED WOOD SYSTEMS
Certificate of Conformance
Certificate 050914
THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products
Identified below and marked with a collective mark of Engineered Wood Systems (EWS) were man-
ufactured in accordance with the specifications indicated below.
DAX ANSI Standard A190.1-1992, for Structural Glued Laminated Timber
Job NameWESTERN BUYERS INC.
Job Location
Customer's Order No. WB, -23591
ELK GROVE, CALIFORNIA
Date 7/30/96 Mfgr's Order No.
09-04489
DOUGLAS FIR/LARCH, EXTERIOR GLUE, 240OF-V4, ARCHITECTURAL APPEARANCE,
INDIVIDUAL WRAP, ENDS & SIDES SEALED; 2000' RADIUS CAMBER.
Signature Z.,21 Title QUALITY CONTROL SUPERVISOR
Company BOISE CASCADE CORP. Address P. 0. BOX 50 Date f,/�X/��,
BOISE, IDAHO 83728
IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named
manufacturer which carries a collective mark of Engineered Wood Systems (EWS) is subject to regular
audit by Engineered Wood Systems, such audit consisting of the inspection with reasonable frequency
of the manufacturing process, with adequate sampling to verify the quality of glulam construction and
the adequacy of glue bond.
by
Thomas G. Williamson
Executive Vice President
ENGINEERED WOOD SYSTEMS - A RELATED CORPORATION OF APA
GREGORY A. PEITZ '.
ARCHITECT
1907 MANGROVE AVENUE, SUITE "E". CHICO, CA 95926. (916) 890-571.9
i
- IJK�
COUNTY OF BUTTE —"Mow
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
C& WA
9�
1900
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
— 1 -1 -
Dan (2 1- q (-"' Inspector
REV 10/92
�f
I
COUNTY --OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
' 7' --County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 9�0 -1 q,00
ASSESSOR PARCEL NUMBER
042-030-062
ZONING
SR1
BUILDING PERMIT
OWNER
TELEPHONE
343-9375
SO, FT, OCC. BUILDING VALUATION
2400 U 43 200
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
CAR FR, RO'll
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Fling Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $ 375.50
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee $
.244.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
525 LA BONITA CT
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23,00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 1 5.00
Building sewer 15.00
TYPE OF WORK
New}(❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: DETACHED GARAGE
Mobile Home I S I G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.'00
Main Service a00V OR LESS
( 200A OR LESS ) 1 23.00 9-1-00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
O I, as owner of the property, or my employees with wages as their sole compensation,
/ will do the work, and the structure is not intended or offered for sale.
® I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR SO,
OR ADONS. ( & ACC. BLDS. ) 3.50 FT. 34-00
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00
BAL 0 .a0
Ex. Occup. FIXEDAPPUN . OR ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 127.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
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.)
Cd 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
orthwith comply with those provisions.
/^ G
XADate _dol _/
Signature of Applicant - _Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee$ T-7 d
Occ
CONST. TYPE
TOTAL FEE $
HAZ. D. FEES
r
IMP FLOOD
_
CDF PARCEL- PD HD
SUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
B Date U-Z'�I(o
Y
PERMITEXPIRESON /0 -2' /
I (Date)
ReceiptNo. Z 62 3q3 Z 3y13_;�- .Z 3?s,-y3
WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK -IN ECTOR GOYDENROD-APPLICANT
COUNTYGFAUTTE - DEPARTMENT`GF DE"VELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER Uq. (,'Q_4A_4� A. P. No. t�2.'rJ30 'D�oZ,
Proposed Building Use 22!2: – Building Inspector ./.3'Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans . ................ '!
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .........
5. Hazardous Material Form . .............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. .
t/ 'Fees of $ . .............. ! ........................2Gto211
11. Impact fees as shown on attached schedule. ...............................
12. California Department of Forestry plan a
ypproval/fees . ....................... .
13. Flood elevation letter (100 year flo�d�) b 7California,Engineer. . .
14. Sanitation and plot plan approval Health Department . .........:..�
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. ` ........... .
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. .. .
20. Pre -inspection for to Buil ingflngpe for
required. . . to Building In§pedor (Date)
'€�a�e�l�l�k�a�tsativrrtrrs�rarrc�-... . . . . . .... . . . . . . . . . . .
(23yowner-Builder Verification (Given to owner Mail to owner ..........
W. Recorded copy of Agricultural Acknowledgement Statement ................. i .y
25. Letter of signature authorization ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public'road. ...% �
7. Letter of intent on building use . ........................................
Mobilehome utility clearance . ................................
29. Documentation of legal access . ..................... :.................. /
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ............
31. Existing violations/expired permits . .........................:........
32. Plan check list . ...................................................
33.
34.
hen you issue the,�rpcess as follows: Mail t ow er Mail to contractor.
Telephone s3 and hold for pickup at office. Deliver with inspector.
Other
Parcel Creationtlu ��
Acreage Applicant ate
Copy of Haz-Mat form sent Health Dept. `Fire Dept. Air Pollution Date
KCopy of plans sent Health Dept. Fire Dept. Other ' Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above). '
1. Index permit for above items No. ` a 3
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by G r 3 e.J s Date ! I f
Sets of plans on hold in F_ File cabinet AP folder
Copy - Department of Public Works
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
he E.H. USE ONLY
Plat Plan Attached
Floor Plan Amchad
Scot to B.D. /oz
/
.7�i�i�ne d ce�on� 6 2S /.a I Y) 0,3- � z
i6 Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public//" Private Well
Clearance for bedroom mobile home. Other 4/01XG',0I qe�&ge Olelee eW 124o
Hold final for:
Final clearance O.K. for:
NOTE:
/ /z-g1d
Environmen Health Specialist Date
8/92 1 •
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County. Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBMINING
(5442- 0310- 0(o2
SR-1
BUILDING PERMIT
�- �'
1ONE
TELEPHONEGWNE
-3ci3-G375
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS )
5 96-q 3
CONTRACTOR -9 NAME
TELEPHONE
cONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$' -7 ) 5D
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 0
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS .. 5eK �]!� _ A- (5e
�
PERMITFEE
$
PLUMBINGPERMIT
Filing Pee 20.00
Each Trap
7.00
LOT NO. SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.0
Water piping .
15. 0
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome VC OtherGas
SPECIFY
Each gas water heater or vent
1 V.00
piping system 1 - 5 outlets
1 .00
Building Building sewer
5.00
TYPE OF WORK
New 0'- Addition ❑ Remodel ❑ Utilities 0Installation ❑ Other ❑
Describe Work: C4,e_- l %
Mobile Home S I GI W
20.00
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
Filina Fee 20�(.'0.�'0�
Main Service ( 600VOR LESS \
200A OR LESS /
23.00
Main Service ( 200A To 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
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.
❑ 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
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
l
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
NEW CONST. DWELLING OCCUR
OR ADON (a )
3.5Q SOr.. n
o
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUrrs ) @7.50
( POWER APPARATUS
8 SINGLE OUTLET CIR.
EX. Occup. ( OUTLET OR FDTTUREs ) 20 @ 1.00
6AL 0 .50
FIXED APPLNS. OR'
EX. Occup.
p• ( OUTLETS (RESID.) EA ) 5.00
Temporary Service 23.00 .1
Mobile Home Facilities -r' 20.00
Misc. Wiring 23.00
'
PERMITFEE S . 0 0
Contractor
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee Is
0
TYPE
TOTAL FEE $ 3 q/, 3
HAZ. I D. FEES IMP FLOOD
I COF I PARCEL I PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No. �� ��3 3�l/.�
WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�irrz(orn a
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major 1 bor and materials for construction of the
proposed property improvement : YES[ - NO[ ].
2. I HAVE[] HAVE NOT[ ] signed an application for a building permit for the
proposed work
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME:
ADDRESS: C'I'Y:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: -
CITY: -PHONE: CONTRACTOR'S 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
SIGNED:
PROPERTY OWNER:
;
-
DATE: to///'?ro
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
OVER
O.B.- I
NINE,,..;, ..T.v:'::�:.:::;T:; ;}}:{;ii;?..: ..; .:: '.�C,C•:i�><k ;{}:i.ii:CJ.ri:.<NW.;•.�Cc: YA
, u.,, :..... «,..,,;. a...:..,,.... .:..
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of
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:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the ' entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments 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.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance,
0 For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
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
I work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95914.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned
S�Icl -
Michael C. Vieira, C.B.O.
Manager, Building Inspection
MOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
_.._.. utte ount
cr.
LAND OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: (916) 539.7641
FAX: (916) 638-2140
Dear Property Owner:. f
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.
Yours very truly,
Michael C. vieira, C.B.O.
MCV:ahb Manager, Building Inspection
LAND OF NATURAL WEALTH AND BEAUTY,';
BUILDING DIVISION
DEPARTMENT, OF DEVELOPMENT SERVICES :.
i,` r' '• 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 ,
Y
TELEPHONE: (916) 538.7541
RE: ' 'Attached Building Permit FAX: (916) 536-2140
Dear Permittee:
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 site,
of construction, and also have the approved set of plans•�on the*site at
all times.' Inspections .will not be�made•if,'the job7card:4and approved
plans .are not on the 'job',*t the time `of "inspection.
Please review the approved set of plans before"constiuction and make
note of any corrections made in red. 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.
1 • • • n • - • • _1_ - •• - • • _ LI- •� • •!
• • _.1 = 1 -2 • 1.
Should you have any questions concerning this letter or any other matter
pertaining to building construction, please do not hesitate to contact
this office.
Micliael C. Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
HUGGITT ELECTRIC
578 Troy Lane • Chico, CA 95926
(916) 891.4290
Lica 635377
®rum
C"'0/7
. Gm/cos 6 9�
/fj 'off, a'O -exle, Aevle e�vou
'I av -e' C, &/011-w? C' 4
O .
AUGUST 20, 1996
I PLAN TO USE MY GARAGE FOR MY PERSONAL USE ONLY. I HAVE OVER 8
VEHICLES THAT NEED TO BE PARKED INSIDE.
1 : oe— •
2941-83B,'Pl,E,M
PERMIT N0. /2�dClD�8�2�M�ir�L��ly�
PERMIT EXPIRES 2/4/84
/ OWNER Lawrence Getgen
CONTR. Owner
62
/ ASSESSOR PARCEL 42-03-¢jc
LOCATION 625 LaBonita Ct, Chico
tir
'rC
:a.
Temp. Power Pole
Called PG&E
Temp. Elec. Service—4
%
Called PG&E
Temp. Gas Service 7— 4
CalledPG&E�'
JOB FINALED (Date)
41,111 //L)43
_ y
Signature
J = OK
0• = Not bK
— = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) U,, oxcept h
1. Zoning Requirements—Setbacks-Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
S
3.,Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
x,s
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.--Bracing__
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5.1 Alum. Awn.; Columns—Connections—Splice—Decal—Enc,os„ res
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors _ r
7.t Utility Clearance ' :• '-
7. Elea
Card -BI
Date Card - BI Date '
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1 . Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
?. 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/0 to-Grade—HO Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.—Sketch
10, Cert. of Occupancy
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
•V - .OK
0 YNot'O1-
Not Applicable
Not Ready
a
RESIDENTIAL (Single and Duplex)
Date
UNDERF O Plans OK except #'s
Date FRA NG Continued
o requirements -Setback -E sements
4W'_Pxoperty Line Firewall & Openings
2 tg., ain; Soils-Steel-Ele / /'' Ftg. Depth
4T Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Garage; Soils -Steel- / /" Ftg. Depth
tee@ -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
em IIs, Main; Steel-Blockouts-Wrapped-Slab
52. iding-Nailing-Veneer
temwalls, Garage; Steel-Blockouts-Wrapped-Sla
W. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
i rs EILt:lJl=e_E4g.®Steal Ir
Glazing Area -Glass Protection -Skylights -Plastic
V.: Fall -Fittings -T -2 way C est 7
55-,Sear Walls& Nailing -Bolts
Ga Pipe; Size -Anchors
1 ater Pipe; Test -Anchors -Regulator -Service Test
^11. lectric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI Dat Card -BI Date
Card -BI Dat Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date 4 42 Card -BI Date
Date FINAL ( s) OK except q's
Card -BI Date Card -BI Date
Date
PL BING (Permit) OK except q's
xy Steps -Door & Sidelight Protection -Landings
51blgmoke Detector
_
. Water Ht.; Vent -Access -Combustion Air
5 urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
1$, ter Pipe; Test & Anchors -Nail Protection
1 Test-Fttngs & Anchors -Nail Protection
bedroom Exiting
r—D�.W.V.;
1'Flshower Pan; Test, First Floor -Tub Access
.F.I. & Bath Fixtures & Tub Access
_
38�.'Tpst Tub & Shower, 2nd Floor -Tub Access
lec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
i I s
_
-.16-
eplace or Stove; Clearances -Hearth C r
lec. Outlets at Wood Panel; Int. & xt.
Card -BI
Date Card -BI Date
6 1 Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date,
EI . Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except p's
Garage Fire Door; Swing- Land ing-Closen,
68rfr BncT1R)Gara a -Dam er
Fixture &Transformer Clearance -Ins. Protection
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
lec. Receptacles Spacing -Lights & Switch s at Doors
Elec. & Mech. Equip. Listed for Location
ize Boxes & No. of Conductors - %d
lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
mex Installed Close to Edge of & C.J.
--
uip. Ground made up w/Mech. Fasteners -Bond Gas & Water
-A2. Insulation -Foam -Looked in Attic Plle'S'
7a--GUFrd-R-aiTs-& Deck Construction -Post Caps
2,2 -Appliance Circuits i Kitchen & Conductor Size
_2V �&nbfeed Wire Si . Cu or AI-A.C. Wire Size / ga C
r Al
Fdn. Vents & aw Drainage &Wood -Earth Clearance
Looked under Floor es
�-
Range Circ. [ ga C or I -Oven Circ. ga or Al,
�rtsulated Neut I es-
75. Following ins .: Drive [Y�`L� E] No; Walks Yes ❑ No;
Planters es [J -No
vice -Riser Conductors & Ground -Main Disconnect
76. S co; Bin-F' h
-thes
ip. Clearances; Panels-Motors-Mech. Equip.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Closet Light -Shower Light
7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
794tater Well; Disconnect, Electrical, Plumbing
Card B -I Datt����l Card BI Date
/
A4erior Elec. Trim; G.F.I. Receptacle -Underground
a ilation throughout House
8 lass Protection
Card B -I
Date
Date Card -BI Date
MECH ICAL(Permit) OK except M's
_
83. Correctio s from Previous Inspections
as t -Met agged; Gas -Electric
—
. A.C. Ducts; Insulation & Support
\ 8. ader & Sewer Connected -C/O to Grade -HD Approval
86 Energy Compliance Certificate -Other Certificates
_ ;9F -Vent Fan; Exhaust above Insulation
_
rain & Overflow; Size & Grade
_33.-aN
_
Access -Comb. Air -Return Air Vent -115V outlet
Card -BI
Card -BI
86 Attic Access & Platform if Furnace in Attic
--- — ---- ----
Dat Card -BI Date
Date Card -BI Date
Card -BI Date •? Card -BI Date
Card]g= Date . Card -BI Date
Car I Date Card -BI Date
Comments at Final:
Date FRA G Plans) OK except N's
-
3 . Sills; Proper Material & Anchors
_14,�_Walls; Studs -Nailing, Spacing & Bracing -Plates_ -Sound
�
3ring Walls over Girders &&, Floor Nailing _
3e �raft Stop in WaIIs
- - ---- -—
_
-
40. _Fire Stops; urred Siairs-Chases
� Stai
41. Header & Beam -Size & Bearing
42. Hangers -P t Caps -Anchors -Connectors
43. n . Joist- r Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
_44. Fireplace Ties or(,fie I Fireplace Throat
At Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles
drm. Windows or_Exiting Doors -Sill HgL_& Dimensions -
4 arage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
"iOu T
Inter -Departmental Memorandum
TO:
ROM:
i
*4/
SUBJECT: 5&01-941r.04tce
DATE: /'mow
I
COUNTY OF BUTTE
DEPARTMENT OPPU'BLI'C WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter,�or need additional explanation, please contact this office immediately.
COUNTY OF BUTTE
DEPARTMENT OP PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
.. \tom...
Inspector__ Date
County of Butte
DEPARTMENT OF PUBLIC WORKS
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 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
��diately.
... .................................................................................................................
................................................ :� ..................................
........................................................................................................................
L
............... ........................................... ................... . .............................
............. . ... ........................................................ .......................................
.................................................... .......................... ........................................
Date ..... X�
Inspector .....
� ;'�;e ...........................................
Do Not Remove This Tog
(400-4)
' RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY T1LAT ENERGY CONSERVATION REQUIREMENTS NAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Cussick Chico
(location)
BUI7.DING PERMIT NO. �/4 Z A. P..
THE FOL.LOWINC (LAVE BEEN INSTALLED AS PER APPROVED PLAN.q-
yCh(!ck each item or write N/A if not applicable)
INSULATION: CLAZINC;
Slab Edge__/i Single Glazed
Int lion. Walls CT/FG 3z" R-11 Special (Insulated)
Floors _ CERT. & LABELED WDS.
ExtWalls CT/FG G" R-19 & SLIDING DRS.
Ceiling/RooET/FG 10" R-30 WE.ATILLISTRIPPED DRS.
Ducts__ BACK'DAMI'LRED FANS
Circulating Pipes 22/� INTE101ITTEN'r IGNITION DEVICES
APPROVED HEATERy CERT. APPLIANCES
APPROVED WTR.IITR. e✓
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE RAVE BEEN INSTALLED
IN ACCOIWA14CE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE C%iPLE'rENESS OF THIS 'CERTIFICATE AS SUIZIITTED.
Insulation Applicator Name _Hawking insulati�r,Co Inc
Signature of _(Plea!nt)
Insulation Applicatot_4ez4"-_`
State uuntracLurs
License No. 378407
General Contractor/Owner NameoTyiLl C �„f�,�'_��;���,�/��
Signature of (please print)
Cenoral Contractor/Owner Date
State Contractors
License No.,rj?3 7 j�
a THIS CERTIFICA'>iE MUSTQE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING F114AL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WrC111N THE L44ELLING.
COUNTY OF BUTTE - DEPARTME!JT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
zvFPiMIT NO
,-Po"1
ASSESS PARCE NU
�(� —
Zp )
BUILDING PERMIT
OWNERJAU f
TELEPHONE
.SQ. FT. OCC. BUILDING VALUATION
��
�'9
V
OWNEE,R''S AI LI ADDRESS
J
CONTRACTOR' NAME EL PH NE CJ
1A Q(A2 11
`
V
D
-
CONTRACTOR'S MAILING ADDRESS
Fireplace ^ �
CONSTRUCTION LENDER
UNKNOW_ r,�
G�
Total Valuation Is
Filing Fee
$ ;0.00
LENDER'S MAILING ADDRESS
Permit Fee
q $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$' r ..
/— p
P vD �• �•
J
$ /
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee �� r
BUILDING ADDRESS
r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
-[SUBDIVISION
Water piping
L0.1. 7
�'� ,
NAME
PARC L MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE —�S
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New [e -"'Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑
Describe work: ` ry_% Lb® _rk-sVnT, a7
Permit Fee
$ Q
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
00 AMP OR LESS
M0 AMC)
Main service EA. ADD'L 100 AMP
2.5
NEW CONST. DWEI G a1 •Z�L•ft
OR ADDNS. AC / �I
9
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 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)
Zi�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
NEWi.Resio F1 BRANCH CIRC ITS 2.50 ea
NEW CONSTR. / POWER APPARATUS e)
NON-RESID, \SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES 50
BALM
FIXED APP LNS. OROt
Ex. Occup.(OUTLETS (RESID,) EA. 2.00 4
Temporary service 10.00 '
Mobile Home Facilities
15.00
Misc. Wiring 7.50
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.
�l 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 shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating MTO
I I COD
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-mentio d property for inspection purposes.
I also agree to save, indemnify a e h ess the my of Butte againstoccuP.
all liabilities'u ent cos n e nses whi. may in any way accrue
against sa' i ons o e ra of this permit.
of �_,
y Date
5 ar a of Appli nt Owner ❑ oniractor ❑ Agent ,
An OSHA pe is equired for exc vations over 5'0" deep an demolition or construct-
ion of structure ' er 3 stories in h gh'tt
Mobile Home Installation Fee $
TOTAL PERMIT FEE
caouP
„
TYPE of C NST.
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IPARCE 1,,;J Hsu
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This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OF P ELIC
i o
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date ""
Receipt No. 79%7Q,�) 75-
WHITE-D.P.W., YELLOW -ASSESSOR, INK-INSPEC TO , GOLDENRO -APPLICANT i
r
2429 Edith Avenue
Pedwood City, CA 94061
Jul;; 6, 1982
To 11hom it May Concern:
This letter authorizes 1,"r. Michael Schmidt to obtain-on my
behalf a building permit from the Butte County Building Department -
and a sanitation permit from .the Butte County Department of
Sanitation.
Very truly yours,
Lawrence E. Getgen
' I
Anna Mae Getgen
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 83- 43601:
FOR RESIDENTL .DEVELOPMENT
OFFIC.AL.`-
Section 26-8.1of the Butte County Code requires this acknowledgement . F3uTTF, COUNTY- .-'i_ -
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or';included-, �(® 3 07
within an area zoned for agricultural purposes, and iesidentsrof t
P,,
this property may be subject to inconveniences.,or discomfort_•,arising ELEANOR M,GRDER
caRc��
from the use of agricultural chemicals, including, but'not Jimited to hM4Wd%k,
pesticides, and fertilizers; and from the pursuit of'agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte,County has established agricul-
tural zoneq which have as a priority use for productive agricultural purposes,; and
residents within said zones and -on adjacent' property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm'operations.
All that real property situate in the County of Butte, State of California,
described as follows: 4
,
Parcel I of that certain parcel map recorded in Book 87 at Page 85 on
March 181 1983 in the Official Records of Butte County, California.
Date•
State of )
SS.
County of )
On this the day of
before me, the undersigned Notary
appeared
, 19 ,
Public, personally
known to me to be the.person(s) whose name(s)
subscribed to the within instrument and acknowledged
that executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary Public
Present A. P. N0.�-
i
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