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HomeMy WebLinkAbout042-040-003Ej 42-04-3 Charles Keeran S Henshaw,app.750'W.of Cussick Ave. Chico Permit k2610-81B,P,E,M(addit : & remodel/SFj r.. __ 4G=04-3 4 Permit #3372-81B(add-overed orch/SF) _ fr 42-04-3 ermit#987-83B(lst renewal/2610-81)-- 42-04-3 enewal/2610-81) -. 42-04-3 P#986-83B(lst renewal/3372-81) Pe 7 FILE ()�) , 0 bl Q L4 4 10 Tew • r. 1 !�I11 t�� 7 - PERMIT NO. PERMIT EXPIRES OWNER Charles Keeran CONTR. Owner ASSESSOR PARCEL 42-04-3 72-e LOCATION NIS Henshaw,app.750'Wbf Cussick Ave., Chico R Temp. Power Pole z' - " Called PG&E Temp. Elea Servic Called PG&E �e�2er Temp. Gas Servi e Called G JOB FINALED (Date) Signature r c OK [ } •0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS' Date MOBILEHOME UTILITIES (Plans) OK except a'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/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except 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 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/0 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- Pane Iboards- Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date ! Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK ' v 0 = Not OK - = NotAOPliCable" QESIDENTIAL (Single and Duplox) * = Not Ready Date UND LOOK Plans OK except #'s Date FRA G Continued V'Zgpjng requirements -Setbacks -Easements 4 Property Line Firewall & Openings 1,--'Ftg., Main; Soils-Steel-Ele - / " Ftg. Depth 4 xt. Doors -One 3' -Check Garage-31*d°„story, 2 exits .Garage; Soils -Steel- / /" Ftg. Depth - eadroom-Rise-Run-Landing-Fire Protection orches & Decks; Soils -Steel- / /" Ftg. Depth !>4Wood on Roof Overhang -Attic Vents -Rafter Outriggers _5,votffemwalls, Main; Steel-Blockouts-Wrapped-Slab —/Siding -Nailing -Veneer mem 9nWwlls, Garage; Steel-Blockouts-Wrapp d -Slab 5 . -Drip Screed-Fdn. Vents-Underflr. Access irepla Fig. feel la • g Area -Glass Protection -Skylights -Plastic W.V.: PU+ -Fit ' gs-T -2 er Test 9r -Gee. Size -Anchors ^fie; Test -Anchors -Regulator -Service Test ear Walls; Nailing -Bolts 44,-�c; Underground ` tP_ frt & Ducts; Clearance -Material -Support -Ins. secs -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date 42 ard BI Date Card-BIDate ,lECard-BI Card -BI Date Date Card -BI Date Card -Bl `s"— Date Card -BI Date Date FINAL ns) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's Steps -Door & Sidelight Protection -Landings 5, moke Detector. 1 t.; Vent -Access -Combustion Air Vents -Clearance -Comb. Air-Connector- In arage; Above Floor-Ducts-Mech. Protection _ ater Pipe; Test & Anchors -Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection tr--6heaver-Pan; Test, First Floor -Tub Access%CG.F.I. 5 room Exiting &Bath Fixtures &Tub Access 94r -TEST Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -L els -fees -Pipe; Size & Anchors K s & Rails _ _19. d s zZ-g `j 8 dace or Stove; Clearances -Hearth EI ° . Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6 - it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date utlets &Receptacles at Kit. Counter Date ELEC ICAL Permit OK except p's ge Fire Door; Swing -Landing -Closer bin Garage -Damper 2 F' lure & Transformer Clearance -Ins. Protection --*'T Vents -Clearance -Comb. Air-Connector-P.R.V.- Garage; Above Floor-Mech. Protection te"XIn ec. Receptacles Spacing -Lights &Switches at Doors Plb., Elec. & Mech. Equip. Listed for Location ze Boxes & No. of Conductors -Stapled 72. ptacles in Gar e; F.I. - omex Pr ec. Insulation -Foe ooke n At ' 12V96mex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mech. Fasteners -Bond Gas &Water -ft-euerd Rai s & Dec action -Post Caps 2 pliance Circuits in Kitchen & Conductor Size C !IU 74. Fdn. s & awl . ole Door -Drainage &Wood -Earth Clearance oor ❑ Yes _ 2 feed Wire Size / / ga Cu r AI-A.C. Wire S e / a. Cu or Aloedet 2t.—'Range Circ. / 2 / gairCupr AI -Oven Circ. / / ga. Cu or At, Xsulated Neutral � ❑No 75. Following instld.: Drive ED No; Walks Yes E] No; Planters es ❑ No rvice-Riser Conductors & Ground -Main Disconnect 7cco; Brown -Finish E ip. CI ranee Panels-Motors-Mech. Equip. A.C. Unit; iicon nect-CIrnces-Brkr. & Cond. Size -115V Outlet - Clothes los Light-Shewec-Light Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80r-Sxterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Dat Card -BI Date Ventilation throughout House Card B -I DVVCard-BI Date Glass Protection Date MEC ICAL (Permit) OK except q's 83. _ Cor tions from Previous Inspection 84 as Tesi-Meters Tagged; Ga EI c A.C. Ducts; Insulation & S.ipport er & Sewer Connected C/ o ra -HD Approval __ 2Ederrt-Fan>•Exhaust above Insulation Energy Compliance Certificate -Other Certificates _ 133-L'Vn4ensate Drain & Overflow; Size & Grade t* -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35-,4ftie Access & Platform if Furnace in Attic Card -BI __ _Dat_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date omm nts at Final: Date FRA G(Plans) OK except h's 3`.f§,AIs; Proper Material & Anchors _ II Studs -Nailing, Spacing & Bracing -Plates -Sound 38! ring Walls over Girders & Floor Nailing _ZvAgL 3 gpeit Stop in Walls (rat proof) _ _ F' tops; Furred Ceilings -Stairs -Chases -Tub I � �H er & Beam -Size & Bearing 42. H ers-Post caps -Anchors -Connectors 4 Ing. Joist-Rflr. Ties- f Brac.-Truss-S thn -Rfng. Firepl e Ties ype a7i=ireplace Throat VTieces_s Size ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. &-Dimensions a e ire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) ....,� -COUNTY OF BUTTE ' DEPARTMENT OF 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 ��t��3 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 m er, or need additional explanation, 'please contact this office immediately. i F1 f- ./15-" - /./��?Z"�-iC,I /tet" �'.G.�-��•:•a.%—_ �7"`?�t .i►`'.cGGt/K�/i �.�-- —�' I n 1601 r V i;r_- jar. Inspector �'f�/'^� ^-�s' Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whe correction of work is completed. If you have any question pertaining to this mat er, or need additional explanation, please contact this office immediately. Inspector— : Date /C/ Ise COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOh3KS o 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OrovilIt, — Phorfe: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE �IMAIIIWIWAWAII&� LDING OR PROPERTY AD 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 additioppat ex�lanation,'please contact this office immediately. - / /If I-- I 1�1 . , Inspecto �( ���� Date 0 RESIDENTIAL ENERGY .CONS ERVAT.ION STANDARDS CONSTRUCTION COMPLL,1NCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS. HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT �� • (location) BUILDING PERMIT NO. i2�9 N -N A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Chec4 each item or write N/& -if -not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls % Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: / Single Glazed Special (Insulated) CERT. & LABELED WDS. / & SLIDING DRS. t/ WEATHERSTRIPPED DRS. BACK DAMPERED FANS �J INTERMITTENT IGNITION DE ICES CERT. APPLIANCES f 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 _,�4�,<,, tZ, Signature of print) Insulation Applicator kcna-1-1 . Ceneral.Contractor/Owner Name Sigiiature of General Contractor/ Sta contra License No. Date ) I bo `6 State Contractors License No. ha t4 I L,(_ THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED INA CONSPICUOU'S LOCATION WITHIN THE DWELLING. Lo PERMIT ND. — — • PERMIT EXPIRES zlk44 J r - ' OWNER Charles Keeran CONTR. Owner • ASSESSOR PARCEL 42-04-3 LOCATION N/S Henshaw,app.750'W.of Cussick Ave., Chico 4 T s 7 1. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature J =OK O = t5ot OK = Not Applicable *,= Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements' Date DECK , COVERS, CARPORTS, ETC. (Plans) OK except k's Zoning Require encs—§efbacks—Easements 2. Soils; Special MH Support—Sketch Le ootings; a—D —Spacing—Connectors 3.- Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI CA—) Date Card -BI - Date Card -BI Date Card -BI 'Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date 4 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/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B.' Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI 'Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date M 6. V = OK " 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) � Not Ready i , Date UNDERFLOOR Plans OK except #'s Date 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-Headrooml;R►se-Run- Land ing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Stele l-6lockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft .-S-eel 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 CardAl Date Card -BI DateI Date Card -BI Date rd- I Date / Card -BI Date Card -BI Date Date FINAL (P OW-e_.ce t p's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air E ( tep -Door & Sidelight Pr tection-La in 7. S e tector 8. 59. u n e; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access V 61. 62. 63. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails Fireplace or Stove; Clearances -Hearth 19. Gas Pipe; Size & Anchors 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Ca.,d-Bl ate 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI I late/66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK ex. -e t q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer I nce-Ins. Pr t tion 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacle ' S i Lights & Swches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & N n tors laudedof 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes to 23• Romex Install to to Studs & C.J. 24. Equip. Groun m /Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance)Nxguits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wrre Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ED No 75, Following it ld.: 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. & Cord. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. 80. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access-Conb. 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 -BI 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. 39• Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing _41. 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) gee //,e C j; C� �, C 96, 4. e c.4 39'9 C sGru*.r> G.Q /,S AOA/�-G�2 t �GS C.dt+•t IJX`S'G�(i�"` / qi� t Y'Gv ow �vc.,rQ e"41 i� a do ve �.eo/*�•t/1y . .- ] /ao9 ,vat oL. of w.( oc .4ud o N 9 w o.¢ je v .�J �`y Grs-u�v 71-:t> /E�e /�� a�. � L a •�.0 2/0 /�9 ,tic w�.ek . ��.._.Z o'� / f / w ,'s �� a-�ao v� •t /fie �l, «�. o/ at -b- // - /9,4� , A, . ('OL7 14 / /ala , /0 7 Z Gos jvyelts- p�io,r/2 31 SzS —0o �a-off-3 �1� � �OWAO, el� 0 rq IJ_ d COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS " • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P�NIJT NO. A ASSESS QR ARCEL NUMBER ZONING BUILDING PERMIT yy OWNE i TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER' AILI G ADD S .. CONTRACTOR'S NAME LEPHONE CONTRACT'OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee L $ �Oo ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD DDRESS l PLUMBING PERMIT Filing Fee 10.00 t C— Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other JO&Inb P CI FY Building sewer 5.00 Mobile Home S I G I W I T:F.0 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ihstallation❑ Other Descri work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service s0ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. OR ADDNS. �( ADWECCLBL GS.LING CCUP.&� 21/2 QSgft ONTRACTORS LICENSE LAW I declare under pendltV of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my nlicese is in full force and effect. License No. Classification ® I, asthe 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. ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR ((POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR. 200800 Ex. Occup(o OR FIXTURES BAL®30Q FIXED A Ex. Occup. OUTLETS PLNS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under enalty 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 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 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County ' co segue f the granting of this permi Date b Signature of Applicant — Owner Contractor ❑ Agent ❑ %work 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 $ oCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 1550E This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRE ROF BLIC By h t PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date q'12: -P- — t(4 — y 3 Receipt No. 3 I WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT _ ...'� � •. 7 � � � �-� u.,. :i-i•11`t�=�0"7�•:i •�'S�-�vr-ai-a19�'4�.c��.ii.Y ^i%'7i ma=r {�ircb�.-�.•o .i •i•+.•� i. �,.. � •..y .�.a . ♦ i � .ter � L � ,.'i'l�ti iil.+►h1Yi. i • st• f • fit:. f , ` �WAilk. ---, - � �;` - - -- . - . - 3._99 ,? � s Liam✓ _ �i cO, _ �!� .:Qs�6 �s.ia�7` --•71 :. - adove 1��eo�et�y, Re co a o� . AVAIK iAA Oe7 lei S - / , 1( _ _-_{AF ��es --�•- 1 5 • . . +nw_ '/', ....e_w. ....r a. +, ... .. ._ ,ast�w,�� _� a>:f .. ., �Y. �.. ... -• re•nry... '..yr +'-('/ - t( �_ � ....w._ - -- •. _ ...- ...� ..dire ca�NTY OF BUTTE WORKS pEPYOF PU81.1C 1► ► RMS 90►t►�►1►2►3►4►5►6 COUNTY OF BUTTE - DEPAIVIVIENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville', California 95965'- Telephone 916/534-4541 �l % /9—Z % / APPLICATION AND PERMIT / ASSESSOR PARCEL NU BER ZONI G — C7 — B ILDING PERMIT OWN TELE HONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG ADDRESS NTR CTOR'S NAAAE b W TELEPHONE 79 '•') , L/ CONTRACTOR'S MAILING ADDRESS Fireplace V 60 0 CONSTRUCTION LENDER UNKNOWNi' �� Q Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 4,06 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ r00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 51600 BUILDIN DDRESS / PLUMBING PERMIT Filing Fee 10:00 Each Trap 2.00 CD Repair drainage or vent piping 5.00 ( W Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 66 .� ,/ USE OF STRUCTURE SFlf Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE QF WORK New ❑ AdditioqV. Remodel rff Utilities ❑ Installation❑ Other ❑ Describe work: 4aw q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 500 AMP OR LESSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 OR ADONS. ACCLBS! 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. License No. Classification 01�1, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR I TLET 2.50 ea NON -RES D. BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &I NON-RESID. SINGLE OUTLET CIR, / EX. OCCUp OUTLETS OR FIXTURES 21 BAL and IXED APPLNS. OR jj Ex. Occup, UTLETS (RESID,) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ LIM 12 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee S Q Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence o the granting of this permitOR %� W - Date I® $I Signature of Applicant — Owner 9, 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 OCCU P. GROUP 3 TYPE of CONST. V ^6 PARCEL PD HD 99UE r This permit is hereby issued under sions of Butte County Code and/or work indicated above for which DI R OA OF U 'e By PERMIT EXPIRES Date the applicable provi- the resolutions to do fees have been paid. IC WORKS i Date �� Receipt No.—.=--=�h[e�-�ffa� WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTAAENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41 _7 Q_,� .APPLICATION ANO PERMIT 14 ASSESSOR PARCEL NUMBER 4?_Q _s ZONING JA?_ I BUILDING PERMIT OWNER TELEPHONE - 6 SQ: FT. OCC. BUILDING VALUATION v OW ER ING A RESS zip, *Z C CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $I Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /� ARCHITECT OR ENGINEER AIDAI LICENSE NO. Plan Checking Fee $ O Penalty y $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 30- x) BUILDI G DD SS ti /�/�. 7 C r PLUMBING PERMIT Filin Fee 10.00 FilingFee 66_1L& i2l& Cult Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets —,/ USE OF STRUCTURE SF 9? Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition P--�Remodel tilities /Instal la ion❑ Other C Describe work: DUrdl� ®�G —��T— E r 16-0' 111 �/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.51) OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and my license is in full force and effect. eLicense No. Classification l, 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.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS p NON.RESID. ANGLE OUTLET CIR. @ 23Q Ex. OCCUp OUTLETS OR FIXTURES BAL@1 TS (RisAPPLISIS . OR Ex. Qt CV OUTLETS p•�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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. dl 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against P County 'n consequence he granting of this permit. X — �r Date Signature of Applicant — Owner ❑ Contractor ❑ Agent U An OSHA permit is required for excavations over S'0" deep and demolition or construct- of structures over/3 st�o'lriesin height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP .. I TYPE OF CONST. v —� PARCEL PD ND IS _E �/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By P I EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p Date �� r/ eipt No.�(O V (D r�eE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT EFkMIT NO. ASS ESS�P AR UMBER —Q 8 ZONING rw BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC. BUILDING VALUATIO OWNE tP ILING ADD S (� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee y $ Z,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL I SADD •E S t PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [:1Duplex ❑ Mobi lehome ❑ Other SP CI#,y Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other Descri a work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 T Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. \ ACC. BLDGS. I 2h0sgft ONTRACTORS LICENSE LAW I declare under penalt 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 offerec for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Pro;jessions Code for this reason ' NEw CONSTR ULTI.OUTLET 2,50 ea NON.RESID. BRANCH CIRC ITS NEWCONSTR.// POWER APPARATUS & NON •R ESID. \ SINGLE OUTLET CIR. OUTLETS Occu 2050` EOccup(o OR FIXTURES eAL@�30Q FIXED A Ex. Occup. OUTLETS (RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring j j 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 ORKMEN'S COMPENSATION INSURANCE `� I declare underplgnalty 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 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 1 certify that I have read this application and state that -the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may. -in any way accrue inst said County i consequenc &f llgraling of this permi X ��% Dal •.,, FF Signature of Applicant — ownerF41 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 $ Z� OCCuP. GROUP I TYPE DP CONST. PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF P ----LIC o By PERMIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date /x Rx 3 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT P__ 00� I !o l� /� /G"A7 Covc'O*A •" �o��✓F owNt�S��p adove /-:,Ieo,,,,.-ee LIT e coe off. .p D uJ N -C.- 5, a.�.a.K/� ,�2,Qya.e �ia��C .� �o l��.vS s i•v �"�i �s P�,� . � ca. -1 spy .� ®,� ,•�•� �� � � I -,Os AS.e (BS r4,Q 9ca� )04A)f..; c % 4) 00 �s i/. T NOTES RESIDENTIAL + PERMIT NO: 042 -046 -*WN � •�--t',- 00-0644 - KNORTON, Domma F 720 Henshaw Ave., Chico. I Cont: Gary_ Whi tear . Demo C p p Carport & Re airs/SF bil0 t 1 i i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER (*-FILE 1016/o7 JOB FINALED (Date) Signature /= OK Water; Location -Test -Easement Needed (Sketch) 0 = Not OK - = Not Applicable MOf3ILE�i�IOMES =Not Ready 6. Date ' MOBILE HOME UTILITIES (Plans) OK except #'s Well Clearance & Disconnect 1. Zoning Requirements -Setbacks -Easements Utility Clearance 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-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 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 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 Data 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. 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 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 Hangers -Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. 1. Zoning -Setbacks -Easements -Flood -Slope 49. 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 52. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5. Stemwalls, Main; Steel-Blockouts-Wrapped 55. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Siding -Nailing Veneer 6a. Hold Downs and Special Anchors 58. 7. Slab, Steel -Wrapped Shear Walls; Nailing -Bolts 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Infiltration -Walls -Windows 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Garage Fire Door; Swing -Landing -Closure 11. Water Pipe; Test -Anchors -Regulator -Service Test A.C. Duct in Garage -Damper 12. Electric Underground Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 13. Plenums & Ducts; Clearance -Material -Support -Ins. Plb., Elec. & Mech. Equip. Listed for Location 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Elec. Receptacles in Garage (F.F.I.)-Romex Protection 15. Access & Ventilation Insulation -Foam -Looked in Attic 16. Insulation Guard Rails & Deck Construction -Post Caps 81. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Stucco Brown -Finish 17. Water Htr.; Vent -Access -Combustion Air Baffle A.C. Unit Disconnect, Electrical -Plumbing 18. Water Pipe; Test & Anchor -Nail Protection Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 19. D.W.V.; Test Fittings & Anchor -Nail Protection Water Well, Disconnect, Electrical, Plumbing 20. Shower Pan; Test, First Floor -Tub Access Exterior Elec. Trim, G.F.I. Receptacle -Underground 21. Test Tub & Shower, Second Floor -Tub Access Ventilation Throughout House 22. Gas Pipe; Sixe & Anc..iors Glass Protection 90. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Energy Compliance Certificate -Other Certificates 23. Fixture & Transformer Clearance -Ins. Protection Address Posted 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled Card B-1 Date Card B-1 26. Romex Installed Close to Edge of Studs & C.J. Card B-1 Date Card B-1 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral CJ 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 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. Furnace -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 (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Gi•ders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ce. lings- Stairs- Chase rs-Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex)AW Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Rolf 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 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. 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 -Connector - 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 & 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 Q Yes 82. Following Insild./Drive 1 Yes ] No/Walks J Yes Z) No/Planters O 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: T COUNTY OF BUTTE ~ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R A routine inspectio above address and completed. If yo �Lplease contac is r G £ �✓ M ;r 7 a Date - REV 1 PERMIT NO.. Yi n i d'cates that the following violations of butte county Ordinances exist at the hould be corrected. Please notice this office when correction of work is ave any questions pertaining to this matter, or need additional explanation, - office immediately. :v r 4— Inspector (Rev.12/96)r' (COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County'Center Drive - Oroville, California 95965 a Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT 00. -1 q ASSESSQ4 P(1iiCUMtEF}�n4 ZONING BUILDINGPERMIT OWNERWNNA KNCRMN T AP30- 673 SO. FT. OCC. BUILDING VALUATION . GWNERJ'SLVIU%i'17JiltGI.AVL`�iUEf C'•tICO CONT 0KA?� �'f LILJ' TELEPHONE CONTRACTTORiiS MAILING ADDRESS CONSTRUCTION LENDER _ LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ suILDIN/CT�-pRF�g ,NSIIAFl AVRNuE, CHICi� V t! Energy Plan Checking Fee $ $ PERMIT FEE $ n LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee I 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ DEMO ATTACHED CARPORT & REPAIR DRY ROT . Describe Work: AND TEMITE DAMAGE. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800VOR LESS Main Service zo.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, 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. .r. 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 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. SMS. sD 3.5QFT: NEW CONST. NON-RESID. MULTI.OUTL.ET ITSand �O 7.50 POWER APPARATUS b SINGLE OufLEr CIR. EX, OCCU OUTLET OR FIXTURES 20 @''50 SAL @ .SO Ex. Occup. oUTtEEDTs R6�SID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Heating 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. (� X Lt�e Ir/j �J�y 41 Date 3-3)-60 Signaturel' f "Applicant - ❑ Owner ❑Contractor 9(Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction/' of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE /tY This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have _ By '' "► �✓�L r PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 4/4/00 Date 4/4/01 ate Receipt No. Z6030i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT iGT i u to Count .LAND OF NATURAL W EAL.TH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Re: Building Permit # 00-0644 Expiration Date: 4-4-01 A.P. # 042-040-004 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked. below: [ X] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and -owner-builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final .inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If f'0becords are in error or should you have any questions concerning this matter, please contact the office. Thank you for your prompt attention concerning this matter. Yrs very truly, C. Vieira, C.B.O. Building Inspection MCV:lt Attachments Chico Office 411 Main Street, Chico / 891-2751 aCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-71,., PERM I NO. (Rev. 12/96) APPLICATION AND PERMIT ASSEr""UE�04 ZON1N° BUILDINGPERMIT °WN�ONNA KNORTON 7893.5673 SO. FT. OCC. BUILDING VALUATION CONTR 2170 °W"�islLIPWW AVENUE, CHICO CONT`VC,HV MITE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 5 .00 ARCHITECT OR ENGINEERS. MAIUNG ADDRESS Plan Checking Fee $ BUIL0172�DRHENSHAW AVENUE, CHICO Energy Plan Checking Fee $ $ PERMIT FEE Snn LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel -20.00 USEOFSTRUCTURE SF IR 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 t7" DEMO ATTACHED CARPORT & REPAIR DRY ROT Describe Work: AND TERMITE DAMAGE, Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G I W 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.".A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.a 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. /,will as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) r tr' 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 rthwith comply with those provisions. Date 3' '—Q& Signatu f Applicant - ❑ Owner ❑ Contractor 1% Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so WEE200A NEW CONST. DWELLING OCC P. SQSO. CC OR ( & ACC. M NEW CONST." LISWS NON.Ra1D. LT 1.U @7.50 SIPONGLE OUTLET CIR. WER APPARATUS OUTLET OR FIXTURES 20 1.00 Ex. Occu BAL ,50 Ex. Occup. °FlxDs Aa D ORA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAz. D. FEES IMP I FLOOD CDF PARCEL PD HD I &AE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date 4/4 /00 4/4/01 Date Receipt No. 28 301 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .�-• �r • -..^- ���,�-.!".i�`7ifl"'•rr"Uf��►'P'.':�R'w?ri]f��--""�.1 r -�""a ...1 vyu:•ri";>-ws+r-wR7' 07O T-kh0F BUTTE - DEPARTMENT OF DEVELOPMENT,SER VICES - BUILDING DIVISION COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 ii' <t'ryir PERMIT APPLICATION DATA'SHEET A �z - o a n y OWNER: 1)0W -,VC- / Dit% ASSESSOR PARCEL NUMBER:i Z/ Proposed Building Use: e airBuil' g.I' ector: 3 Date: /.3 / At time of permit application, I was -4d'. '--dthe following data must be submitted prior to permii process' g and/or issuance: Date Received By ❑ 1. All iiems have been submitted .------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. 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. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. =--------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---- =r----------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.--==,"-- ❑ 10. Fees of $------------------------------------------------------------------------ 3------------ ❑ 11. Impact fees as shown on the attached schedule.---------------------------------------------------------------! r ❑ 12. California Department of Forestry plan approval/fees.------------------------------------------------ ----- -'__ ❑ 13. Flood elevation certificate.-------------------------------------------------------------------------------------= ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------ '------ ❑ 15. City of Chico plumbing permit.-------------------------------------------------------------------------= r-------- ❑ 16. Plot plan and business license approval from the City of Biggs. ------------------------- -------- El 17. Planning approval for (A) Use: (B) Parking: __________________________ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- r` X20. Pre -inspection for required.. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑ 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- W Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑).-------------------------------------- 4. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------- ------------------------------- ----- ❑26. Letter of intent on building use. -- ,----------------------------------------------------------------------------- 027. Manufactured Home utility clearance. ----------- Existing violations and/or expired permits. ------ '----<---------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ - --------------- 030. Other: VVlyou issue theme 't, r cess as follows ❑Mail to owner,/fail to contractor. sTelephone and hold foricku p p at - 14 r C 0 A office❑Deliver with inspector. �g7•(oysZ 016LP- � L� )A,&I� q � &-(I APphca4/�'"� ^" Date -3- Copy of Haz-Mat form sent ❑ Health Department, o Fire Department, o Air Pollutio Date: By: Copy of plans sent ❑Health' Department, o Fire Department, o Other: Date: By:_ 1. Index permit application for the above items riumbered: ❑ Plan Check List 2. Additional items required: 3 (Date) Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: i + Date: Plans approved by: Date: Sets .of plans on hold in ❑ P1an,Cabinet, ❑ A.P. folder. Note trand'er by: Date: VPllnaar (°nnv.•_ TlA„n.-F...n..r ..f Tlo..vi.......0..4 ce.....,.,.,. �n..]u:-- T:- -:-- 7 Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county,-` city and county, or state and local agency.which is authorized to issue -demolition permits as to any building or structure except upon the.receipt from the permit applicant of -a copy of each written -asbestos notification regarding .the building -that has been required to be submitted to the United -States Environmental Protection Agency or. to a designated state -agency, or -both, pursuant to Part 61 of Title 40 of the Code of Federal -Regulations, or the successor to that part. The -permit may be issued without the applicant submitting a copy of the written notification if the .applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agc=y for the d ition project located at 7 gnck�ure of Appllcaat W", eR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to/ this demolition project. Signature of Applicant 2/19/91 S2 STEUCTIONS FOR IISF. OF ASRFRTos n OT TTTON /RENOVATToN Nc) T T o ORM ~. RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLEBEFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of a facility together with any related handling' operatic 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation; or building. Renovations on single family residenc and apartment buildings with 4 units or fewer are exempt_from . notification to EPA. - -PROJECT JOB #: Your OWN IN-H61SF I D for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9 -have local NESW' delegated agencies. In these areas notice must be provided to both EPA and the local agency: 1. OPERATOR/CONTRACTOR: Full.information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in, the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. .(see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made fQr additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. - 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR T::E LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO DL•tTT QC• '-%L \7P^TT •rCAm, 1�.%,- ON FILE WITH EPA C _D _ _ �T �v ♦vu.+v+..r C1 ♦�V11F�V1111V1�1 C_:��.Clui , USE FL1Z??1� DRV1%T:J.rrD nrT ^%7 k.PROJECT NAME.. ORIGINAL NOTIFICATION DATE PROJECT JOB 1 Revision Notice #1 2 3 4 - - - please circle--- This ircle--This is to advise that the above referenced notification' presently on file haE been revised. Please note the revised portion listed.-- .e ... CHANGES FOR THIS REVISION: _ - - PROJECT t T( ) `.,.. - CANCELLATION T c .µ'✓M t 4GL'i F. 1: _ NEW Location _- .` . _- _ • ....- .. .-- •• . 2. NEW Scope of Worktj 3. ADDITIONAL Quantity of Asbestos - ~ --�--- 47. -NEW Start Date ' 5. NEW Completion Date - 6. NEW Disposal Site MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca _ 94103 DATE: PROJECT JOB (Please see reverse side) 719ew4u J= Notified: ❑ z0wa ❑ w.ifomii UZ Iiasoasoos Eoasd ❑ cal OSML ASBESTOS DEMOLITION/RENOVATION NOTIFICATION Please check one: Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) IDE PLEASE READ BEFORE USING THIS EPA USE ONLY DateRec . Pstmrk School Dei/ND ADQUTE? - Code#: Doc#: FORM 1. OPERATOR: 3. FACILITY NAME -- (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS - v+TY STATE A -GME S 164E 1 . 1 ZIP PHO:% ( ) PRIOR USE i I 5. Project Start Date: Completion ^Date :°'"" 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square'Feet - Nature of Materials: ` 7. DESCRIBE METHODS OF REMOVAL: S. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 i 152: 9. NAME i LOCATION OS DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETSi QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F 720 Henshaw Avenue ' Chico, CA 95973 April 2; 2000 Butte County Department of Development Services ' Building Division 7 County Center Drive Oroville, CA 95605 To Whom It May Concern: As the legal owner of our home, I hereby authorize my husband, Gary Norwood, to sign any permit or document necessary for work that needs to be done at our residence (720 Henshaw,Avenue, Chico CA 95973). r S' cerely, 1 �.. Donna Knorton . r 0 y L � , r 1 f IS t I ,+ y.. - _ " i ' _ �. _. :� �.. ', I4II •.�i� r. �+. ' ... ' ', � '. 1 �:.. ' � i 1 j �. 1 1 i i I(I 1 � .� �� � .... i . I `,` � _ �� t ' _ _. 1, �, jj� l �� _ l t I ,+ y.. - _ c y '. { � i 4, �. � � � _ i , i 1 1 i _� i � � .� �� � .... 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