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Home My WebLink About042-070-065-w {` =042 07 0 :065 ,MARK `TILE r `' a .:a 869 ' HENSHA.W AVE , CHICO." t. _ HEALTH DEPT LETTER 42-p7-65 F6H,,�n S � haw, Chico �"5 022-84B(ne, p�i'�late garage & Permit #516-86B(pri, storage bldg) 4 FRAY 2-070-065 PERMIT#94-1944 , IVAN 869 HENSHAW AVE., CHICO CONT: CHICO ELECTRIC ��j� ELE SER CH/SF 12 042-070-065--_4. ` PERMIT#96-0459 TICE,4-Mark' $6.9Henshaw:; Ave. , Chico • r Repairs/5F 042-070-065 PERMIT#97-0378 TICE, Mike 869 Henhaw Ave., Chico lst Renewal BP#96-459 r7 C ` r NOVA, 67b7O65 "P42- PERMIT#96-0459 TICE, Mark 869, Henshaw '.Ave .:,, ,Chico Repairs/SF- U c) COUNTY OF BUTTE- DEPARTMENT OF. DEVELOPMENT SERVICES:-. BUILDING DIVI fON 7 County' Center Drive - Oroville, California 95965 - Telephone (916) 538-7 1•- PERMIT N.O. APPLICATION` AND PERMIT 1,' Ae ASSESSOR PARCEL NUMBER - 042-07-0-065 ZONNG BUILDING PERMIT "Q IyulRR TICE TELE"NE SO. FT. OCC. BUILDING VALUATION EST 500 OWN 5 MANJNG ADDRESS ' S�i9 ff�f3NAW AVE., CHICO CA 93926 CO�N�TR��ACTOR''S NAME V1�M TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LE NDMTIEMAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER OR LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT R ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 869 HENSHAW AVE. CHICO PERMITFEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 2 7.00 14.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 1g.O0 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 • (30 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Otheryff Describe Work: REWIRE, REPLACE PLBG IN BA R", - RELOCATE WR HTRt REPAIR PORCH (REMVE COVER & Mobile Home I S I GI W 1 @20.00 PERMITFEE S 64.OQ Contractor ELECTRICAL PERMIT Filina Fee 20.00 FRAMING --LEAVE OPEN DF= & ADD GUARDRAILS) Main Service ( 2.0 oa mss ) 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ' 1, 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 1 (y� NEW CONST. DWELLING OCCUP. s0. 41.W OR ADON ( a ) 3.5¢ FT. l • 7V LTI-ACCUTLEBUDS NEW CONST. MULTI -OUTLET S NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APUPARATS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50 Ex. Occup. FIXEDAPPLN . OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor 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: C Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number I (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 ny manner so as to become subject to workers' compensation laws of Caliia, and agree that if I should become subject to the not employ any person iKrr workers' compensation isions of section 3700 of the Labor Code, I shall forthwith comply with th se provisions. X _ Date _� _5 9& Owi er` Contractor ❑ Agent j Signature Ic t Adfor An OSHA permit is requir excavati ns 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 $ 160.90 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have boen paid. 3/3/% / By VA4 Date PERMITEXPIRESON 3/5/97 I (Date) Receipt No. 194731 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY OF BUTTE -DEPARTMENT QF DEVELOPMENT SERVICES-BUILDINGDIVI N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-07-0-065 ZONING BUILDING PERMIT OWRARK TIDE TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 500 OWNERS MAILING ADDRESS 869 H,NSHAW AVE. CHICO CA 95926 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDERS MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADDRESS 869 HENSHAW AVE..PLUMBINGPERMIT PERMITFEE $ 35.00 Filing Fee 20.00 Each Trap 21 7.00 14.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Others REWIRE, REPLACE PLBG IN BATHROOM Describe Work: ' RELOCATE WTR HTR, REPAIR PORCH (RE140VE COVER & Mobile Home —Ffl G W @20.00 PERMITFEE $ 64.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 FRAMING—LEAVE OPEN DECK & ADD GUARDRAILS) Main Service ( a OR 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 NON-RESID. 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: 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 NEW CONST. DWELLING OCCUP. OR ADONS. ( a BLDs. ) SO. 3.5¢ FT. 41.90 MULTI- NEW CONST. MULTI -OUTLET ( BRANCH CIRCUITS ) @7.50 ( PONDER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .SO Ex. Occup. OUTLETS PES D.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 61.90 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 9 Fee 20.00 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in ny manner so as to become subject to workers' compensation laws of Cali r ia, and agree that if I should become subject to the workers' compensation r visions of section 3700 of the Labor Code, I shall forthwith comply with till s provisions. X _ Date 3 �� Signature o Ic t - Own Contractor ❑ Agent An OSHA permit is requir d for excava ns over 60' deep and demolition or constructionB of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE � TOTAL FEE $ 160:90 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I ISSUE Iz This permit is hereby issued under the of the Butte County Code and/or indicat a ove for whit fees have PERMITEXPIRESON I applicable provisions Reso utions to do work b n paid. Date 3/5/96 x/5/07 (Date) Receipt No. 194731 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: 1 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 bor and materials for construction of the proposed pr erty improvement: YES NO[ ]. 2. I HAVEN HAVE NOT[ ] sigrfed 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: QTY: 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: SOCIAL SECURITY NUMBER: DATE: 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 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 5300 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 takes, 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 "ownerbuiider' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. 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. Sin^cerely, ' Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. OVER COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541RMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT _,9 ASSESSOR PARCEL NUMBER 042-010-065 ZONING BUIL INGPERMIT OWNER MARK TICE TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 896 HE SHAW AVE CHICO ' CONTRACTOR'S NAME OWNER" TELEPHONE ' CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 1 FEE $ 7.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 869 HENSHAW AVE, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 97- sn LOT NO. SUBDIVISION'S NAMEPARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat" um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)p Describe Work: 14T RRNRWAT, 96-459 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. BLDs. SO 3.5QF.: NEW CONST. CUTLU NON•RESID. B=0 97,50 POWER APPARATUS & SINGLE OUTLET CR.License Ex. Occup. OUTLEr OR FIXTUREs SAL @ I,SO Ex. Occup. ourtETs REw.SID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 ±: PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this 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 o a'fornia, and agree that if I should become subject to the workers' compens on p ovisions of section 3700 of the Labor Code, I shall forthwith comply Ith os ions. X _ Date —�✓ Sign a of A pl c nt - ❑ Ow er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 27.50 HAZ. D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for i h fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 3-5-98 De to ReceiptNo. d WHITE-D.D.S.-B. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT Sufie Count, LS DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH IElf 18-B County Center Drive 411 Main Street 7 County Center Drive Oroville, CA 95965 l P. O. Box 5364 Oroville, CA 95965 TEL: (916) 538-7282 Chico, CA 95927 TEL: (9 16) 538-7281 FAX: (9 16) 538-2165 TEL (916) 891-2727 FAX: (916) 538-2140 FAX: (916) 895-6512 July 7, 1997 Mr. Mark Tice 869 Henshaw Ave. Chico, CA 95973 PROOF OF SERVICE RE: Courtesy Notice, 869 Henshaw Ave; APN1042-070=065r Dear Mr. Tice: This is a courtesy notice,to notify you that you are in violation of the Butte County'Code, as follows, at the above -referenced location. Section 23 B-9 requires a satisfactory final well inspection, otherwise the well installation or destruction will be considered a violation of the Code of Butte County. In 1994, a new water well was drilled and the existing water well destroyed... The work was completed by permit but the driller never submitted a Well Drillers Report nor a Statement of Disinfection. Both are required by State law. A final inspection of the well was never requested. Not:only is this' ,a technical violation, but more.importantly, failure to have the well properly finaled•may jeopardize any re -financing or real estate sales. By providing the required documents,.you can avoid additional permit fees and aggravation when finaling the well becomes imperative due to a change in ownership or - re -financing. As the owner of the property it is ultimately your responsibility to' ensure that the required Well Driller's Report & Statement of Disinfection are submitted. A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW ;1t Page 2, Tice, 7-7-97 If you have any questions, please contact me at the Chico office listed above between 8 and 9am, Monday through Thursday. Sincerely, Clifford C. Bottenfield, E.H.S. Division of Environmental Health CB/dd/well/tice.30d CC: Code Enforcement ' Building Department Encl. H CUM I am over the age of 18 and not a party to this cause. I am employed in the County where the mailing occurred. My business address is P O Box 5364, Chico, California, 95927. I served the foregoing COURTESY NOTICE by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid on July 7, 1997, and addressed as.follows: Mr. Mark Tice 869 Henshaw Ave. Chico, CA 95973 I declare under penalty of perjury under the laws of the - - State of- California -that the --foregoing- is true -and correct and - that this declaration, in the City of Chico, CA was executed on: Date Gail Lawrence, Office Assistant Div. of Environmental Health 1 FELE '-065 ,. PERMIT#94-1944AN SHAW AVE., CHICOCHICO ELECTRIC_R CH/SF �� y� 7-_ %OFFICEEf COPY Address_ GAS Meter By at ELECTRIC Meter ByDate"� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT, SERVICES - BUILDING DIVISION — 7 County Center Drive - Oroville, CaE,fornia 95965 -- Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER . 042-070--065 ZONING tl SR BUILDING PERMIT OWNER TUAN RAY TELEPHONE SQ. FT. --.00C.-' BUILDING VALUATION OWNER'S MAILING ADDRESS LL C7 CONTRACTOR'S NAME CHICO ELEMIC TELEPHONE 1891-1933 CONTRACTOR'S MAILING ADDRESS 36 WTP,4;T T?.ATnT4 PITaT 6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 869 HENSHAW AVENUE, CHICO PERMIT FEE $ '. PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF LI Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W �20'CC ' TYPE OF WORK '`4" New ❑ Addition ❑ Remodel ❑ Utilities M Installation ❑ Other ❑ Describework: UPGRADE MAIN 200 AMP SERVICE PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service I 600V OR LESS ) 23.00 73.00 200A OR LESS Main Service I 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. S0 OR ADDNS. ( & ACC. BLDS. ) 3.50 FT., CONTRACTORS LICENSE LAW I dec are under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions O nd Iicense is in full force and effect. License No �1 4_ Classification 1 �1 ` ❑ 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON -RESOD. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. 20@100 Ex. Occup. ( OUTLET OR FIXTURES ) B . FIXED APPLNS. OR Ex. Occup. I OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. VA'have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S 43. Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply ty all Butte County Ordinances and California State Laws relating to building�constructi n, and hereby authorize representatives of the County of Butte to enter up -Ion the abo a mentioned property for inspection purposes. I also gree to Sa e, in emnify and keep harmless the County of Butte against all liabilitiel, judgment co ts, and expenses which may in any way accrue against said County n conseque ce f the granting of this permit. X om Date ' 1 ' �1 Signature of pplicant - O Owner Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and de � olition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 43.010 HAZ. D. FEES IMP FLOOD cOF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have bee ri paid. DIRECTOR OF PUBLIC WORKS c� By !Date PERMIT EXPIRES ON Receipt No. a690; WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 r 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 ASSESSOR PARCEL NUMBER 042-070-065 ZONING SR BUILDING PERMIT OWNER IVAN RAY TELEPHONE 80, FT, OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS 36 WEST EATON RD, CHICO 95996 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 869 HENSHAW AVENUE, CHICO PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF J) Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities q0 Installation ❑ Other ❑ Describework: UPGRADE MAIN 200 AMP SERVICE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 OR LESS Main Service ( pOAORLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLINGOCC UP. OR ADDNS. ( & ACC. BLDS. ) S 0, 3.50 F,, CONTRACTORS LICENSE LAW I dec re under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions o license is in full force and effect. License No h Classification G\ J ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @x.60 FIxeO APPws. OR EX. Occup. I OUTLETS PUNS..1 R ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Cl This permit is for $100.00 (valuation) or less. V I' ave placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.0 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply t all Butte County Ordinances and California State Laws relating to building constructi n, and hereby authorize representatives of the County of Butte to enter u n the abo a mentioned property for inspection purposes. I also gree to sa e, in emnify and keep harmless the County of Butte against all liabilitie ,judgment co ts, and expenses which may in any way accrue against said Cou ty n conse ue ce f the granting of this permit. X 10M Date 1 ' '1 Signature of pplicant ❑Owner Contractor O 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 FEES 43.0 MAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUB y PERMIT EXPIRES ON �� IOet provisions to do paid. RKV/4Y ate �V %J work Receipt No. WHITE-D.D.S.-B NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. 516--86B PERMIT EXPIRES , 7 / l� 2 OWNER IVAN RAY CONTR. OWNER r ASSESSOR PARCEL 42-07-65 LOCATION 869 Henshaw Ave., Chico b .. t e r; ;t e f. Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E + Temp. Gas Service 1� t Called PG&E JOB FINALE[ Signature V = OK p O ='Not OK -=:NotReWcable * = Not Ready RESIDENTIAL (Single and Duplex) Date UND RFLOOR Plans OK except #'s Date FRApkffJG (Continued) Zoning requirements -Setbacks -Easements . Pro ty Line Firewall & Openings •2c-Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49 xt. ors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / /" Ftg. Depth rs; Width -Headroom -Rise -Run -Landing -Fire Protection 4-.Ptg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 ood'on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab5 Siding -Nailing -Veneer Stemwalls, Garage; Steel -B lockouts -Wrapped -Slab 5 o esh-Drip Screed-Fdn. Vents-Underflr. Access . Piers -Fireplace Ftg.-Steel 5 ing Area -Glass Protection -Skylights -Plastic 4. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 554" Shear Walls; Nailing -Bolts q. Gas Pipe; Size -Anchors 1 Water Pipe; Test -Anchors -Regulator -Service Test 1 Electric; Underground 1 Plenums & Ducts; Clearance -Material -Support -Ins. 11 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date F7 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 14 1 YV6 Card -BI Date Date FIN Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit)_0 �cept N's 5e Ext. Steps -Door & Sidelight Protection -Landings U -Smoke Detector _ 14. Water Ht.: Vent ccess-Combustion Air 5�ce; Vents -CIearance,Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; st & Anchors -Nail Protection 16. D.W.V.: est-Fttngs & Anchors -Nail Protection 62 -bedroom Exiting ~_ 17. Show Pan; Test, First Floor -Tub Access & Bath Fixtures & Tub Access _ 18. T01 Tub & Shower, 2nd Floor -Tub Access 61L, Elec. Trim & Subpanel; Breaker Sizes -Labels yrs & Rails 19. Gas Pipe; Size & Anchors _ � Fireplace or Stove; Clearances -Hearth Card -BI Card -BI Date C,ard-BI Date65 Date Card -BI Date 64 -649G -Out lets at Wood Panel; Int. & Ext. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL P mit OK except p's re Door; Swing -Landing -Closer .68 --.AC Duct in Garage -Damper - 20. Fixture ransformer Clearance -Ins. Protection 69r-Htr:; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. eceptacles Spacing -Lights & Switches at Doors _ 22. S.iz oxst & No. of Conductors-Stapled i611✓ Elec. &Mech. Equip. Listed for Location m 23. ex Inst Close to Edge of Studs & C.J. q4 _ -64e,. Receptacles in Garage; (G.F.I.)-Romex Protec. _ 24. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7ar-krseieNon- Foam- Looked in Attic ❑ Yes 25: 2 Appliance Circuits in Kitchen & Conductor Size 73-Haerd-Rails & Deck Construction -Post Caps 26. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn�Vents & Crawl 'sole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes •-- 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ,Yes 1:1 No 28. Service -Riser Conductors & Ground -Main Disconnect 75--PotMin instld.: Drive 9 ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters []Yes ❑No 76' 4tecco; Brown -Finish _ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 73i--R'C: Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7&-Uenis Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 30. Clothes Closet Light -Shower Light - -- Card B I Card B I� -- - — _ Date Card BI Date -Date Card -BI Date 7a,_Wate Well; Disconnect, Electrical, Plumbing erior Elec. Trim; G.F.I. Receptacle -Underground 841"/Ventilation throughout House Glass Protection Date MECHANICAL (Per 4t) OK except N's 00. ea-ctions from Previous Inspections &4G7STest-Meters Tagged; Gas -Electric ____31. _A.C. Ducts nsulation & Support -_ 8g�a-f'er & Sewer Connected -C/O to Grade -HD Approval _ _ 32. Vent F _. Exhaust above Insulation _�- 33. Con ate Drain &Overflow: Size &Grade Bf�Energy Compliance Certificate -Other Certificates - - 34. rnace-Vent Access -Comb. Air -Return Air Vent -115V outlet 35� Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date -T Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA G(Plans) OK except N's Comments at Final: -_ 3 IIs Proper Material & Anchors__ 3 _Is: Studs -Nailing, Spacing & Bracing -Plates -Sound 3N Nailing -_ 3 Bearing Walls over Girders & Floor -. top in Walls (rat proof)_ - _ ire Stops: Furred Ceilings -Stairs -Chases -Tub _ T _ 4a Hggader & Beam -Size & Bearing -4 g Caps -Anchors -Connectors - -- 4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. dA_.Fireolace Ties or Type A Flue -Fireplace Throat M.W'Access: Size &_Romex Protectio- nDraft Stop -Ins. Baffles - Windows or Exiting Doors -Sill Hgt. & Dimensions 4 Garage Fire Protection Framing -- (NOTE: An entry must be made each time you visit job site) J = OK q 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N'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.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 1 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 N'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 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 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 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. 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 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- < f� 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. ✓ - i s ° "'te4 ." Inspector- �\� Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; Califormia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. � -8 ,A ASSESSOR PARCFL NUMBER qr ZONIft♦j' BUILDING PERMI 1 OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AILI ADD S vL CONT CTO NAM TELEPHONE CONTRAC'TOR'S MAILING ADDRESS Fireplace CONST CTION. LENDER If/ 19 pi UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER 0 LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS g 14 Permit fee $ PLUMBING PERMIT Filing Fee- 10.00 Each Trap 2.00 Gf Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME e—lit PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTU E SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New'® Addition [:1Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code. and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING occuP.N , A �z�sgft New CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a� SINGLE OUTLET CIR. Ex. Occu 20050c Occup(OUTLETS OR FIXTURES DAL@30 FIXED ALNS.I, Ex. OCCUp. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in cons uence of the granting of this permit. X I Date c-- ER Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over ST" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP.PE CONST.TY FLOO D ARCEI �/ / !i No 1 e This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which DIRECTO OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date.3-'/ 3 - — f 2� , Receipt No. U 1 WHITE-O.P�W.. YELLOW -ASSESSOR. PIN -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLCCALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT ArOJETCRdION DATA SHEET Permit No. OWNER yV,( G A. P. No. Proposed Building Use f4 glel Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Expl i Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and./or Issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature . au:horiz i n. .. . . Sanitation approval from (-01 CD Health Dept. g 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.). 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. • Pre-Inspec. request to (pole) 17. Pre -Inspection for Required. Building Inspector 18. Record d Iof A r- ��t ura Acknowledgment Statement . 19. Other ebR��dAY P�)�M�T (Construction approval required prior to occupancy When you issue the permit,process as follows:_ Mail to owner. Mail to contractor.:. Telephone and hold for pickup at office. Deliver w/inspetor. Other *� Appl icant�_ z uJ, (F /lam Date,? — / n�1¢ Copy of plans sent Healt-i Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For requi.ed items not checked above Iti,ime of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) vias advised of above required data by Telephone D Mail Other - By Date Plans checked by F Date 3" fhg(o Plans approved by 'Date Other: Copy—DPW TO: Building Department FROM: -Environmental Health, Chico SUBJECT: Sanitation Clearance gig 14-e'v4AV t-nZ - 7 S Owner `Location s o AP# Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply t� r � Clearance for bedroom mobile home. Other Note*** Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS f 7 County Center Drive - Oroville, California 95965 = Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESS4RjAFJgNUMBER ZONING BUILDING PERMIT OWNS TELEPHONE/0 j1� SQ. FT. OCC. BUILDING VALUATION OWNER' AILINGA _vDDREa SS I\ f CON R C ORS ME r TELEPHONE CONTRACTOR'S MA ING ADD ESS ol CONSTRUCTION LENDER UNKNow�I ,/ Fireplace Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ / Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 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 STRU JURE �I �� SF ❑ Duplex ❑ Mobi lehome ❑ Other jAA?f P SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Ej-"Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service to°o AMP OR1 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2h0sgft - 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, ormy 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 CON5TNON-RESIT R BRANCH CIRCTITS 2.50 ea NEW CONSTR. POWER APPARATUS & NON-RESID._k SINGLE OUTLET CIR. Ex. Occu 20@50e p�OUTLETS OR FIXTURES BAL930 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. 1 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgosts, and expenses which may in any way accrue a sal County°In consmen s cce of the grantin of this per 't3111w—. r• a . c, te� ignature of Applicant — OwnerX Contractor ❑ /Awork 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 J $ OCCUP. GROUP I TYPE OF CONST. I V A PAjCn PD HD 1 SSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. �� / WHITE-O.P.W.. YELLOW-ASSF,SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT_`-OF'PUBL'IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. (-/r2 -D ? --65" A. P. No. Proposed Building Use t<- 2 t Permit Fee Based Upon: Complete Contract Price '--DPW Valuation r--,)Othe Explain) Building Inspector �1 aC .(� Date —�r�� I/ At time of permit application, I was advisdthe following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted.' . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. . . . . . . . . . r, 3. Complete plans in duplicate/triplicate. .. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8: Fees of $ . . . . . . . . ✓9. Letter of signature autiiorizat on. . . . . . . . . . . OL (� . Sanitation approval from L `k, Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13! Contractor's License Information (no., name style, classif.) '�4. Owner -Builder VerificationGiven to owner El, ❑, Mai I to owner �) 15. Improvements may be required. : . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . .•• . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other �? _ When you. issue the permit, process as follows: Mai,Ww ner. Mail to contractor. Telephoneu�- 57�� nd hold for pickup at office. Deliver w/inspector. Other &0 � h Applica• �:/ DateFI�Xy Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted priorrto permit issuance. (For required items not checked above at time f application, circle item.) 1. Index permit for above Items No._� 2. Additional items required: _1. (Contractor, DesignWOwn94 was advised of above required data by By Plans checked by_ Plans approved by Other Copy—DPW one Mail Other Date _ D to Date 70'' of y FJ a r 4 W4. e TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location AP Plan approved for; sewage disposal water supply Hold final for: water supply I Final clearance O A7 for: water supply r Clearance for bedro m mobile home. Other Note*** tarian Date �lLs A. Z�.✓� � 113 � A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. As 3 FAA . 551 IST, wr (T-71 r 3 = N. BU E COUN" SUI DING DERARTMENI _.._._._._.. _P P R..C�_� t -- 0 O� I`O O QcojqkJ`� �G•�n�s' E'k Xlo� T- cru LT ( ®, C I.zii Qto A -A KME cou" WILDING DEPARTk4r-NT APPROVED ,4 Ofz-a7-e) s-� 6UTTE COUNTY BUILDING DEPARTMENIof APPROVED' F z a T v AO �� NOD �i C O v GA- WME COUNTY BUILDING DEPARTMEN`+ APPROVED 6 L 1 a3noV-add (MV4111W30 eNiaiine mNnoo 3Lm