Loading...
HomeMy WebLinkAbout042-080-048ST LOT BLOCK I SUBDIV. TYPE PERMIT NO. PLAN NO. DATE PERMITIT PERMIT DESIGNATION: DEPARTMENT OF BUILDING AND SAFETY B—BUILDING P— PLUMBING T—TRAILER AP 42-08-48 W.D. BETTY SW corner of Hwy 32 and Kennedy Ave . ,. 'Chico"'- 0�t3&/ /41/k.%77 Permit## 4723-74B,P,E,M(new shop, util. rm. and covered deck)MH AP 42-08-48 W.D. BETTY SW corner of Hwy 32, & Kennedy Ave . , Chico Fi row L Permit# 4761-74P.E(util., MH)_. AP 42-O8-48 HP@rm:Lt# 3534-75B,P,E(add'1 footage on shop & conv. covj�r@d eck to cabana, MH), 7-Z% 7 AP 42-08-48 Permit 4509-75E,M (add'l elec. & mech. �• for 4723-74) +2-08-48 PERMIT #5479-75P,E(ADDITIONAL ELECTRIC b'C PLBG. FOR 4723-75) SHOP & UT I L I TY annnn AP 42-08-48 W. D. BETTY SW Corner Hwy. 32 & Kennedy Ave.,Chico SPECIAL INSPECTION #32-75 (Convert private shop to clothing store) 4 -42-08-48 Permit #5950-75B(new covered deck � �OI�Z� 1 42 - 08-48 Permit W6240�- 5,B (mac nvert private shop to clothing store) r� mai /gA5- 42-08-48 Permit #5375-7&B,E(�w..p .imate.-sbona; z bA4g & private garage) tW. r42-08-48 D. BETTY v - , ��w yl SW cor. Hwy 32 & Kcnncdy Ave, Chico Permit #4060-78B,E(new pri stor. bldg) 62-08-48 0 & HUFFMAN INC. Fined ermit #363-86B,E(conv clot ing store -o office building) 42-08-48 1169-89E GINNO & HUFFMAN 2593 Hwy 32, Chico 2 /,�23/s�' (install new elec service) 42-08-48 713-91E SMITH PARTNERSHIP, C. 2593 Hwy 322 Chico (elec sery/mh) ej'aq_qj E—ELECTRICAL U—USE PERMIT TV — RADIO -TV ANTENNA V — VARIANCE S/W—SIDEWALK NOTICE S—SIGN PERMIT Ej 042-08-0-048 0 LUCAS, Mary X97,-1154 ISI (NIIiI/ex2595 y 32 site Chico /�' Executive Home B08-0199 042-080-048 MISCELLANEOUS Electric Panel REPLACE METER 2593 HWY 32 REIFERT, PAUL HM— HOUSE MOVING EP—ENCROACHMENT D — DEMOLI TION 600.1 -' - -- - - - Z. INSPECTION RECORD BUILDING APPROVALS 1 fm 4i aZ D Oi< Q0Z 016 J OW W �W O W U. Z i 4 �_ �_ °FW- WH WFQ" mfQ/1 Z'" FJ ZJ L gF Wrn F -JJ IL US CV VD 0M U m< <m au, D 4 g A. W LL Q Z IL SIG. DATE SIG. DATE 1 s SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. I DATE SIG. :. DATE SIG. DATE SIG. DATE SIG. -I DATE PLUMBING APPROVALS PERMIT NUMBERi SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST - - - WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL 1 PERMIT NUMBERS SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES @ APPLIANCES METERS FINAL lM%lf. 1xwA// /JJ;vr/l%//I. PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE i 1 �r 1 RESIDENTIAL__',, - ;, 042-08-0-048 97-1154 MHI LUCAS, Mary �., 2595 Hwy 32, Chico (MHI/ex site) Executive Homes PERMIT NO.. PERMIT EXPIRES OWNER CONTR. ,'ASSESSOR PARCEL 4 I LOCATION M r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E 'Temp. Gas Service Called PG&E _JOB FINALED (Date) Signature P411-rp • V=OK O = Not OK Not •=NotReaady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-FaK/O-Concrete 4. Water, LocatxxrTest-Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TesWrap; / /'LIL / /Nat or/ /'L'ft/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Sia 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 Date Card B-1 Date Card B-1 Date Card B-1 V MISCELLANEOUS Date DECKS; COVERS, CAR TS, GAR Es (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Easernents 2. Footings; SoilsSize-DepthSpadng-CorwtectorsSteel 3. Decia;'Girdem and/or Joists-Decking-8rWngStairs-Rails 4. Wood Awn., Posts-Beams-Rttrs.-Connectors Shthg.-Rfg: Bracing S. Alum. Awn.; Columne-ConnectionsSprice-Deca4 Enclosures 6. Carports; Windows -Doors 7. Electric 8. FmV.; Sits-AnchorsStuds-RftrsTrusses 9. Siding; NailingVeneerSt xx"esh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors- ndings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except 8's 1. Setbacks -Easements 2. Soils; CompactionStrycture Stability 3. Pool Structure; Steel -Connections -Thickness Dead Merl -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts -GR 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/S Circulating Equip. -Pool Lghtg. Boxes-Endosures-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 R-1 ✓ = OK O = Not OK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / /' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth RESIDENTIAL (Single & Duplex) Date 4. Ftg. Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped Hangers -Post Caps -Anchors -Connectors 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng. 6a. Hold Downs and Special Anchors Fireplace Ties or Type A Flue -Fireplace Throat clearance 7. Slab, SteeWrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 8. Piers -Fireplace Ftg.-Steel Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 15. Access & Ventilation Glazing Area -Glass Protection -Skylights -Plastic 16. Insulation 59. Shear Walls; Nailing -Bolts Date Card B-1 Date Card B-1 Date 62. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr; Vent -Access -Combustion Air Baffle Card B-1 Date Card B-1 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 63. 21. Test Tub & Shower, Second Floor -Tub Access 64. 22. Gas Pipe; Sixe & Anchors 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection Date 66. Card B-1 Date Card B-1 Date 67. G.F.I. & Bath Fixtures & Tub Access -Spa Card B-1 Date Card B-1 Date Elec. Trim & Subpanel, Breaker Sizes & Labels ELECTRICAL (Permit) OK except #'s 69. 23. Fixture & Transformer Clearance -Ins. Protection 70. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 71. 25. Size Boxes & No. of Conductors Stapled 72. 26. Romex Installed Close to Edge of Studs & C.J. 73. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 74. 28. 2 Appliance Circuts in Kitchen & Conductor Size GF] 75. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or AI 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No Plb., Elec. & Mech. Equip. Listed for Location 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No Date 83. Card B-1 Date Card B-1 Date 84. Card B-1 Date Card B-1 Date 85. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval Date Energy Compliance Certificate -Other Certificates Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 5d 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-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: � � .., U L, � j PERMIT NO. Owners: AAP LV C A S Name: Owners: 7 5q W 3 f Address: Mobilehome-L�����f/1%f,%� Year of Manufacturer Manufacture: Serial number Z, o VU cf A oInsignia or 4R S—S O 3 or V.I.N. HUD numbe �q „T U 54 Official approving installation: 47k-2-�l Date: If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the_mobilehome is installed on a foundation system._ 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor J ., COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT o. (Rev.12/96) APPLICATION AND PERMIT /a ASSESSOR PARCEL NUMBER 042-08-0-048 ZONING BUILDING PERMIT OWNER MARY LUCAS TELEPHONE 894-0686 Sp, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2595 HWY 32, CHICO CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-699&, CONTRACTORS MAILING ADDRESS 3042 ESPLANADE CONSTRUCTION LENDER NA LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS 2595 HWY 32, CHICO 95973 Energy Plan Checking Fee —2300 $ $ PERMIT FEE S43.00 LOTNO. - SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN 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 10 Other ❑ Describe Work: MHT JEXTSTTNG SITE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200, 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 i n f I e and effect. 0 j 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( s ACc. BLDs. so 3.50FT: NEW CONST. MULTI -OUTLET NON-RESID. q c c @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOCTURES BAS ®1.00 ► � Ex. Occup. OUTCELETS PLE'.1p.OFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. C� I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'mpensation r nce ca ier and policy number are: Carrier ,0-r' talc! MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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 ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor er ' compensation provisions of section 3700 of the Labor ode, I shall fo th c ply with those provisions. (� X Date C 7 _ Sign re of Applicant - ❑ Owner- §f Contractor ❑ Ag t 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 $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ.D. 1'' FEES IMP -� FLOOD CDF PARCEL pD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Cou Code and/or Resolutions to do work indi a ve f wAich fees have been paid. /¢ By Date q o PERMIT EXPIRES ON G yg • / Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r. w;, er vc'°`, .'-!"`'k�i.'i-riiE"�t�'•�w?Y'� b.,�'C' i �1 ►'?'' ,^ �i "� rt-" +`r i��.s'i�';.i, COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLIP; CA'LMRNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: / M -Ay % 146j* f ASSESSOR PARCEL N ER*,, Z 08d - Q �V Proposed uilding U e: �/f ���. ,f, uilding Inspector: Date: �� - -� At time of permit application, I was advise the following data must be su mitted prior to permit pro-ces g and/or issuance: Date Received By ❑ 1. All items 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. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signat}rre on plans. All engineering must be shown on plans.-------- E15. ------- ❑5. Engineered truss details and layout in .d 1 c'ate a ' reitprior to' lari review No faxes! ------------------ 06. Energy Design Compliance and supporting documentation -,--------------- ----------------------------------- . - -- t ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.---- `-"=- `-, -1- Ai �\ ❑ 8. Hazardous Material Form.-------=--------------------------------------------------------------------------------- El 9. ---------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $• ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. Zod'elevatlon ' ia Department of Forestry plan approval/fees. --------------------------------------------------------- Ell3 certificate. ---------------------------------------------------------------------------------------- . Sanitation and plot plan approval Health Department. -------------------------------------------- G / 64e ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: Ell 8. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 0 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ❑ 22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - ❑24. Letter of signature authorization. --------------------- ---------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------- 026. Letter of intent on building use. ------------ ❑27. Manufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. (Date) ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.` D $ .--------------- O When you issue the permit, process as follows ❑ Mail to owner, OMa4 to contractor. ❑ Telephone and hold for pickup at C (T f GU&Ic❑ D, liv ith inspector. Aprlic Date: �� � - Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Pollution Date:_ Copy of plans sent ❑ Health Department❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, c 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 ❑ phone, ❑ mail, o Building Div' counter, by Date: Plans reviewed by: Date: Plans approved by: Date: 4 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. wr E.H. USE ONLY t i Plot Plan Attached Floor Plan Attached Sent to B.D. / TO: Building Department (.:'a �'llpmPs � FROM: Environmental Health Ckkev 611017 SUBJECT: /Sanitation Clearance �Y6 a L S- l�cy S��Z) qn�her Loc tion AP# Plan Approved for: Sewage Disposal ater Sup ly: Public Private Well Clearance ortj%ingi Oder ) n, 7�xlollelq-11 h2 /ZA Hold final for: Final clearance O.K. for: NOTE: IS h0 L q e Eriviionmental He 8/96 Specialist 9,F,16 Date N� r Ja- ND asQs � Y 3� coy c 0 Sq APPROVED Butte County ErMronme tal Health /7 ` Date Signa re f!hviro _ hmenfal Health M AY 2 7 1997 CIS \ Chico, Califomi a /SrIA" 5EP? /C`— ,Euis /3v1A.6, 6 s 1?,EPZAC1��!G 0w LOT S7 w Et to 4 O?Y' a FF � � 10 ! I at o x A d/ 60 �0 -- T� Wl F l 4yvl MODEL 5663B 3 BEDROOMS, 2 BATHS APPROX. 1,711 SO. FT. k ENTRANCE A APPROVED Signature G ■ ■ BY FLEETWCOD. SC/17/APR96 ol 111111HURHUMOROUS .N ' i.:.i.: rl ■■ ■■ p.i i. ■.�i a. nrp■ =� moll ■:■■: � a::U::1:■■ .......... ::Cno ■■ ■�■_.......a t ■ ■ .. O� :■■ :: ON MEMU Los :U011:1 0 2M ulam mill ME oil so 1 r................rrrrr ■.■mono■■■................o rr • • I'// I/ • II I'II' MODEL 5663B 3 BEDROOMS, 2 BATHS APPROX. 1,711 SO. FT. k ENTRANCE A APPROVED Signature G ■ ■ BY FLEETWCOD. SC/17/APR96 o PpRovE C,Oo Nea�th e • � �' � •o�r,e�' Environmontal ... .. � Health, MAY 2 ...: _ .. 8 1997 Chico California ow Thus set of plaaw and sp eciffoaUm- MMT ba kept on t ejob at all ' =; ,.es and it is :uilwxfrul to make any chanZas o: o` ame -nithout written per ruseion from Works, County of l3utbe. as9S Her 3� co, c f' t, � � • r1on: Ail Materials & t kmanshi.P 8>l� be to Accordan.ca u*ith ogn�zed Cioo1 Practices an of a ,ter _ ,scribed for the Spel�i8ed use in the �nifQ m i3u cli , piuMbin�g eczhanica. Godes azuci Na ionAi gleotrioel ALL 'STRUCTURES AND E OVERHANGS SHALL EE CLEAR 1: ALL ISIEM -DING A SET BAt � OF S - r4SEMENTS ---_.- �• F'' :f' 4E SIDE �► N!-. Fr F130MS(� Fi F►�kCJlIP TH,E i'�2;gC CENT LINES ANC. CLEAR OF STRUCTURES AND EO YiNt .HRL3, FCR A 2 �i. EAVE OVERHANG. ''�'°` .ENT Sy67cti c� l�vitd i.� G � i 6s• , a .0 e).c7�oy 32- 01,t) z o1v IX 00 G � �5 x Xi S 77/ Al wet.(- P49 CIO x q e/ (tf44fw6,F 1/71 1. Owner's Name: "A, C -),q 5 ___ 2. Assessor's Parcel Number: —I �� �� — Lj g 3. Installer's Name: VIE F S 4. Is the site currently under permit? Yes[ ] No[X] Permit No. 5. Is the site an existing site? Yes [N No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? V�� Amperes. 7. What is the mobilehome site circuit breaker rating? Amperes. 8. What is the electrical rating of the mobilehome site?. Amperes. 9. Is the main service remote from the mobilehome site? Yes[k ] No[ ] If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[x] No[ ] If yes, please identify the load and size: a) The mobile home site: Load- _ Amperes - b) The main service: . Load- �'��t- Amperes- 11. Type of gas service at mobilehome site: Natural[X Propane[ ] None[ ] 12. Size o� gaA pipe at the mobilehome site from the meter or tank: inches. i 13. What is the gas pipe length from the meter or tank to the mobilehome? 14.. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 :�- M.H.I.- 2 Mobilehome Manufacturer: �--! E ,v-cT r) Manufacture Year: 19 9 $ If other than single wide, furnish Setup Model Number: Width:Z'- 3 ii (ft.) Length: be $� (ft.) Tagalong or Expando Size-&' (ft.) x -a- (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[x] Other: SUPPORTS: Concrete block[x ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 Line 2 ................................................................................................ Main Beasts Line2....................................................................................:........... e 2 Line I Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 ...........................................Eine ine S Tag or Triple ine 4 1 Line 1 Piers: Size minimum: Spacing maximum: From ends -maximum: �"—'P Line 2 Piers: Size minimum: [ 1Z- ] x]. Spacing maximum: From ends -maximum: 1 O ` Line 3 Roof Loads: Size minimum Location (from front) Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: Each side of openings with width over: Line 4 Piers: Size minimum: Spacing maximum: From ends -maximum: �11FX39 Zys'SO 3bk30 3bx,30 L� k o' n" 1L4 9 3o %;I Lao bb 4? OVER ` „JUN -0.2-97 MON 10: 25 �J 00 = AcTUR Q �DAFW t•r �Q94 L 0— FLEETWOOD IN TER"831S. INC ALES LINE iGJ►LE Y 1 •+ � 1' �' FLEETWOOD SALES DEPT. FAX NO. 9166626425 3aiN. 200L -L, 10401. 122” MAX. w+�o� Ta. mmy K � pro No 32 m 7 7 32 b wzl LPLFT 600 � arr�sr P. 02/02 tAreJ SHT 1 OF 1 pAAW04 eY C Gr0e V- 5Uv3 REV oA T��73pV SAA A 0 54o(1 3 F5 A p p E � 3800 1 • ��r g� 6700 2 8 7400 3 a '4 46o 7800 4 ^ B 0 (oL:,$ 45M 5 A 117.5' B 9L 20 TITU: �..Jv0UL,,,A�-lr� I . FLOOR PLAN 32 m 7 7 32 b wzl LPLFT 600 � arr�sr P. 02/02 tAreJ SHT 1 OF 1 pAAW04 eY C Gr0e V- 5Uv3 REV oA T��73pV SAA A 0 54o(1 3 F5 A p p E � COUNTY OF BUTTE BUILDING DIVISION• r DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE L,uCA5 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions perta'ning to this matter, or need additional explanation, please contact this office immediately. Date o Y t Inspector REV 10/92 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 2593 HWY 32 Owner: Permit NO: B08-0199 APN: 042-080-048 REIFERT, PAUL Issued Date: 02/05/2008 By KEJ Permit type: MISCELLANEOUS 2593 HWY 32 Subtype: Electric Panel CHICO, CA 95973 Expiration Date: 02/04/2009 Description: REPLACE METER (530) 345-0958 Occupancy: Zoning: Contractor Applicant: Square Footage: EVANS ELECTRIC EVANS ELECTRIC Building Garage RemdUAddn 236 W EAST AVE SUITE A ROBERT AND VICKI EVANS CHICO, CA 95926 CHICO, CA 95926 Other Porch/Patio Total (530) 966-0120 (530) 966-0120 FEE INFORMATION DBA Travel and Documentation $89.35 DBE Single Phase Service-Comme $89.35 Total Charged: $178,70 Fees Paid: $178.70 Balance Due: $0.00 Receipt No: B6279 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Fxpires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License EVANS ELECTRIC 869052 / C 10 / 05/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing ,with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in u I force nd effe of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the I basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 02/05/2008 the applicant to a civil penalty of not more than five hundred dollars [$500j; Cont raCto s Signature Date Please check one of the following: ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a competed if the permit is or once hundred dollars ($100) or es—i s.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 02/05/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date p,rovisions. X 02/05/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Sign fe Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its offs agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death,, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND a or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. 7rountyho ente a above mentioned proa for inspection purposes. I hereby certify that I am the d own o au orize acro t pro e .ow s shelf. / 02/05/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for NAft of Perrfiittbd1SIGNy Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR. DAgent for OwneXAgent for Contractor FILE COPY Lender's Address City State Zip BUTT'E.COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A .FEE'WILL BE REQUIRED AT TIME OFAPPLICA TION We www.buttecounty.net/dds , **PLEASE PRINT CLEARLY*" OWNER INFORMA /ON -e Addres civ► Mailing Address City llJ /�+a� Stat e Zip Phone/��� Fax E-mail CONTRACTOR Name Addres civ► City St 1j Phone ; "�. /�. Fax ,7 � " . C E-mailVCilGz rc.* Clams' APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zi City Fax IIs State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION ` Nam eln Addr • �i City SUta✓ Zi Phone01 2U 11�� Fax IIs E-mail APPLICANT SIGNATURE h 7 9 PERMIT NO. BIN N PROJECT LOCATION AP# Property Add City - W0RKER'S COMPENSATION Policy Number Carrier , If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF W0RK. foo awp ser ✓lce r M LeL020,47 An Sq FT- Living Garage Open Cov ❑ . Structure Built without Permits . ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. 0 I VOG� 0- 7e_, 'PERMIT NO. 4060-78B`X 7 PERMIT EXPIRES tf OWNER W.D. BETTY CONTR. owner LOCATION (A.P. 42-08-48 SW cor Hwy 32 & Kennedy Ave, Chico ocit" £ct cui 71 ClrAele ;iv �co� nay -f 4 1 i ,g k Temp. Pow,ePole Called yP G& E Temp./.,lec. Serv. �'lled PG&E T p. Gas Serv. Called PG&E JOB i FINALED F r� f �S COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD> BUILDING " BUILDING (Cont'd) Setback Firewall Forms Parapets Main Bldg. Restroom Finish Footings Windows Stemwal I Siding 4, Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Stemwa I I Garage Vents sulation Slab Carport Footings Prov. for phsical handica ed Conformance of e) structure Slab Final Patio , Footings Footinq Reinf. Stee Bond Beam E PLUMBING' Soil Pipi 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliance Gas Pio a 8 ELECTRICAL Dramin e—iz Test Water Htr. (ri Stucco Final Subpanels Mesh M CHANIC Grd. Fault Prol.— Scratch _ Heating Service Brown — Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M9BI6EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE MARKS OR CORRECTIONS O %1/ 6 A �-. (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS w 7 County Center Drive - Oroville, California 95965 Ile / (�/a� �_.. TVel ephon&: 534-4541 ./�// (/ APPLICATION AND PERMIT // authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee Agent r Receipt No. 9/,5-7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTWQ'_PPIJBLIC WORKS Zuildin�g permit expires Date BUILDING OwnerSQ. ° FT. OCC. BUILDING VALUATION ° Mai I i n Address — Telephone Contractor Mailing Address Fireplace Total Valuation �2 Telephone No. Permit Fee Building Address s r W .Z Plan Checking Fee&/or Penalty Permit Fee °©o PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ��— �� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F W. S i Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvem nts Each additional outlet .30 Building sewer 5.00 Bldg. PIa s Recd I Parcel ApprovV I Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 60ov OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD -L 100 AMP 2.50 ��`` V � � �/ ° Main service OVER 0 100 AMPe00v OR LESS 25.0 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( AWCLBL GS.LING CCUP. Yl 20sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID, U UTL T 13, ijo NON-RESID IRCUITS) 12.50ea NEW CONSTR. I POWER APPARATUS d NON-RESID, SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES6 L 10 Ex. Occup.( OUTLETSP(RE SID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ j WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee Agent r Receipt No. 9/,5-7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTWQ'_PPIJBLIC WORKS Zuildin�g permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle,'California-95965 - Telephone: 916/538-7541 J (►, *. APPLICATION AND`PERMIT Ass 33oieARy L NU (�� zONi - BUILDING PERMIT OWt1iER! �� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN�ER'S� ILIN .DDR ESS -1� n O- /( 951 q0 CO RACTOR'S NAME wn r " TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CON¢TRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ PRARCHIPECT OR ENGINEER C�T LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ HI TDE OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A RESS & . t Permit fee $ PLUMBING PERMIT Filing Fee 10.00 • r�• Each Trap - 2.00 r -..,,. � .� .., « . ...__.. w -,. _ r. at or heat pump water heater— .'20:00' LOT NO. SUBDIVISION NAME PARCEL MAP ! Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex E] MobilehomeX OtherBuilding r SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑Remodel ❑ L ti litie�� Insr tallation � Other E]Permit Describe work: /v(/ r� A <'t(0 C I E r U► C6 Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00/ , O Main service EA. ADD'L _100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under email of (check . penalty perjury 1ur Y(econe): ❑ 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 I, as the owner, or ray. em_�loy,�,g�,iyith as their sole compen- sation, will do the work-,a'nd 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 and r Sec. Bsiness and Professions Code for this reason Wil V0,1M1141t G NEW CONST. DWELLING OCCuP.N OR ADONIS. ( ACC. BLDGS. - ,/x¢sgft NEW CONSTR MUT1-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ewLO 30 2LI 30 FIXED APPLNS• OR EX. Occup. OUTLETS (RESIDJ EA./ 2.00 Temporar%Aservice 10.00 Mobile Home Facilities 15.00 ',Q Misc. Wiring 15.00 Permit Fee $ r Contractor _ • _ t _ WORKMEN'S COMPENSATION INSURANCE s� ,. I declare under penalty of perjury (check one): 5, ❑ The permit is for $100.00 (valuation) or less. G Yr I U= placed on file with the County of Butte Building Department a Certificate of WDrkmen's Compensation Ins_ ur�g or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless.the County of Butte against all liabilities,�judgments, costs .and expenses which may in any way accrue against s i ' ounty in conseque "ce of tlyg,- sting of this per it. -•�V X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent Llwork 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 $ Energy Inspection Fee $ occ CONST TYPE/' - TOTAL FE $ E E HAz CUA PARK SCHL FLD PAR PD ) HD. ISSUE This permit is hereby issued unoer sions of the Butte County.Code and/or indicated ab for which DIRECTOR OF PUBLIC gyiI � 4--,D PERMIT EXPIRES hate ate the applicable provi- resolutions to do fees have been paid. WORKS D/ -ate "�� Receipt Na. I WHITE-D.P.W., YELLOW-ASSE33e R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION.AND PERMIT,IV �All PERMIT NO. ASSSS a PARS,EL N-l{tFiR (//1(�Qj�' ZD"' BUILDING PERMI TER t^� `io TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S ILI G A.DDR ESS o 6 -f 1- t C q5 CO RACTOR'S NAME Wn r TELEPH NE CONTRACTOR'S MAILING ADDRESS Fireplace COIfTJRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AR H TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A RESS� / !�($ Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomeo Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New ❑ Addition ❑/emodel ❑ ti litie In tallation Other [J Describe work: l� rIi! (2 J V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 / 10, /0, O Main service EA. ADO'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. I, as the owner, Or mV employees Wlth waDe� 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. , B s'Iness and Professions Code for this reason halke— eix,,ii VD11.r NEW CONST. DWELLING OCCUP.5d A ) New , h¢sgft CCONSTR.� MULTI -OUTLET NON•RESID BRANCH CIRCUITS) 2,50 eaPOWER APPARATUS e (SINGLE OUTLET CIR. ) EX. OCcU OUTLETS OR FIXTURES P AL0 e2L9303o EX. OCCUp. FIXED APPLNS. OR OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities / _, O d 15.00 Misc. Wiring 9 15.00 Permit Fee $ r WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):; �0 ❑ The permit is for $100.00 (valuation) or less. I Jaye 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 g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 ounty in consequ ce of theme grAWing of this permit. Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- on of structures over 3 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I. CONST TYPE E TOTAL FEE $ !, SD Z. CUA- PARK SCHL FLD PAR PD ) HD. ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab ov for which fees have been paid. D) EC R OF PUBLIC WORKS o-& 4D By Date PERMIT EXPIRES ate > /stories Receipt NO. (I `� L WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT M rr '. +i. �� '^T�'�r}y,�'.°�'�' `�-!N''�G'k]^�t"""S.'�5{:��'r-5•'�M.�j!�� f'b1�t" .��"�"y^r�i•'z •lr'. ati COUNTY OF BUTTE - DEPARTMENVOR PUBLI, WORKS - BUILDING DIVISION 7 COUNTY CENTERDRIVE - OROVILL�..CQLIFO.RNIA 9 65 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA�SHEET I7 : Permit No. (\I1*h.eps, i OWNER A. P. Vo. Proposed Builaing Use ('i Ir i^h j( �/�'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, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed.by preparer. of plans . . 4. Complete engineered plans and caics, with wet signature on plans .. M 5. Hazardous Material Form .................... ::...................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings:.............. 8. Engineered`truss detai6s and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............. . 14. Sanitation approval :rom Health Department 15. City of Chico plumbing permit ..................................... •16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (const'ruction approval required prior to occupancy) a 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) V21. Contractor's license. information (No., Name Style, Classifications .. 22. Certificate of Workrnans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural',Acknowledgment Statement ......... 25. Letter.of signature Euthorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold forpiiuptoffice. Deliver w. /inspector. Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution' Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 1 \ Contractor, designer, owner, Was advised of above required data by_phone--nail_counter by ..date Contractor, designer, owner, Was advised of above required data by—phone —mal l_counter by date Plans checked by Date APlans approved by 'I Date Sets of plans on hole in File cabinet AP folder Copy—DPW COUNTY OF BUTTE -.Department -of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement es oro) o. 2. I have lam) signed an application for a building permit for t e proposed work./ 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City. } Phone Contractors License No. 0.4. 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 Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work _ r Signed: Property Owner_��� Social Security Number Date - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and, 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. c,SM„t�, �I:I�IPORT�IIYT `� � SSAGE FOR A.M. GATE TIME P.M. OF-'(Zol PHONE AREA CODE. NU ER EXTENSION TEIEFHQNED� �� ;PLEASE GALL All yy)yz .� � 7Xi`Vk.../ K'w..�4�i 'ba. � .Y,'/u%� ..:,"Z:n3.F� � 'w��i &�' aann3i^,?..t3w`S.l.n< � ��� '"t'h., 4.,..✓ � ILL., G Wg .CAMETO-SEEYOLI�� 1S WANTS O ESE 0 ifs RETURNEDYOURGALL� J e c� Ac-c( e 1 rW, 4- aslso� ee- r 0- ota k(a Su✓'� "� �cc5 r� cCaeys�'_ 4 !L �LL 6utte, countu, / Wil..: l:+�.:+ J•�.il '. ........ CA State Farm Fire & Casualty Co. 6400 State Farm Dr. Rohnert Park, CA 94926 LAND OF NATURAL W EALTI-1 AND BEAUTY` DEPARTMENT OF PUBLIC WORKS Na WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 March 13, 1991 RONALD D. McELROY\ DePuy Director Vv RE: Workmen's Compensation Insurance Smith, Clara A review of our records indicates that .you do not have on file in this officez n M l CERTIFICATE of Workmen's Compensation Insurance in a form approved by the State .,\ �\ of California Insurance Commissioner. The data required on this document is: 1. CERTIFICATE OF INSURANCE heading or Title and approved form. 2. Expiration date of policy. � � A XXX 3. Designation of Butte County Public Works Department, #7 County Center � Drive, Oroville, CA 95965, as the Certificate holder. 4. A statement that the insurer shall give....the County at least 10 days advance written notice of the cancellation of the policy. Q5. A statement or designation that named insured has Workmen's Compen- sation and/or Employers Liability for the statutory limits prescribed by California Law (if limits are shown). 6. Certificate of Workmen's Compensation Insurance on file has expired. Please be notified that your permit(s) are deemed to be null and void until the above required Certificate is on file in this office. Do not send or bring in the policy. Section 3800 of the State of California Labor Code requires that the CERTIFICATE of Workmen's Compensation be on file in this office. Should you have any questions concerning this 'm/atter/r pll�ease contac this office. Yours very truly, f William Cheff Director of Public Works l � /7-TA)i . . Glander JFG:aj Chief Building Inspector f cc: Clara Smith, 1026 Main St., Fortuna, CA 95540-2009 �� j wORKERS COese _:INSAI 1UN ANU EMPLOYERS ' LIABILITY POLICY L I----IiNf'tkaaUUN PA6E POLICY NO. 97-99-3269-5 LUVERA6L IS PkLVIUi D by ,fkEPLACES NU. 97-99-1147-2 SIATE FARM FIRE AND LA.SUALIY COMPANY 640U STAFE'FARM CRYRUHNEAT PARK CA 94926-000 1. NAMED If4SUREU F, MAILING ADDRESS SMITHY C:LARA (AN IND) 1U26 MAIN S1 FORTUNA LA 95540-2UU9 NCC.I CARRIER LODE NO. 14842 FEIN 5U6369462 INSUREL IS Ali INDIVIDUAL (CPYRIGI-i'I 1981 /NATIONAL COUNCIL UN CUMPLINSATION INSURANCE 2. THE FCLICY PERIOD IS FROM 03/11/91 TU U-3/11/92 12:111.A.M. STANDARD 'TIME Al THE ItNSUREUGS MAILING AOURLSS. ------------------------------------------------------------- - --- 3A. WORKERS CU'MPENSAT IU14 INSURANCE= PART ONE OF TH£ PULICY APPLIES '10 THE WORKERS COMPENSAIIUN LAW OF THE STATES LISTED HERE: CA ii. EMPLUYERS LIABILITY INSURANCE: PART TRU OF TffE PDLICY APPLIES TO WORK IN EALH. STATE LISTED I14 ITEM 3A. FhE LIMITS OF OUR LIAEILITY UNDER PART T i O ARE: 80UILY INJURY i Y ACCIDENT 3 1009000 EACH ACCIDENT BODILY INJURY 8Y DISEASE 3 100v(100 EACH EMPLOYEE HOUILY t-NJURY BY DISEASE S .SUU'2OU0 PUL:IL.Y LI1iIT C. UTHER STATES INSUPAIJCE: PART THREE UH THE PC;LICY APPLIE-S TU ALL STATES EXCE.PI NV9 N09 UHY WAY WVp WY AND STATES LISTER IN 3A. . Do THIS PUL ILY INCLUDES. 1'HIE.SE LNUURSIrML-i fa" Agit) SCHLOULES: hLOOLODU/U484 kLU4U3U1/0191 'FE -4495-1 FE -4704.2 WL040360/0886 NLU40331/0484 4. --------------------------------------------------- 'THE ------ - -----'THE PREMILM FEIN THIS POLICY WILL BE DETERMINED by OUR KANUALS OF RULES9 CLASSIFICA11ONS9 RATES AND RAKING FLAKS. ALL I6FORMA7IC14 REQUIRED BELUN 1.S SUf3JLLI TO VERIF.ILATIUN ANG CHANGE BY AUDIT. IPREMIUV BASIS Tu-1RA7E/1100 JESTIMATE[ LEDE (NUS. AINll TAL ESIIAtATEU Ah- REMUNERA- ANNUAL CLASSIFICATIC:NS NUAL RE�aMUNE_KATICN TIEN 1PREMIUM. 91115 19663 1 11-37 1 1815 EUILDING i_PERATIUfq-- ALL EMPLOYEES— IfNCLUDING RESIDENT OR ON-SITLE MANAGERS --N.U.L. WHEN LODGING IS PROVIULD .bY 'THE 04PLOYERY THE TUTAL REMUNERATION SHALL INCLUUE THE- i14ARKET VALUE OF SUCH LODGING TO THE EMPLOYEE. rLATS9 APARTf4ENTS9 OR MULTIPLE UWELLIIJGS. iiAVING FOUR UR MORE UNITS ARE SUBJELT TO A V11WI9UM PAYROLL UF- S29U00 PER ANNUM FUk GINE LOCATION .AND TC; A MINIMUM -OF $19000 FLR EACH ADDI. f.tONA! L UC.A!1fjN CGVEkEtl BY THE SAME PULILY. MINIMUM PPEMIUM $ 375 CALIFORNIA TOTAL --------------------------------------- NOTICE IF YOU ENGAGE SUB -CONTRACTORS, MAKE SURE YOUR SUBCONTRACTORS COMPLY WITH THE WORKERS' COM- PENSATION LAW. THEY SHOULD ALSO FURNISH YOU WITH C:ERTiFICATES OF INSURANCE. THESE WILL BE FUR- NISHED BY THE SUB -CONTRACTORS' INSURANCE CARRIERS WITHOUT COST. HAVE THESE CERTIFICATES AVAILABLE FOR OUR AUDITORS, SO THAT YOU WILL NOT HAVE TO PAY ADDITIONAL WORKERS' COMPENSATION PREMIUMS ON YOUR SUB -CONTRACTORS EM- PLOYEES. F4-493.3 C'STIIMATEV i l 1 1 ANNUAL PREMIUM E-(jMIN.) 375 PRcMIUM A.GJUS7i�i NT PERIOD SHALL LE ANNUAL- .E:PUSI'T Pi{EMIIfM'�/ --r37- PREPARED 01/22/91 bC OU 00 01 04-E4 COUNTER-IG.N£U { hURKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY INFORMATION PAGE 2363/67 ..... .... IM.Yfib , PGt_ICY 97-99=7798-6 COVERAGE IS PROVIDED 6Y RPPI t�; RO• 97-B0-7008-6 STATE FARM .FIRE 'ANO' CASUALTY CGMPANY 6400'STATE FARM ORgA.UHNERT PARK CA 94926-0001 NCCI CARRIER:CODE--NO. 14842 1- NAMED INSURED E MAILING ADDRESS ..SMITH* CLARA !PARTNERI ET AL FEIN 941616267 USAVII/C/SIVIll'C%S IXS V' PARTNERSHIP • 102.6 MAIN SI FORIUNA CA 95540-2009 INSURED IS A PARTNERSHIP CUPYRIGH7 1987 NATIONAL COUNCIL [;N COMPENSATION INSURANCE ------------------ 2. THE FCLICY PERIOD IS FROM .02/14/91 TO 02/14/92 12_01+A -M. SIANUARU TIME A7 7HE IN.SURED'S MAILING ADDRESS. __ ---------- 3A. _______3A. WORKERSCOMPENSATION INSURANCE= PART ONE OF THE POLICY APPLIES IO THE WORKERS I COMPENSATION LAI4 UF- IHE STATES LISTED. HERE- CA E. EMPLOYERS LIABILITY INSURANCE= PART TWO OF..IHE POLICY APPLIES TO WORK IN EACH STAIE.LISTED IN ITEM 3A. IHE L.IKITS-OF OUR LIABILITY UNDER PART. TWO ARE: BODILY:: IVJURY BY..ACCIUENI S 100.9000 EACH ACCIDENT BODILY -INJURY BY DISEASE s :.1009000.EACE EMPLOYEE 8i7J.aL'f iljUR: e3 U..SEASE 3 .500.10.00. POLIc`f LIMIT Co EXCEPTSNV9. ND9NOHsAWAs .WV9RNYTAND STATESELISTED IN 3A IES 70 ALL STATES' C WC04030110191NCFEL4495H1SEFE-4704o2ENwGO40360/0866AND LEFE-489400000/0484 hC 4 / 4. THE. F(EMIUM FOR THIS. POLICY WILL BE DETER 4INEU LY OUR MANUALS GF . RULES9 CLASSIFlC.ATIONSs "RATES AND RATING PLANSv ALL INFORMATION REQUIRED BELOW IS.SUBJECT.TO VERIFICATION ANV>LHANGE BY AUDIT. -- ----------------------- ---------------- - +��--------- jPREMIUE: BASIS. TG- RA.tE/31UUIESTIMATEO CC°OE NOS. AND J TAL ESTI!'ATEU AN REf'U.NERA-J ANNUAL . CCOE NO.ICATND �NUAL REMUNERATION TION PREMIUM ----��__ ------ --_ _� 9095 -- ALL EMPLOYEE94'f 0 ---------------------------------.—, 3.605 ..� • 91.37 EUILDING.CPERATION-- - INCLUDING RESIDENT-OR.ON-SITE.MANAS-GERS -N.U.C.---- - .. WHEN•LODGING IS PROVIUEU BY d.HE ---- - EMPLOYER9 THE.IOIAL REMUNERATION ! SHALL- INCLUDE: THE -MARKET -VALUE -OF .SUCH LODGING TO THE EMPLOYEE-_ FLATS9 .APARINENIS9 OR MULTIPLE .DWELLINGS HAVING FOUR OR MORE UNITS 1 ARE SUBJECT -TU A .MINIMUM PAYROLL OF .I :$29000 PER ANNUM FOR ONE LOCATION J ..AND IG A MINIMUM OF 319000.FOR EACH I AODI T IONAL LG-CAi i'CN SAME FOL ICY. MINIMUM PREMIUM S 375 CALIFORNIA -------------------------------- PREMIUM ------------------- -PREMIUM ADJUSTMENT PEF.IOO SHALL PREPARED.. 01116/9 1 WC 00 UO 01 C4-84 -- (11/89) NOTICE IF YOU ENGAGE SUB -CONTRACTORS, MAKE SURE YOUR SUBCONTRACTORS COMPLY WITH THE WORKERS' COM- PENSATION LAW. THEY SHOULD ALSO FURNISH YOU WITH CERTIFICATES OF INSURANCE. 'IHESE WILL Be' FUR- NISHED BY THE SUB -CONTRACTORS' INSURANCE CARRIERS WITHOUT COST. HAVE THESE CERTIFICATES AVAILABLE FOR OUR AUDITORS, SO THAT YOU WILL NOT HAVE TO PAY ADDITIONAL WORKERS' COMPENSATION PREMIUMS ON YOUR SUB -CONTRACTORS EM" PLOYEES. FA_AQ i I :I TOTAL ESTIMATED ANNUALPREMIUM3 _490 bE ANNUAL -/" EPOSIT PREMIUM "$ 410 .-... .'�7L.�� rvt. }•/��� �� 19.11 COUNTERSIG..EO__ ..� BY AGENT_-'� Z ��=--- Fer,,: ,22, 1991 County Building Inspector County Admin. Bldg. Oroville, Ca. 95965-3382 Dear Sir: On 2-20-91 a tenant at one of our rentals tried changing fuses in the old mobile home exterior fuse box at 2595 Hiway 32 & Kennedy, Chico, Ca., and created problems that could not be solved any other way then to replace old things (that were so outdated we could not get parts for) with new breaker box and switches. Since we were in the -area on an emergency basis (tenants only had 50% of mobile with electricity), we'were not able to contact you re forms, permits, -etc. - But now, things are under control, improved up to code, and working, and we would like for you to please inspect the new box and send us a bill for whatever it is we owe you. There'is a drawing enclosed to show you where the box is. The tenants do not have any dogs - or other animals in that yard area. Thank you. Sincerely, C. Partner and General Manager for C.S. VII Partnership (owners) 1026 Main St. Fortuna, Ca. 95540 (707) 725-5166 1961 G s3� On nz 831 fo � Nnoo 0 . � I �o-a-v a CLARA SMITH PXQXRRYIA?§RX 1026 Main St. Ck1IMChftX W Fortuna, CA. 95540 (AARR (707) 725-5166 - FOR County Building Inspector & County Center Dr. Oroville, CA. 95965 FOLD Dear Sir: _ FOLD LETTER IN REFERENCE TO: FIRST CLASS MAIL M INTER -OFFICE M HOW TO USE THIS DAY IMER � LETTER TO SAVE TIME. Type or write your reply in the space below. 'fhen mail the white copy to us and keep the pink copy for your files. You'll save time and effort, and we'll have your answer much faster! Thank you. DATE: 7 10 91 FOLD Please advise -if you have inspected and approved the new breaker box and switches switches installed to the side of the mobile home at -2595 HW- 32 & Kennedy, Chico. For reference please redrew the.atteched 6 pages for reference. Both myself and my insurance -agent sent copies of my workmen's comp - which was in effect then- as .it is- now - and has been for " years - 1964 I think. We need for our files the assurance that this is all OK & approved. Thank you in advance for your help. � Stamped, self-addressed envelope enclosed.. Sincerely, Clara Smith 1026 Main5t. Fortuna, CA. 95540 (707) 725=-5166 FOLD BY DATE: 4{ BY ©DAY -TIMERS RE -ORDER No. 23530—Printed in USA ':FAInFr12 - KFFD Tuiq rnov FnR vn11R F11 F MAII WMITF ANn oiww fnCIFC IYTAfT Febr. 22, 1991 County 1hiI]ding Ins p:irtor County Admin. bldg. Orov ille, Ca. 95955-3382 Dear. iii'. On 2-2D--91 ::a torlanl: �tt ons: of our a:entals tried changing fuses in the old rnoiaia:, ho:w-, e terlor fuse box at 2595 •Hiway 32 & Ke.onedy, Chico, Ca., and created problems that could not be solved arly other !ro:ay L:hen :to replace old things (that were so outdated we ,.,could not _jet parts for) with new breaker box and switches. 1-inc.- we Di til" ?r a or. niI ;gym rqen,.y haS1S (tenants only I1aU 5u:'6 of,not�ilk! :a-itii ala=ctricweity), . .�iere not able to contact you ra f;,irms, parmits, ;!tc. But ncavi, things azz under control, improved up to code, and working, :and we luould like for you to please inspect the new box and send us :a )ilj. whatever it iswwe owe you. 7h -re is a drawi.nn 4nclosed to show you where the box it. the tenants do riot have• any dogs - or other animals in that yard area. Thank you. Sincerely, C. Smith, Partner and General Manager for C.S. 102(- 14'4:ain St. Fortuna, Ca. 95540 ( 707 ) 72---51-6G VTI Partnership (oviners) C. Smith Partnership 1026 Main St. Fortuna, CA 95540 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7741 With reference to the above subject: LAI Attached is: —� Application for permit Building Plans Engr. Calcs _ Owner -Builder Verification Form OTHER DATET,,,h 5,_1991 RE: electrical permit application A . P. # 2-08-48 _ Mobilehome Utilities Installation Sheet _ Mobilehome Installation Information Sheet — Typical Plan Sheet List of Codes Enforced ; Al We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ 27._,-� payable to Butte County Treasurer. Certificate -6f- orkmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section -(DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact Anne of this office. Yours very truly, attachments JFG/aj William Cheff Director of Public Works J.F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 . APPLICATION AND PERMIT !S5 R PAR,L GC ZONIN{. / BUILDING PERMIT r0 ER Pa P 10 �DDRE55 t1�ll TELEPHONE SQ. FT. OCC. BUILDING VALUATION. OWNER'S M ILI G , � 1-c 1• C/1 95 CO RACTOR'S NAME TELEPHONE to rl • r CONTRACTOR'S MAILING ADDRESS Fireplace CO T UCTION LENDER / l r C- UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AR IH TELT OR ENGINEER P '(• LICENSE NO. Plan Checking Fee $i Energy Plan Checking Fee $" ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty $ BUILDING `DRESS Il . - Permit fee $ PLUMBING PERMIT FIIIngFee 10.00 Each Trap 2.00_ Solar or heat pump water heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W ] 10.00 ea TYPE OF WORK New ❑ Addition ❑ emodeI ❑ ytilitle In tallation Other ❑ Describe work: r e i(2C l r l0— 1 1 Permit Fee $ E Contractor ELECTRICAL PERMIT Filing Fee - 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 1o.50 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. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) am exempt under Sec. 8�! siness and Professions Code 7�.-Iii 1I 1 for this reason .%.,1(!i_._„ � NEW CONST -DWELLING CC -P-11) OR A_ODNS. ACC. BLDGS. / I/:¢sglt NEW GONSTR U TI.OUTLET NON.RESIO BRANCH CIRCUITS)__ 2,50 ea 1POWER OUTLET CIR.e) Ex. Occup(OUTLETS OR FIxTURES zo ItIc 8AL@30 FIXED APP LNS. OR Ex. OCCup. OUTLETS (RESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / -,0 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE ��,,' - I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. `pf I batq placed on file with the County of Butte Building Department �l 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 $ _ Contractor Mobile Home Installation Fee $ 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. 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 i� . aunty in consequ ce of theylgpling of this permit. '7 l Date // :•/ ' l L, / X, Sig ature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is squired for excavations over 5'0" deep and demolition or const ruet- ion of structures over 3 stories in height. Energy Inspection Fee $ DCc CONST TYPE TOTAL FEE $ "//� 3 ` r SD HAz CUA PARK SCHL FLD COF PAR PD I HD - ISSUE This permit Is hereby Issued under the applicable provl- slops or the Butte Co unty. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date -- I PERMIT EXPIRES Date Receipt No. IWHIrL D P W TEL LOW•ASDL»aS. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: . An 'owner -builder" building permit has,been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement Dyes) o -r -pro) �. 2. I (havohave=net-) signed an application for a building permit for tfie proposed work./ 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4L4. 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 Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: / Property Owner L t. Social Security Number' - Date • ? NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. INSURANCES: STATE FARM: Vernon C. Rosene 252 East Ave_, _Suite C (916) 23TOM MR, .B I PLEASE KEEP THIS PART FOR YOUR RECORD (9'P"REMIUM ADJUSTMENT STATEMENT AGENT TELEPHONE R SEN897NS AGCY INC 2363/67 63 SM I T HA—LS,A R A IAN IND) POLICY NUMBER POLICY DATE TO 97=99-1247-2 MAR -11 1990 MAR 11 199 POLICY NUMBER AUDIT DATES WORKERS COMPENSATION POLICY MAR". 11.;`1991) TO MAR11-199 CLASSIFICATION DESCRIPTION BUILDING OPERATION-- ALL 'EMPLOYEES-- ` INCLUDING RESIDENT' OR ON—SITE MiANAGERS --N.O.C. WHEN LODGING• IS PROVIDED BY THE EMPLOYER• THE TOTAL REMUNERATION " SHALL INCLUDE THE MARKET -VALUE OF SUCH LODGING TO THE EMPLOYEE. FLATS9 APARTMENTS, OR MULTIPLE ! DWELLINGS HAVING FOUR OR MORE UNITS `I ARE SUBJECT TO A MINIMUM'PAYROLL OF $29000 PER ANNUM FOR ONE' LOCATION i! AND TO A MINIMUM OF $11r000.FOR EACH 1J ADDITIONAL LOCATION COVERED BY THE SAME POLICY. i IN—FORCE• POLICY' RATE INCREASE PREMIUM ADJUSTMENT REQUIRED POR MINIMUM PREMIUM i CA SURCHARGE t i >i PREMIUM ` BASES #/. RATE EXPOSURE IR 2.085 1 : 't'11.23 PREMIUM. 23 13 3: T. POLICY 97-99-1247-2 TOTAL EARNED.PREMIUM' 5378-i AUDITED'. TERM MAR= 11' 1990 TO MAR- 11 1991 ' ' . MIN, PRE ESTIMATED PREMIUM PAID $318:i Your premium may have increased or decreased for several reasons: a rate change, rating rules change, or a change in your exposure. By comparing this statement with your policy or last statement, you can determine the reason for the change. If you have any questions, please see your State Farm agent. 'PREMIUM BASES: R. PER $100 OF REMUNERATION; C. PER CAPITA; P. PER.. PASSENGER 538-175.2 Printed in U.S.A. Rev. 7-89 77T M DATE PREPARED (14/30/91 SEO r %gym fenlncq �tvc ' `1 1 1 PREMIUM. 23 13 3: T. POLICY 97-99-1247-2 TOTAL EARNED.PREMIUM' 5378-i AUDITED'. TERM MAR= 11' 1990 TO MAR- 11 1991 ' ' . MIN, PRE ESTIMATED PREMIUM PAID $318:i Your premium may have increased or decreased for several reasons: a rate change, rating rules change, or a change in your exposure. By comparing this statement with your policy or last statement, you can determine the reason for the change. If you have any questions, please see your State Farm agent. 'PREMIUM BASES: R. PER $100 OF REMUNERATION; C. PER CAPITA; P. PER.. PASSENGER 538-175.2 Printed in U.S.A. Rev. 7-89 77T M DATE PREPARED (14/30/91 SEO r %gym fenlncq �tvc ' ��W 1.66 � -t Na S�v, noo%9�o �.. r.. .. ,w�=.- v:.""'wi.�--.. �--..«rs-+r... ..x -. .,7..._.,..-� ..._^rx7�'�'vY`.._r.a-avu•w i - j COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27$1 _ 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER UU PERMIT NO. A routine inspection indicates that the following violations of County Ordinance /above address and should be corrected. Please notify this. office of work is completed. If you have any question pertaining to this ,Vtion eed additional explanation, please contact this office immediatel `. awa '511 2' Xq A, Inspector. Date 221009 + i J<, OWNE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE VU PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist t 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 in ter, or need additional explanation, please contact this office immediately. Z/X� Inspector Date R COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-754 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 1 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. , Inspector. Date 42-08-48 1169-89E GINNO & HUFFMAN 2593 Hwy 32, Chico (install new elec service) c�-,.,�. -�/ � �� • Wil. � �•-��•�' 7° r yl/�2-' O ICE 00PY r 3._ ..191�'V cX�•.oc�•a9-r*� Address_ _ i GAS Meter By., Date ELECTRIC 1 Meter By S'k Date AAd Acs AZy%( Iti{ QLZ ado, __ OFFICE COPY i Address GAS / Meter By- Date 1 ELECTRIC Q �✓ Meter By v Date ✓' f ? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0./ �( y 7 County Center Drive - Oroville. Ca!ifornia 95965 - Telephone: 916/538-7541 r APPLICATION AND PERMIT u f ASSESS PARCEL NUMBER fid - -� a -- �/� ZONING ) C Z BUILDING PERMIT OWNER o / (p� TELEPHONE 4,/C, o SO. FT. OCC. BUILDING VALUATION Opt / LI,.RESS /� g �► 1,- CONTRACTOR'S N/AME / L ` f^h i N IV 0 A. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ - - 10.00 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �Y5 5 3 Each Trap 2.00 0 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 7,'-4. A 15n( -t E 1< ,4 I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New Addition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: LV5 4 - I/ IOU -4.44P 4 -v 4-PA4 A* Ld fj- /� �n! ti ,� . 4,. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ` n A J ^~ Main service DOov 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 ur f p y p eYl y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio ,Code a my license is in full force and effect. License No. /-f Classification I L ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.01 , OR ADDNS. ( ACG. BLDGS. �20sq ft NEW CONSTR. MULTI -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t DALe3o FIXED ALINIS Ex.-Occup. OUTLETSP(RESID )REA.) 2.00 Temporary service 10.00 /0.0-0 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g rB � r 's -d -fl Permit Fee $ p� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ® The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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. 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,Co fity,,in-conse u r%e of -the granting of this permit. --7�i}' �� X Date C� Signature of Applicant - OKEl Contractor 1:1 Agent An OSHA permit is required foi•excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE35.&-'D $ OCCUP. CON5T.T7 scNooL FLOOD PARCE ISSUE. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which /DIRECTOR OFPUBLICWORKS By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. d�,f 1 J De_ lr'� i L Receipt No. 3 ( C� .• (1 WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DF-PARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CalifoFnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMI / / N . CEL NUMBER ASSESSq PA CEL ZONING BUILDING PERMIT J OWNERTELEPHONE ' 0 Nl d tet/ 3 S GY c 0 .SQ. FT. DCC. BUILDING ATION OWNER'S MAILING ODRE55 5y3 P&A L, 3-2.- 2 P CONTRACTOR'S NAME ev N G d-- ff� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee ,$' 10.00 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 Permit fee. j PLUMBING PERMIT Filing Fee 10.00 5 9 3 -z- Each Trap 2.00 f✓k i L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each pas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other IC JF1<G{ s ECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10 00 an TYPE OF WORK / New❑ Addition[] Remodel❑ Utilities --Installation❑ Other ❑ Describe work:_�iVs1--L // /0 0.4.,m n QM a .` N Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10Dv OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 to CONTRACTORS LICENSE LAW I de under under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio ode an 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) ❑ ossa the owner, am exclusively contracting with licensed contract- 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , OR ADDNS. ACC. BLDGS. �22spft NEW CONSTR U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OccU 200304 Occup(OUTLETS OR FIXTURES eAL030 FIXED APLNS Ex. OCCUp. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 1 10.00 /0-0-0 Mobile Home Facilities 1 15.00 Misc. Wiring 15.00 e— Permit Fee i $ .a WORKMEN'S COMPENSATION INSURANCE I decl a 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, nd e e ses which may in any way accrue against sal Co f{t . rise ue g anting of this permit. (S -P, X Datesions Sign lure of Applicant — er Contractor ❑ Agent An OSHA permit is requir d fo covations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE-j15j-&-Ib $ OCCUP. CONST.TYPC ScNooL FLOOD PARCE P NO I Is This permit is hereby issued under the of the Butte County Code and/or resolutions work indicated above f w 'ch fees REC 0 OF BLIC WORKS BY Date PERMIT EXPIRES Date applicable provi- to do have been paid. - 46ZO Receipt No. 3 &2 ? I WHITE-D.►.W., YELLOW-ASSC350R, PINK -INSPECTOR. GOLDENROD -APPLICANT '1' •�'`ti :A,,:.,.•'t ' S-'�'1. 1' wr-.t''u''.fij^'{`•'t1�n4es Tr.'Y.'+�,- :�Il i Rt;�,'..n n.::=' -r. ..w-.,.,,jT11 Y Al" 71, `1 1 COUNTY OF B'JTTE - DEPARTMEI.4T�OF�UBLIC WORKS - BUILDING DIVISION .; 7 COUNTY CENTER DRIVE - OROV,ILLE, GALA 69AA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIOWDATA SHEET Permit No. OWNER A. P. No. Proposed Building Use d_4 -e- Building Inspector /� Date L/— d'— 9 At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ...................... ,:.............. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .., 5. Energy Design Compliance and supporting documentation ......... ```"' 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ..................... :................................. 9. Fees of $ .......................... 10. Chico Urban Area lees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico pluming permit ...................................... 15. Plot plan and busiress license approval from City of (see City for other equirements) 16. Planning approval ;or (A) Use: (B) Parking: ......... 17. Imrovements may be required. riveway permit (construction approval required prior to occupancy) ... LPre-Inspec. request Pre -Inspection for Vgt r , ; M ,�. required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Ver fication (Given to owner ❑, Mail to owner ❑) ........ corded copy of Agricultural Acknowledgment Statement ............ 1-1j.etter of signature authorization ..................................... 25. ' 26. " When 1 ssue the permit, process as follows: Mail to owner. Mail to contractor. Telephone30-4 /e 0 and hold for pickup at � ►�r„� office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date Date "` (2 r,1" i The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. -- 2. Additional items recuired: Contractor, designer, owner. was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW ,bill Jr &-.rjWk1.:W `�� CONSTRUCTION, INC Lic. No. 432120-B 2593 Hwy. 32 Chico, CA 95926 916-345-6400 April 20, 1989 County--of--Butte Department of Public Works Building Division 7 County Center Drive Oroville, California 95965 To.Whom It May Concern: Michael I. Merrifield is hereby authorized to sign for building permits on behalf of Ginno . & Huffman Construction, Inca, for the following projects: Chico Unified School District Relocatable Classrooms Durham Unified School District Relocatable Classrooms Please direct any questions you may have to our office, at (916),345-6400. Thank you. ResrardE. Ricffman Vice President •�y� a PERMIT NO. 363-86B E PERMIT EXPIRES �- OWNER GINNO & HUFFNIAN INC. CONTR. Ginno & Huffman ASSESSOR PARCEL Cor Hwy 32 & Kennedy, Chico LOCATION t W. { Temp. Power Pole Called PG&E Temp. Elec. Service Called PC Temp. Gas Sei Cal led PG JOB FINALE[ '` Signature ,t i f f f Y { Temp. Power Pole Called PG&E Temp. Elec. Service Called PC Temp. Gas Sei Cal led PG JOB FINALE[ '` Signature V = OK 0 = Not OK Not Applicable = Not Ready RESIDENTI.�►L,(Single and Duplex) Date UNDERFLOOR Plans OK except N'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- a 3' -Check Garage- d story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Storbl Wiynh4Headroom- i -Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. PI w o on Ooof Over -A Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab a 52. Si i -Nail ng- r 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ft .-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 53. 54. 55. S c Screed-Fdn. encs-Underflr. Access tafej AK -Glass Protection -Skylights -Plastic he alls; 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 OK/Date-5 Date Card -BI Date Card -BI Date s Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -B1 Date Date Card -BI Date PLUMBING (Permit) OK except N's i 57. Smoke Detector _ 14. _Water Ht.; Vent -Access ombus ' S8. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water ; Tes c r -Nai o ection 16. D.W.V.; T st- t rs-Nail Protection 59. Bedroom Exiting _ 17. Show P n• T t, ' st Fr -Tub Access _ 60. G:F.I. & Bath Fixtures & Tub Access _ 18. _ Test "hoKr, 2nd I or -Tub Access 61. EI -6d. Trim & Subpanel; Breaker Sizes -Labels _ 19. GasPipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI ate �I .� and -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap-CookingClearance Card•BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protectiqv 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection _ 21. Elec. Receptacles Spacing -Lights Swi a oors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of ConducArs-OPW 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close e o ds C.J. _ 24. Equip. Ground made u steners-Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 A nce Circuits n & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Sub ed ire ize "ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -- 27. T Rang it / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insul _ rat Yes El No 75. Following instld.: Drive E] Yes ❑ No; Walks ❑Yes ❑ No; Planters ❑Yes ❑No _ 28.^Servic -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish i 29. Equip, Clearances: Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _- i30. Clothes Closet Light -Shower Light - -- --• - Card 8-I - ate/��G!/ Card -BI Date Card.B-I" Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric -__-31. _- 32. 33: -A.C. Ducts: Insulation & Support Vent Fan; Exhaust above Insulation _ _ Condensate Drain & Overflow; Size & Grade 85. 86, Water &Sewer Connected -C/O to Grade -HD Approval Energy Compliant Certificate her Certificates Card -BI a Date 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet -35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI - - , - - -- Date - Card -BI Date _ Date Z 'ar -d- B- F Date Card -BI BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Co ents t Final: _ _ _36. 37. 38. 39. 40. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing _& Bracing -Plates -Sound Bearing Walls over _Girders & F_loor_N_ailing_ Draft Stop in Walls (rat proof) _ _ _Fire Stops: Furred Ceilings -Stairs -Chases -Tub __ 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size &Romex Protection -Draft Stop -Ins. Baffles___ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions__-- Garage Fire Protection Framing - -- (NOTE: An entry must be made each time you vi sit job site) J OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k'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) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4• Wood Awn.; Posts-Beams-Rftrs.-Connec,-Shthg.-Rfg.-Bracing 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 k'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. Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. 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 Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WQRKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF.* r;T534-4541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number-363-86 for the following: Use Classification Office bldg Address or Location cor Hwy 32 & Kennedy Ave. , Chico Group B-2 occupancy; Type B-N construction. It is hereby certified for the occupancy described above and may be occupied. Director of Public r Date 4/10/86 By POST IN A CONSPI OUS PLACE J.F. Glan l!T� (Over) A 0 -TI C C .. A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the Building Inspector. J . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS (e_),PERMIT NO. 7 County Center Drive - Oroville, Galifornia 95965 - Telephone 916/534-4541 _ APPLICATION AND -PERMIT ASSESSOR PARCEL NUMBER p s d1f ZONING C -a BUILDING PERMIT OWNER P TELEPHONE `O ,SQ. FT. OCC, BUILDING VALUATION 24000- 00 OWNS MAILING ADDRESS E�Rs^/ ' om- L CONTRACTOR'S NAME o.. vV.w✓ TELEPHONE CON ACTOR'S MAILING ADDRESS SIC-414111—Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 2 c,00. nO Filing Fee $ 10.00 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 ` N G Permit fee $ e % � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[:] Duplex❑ Mobilehome❑ Other i'`°/0'k.n!4, S ­01-ECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10-00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities ❑ Installation❑ Other Describe work: CO—bI.o± Glo�l,.�c S%,.c - _ ,04QAZc`c-e 13 Ad Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee J0.OG4 Main service 100 AMP ORV OR SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and m license IS In full ce and effect. ZD! License No. Classification I/yi/IWI 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) 1, as the owner, am exclusively contracting with licensed contract- I ors. (Sec. 7044) ❑ I am -exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.9` ,/zQsgft OR ACDNS, C ACC. BLDGS. / NEW CONSTRES'0, RANCHUTLET 2.50 ea NON.RESID BRANCH CIRC ITS e V POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q eAL030 FIXED APPLES. OR Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ pts WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 4W 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit' judgments, osts, and expenses which may in any way accrue aga. s sa ounty 'n c equence of the granting of this permit Y Date Signature of Applica t - ner❑ Contractor ❑ AgentR 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 7a7 OCCUP. IJ 2 CONS; t.,PE V N FL000 PAROL �/ PD H0 Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7--Z Receipt No. XA133 WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT 1.11 At, COUNTY OF BUTTE - DEPARTMENT OFkPUBLIC WORKS - BUILDING D'I�VISION 7 COUNTY CENTER DRIVE - OROVILLE,`tALIPtRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT 'APPLICATION DATA SHEET Permit No. OWNER (,—rnjrvJ 4 A. P. No. �4/ h-� Proposed Building Use el�o"Ile Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector 11J. Date `•Z- 19-5it, 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. f—f ire✓ , 2.. Plot plans in du Ip r ate. ,/ a�� I�:�-� s��1 lows -J Complete plans in du ;Cate. �j �u��. s�Y _�S�r'�: �ws // /►HA2 4. Complete engineered plans and ca . . . . . .. . 5. Plans with Energy Design Compliance Statement. 6. State Energy Forme No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ :W9. Letter of signature authorization. . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: 7)K- (B) Parking: D � '2 L0 . Certificate of Workmen's Compensation Insurance. . ^ //�it/A2 ��P•, �% 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. Mobi lehome Installation Data. . . . . . . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other_Drivewa) permit F4(const. approval required prior tX) occupancy ) When you issue the pernit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver'w./inspector. Other 11 ' Applicant D'ate ���`7. �G Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the "fol lowing data must be submitted prior to permit issuance: (For required items not checked above a application, circle item.) 1. Index permit for above Items No. �E(/!$� j CWC 70 2. Additional items required: Gro PC �� G •1 ( ntra or, Designer, Plans checked by_ I was wised 9f above required d By Telephone —'Mail Other / Date Date f` Aw*,e j,� Copy—DPW IbElljr & 1jJ?.FIL , W \\\ CONSTRUCTION, INC P.O. Box 929 Orland, CA 95963 9164 400 February 19, 1986 Butte County Building,Department 7 County Center Drive'...; Oroville, CA 95965 , Re: Ginno & Huffman Construction, Inc. Office Building Remodel 2593 Highway 32, Chico, California Gentlemen: By this letter, I am forwarding to you the following: 1. A copy of our company's Cal Compensation & Fire Company Insurance Binder demonstrating that our company is fully insured through Cal Comp through June 1, 1986. 2. The third copy of our Office Building Remodel Plan for your records. 3. A letter of authorization from our company on --the behalf of Bill Goggin, pursuant to your request. If you should have any questions concerning this matter, please feel free to contact me at the above -listed telephone number. Thank you for your consideration in this matter. Sincerely, Cy � D*��� Jody dearis Enclosures F ,mo'14o Ks OVN P g�0 oEO p �Z 19��0 vie NJ @A Ib�.►'� JJr & AJUeeLhu \\\ CONSTRUCTION, INC P.O. Box 929 Orland, CA 95963 916-8�$�56g `+oo February 19, 1986 �`► Butte County Building Department 7 County Center Drive Oroville, CA 95965 Re: Ginno & Huffman Construction, Inc. Office Building Remodel 2593 Highway 32, Chico, California Gentlemen: By this letter, Ginno & Huffman Construction, Inc. is hereby authorizing Bill Goggin (one of Ginno & Huffman's project superintendent,:employees) to sign any and all documents and letters of whatever kind as it relates to the above=mentioned project. Mr. Goggin is an employee of ours, and we have complete confidence in him to handle all paperwork related to this project. If you should have any questions concerning this matter, please do not hesitate to give me a call. Thank you for your attention in this matter. Since ly, Richard E. H fman Vice President REH/jm Oki COMP • CAL COOP • CAL COMP • CAL COOP • CAL COOP • CAI. COMP.• CAL COOP • CAL COOP Lk - -7/-1t/filo X 0 Cr �10 a/ -&4IL0 OYIP OCALIFORNIA COMPENSATION & FIRE COMPANY (� HOME OFFICE: NOVATO, CALIFORNIA GL 0 0 Standard Workers' Compensation and Employers' Liability Polley.' m (Participating) 0 a, The company designated or narned on the Declarations page 0 ZL (A Stock Insurance Company Herein Called the Company) 1173• S (� Agrees with the insured, named in the Declarations made a part hereof, in consideration of the payment of the premium as E'e' 0 provided herein, and subject to the right of cancellation for non-payment thereof, and in reliance upon the statements in the 0 aDeclarations and subject to the limits of liability, exclusions, conditions and other terms of this policy: 0 (, INSURING AGREEMENTS I. Coverage A — Workers' Compensation. To pay promptly when due all compensation and other benefits required of the Q insured by the workers' compensation law. 0 Coverage B — Employers' Liability. To pay on behalf of the insured all sums which the i ureal shall become legally obli- 0 W, gated to pay as damages because of bodily injury by accident or disease, including death at any time resulting therefrom, 0 0 (a) sustained in the United States of America, its territories or possessions, or Canada by any employee of the insured arising ° out of and in the course of his employment by the insured either in operations in a State designated in Item 3 of the Decla- ° Q. rations or in operations necessary or incidental thereto, or Ib1 sustained while temporarily outside the United States of America, its territories orpossessions, or Canada by any employee 1— 0of the insured who is a citizen or resident of the United States or Canada arising out of and in the course of his employ- (� ment by the insured in connection with operations in a State designated in Item 3 of the Declarations; but this insurance �� does not apply to any suit brought in or any judgment rendered by any court outside the United States of America, its 0 U territories or possessions, or Canada or to an action on such judgment wherever brought. .� Q. 11. Defense, Settlement, Supplementary Payments. As respects the insurance afforded by the other terms of this policy the S Company shall: (7 0 (a) defend an proceeding against the insured seeking such benefits and an suit against the insured alleging such injury and t— Y p 9 9 9 Y 9� 9 9 1 rY seeking damages on account thereof, even if such proceeding or suit is groundless, false or fraudulent; but the Company may make such investigation, negotiation and settlement of any claim or suit as it deems expedient; . 0 U (b) pay all premiums on bonds to release attachments for an amount not in excess of the applicable limit of liability of this Is 6Lpolicy, all premiums on appeal bonds required in any such defended proceeding or suit, but without any obligation to apply ° S for or furnish any such bonds; c 0 (c) pay all expenses incurred by the Company, all costs taxed against the insured in any such proceeding or suit and all interest r' 0 accruing after entry of judgment until the Company has paid or tendered or deposited in court such part of such judgment 0 as does not exceed the limit of the Company's liability thereon; 0 0 (d) reimburse the insured for all reasonable expenses, other than loss of earnings, incurred at the Company's request. As aThe amounts incurred under this insuring agreement, except settlements of claims and suits, are payable by the Company in ° addition to the amounts payable under Coverage A or the applicable limit of liability under Coverage B. 0 Ill. Definitions (a) Workers' Compensation Law. The unqualified term "workers' compensation law" means the workers' compensation law and any occupational disease law of a State designated in Item 3 of the Declarations, but does not include those provisions 0 of any such law which provide non -occupational disability benefits. 6 (b) State. The word "State" means any State or Territory of the United States of America and the. District of Columbia. i � 0 (c) Bodily Injury by Accident; Bodily Injury by Disease. The contraction of disease is not an accident within the meaning of P U the word "accident" in the term of "bodily injury by accident" and only such- disease as results directly from a bodily 0 injury by accident is included within the term "bodily injury by A=ident." The term "bodily injury by disease" includes U only such disease as is not included within the term "budily injury by accident." 0 0 • (d) Assault and Battery. Under Coverage B, assault and battery shall be deemed.an accident unless bommitted by or at the Sdirection of the insured. 0 (� IV. Application of Policy. This policy applies only to injury (1) by accident occurring during the policy period, or (2) by U disease caused or aggravated by exposure of which the last clay of the last exposure, in the employment of the insured, to con- ditions causing the disease occurs during the policy period. 0 U � ;CAL COMP •CAL COMP • CAL COOP • CAL COOP • CAL COOP • 04L COMP • OAL COOP • CAL COMP 7204 (4184) CSL COMP • CAL COMP • CAL COMP • CAL COMP • CAL COMP • CAL COMP • CAL COMP • CAL COMP LLU a IV Q 0 Q IV0 J u 1. 5 0 _J 40 C) rx n J U 0 .J� 0 U J U (1 V U J U la 5 U n 0 J U CL 0 EXCLUSIONS X This policy does not apply: (a) under Coverages A and 8 to operations conducted at or from any workplace not described in Items 1 or 4 of the Declara- tions if the insured has, under the workers' compensation law, other insurance for such operations or is a qualified self- S insurer therefor; T3 (b) under Coverages A and B unless required by law or described in the Declarations, to dornestic employment or to farm or i agricultural employment; (c) under Coverage B, to liability assumed by the insured under any contract or agreement, but this exclusion does not apply to a warranty that work performed by or on behalf of the insured will be done in a workmanlike manner; (d) under Coverage B, (1) to punitive or exemplary damages on account of bodily injury to or death of any employee employee) S in violation of law, or (2) with respect to any employee employed in violation of law with the knowledge or acquiescence of T3 the insured or any executive officer thereof; •DD (e) under Coverage B, to bodily injury by disease unless prior to thirty-six months after the end of the policy period written claim is made or suit is brought against the insured for damages because of such injury or death resulting therefrom; F� (f) under Coverage B, to any obligation for which the insured or any carrier as his insurer may he held liable under the workers' U compensation or occupational disease law of a State designated in Item 3 of the Declarations, any other workers' compensa- tion or occupational disease law, any unemployment compensation or disability benefits law, or under any similar law. CONDITIONS The Conditions, except Conditions 8, 9, 10 and 16, apply to all Coverages. 1. Premium. The premium bases and rates for the classifications of operations described in the Declarations are as stated therein and for classifications not so described are those applicable in accordance with the manuals in use by the Company. This policy is issued by the Company and accepted by the insured with the agreement that if any change in classifications, rates or S T3 rating plans is or becomes applicable to this policy under any law regulating this insurance or because of any amendments affecting the benefits provided by the workers' compensation law, such change with the effective date thereof shall be stated in an endorsement issued to form a part of this policy. When used as a premium basis, "remuneration" means the entire remuneration, computed in accordance with the manuals in use by the Company, earned during the policy period by (a) all executive officers and other employees of the insured engaged in U operations covered by this policy, and (b) any other person performing work which may render the Company liable under this "Remuneration" Sm - policy for injury to or death of such person in accordance with the workers' compensation law. shall not include the remuneration of any person within division (b) foregoing if the insured maintains evidence satisfactory to the • Company that the payment of compensation and other benefits udder such law to such perso.l is securied by other valid and collectible insurance or by any other undertaking approved by the governmental agency having jurisdiction thereof. If the Declarations provide for adjustment of premium on other than an annual basis, the insured shall pay the deposit premium C) to the Company upon the inception of this policy and thereafter interim premiums shall he computed in accordance with the manuals in use by the Company and paid by the insured promptly after the end of each interval specified in the Declarations. 0 The deposit premium shall be retained by the Company until termination of this policy and credited to the final premium adjustment. • The insured shall maintain records of the information necessary for premium computation on the basis stated in the Declara- tions, and shall send copies of such records to the Company at the end of the policy period and at such times during the policy period as the Company may direct. If the insured does not furnish records of the remuneration of persons within division (b) of the definition of remuneration foregoing, the remuneration of such persons shall be computed in accordance with the U manuals in use by the Company. S The premium stated in the Declarations is an estimated prernium only. Upon termination of this policy, the earned premium T3 shall be computed in accordance with the rules, rates, rating plans, premiums and minimum premiums applicable to this insu- • ranee in accordance with the manuals in use by the Company. If the earned premium thus Computed exceeds the premium pre- viously paid, the insured shall pay the excess to the Company: if less, till, Company shall return to the insured tile, unearned portion paid by the insured. All premiums shall be fully earned whether any woi kers' compensation law, or any part thereof, is or shall be declared invalid or unconstitutional. U 2. Long Term Policy. If this policy is written for a period longr;r than one year, all the provisions of this policy shall apply S separately to each consecutive twelve month period, or, if the first or last consecutive period is less than twelve months, to such 'L7 period of less than twelve;tnonths, in the same manner as if a separate policy had been written for each consecutive period. The • earned premium for each such period shall be computed as ptnvided by Crnldition 1 of this pnliCy, suhject, except ns otherwise provided in the manuals in use by the Company with respect to classifications of nperations for which this policy provides aper capita premium basis, to the following provisions: C7 (a) The premium rates for the first consecutive period shall he thosc stater) in the Declarations an(] those applicable for such [) period in accordance with the manuals in use by the Company: SO - (b) The premium basis, classifications of operations, rates, rating plans, premiums and minimum premiums for each such (b) Z7 subsequent period shall be those applicable for such period in accordance with the manuals in use by the Company. 3. Partnership or Joint Venture as Insured. If the insured is a partnership or joint venture, such insurance as is afforded by this policy applies to each partner or member thereof as an insured only while he is acting within the scope of his duties aS Gticll partner or member. U 4. Inspection and Audit. The Company and any rating authority having jurisdiction by law shall be permitted but not obli- S '10 gated to inspect at any reasonable time the workplaces, operations, machinery and equipment covered by this policy. Neither the right to make inspections nor the -Making thereof nor any report thereon shall constitute an undertaking on behalf of or for the benefit of the insured or -others, -to determine or warrant (flat such workplaces, operations, machinery or equipment are safe or healthful, or are in compliance,with any law, rule or regulation. The Company and any rating authority having jurisdiction by law shall each be permitted to examine and audit the insured's payroll records, general ledger, disbursements, vouchers`, contracts, tax reports and all other books, documents and records of S any and every kind at any reasonable time during the pnlicv neriod ancf env extrnsinn therpnf non r,rithin thrr+n vnnrs nit— termination of this policy, as far as they show or tend to show or verify Ih^ arnnunr elf ramtmrrntinn or other premium basis, or l^ relate to the subject matter of this insurance. ,lie �ompan; and any rating authority having jurisdiction by law shall each be per' itted to examine and audit the insured's payroll records, general ledger, disbursements, vouchers, contracts, tax reports and all other books, documents and records of an and ever kind at an reasonable time during thr uolicv lreriod and anv.PxtPn�cnn..rh RriP,4�,�11A� � ithinRrh a •i�a.L,atr�C>_.,_ termination of this policy, as far as they show or tend to show or verify the amount of remuneration or other premium basis, or relate to the subject matter of this insurance. f� 5. Notice of Injury. When an injury occurs written notice shall be given by or on behalf of the insured to the Company or any of its authorized agents as soon as practicable. Such notice shall contain particulars sufficient to identify the insured and also S reasonably obtainable information respecting the time, place and circumstances of the injury, the names and addresses of the i7 injured and of available witnesses. 6. Notice of Claim or Suit. If claim or suit or other proceeding is brought against the insured, the insured shall immediately forward to the Company every demand, notice, summons or other process received by him or his representative. 7. Assistance and Cooperation of the Insured. The insured shall cooperate with the Company and, upon the Company's re- quest, shall attend hearings and trials and shall assist in of lensing settlements, securing and giving evidence, obtaining the atten• _% Clarice of witnesses and in the conduct of suits or proceedings. The insured shall not, except at his own cost, voluntarily make any payment, assume any obligation or incur any expense other than for such immediate medical and other services at the time ° Of injury as are required by the workers' compensation law. 8. Statutory Provisions — Coverage A. The Company shall be directly and primarily liable to any person entitled to the bene- fits of the workers' compensation law under this policy. The obligations of the Company may be enforced by such person, or �] for his benefit by any agency authorized by law, whether ayainst the Company alone or jointly with the insured. Bankruptcy or insolvency of the insured or of the insured's estate, or any default of the insured, shall not relieve the Company of any of its SU, obligations under Coverage A. ,•• , s;:c;, ,. _ As between the employee and the Company, notice or knowledge of the injury on the part of the insured shall be notice or Q knowledge, as the case may be, on the part of the Company; the jurisdiction of the insured, for the purposes of the workers' f compensation law, shall be jurisdiction of the Company and the Company shall in all things be bound by and subject to the findings, 0 judgments, awards, decrees, orders or decisions rendered against the insured in the form and manner provided by such law and within the terms, limitations and provisions of this policy not inconsistent with such law. 0 All of the provisions of the workers' compensation law shall be and remain a part of this policy,as fully and completely as if written herein, so far as they apply to compensation and other benefits provided by this policy and to special taxes, payments into ° security or other special funds, and assessments required of or levied against compensation insurance carriers under such law. The insured shall reimburse the Company for an p � y payments required of the Company under the workers' compensation law, in A " excess of the benefits regularly provided by such law, solely because of injury to (a) any employee by reason of the serious and insured, willful misconduct of the or (b) any employee employed by the insured in violation"of law with the knowledge or acquiescence of the insured or any executive officer thereof. . , 0 in Nothing herein shall relieve the insured of the obligations imposed upon the insured by the other terms of this policy. 0 9. Limits of Liability — Coverage B. The words "damages because of bodily injury by accident or disease, including death at any time resulting therefrom," in Coverage B include damages for care and loss of services and damages for which the insured is liable by reason of suits or claims brought against the insured by others to recover the damages obtained from such others because of such bodily injury sustained by employees of the insured arising out of and in the course of their employment. The limit of 0 liability stated in the Declarations for Coverage B is the total limit of the Company's liability for all dmages because of bodily injury by accident, including death at any time resulting therefrom, sustained by one or more. yees in any one accident. ,c The limit of liability stated in the Declarations for Coverage B is the total limit of the Company %'l lability for all damages be- cause of bodily injury by disease, including death at any time resulting therefrom, sustained by one -or more employees of the insured in operations in any one State designated in Item 3 of the Declarations or in operations necessary or incidental thereto. The inclusion herein of more than one insured shall not operate to increase the limits of the Company's liability. 0 ♦ I. r 10. Action Against Company — Coverage B. No action shall lie against the Company unless, as aY condition precedent thereto, Ira the insured shall have fully complied with all the terms of this policy, nor until the amount of the insured's obligation to pay TJ shall have been finally determined either by judgment against the insured after actual trial or by written agreement of the ° insured, the claimant and the Company. J. Any person or organization or the legal representative thereof who has secured such judgment or written agreement shall there- after be entitled to recover under this policy to the extent of the insurance afforded by this policy. Nothing contained in this 0 policy shall give any person or organization the right to join the Company as a co-defendant in any action against the insured to determine the insured's liability. Bankruptcy or insolvency of the insured or of the insured's estate shall not relieve the Company of any of its obligations under ° Coverage B. f C) 11. Other Insurance. If the insured has other insurance against a loss covered by this policy, the Company shall not be liable to Athe insured hereunder for a greater proportion of such loss than the amount which would have been payable under this policy, 0 had no such other insurance existed, bears to the sum of said amount and the amounts which would have been payable under 0 each other policy applicable to such loss, had each such policy been the only policy so applicable. -S 12. Subrogation. In the event of any payment under this policy, the Company shall be subrogated to all rights of recovery therefor of the insured and any person entitled to the benefits of this policy against any person or organization, and the insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The insured shall do nothing after loss to prejudice such rights. 13. Changes. Notice to any agent or knowledge possessed by any agerit.or by any other person shall not effect a waiver or a 0 (] change in any part of this policy or estop the Company from asserting any right under the terms of this policy; nor shall the terms of this policy be waived or changed, except by endorsement issued to form a part of this policy, signed by the President or Secretary of the Company. 14. Assignment. Assignment of interest under this policy shall not bind the Company until its'con'sent is endorsed hereon. If, r. however, during the policy period the insured shall die, and written notice is given to the Company within thirty days after the 0 date of such death, this policy shall cover the insured's legal representative as insured; provided that notice of cancellation ad- dressed to the insured named in the Declarations and mailed or delivered, after such death, to the address shown in this policy shall be sufficient notice to effect cancellation of this policy. 73 t:: CAL COMP • CAL COMP • CAL COOP • CAL COMP ° CAL COMP • CAL CORP. • Off: COMP •CAL COMP f CAL COOP • CAL COMP • CAL COMP ° CAL COMP • CAL COOP • OAL, COMP • M COMP • CAL COOP KX • 0 V15. Cancellation. This policy may be cancelled by the ii=:sured by. surrender thereof to the Company or any of its authorized agents or by mailing to the Company written notice stating when thereafter the cancellation shall be effective. This policy may 0 be cancelled by the Company by mailing to the insured at the address shown in this Policy -written notice stating when not less 0 than ten days thereafter such cancellation shall be effective. The mailing of notice as aforesaid shall be sufficient proof of notice. 0 The time of the surrender or the effective date and hour of cancellation stated in the notice shall become the end of the policy . U period. Delivery of such written notice either by the insured or by the Company shall be equivalent to mailing. If the insured cancels, unless the manuals in use by the Company otherwise provide, earned premium shall be (1) computed in ° accordance with the customary short rate table and procedure and (2) not less than the minimum premium stated in the Declara- 0tions. If the Company cancels, earned premium shall be computed pro rata. Premium adjustment may be made at the time can- cellation is effected and, if not then made, shall be made as soon as practicable after cancellation becomes effective. The 0 Company's check or the check of its representative mailed or delivered as aforesaid shall be sufficient tender of any refund of U premium due to the insured. S • When the insurance under the workers' compensation law may not be cancelled except in accordance with such law, this condi- tion so far as it applies to the insurance under this policy with respect to such law, is amended to conform to such law. • O0 n 16. Terms of Policy Conformed to Statute — Coverage A. Terms of this policy which are in conflict with the provisions of the r- 0 workers' compensation law are hereby amended to conform to such law. �+ 17a , ion U . Declarations. By acceptance of this policy the insured agrees that the statements in the Declarations are his agreements and representations, that this policy is issued in reliance upon the truth of such representations and that this policy embodies all S& • agreements existing between himself and the Company or any of its agents relating to this insurance. A. 18. Participating Provision. Under California law, it is unlawful for an insurer to promise the payment of dividends under an unexpired Workers' Compensation Policy, or to misrepresent the conditions for dividend payment. Dividends are payable only pursuant to conditions determined by the Board of Directors of the Company, following policy expiration. - C� The named insured shall be entitled to participate in the distribution of dividends to the extent and upon the conditions fixed (� and determined by the Board of Directors, in accordance with law, after the expiration of the policy period to which the diedvi- 0 • dend is applicable. In addition to conditions for dividend payment established and amended by the Board of Directors, the T2 Sfollowing conditions apply: O (a) Dividends computed to be less than $25 shall be forfeited and waived, and no dividend check in an amount less than t25 0 shall be issued. c 0 (b) No dividend shall be payable hereunder on any policy which is cancelled prior to its expiration date, and is not reinstated or U rewritten. 0 0 • (c) No dividend shall be payable hereunder unless the insured has complied with all the terms of the policy in respect to the payment of premiums and the reporting of payroll. 0 19. Endorsement Agreements Limiting and Restricting this Insurance— California. �C/ California A ` pproved Form No. 1C. It is AGREED that such insurance as is afforded by the policy by reason of the designa- tion of California in Item 3 of the Declarations is subject to the following provisions: U(a) Serious and Willful Misconduct and Additional Compensation for Minor's Illegal Employment not Insured. The policy does _1% not apply to liability for additional compensation imposed on the insured under Sections 4553 and 4557, Division IV, a. Labor Code of California, by reason of the serious and willful misconduct of the insured or any representative of the insured ° S or by reason of injury to an employee under sixteen years of age and illegally employed at the time of injury. 0 0 (b) Application of Policy. With respect to Coverage A, Insuring Agreement IV, "Applicationftif Policy" is amended to read as follows: C, This policy applies only to injury (1) by accident occuring during the policy period, or (2) by disease caused or aggravated C) 0 by exposure during the policy period to conditions in the course of employment by the insured. 11 ° (c) Exclusion under Coverage B — Employers' Liability. Exclusion (b) of this policy F p y is amended to read as follows: - • S This policy does not apply under Coverage B with respect to any employee in domestic employment not described in the 0 Declarations unless the policy applies under Coverage A with respect to such employee. It is further agreed that the policy, including all endorsements forming a part thereof, constitutes the entire contract of insurance. 0 No condition, provision, agreement, or understanding not set forth in the policy or such endorsement shall affect such contract 0 U or any rights, duties, or privileges arising therefrom. Q, Failure to secure the payment of full compensation benefits for ALL EMPLOYEES as required by Labor Code Section 3700 0 S is a violation of law and may subject the employer to the imposition of a Work Stop Order; large fines, and other substantial penalties (Labor Code Section 3710.1, et seq.). r IN WITNESS WHEREOF, the Company has caused this policy to be signed by its President a0nd Secretary but this policy . U shall not be valid unless completed by the attachment hereto of a Declarations page. 0 a • 0 C) a OSeue�aiy r UPrasldenf r 0 U0 ig CAL COOP • CAL COOP • GAL COOP • CAL COOP • CAL COMP !4 4Z iC VIPk�QAL: CHOP •;CAL COOP GENERAL CORRECTIQN ENDORSEMENT IT IS AGREED THAT 1. NAME OF INSURED XX 5. INCEPTION DATE 2. ADDRESS OF INSURED [J 6. EXPIRATION DATE [. 3. ENTITY n 7. CLASSIFICATION(S) j j 4. LOCATION(S) i ) 8. RATE(S) j J shall be amended as follows NAME OF INSURED TO READ: GINNO & HUFFMAN CONSTRUCTION, INC. ONLY THE ITEMS MARKED .-i ARE AFFECTED BY THIS ENDORSEMENT. 9. AUDIT PERIOD EJ 10. MINIMUM PREMIUM ( 1 11. DEPOSIT PREMIUM No Charge 12. COVERAGE i J Prefix Policy No. Endorsement Effective Expiration of Policy N -R Term No Charge Additional Return Premium Premium 85 WR 135354 6-01-85 6-01-86 $ $ Nothing in this endorsement contained shall be held to vary, alter, waive or extend any of the terms, conditions, agreements or limitations of this policy other than as above stated. Nothing elsewhere in this policy shall be held to vary, alter, waive or limit the terms, conditions, or agreements or limitations of this endorsement. TO BE ATTACHED TO AND FORMING A PART OF ABOVE NUMBERED POLICY. Issued To GINNO-HUFFMAN, INC. Countersignature Date Endorsement No. tX;XCALIFORNIA COMPENSATION & FIRE COMPANY 6-11-85 km 5 [_i THE HANOVER INSURANCE COMPANY Agent's Code 30097 C:.]- MASSACHUSETTS BAY INSURANCE COMPANY J, H, MILLER & CO. BOX 155427 SACRMENTO, CA. 95825 70.2.6 President , Countersigned By Authorized Representative` Workeis' Compensattion and Employers' Liability Policy DECLARATIONS Name of Insured and Address i • T E M GINNO—HUFFMAN, INC. 1 506 EAST ST ORLAND, CA. 95963 1:4L COAP CALIFORNIA COMPENSATION & FIRE COMPANY HOME OFFICE: NOVATO, CALIFORNIA Policy Number 85 WR 135355 Producer Locations • All usual workplaces of the insured at or from which operations covered by this policy are Conducted are located at the above address unless otherwise stated herein. J.H. MILLER & COMPANY BOX 155427 111.,10K.SAC ._JENx(�:t,;CJ - ;55�?;t25. �, 3�1ll a' a, i 7 JolloU "' i �! r 11 �' 04 JeN %";4�.�.�' : ... ! 'j Iu S Lial I '( if, (lir C'l Y t: It of -i0 J k)In^,,L• it _"10 (jU 1' t 2•(alat + _ ..._ . _ , ;,Rt ;; t .. , ....., f , �... , ; �:: .y, r•.; :01 A.M., standard titre et the ` 2 Policy Period: From 6-01-85 to 6-01-86 address of Insured as stated herein. • 3 Coverage A -of this policy applies to the Workers' Compensation Laws of the state of California. .t Claselfleatlons of Operatloos' Premium Basis Rates CODEBUFaax Entries in thls.ltem, except as specifically provided elsewhere Esnmated Per wo N0. In this policy; do not modify any of the other provisions of this policy. Toter Annual of • • Remuneration Remuneration 5403 CARPENTRY--N.O.C. 11.46 8810 A CLERICAL OFFICE EMPLOYEES--N.O.C. .56 AS PER CONTRACTORS SCHEDULE ATTACHED 52 GO � � C3 • Cplt►C'�a�'T� �,�� Ji ►'rr n~ ,L �.. ( d.,.+f:�il � e "�,,�yy,}.//((. ,1� ��'r�jt (" ,p'iy�j,j_/�'rr - ,• ,. .'C`t; � 1��'i �h• .w R. S.i�I�} .cJ•��Fa, i.}.�. .. .L6�Na��/(,'/�• S '�/f/" ice/' h j ..J 1�! 711� t• �_�; i� •?r..., .. {..., -. ;Trp ��.. "tr J .. - '.CJ .t•\ -t' �y!w`-,�) a. f ' {• :, ' 1 .1A .. ; 7 , r j' a . 1 " • , rr. .. C t ':Pa`�kn01t41dl�eueeMPbrbd DEPOSIT '' MINIMUMPREMIUM ESTIMATED ANNUAL PREMIUM tit ( �� 1,513 1,125. 15 1,32 . ElINSUt� dENTI '3L•ORPORATION' 5-JOINTVENTURE 7 -OTHER r• 1 x•.;1, 1042P.M;THERaHfPLL'4r .+ 4-HUSaa4WIFE- $-WHOLLY OWNEDOORPORATIONA ,' iho (? .; t 2 a +\' Fb- d 7t "'9.' 9 10 it 12 13 14 15' RENEWAL OFPOLIQINO. • NEW . •••• • • • •• •• • •• •• ••••••• �••�••• DOR, •••• •• •• •• ••• •• •• •••••••••• ��•••••••• 51 umns e>'T,IIab111ry for COxf "*AJ-y%ppIP"WA0011111 , $21000,000, -subject -to all the terms of-this,policy having reference thereto. Id ;.�,pv I 6 The following parsons are speeNkally oovered as employees, anything In the ENDORSEMENT AGREEMENTS LIMITING AND RESTRICTING THIS INSURANCE -CALIFORNIA, on the reverse aide, to the contrary notwithstanding: ,4,11 r 'J, Countersigned 5-22-85 ]P at NOVATO By r %3Mw Date 1 President FOR ADDITIONAL COVERAGE AND PROVISIONS LIMITING AND RESTRICTING THIS INSURANCE SEE REVERSE SIDE. cn.1 Mr7 Q/N;)1 m ENDORSEMENT AGREEMENTS LIMITING AND RESTRICTING THIS INSURANCE CALIFORNIA CALIFORNIA APPROVED FORM NO.1 C � It is AGREED that such insurance as is afforded by the policy by reason of the designation of Califorrda In ftsm`3 of the d6cl1ratlons Is subject to the following provisions: 11. Serious and Willful The policy does not apply to liability for additional pomhe nsatl'� n ured-undar Section 4553 pe On �'� Misconduct and Addl- . and 4557, Division IV, Labor Code of California; by reason. ofthe seridue.and wilful mficonduct of the tional Compensation insured or any representative of the insured or by reason)=of,inju'ry tca1Amitrpbyee under sixteen years of For Minor's Illegal age and Illegally employed at the time of Injury. ^ • 4 Employment not ` ...._ . Insured 2. Application of Policy With respect to Coverage A, Insuring Agreement IV, "Application of.[ Cdl6�i"!,it:a ended tb:' &as'foliows: This policy applies only to Injury (1) by accident occurring during the policy period, or (2) by disease Caused or ggravated by exposure during the policy period to conditions in the course of employment by the Insured. 3. Exclusions under Exclusion (b) of this policy is amended to read as follows: a Coverage B - Employers' Liability This policy does not apply under Coverage B with respect to any employee In* domestic employment not described in the declarations unless the policy applies under Coverage A with respect to such employee. It is further agreed that the policy, including all endorsements forming a part thereof, constitutes the entire contract of Insurance. No condition, provision, agreement, or understanding not set forth in the policy or such endorsement shall affect suchcontract or any rights, duties, or privileges arising therefrom. .A o c .. •- �t�47,'�'•iS.�tU:gip�a pti ,,�t >�_. Failure to secure the payment of full compensation benefits for ALL EMPLOYta s squired by•1Labor- Code Section 3700 is a violation of law and may subject the employer to the imposition of a Work Stop Order, large fines, and other substantial penalties (Labor Code Section 3710.1, et seq.). I%Nltc?:till, Im.f l ^ r ;o:'A1'$�.� �';,Y Vit,,, ',, *�� • «; . >acfE:MtrAx .rii�ekrrr A $50.00 FLAT CL-IARGE WILL BE -ASSESSED ON FINAL AUDIT. (The Attaching Clause need be completed only when this endorsement is issued subsequent to peporation of the policy.) WORKERS' COMPENSATION WC 91100 OTHER STATES ENDORSEMENT This endorsement, effective 6"'0"85 , forms a part of policy No. 85 WR 135355 112.01 A.M., standard time) issued to GINNO AND HUFFMAN, INC. by CALIFORNIA OOMPENSATION AND FIRE CO. WC 7792 (Ed. }82) ----------------------------- ----------------------------------------- A.Thonzed Reoresentative SCHEDULE OF STATES All states except Nevada, North Dakota, Ohio, Washington, West Virginia, Wyoming, States designated in Item 3 of the declarations and' tAbsence of an entry, means there are no other state exceptions. It is agreed that: 1. If the insured conducts operations in any state designated in the Schedule of the States above, this policy shall apply to such operations as though such states ;were designated in Item 3 of the declarations, except: o. The word "states when used in this endorsement and Schedule of States, does not include any territory of the United States of Americo. b. The company will reimburse the insured for all compensation and other benefits required of the insured by the workers' compen- sation low if the company is, unable to perform its duties under Coverage A. c. This endorsement does not provide United States Longshoremen's and Harbor Workers' Compensation Act coverage. 2 At the effective date of this endorsement the insured declares that it is not conducting operations in any state designated in the Schedule of States. The insured will promptly notify the company if it conducts operations in any such state. AUTHENTIC 01 � � • 0! I Oi A $50.00 FLAT CHARGE WIL,, BE ASSESSED ON FINAL AUDIT. EFFECTIVE.. _ . 6-01.85 LONGSHOREMEN'S AND HARBOR WORKERS`COMPENSATION ENDORSEMENT The obligations of paragraph one (a) of the Policy include the Longshoremen's and Harbor Workers' Compensation Act, being Public Law No. 803 of the 69th Congress, approved March 4, 1927, as ex- tended to civilian employees of the Nonappropriated fund instrumentalities of the United States under the jurisdiction of the Armed Forces by the Act of July 18, 1958, being Public Law 85-538, 85th Congress (72 Stat. 397, 5 U.S.C. 150K-1), and all the laws amendatory thereof or supplementary thereto which may be or become effective while this policy is in force. The Company will carry out provisions of Section 35 of the Longshoremen's and Harbor Workers' Com- pensation Act. It is agreed that the liability of the Company under Paragraph One (b) of the Policy is limited to $1,000,000 for all damages from one or more claims arising from each occurrence. Insolvency or bankruptcy of the Employer and/or discharge therein shall not relieve the Company from payment of compensation and other benefits lawfully due for disability or death sustained by an employee during the life of the Policy. f The Company agrees to abide by all the provisions of the Longshoremen's and Harbor Workers' Com- pensation Act and all lawful rules, regulations, orders and decisions of the United States Department of Labor, Bureau of Employees' Compensation Commission and of the Deputy Comissioner having jurisdiction, unless and until set aside, modified, or reversed by a court having jurisdiction of the par- ties and the subject matter. If this Employer is a contractor the subject of whose contract includes operations covered by this Policy and he shall sub -contract all or any part of such contract to one or more sub -contractors the remuneration of all the direct employees of all such sub -contractors shall be included in the return of remuneration under the provisions of this Policy upon which premium is computed. Such remuneration so reported shall be considered the remuneration of employees of this Employer and shall in all in- stances be governed by the same terms, conditions, requirements and obligations of the Policy as the remuneration of the direct employees of this Employer. The requirements of this paragraph shall not apply as respects any such sub -contractor who has secured compensation for his direct employees as required by the Longshoremen's and Harbor Workers' Compensation Act but this Employer shall not claim the benefit of this exemption unless and until he shall satisfy the Company by certificate or otherwise that any such sub -contractor has legally secured the payment of compensation to his own direct employees and then'only respecting any sub -contractor who has furnished such proof. This endorsement shall not be cancelled prior to the date specified in this Policy for its expiration until at least thirty days have elapsed after a notice of cancellation has been sent to the Deputy Commis- sioner and to this Employer. All terms, conditions, requirements and obligations expressed in this Policy or in any other endorse- ment attached thereto which are not inconsistent with or inapplicable to the provisions of this endorse- ment are hereby made a part of this endorsement as fully and completely as if wholly written herein. Reference to the law of any state in condition 8 of this Policy is hereby declared to include, for the pur- pose of this endorsement only, the provisions of the Longshoremen's and Harbor Workers' Compensa- tion Act, as amended, and of the said Act of July 18, 1958, 5 U.S.C. 150K-1. Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, agreements or limitations of this policy other than as above stated. This endorsement when countersigned by a duly authorized representative of the Company becomes an effective endorsement of Policy -No._ 85 WR 135355 issued by the CALIFORNIA COMPENSATION & FIRE COMPANY to GINNO & HUFFMANs INC. Endorsement No. 2 Dated at NOVATO , California. CALIFORNIA COMPENSATION & FIRE COMPANY Countersigned by President 5-23--85 pg. 72.48 AUTHORIZED REPRESENTATIVE CONTRACTOR'S SCHEDULE ENDORSEMENT • POLICY SCHEDULE —CLASSIFICATION OF OPERATIONS Estimated Total Annual Rate per Sine 01 Remuneration 110 6-01-86 Remuneration Earned 5403— CARPENTRY — N.O.C. $ 11.46 5645(A) CARPENTRY — construction or remodeling of detached private residences for oc- $ 11.39 cupancy by one of two families and the construction of private garages in connection with such structures — Including Installation of interior trim, builders finish and cabinet work. 5645(B) CARPENTRY — construction or remodeling of dwellings not exceeding three stories in $ 11.39 height and private garages in connection therewith — including installation of interior trim, builders finish, and cabinet work. 5020— CEILING INSTALLATION — suspended acoustical grid type. $ 6.75 5200(A) CONCRETE OR CEMENT WORK — pouring or finishing of concrete sidewalks, drive- $ 6.08 ways, patios, curbs or gutters — Including the making or stripping of forms. 5200(8) CONCRETE OR CEMENT WORK — pouring or finishing of concrete floor slabs, poured $ 6.08 In place and on the ground for other than concrete buildings or structural steel buildings of multi -story, construction _ Including the making or stripping of forms. 5213— CONCRETE CONSTRUCTION — N.O.C. — including foundations, or the making, setting $ 9,11 up or taking down of forms, scaffolds, falsework or concrete distributing apparatus — N.P.D. with 5222(A), "Concrete Construction — bridges or culverts", 5040(8), "Bridge Building — Metal", 6003(C), "Bridge or Trestle Construction — Wood" or 5506 or 5507, "Street or.Road Construction". 5214— CONCRETE OR CEMENT WORK — pouring or finishing of precast concrete wall $ 5.18 panels, precast floor slabs or precast roof slabs at ground level and at job site — including the making or stripping of forms. 5190— ELECTRICAL WIRING — within buildings — including storage and yard employees in- $ 4.52 stallation or repair of fixtures or appliances. 5443— LATHING $ 8.01 5022— MASONRY — N.O.C. $ 8.62 5474(A) PAINTING, DECORATING OR PAPER HANGING — N.O.C. including shop operations. $ 10.61 5480— PLASTERING OR STUCCO WORK $ 11.70 5183— PLUMBING — N.O.C. — Shop and outstide — gas, steam, hot water or other pipe $ 6.29 fittings, installation, including house connections installation. 5348 — TILE, STONE, MOSAIC OR TERRAZZO WORK — interior construction only — not $ 6.48 fireproof the construction. 5445— WALLBOARD APPLICATION — within buildings — installation or application of gypsum $ 7.71 wallboard — Including finishing and preparation prior to painting — N.O.C. 5507— STREET OR ROAD CONSTRUCTION — Grading — All operations of bringing roadbed $ 8.80 to grade, Including clearing and grubbing right-of-way and temporary surfacing. 5506— STREET OR ROAD CONSTRUCTION — Paving or repaving, surfacing or resurfacing or $ 7.49 scraping — all kinds — including airport runways, warming aprons, incidental field plants, fence or guard rail construction. 6217(A) EXCAVATION, N.O.C. — Including borrowing, filling or backfilling. $ 6.38 6217(8) GRADING LAND, N.O.C. — including borrowing, filling or backfilling. $ 6.38 Estimated Premium Policy Number Endorsement Effective Policy Period 85 WR 135355 6-01.-85 6-01-85 110 6-01-86 Nofning conlalnea In tnls endorsement snall be held to vary, alter, waive or extend any of the terms, conditions, agreements or limitations of this policy other than as above stated. Nothing elsewhere in this policy shall be held to vary, alter, waive or limit the terms, conditions, or agreements or limitations of this endorsement. TO BE ATTACHED TO AND FORMING A PART OF ABOVE NUMBERED POLICY. Issued to: GIN O •& HUF'FMAN,INC. F—J.H. MIT,TJM & CO. BOX 255427 SACRAMENM, CA 95825 72-18 (3185) Agent's Code 30097 Issued by: ® California Compensation & Fire Company ❑ The Hanover Insurance Company ❑ Massachusetts Bay Insurance Company PrxtlMt countersigned by: authorized representative PERMIT NO. 4723-:74B,P,E,M P a E M MH UTIL. ;PERMIT NO. at PERMIT EXPIRES / r OWNER W.D. Betty :r CON TR. s =''OCATION (A.P. 42-08-48 SW corner of Hwy 32 and Kennedy Ave.,Chicc 1 i i Temp. Power Pole Called PG&E Temp. Elec. Serv. 42 ? Called PG&E Temp. Gas Serv. Called PG&E / JOB FINALED / 11" � / � •-moi ' (Dee)r I'll (Sign ure 1 2 3 4 • 1 2 3 •. 4 5 6 7• . 8 10 11 12 13 14 15 16 1 7 0 1 19 20 21 d, 23 24 , 25 26 27' *- 29 30 31 32• 33 34 35 36 3`0 38 39 40 COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) gg P . MBING Setback Firewall ---- —" Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings 0 7 4 Windows % 3rd Floor Stemwall 6 — 7 °V Siding f —'T-- -7 '- To out --7 <S— Water d D-- Roof Sheathing — Water Piping _ G 76— �% Piers Roofing , q — Q — -7 Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. /s Stemwall - Prov. for physically �_ Heaters Slab handicapped Appliances Carport J Conformance of ex. Gas Piping & Test/O Footings structure _ Temp. Gas Slab — Final 2 -- 7 Sanitation Patio FIREPLACE Final — -- %% Footings Footing ELECTRICAL Masonry Walls ------ Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing — * Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating 7 S service Brown Cooling % SJ Temp. Pole Finish DuctsUnderground Interior Lath Ventilation Perrnane t Door Closer Final 1 Z7 Final ^ DITE REMARKS OR CORRECTIONS ® PAo j r iM— .moo A FI-ISIA16 70 /w. A/. 7 /,A/ C % /� /i-bD t o� t C,�. OA -e �s-7 le Co 2 %/b �/A o /1O�t� 2 0� C i2 lA/cT 010V vvi 9 -' a i IF PERMIT NO. P 6240-75B f E M +MH UTIL. IPERMIT NO. #' PERMIT EXPIRES OWNER W. D. Betty ICONTR. owner .LOCATION (A.P. 42-08-48 ) I 1SW corner Kennedy Ave. & Hwy 32, Chico til •�i i� �4 i a x ;4 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB 7 FINALED p6 Or�� ( ate) (Signature) I r COUNTY OF)BUTTE - DEPARTMENT OF PUBLIC WORKS w* BUILDING INSPECTION RECORD BUILDING1 BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms !t—,/e — Parapets 1st Flood Main Bldg. Restroom Finish 2nd F o Footings Windows 3rd FI or Stemwal l Siding To Slab Roof Sheathing Wa er i in Piers Roofing S wer Garage Fdn. Vents Fixtures Footings Gara a Vents Water Htr. Stemwall Prov. for physically Heater Slab handicapped ApplWcps Carport Conformance of ex. G$) ping & Te Footings structure p. Gas Slab Final Sa Ration Patio FIR LACE 441 Footings Footing ELECTRICAL Masonry Walls Throat V Rou Reinf. Steel Final Fix res Bond Beam FIRE SPRINKLERS M ors Framing Test ater Htr. Stucco Final Sub anels Mesh MECHANICAk Grd. Fault Prot. Scratch Heatindk I I service Brown CqA i n g Temp. &e Finish s; Undergrv4ftd Interior Lath a ti ion Penna t t' Door Closer Final DATE AREMARKS OR R ECTIONS 1 L COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorzo IepreSelllaLIVeS OI Ine Cuunty of Butte to enter upon the above- ritiloned property for inspection purposes. X ( I/ Dater—�L7 Signature o - erfni3 or gent Receipt No. /p K//��i (/O/ (1P['J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date uildjng permit expires Date..................l��.Z�.�..7,!S.. BUILDING OwnerL) 13 SQ. FT. OCC. BUILDING VALUATION 3- 440 O Mailing Address 1 c lI Telephone No. Fireplace Contractor �— Total Valuation 0 Mailing Address Permit Fee 9.� PI an Checki ng Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1,50 �0 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe awW San FireDept. FireZone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im Plans Declaration P prove nts Building sewer 5.00 ,O Q Lawn sprinkler system 2.00 Bldg. Plckls Recd Parcel pproval Plans • pproval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C7 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home 91 Others Sub -panel (12 or less) (more an 12) .P O Range, Cook -top or Oven 1.00 I Water H ter or Space Heater 1.00 Light fixtures bal a10 &—G25- s., swi es & fix ets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Misc. Classification wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ C WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 3,00 Heating AL tITE2 glen Cooling Ventilation Hood 1 2.00 Permit Fee $ �tv 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 TOTAL PERMIT FEE $�3 authorzo IepreSelllaLIVeS OI Ine Cuunty of Butte to enter upon the above- ritiloned property for inspection purposes. X ( I/ Dater—�L7 Signature o - erfni3 or gent Receipt No. /p K//��i (/O/ (1P['J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date uildjng permit expires Date..................l��.Z�.�..7,!S.. ` `�J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-41541 APPLICATION AND PERMIT O �- -76 Temp. Power Pole License No. Classification Misc. wiing BUILDING I am exempt from the Contractors License Laws of the State of California. Pe it Fee Owner WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on -file with the County of Butte a certificate of Workmen's Compensation Insurance. VXI certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. SQ. FT. OCC. BUILDING VALUATION Heating Cooling Mailing Address eo 9 Ventilation Hood �o Telephone No. •—`AZ Fireplace Contractor Q2 • (-, tV Ei Total Valuation Mai I Ing Address Permit Fee �s Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �3Lv ® E Q�' PLUMBING No.1 @ _ FEE PERMIT FILING,FEE $3.00 Each Trap 1.50 eo;l' C C) Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. "� ,.. 8 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Se� FireDept. Fire Zone Use Permit Building sewer 5.00 Parking Parcel Lawn sprinkler system 2.00 EQA I Plans I Declaration I Parcel Map I 60' R/W I Improvements Bldg. Plans Rec'd I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ET Single Family ❑ Duplex ❑ Mobil Home ❑ Others 4 ///-,/z . Permit Fee ELECTRICAL PERMIT FILING FEE din service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Rarj Cook -top or Oven Wa et r Heater or Space Heater Light fixtures CONTRACTORS LICENSE LAW Hood, Exs a I am licensed under the provisions of Chapter 9, Div. 3, of the Evap.coo Ier State of California Business & Professions Code under the name Air co i style of: Water pump fires & fix outle(A, or F. A. Furn. Motor far. di sp. or D.W. r or heat Dump I certify that I have read this application and state that the above information is correct. I, agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x_ ate'. Signature of Permmiiitteee or nt Receipt No. ,Z,3T White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Mobil Home Facilities Temp. Power Pole License No. Classification Misc. wiing �Nsl I am exempt from the Contractors License Laws of the State of California. Pe it Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on -file with the County of Butte a certificate of Workmen's Compensation Insurance. VXI certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee I certify that I have read this application and state that the above information is correct. I, agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x_ ate'. Signature of Permmiiitteee or nt Receipt No. ,Z,3T White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant TOTAL PERMIT FEE I $_2& 1 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC R F PUBLIC WORKS By Date Puil-d4iing permit �� rT'fll�3[�1� v W1.�Im �s TOTAL PERMIT FEE I $_2& 1 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC R F PUBLIC WORKS By Date Puil-d4iing permit �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS { 7 County Center Drive — Oroville, California 95965 - Telephone: 534-4541 APPLICATION AND PERMIT QU111U114C ICpIC0CI1L0L1VCA UI LIM lwunly UI OUtIe LU enter upun the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X ate �G Z IRECT049 F PUBLIC WORKS Signature of Permitee or Ag 11-- By Date `%© —.?3 —7S Receipt No. J -S F67-- White-D.P.W. — Yellow -Assessor* nk-Inspector — Goldenrod -Applicant Building permit Date 3 —�4 BUILDING Owner ZV ZD E SQ. FT. OCC. BUILDING VALUATION Mailing Address f31PK 3 C 0 Tele one No. — Fireplace Contractor u, Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address 3 / yJ Co PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 2, E E U Each Trap 1.50 C CDWater Repair drainage or vent piping 1.50 piping 1.50 Each gas vMfer heater or vent 1.50 A. P. No. —Q �� Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Satwtettt7R FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Flans Parcel Declaration Parcel Ma P 60' R/W Im P Improvements_ Lawn sprinkler system 2.00 B §i 7 an—s iTec'd I Parcel Approval I Plans Approval Permit Fee $ 0 $ 142) NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 6, QQ 770 ^/A C c Main service incl. 1 meter -3100 l ` _ dditional meters, ch 1.00 ub-panel 02 o ess) (more than 12) 1 /,,---.0 - Single Family ❑ Duplex ❑ Mobil Home ❑ Others Range, Cook -top or Oven 1.00 97 j7` CJ 1 Water Heater or Space Heater 1.00 Light fixtures 2 bala2 Receps., switches & fix outlets 20 P2b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ` I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ S( QU111U114C ICpIC0CI1L0L1VCA UI LIM lwunly UI OUtIe LU enter upun the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X ate �G Z IRECT049 F PUBLIC WORKS Signature of Permitee or Ag 11-- By Date `%© —.?3 —7S Receipt No. J -S F67-- White-D.P.W. — Yellow -Assessor* nk-Inspector — Goldenrod -Applicant Building permit Date 3 —�4 COUNTY OF'BUTTE DEPARTMENT OF PUBLIC WORKS � _. - — 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 6240-75 for the following: Use Classification New Clothing Store Address or Location SW Corner Kennedy Ave. & Hwy. 32,Chico Group F-2 occupancy; Type V—N construction. It is hereby certified for the occupancy described above and may be occupied. Director of Public Works Date January 4, 1978 By POST IN A CONSR GUOUS PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted In a conspicuous place and is not to be removed by other than the Building Inspector. X COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT _.._.._ -y v. vu.... — cn•c1 uNun knc above-mentioned property for inspection purposes. X ZDat Signature of Permitee or Agent Receipt No.�%3�_�� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been pai DIRECTOR OF P LIC WORKS BY Date BLd4ding permit expires Date Jly- BUILDING Owner D,43 e r SQ. FT. BUILDING VALqq Mailing Address �� 3 S �L Fireplace Contractor d K/AJY V Total Valuation — — Mailing Address Permit Fee Plan Ching Fee &/orP nalty / ,,�, -f-S6• e� Telephone No. Permit Fee $ Building Address S'PLUMBING No. @ FEE L'ia do PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. z . (fie— y?Gas A J. Qo"'" piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. a i ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W I ements Lawn sprinkler system 2.00 Bldg. ans Recd ��.P Parcel p7 proval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 raeo UA If � 0 OR LESS Main service 100 AMP OR LESS 5.00 100 . Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ OVR Main service 10 EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 / NEW CONST. LING OR ADONS. ( DACCLBL GS.OCCUP. &) 20sgft NEWCONSTR. MULTI -OUTLET NON.RESID. (BRANCH CIRCUITS) 2.50ea - I F NEW CONSTR. (POWER APPARATUS &) NON RES,D. SINGLE OUTLET CIR. VV!N CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y Ex. Occup(OUTLETS OR FIXTURES)@25c BAL@1 FIXED ALN Ex. Occup. (OUT LETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No 2 33 �.. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ , WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT ' FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ 0"0 _.._.._ -y v. vu.... — cn•c1 uNun knc above-mentioned property for inspection purposes. X ZDat Signature of Permitee or Agent Receipt No.�%3�_�� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been pai DIRECTOR OF P LIC WORKS BY Date BLd4ding permit expires Date Jly- - �r •? �, �12 y d ft""Gr 20 -it 1975 W.0, Sotty$41 Ive'"Otum 032-75 at, 2o Box $SO 42-08-0) ChIcoo CA. 03926 Deav Mr. Zettyi With reU"we, to the ab we subject 40 tba inspection I waft vdth Ym on Smembor 243, 19750, for your P"P"Sl to couvert a Privute.-sbAO to 0 410thft- stafto tho tollmus to a list of item that must bo 4mw 1. SUMO Ym mm already to bustmese, the attubed wltdstU4 for Pamit nest be Mled out k&ere loftested and returaW to this Offtee vith the fe" at the WmIteat Pasible tine. (pe ms of MOO ""Is 029.00 buUAU* permit too plus 414,00 per. oback fee plus 496.00 Pocity fee.) 2. 'four prapefty Is 16"tod withft the urban IWte of tho City of ChUA,vhLch termites that ym ftstall full urbft L""Vom"to oft Y"r Or"*rty f"Atsm, topthov vfth apprWrIate atom dl mUwg* fte It It W. Plea" boutact Joba ftadonsa -`of thia of Me for -Woumllm t *dvice on hm to pvw*W wftb matlsoft$ this. After &WMS#im vith year, It iS aW•un etattsnd ig that tho U m th- rom alaundry VOWS Ottsew 4" to be UO*d iyour use Only. ?lease ver"Y to vrift"# 4. ftwi Ast wes-s to tho bull4fts to tba obysicallY bndkap#W in accordame wItb SwUm 33061 Valform SuUft" Cofto 9. OxIstU% "of caft9fts, Is not fire, ratag4mat as t4quived by Sectim 000 Unifftm BuIldws Cod*. '(You* proposal of a uretbAve =of govarms a"tam vould to on uc taus 41tomativo u the vaquuwaftt Ap4;cIf"4#v ho"Vert the ftbtl" footus vould h&ve to bo ewoW kith 3/$" vIYvw4 before the wetbom apPlft*tUm-) w I FILE NO. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Informations/) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way s , W.D. Betty rex 'Spacial Inspootlon #32-75 (A.P. 42-08-46) Navubw 28, 1975 Page 2 The area is which you are located Is' toned A-2 which vould petit your clothbv' store; however,. the used clothing use requires a use permit.: I suggest you give us A written statement concesrniag your intent to use for nev clothi�,ouly unt11'such tlme as you receive County amoral for same other use. 7. Please contact the Butter County lealt~h Depart6ent,, 69S Oleander Avenues Chico, regarding your smoge disposal system and obtain its approval. Your itwdiate %Wly, and cooperation concerning this matter would be appreciated. Should you have any questions eoncerning this matter, plasma contact me. Yours vlevy -truly, Clay Castleberry oirettor of ,Public we*$ J.F. Glamder 3Fa: dd Assistant Director Attachment ccs Chico Building Inspector Planning Departcont ThVisonnental Sanitation, Chico John Mendonse, Public Works Office A� t� ► W.D. Betty rex 'Spacial Inspootlon #32-75 (A.P. 42-08-46) Navubw 28, 1975 Page 2 The area is which you are located Is' toned A-2 which vould petit your clothbv' store; however,. the used clothing use requires a use permit.: I suggest you give us A written statement concesrniag your intent to use for nev clothi�,ouly unt11'such tlme as you receive County amoral for same other use. 7. Please contact the Butter County lealt~h Depart6ent,, 69S Oleander Avenues Chico, regarding your smoge disposal system and obtain its approval. Your itwdiate %Wly, and cooperation concerning this matter would be appreciated. Should you have any questions eoncerning this matter, plasma contact me. Yours vlevy -truly, Clay Castleberry oirettor of ,Public we*$ J.F. Glamder 3Fa: dd Assistant Director Attachment ccs Chico Building Inspector Planning Departcont ThVisonnental Sanitation, Chico John Mendonse, Public Works Office COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 '? APPLICATION AND PERMIT Owner , I � C • SQ. FT. BUILDING --•p .- BUILDING VALUATION Mailing Address U Telephone -N Contractor C ✓ Fireplace Total Valuation Mailing Address Permit Fee Telephone No. Plan Ch If Ing Fee&/orP nalty Permit Fee Building Address PLUMBING t61IJV 3 PERMIT FILING FEE No. @ FEE Each Trap 33.00 Repair drainage or vent piping 1.50 1.50 Water piping. 1.50 A. P. No. _ ��� �.� Each gas water heater or vent Gas 1.50 zoning $ Planning s piping system 1 - 5 outlets 1-50 Fees W,C. ani tati FireDept. FireZone Use Permit Each additional outlet- Building sewer 30 "' • , EOA Parking Parcel Pa Declaration Parcel M Map 60' R/W Improvements Lawn Sprinkler er system 5.00 2.00Bldg. � ans Reed. Parcel o'•r,ovol Pfo,• .Avere.d mit F40 NEW ADDITION Q UTILITIES ❑ OTHER ELECTRICAL. 1fftnT F11,13a2 jg l Joe 'w 4a • %WOrMR 'me"+ilaaiawac., Single Family Duple C3 ldo0ll Hone OfiSase Oar-VK" 44� i+wte t� • as e� e e • wrx n. if .w. g - Wit CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of tW State of California Business & Professions Code under the tan style of: Ex. OCCJD(OVF:- TY 9a1 Ex. Occup. dw ( vTi. , a : 3 L .. ,oG sg V. . s , c., a. Temporary service Mobile Home Facilities Misc. Wiring. License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL . PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for (Workmen's Compensation. E] I have placed on file with the County of Buttea certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I 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. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i Ventilation Hood Permit Fee e4L6 3. 10.00 15.00 6.25 C FEE 53,00 TOTAL PERMIT FEE. S!9 �� `s—' This permit is hereby issued under Me *=Jl o of the Butte County Code and/or resolution.- v do vrsa`K let4iCss:>e4 above for which fees have been paid. DIRECTOR OF PUBLIC WORKS-' ­ By Data — Building permit expires Date" — - _. ___. _._- -.._ —. _ ._.—..__.._. �---_—.-__—_.— �'�_':.�P..+'I�„��."y"e"R.W-tf , ../-.Q3^r'L.�• 'fes , �a -"r o . . .Z �r �--'----------------Q-�'-�----=-Wiz'-^-2_.�_.�__--------- (6, iY75- 9 ��C Co. �, v 11C C 19 , DM G 1975 992`., COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 u APPLICATION} FOR SPECIAL INSPECTION Telephone No. Mailing Address d v Buildine Address r Mn I hereby request a special inso_ ection for the following:U it/UC /Z 7— S/�� P 'Y 617/- / A v Moved Building / / FHA Financing /ate/ Other 2 6_ (Case No.. )` I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements.. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, �✓ _ if the building is presently occupied, I will complete the' abovAequired corrections, alterations,. or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Fee paid $ J X K 1st -DPW - 2nd -Inspector - 3rd -Applicant 1 Date Receipt No.� �}-a- off -2-) y� 7. t t ht ' r s F 4. Chico.iCaHf."%•)EOYeY'prGSe-itit'COYd, Friday;.iVoy. 3l4, 75.,,Page.8lg,'; Form Produce 24 Motorcycles, Scooters , , 25A Miscellaneous foe Sale 26 Miscellaneous for Sale; 26 Miscellaneous for Sale 28 Mlscelieneoua for Sale 28 Musical Instruments' 2 G70 HONDA 100, 9,000 original DOUBLE DOOR bread ,end bun GARAGESALE —Sat., Nov. 16, GAR S 8ALE -.Sat. only. 8-5 p.m. ®w. '64 DODGE HALF ton pickup, 318 HAMMOND H with external Lesllt miles. Needs a little work to run. '; Wermer, for. bate. -Also looking for 0:30 '111.3. 1260. test 5th Ave. Electric stove. oven, hood, radios, • V-8. Runs good, $450; range with Prime condition.. Walnut flniat a° $200 or best otter 'CeIL345 8540 :,a co, mpact; steam table Phone Couch and chalr,•Iamps, Barden camping equipment, ,ggames, overhead oven, good condition, $2500. Keyboard Korner,.53 "342 1768 :" bumper. • fishing tackle, clothes <mfsc, 566 $50.3454482 after 6 p.m. Broadway, 345.9181... I v '69 NORTON 750 cc, $430; Hodake i EI Reno Or- w ; t 90,•• .$100,,. McOnevox.•console 30 GAL: FISH tank,'o 4vith RUMMAGE SALE = Sat.-Sun , 10-4. GARAGE SALE baby clothes,' Y B Ls stereo• and.TV, 5100. Must ae(I outside filter, pump. Light and ac, Mangrove Plaza. Perking Ldt. SEVERAL ;NEW C h e n f l l e • toys, large and smell mist. odds Hammond .Console f Cell 345-74i8: atter 8 p.m.;.• r'cessorlea. $75, Call after.six Swing set, furniture; clothing, bedspreads, twlti and full size. .end ends. No early birds. 10 to 4 61 note manual ; k ''Assorted atterna,:some only.15V19VeronaCircleoffEast 25 note pedal O 345-2003. books, kitchen Items, lots of tun . D P YAMAHA £0, $50. Low mileage. peacocks,,. roses, wedding rings. Ave. behind 7-11. Was $3200 Now $1895 Call-343-8160 evenings. CAKE DECORATING supplies. YARD SALE, Ceramics, -clothes, Also chenille bathrobes, assorted •' 9 PP BOY'S SCHWINN Sting Ray bike. RUHNKE � •Wedding tops. Classes et House good stuttl Sat..Nov. 15,10 to S. 'sizes and prices. Odds from shop }elr condition, $15. Call 342-2089 . i • Walnuts '72 YAMAHA DIRT bike 60 cc. Just ' of Cakes, 2424 Floral Ave. East 1354 Martin St. s close-out. 345-8348 Piano 8 Organ Co. v v Jter 4:30 m. 123 W. 3rd SI., Chico, 342-2488 >b tuned; now-fire: $125 345-6082 :�.5tfi Ave. at East Ave.qve: 343-2554. P• 'r after 4 m: USED CORRUGATED Oalvihize NEW AND Used Clothin - us p• : r \ g i ESTATE AUCTION: Of Arlene Yea- t ROCK, SAND, Arid revel for ' 28 gauge 15'4" long, 70 sheets, $ 86out anything you went.. Come gger. Sun. Nov 16-1 p.m. Open HOFFNER LUTE-Gullar, with cast nTC TOp Prices HARLEY DAVIDS,Of4, excellent each. Call Orland 885-3451 afte prepared to spend some time house.Sat. Nov. 15-10 a.m. to 5 Was $400 new, $250 firm. Ca 1 condition Cali 345 482) after 5 !, drll+ewey$ and etc, F I dirt, Voll , 8 shopping. New, blue sane, flare a s, d pp g• I m. 3645 Esplanade, Chico. Co. 345-0221_ q, Boll an cow manure CeIY 342- Si3CICSUr��Si IBd D`n1' "9 " ''6863..t PROFESSIONAL regulation size iPe, $9.95; like now dress pante VILing room: Console color TV, '75 YAMAHA 250 Enduto..' 2600 pool table for sale. 1" elate to and work pants $1; sport costa, hide, bed, awlvel rocker, recl- p P a Hammond P( er BICYCLE9 FOR Sale - 10 speed; 3 1.50; waists, $�� sweaters, $1 to NEW LOCATION mllea. ; $000, 'Ce�h Orl4nd : speeds end single speeds. Good phone 346-0223 from 6 to p.m. E1'50; little Iola oodles too, lamp, platform rock t-not blas, Was $1095 Now t6DS 865.3433. p g g temps, pictures, what-not-shelf p ." • s ..condltlon. Reasonable Cell 342 MOVING SALE:' Set.-Sun., .10-5. Bargains. Bettye Economy Shop, with planter, end bric-a-brac. RUHN,KE' a tI1 al OIR�t�i�@A'' 972 after 3 m ~ Out East- Ave. to Penny-Ranch Ranch; 74 XL-350 HONDA; Extras Inp ud .. 7 0 Oak table, stereo, Plano, beds, b Dlhing room: drop leaf table with Plano 8 Organ Co. + •• ed: $850. Willows 934 5790, � +1; 9 desks, dressers„ 10 a eed, bikes turn. right, 2 blks t0 Kennedy 4 leaves end pada, 4 spindle back P I P 123 W. 3rd St. Qh co; 342-2488 p� YARD SALE =-'maple serving tart °VW* nd mUch moth 124 : Ava.` See'sigpns on left' side of . had 2'ce' to n's chairs, tea set- + 72 HONDA CB 100. Excellent Cori• metal daragd'doorCIOthea; toys, e i ° '• 1 road. Open Sat. and Sun. at 10. William Rogers, Holmes and Ed- THINKING ABOUT buying' a ns, n, �7 bb Jetksbn 9t. PVI '; 1 1 G�nl ditlon. Only •3,800 hill6s; ,5350. Gough by pbo9 With filter, black Closed Mon -and Tues: wards sliver plate with chest, Red car? Shop the Clessltied Ads 1c f I Cell.34$-2831. • and whlte' TV console, mist. RADIAL.ARM saw, $65; hldd=a-bed (tams: 1003 Sierra Vista Way. Fri: sofa, $60. Call 345-1916.,, M E.+ skla, table'. eri WIng dlehe§, stemware and the best selection and the be! See -`� ' 73 -YAMAHA 750. Excellent condl- 3-5, Set. 10 till dark. theirs end much more. Set, end ;linens. Bedroom: Double bed with• prices. tion. $1100 'or .consider• trade. KING SIZE Spread, matching ' Sun., 10 a.m. to 4 p.m. 789 Dow- box springs and mattress, his and "� .., -� drapes, new; 'lodlea bicycle, nln Ave.,•Chlco. her chests, dresser with mirror, New Shipment sill! i I I I e 0'1 i i 1 7 342449. GIRL'S 3 Sptled Schwlnn bicycle. p y 9 t ood condition, $8b Calf records,. Jewelry, books, •misc. vanitywith, bench, ceder chest, JUSTARRIVF�''r 71 HONDA CB 450. Excellent tun- 4021 r 1675 Manzenite Sp 19. Anytime GARAGE SALE - reirlgeretor, $16; sewing machine anil desk tom- Fender ` ;S�y@r .b^ " ning condition. Cell 342-5361. after 11 a.m. Evinrude motor;• black And white binatlons with 6helt, nits, stand, + tV.. stereo equipment, camera lamps, bedding, some jewelry, I Super Bullet Strings r , = ANTIQUES, dining room tables and HOUSE PLANT supplies and some e u I 0 end nice women's clothln Kltch- ;°, :.Turn r 1�lusic, q' • , 72 YAMAHA-100, Just rebuilt, Ex• " chalm rockers, maple coffee and. q A m e n t- 6 m P l e n t a xg: cellent racer or play bike. SL'per6• Dunk. 983 Ellene behind, Ch1c0 epotdmatic tripod :lots of . An: 2 door clothing, refrigerator; ' Q GONTINENTA 8ndtabe$:eafa$;theata : Dalaun. Saturday and Sunda 9 , le Ida a meat, lata d1 mist:. 9 Nvp342-5522,< t o Py Jr condition. Must as to app'rocia(b y y D ry g p stalnibss cookware, Corninggwere, 1 F WE BUY, SELLA (RADE to 5. i r„y;, .. •• Frl. 9-5; get 8 12, no early birds. . stainless fiatwsre, smell electric ; OR SALE Fender Preclslo CO. Butte Clty 982-2041,afta 8.., v�'., VILLAGE SQUARE , 1249 Wagstaff Rd:, Paradise 872 PIONEER'S FINEST recelvei 949, g appliances, •pressure cooker, ; Bass, excellent condition. $301 IChICO, C811fOrnIS 7toro5cle, $ OOlor bed1Dav1of1e.;See "mo-North Chico, 60 Esplanadeon,,,,i quad end stereo.• Nevbr :peed:• 0463, 877-8019. Dutch oven. PertIel llsting. Every- { Acoustic '150•"Ampllller .wit a y �eois Ct..Opbn Weekdays 9 tb 5 .1 Original phce,, $795, will sell,for KIS,(180) AND. boots, size 6, $16; thing sold as Is, where Is. this es- I speakers, $300.00, will sail Aeps at 558 1/2 E: 10th'Ave, or ohotte. , Sundays 10 to 5,342-7446:-.6,,,! $800. Orovllle, 633-1082.4;1 ,., < • ” Hoover upright vacuum. $25; pole tete will be sold Indoors. Rein or • palely or together. 343-1398, 345-6369 or(amp,. $5; children's games; ( r ab ehlnet 342-3038 •or 346-9353, THE CLASSIFIED 'Ad-Adere AOC.K,•SAND; driveway gravel, top- PIECE DINING set; . 25!$3 2 electric o0ke`and.Puzzles:,342-3985. '. Daryl,l, Baxter- THE , , , t ' g I; Aon, sow manure. end egwPrhent 'heateis, $t0 and $30; Narga "CLOS CLOSE-OUT 4 here to help you place yOU► ed to entAl. Feed for worms. McKinnev S washer, 14 lbs., $55 991E Ave.. COLOR TV's: Motorola ortabfe CHRISTMAS'CRAFT.Workehop r i ''` t `! •' a t s . LA get be9t,reaults: 1heA§e Cell bs= ruck n .343 9511 PUC No. l;Ai: i Apt. D, 11-4.; 22", $125; Zenith rte le, '19", . Sat.; Nov. 15th, 10 8.m. to 2 pai c tween,8:3o and 6:3o Monday I p° -ON CURRENT thtough Saturday- be hap-` Y'111213. YARD SALE -Sat • 9 toy 4.' 578 $125; Zenith console, 25 new Glenn Heil, 310 CSUC Campus. t WA LN U 11 TS' _ py to help youl METAL BUILDING, 30'x60'z14'. l " v"On"brOse Wsy:' Toys, books, picture, tube, • 1 year warranty, , de onstr tion a pllea. Display, p i $165. Other seta from $39.95 u demonstration end participation dresser, king headboard; cornice, p :New ORGAN Models � . • • 'Painted with 3 roof vents, 12 sky- i See at Tom's Mohawk, 1177 Park In making many different arts end 71 HONDA CB 350. Excellent con- II ht two .12x12' framed open-' boxes, mist. Priced rlghtl Ave.; Chico. crafts Item§, includingdried flow- Coming SOOn c + WANTED," : ditloh. $500. Phone 345 801,8. g �'' 9 10 CU. FT., Propene refrigerator, I i eIngs, one 8x10' framed opening.. or fabric Flowers I gg MOVING SA E— heavy me le din 73 KAWASAKI 500; min4 condltlonc '',$6689;;34¢ 7145 Or 343-4074.•',•'•,. $100 or best. offer; two 38" as, 4 p and flower pots, Christmas deco- 4 g Ing room set, matching safe and rations and stockings,' 4 low mileage, $995 flesh CA11345• ranged, $25 each; '4A CJ2A Jeep bread 4 `•SaV@;$250-•$21700' K NMORE GA8 Range; 12x18 gold ' frontexlea; right their, bedroom .eel, buffet.. sew- ^ dou h badkels;• macrame, , many ' Il1`OP.PRICES PAI®.., 9082 ar 3428941. ght and left.: " g < 3 nd yellow deep shag carpet with Ing •machine In desk cabinet, gun •' athero. ` Get some Ideas for in offer, transfer case, $100 or offer. b AACICS FurniShod . '69. YAMAHA 125-.MX,•1970 parts" .ped; large. Watdr cooler.•$ee et. 345=.1255 efterb m. oa Inst, Movie Camera and pro) expenslveChristmasgiha , FRANCHISEDKIN,BALLANO``• ` : ".fust rebuilt, Phone 342-0378' ilr 549 Hemlock'.: 342.2694: • . , p' dctor,+chest o1 •drawers,• lots of COCA-COLA .Machine,'• great for ESTATE JEWELRY i Layaway now mist• i DAY ONLY. Set., Nov. 15, COLOR TV 17"• good condition. THOMAS DEALER ., •. ;`BUYING HOURS .• 68 HONDA TRAIL' 90,' sub artlos, holds two cases, $125.' for Christmas. Big aelectlon of 0-4. 342-1781. 99E north to Cana $189.50: bunk beds with new FREEDOM MUSIC i r :, , arenamission, only 2651 ml..$150. 342-04ti8. rings sold at 1/2 ellpprelsal price. Hwy, west to Cana Pine Creek mattresses, $95. Call-345-1190. 191 E: 2nd St., Chico.... ..342-893 See at 987 El Ave (near The Heirloom • Cupbbard 5784 Rd., 2nd house on left.. : Skyway, Paredlse • ...877,767 -a BA.M: 5.P.IVI, , 1 t MOVING-2 YR. OLD Whirlpool, 133Sk Chico DetsUn) .;.< RALEIGH 10 speed . (naw) $120. Clark, Paradise. ANTIQUE FURNITURE — beautiful avocado refrigerator, $275; Sears Monday Thru Saturday Ca11343-681,8 V walnut tnarbla top dreiset, large avocado o ado re ye combo, $260; 89 SUZUKI• MOTORCYCLE; ` C " ° ' ' 3 FAMILY YARD Sale = Nov; 15th ` oak dresser with oval mirror, oak Magnavox TV stereo console, Misc. Wanted to Buy X ' ekcellent' 66ndlllon," 260'•sttebt ITS JUST a little corner, crammed, . and 16.'B a.m. and 6 p.m., iZ dining table with b ornate legs $350; baby •furniture. All clean 'blke, $300. Call Corning '824 fhll of,lhings• rifle for the aCar-1 gauge shotgun, tools, cycle pad, and bullt-In leaves, •oak com- and In good condition. 345-8934. CASH FOR Infantry, Alrborno, Ai GbNtINENTAL 37,2. or Santa l0 bring. Barbera'aCar couch, lawn mowor, dinette, modes with towel hors, very old mored. Division histories. Ai:: NUT CO. nor, East and Esplanade. chairs, Honda 350 Scrambler, dry sink, socrotarlos, Hooslor ANTIQUE ROCKING Chair, $30; TRIUMPH 650, Bonnovlllo,'69. New Carrier cruise books, and Al 1a•• ,-- ehildron's clolhos, toys, house•, cabinets, oak L:cbox, walnut SlnnlO rOld-un roll-awDy bad. $25; Foroo nirtorlon..lnck Corbolf. 11, t Q a. �dRV t�°Ti�OIP�a$o', s)Ivom oiiand 3I na:;o:10 :;o : �_no�d1v _r `�--MH Util. PERMIT NO. E) - .1 P 41-7�,3--74r- E F M `MH UTIL. PERMIT NO. PERMIT EXPIRES/ cZ1zzL' S `OWNER W.D. Betty • L CONTR. LOCATION (A.P. 42-08-48 ) r ISW corner of Hwy 32. & Kennedy Ave., Chico } s F« i 't i Ji t +t t4 t rf {r{ I Temp. Power Pole Called PG&E _ Temp. Elea Serv. Z ey - i 5 Called PG&E Temp. Gas Serv. _�, - Z.�� -7 t i Called PG&E t Job A l FI ALED Z Z U 7 ) �✓ (Date) (Signature) PLUMBING ~i-®-71 ELECTRICAL Framing i COUNTY OF BUTTE — DEPARTMENT OF, -PUBLIC WORKS J ' BUILDING INSPECTION' RECORD Test BUILDING BUILDING (Cont'd) Water Htr. Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall SidingTo out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Pi ing & Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing Masonry Walls Throat Roucih Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors PLUMBING ~i-®-71 ELECTRICAL Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service �- Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE OR CORRECTIONS pREMARKS 7 J �L (,fes ,� /h �p [/ �j ' p� d' 071 GG [�'�' Q�Y`dcG'•�G' �/ �. � .ci✓ a/j/� /®'e -a -G � �� - y y��� fa r /4. --7 COUNTY OF BUTTE — DEPARTMENT OF PUBLI^ RKS 7 County Center Driv — Oroville, California 95965 Tel ep n6 V'-4541 APPLICATION AND PERMIT / mvmsentat ves o the County vi Butte to enter upon the above-mentioned property for inspection purposes. X Date q10 J Signature of Permtee or Agent 681,4fa (�/ Receipt No. /� White-D.P.W. — Ye*"%C ss qr _ Pink-Inspector/GMerft4&-6)plicont This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTO 0 P BLIC WORKS By Date —� Kiing permit expires Date...............�.:...1`.j`7 BUILDING Owner SO. FT. OCC. BUILDING VA ION Mailing Address w t eA (- Tel hose Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address or PLUMBING No. @ FEE PERMIT FILING FEE $2.00. ,QO ABh� 4VE COtCrd4(f Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 .;M Each gas water heater or vent 1.50 A. P. No. —08 '—y� ZO° 9 Gas piping system 1 - 5 outlets 1.50 Q Each additional outlet .30 F Sa i o Fire Dept. Fire Zone Use Permit Building sewer 5.00 Jr O Parking Parcel EQA s Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 �4j Idh� R€c Para oval PI proval Permit Fee $ , 00 $Q OD NEW ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 1 $3.00 3,00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home PQ Others ❑ Sub -panel (12 or less) (morethan 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbai�25 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1,00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump ' la SQ Mobil Home Facilities 5.00 .5-.00 Temp. Power Pole 5.00 License No.Misc. Classification wiring X ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2, so $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. x j I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation E2.00 Hood Permit Fee $ $ 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 n"th, r' � ... TOTAL PERMIT FEE mvmsentat ves o the County vi Butte to enter upon the above-mentioned property for inspection purposes. X Date q10 J Signature of Permtee or Agent 681,4fa (�/ Receipt No. /� White-D.P.W. — Ye*"%C ss qr _ Pink-Inspector/GMerft4&-6)plicont This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTO 0 P BLIC WORKS By Date —� Kiing permit expires Date...............�.:...1`.j`7 r r R . PERMIT NO. 5375-76B,E PERMIT EXPIRES OWNER W. D. Betty 7-7 " CONTR. owner LOCATION (A.P. 42-08-48 ` SW corner of Hwy 32 & Kennedy Ave., Chico e �1 i q tjO s� R" r. 'r r 8 r .Temp. Power Pole d Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. t Called PG&E ' }` JOB. t' FINALED _ 112 /-5"—/ (Date (Signature) } i COUNTY OF BUTTE — DEPARTMENT OF,PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I % PLUMBING , Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings Masonry Walls Bond Mesh Scratch Brown Finish Interior Lath Door Closer DATE /4i�1-7-7 Firewall Restroom Finish Windows Siding-4DlE,4) Roof Sheathing %�- Roofing /,2—/,j-- Fdn. Vents Garage Vents Insulation Prov, for phsically handicaooed Conformance of ex. FIRE Footing Throat Final FIR SPR Test Final MECHANIC Heating Cooling Ducts Ventilation Final R!EMARKS 3CjRRECTI Soil Plpin `` 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & T 'Temp. Gas f44 ISanitation Final Fixtures Motors Water Htr. Subpanels Grd. Fault Pro Service Temp. Pole Underground Permanent Final ELECT v v was T 90 V 7 y Sloe as��o� o.c" /4�2 i /% c.�/ovl� .vow �E�/ Ce.tJ J US7 �O✓L 'G� G' /VD 60y9,� F/GD /tl 501& Fi (NOTE: An entry must be made on this form each time you visit the job site.) ri- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive �— Orovi lie, California 95965 r T•elephUne:'53*-4541 APPLICATION AND PERMIT �� AA X !/v Date L&L`s^7b Signature of Permitee or rent -f Receipt No. /6-.er� .7 / S/sgr 3� ` White-D.P.W. 17 '1-0 s0s®r _Pin I� nspectq- Cp�e�rod-A /cant the butte L;ounty code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date�o-2Z— %{o wilding permit expires Date -1-z' 7 7 BUILDING Owner Y SQ. FT. OCC. BUIL LNG VALUATION Mailing Address 2 k. �.�Z 09--0 0 _3� c .T -' O 0 GTelephone I No. 3V3 -!!; Fireplace Contractor ,iz- Total Valuation ,0 o Mai I ing Address D IA/ Permit Fee 3 �� 0,7 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address v/. Mwy PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Few V'�e' I S roAon I Fire Dept. Fire Zone Use Permit Building sewer ' 5.00 arkinEQA PPlans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcelr�roval PI anscXPproval Permit Fee $ NEWS- ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3- 0 a 101 OR L Main service 10000 AMP ORSLESS 5.00' Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ OthersJ& OVER Main service 00 AMP oR LESS 25.00 Main service EA. ADD•L 100 AMP,` 1.00 NEW OR ADDNST ( A(CC. BDWELL ILDGNG SO.C�/y 61 21t sq ft 30�0 Q+ //���w/p y(��y��f •— V�/ t//'.-'""�Aa 2' NON.RESID CONSTR.NEW l BRANCH CIRCUITS) '2.50ea N�WNON.RESID.R (POWER SINGLE OUTLETTCIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. OCcup(OUTLETS OR FIXTURES) BAL@; FIXED ALNS. Ex. Occup. ( OUTLETS P(RESID.)REA) 2'00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ Z (j WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and. state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ahnve-mentinneri nrnncrt,i fn. i.,�.,e..ri.,., .,��..,..�.,� TOTAL PERMIT FEE s72 Oc7 This permit is hereby issued under the applicable provisions p Y of X !/v Date L&L`s^7b Signature of Permitee or rent -f Receipt No. /6-.er� .7 / S/sgr 3� ` White-D.P.W. 17 '1-0 s0s®r _Pin I� nspectq- Cp�e�rod-A /cant the butte L;ounty code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS BY Date�o-2Z— %{o wilding permit expires Date -1-z' 7 7 PERMIT NO. 5950—%5B P E M MH-UTIL. 'PERMIT NO. PERMIT EXPIRES ! OWNER W. D. Betty CONTR. owner LOCATION (A.P. 42-08-48 ) i -S/W corner of Hwy 32 & Kennedy Ave.,.Chico . a Y,� M A 1 f i4 Temp. Power Pole Called PG&E t Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Dat (Signatu e) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback I N Z. L– --A1J Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. '13 Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers % Roofing J Sewer Garage Fdn. Vents Fixtures Footin s – Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport---,— Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab "�� Final — Sanitation Patio — FIREPLACE Final Footings Footing ELECT AL. Masonry Walls ----------- Throat Rough — Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing C Test Water Htr. Stucco Final Subpanels ' Mesh MECH I AL Grd. Fault Prot. `..� Scratch Heating Service Brown — Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final -/— � A.. 7 •' OR CORRECTIONS 5'3 -7 5� PERMIT ,NO. 3534-75B,P,E . P if95'0-7 'a E J7 J M MH UTIL. PERMIT NO. t, i PERMIT EXPIRES %(O OWNER W.D. Betty CON TR. OCATION (A.P. 42-08-48 SW corner Hwy 32, Kennedy Ave., Chico .61 ;n i 5'3 -7 5� PERMIT ,NO. 3534-75B,P,E . P if95'0-7 'a E J7 J M MH UTIL. PERMIT NO. t, i PERMIT EXPIRES %(O OWNER W.D. Betty CON TR. OCATION (A.P. 42-08-48 SW corner Hwy 32, Kennedy Ave., Chico .61 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED C� (Date (Signa ure r� Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED C� (Date (Signa ure Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF .BUTTE - DEPARTMENT OF :PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Firewall Soil Piping Parapets 1st loor " Fv Restroom Finish 2 F fo cU Windows Id F or Siding o out Roof Sheathing ter Piping Roofing Sewer Fdn. Vents zFixtures Garage Vents t I Water Htr. Prov. for phy 'cally handicappe Heaters Appliances Conformance o.ex. structure Gas Piping & Test Temp. as Fin Sanitation i FIREPLACE Final No's . Vv® .. M4��� P ��C�.11lC l!L'L!•..�� REMARKS OR CQRRECTIONS Fixtures Grd. Fault Prot. Service Temp. Pole Underground Permanent Final ING ELECTRICAL COUNTY OF BUTTE — DEPARTMENT OF PUBLIC VId0RKS�� — 7 County Center Drive —, Oroville, California 95965 ��// 7.cj Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or AO.t Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS By Date :2'2-2 1 ilding permit expires Date 7 -71 6 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION J d 0 10 Mailing Address Ut b CX; h Fireplace Contractor Al 0-A5 Total Valuation D 0 Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ zZ, 0 I r O Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00�.CO) -VOL Each Trap 1.50 g C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N _e Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F'01 -els W. F' eDept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking PI s arcel Declaration Parcel Ma p 60' R/W Im roveme g p Lawn sprinkler system 2.00 B I di,4wr000ns Recd Parcel pprovol Plans A provaI Permit Fee $ S NEW ❑ ADDITION ® UTILITIES ❑ OTHER 5? ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 O pe`7 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (mord than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 EC / Water Heater or Space Heater 2100 Light fixtures b a Re s., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. d i sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee J� $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or AO.t Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS By Date :2'2-2 1 ilding permit expires Date 7 -71 6 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive 7#oroviIle, California 95965 9�0.-75 ` Tkebaph'one 534-4541 APPLICATION AND' PERMIT Af authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date / 7� Signature of Permite r gent Receipt No/ eQo �,a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By : Date Z/ Building permit expires Date BUILDING Owner.� �� ZTXs SQ. FT. OCC. ILDING VALUATION v 00 Mailing Address 1277 Z ! C O Telephone No. 3 7 Fireplace Contractor C.eJ '� Total Valuation Q Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty oe Telephone No. Permit Fee O 1$_S_110 Building Address "'� 3� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ` / C O Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. a i n Fire Dept. Fire Zone 1 Use Permit Building sewer 5.00 EQA Parking I Parcel Plans Declaration Parcel M 60' R/W Im rove nts P Lawn sprinkler system 2.00 Bldg. ens Recd Palo<pproval `$ Plan pproval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 _ Water Heater or Space Heater 1.00 Light fixtures y Pa rd2 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. NXI certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.0+0— .00California. Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date / 7� Signature of Permite r gent Receipt No/ eQo �,a White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By : Date Z/ Building permit expires Date 1 i4 Cdr; ;i`; ;;�' +41Rt. U A 2T 1�� : T,F >t c iir 11 ,I U'r h nat ,{ F l !'� I 11 11 ,+ L I ,j , i f �` I .1) , r r' $-t 'I j .I.. I 3 , ,; (a F i { i I, 1 It:,. ,`I. 1, 1 IA. �:'. 1 34 „ r I 1 ( ru (In11 �1 {' Y 7 ,I; L - � +' ' ;" 4 °'' , I, f , 41"S —< a t. .,}a I, I' N�� t: 11� ', :II ..� 1 ,� ., , i. ,, t tie ,. I' ,1} k �y, M P ,{111( r I ,t �: ". �� g a �4� y lt'`I - 1 . tF 1 ,': , } J. - .� 1. SjY�.. IG } ;t� - �f -Y,, a - :. ..: I'' I "I'll"ll . �� �, j,� _. .. , �' i` , "I I' I � I j 11 � , , � �� . , C I , - I I . , I i , . ,i I . � I , f'� , 'hJ ,r 1 1 1 6 I.1 8, ,I I 3 , }r I , 1 I . , � ffi ;' C _ ir` t { I Ii I t I �� I 1"I'l,. I i 1, 9:: " „, 1' ,F ,; :, 1, , „. 4 , ,4...., . '._ .. 1 ,`d, 1 l (, .� � - .. _. .. , I `I. , , . , ,.. I I y I }.. .. 11 J. 4 V , .' .. . r �. I; , .: ,, .. ,. , . ,,; { , 'I. '}P t, 11 , �, . I" ., <, { '� i t, �t. ";t i.. h ,'� 'Ifs i� :. j 11 - _ I ,' `, E I'. ,.- - '. r.,$ .. q }, �` ': '3 .. _ -. I Y tv,7 1 ' i :i i..y I ' 01: .: ' ,. �,:: 2 :l r f r1i I !,' ,.. I I '.i I{ ' ..,. ... `� : 1 ' , 1 -'� , , I. - .1� y "d I , '*{ I 1 III . I ,i". 11 F LLLLr _ Ni 1 I, ii 1 t '. .. I; .. 4 11rP 1, ij'fl� SIN } '.�I I I i. 1 �",�V� ut•r ,11 5 :' F 'y" I 0� I I :° J i. - F t: P: - f. S^ 11 . ' i ", — -- — I 4 „i n9. 1 ,, j. 1 i ' SII I J . 1l i .. .. "�I I� 1.- _ a 1 .. i 777 n ' !I i - �. 1 ., I. i , ' ..I 1,, '. - { '.i 1 4. �. ,.i , �� .. K , .� � I r--'- - r�l --- -- — ,_ - - -- - -- - - — —rte— - - _ —, — --�, t - ---- - 1- ' yl f : �. tl 1 `. .. i , ., i' i, 1 ,� �.r - 1 �r 7 �'J; , .. 1 1 4 f'� if y ,.�I'+ 0 �. i it I I• C :I {:a � tw I i �i 01 � .Ii �'i � � i yl II t0 _., J 1,; �.1,.' I �i �, 41 . 1' ' {2 t , ... I. : , I 'f , I° �� J .. I 0 >� I y ,< ,; { l li y e'. ... f, ^:I 1. I r _ { I. ,l r I.p .r h I'll :7 r , t ....�' 1. I a i r -, :rt F J L _ 'v'� F .. l� �i �" P 11 - V ',�[ Y : .){traF5.�':a�s��nl,gZI,ad,,-,,A ; N'lr_ik,,&4,1.art,,Al ! , i A N + Y 1 �' n k y I; vn Asa i 1 �4 11 v . t d. r a -;yPJ I 1 { r i. , I, Sd t .7 a It �, ir'N11r a, �}k Jy P 4r { 9 i„-. t� dl�Im:-,2f`mi6,16;.4�111,,lt it k.' f ,.fir-�4:,<.3 £' k ^�'.,. f'i-`.`,. a ,aT�] 4 I,,,Flys gas i"mr,kr, '' . 71� t Ib'A - 4Y Tt.D" e,'L 'r V -171 1 QQ Zr I - A .......11 p 0 MIR A✓ yr----------- - - u 1-Oli—�Fb 4j! 4Y Tt.D" e,'L 'r V -171 1 QQ Zr I - A .......11 p 0 MIR A✓ yr----------- - - u 1-Oli—�Fb