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042-100-061
10L 042-100-061 PERMIT#96-2762' COFFRON, Michael & Karen -2805 Kennedy Ave., Chico Ele,Ser-Ch & Rewire/SF V14AL 1/,4/00 042-100-061 #98-213 7 COFFRON, MICHAEL & KAREN 2805 KENNEDY AVE.CHICO ADVANCED ELECTRIC LECT FOR WELL F/Nfll /Z�Z$��9, 042-100-061 01-0007 COFFRON, MIKE 2805 KENNEDY AVE., CHICO CONTR: SMITH & MYERS CONST REPAIRS 042-100=061 03-0370 COFFRON, MICHAEL 2805 KENNEDY AVE, CHICO INA�LE CONT: BLUE HAVEN POOLS i �b POOL -MASTER #517-97 042-100-061 03-0455 COFFRON, MIKE 2805 KENNEDY AVE, CHICO. COMPLETE BP#01-0007 042-100-061- - 03- COFFRON " 3-COFFRON, MICHAEL INAU 2805 KENNEDY AVE, CHICO POOL HOUSE '0 x 042-100-061 _ COFFRON, KAREN 2805 KENNEDY AVE, CHICO GAS LINE & HEAT FOR POOL '910-1i(05 042-100-061 AG 01-15 COFFRON, MIKE 2805 KENNEDY AVE., CHICO AGRICULTURAL BUILDING Wl- 17v)iffoGr7 ° ENVIRONMENTAL HEALTH CLEARARANCE DATE 3 - / 2-®3 w t .-. f � t e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. APPLICATION AND PERMIT rl. 91 &Ml ez -- ASSESSORPARCELNUrr, Y Z°NINy� 57 BUILDINGPERMIT OWNER TELEPPHONE SO. FT. OCC. BUILDING VALUATION • G-� .OWNERS MAILING )nM r l/jl�tJ• �C_.0 CONTRA R'8 NAME ! ` T \ IrU TELEPHONE 3 CONTRACTORS MAILING ADDRESS � � V CONSTRU ON LENDER Fireplace ao. 6o LENDER'S MAILING ADDRESS Total Valuation $ ,$ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Pian CheckingFee $ BUILDINGADDRESS CyO� VXVX Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SIX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other jy Describe Work: (ti Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W * Q20.00 PERMIT FEE $ 3 O ELECTRICAL PERMIT Fling Fee 20.00 OV OR LE Main Service . OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu force and effect.PowER License Class Lic. No. -7 3 3 S wd 6 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comps sation insurance farrier and policy number are: Carrier S V -1.—o Policy Number 3-e-1 9/ V — (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not empl • any person n any manner so as to become subject to workers' C, on anyof ffornia nd agree that if I should become subject to the works' ompensati pro ' ' ns of section 3700 of the Labor Code, I shall fo cc w' th s ovisions. A y X l _Date OZs Sign ° re of Applicant - ❑ Owner ' /Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service Poo& 46.00 NG CCU000A NEW CONST. owELUNo occuP. 3.5¢x; ( ORNEW cDoµs naiuLTI ou�rLEST NON-RESID. 97.50 APPARATUS S SINGLE OUTLET CIR. 20 ® 1'0° Ex. Occu OUTLET OR FIXTURES �,L ,,o Ex. Occup. ° MEO RL.IID,° A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ ° Tri TOTAL FEE $'83 -00 H,,Z D IMP FLOOD CDF PARCEL PD HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. //�'G� a� By. Date PERMIT EXPIRES ON 1-d -oz Date Receipt No. 36 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .'"�t^na"Y�v►F3F7sa«�e+'cw�.'�i j+c..�:h►i��i+t�'ktr�j��+iyrF�'f"-�r5i^°f'��^�1v►�nc''�$.jLM�'��ltrd�JA. ---COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE-,OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 I PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC4 NUMBER: Proposed Buildin d Building Inspector: V datiXN Date: At �All efmit applicatio , I was ad ed the following data must be submitted prior to permit processing and/or issuance: Date Received By 13 s have been submitted -------------------------------------------------------------------------------------- E32. Plot plans, 3/4 sets, signed by the preparer of plans. ------ :77; ------------------------------------------------- 133. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 114. Engineered plans, 3/4.sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!--------- 116. -------- ❑6. Energy Design Compliance and supporting documentation. ------------------------------------------- El 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10., Fees of $ ❑ 11. Impact fees as shown on the attached schedule. -------- 0 ------❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. 1115. 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: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). -- ❑ 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to -owner ❑). -------------------------------------- 024. Letter of signature authorization. ------------------------------- ------------------------------------------------ ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use------------------------------------------------------------------------------------ /❑ 27. Manufactured Home utility clearance ---------------------------- 028. --------------------------❑28. Existing violations and/or expired permits. -------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, &I to contractor. f ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. App licant- - Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Po�''o Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: 2. Additional items required: (Date) ❑ Plan Check List 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, 13 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, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COW-eO4 CDrnEs eft -ib cLtAe- -Nils up, c,�i Aute OF-- �w%V:U �fiB Rrrn q5 -MEO ,m�L�rz vJrtb� WGro%cs �e.An� ';j' August 20, 2001 Re: Special Inspection # 01-07 A.P.# 042-100-061 ` Michael Coffron 2805 Kennedy Ave Chico, Ca. 95926 Dear Michael Coffron, This is in reference to the above inspection that was performed on 8-20=01 and your request for inspection of the proposed conversion of a water tower to a Guest house at 2805 Kennedy Ave. Chico, California. A reasonable visual inspection was performed without getting on the roof, under the building, or in the attic. The following items were identified, and must be completed or resolved: 1. Provide Environmental Health Department approval. 2. Submit three sets of plans and obtain a permit for the Water tower converted to Guest House. After plan check and permit issuance, verify the construction complies with approved building plans and obtain final inspection and approval. 3. Provide a conforming plumbing system throughout the building including hot and cold water, sewage, and gas piping systems. 4. Provide an adequate source of heat per U.B.C. 5. Provide adequate light and ventilation. 1 101 - ow 711, Ons; iIIi,,� {.:,: � :��l.t it" +. .-eit 1 .�'J lr')J•�Y�+t�+fi{ .,,( � r''! ein'l )iA Hsu ff(?Jc''x`.'t`wr) Ir�a'Js?ii'r'EI`1if}�iF1 i`t(.!?i9iT2?i{ yu a f!ii;iwd WinA!'F A= 'bili I),?.Ir( N q cc; ;lr 'r�!:S�r+1`1 di+�t:flflcJ�`ii }} :'1 ft ti:'I�tJ:'C J `r a ial ii tin: .i>;iltan.r+i ;)''.i:! r [fi.ii Ctf�l(aII'11 `6 ) .dill; L1tii iii i t, i o i"IfIL i fIJ4 .Wl ' �bi-.n)'J'4 . I A AW line ", iflNO St.; r_':'NfCI +,l ;3:m 15- tfLt iilli I;}r; rC 1'13 fto.l;-f-r- 'A'! di.'! ,J"fim !( I'motiq brit.. k)ttj all turd: I:.ur litll'7viiY(i i IlifJi' roit„:lrjf o bills 8"In jI jf if iun' "�,��,i 1 '{°rn St ai'{ �I�1 .:.7'It1t>'"r •.ii'!i' `�•!. fS!..t iui I{i3`i .�' .rsttiirlsirlj r f:r_r� ,'rf.;i� :Jt.0€r.,{�x; :il�ivo��i �, 1 6. Provide emergency egress per U.B.C. 7. Wood earth separation per UBC. 8. Submit accurate plot plan showing location of all structures and their intended use. 9. Provide attic, ventilation per U.B.C. 10. Water heater to be properly installed including P.T.R. valve, earth quake straps, and vent. 11. Provide a conforming set of stairs including rise and run, hand and guard rails. 12. Provide verification that gas appliances are properly installed. 13. Provide at least one door with a minimum width of three feet and a minimum height of six feet eight inches. 14. Provide a perimeter foundation and verification that the entire structural system is adequate including foundation and anchorage, floor, wall and roof system. 15. Provide effective waterproofing of exterior walls. 16. Verify that the entire electrical system is properly installed including bonding and grounding, wire and breaker size, spacing of receptacles, and GFI protection of receptacles. 17. Install smoke detectors per Uniform Building Code, Section 18. Comply with Public Resources Code 4290. (SRA) 19. Comply with any items identified during plan check. This inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said addition, conversion, etc. It is now in order for you to submit three copies of complete plans with calculations to this office including plot plans, floor plans and structural details, apply for the required permits, and pay the appropriate fees. The permits must be obtained prior to any work being done, and the above listed items completed within thirty (30) days of the date of this letter. Should you have any questions concerning this matter, please contact Scott Rutherford or Bill Barron of this office at the address or phone number listed above. Sincerely, r Bill Barro Supervising Building Inspector CoffronlS Z 01-07 3 �ti;J.':�.wt�����,�,�.�t}�„•,4.i�^�i'h,ci-�'.•n+'.:.,:.<.';��„''�R:f4'"v�v�^�l�v�7�""'�`.�"•'id�A "fit ��'t .���r�_ V,".'"''�',_�'� •: "MW`'`'�'�•yvi COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION Owner A.P. No..r)%,X /1/,� V Mailing Address C o T I`CQftyU-&, ovu-c Telephone No..�4�i Applicant Telephone No. 11jalInko. Mailing Address %JL Building Location V. I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) 2. Apartment House (if.only a portion, specify) Q 3. Commercial (specify present occupancy) [ ] 4. Other (specify) ( I )(�QJI �AwefL 0 rn w - I am requesting a specialinspection for the purpose of: 1. Moving the building. 2. Financing (specify agency) 3. 0 4. Change of occupancy to -� Other (specify) 13 Case No. I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, 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 above required corrections, alterations, or repairs within 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 #BG-tte to enter upon the above- mentioned property for inspection purposes. i Date \,3 ,2 h ' Signatur�jof Owner Fee Paid $ 106 i (Y) Receipt No. 3 Q 13 1�61)s 1st-DPW/2nd-Inspector/3rd-Applicant BUILDING DIVISION C COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES .7 COUNTY CENTER DRIVE- OROVILLE, CALIFORNIA 95965 -TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. !2i'--1� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. Y P _ 100 0 O/ ZONING _ OWNER I Vel PHONE NO. 3 7". (�— f5y )V�l 1 OWNER'S ADDR (9 0, j5 Git-e- CRC(�6 qL51V-3 LOCATION OF BUILDIN USE OF BUILDING _ SIZE OF STRUCTUAE ' X�-® l'� SQ. FT. TYPE OF CONSTRUCTION: � WOOD FRAME ��/STEEL CONCRETEy OTHER (Specify) TYPE OF SIDIN ROOF COVERING FLOOR TYPE ESTIM E COST OF CONSTRUCTION $ D -O AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: f7ti - FRONT' SIDES �`yREAR � /"'vi2 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Q 12 -Le) Permit Fee - $60.00 GG�� Receipt No. 3®9/oa"" Signature of The above described AG Building is exempt frorii a 1tding permit. 7�e Manager Building Division By Yl White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant � ROQFING � E Date 2 IrM, P.D. Manager Building Division By Yl White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant � ROQFING � E Date 2 a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT .7 County Center Drive, Oroville MIKE COFFRON Phone: 916-538-7541 2805 KENNEDY AVE CHICO,. CA. 95973 RE: AGRICULTURAL PERMIT A.P. # 042-100-061 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: SERVICES, BUILDING DIVISION CA 95965 2-6-01 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ payable to'Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy) Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. . Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 6 ' r ght of way to a public road Other: SEe,HED F%� ��O% AZv'XZ-q, /`=-?ilrt_sp/l Should you have any questions concerning the above, please contact of this office. MCV:ahb COUNTY OY BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, oroville CA 95965 Phone: 916-538-7541 'A. P. # with reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: / Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced we need the following information prior to permit processing and/or issuance: 'Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy ofrecorded60' right of way to a public road Other: � RC tom" Should you have any questions concerning the above, please contact of this office. +Manger, y t , . Vieira, C.B.O. MCV:ahb uilding Inspection �* COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) �8-7541 0.3 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 -1Z - 10 0 - O V I V ZONING BUILDINGPERMIT OWNER V^ tl►/►''j / n Y 1 I Y l 1-C_ T o Et_�) 0 �/ S OCC. BUILDING VALUATION .OWNERS MAI Z,7 VJ CONTRACTORS. TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS /n ,� c..C� Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Inn'stall�aton ❑ Other ❑ ] Describe Work: Rerm t J 51DW'o1f-+C-.- l � k,;19V y9eV M �� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business, and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lar the following reason: I, as owner of the property, or my employees with wages as their sole compensation, y will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( & ACC. BUDS. 3.50FT; I. RESIDT' MULTI. OUTLET @7,50 8 SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FMRES 20 B @ 1.00 Ex. Occup. oFIx�LEETS APPLhS oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION j4eery affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith c ply . those provisions. X Date Sign tura of Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is required ftlir excavations over 60" deep and demolitio or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Bu County Code and/or Resolutions to do work indicat ab a for whi fees have been paid. J By Date PERMIT EXPIRES ON Date ReceirtNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 Dec 17 02 11:39a p-2 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 p to provide ajor labor and materials for construction of the proposed property im ovement : YES NO 13 D24HAVE NOT 13si ed an application for a building permit for the proposed work 3. I have con cted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAIKE: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE:.2 //(Y A 113 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 11:37a Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name: Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials 'and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance, 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and. if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an ""owneibuilder" building permit, erroneously- implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. . Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community, or at 1020 N Street, Sacramento, CA 95814. PIease complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the ver'if'ication is returned. Sin@:rel , Michadl C. Vieiia, C.B.O. Manager, Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER NOTES RESIDENTIAL 4 042-100-061 �/03-0667 PERMIT NO.. ,COFFRON, MICHAEL 2805 KENNEDY AVE, CHICO� ` POOL HOUSE F /o l� + ff� SPECIAL CONDITIONS CHECKED . BY SRA r FLOOD CERTIFICATE REQ.:, FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS =_ VERIFY USE PERMIT CONDITIONS r SUB -STANDARD HOUSING LETTER �l y f JOB FINALED (Dat J 1 - Signature PERMIT INDEX NOTICE CONTACT: BPN: APN: DATE: DATE: INITIAL: OWNER: PHONE: DATE: INITIAL: CONTRACTOR: PHONE: DATE: INITIAL: INDEX FOR DATA SHEET ITEMS nLETTER SENT DATE: INITIAL: OWNER CONTACT DATE: F-JOWNER CONTACT DATE: PLANCHECKER: QLINDA DAVE QOTHER: QMARTHA F_�PHILO J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. 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 Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 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/0 to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. 'Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 1 5. Elec.; Pool Lighting; 15 Volts-GFI f 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms r a ` Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 .0 - J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL ($i Date Date UND LO R (Plans) OK except #'s on' -Setbacks-Easements-Flood-Slope t. , Main: Soils-Elec. Grnd.-/ .2-/" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls.-Main; Steel-Blockouts-Wrapped 6. Stemw,a Is, Garage; Steel- Blockouts-Wra ed 6a. Ho owns and Special Anchors ab, teel-Wrapped 8. Pi -Fireplace Ftg.-Steel QeOO.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. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date 'y Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Wat r.; Vent -Access -Combustion Air Baffle gt r Pipe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Snower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date FRAMI ontinued) Card B-1 Date Card B-1 Date 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No Card B-1 Date Card B-1 Date ELECTR Permit) OK except #'s A.C. Unit Disconnect, Electrical -Plumbing 2 x &Transformer Clearance -Ins. Protection 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Water Well, Disconnect, Electrical, Plumbing Receptacles Spacing -Lights & Switches at Doors Exterior Elec. Trim, G.F.I. Receptacle -Underground 53. Property Line Firewall & Openings iz oxes & No. of Conductors Stapled 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 91. omex Installed Close to Edge of Studs & C.J. 92. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 57. Siding -Nailing Veneer 29. 2 Appliance Circuits in Kitc n & Conductor Size GFI 95. 30. Subfeed Wire Size/ � /ga. Wr AI-A.C. Wire Size/ /ga Cu or Al 6ear Walls; Nailing -Bolts Brace Interior/Exterior Wall Panels 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neuiral 0 Yes O No Date 7 24 32. Service -Riser Coiductors & Ground Main Disconnect Card B-1 Date Card B-1 33. Equip. Clearances Panels-Motors-Mech. Equip. FINAL (Plans) OK except #'s 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card Y Date Card B-1 Date FRA ermit) OK except #'s s Prpper Materials & Anchors 42. Studs -Nailing Spacing &Braces -Plates -Sound 4 earing Walls over Girders & Floor Nailing 42r Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing ngle & Duplex Date FRAMI ontinued) 4 . H gers-Post Caps -Anchors -Connectors 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No 4 ling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. Stucco Brown -Finish 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance A.C. Unit Disconnect, Electrical -Plumbing 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Water Well, Disconnect, Electrical, Plumbing 52. Garage Fire Protection Framing -RC Channel Exterior Elec. Trim, G.F.I. Receptacle -Underground 53. Property Line Firewall & Openings Ventilation Throughout House 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 91. 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 92. 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 93. 57. Siding -Nailing Veneer 94. 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 95. 59. Glazing Area Glass Protection -Skylights -Plastic 96. 6ear Walls; Nailing -Bolts Brace Interior/Exterior Wall Panels Date 62. Insulation-Walls-Cei' gs 63. Infiltration- dows Date 7 24 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector \ 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. Above Floor-Mech. Protection 78. Plb.: Elec. & Mech. Eauip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caos 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive O Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: • `" COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4,019 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER71T q (Rev./196.)_ ,� APPLICATION AND PERMIT �� ��/ ASSESSOR PARCEL NUMBER )- ZONING A-5 BUILDING PERMIT OWNER TELEPHONE 41— SO. FT. OCC. BUILDING VALUATION .OWNERS MAIUNGDRESS CHICO, CA 95973 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS w. CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 2521.52 BUILDING ADDRESS p AKREMYAVE,CHICO Energy Plan Checking Fee ~' $ $ PERMIT FEE $ 661.02 LOT NO. SUBDIVISION'S NAME PARCEL M,aAP, lUlj � PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other FOOL HOUSE SPECIFY Each Trap 21 7.00 14.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK � Newrd Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 - Building sewer 15.00 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ 64.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo°A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for , e following reason: as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service zooA TO ,000A 46.00 NEW CONST. DW OIING OCCUP. OR ADDNS. ( a ACC. Bin S. SO 3.52 NEW CONST. MULTI -11 OUTLET @7,50 OWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occu DunFroR F°cruREs 20 @'•0° BAL p ,50 Ex. Occup. OFlxuxEsrs Aa oR. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 51.50 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation ���of one hundred dollars ($100) or less.) X1' 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply/with those provisions. % / ^ Date (O /r✓� Signature Applicant - 0�/0Wner ❑ Contractor ❑ Agent An OSHA permit is required.for excavations over 60" deep and demolition or construction of structures over 3 stories in height. I 7 Mobile Home Installation Fee $ Energy Inspection Fee $ occ R-3 CONST. TYPE v[�j TOTAL FEE $ 776.52 HAZ. D. FEES IMP _ V CDF - PARCEL.' V PD HD s This permit is hereby issued under the applicable provisions of th�,,Butte County Code and/or Resolutions to do work indicated ab ve for which fees have been paid. , 7/77/b j y--���"' Date PERMIT EXPIRES ON J/?7JG Date / yy Receipt No. ,� �� 4%4�r� "A WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK) SPECTOR GOLiDENROD-APPLICANT i! COUNTY OF BUTTE BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street,- Chico, CA - (530) 891-2751 '• 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 770 ` OWNER - PERMIT NO. r- A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date / Inspector REV 10/92 A (21 2 Date / Inspector REV 10/92 A COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 53877541 CORRECTION NOTICE C4 l 03-215-0 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. rn4/70IA -4 10-,Pj ! 11 wr-�_ Date D Inspector REV 10/92 r r '" COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 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 notice this office when correction of work Is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact. this office immediately. ' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411, Main Street • Chico, CA • (53q) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. I( you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 7-2— T V REV 10/92 COUNTY OF BUTTE BUILDING DIVISION ,. DEPARTMENT OF DEVELOPMENT SERVICES 411 MainStreet •.Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the 'C'OUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street- Chico, CA (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 00017 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 notice this office when correction of work is completed. If You have any questions pertaining to this matter, or need additional explanation, pleasecont ct this office immediately. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Califorhia 95965 • Telephone (530) 538-75410 nPP Tyg (Rev.'1�';96) APPLICATIONANDPERMIT :[�P��" � ASSESSOR PARCEL NUMBER 00-100-061 ZONING A-5 BUILDINGPERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING DRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 188-90 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2805 KENNEDY AVE., CHIM Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. 1 SUBONSIONS NAME PARCEL PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other POOL HOUSE SPECIFYEach Each Trap 21 7.00 14.00 Solar or heat pump water heater 23.00 Water piping 15.00 115.00 gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 1.5.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 64.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service o.A oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo!>e following reason: as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comptit those provisions. i Date c S/ !O Q Ignature of Applicant - ❑ ner ❑ Contractor ❑ Agent/ An OSHA permit is required r excavations over 60" deep and demolition or construction of structures over 3 stories in heig t. Main Service zooA To 46.00 NEW CONST. DWELLING OCCUP. SO CC OR ADDNS. ( DWTACC. BLDS. 3.5a FT. 11S N"R.'NST MULTI.OUTLET O. @7,50 APPARATUS a SINGLE ourLEr cw. Ex. Occup. OUTLET OR FIXTURES 20 9''50 BAL 9 .50 Ex. Occup. oUTE�rs Ao °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 51.50 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ _3 CONST. TYPE TOT L F E $ 776 52 HAz. D. FEES IMP CDF PARC PD HD S This ermit is hereby issued under Of e utte County Code and/or in to for hich%,fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 'J 27 b� Date 2? Q Date Receipt No..3 • 3 WHITE•D.D.S.-B.D. CAN Y•AS ESSOR PINK SPECTOR G ENROD- PP ICANT COUNTY OF BUTTE -DEPARTMENT OF.DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone#530)538-7541 Fax (530)538-2140 PERMIT APPLICATION, DAr' %ASHEET OWNER: Off /"���, l�� i �G �7 � � � ASSESSOR PAR -EL NUMBER O o� Proposed Building Use: f �'G��SC' Counter Technician: ' Y Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1W 1.. Plor.t. plansf,0r 4 sets, signed by the preparer of the plans. /Z12. Complete plans, (Dr 4 sets, signed by the preparer of the plans. ❑ 3.` Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! ' ❑ 5. Energy compliance design and supporting documentation in duplicate. - ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (.D) Tie down or foundation plans, all in duplicate.1. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan'review. If checked items have not been received, plan review cannot proceed. The permit will be`' indexed and returned to the plan review line-up when required items are received. " Date Received: By l` ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... 1 Letter of intent for non-residential buildings .............................. ,,........... ........... 1. Detached Accessory Building Form filled out by the owner .%'L .... 6 y�" 12. Hazardous Material Form..' . • � ❑ 13. Other .... aining items needed to issue the permit. (May require additional plan review upon receipt of the foil wing items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... v tatement of In ... tent'for Non -heated and A/C Buildings ................. ...................../ 1CI� �1 . S�16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: .................:..:. ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ......... :...... ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... r ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. - ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization....................................:............................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance................................................................ ❑ 29. Existing -violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: S When issued Telephone and hold for pickup. I have been informed of the ab vie items and requirements for obtaining a building permit. Annlicant: Date: lA 1. Index permit application for the above items numbered: Plan Ch 2. Additional items required 7' Contractor, designer, owner, was advised of the above data b phone, ❑ mail, co nter, b . ate' Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter Date: Plans reviewed by: Date: Plans approved by: Date:_ Structural reviewed b D20:3!-2_5- te: Structural approved by: Date:_ ~Note transfer by: Date: !- ZS ti:, Yellow: Building Division E.H. USE ONLY Piot Plan Attechod Fleas Plan Attached `* Sent to B.D. ! AN TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal X Water Supply: Public Private Well X Clearance for -dweitirtg. Other �,Joa / Xaus�e., w/ i 644, l" Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES VUE W/C 1-114/-'L_ PROPOSED UILDING USEDA/ GGA U L A.P. # C M- Jea — (w1 DATE 2 ` 6r�7 DATE REC. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due .......... :...... $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES t�21-/pro '1 - t 3�d� (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10.OTHER - At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checkiM process. APPLICANT t ` DATE Pursuant to Government Code Section 66020, u e hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) r r. 4ij School District A.P. Number Property Owner Property Location/Address Subdivision kN w `gyp` ._ { 'T k BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICA31ON FORM (One form per Building) • 'r Building Department No. .jurisdiction: 0 City County IR. VVI - .................................................... / (I , Residential Development Sq. Footage • No of CivingW Mobile Home ddition/ -Supplemental to (GroupR - „ • -` :.. `, 4'Unds Iristalletion t, ='f C�onversio .Permit # /.,_ ; _ "t -t , -� ' r l :) �• '1� w _. -• ' •. No foundation inspection)': ' . ............................................................................................ .. ........ Commercial/Industrial New Addition Sq. Footage (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School District Personnel) District Identification No. O�9 School District certifies that' A brA _ (Applicant) FLIT." i r (Street (City)- 4 has complied with the requirements of Resolution No. representing ' (J .� ti ,square feet% , School District Representative dX Paid by Check # Remarks: (Phone Number) (State) (Zip Code) (l J y by payment of $ I- _ , t, •�-� B 2926 FULL MITIGATION $ Date 0 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with ' •,., Government Code Section 66020(a), within 90 days from,the date fees are paid. Failure to submit a timely written protest will prohibit - you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink. (school district) feeformAs (10/98)dmm Dec 1.8 02 08:07a 43 P.1 PLAN REVISION Please complete the following information in order to procesfS your submittal. If this form is not complete, correc and legible. it may cause a delay in processing. t s A Owner's Name: Received By. Date: , A.P. #: c q a— � "-0 � Permit #: Time: CoritactPhoneNumber. 3-J`z(j O Purpose of submittal: 13 Permit Application Data Item 0 Engineering 0 Plan Revision By Plan's Examiner- Examiner's Name: 0 Other. - n=ecror-S If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. B�idra�ving�must cleariv show; chances nmmm—ri anel �n�a}inne ;.,vnl,.e.1 When Approved, Process as Follows: 0 Mail to Owner at this address: ' 0 MaZ11 l to Contractor at this address: A- a/� C � � � / and hold for pickup at the 0 Deliver with nest inspection. Office E3 Oroville Office Revised Plan Check Fee: Cl 546.00 Receipt #: - 17 Additional Fees Not Required Additional fees may be due based upon, complexity and time involved to process this submittal. Additional Fees: Receipt #: Department 9f Development Services Building Division 7 County Center Drive Oroville,-CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. /�' // Owner: /Cf�i A E I CDFF/20v Phone: 3f -13—S'00 Mailing Address Site Address: eU0, 9 -e -,v er6i 4Ue rke U Assessor's Parcel Number:'0 Ll - 11� 0 -- C) Co Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes 2—No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No (Q.- 3. Will items produced in this building be offered for sale? Yes ❑ No Q- 4. Will the public have access to this building? ' Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No m_ SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes 01 -No ❑ 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No M- 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No (g- 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No M, CONSTRUCTION FEATURES: 10. Will this building have insulated floor, wills, or ceiling? Yes ,.:, It. Will this building be heated or cooled? Yes ❑ No 0-- 12. Will this building have a water closet/toilet? Yes O -No ❑ 13. Will this building have a sink? Yes 9 --No ❑ 14. Will this building have a water heater? Yes ❑ No 15. What type of floor covering will the building have? s i M u rpt? �l" Wood t/60jP Ino► 16. What type of wall covering will the building have? 1@1WW 1 of 2 PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be -storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage --A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept" A garage door is required. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. [ sidential Occupancy — Structures meant to be occupied, as opposed to a storage shed garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse CD -Fool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room r-1Private Office D Workshop 1 ❑ Home Occupancy 2 [1 Other --1, Use = Describe type of Workshop ..:Must be approved by the Butte County Planning Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. Owner's Name: Please Print /h t r JA A p l C_oFF Rd YU Owner's Signature_ fs t� Date: TP 2 of 2 042-100-061 $t#98-2137 COFFRON, MICHAEL & KAREN, 12805 KENNEDY AVE-CHICO ADVANCED ELECTRIC ELECT FOR WELL 72- CAA-� I-AJL-u.x�- OFFICE COPY Ap r e s s GASDates Meter By ELECTRIC Date Meter BY — COUNTY OF BUTTE - DEPARTMENT -,OF DEVELOPMENT SERVICES; BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (5 80) 538-7541 >>� Z, OT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-100-061 zONINJ_5 BUILDING PERMIT OWNER ��MN, HICi3rrfl.J<. & pAIM T 41N IO ✓� SO. FT, OCC. BUILDING VALUATION OWNERLOO AlEr DY AVE. CiIICO�►tfl9l�5i9�73 1 CONTRAM(J KNI ELECTRIC MY597 CONTRA4J8QMS1N SgM AVE. '.CHZCO 9592 ) jijjLENDERi LL CONSTRUjCTION Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 805 KENNEDY Energy Plan Checking Fee $ CICO $ PERMIT FEE PLUMBING PERMIT S Filing Fee 20.00 LOT NO. SUBDIVISIONS NAME a PARC MAP r S OF UCTU E Tam SF ❑ DOp)$x\Ctl. II home. ❑ ` t r - ..` i �:•• SPECIFY Each Trap 7x 0 Solar or heat um water heater 23.00 'Water piping 1 Each gas water heater or vent 15:00 , - t til,. I t Sys`E OF VJOR N d -,`•Addition Q,,Re%rl 091 ❑ Utilities Installation ❑ Other ❑ , ' �� P ,Des 'b r r �t ` ` ' i, ' 4.� }; ` ` \ t Gas i in stem 1 - 5 outlets 00 Building sewer 15.00 ; Mobile Home S G W @20 00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee '20.00. eoov oR LESS Main Seryice xooA oR LEss 23.x00 4 LICENSED CONTRAGLTOR'S, DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (commencil'�g with Section 7000) of Division 3 of the Business and Profe ions Code, and my license is in full force and effect. - �� ^ License Class G� I O LIC. NO. OWNER -BUILDER DECLARATION I hereby affitm under penalty of perjury that I am exempt from the Contrao ors License P,Lawfor the following reason: r..'❑ Ii as owner of the property, or myemployees with wages as their sole compensation, �. will do the work, and the structure is not intended or offered for sale. I',as owner of the property, am exclusively contracting with licensed contractors to construct the project. t ❑, 1 am exempt under Sec. It Business and Professions Code for this reason t WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjuYy one of the following declarations: ❑ 1 have and will maintain a certificate of consent to selMnsure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers'icompensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which.this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit for work of -a valuation of one hundred dollars ($100) or less.) I certify that iq the.,p�erformance of the work for wh)c`h hie peimit is issued, I shall not employ gny pers_or�in any manner so as to b'e�ComIs subject to workers' compensatt3n.laaws of California, and agree that f I should become subject to the workers' compensation }provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X J / Date �7 -� /�+ 9.e S' nature o A icant -a Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO IOooA 46Y00' NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADONs. ( a ACC. eLDs. 3.5.._x: OMS . MULTI -OUTLET NoµRESID. @: • 0 POWER APPARATUS 8 SINOIE OUTLET CIR. OUTLET OR FIXTURES 2G Ex. Occup.BAL @A.50 FIXED APPLNS. OR Ex. Occup. DUTY RES,6. EA 5400 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 E INSEEMON - 23 PERMIT FEE $ 89.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $89.00 'PD HAZ. D. FEES IMP FLDOD CDF PARCEL HD 5SU t I This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have - 1�J �r� By9� ,� "'AL1 Y t? i PERMIT EXPIRES the applicable provisions Resolutions to do work been paid. i Date date ReceiptNo. WHITE-%P.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541filo P-ESf41T No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-100-061 ZONIN J_5 BUILDING PERMIT OWNER COFFRON, MICHAEL &KAREN TF14'1-1410 �L} SO. FT. OCC. BUILDING VALUATION OWNER5r{.}gIM Ai NEDY AVE. CHICO 95973 cONTRAG'JQ(i�$ED ELECTRIC H�"�597 DONTRA/1i1�J'V6"IfN nT78TH AVE. CHICO 95926 CONSTRUCTION LENDER 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 $ BUILDINGADDRESS 2805 KENNEDY Energy Plan Checking Fee $ CHICO $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other WELL SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MAIN SERVICE PANEL FOR WELL Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWERNGLE F License Class C,— 10 Lic. No. � �3 � d 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO lOooA 46.00 NEW CONST. DW LING OCCUP. SO OR ADDNS. ( g Aco, gtDS. 3.50FT: NON-REOSI. MULTI.OUTLET @7,50 APPARATUTLETUS 8 SIOCIR. 20 Ex. OCCU OUTLET OR FOCTURES 94L p 1.00 . I 0 Ex. Occup. ."E' AaID.OR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE INSPECTION PERMIT FEES 8Q_nn MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 1'" ��-_ S' nature of Ap,• icantOwner Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. I D FEES IMP I FLOOD CDF I PARCEL I PO HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date/01"R PERMIT EXPIRES ON I we Receipt No. 244799 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION '` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D a � o o �- � � :ONIN0 '-s BUILDING PERMIT OWNER . _�✓ TELEPHONE S SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Xe C 5 77 CRIACTOR'S NAME / O TELEPHONE CONTRACTORS MAILING ADDRESS �+ �+ c CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation >; ARCHITECT OR ENGINEER LICENSE NO. Fee b 20.00 —Filina Permit Fee S ARCHITECT OR ENGINEERS MARLING ADDRESS Plan Checking Fee b BUILDINGADDRESS C2 14 Energy Plan Checking Fee S S C1/ 1` PERMIT FEE $ LOT NO. SUBDN61DNSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other � �J SPECIFY Soler or heel um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ n / Des ribs Work: A2 1pL.J /%%(�/�/✓ sem/ 1// �`e jU-v e / Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zo=oa LEss 23.00.` 010 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 em exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION *DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0` deep and demolition or construction of structures over 3 stories In height. �nr'� 200A TO 10°°'L Mai00 a6. NEW so NEW CONST. DWEi11N0 OCCUP. SG OR ADONS. +ACC. erns• 3.50FT. NEW NON -REBID. RANCHT. CIRCUITS I&7.50 POWER APPARATus a sNGLE ouT Er as oLmEr OR FOrTLJREsQP Ex. Occup. "L ®':s"o Ex. Occup. o= =.113.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 .. 3. tr'o e_CJ-I 0--, 3 PERMIT FEE ' MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE t Mobile Home Installation Fee = Energy Inspection Fee 5 Occ CONST. TYPE TOTAL FEES Cf I HA2. D FEES IMP FLOOD COF PARCEL PO NO ISSUE This permit is hereby issued under of the Butte County Code and/or Indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Dws Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT %�,.��i'Y'':"�T'K'ltroy'rir'•,�:{�-'�"7�'ft1J�'°�'v*''"'�-•��'"��`�Ttf'�t�'_�i��+Q�'"�Yr'",r..�r. ���, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: M, ,j ,Z ASSESSOR PARCEL NUMBER: 1-/,7— — 149 O — ® � Proposed Building Use: 4&, „ S �� 6 ; g Building Inspector: PA, Date: — At time of permit application, I was advised the following data must be submitted prior to permit processing an or issuance: Date Received By ❑ 1"'All iiems have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- 07. Statement of Intent for Non -Heated and A/C Buildings. ----------------------------------------------- 118. Hazardous Material Form. --------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- C310. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------- 1112. ------ ❑12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------- Ell 5. ------------------ ❑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: -• 1:118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. croachment Permit for driveway (construction approval prior to occupancy). --------------------- r1 Pre -inspection for E /PGA ejWP e,i Al i t//'Ccf quired. Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ----------------------=------ El 22. Workers' Compensation carrier and policy number. --------------- -------------------------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -• ❑24. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------- El 26. Letter of intent on building use. ---------- 1�1------- ----- ------------------ El 27. Manufactured Home utility clearance. --------------------------- :----------- ❑28. Existing violations and/or expired permits. --------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑ to contractor. ❑Telephone acf %7 9 and hold for pickup at % 7 office. ❑ Deliver with inspector. r`7 l- 3 7 3/ 01 Applicant: �'�+ Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: (Date) .. 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, ❑ 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, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans.on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. •- = ; Z$o5 V_eN►.l erby st+enET �, z ty•, dvanced Iectric 07 k s -n KL G, STeu�c,TvQ.t N �2w % nnp f ww P 3¢5 4 wk2.e Sewtx tJ STN $� PPcS 9 t't STt .i c; P4,4 ET KEfa►.1�cDy - k4IE Exts-nQC., 30 ov eR-R Olv0 L -V kLES M'XD To Be TLeMUVJIFD �ITK �1.6�.�n1D�-e+t�3►•1D �EE� 'tb t��t...�., Pu► -SPS N crrES F�C`w 6q ¢4=Ul,.I D TO t� 1 tZES eKksTt VA wEmitz/FUw STRcJc-_Tt�v- er �) 1'/Z HP 3 g Fvg;-.- k4;�% L7s F t) l 4P . t o 7-401/ Pc.*4*P F� 9-e5►pE'kXra'M- tJsE *7cusTt N 4 3 gS cV E2A4 %_-ND t..�wE'S CPGi9E� mew P44 E 3904w 5t2ut C_ t✓ ovEv_kt Ep0 SEE N vc•E IL '�•'EXISrt rl i ;::u�l'�' .d"r °' '"r �Ol-� �+-� 1T1•t '��s1�15' �lr�s EXts-nN6, 3q5 MeMElt- e-ANSnt:►., 0 -ID Su.:�tTr_WeS STM.16 's P." To 8E �Etv�ov� 5'�R�c�TcA-E ►�1D DIS�a � , r-EEDc-V_`5 250 uwlDEtz6Rcx7►.1D I'll" PVC- _3C*WM 4c7 fl 3�g-Cruet Pv�.P) T t+1iN Cv, A Z$ CSS. PvXA-P) Ttk GU, L cc -M 'M D) r% -k tkr l G.cJ , rvew 5Eev t + ZSOS V_eKtAeb �/'E � Y .5e_ALE - No►.1e 180'/2 East 8th Ave Chico, CA 95926 Lic. # 623540 �{gtT 1 vF Z (530) 891-7597 (Office) (530) 571-3731 (Pager) (530) 894-8292 (Fax) V-e-vaKII�Dy �Advanced .41 1�� Iectric pAt�,i E L SCrI-�EbUL� .5 Le'*- zo Z I 2.vlZ40✓ 3,0 4w t ov+�naP t.1LµA 3 2 I oo p 3P M���► RkR. 1t'Z" �IsER WEtID ��LGUI..P.Tldo..LS yuTK BR.1�GE �'f 6-��E�L 51ZE Tv 'c�vla`PS I P` G, P vM P � Zlc4-v j 3 9 =•�- Q to U 'ct"�, P�tiae.P � G�R�•. rn+�s w+z.c - 4t,'►4o �`E� 1 I 41 � �1 i L c c��.c. • w«.s „�a e 1 S log, 1 5 L BtrSED oN GopP1.R- wkQ.E yZ l Nu.VSV E cF W--' t 9�-Ir-T l 8o�v CJS L.I► LAC -14 -TS eKs/s CRRcvND To Pu"I PS S �E 5 ctE PhN 180'/2 East 8th Ave. (530) 891-7597 (Office) �D L U i ' S C--+ t; iT ( ETS I --- '--,, + ��� S p,c 0 a o0o w -=, 12,0V A,, -.&Pg A--, kY, pif -1 + 24, 2,40 w = 24o x t . 7 3 2 SINC=L.E L-1N.E �} -rR Eta W. 1t'Z" �IsER WEtID ��LGUI..P.Tldo..LS yuTK BR.1�GE �'f 6-��E�L 51ZE Tv 'c�vla`PS � / C�3Z�'�Z1'loX z5o'x4o,�5 : Zt�vva = 41�yD M -- O u� S�'�V1�.E � G�R�•. rn+�s w+z.c - 4t,'►4o �`E� 1 1Z1, L x ZSo' k �5 P•+�p� _ `Sl, ocn c��.c. • w«.s „�a e 1 S log, �g L BtrSED oN GopP1.R- wkQ.E yZ l Nu.VSV E cF W--' t 9�-Ir-T l 8o�v CJS L.I► 1 PVG- eKs/s CRRcvND To Pu"I PS S �E 5 ctE PhN 180'/2 East 8th Ave. (530) 891-7597 (Office) �D Chico, CA 95926 (530) 571-3731 (Pager) Lic. # 623540 (530) 894-8292 (Fax) OWNER: ,eLlfr69 DATE: 7" LOCATION: \ /V ei6,p A.P.#: D ( l CONTRACTOR: Allz? ZONING: PRE -INSPECTION FOR: PERMIT HISTORY: [ ]NONE [ j -DATE TO INSPECTOR: AS FOLLOWS: [�Gc/ (_/ erAIL TYPE OF OCCUPANCY: e ADI ,t e 01V BUILDING INSPECTOR'S REPORT ing Description: [ ] Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[ ) No[ ] [ ] Currently Occupied. [ ] AbandonedNacant. t ic: [ ] Yes [ ] No Electric is currently :M On [ ] Off Condition of electrical? %_0,e sem �� ail. Natural( ] Propane[ ] None[ ] Currently On[ ] Off[ ) Obvious problems: itation: Plumbing working Ye* ] No[ ] Well: YesM No[ ] Obvious Sewage Problems: Potable water: Yes�J No[ ] Recommended: [Issue [ ]Hold for: nspector• : Date: G' May 1995 4.7 i 042-100-061 V03-2252 COFFRON, KAREN 2805 KENNEDY AVE, CHICO GAS LINE & HEAT FOR POOL I f COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILPING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (57 538-75A .5 , PEE IT�o� (Rev. 12/96) APPLICATION AND PERMIT 3 of ASSESSORPARCEL NUMBER 042-100-051 ZONING BUILDING PERMIT OWNER COFFROv KARM TELEPHONE 343-5410 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2805 KENNMY AVE. CHIOD CA 95973 CONTRACTOR'S NAME %.NI M TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 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 $ BUILLr�8UyRE;$ N Y AVE. CHICO CA 95973 L Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ;❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: GAS LINE AND HFATER FOR POOL Gas piping system 1 - 5 outlets 3. 15.00 Building sewer 15.00 Mobile Home I S I G I WT_ @20.00 PERMIT FEE S 35• ELECTRICAL PERMIT Fling Fee 20.00 ' LESS 800V 0' 1 Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 16r the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1I, as owner of the property, am exclusively contracting with licensed contractors (t to construct the project. ❑ I am exempt under Sec.T Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLDS. 3.5a FT. NEW ,,NON-R°SID. ANCHOUCIRCUITS T 97.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFD(TURES zop'. 00 BAL Q .5050 FIXED APPLNS. OR Ex. Occup. oLmETs RESID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities, 20.00 Misc. Wiring_ 23.00 PERMIT FEE i WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation t of one hundred dollars ($100) or less.) that in the performance of the work for which this permi- 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 0 1 should become subject to the wiorWers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. .� t' V} NA Date Slgnaluxre}of Applice nhi'= Q; -Q ,ner ❑ Contractor ' ❑ Agent An OSHA permit is required4gr excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation FWL FRAI-Ex• 00 ,;•� PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE 70.00hcertify TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. � By 4�Date PERMIT EXPIRES ON 7/,) (Da te Receipt No. 77 7 7 3-7 70 - UU WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Rug,04 03 08:04a p.3 COUNTY OF BUTTE - DEPARTMENT OF D9VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ;9 -3 - aa -So_ ASSESSOR PARCEL NUMBER 042-100-061 ZONING • BUILDING PERMIT OWNER OOFFRON KAREN TELEPHONE _ 9410 SQ, FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2805 KENNEDY AVFCHICO, CA C)9971 CONTRACTOR'SNAME OWN 1\ TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ Filing Fee b 20.00 ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEERS MAIUNG ADDRESS Permit Fee $ Plan Checking Fee S BUILDWGADDRESS 2805 KENNEDY AVE. CHIC% CA 95973 Energy Plan Checking Fee $ $ PERMIT FEE S (DT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF)o Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each qas water heater or vent 15.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: GAS LINE AM HFATF:R FnR Pnn);, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service 500V OR LESS 200A 09 LESS , 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class Lic. No. OWNER -BUILDER' DECLARATION I here affirm under penalty of perjury that I am exempt from the Contractors License pY P tY p 1 N P Law or the following reason: as owner of the property, or my employees with wages as their sole compensation, ill do the work, and the structure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensed contractors construct the project. rE003 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. L1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are:15-0015-00 Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWFILNG OCCUP. SO OR ADDNS. i ACC. BLDS. 3.5QR: NON•RESID. MULT60U71ET @7.50 powER AavARnrus S SINGLE OUTLET CIA. Ex. Occup. OUTLET OR FccURESBAL x "00 Ex. Occup. F1TLE ARES. OR OUTLETS RES1o. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20,00 Heating Coolin Hood 6.50 Ventilation POOL HEATER 1 PERMIT FEi= $ 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.) ` certi y that In the performance of the work for which this permit is issued, I shall not mploy any person in any manner so as to become subject to workers' m ensation laws of California, and agree that if I should b come subject to the r ars' compensation rovisions of section 3700 of th Labor Code, I shall E with co ly wit th a provisions. r to Zvff�� tp can - er ❑ ontractor ❑ Agent An OSHA ermit is require - r excavations over 5o" deep and demolition or construction of structures over 3 stories in he' ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ ��' �� HAZ' D. FEES IMP FLOOD CDF PARCEL Pp HO ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ByReoeiptNo. PERMIT EXPIRES ON �J Dere S 7 • �%� WHITE-D.D.S.-B.D. CANA -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT p3 � 2252 61y�, 9ts twr ok CQUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 3--aas� ASSESSOR PARCEL NUMBER 042-100-061 ZONING BUILDING PERMIT OWNER COMON KAREN TELEPHONE 343-5410 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2805 KENNEDY AVE. CHICO, CA 95971 CONTRAAC7T�OOR'Sp NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 2805 KENNEDY AVE. CHICO CA 959 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF )C7 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: GAS LINE AND HRATF'.R FOR POnT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 "OOVOR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I herepy affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: s owner of the property, or my employees with wages as their sole compensation,Mobile ill do the work, and the structure is not intended or offered for sale.as owner of the property, am exclusively contracting with licensed contractors construct the project. rm exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) ° certi that in the performance of the work for which this permit is issued, I shall not mploy any person in any manner so as to become subject to workers' m ensation laws of California, and agree that f I should b come subject to the r ers' compensation rovisions of section 3700 of th Labor Code, I shall with cc ly wit th e provisions. Qto 4Z61�of t pp Ican - er ❑ ontracNA -tor ❑ Agent An OSHA ermit is require r excavations over 60" deep and demolition or construction of structures over 3 stories in he' ht. Main Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADDNS. ( & ACC. BUDS. 3.5¢F{_ r",O"FRIn. BRANCH CIRCUITS MULTI -OUTLET @7.50 APPARATUS 8 SINGLE OUfIET CIR. 20 0 1.00 EX. Occup. OUTLET OR FIXTURES BAL Q .50 FLIED APPINS. OR Ex. Occup. OLITLETs REs1D. EA 5.00 Temporary Service 23.00 Home Facilities 20.00 Misc. Wirin 23.0 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation POOL HEATER 1 15 . PERMIT FEE $ JD. 1JU Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70.00 HAz. J= IMP J FLOOD CDF PARCEL Po I HD I ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ►% By ate per✓ PERMIT EXPIRES ON �6 Date �) Receipt No. 7 ° UV WHITE-D.D.S.-B.O. CANA -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER-BUII.,DER 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 major labor and materials for construction of the proposed property ' provement : YE NO 13 2 I HA HAVE NOT ❑ signed an application for a building permit for the proposed work. . I have co tracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: 4. I plan to prov supervise, and NAME: PHONE: CONTRACTOR'S LICENSE NO. of this work, but I have hired the following person to coordinate, major work: 5. I will provide some of the work but I have the work indicated: / NAME ADDREW" CITY.- WS ITY:BR'S LI -CE SE NO. t) the following persons to provide PHONE TYPE F—WORK NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business' license from the city or county. They are also required by law to put their license number on all permits for which they apply. \ If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ . There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the saucture is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. lY. h is 1 C. Vi ira, C.B.O. er, Building Inspection NOTE. TTris Owner -Builder Information is required by Section 19830 of the California Health and Safety Coda OVER 042-100-061 PERMIT06-2762 ~ COFFRON, Michael & Karen 2805 Kenne-dy Ave.'- Chico Ele Ser. Ch & Rewire/SF �a�`//�� fIJAI-d to, A.A 1 � r 042-100-061 PERMIT06-2762 ~ COFFRON, Michael & Karen 2805 Kenne-dy Ave.'- Chico Ele Ser. Ch & Rewire/SF �a�`//�� fIJAI-d to, A.A 1 COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County, Center -Drive - Oroville'Calhoonia 95965 - Telephone (916) 538-7 41 1,, PERMIT NO. APPLICA710WAND PERMIT " �4o ASSESSOR PARCEL NUMBER 042-100-061 ZONING A5 BUI�ING PERMIT OWNER MICHAEL KAREN COFFRON TELEPHONE 43-5410 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ., 2805 KENNEDY AVE. CHICO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is - Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 2805 KENNEDY AVE PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF E Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)tl Describe work: NEW 200 AMP SERVICE AND REWIRE H03SEt — � Mobile Home I S I G W 1 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service 0 OV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 I LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I License Class Lic. No. OWNER -BUILDER DECLARATION I 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Er I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ' ❑ 1 am exempt under Sec. Business and Professions Code for this reason I NEW CONST. DWELLING OCCUP. SO. OR ADDNs. ( a ACC. BUDS. ) 3.5Q FT. NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCHCIRATS ) @7.50 ( a POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL so Ex. OCCU FIXED APPWS. OR p- ( OUTLETS (RESID.I EA) 5.00 Temporary Service 23.00 Mobile Home Facilities ; 20.00 Misc. Wiring' 23.00 23 PRE INSPE I N PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION i I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 r 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) C3�certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. fit �fVA____ Date ,�` _ Signature of Applicant - O ,Owner ❑ Contractor ❑ Agent t An OSHA permit is required'for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is occ CONST TYPE ° TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ��.% /tom/X jDate PERMIT EXPIRES ON 1 1 r t ! (Date) Receipt No. 2 ©b`'r— WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �- -`COUNTY `COUNTY OFBUTTE�' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 MainStreet • Chico, CA- (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE• 17 re -2'2vs OWNER ~ PERMIT NO. t A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when.correction of work is completed. If you have any questions pertaining to, this matter, or need additional explanation, please contact this office immediately. t./l/ 3 Date l Inspector REV 10/92 fJ - COUNTY OF BUTTF- BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 91' 'Z 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. C W ?/0 (/'.C/-0— AG<<3S 7'-e) a:Ve14AL, —{ / 13 a �rLi .r � / e Gv . r +c D $/ w C //,`,�.� X41. ��t/G/Y,r- ►",00, .-,.',C Date I REV 10� Inspector K N 4S f 1 COUNTY OF BUTTE ' BUILDING DIVISIGIN' ;i DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 9� -,2 7Z Z 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please co nta this office immediately. o /e /o,- a /e l%'liGii� oNGI 60 pL 4-11" 740l- i� � o / I r /� J lez/� l P w% te t �- /hila i .�✓ ,S-lr �/i c ,-e ke al- es Date ZZ -V/ % Inspector REV 10/92 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI ION 7 County Center Drive - Oroville, Califgrrlia 95965 -Telephone (916) 538- 41 /- PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-100-061 ZONING A5 BUI ING PERMIT OWNER MICHAEL & KAREN COFFRON TELEPHONE 343-5410 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2805 KENNEDY AVE,0 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2805 KENNEDY AVE PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF III Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherjC] Describe Work: NEW 200 AMP SERVICE AND REWIRE HOUSE — Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service EOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic, No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fro the following reason: hr I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ( s ) 3.5Q FT. LTI- UTLEBUDS CNSS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) & SINGLE OUTLET CIA. EX. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .SO Ex. Occup. FIXEDAPPLN .OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.0 PRE INSPECTION 23.0 PERMITFEE $ 89,0 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 X�j � __ Date � _ Signature of Applicant - caner ❑Contractor ❑Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whic ees have been aid. P BY Date PERMITEXPIRESON (Date) Receipt No. �Q� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Please fill out the enclosed Detached Accessory Building form, front and back. Please indicate in the Additional Information space provided on side 2 that this pool house will not be heated or cooled, will not be used for overnight occupancy, will not be used as a guest house, and there will be no cooking facilities in it. Thank You Linda Simpson Plan Checker. NOTES RESIDENTIAL 042-100-061 __ X03-0370` COFFRON, MICHAEL PERMIT NO. —. 2805 KENNEDY AVE, CHICO - r CONT: BLUE HAVEN POOLS POOL -MASTER #517-97 ' SPECIAL CONDITIONS CHECKED BY . SRA' FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER l� �I t } i RESIDENTIAL 042-100-061 __ X03-0370` COFFRON, MICHAEL PERMIT NO. —. 2805 KENNEDY AVE, CHICO - r CONT: BLUE HAVEN POOLS POOL -MASTER #517-97 ' SPECIAL CONDITIONS CHECKED BY . SRA' FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER l� �I 1 JOB FINALED (Date) Signature J=OK 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Date 2. Soils; Special MH Support Sketch 6. Carports; Windows -Doors 3. Sewer; Location -Test -Fall -C/0 -Concrete 8. 4. Water; Location -Test -Easement Needed (Sketch) Footings; Size -Spacing -Marriage Line 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Electricity; MH Test 6. Water; MH Test Date 7. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 10. 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/0 to Grade -HD Approval . Date 8. Gas and Electricity Tagged Card B-1 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancv Date 1. Card B-1 Date Card B-1 Date 3. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 1. Zoning Requirements -Setbacks -Easements 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 2. Footings; Size -Spacing -Marriage Line 10. Roof; Shthg-Roofing 3. Blocking Ext.; Steps -Doors -Landings 12. 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card.5-1 Date Card B-1 Date POO (P s) OK except #'s S acks-Easements Soils; Compaction -Structure Stability 3. Pool.Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7,-5(ec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fe cing-Alarms Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 D� � S� (_ / F40,1 yo� 60"" �lvvya J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 48. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /' Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped 50. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 7. Slab, Steel -Wrapped 52. 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 57. 15. Access & Ventilation 16. Insulation Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 61. 17. Water Htr.; Ven; -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Insulation -Walls -Ceilings 19. D.W.V.; Test Fitlings & Anchor -Nail Protection 63. 20. Shower Pan; Test, First Floor -Tub Access Date 21. Test Tub & Shower, Second Floor -Tub Access Card B-1 Date Card B-1 22. Gas Pipe; Sire & Anchors 23. Fire Sprinkler; Test Date FINAL (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 67. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. G.F.I. & Bath Fixtures & Tub Access -Spa 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water _ 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size. /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Stairs & Rails 31. Range Circle/ /ga Cu or AkOven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 71. Fireplace or Stove, Clearance -Hearth 32. Service -Riser Conductors & Ground Main Disconnect 72. 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 35. Smoke Detector 74. Elec. Outlets & Receptacles at Kit. Counter Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 77. 36. A.C. Ducts Insulat:on & Support 37. Vent Fan, Exhaust above insulation Plb.; Elec. & Mech. Equip. Listed for Location 38. Condensate Drain & Overflow, Size & Grade 79. 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors Clearance Looked under Floor O Yes 42. Walls Studs-Nailinc Spacing & Braces -Plates -Sound 83. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) Stucco Brown -Finish 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 85. A.C. Unit Disconnect, Electrical -Plumbing 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PF MIT(Rev.J2/06)' � APPLICATION AND PERMIT ' ASSESSOR PARCEL NUMBER 049-100-061.� ZONING BUILDING PERMIT OWNER MPFRON, 10M R- VART-11 TELEPHONE '14144,10 SO. FT. OCC. BUILDING VALUATION cont. 29,000.00 OWNERS MAILING ADDRESS _ .. .. 990 -)KC TT-' Cn r o 1 _Ii ` CONTRACTOR'S NAME Y 11111F Pwwi.0 TELEPHONE own of , CONTRACTORS MAILING ADDRESS ` S FATR UTI T) CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ -A 0n ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 - Permit Fee $ 271.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS R A Energy Plan Checking Fee $ PERMIT F11JEJAxilik 314.50 LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF M=Buplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15:00 15. 00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: POOL — MASTER #517-97 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISIG W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 OOOVMain Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. `'j / p t �(� License Class C � G Lic. No. / ( (J � %"i OWNER -BUILDER. DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Y 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' co pe ation i surance carrier and policy number are: Carrier Policy Number 1 (The above sections need not be completed'if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit comp ith s provisidns. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO I 46.00so WEE200A NEW CONST. DWELLING OCCUP. U OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. INdON•REOSID. MULTI.OUTLET CIRCITS @7.50 POWER APPARATUS 8 SINGLE OUTLET GR. 20 @ 100 EX. Occup. OUTLET OR FIXTURES SAL @ .50 Ex. Occup. Onx�LEED�A AUN o OF' EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 .POOL ELEC. 0.00 PERMIT FEE $ 50.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 1111490 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 399.50 H . / D F,�ES Iyp / / 7COD 11 cqF / p�CEL �Po HD IS UE This permit is hereby issued under of the Butte County Code and/or indicated above f r hich fees have By PERMIT EXPIRES ON 2/1//0 the applicable provisions Resolutions to do work been paid. J' Date1(5 Flats Receipt No. i7( 011 tion Sn WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive -, Oroville, California 95965 • Telephone (530) 538-7541 IngP. (Rev. 2/96) APLICATION AND PERMIT�0 ` ASSESSOR PARCEL NUMBER ZONING — BUILDING PERMIT OWNER TIECEWONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS - o .,r ; CONTRACTOR'S NAME n nP001-SO TELEPHONE CONTRACTORS MAILING ADDRESS PA- 1 - -LIT4T JQQA, CONSTRUCTION LENDER Fireplace LENDER'S MMUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 271.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS _ 2,909 10FIXY AIZE CHT CC) Energy Plan Checking Fee $ $ PERMIT FER fxR& 314.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF-11_Buplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15-0015.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: POOL •- iVLA ST f517-97 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S S ELECTRICAL PERMIT Fling Fee 20.00 600LE Main Service zoO' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Q� / License Class S Lic. No. -7 / 8 (> `► Q OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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' cco pe ation i urance carrier and policy number are: Carrier Policy Number Z (The above sections need not be complete d the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensatio provisions of section 3700 of the Labor de, I shall fo wit comp it s provisi s. X Date ,0 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00 CCU000A WEE200A NEW CONST. DWELLING OCCUP. SO OR ADONS. ( a Acc. aws. 3.5QF,: r,oµpESID. MULTH' CRR UTITS @7.50 POWER APPARATUS a SINGLE ourL� aR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 aAL @ ,50 Ex. Occup. OFIxuTLEEo�A Aa D OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 POOL ELEC. 30.00 PERMIT FEE $ 50.00 MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 399.50 MA t D. F ES IM P ! FLOOD v CDF P CEL A' PO / HD ISSUE / This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above f r hich fees have been By Dat PERMIT EXPIRES ON �/ l ate provisions to do work paid. �l /)r— ReceiptNo. ?7t`)�l{� '''2 O �n WHITE-D.D.S.-B.D. CANARY -'A OR PINK -INSPECTOR GOLDENROD -APPLICANT ��Ml�i�'�"�"'r�k��i.+'«%°,-�y►,T� '�'�^'.^„"'y°�,k ;• v+R�+�-r �.rvr=uaYpb`v'>bi�i5,�,i �i ,dr*M• s *� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA,SHEET OWNER: G V1 'l ASSESSOR PARCEL NUMBER Proposed Building Use: ��� I Counter Technician: Date: Items required in order to aned, ply for as peerrmiitt.. AllboxesMUST be checked OR rked NA in order to apply. 1.. Plot plans, 3 or 4 sets, sigfl preparer of the',, nO 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. le, ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. ' (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to -the plan review line-up when required items are received. ❑ 12 ❑ 13 Date Received By Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ Plot plan and business license approval from the City of Biggs .................................... Letter of intent for non-residential buildings......................................................:.. Detached Accessory Building Form filled out by the owner ..................................... Hazardous Material Form............................................................................... ining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fers as shown on he attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of -Latent for Non -heated and A/C Buildings ................................ t........... ___r16. Sanitation and plat plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit.......................................................................: ❑ 18. California�Department of 7orestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) -Ise (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development ;bout"10 Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for dri,:eway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for N required ................ ❑ 23. Contractors license information. (Numb6� Name Style, Classification) ...................... ❑ 24. Workers Compensation Carrier an&Policy Number ..............:............................... ❑ 25. Owner -Builder Verification O Giver: to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authoriz tion �" .. II ................................... ........................ ❑ 27. Recorded copy of Agricultural Ackn6wledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired"permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hoki.-for pick . ; I have been i rm of th b e ' ms "tl require ent for obtaining a building pe mit. Applicant: Date: Allo3 1. Index permit application for the above items numbered: ! Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counte by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by:.' Date: Note transfer by: Date:'; ?, , Yellow: Building Division E.H. USE ONLY Fiat Dien Attached r'loas Man Attasrad Sent to ®.D. w TO: Building Department FROM: E, virollmental Health SUBJECT: Sanitation Clearance VAI r -Qf#- 5 �&J /I V.&O Owner Locatio AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for dwelling. Other -- Hold final for: Final clearance O.K. for: NOTE: V21 Environmental Health Specialist Date 8/96 r �� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street * Chico, CA - (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE t 'w OWNER PERMIT NO. �2?05 A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 15 e- 14 Dare e hp ;5 ,v V; e 0'- 4-; a 1--' dr ,v dt -ve e j PI-e,a:s e 4 0 A/ 11 4L e— "'O'f V .4 /V 10 b 91C 5 5 Date 1'2191/ 00 Inspector w .5!5-e REV 10/92 StIO01 Main Assessorinquiry Dec 21, 2000 Name ICOFFRON MICHAEL & KAREN �1 I Asmt # iI Fee # 042100 061 000 �' Status ACTIVE Status Date Addr-I 12805 KENNEDY AVE Tax 000 NORMAL OWNERSHIP � TRA 062-022 Addr2 CHICO CA 95973 Situs 2805_KENNEDYAVE CHI 1 Addr3 _ _ _ �� Base Dt �� + ' fa Addr4 i Land 129,092 - - J AgPres Structure 32,317 Comments 4210006100 CONVERTED 09/08/88 J Etal Fixtures 0, otes J NGrowin0 g Creating Doc# 198382884538 1 Date J Bonds - - Total L&I 161,409' � Current Doc#,1999PFD Date 07/15119--98 I� J Multi Situs - Fix. RP_ 0, Killing Doc# DateJ Asmt Desc 2805 KENNEDYAVE SuplCnt� Flagl MH PP 0, J Flagg PP 0 Zoning A5 00 Dwell J Asmt PP Pen Exempt . 7,000, 5.00 NlC 042 Net �1 54�,409Acres Q Tax PP Pen ., J Appeal Pending WR Dt WR r Split Pending Stat r7OWN EXP TAX ATT HON SIT APR. PCL J`� �► ►� FindI - 2000 sa; 08/08/2000 6:17:48 PM 042-100-061 2805 Kennedy Ave., "y r7 042-100-061 PERMIT#96-2762 COFFRON, Michael & Karen 2805 Kennedy Ave., Chico Ele Ser Ch & Rewire/SF f ry. y 042-100-061 #98-2137 COFFRON, MICHAEL & KAREN 2805 KENNEDY AVE.CHICO - ADVANCED ELECTRIC 41 } r ELECT FOR WELL F/NAL r � ' } tax,• ` _ < �. �i BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: Inspector must draw a plot plan with all building locations: Additional comments from Inspector: 2 MIKE COFFRON 2805 KENNEDY AVENUE CHICO, CA 95928 B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 Re: Btf(ffi&J0K%JJ0# 01-0007 Expiration Date: 1/2/02 A.P. # 042-100-061 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the category marked below: . [K ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to. permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the CHICO office. Thank you for your prompt attention concerning this matter. Yrs very truly, C. Vieira, C.B.O. •, Building Inspection MCV:lt Attachments CC: SMITH AND MYSERS CONSTRUCTION, 6299 ROAD 25, ORLAND, CA 95963 Chico Office - 411 Main Street, Chico / 891-2751 Januay.5".2001 Michael & Karen Coffron 2805 Kennedy Ave. Chico, CA 95973 RE: Building Code Violation 2805 Kennedy Ave., Chico A.P. #042-100-061 Dear Mr. & Mrs. Coffron: ,eutte Co LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in- violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the construction of a new detached garage. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief Building Inspector SR:pa cc: Assessor February 6, 2001 Michael & Karen Coffron 2805 Kennedy Ave. Chico, CA 95973 RE: Forma! Warning Notice Building Code Violation 2805 Kennedy Ave., Chico A.P. # 042-100-061 Dear Mr. & Mrs. Coffron: BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated January 5, 2001, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of a new detached garage is in violation of the 1998 .California Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warninE. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (L) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Michael & Karen Coffron February 6, 2001 Page 2 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. Sincerely, Michael C. Vieira, C.B. Manager, Building Inspection MCV:pa ,d w PROOF OF SERVICE BY MAIL 1 am a citizen of the United States and employed in the County of Butte; I am, 2 and was at the time of the service hereinafter mentioned, over the age of eighteen 3 years and not a party to the within action. My business address is Department of 4 'Development Services, Building Division, 7 County Center Drive, Oroville, California 5 95965. 1 am readily familiar with the County's practice for collection and processing of 6 correspondence/documents for mailing with the United States Postal Service and that 7 .said correspondence/documents are deposited with the United States Postal Service in 8 the ordinary course of business on the same day. 9 On February 6, 2001, 1 served the foregoing 10 -Day Letter on the person(s) 10 named below by placing a true copy thereof in a sealed envelope, with first class 11 postage thereon fully paid, addressed as indicated below, and by placing said envelope 12 In the appropriate place within the Department of Development Services 13 where mail is collected for mailing with the United States Postal Services 14 on the same day. 15 X In the United States Postal Service Mail in Oroville, California. 16 . Michael & Karen Coffron 17 2805 Kennedy Ave. 18 Chico, CA 95973 19 1 declare under penalty of perjury under the laws of the Stale of Califor 'a February 6, 2001, at Oroville, California. 20 21 au aRtererry 22 23 24 25 26 27 28 Dec 17 02 11:38a p.2 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. I. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES N ❑ 2. I HAVE t � VE NOT 0 signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAi'v E: ADDRESS: C IY: PHONE: -CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNFRDW f% /9 SOCIAL SECURITY NUMBER: DATE: v 4, NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. Tlris verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 11:37a Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name: ' Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. - If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials 'and other costs) is $300 or more for the entire -project and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer. you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and These risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law. contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an'"ownerbuilder" building permit erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community. or at 1020 N Street, Sacramento, CA 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Michas 1 C. Vieira, C.B.O. , , Manager. Building Inspection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 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