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HomeMy WebLinkAbout042-110-019AP 42 -11 -19 -'- Arthur Williams n/s Kennedy Ave. at Meridian Rd.,Chico Permit 5,779-77 PIE (util./MH) ELEC. GAS SUPPORT' ST1W C. > COMPACTION TEST Al Q 42-11-19 Permit #4262-78E,m(-inst AC unit) MH 42-11-19 Permit #4263-MHI'," *49:fIWAY s s u e d th A 42-11-19 3014-91B SCHMIDT, Bob 3570 Kennedy Ave, Chicok cont: Four Counties Roofing(reroof with tile/sf)fU - 44� 0019 91-3692 SCHM I DT,-inwil _R'Cr�T &_ H1 /A R S_ 'CONTR': OWNER 3570 KENNEDY AVE, CHI -GAS LINE/SF 42-11-19 92-673M SCHMIDT,,Ro rt Sharon 3570 Ken . y Ave; Chico (re 6 hvac/sf) 042-110-019 03-2139 GARDNER, MARY 3570 KENNEDY, CHICO Cont: BLUE HAVEN POOL-MASTER#517-01 B07-673 042-110-019 MISCELLANEOUS Room Addn-First Stry ADDITION 780 SQ FT 3570 KENNEDY AVE GARDNER, MARYA REV TRUST BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3570 KENNEDY AVE Owner: Permit No: B07-0573 APN: 042-110-019 GARDNER, MARY A REV TRUS Issued Date: 05/17/2007 By KCG Permit type: MISCELLANEOUS PO BOX 5187 Subtype: Room Addn-First Stry CHICO, CA 95927 Expiration Date: 05/16/2008 Description: ADDITION 780 SQ FT Occupancy: Zoning: A10 Contractor Applicant: Square Footage: SCRIBNER, DONALD LEWIS CONST. SCRIBNER, DONALD LEWIS Building Garage Remdl/Addn 254 HASTINGS AVE 254 HASTINGS AVE 780 BIGGS, CA 95917 BIGGS, CA 95917 (530) 632-3038 (530) 632-3038 Other Porch/Patio Total 780 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $428.92 DBMSC Room Addition -First Stor $643.39 DBSMIP Residential $5.07 Total Charged: $1,153.08 Fees Paid: $1,153.08 Balance Due: $0.00 Receipt No: B3128 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License SCRIBNER, DONALD LEWIS C- 354230 / B C20 / 02/28/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in fu ce and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 05/17/2007 penalty [$500); Please check one of the following: Contractors Signatur Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves 62 �``� Carrier. Policy Number. �,J V Exp. Date: Lb 10 1 thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). (This section nee not a completed if the permit is or one hundred dollars ($100) or I ss. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 05/17/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date pro sions. X 05/17/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signa a Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the p e ow er or am o' ed to act on lh property owners behalf. CONSTRUCTION LENDING AGENCY 05/17/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Pen6lelISIUNI Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1Contractor OR. Agent for OwnerAgent for Contractor P FILE COPY Lenders Address City State Zip � rl _�_� �, s ,Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0573 Date: 03/22/2007 Location: 3570 KENNEDY AVE By: GLB Parcel Number: 042-110-019 Sub Type: Room Addn-First Str Owner Name: GARDNER, MARY A REV TRUST Phone: Description: ADDITION 780 So FT The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ WEEFE7 DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS o ecreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Du am Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chigo Uni ie chool District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 DuUnified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District,.1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: ODate: 03/22/2007 FILE ,Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds O O O O O National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-0573 Location: 3570 KENNEDY AVE Parcel Number: 042-110-019 Owner Name: GARDNER, MARY A REV TRUST Description: ADDITION 780 SQ FT Date: 03/22/2007 By: GLB Sub Type: Room Addn-First Str Phone: By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Cad AAA 14 444 -Ai Title: FILE Date: 03/22/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at hqp://municipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0573 Location: 3570 KENNEDY AVE Parcel Number: 042-110-019 Date: 03/22/2007 Owner Name: GARDNER, MARY A REV TRUST Phone: Description: ADDITION 780 SQ FT Signature of Property Owner: Qse 0.4 A Date: 03/22/2007 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0573 Job Address: 3570 KENNEDY AVE Contractor: SCRIBNER, DONALD LEWIS CONST. 254 HASTINGS AVE BIGGS, CA 95917 Printed: 03/22/2007 3:05 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 03/22/2007 $75.70 DBMSC Room Addition -First Stor 0010-440001-4210500-1010 $643.39 DBF Room Addition - First Stor 0010-440001-4210500-1010 $428.92 03/22/2007 $428.92 DBSMIP Residential 1001-0-280-1011298 $5.07 Printed By: Gwyn Benedict 19153.08 $504.62 Balance Due: $648.46 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: 0AA, 01-P, Qldza J Date: 03/22/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District rill �./ V� Building Department No. t Tax Rate..`Area,No,y c {� Ilo�o�ci D y ` w't- A.P. Number Jurisdiction: Cit Count 7 Property Owner 7 O' Property Location/Address p Subdivision w Lot NJ.r 6 f Residential Development = Q No of Living Mobile Home Units Installation 3 r}<. Commercial/Industrial— 0 New Addition .................�....--.-..................................................................... vl I Addiik n/ 'Supplemental to Con/version Permit # '(No foundation inspection) €................................................................................................. Sq. footage (Group R) Cr. Demo - ( ) existing sq. ft. see attached Net total sq. ft. C, Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. &I S ;p School District certifies that (Street Address) (State) Sq. Footage (Including Exterior Roofed Areas) Date (Payor) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. \`J / t06 by payment of $ representing D square feet. 11AB 2926 $ FULL MITIGATION $ -IM Yn!�2 - - /�/,9 -v2 School District Representative Date Paid by Check # Remarks: 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 (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) XCHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Q _ C) 1 G'i Building Permit Number ?? '6S73 Property Owner (s). Project Location /Address Subdivision Name New Development L--'Alteration/Addition(s) Assessable Sq. Ftge S Type of Residential Development (check one) Single Family -Detached Non -Residential to Residential Mobile home Mobile home replacement Demo Permit (date issued ) Comments: Date Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRRPD CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Phone Number � 0/otv Mailing State Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ ��_ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ by Check No: !� Paid by Cash: Receipt No: i onAdN Park ElistiiciRwresentative Date KAFORMSWILDING FORMSIpark-rec standard form rev Ldoc BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name i ame Mailing Address city Wen Stat Zip Phone I s Fax E-mail M APPLICANT SIGNATURE X c� (A�1� For office use only: CONTRACTOR Name LAI 110 Address 5 Address� S State Zip Phone I Page 7ot '..'Emil •.'• ' ,• �',I M APPLICANT SIGNATURE X c� (A�1� For office use only: ARCHITECT/ENGINEER Name LAI 110 Address 5 City S State Zip Phone I Page 7ot Fax E-mail State License Number M APPLICANT SIGNATURE X c� (A�1� For office use only: APPLICANT INFORMATION Name Flood Zone Address 5 City S e Pef g qj Phone I Page 7ot Fax ,l� E-mail �gscck M APPLICANT SIGNATURE X c� (A�1� For office use only: Zoning I &Q Flood Zone X I SRA I yes No Occ. I Tye Const. Subdivision Name Map Book I Page 7ot # PERMIT NO. 67 6 BIN 60% PROJECTLOCATION API Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Receiveby: Amount: �ldg D - SRA S Receipt #: Sheriff SMIP rt) — ... , r t�6 ' 7��, •Other ''j' i ,A- 0 L2`o 2-2- a NOTES RESIDENTIAL 042- 43-2139-110-01§ GARDNER, MARY PERMIT NO. — 3570 KENNEDY; CHICO Cont: BLUE HAVEN POOL-MASTER#517-01 _#_ _ j ii G f r. »r f e 1 } t i) r Ij,,--� _' SPECIAL CONDITIONS I SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) `O Signature CHECKED BY J=OK 0 = Not OK . = NotReadyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Electricity; MH Test 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval -' 8. Gas and Electricity Tagged' 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 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 .f - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Structure; Steel -Connections -Thickness _ \ - 4' FAc.; Receptacles and Liqhtinq, Distance-GFI Pool Lighting; 15 Volts-GFI Enclosures; Conduit Entries -Terminals -Listed kV t@<Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Iris. to Main Conduit --Q-Health Department Approval 7"- Plumb.; Cir. Test-Wate Supply Test 11. Light Niche 12. enclosure; F g -Alarms Date Card B-1 Date Card B-1 Date Card B-1 _ Date Card B-1 mop x J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbaci<s-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" 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. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 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 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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. 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 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 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 AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated NeutraP O Yes O No _ 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 87. Water Well, Disconnect, Electrical, Plumbing 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 B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 41. Sills Proper Materials & Anchors Comments at Final: 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 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 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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: S ,.COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -. 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 /L� PERMIT NO. (Rev. 12/96) ;� APPLICATION AND PERMIT V - , ASSESSOR PARCEL NUMBER 042-110-019 ZONING BUILDINGPERMIT ' " OWNER MM Gardner 540-56(0 TELEPHONE SO. FT. OCC. BUILDING VALUATION Cont est 1123 000.00 . OWNERS MAILING ADDRESS 3570 Kennedy Ckico CONTRACTOR'S NAME Blue Maven 899-8445 TELEPHONE CONTRACTORS MAILING ADDRESS 275 Fairchild Suite 100A Chico CONSTRUCTION LENDER [Fireplace LENDERS MAILING ADDRESS Total Valuation $ ".Q0 ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 843.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS � V 3570 KPERMIT Energy Plan Checking Fee $ FEE $ 286.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping ;.«»' P 15.00 15 Each gas water heater or vent TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: mftW Master Pool 517-01 ___15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ 356!00 ELECTRICAL PERMIT Fling Fee 20.00 'ORMain 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. License Class Lic. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property; am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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' cc en ation igsurance carrier and policy number are: Carrier Q Mq Policy Number (e cl, 3 (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 w't� those provisions. X ��_�% J `� / / /'� Date / b J �� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent i An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR G OR ( a ACC. BIDS. —3.50'x: CON NEW CON BRANCH NCHOUTLET 97,50 POWER a SINGLE OUTLET CIAPPARATUS R. Ex. Occup. OUTLET OR FIXTURES BAL O I: o Ex. Occup. plfljXT g pESIp,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities ... 20.00 Misc. Wiring 23.00 POOL Electrical 30.00 PERMIT FEE $ 50 • 00 MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $371.M HAZ. p. FEES IMP I FLOOD I COF I PARCEL PO HD "� ISSI�E ✓ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated' Bove for which fees have been paid. f�J B� Date / PERMIT EXPIRES ON 7/?�' 01 1` Date ! Receipt No. .5 1 '� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D SION 7 County Center Drive • Oroville„California 95965 • Telephone (530) 538 5413 E MIT (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-110-019 ZON1NG LDING PERMIT OWNER Mary Garde 540-5660 TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 3570 Kennedy Chico Cont est __23 000.00 CONTRACTOR'S NAME Blue Haven 899-8445 TELEPHONE CONTRACTORS MAILING ADDRESS 275 Fairchild Stlite 10QA Chico CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total valuation $ 23 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 243.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23,00 BUILDING ADDRESS 1570 Kennedy Chi co Energy Plan Checking Fee $ $ PERMIT FEE $ 286,00 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 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: new Master Pool 517-01 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ 35,00 ELECTRICAL PERMIT I Fling Fee 20.00 Main Service aoov oR LEN zoos 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.S I License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 +000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. s0 3.5¢FT. T. NO” N.pESID. =LT,' oLmiT 97,50 POWER APPARATUS 8 SINGLE ourLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL @'; o Ex. Occup. DFIx�LEEo�A AMGRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pool Electrical 30.00 PERMIT FEE $ 50, QQ 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' coompenlation irysurance carrier and policy number are: Carrier (A'1PAq, Policy Number F 1 (p _S (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 wA those provisions. X _ Date 1 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent I An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ D PEES IMP FLOOD CDF PARCEL PD HD This permit is hereby issued under the of the B e County ode and/or indic d for hich fees have k B PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date 7 Z d date Receipt No. 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. :;i ri.h ` y. • >ry,, :.+/4 y'r",q �rjrw' - -� . . -y-. 3 COUNTY OF BUTTE-DEPARTM-.NT OF;DEVELOPMENT SERVICES -BUILDING VISION ' s ' 7 County Center Drive, Oroville, GA 95965 Phone (530)538-7541 Fax (530)5 -2140 PERMIT APPLICATION DATA SHEET OWNER: VV &A c(� ASSESSOR PARCEL NUMBER " —r `, r// a 6I f /(o Proposed Building Use: (Poo k Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �Z_1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 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. 4 ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundatio plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ng ed.by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proce:d. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ..:............................. ❑ 9. Plot plan and business license approval,9from the City of Biggs ....................................'' ❑ 10. Letter of intent for non-residential buildings......................................................... , ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... 4 . ❑ 12. Hazardous Material Form............................................................................... t. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ................: ....................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ........................... ........::. e....... ZJT6. 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) ...................... ❑ 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: When issued Telephone 9 q ZV and hold for pickup. I have been informed ofthe O?i abo'te s arnd�requiirrements for nDate: g a build' 'g per Anuli nt: "� " " L I �, 1. Index permit application for the above items numbered: 1 Plan Check Letter ; 2. Additional items required Contractor, designer, owner,was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by t Date Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: ' Plans reviewed by: Date: Plans approved by: 04 Date: Structural reviewed by: Date: Structural approved by Date: i Note transfer by: Date: ,. Yellow: Building Division, c i E.H. USE ONLY Rio¢ Rion Att.chod Z%Plan. A&chod� . TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ma rV 3570 ���.. 6 (/2 •-//D -O Owner Location AP# / Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well ✓ Clearance for . Other L 41j e47 0 &n Hold final for: Final clearance O.K. for: NOTE: Environmentala Ith Specialist Date 8196 -R. � r -n+..'T''. ::k ww..Y•r .. r_ ifn r:r .d: itt.. Sc . t .,. .tet°•. '•��: �:,.`=.,.il��t_t�Tq . -� o 1 42-11-19 OUTS(z)1B SCHMIDT Bob 3570 Kennedy Ave, Chico cont: Four Counties Roofing (rero f wit tile/sf) r h O OJ' -4 r V kC,Z7- a' Lho�a4fa-s lJ�or�C o6 ..;+3^.ar•. ".'br'S:W"'•Nvwi •� , . *F 1 :. eky, �... ^ ,'3-I !f K tf � ' Ati�,k�S: X::'q'u.�'?•Q�i.�}S rr,'7'`•�� �. `k 3 000NT'Y OF BUTTE -DEPARTMENT OF PUBLIC ORKS?9 t PERMIT NO.'� s A, f, t 4<t'.T4- • — 7� County Center Drive - Orovllle, California 95965 -Telephone. 9:1' /538-7541 APPLICATION -AND PERMIT - tl ASSESSOR PARCEL NUM. ER -• �� ZONI (� ', . , BUILDING PERMIT OWNER Bob Sr_irwid TELEPHONES ; SQ. FT. +:OCC ii } r ;BUILDING VALUATION Xt f • OWNER'S MAILING ADDRESS 3570 X Ave Chico, C2iUtiia 95926 CONTRACTOR MErn 1� OIWLM ROomc tXdvmy v TELEPHONE 3434416 40 f�' :yes X,,,$150.00 = $6,(W.UU CONTRACTOR'S MAILING ADDRESS 3 Crusader Cxwt Chico 'Califor-nia 95926 - '( Fireplace 1 CONSTRUCTION LENDER UNKNOWN Total Valuation is(�♦ j'jg>rjt S56S6C - LENDER'S MAILING ADDRESS Filing Fee 10.00 Permit Fee $' 56.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _0-:i ; ' Penalty $ BUILDING ADDRESS' -B570 Kmno d At 11n chftID California t--< Permit fee $ 66.50 PLUMBING PERMIT Filing Fee ! 10.00 �+ Each Trap , t f - _ Solarr or'heat'pumpwater-fie`ater- 200 20.00 A. r,�.r,w., i�-r.:..i:.,.,. M..�Y++,+......�.K i��(�"..�.•r••+Y.4.-.-M 1T+"'.fp..:�.�. .M '{•�V,IR .i. .XN O. •) SUBDIVISION NAME PARCEL MAP `'. : , t th.. - Water piping 5.00 Each qas water heater or vent_ _ 5,00 USE•OF STRUCTURE 'SF [ Duplex❑ Mobilehome❑- Other - r SPECIFY c, Gas piping system 1 - 5'outlets 5.00 Building sewer I _ S.O- . _10.00e Mobile Home �" S G W '= +. TYPE OF WORK ,;)' New' ❑ Addition❑ Remodel EJ Utilities❑ Installation ❑Other[N r Describe work: Re-zoof, m6jidpllzw w-Wh till -•}_ ' Permit Fee $ Contractor i ,r ELECTRICAL PERMIT Filing Fee � 10.00' r - ,. 600V OR LESS Main service AMP OR LESS, 10.00 f,� CONTRACTORS LICENSE LAW �" N I decl8runder penalty Of'perjury ((Zheck one): ILLS¢ "�•- I am licensed under provisions of Chapt. 9, Div. 3 of the �B.�l 5'ness - and Professions/ Conde Land my license Is In full force and effect. License No. (lC7 Classification \.'-J7 sl ° .s I, as, the owner, or my employees with wages as their sole'compen- sation; will do the work,and the structure is not intended or offered for sale. (Sec. 7044) '' ❑ I, as the owner, am exclusively contracting with Iicensed .contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP IZ.SO fr NEW CONST. ('DWELLING OCCUP.�\ OR ADONS. ACC. BLDGS. / 2YzQsgft NEW CONSTR ULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea 1 �` (POWER APPARATUS tri SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES BAL030 a Ex. Occup. FIXED UTLETS(RESID ) EA.) .N 12.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring , 15.00 ' Permit Fee $ :�;•l, " WORKMEN'S COMPENSATION INSURANCE I declare under penalty of -perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have)placed on file with the County of Butte Building Department a,, Certificate )of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I r ❑ I shall not employ any person in any manner so as to become subject •- to•the W. C. laws of California. r ti.X: Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor,Code, you must forthwith comply -with such provisions or this permit shall be deemed revoked. Contractor. MECHANICAL PERMIT Filing Fee` 10.00 Heating �, 5 . �o Cooling Hood 3,00 Ventilation Permit Fee ,$ ' Contractor I certify that I have'read thisrapplicafion and .state that the above information is correct. I agree to comply to all'County Ordinances and State Laws relating to building construction, and.hereby authorize representatives of the County of Butte to enter'upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities;, jud`gme ts, costs, and expenses which may in any way accrue against' aidof rityjin nsequence of the granting of this permit. X•• -Date nnj3 yc#i Signature of A plS. nt — Owner ❑ Contractor ❑ Agent ® An OSHA perm required for excavations over 5'0" deep and demolition or construct- pion of structures over 3 stories in height. Mobile Home Installation Fee .$ Energy Inspection Fee $ occ ONST TYPE TOTAL FEE $ ( j HAZ I CLIA PARK I SCHL I FLD PAR PD HD Issu This permit is nereby issued under sions of the Butte Count Code and/or d above for which fees IWORKS workL.ff,;;Z/,fDAte B PERMIT EXPIRES Date the appiicabie provi- resolutions to do have been paid. Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .r 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSESSOR PARCEL N U;g ER (J R /9 ZON I BUILDING PERMIT OWNERBob s TELEPHONE SO. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS co California 95926 CONTRACTOR'S NAME TELEPHONE FOUR COMIEES ROOFING COMPANY 343-1416 1 00 50. — 'iV l/l/ 0 eS, A V F15-0.00 ' CONTRACTOR'S MAILING ADDRESS #3 Crusader Court, Chico, California 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ pamitS56---50 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ 56.50 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS California Permit fee $ 66-50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent • 5,00 USE OF STRUCTURE SF r9i Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00JIN e Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other® Describe work: Rp—roof, residence with tile Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1Doo AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. - /n License No. 489246 Classification i.-3 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.g OR ADONS. ACC. SLOGS. 2h2Sgft NEW CoNSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES @50 2AL SOS e0 FIXED ARLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. Lalso agree save, indemnify and keep harmless the County of Butte against abiliti I nts, costs, and expenses which may in any way accrue in onsequence of the granting of this permit. Date nR�2n�91 ignature of A I nt — Owner ❑ Contractor ❑ Agent ® An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 66 HAz CUA PARK SCHL ESD PAR PD HD IssU This permit is Hereby issued under sions of the Butte County Code and/or work i icated above for which fees DI R OF P PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WMITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .#�fi�wvtrti!lg7�M*r,^g�.,s•-.sr w5+�"�f."�'.l"t�^.,,.�+..+•..,wjy,�.xATa^;7>t^'"wii'/�."iQ�wlvia}J�'„e•'av4i.4�''r.s-:!{�' ���•i�"`�.'•```d'f`�AF'4Yi'Ai' it''H.F!_ ,`y.�Y` '@'i►'d.�K ._ii_K,S.�"��ftrr*-t +yx 91-3692 042-11-0-019 SCHM I DT, ROBERT & SHARON CONTR: OWNER. 3570 KENNEDY AVE, CH I CO GAS LINE/SF 1 Yom^ .• j.\ �. i OFFICE COPY Address GAS Meter By—i �J �M Dater ELECTRIC Meter By Date r y..q.:_�s")'+.r'rvwrt�``,.+�r-.•rr+'r's,.r•-R•'ti.t-•y,.� r:+�'ti••.'r""iZ1"i;y.-•4i.�r,,'ir'1.4j-P+:rr'r`.i�.,..,"4r:;-i.r'Y'r-m17r-.pRfr^..;,v1r..'r•u,-,�e.i.. .,,y�Y�r--_::•..�rr,.+`v Ki'.,s 44 �^-�..• •• J 1�� r COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS ., PERMIT NO. r �. 7 County Center Drive - Orovllle, Callfornla 95985 - Telephone: 915,`538.7541 APPLICATION AND PERMIT ' A9S ESSOR PARCEL NUMBER , 42-11-19 - ------ - - ZONING ., BUI.LDINC PERMIT,-_, OWNER Robert & Sharon Schmidt TELEPHONE 895-0913 -SO. FT. tOCC. _ ',BUILDING VALUATION " OWNER'S MAILING ADDRESS 3570 Kennedy Ave., Chico 95926 - f_ f CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 L'ENDER'S MAILING ADDRESS • 'PerMit Fee $ ' ARCHITECT OR ENGINEER LICENS ENO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS w Penalty $ BUILDING ADDRESS t Permit fee $ PLUMBING PERMIT FilingFee r 15.00 3570ennedv Ave.,Chico 95926 r" Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME ` PARCEL MAP } Water piping *+ 17.00 , Each qas water heater or vent._ 7.00. •• USE OF STRUCTURE _ SF Duplex❑ Mobilehome❑ OtherBuilding ' SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer - -'15.00 Mobile Home ',.I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationE +Other ®, Describe work: Cas Piping(Nat, Gas) _ ' Permit Fee $20,Q0 Contractor ELECTRICAL PERMIT Filing Fee i 15.00 Main service 200A OR LESS 18.50 # t Main service 200A TO 1000A)37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the, Business and Professions Code and my license is in full force and effect. License .Jo. Classification' I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) 3.64sq.ft: is OR ADONS. 1 ACC. BLDGS. NEW CONSTR. ULTI-OUTLET NON-RESID• BRANCH CIRC ITS @ 5.001' POWER APPARATUS & • r (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES20 @ 76x1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI D.) EA.) I 3.00 ' Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. t, I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply.w.ith such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinarIces and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X f , r(L4 t --r �/ 1y Av--' Date /C //n -" 2, f Signature of Applicant — - Owner � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener99 Inspection Fee $ occ CONSTTYPE TOTAL FEES 20.00 I HAz DFEES IMP I FLOOD CDF PARCEL PD HD I VE , This permit is hereby issued under the applicable provi- Bions of the Butte County Code and/or resolutions to do work indri6gted above for which fees he've been paid. i� /F' DIRE C - F PUBLIC W RKS� By t / � Date PER t�tEXPIRES Date C; v Receipt No. 1009" WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I ' COUNTY OF BUTTE .•.DEPARTMENT 6F PUBLIC WORKS. 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Sc (n o" 1�,,1 3 6'7 2 - °I OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r f DateInspector. REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / 7 CounJ;y CentOr Drive - Orovllle, California 95985 - Telephone: 918.'538.7541 APPLICATION AND PE2MIT PERMIT NO. AOS E000 RCEL NUMBER 42-4 1_19 ZONING BUILDING PERMIT OWNER Robert & Sharon Schmidt TELEPHONE 895-0913 SO. FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 3570 Kennedy Ave., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 3570 Kennedy Ave. Chico 95926 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 11 5.00 5,00 Building sewer 1 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New" Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other[Z Describe work: (18S Piping (Nat- CRg) _ Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR 200A OR LESS 18.50 Main service 200A TO 1000A) 37,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason &\ NEW CONST. OR ADONIS. \ ( DWELLING OCCUP. ACC, BLDGS. I 3.6Q sq.ft. NEW CONSTR ULTI.OUT LET NON•RESID• BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS.I, Ex. OCCup. OUTLETS PIRESID IKEA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject AJ to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ;aat aid County in consequence of the granting of this permit. Date /I) l� '-�� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE 20.00 HAz 1 DFEES I IMP I FLOOD I CDF PARCEL PO I HD I ISS E This permit is hereby issued under the sions of the Butte County Code and/or work in>k9ted above fo which fes DIR IF PUBLI BY PER XPIRE Date applicable provi- resolutions to do h ve been paid. KS Dae �© T Receipt No. 1 nn944 WHITE-D.P.W., YELLOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY 141 Proposed Building Use OF BUTTE - DEPARTMENT OF PU LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL111111E',YCALIFOAIA�%965 - TELEPHONE: 916/538-7541 Y PERMIT APPLIdwnaM-bATA SHEET Permit No. _Ke�_/F7A.P 0.p _ Building Inspector Date At time oflaermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for No and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........... ' ..................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required...Pre-Inspec. request to 'Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .... " ` 25. Letter of signature authorization .................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor.;. Telephone and hold for pickup at office. Deliver w/inspector. Other t o /- Appl is Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). Y 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail-counter by .date Contractor, designer, owner, was advised of above required data by -phone -mal l -counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy -DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARC L NUMBER I -- / ZONING BUILDING PERMIT O PNER , TELEPHONE SO. FT. OCC. BUILDING VALUATION o NERDS M? NG AD RESS CONTRACTOR'S NAME VTELEPH E ' CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADD ESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ARCEL MAP P Water piping 7.00 Each qas water heater or. vent 7.00 USE OF STRUCTURE SFV Duplex ❑ Mob ilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Lj Remodel ❑ Utilities ❑ Install ti ❑_ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): t ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. "License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20CATO 1000A1 37.50 NEW CONST. DWELLING OCCUP.a;\ OR AODNS. ACC. BLDGS. II 3.6tsq.ft. NEW CONSTR ULT LOUT LET NON-RESID� BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 8 7604 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.i EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerF-1Contractor ❑ Agent ❑ An OSHA ons over 5'0" deep and demolition or construct- ion of structures toverr3gstoraefoin excavations Mobile Home Installation Fee $ Energy Inspection Fee $ occCONST TYPE TOTAL FEE$ Q�/C///^eo HAZ DFEES IMP I FL000 I CDF I PARCEL PD HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �1�� 4 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orcville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541'. Attention Property Owner: _ An "owner -builder" building permit has been applied for in your name and bearing your signature. y Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) IA L4,; 2. I (have ave no signed an application for a building permit for the work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, .and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 1V R Signed: Property Owner Social Security Number Date /o - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ' '� �r'"• �� ..��•...'t .. i• w: YkxT+S."='t-:": ^s. ,-+.... .,. -''R•..'.�;w^'-'FrvJ".-?�%�r`��r'f,�,'�g'r'h�. c. ... .--s.r ��T 1 COUNTY OF BUTTE - DEPARTMEN.T'OF PUBLIC WORKS 7 County Center Drive - Orovllle,'Callfornla 95865 - Telephone: 916/538.7541 APPLICATION AND PERMIT --P" f , . , - PERMIT NO. ASSESSOR PARCEL. NUMBER 042-110-019 ZONING A-10 BUILDING PERMIT OWNER Robert Schmidt TELEPHONE 895-0913 " SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3570 Kennedy Ave., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE ,F CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee _ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 3570 Kennedy Ave., Chico Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF E Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Replace HVAC _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- r sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason _37.50 NEW CONST, ( DWELLING OCCUP.&\ 3.64 sq.ft. OR ACDNS. ACC. BLDGS. II NEW CONSTR. ULT' -OUTLET @ 5.00 ,• NO N•RESID BRANCH CIRCUITS) POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating 1 9 . astral Cooling • Hood 6.50 Ventilation Permit Fee $ • " Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X � (.�1Date 3 �Ick An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $40• 50 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab.o>ebr which fees have been paid. �pIREl R OF PUBLIC WORKS By r ;' _V-" Date PERMIT EXPIRES Date .Z l_ 1/ Receipt No. 109953 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �� r ;'�..r-•�Lr.rv-.�..+�e---'a'�- fy'1'v""_. �'AiivipC^'M'5�:%+t�Tzr;y�'.'Ri�s' elf 'r 42-11-19 92-673M SCHMIDT, Robert & Sharon 3570 Kennedy Ave, Chico (replace hvac/sf). P G COUNTY OF BUTTE DEPARTMEN=T 'OF -PUBLIC- WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE -5cI OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r Date 2�� 92— Inspector REV 11/9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 042-110-019 ZONING A -PO BUILDING PERMIT OWNER Robert Schmidt TELEPHONE 895-0913 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3570 Kennedy Ave., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. -Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 3570 Kennedy Ave. Chico Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP WaterP� 9 I In P 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Replace HVAC Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e) OR ACDNS. ACC. BLDGS. 3.64sq.ft. NEW NO N.RESID R BRANCH CIRC, ITS @ 5.00 /POWER APPARATUS e ISINGLEOUTLETCIR. ) EX. Occup( OUTLETS OR FIXTURES 20 76 FIXED APPLNS.OR Ex. Occup. OUTLETS (RESID.I EA.) I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 L_ I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIIng Fee 1 15.00 Heating 119.001 9.00 Central Cooling 16.50 Hood 6.50 Ventilation Permit Fee $ 40.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga t id County in c sequence of the granting of this permit. Date 3 ��� fd, Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $40.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE j This permit is hereby issued under the sions of the Butte County Code and/or work Indic a or which fees By `el R OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKSDate�f`� Receipt No. 109953 WNITE•D.P. W.,`rELLOW-ASSESSOR, PINK -INSPECTOR, GOLDEN ROD -APPLICANT OWNER �yri�"','r"*�,..�,.��,ty��:��:•�if n:wrwar•af.:r..�.,�rr-;r�.w"f'v'i>.y..Sr�r��,;^A,ri->tik� '��� •:t�.�:�y`�;,.�.' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL EC IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT4,A,PFLIICATION" DATA SHEET Permit No. A. P Proposed Building UsesV�� Inspector Date Z At time of permit application, I was advised the following data must be'submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... - 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. r a 5. Hazardous Material Form ............................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent 'or=Non-Heated'and�:AC Buildings ... .. .. 8. Engineered ,truss details and layout in duplicate (required prior to plan check_ ) 9. Mobilehome installation data including manufacturer's installation - r='`�" instructions ...........................`...... ` ..................... . 10. Fees of $ 11. Chico Urban Area fees paid ................................... 12.7Parkfees paid ............................................ `. 13• School District fees paid......''....... 14. Sanitation approval from �� Health Department 15. City of Chico plumbing permit ...................................... 16. Plot plan and business license approval from City`of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. ��- 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .......'::: 25. Letter of signature authorization .................................. . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl ican Date r Copy of !-Idz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1, Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---rnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mai I—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OE BUT"'I - Daoartmenc of °ub 1 i c wo r:cs 7 Councy Cancer Drive,Oroville, C.-. 95965 Phone: 916-53,9-75'1 OWNER- BUILD E.R VERIFICATION .�tcention Property Owner: An "owner -builder" building permit has been applied for in your name and bear=ng your signature. Please complete and return this information at your earl -est opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for conscruct'_on of the proposed property improvement (yes or no) l — 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address Cicy Phone Contractors License No. 5. I will provide some of the wor!c but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date ot MOTE: This Owner -Builder Verification is sent to you -,s required by Sections 19831 and 19832 of the California Health and Safecy Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER --Q ZONI ,, I'DBUILDING PERMIT OWN R '•� TELEPHONE g _D /3 S0. FT. OCC. BUILDING VALUATION OWNE'R'S N'S MAILING A DRESS C�✓d D I CONTRACTOR'S NAME f TELEPHONE CONTRAC R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A114,1 ,n/ /v /✓ Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 Each Trap I 5.001 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 ' TYPE OF WORK New❑ Addition Remodel❑ Utilities❑ Installation[] Other Describe work: ✓ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000ASS ORLESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW declare under penalty of perlury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&)I OR ADONIS. ACC. BLDGS. 3.6Qsq.ft. NEW CONSTR EULT'-OUTLET NO N.R SID BRANCH CIRC ITS @ 5 00 POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 120@7 d RA Ex. Occup. OUTLETS (RESIO )FIXED APPLNS. REA.) 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating v Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application -and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against, all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - owner 9 pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES �< t HAz 1 DFEES IMP FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable pro vi resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT M COUNTY OF BUTTE —4 D 1PARTMENT OF PUBLIC WORKS - 7 County Center Drive' Oroville, California 95965 ' 1 Tel ephonej534 `14541 4 APPLICATION AND PERMIT r �cr�c.acn 6,411 wuVUUlily VI Quilt lVuFJUIIIV property forli}nspe�c`tion purposes.X �� �t 0(/il?,111IJDate 7126 Signature of Pemitee or Agent Receipt No. ii 9rmn1)( White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. i rDIRECTOR OF PUBLIC WORKS By //f ., ..h./:'" i Date Building permit expires Date �/r % 4 !� III BUILDING Owner_� SO. FT. OCC. BUILDING VALUATION Mailing Address4pl `t 4 '� --- �� -3 I P1'1 Telephone No. r �..� IlJ - Contractor t 1 ', p/y Mailing Address Fireplace Total Valuation Telephone No. Permit Fee } Building Address ,V ISA SA O )CJ Q,,yN A AA Aq, Plan Checking Fee&/or Penalty Permit Fee �{ 4 /I�i Art A % -xzt.. I PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.7 1.41� j -� /� Zoning& Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W?C� Sanitation. -Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements' Each additionak outlet .30 Building sewer 5.00 _ __ --Bldg..PlanS.Rec'd::::a Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION F]UTILITIES ❑ OTHER Permit Fee $ $ _T�^ CA a 11 A l C ( )>,,t ELECTRICAL No.1 @ I FEE 7 PERMIT FILING FEE $3.00 ,n(� Main service 600V OR LESS 10o AMP OR LESS 5.00 Single Family Duplex Mobil Home v � Others ❑ P ❑ ❑ ❑ Main service EA- ADD100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONSDWELING O OR ADDNST ( ACCLBLDGS.CCUP, Y\ 20sq ft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONRES, , MULTI -OUT L T NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS g i NON-RESID. SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETs OR FIXTI[RES 5 25 X Ex. OCCU FIXED APPLNS. OR P• 2.00 (OUTLETS (RESID.) EA� Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S-, e)r) WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEEPERMIT FILING FEE $3.00 r8U Heating Cooling Y 7, IC -0 Ventilation Hood 2.00 Permit Fee $ Ja_& U $/Q "2 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ �cr�c.acn 6,411 wuVUUlily VI Quilt lVuFJUIIIV property forli}nspe�c`tion purposes.X �� �t 0(/il?,111IJDate 7126 Signature of Pemitee or Agent Receipt No. ii 9rmn1)( White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. i rDIRECTOR OF PUBLIC WORKS By //f ., ..h./:'" i Date Building permit expires Date �/r % 4 !� III rs72,ffG4091, r COUNTY 0*, BUTTE DEPl4oville, TMENT OF PUBLIC WORKS • 7 �;bunty�enter Drive California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION d Mailing Address (2A Tel hone Contractor ©lV� PA-_ ' :l) Mai I i ng Address Telephone No. Building Address A. P. No. " Zoning & Planning FbeefWW1.Fire Dept. FireZone Use Permit EQA I Parking I Parcel Parcel Ma 60' R/W I Improvements Plans Declaration P p ovements Parcel Approval I Plans Approval NEW ❑ ADDITION P UTILITIES ❑ OTHER 1,A 4'Alall Single Family ❑ Duplex ❑ Mobil Home 000"Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div.' 3, of the State of California Business & Professions Code under the name style of: License No, Classificat I I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property forNnspection purposes. cavidXLIM&WIDate'74o 7, Signature offPermitee or Agent Receipt No. 1-7 © / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace I..f 10W U LJ Total Valuation ELECTRICAL Permit Fee PERMIT FILING FEE Plan Checking Fee &/or Penalty Main service Permit Fee 15.00 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee I..f 10W U LJ $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service 10000 AMP OR00V OR LE LESS5.00 15.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600v 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONS. OR ADDNST ( DWELii�G ACCLBL GS.CCUP. 4) 20 sq f1 NEWNON D- R (MULTI-OUTL FT BRANCH CIRCUITS 2.50eE NON.RESID. %SINGLE OUTLET CIR. I..f 10W U LJ Ex. OCcuD{OUTLETS OR FIXTIIRES B.L@; FIXED APPLNS, OR EX. QCCUP.(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ Q $ Q i- Land Development Fee $ TOTAL PERMIT FEE $ % 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. DI CTO F PUBLIC WORKS By Date WCO vI Building permit expires Date ` ` t ,� � � _ � �\ -- ..r _ .... ,�_ _. _ .,.. _ � . . { �. .. .. 4 � .�r S777-77 PERMIT N0. 5779-77 P� E I PERMIT EXPIRES OWNER Arthur Williams CONTR. owner LOCATION (A.P. 42-11-19 ) n/s Kennedy.Ave. at Meridian Rd., Chico. 7 Temp. Power Pole Called PG&E Temp. Elec. Serv. 7 Called PG&E r71 Temp. Gas Serv. Called PG&E /JOB c7 4 FINALED (Date) ( i Lure) nv EOU TN Y OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING' BUILDING (Cont'd) PLUMBING Se back FlfewaII SII Piping FoAlls Par ets st Floor i Ma\n Bldg. Rest om Finish 2 0 Floor F otin s Windo 3rdNFloor _ Ste wall Siding To out i Slab Roof SheAbing Water PI In S. Piers Roofing Sewer Glarage Fdn. Vents Fixtures I Footin2 S atemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for p�sica handica e Conformance of ex. structure Appliances Gas Piping & Tes Temp. Gas Slab Final Sanitation Patio FIREP11,.ACE Final Footings Footing ELEC ICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLELM Motors Stucco Mesh Scratch Brown Finish Interior Lath Dooa..Closer MOSILEH61 Water Piping MOBS OI Water Piping DATE F nal Cooling Ducts Ventilation Final LITIES------------------ Elec. Service a,5--2 Sewer TALLATI N -- -----------Support Drainage Pte. REMA Grd. Fault Prot. Service Temp. Pole Final Elec. Pedestal �--- - Gas Piping _;Z,g_ Z % — 7 Elec. Continuity 4& — % r- '> Gas Piping OR CORRECTIONS A,;qy 0 P� 4* A& (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY } This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 7 •' for the following location: • 0 Owner ' Owner's Address A'� 2 r Mobilehome Mfg. z� Model —Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director.of Public Works Date By, i THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. .TO: Building Department FROM: Environmental Health RE: Sewage and/or Water Clearance OIJNER.k%4x4 PA I A-0. LOQ''ION AP 1412,1BER Has been approved o /SE4IAGE DIS fiT 7R,SUPPLY 52-4 3 - ARM, om Zo MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wi. required separation from lot lines and buildings d generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec..5082 & 5083) Yes_ No+ 4. Is the mobilehome level? (Sec. 5088) Yes y No_ 5. If mo than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Isfl xi connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Y No_ C. Backflow - If coach is not State California approved, does station have backflow device and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye _ No B. Does it have minimum 4" per foot slope and is it properly supported? Yes_NC_ C. Are any leaks detected in drainage system after running 3 gallons of water through each fixture including washing machine standpipe? Yes_ No D. If coach i not State of California approved, does station have required trap and vent? Yes 8. Gas.Piping ?ad as Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yeso_ B. `Test OK as per following procedure'? Yes No_ 1. Open all appliance connector viLlves. 2'. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" water column or test with slope gauge (minimum ® 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehorqe with connector, urn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Ye- _ No //1-11�/P a ' 1 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of.l amp) and other facilities on lot, i.e., water pumps, garage, cabana,'etc.? Yes No B. Is there proper clearances -around panels? YesNo_ C. Is power supply cord or feeder assembly properly fused? Yes_ No_ D. Is continuity test satisfactory as per the following procedure? Yes_ o 1. De-energize'electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test 'instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing.. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle , Length o (6" 1 Width i Vehicle Serial No. State Identification No. Additional Information or Comments: ) r _ COUNTY OF BUTTE — DEPARTMENT OF -PUBLIC WORKS 7 County Center Drive T OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 5q 9 `/_ 2 ? 10 Z�� •- ...r,............�...� v 11LY vi UU{1c iv Vinci uNUn Ulc above-mentiopyope�oXjgs� c1i on urp9,s�s., X 64A a t e :Miz 1?77 Signature of Permitee/o'r Agent Receipt No. /"I C/ 40 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR-e6F PUBLIC WORKS BY UIIding permit expires Date BUILDING Owner 2 '` j SQ. FT. OCC. BUILDING VALUATION Mailing Address loeW4::� zfOX, —7?—O C'I lelephoneNo. Y Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address ��� --- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 � Each Trap 1.50 " O Repair drainage or vent piping 1.50 Water piping ..4._� Zoning Verificatioa Q01A Each gas water heater or vent 1,50 A. P„ o." — /A—la anning Gas piping system 1 - 5 outlets 4-66 Each additional outlet .30 es S re Dept. Fire Zone Use Permit Building sewer �r86 EQA ParOincM Parcel Plans Declaration Parcel M P 60' R/W Im r p ov ments Lawn sprinkler system 2.00 //,,, �I'�l�Plans Recd Parcel Approval Plans Approvol Permit Fee $ -X $ 3—? NEW ❑ ADDITION ❑ UTILITIESrul OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 j) 100 AMP OR LESS Main service EA. AOD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 • NF WC ON OR ADDNST ( ACCLBLDGS.CCUPDWELING , &) 20sgft - NEW CONSTR. MULTI.OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@5¢ BAL0?1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 pp License No. Classification Misc. Wiring 46.25 01 � I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this 1 permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 42.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ✓� O Jri TOTAL PERMI FEE $ •- ...r,............�...� v 11LY vi UU{1c iv Vinci uNUn Ulc above-mentiopyope�oXjgs� c1i on urp9,s�s., X 64A a t e :Miz 1?77 Signature of Permitee/o'r Agent Receipt No. /"I C/ 40 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR-e6F PUBLIC WORKS BY UIIding permit expires Date W •� 1 NOTE: --All Materials & Workmanship Shall Be in ' Accordance with Recognized Good Practices, .qnd " per►n)t w71 required fallatfon �► of a quality prescribed for the Specified use in'the Codes "and • o fbe the �c i© Plumbing & Mechanical Uniform Building; g' ►nobileholy• U —t the National Electrical Code. Y' �1 _ The 616t. Setback shall be 8 ft. froom. Septic system a _ * X the side property line and 50 ft. from the , • to be per - centerline of the-road,permi :tting a maxi - Butte Coun Health Dept. . Re- ,� t v s mum of a 2 ft. eave overhang but entirely y ruirements. out of all easements: This set of plans and .specifications MUST bN L {, kept on the job at all times and it unlawful +f.' .is make any changes or alterations on same, withoi.: Wri"fiton permission from the,Departmen:t of PU lic Works, County of Butte. All utility connections Shall be "v IQ ed within 4 ft. outside'the rear . third section of, the mobile home side of the mobile , of on the left (road) i home. BUTTE COUNTY BUILDINGbEPARTMEN' ; APPROVED., l� i, Addream QFrezan Ta lapho .NWM of Addroos 0A CUIRMURIAL WOMM AFFIDAVIT M Pazcol No. on which mbi i.® home' is to be located: aye - co/5' 3. When purchas@d G 7 / /A 0 6 ,,:,, e Flom@a read the following carefully h6fore signing "Ao30 QAWICUltur&l� f®gulatiOns, Section 2 o1 -d allowm: wdo Housing faciliti@s (including mobile hom@a) to accommdate only agricultural QMPI ayes Md t -Mir ft -Alien employed by the owner or ®p@r&tor Of UhQ PkGmigam; and provided'further that such housing :Zacility' @hall be. ccasidorzd accessory to the main building and shall coanfom to the provision pertaining to raga�ired yard sand open space for dwellings.' Or secs No.0 1435 statAo 01. a. AGRICULTORML ED to LCTEo An individual who verifies, by personal .. affidaVit and. by affidavit of his employ®r, that ha is, or will be, employed at least 32 hours Por we@k for at least 16 are'sks per year, or that his primarny. zo xcd of anynutal income, ig, or is anticipated to bee derived from, any ®'f the follot i.ang described ozcupa�ti.onns e Q1) Th® preparation, care, and t-reatment of farm landp ®r, ditches, including leveling kor agricultural purposes, plowing, discing, and fartiligin*g the soil; Q2) The saowinq and pUnting of any agricultural or hortieulturaI coodity; J3) Th®, circ 02 any ag!;icultural or horticultural cdmmodiiyo As used in this d,.,�b visiojn, 'careg' includes', but is not limited to, cultivation, irrigation, :watd control, thinning, heating, pruning, or timing, fumigating, sprayin4, and dusting; BSP gyne harvesting .of' any agriLnulturail or horticultural commdity,g including but not limited t®, picking, cutting, threshing, inowing, knocking Off, fi,®ld chopping, bunching, baling, balling, field packing, .and placing in i i®ld containers or in the vehicle in which th@ comrnidi.ty will be -hauled on the farm or to the place of first proses sing; ( 5) The asskwbly and z t®rags Of ashy agricultural or horticul- tural corgi-nodi,ty, including but not limited t:®, loading, roddsiding, banking, Stacking,, binning, and piling; B6D she raising, feeding i%nd management of livestock, fur bear- Inq fish, grogo and oth®r &quatic animils, and boom, including but not linxited to, hazdiang, 11OWizng, hatching, milking, shearing, handling eggs , , and mxtracting honey. Q7) The operation, conr)e&-vQtj-on, i.mpr®VOm nt or maintenance of such //fam and i,tsq'toals. and ageipra%nto, ff dQ d,ecl&rd;, 9u-Jf) JQct to the l enz-,a .ty 1 - !' of perjury., that I reside at- and that the piakritit *-applied f®r under ';Z, this application, !or housing faciiitiet' ®n pr®pss�.Y identified in section 2, dooz conform t® Secti®n 2.1-d ms Ida' tift®d in S®cti®a4 of this'application and Agricuitrai Employee as definod in Ordinance N®a 1439. 6. Permit description. ind niA. s�r . Dat® is sand By L 0 Y' Applicant Addrea m ( NEW of 0 Addr*@ a "A—Y iPAGRICUMes'RAL W7,pyMER A 1L"IDAF+'IT 3. When- purchased ndc, On WhIlch ��abila home is t® b-t� located-. 0)q-0 M Planus read the following va rat idly before signing: 'A-3' Mciricual r410 RegdlmtLans , section 2.1-'d a-120 -if > Wdm Housing facilities B ncluding mobile hamns) to accosmdate only agricultural amploY ams and heir : aMilia3 amp:l.cy®d by the owner or ®pexa for ®f thm prGmismaj and Provid®ga. Yurther that ouch housing facility Shall be conalderad, acoria®my to the main balldinq &And sell 90n9OKs tO VdQ Prav3s10n P.Ortaining to raquirad yard and open apace for dw@11ings m Ordinance N®0 1439 ataft- @ AGRICUIRUMIL EDWILOTEEz An individual who v� rifias , by personal &ffiaavit and by MfOld&Wit Of ME OMPI Y@V, that hS is, ®r will be, @raployed at least 32 hours 1aax viask f02� at leash :16 we*oks pg�r year, or that his primary zouxc (§ of annual incon,@ ip , or is ew ticipat®d to has, derivod from, any of the fallci-dag describ®d occupations: Q1) Th® -are pz.,,ca tion, cap , and area int ®f farag ,and, � .bins a ox " ditches, including leveling fog agricultural pUrpcS®s , plowing, diztcing, and f ertiliging the Boil o. Q2) The zowing and planting of any agric u2tucal or horticultural' l' commodity; q3) The cb.re of - a- n ages icWttur rel ®r hs rticualtu gal ccim.odityb As vzsd inis lcmr' @' includes, but is not limited 1o, cultivatione irrigation, Vasd control, thinning, heating, pruaing, or ti®in, fay. ig4ting, Bpreyinq a and dusting; BSD The harvesting ®f amy. aq�-icul Lural or horticultu' 'a l cc,%-_Vadity,g including but hot limited to, picking, cues°„ting, gashing, unow3ngo knocking gaff, fi®Rd chopping, bunching, baling, balling, field packing, and: placing in field containora or in tho.vahicle. in which th(2 commodity will ba hauled on tha farm or t® the place o first proces o ing n . ( 5) Tied a ssombly and ®rads ®! My agricultural ail ®r h®rticul- turnl ccitmodity, Including but not lilail�-.Qd t®, leading, zoadsiding, bw-king-. stacking, -binning, and piling; (6) Vho raising, fo®dinag and irteun .gaiment of livestock, fur b@arm Inq aniyl:iu.lF=r.3, f i -su, frov @i e4 nd 0-tho r mqumtic &nlmlls v and ba@s, including but not liw_ted to, h€ *ding, hovainga hatching, vilking, shearing, hosidling. egg-.,, amCk honey. M The opersstion, =nri-eUvattion, improga)m t CL_ m%1”-%tanQnsca of such fag.,?. and itz toolet. n�� ��e•:ip��r�n� o `� D`C ! l to t.�Y4 n p.^"^>a a l ",�,y of perjury, that I reside at )x ? and that the pelt appli@d for under f this application/for housing f�ciilties on property identified In Section 2, does conforn, to Sacti®in 2.1-d a@ idontified in Section 4 ®f tail ' applic ation and Agricultur"&I,Employes as defined in ®rdinancs r N®0 34390 6. Permit description and nwabor Date iasUad By Owner Mailing Address •• Contractor Mailing Address Building Address 0 A. P. No. `T1 —I 1 -.4 COUNTY OF:..BUT TE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 5 le, California 95965 Tel ephonA: 534-434-4541 / APPLICATION AND PERMIT elepn One Zoning & Plannin �pljW. SaniLtiiien FireDept.1 Fire Zone I Use Permit EQA I Parking Plans Parcel Parcel Ma 60' R/W I Improvements Plans Declaration P p ovements Bld If'.I dr,JR1.,d 1 II Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER K Single Family Duplex Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�( r�l`�� `-Date.Ci Signature of Permitee or Agent Receipt No.��� White-D.P.W. — Yetlow-Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT.7 OCC. I BUILDING VALUATION Fireplace $ Total Valuation @ Permit Fee $3.00 Plan Checking Fee &/or Penalty 5.00 Permit Fee 2.50 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. / DWELLING OCCUP. 5111 ll, __i, Ex. OCCUDIOUTLETS OR FIXTIIRES I W-mv BAL@0� FIXED A Ex. Occup.( OUTLETS PLNS (RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL NotI$ @ PERMIT FILING FEE3.00 Heatina Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ L $ 3D. I TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above f which fees have been paid. D REE 0 OF PUEJ1LIC WORKS Y Date &17P' Building permi expires Date _7/_7_'7b BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 1, Owner's name: 2. Installer's name: �l�/�` /T U1iLLIR�/12.$ 3. Is the site currently under permit? Yes No (If yes, furnish permit number 1!�-7 7 2 -7 _% ) OR Is the site an existing site? Yes _}'% No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements?' ' Yes ZZ, No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 400 Amps 6. What is the mobilehome site service rating? --------------------- goo Amps 7. What is the mobilehome site circuit breaker rating? ------------- p Amps .8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /✓/ No /�- IR cc /Ude mquE ' (If yes, identify the load and size:. 3 Y2 "]a/J (Load) 17. (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 3/y (in.) 10. What is the type of gas service? ----------------------------7, Natural / / LPG \ 11. What is the gas pipe length from meter or tank to the mobilehome? iaX.S (ft.) 12. What is the mobilehome gas demand? -------------------- / (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less -than 50 ft, on LPG.) �� e(M MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome furnish Setup Model No. Year Width_ (ft.) Box Length(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured a?ter October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from -front of mobilehome unless otherwise specified. - - 0 aum COUNTY ILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) Single 1. Wood either A A pressure treated or foundation grade. (ft.)(i :) x (in.) (i .) ❑ 2. Other (specify) Center suppo t locations* Center upport footin sizes Supports (check one) (1 ). Concrete block. ❑ 2. Other (specify) X (ft.)(in.) ( n.) (in.) E -Tagalong or Expando, show support details. ( f t .) (in . ) in. ) ( in. I -- Typical Support (in.) (i Footing Size -- Max. Pier Spacing 7(ft(in.) Aln(inL $1(f Max. Overhang (ft.)I (in.) 1 t.) (in.) y - - 0 aum COUNTY ILDING DEPARTMENT APPROVED *If center piers are other than drawn above, draw in locations, spacing, and dimensions. RICE RESEARCHERS, INC. P.O. BOX 652 WOODLAND, CALIFORNIA 95695 TELEPHONE NOS. (916) 934-4982- GLENN, CALIF. (916) 343-0746 - CHICO, CALIF. (916) 662-5405- WOODLAND, CALIF. ON r15 ADOL41 -W)- 019 (A ke a 5Q,,,CkJA so ODA c V's \-,tA CrA IF;y 71- -7 7 c $-any-\ - APPROVED Butte "Ram "Ram -7 ftnature 7 Ji BUYER'S RESPONSIBILITY Pool area to be fenced per local code. Gates to be self-closing and self -latching. Wet down GUNITE twice daily for seven days. E9u,pn7e� -; 31 'Ar 3�/OKenrec�� Ft' APPROVED Butte County :Environmental Hea -7 —LG Q Date Signature'— Nose. 6 t � ALU E - HNNEI ,may. Since 1954 BLUE HAVEN QFFICEf _C XtS� � C•l f av — PGDLS r i i Jo MovtLAy i 1 s l S Zqtr; 941_* EOOZ 1 A f q)189H 1e1UQLU 0A1Aua } � x� �SiC�e�►tiQ, 6-7 •}.o t0, 5Q `r r x)4 Rio. <,-(-ru-,>„1C,(? GENERAL POOL SPECIFICATIONS: (Temp.# ) SUR. + - MAXIMUM WIDTH: PERIMETER-1AREA: 7 1 MAXIMUM LENGT POOL CAPACITY: ' POOL DEPTHS: TURNOVER RATE: Hrs. EXCAVATION DECKIN �ACu`_�°s Front QP I Type 00 11 } Bob Cat Shuttle <e§ Color Remove Dirt r.%9; Risers 1� Remove Stump(s) Footings Remove Fence �" : Mastic Replace Fence Drains b(4 Remove Concrete S. F. Sawcut Concrete Ft. EQUIPMENT Filter Type -- Size ssd STEEL Pump HP J 2 So 1 Sp Expansive Soil Steel Pattern BH Smart Box Yes o �J PLUMBING Smart Pure Yes r -0i Smart Li ht Yes' .__za- .Filter Run Ftg: Return Lines � _ y . ,1 ; (- atia,,. - ,, LqW P -Trap _ B/Wash Line 500 W Yes Smart Vac II No Gas Line 4 J'h_Ftg Heater BTU /,M Nat Pro Drill Drive ; "J••) Div. Board tjrr ELECTRICAL Slide J�1:6• Ftg Water Feature m°1) Run By GUNITE Love Seat PLASTER. Swim Out _C Color. Ext. 2nd Step SPA R.B.B. in. X Ft. tl in. X Ft. Size In Out 1 Plumbing Run COPING Dam Wall Length Type C01..01,11�SIQQ!C Number of Jets Blower Hp Yes _ No TILE Remote Model # Type Spa Side Switch Yes No Spa Dam Accent Tyle Smart light Yes No y�-� 100 Watt Light Yes No BUYER Initials • Approve above specification • Approve equipment location • Understand that decking shown is fo illust ion purposes only and understand that they are to receive square feet of deck. Signature Date Prepaired Especially For: (7 35 -70 ke, cAlj Street nrnt L - C 1 C-6 (� � 9 i zip 91 L City l� - 11�1'� �� Work Phone " Home Phone , Designer I !. ; Job No. Lot Block Tract Mapsco No. a r, < c9 tT o n o � n 3 5 0 � Cr 1 o y o N 1 CIS $ h o. -� -0 �O W a BROKEN 4;.e 3ujlj;,Ji3 U..,S Evl*,*rc STruc:rorc ro b. shear pe4el SA c f ar d9. .J" ori,14 3.. rorq4 Foorpr;.r or. 9 C%bl, Fw fil 6J 7 23,6 FLOOR p L oes ig nor MARY-GARDNER Dan SeribrL*,r 300 -Kun*-dy Ave- a61/ Has4in@s hVe. ChicO,CA q:Sq,73 Ch 464/7 IR �--� 9L IIII 1111,11111 111111 1 ;4 . ~ � | ' . , 42-11-21 Robert Sylvester LN/S Kennedy Ave.,app.5/10 mi.w.of �contr: Lamb Const., Chico Permit #59�6-d8B?,EXBuxNx repair fire [damage/SF) �J7/)Zj9& I42-110-021 02-0947WISE, AMBER.IM:AIE3174 KENNEDY AVE CHICCONT: BUTTE ROOFiNG ° -,"..° .i » .�. �- .--•;-,,�'r��e`,,',^;�",..+t-*�t..r�--s:,n,�Y,->t�, ^r -�---•v, .:may• •,-� _tQ-,� � W I ' t 042-110-021 02-0947 WISE, AMER, 3174 KENNEDY AVE., CHICO , CONT: BUTTE ROO.FIN\G RE -ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION f 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT + !` `W ASSESSOR PARCEL NUMBER - " r ZONING BUILDING PERMIT OWNER � . TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG,ADDRESS �. CONTRACTOR S NAME TELEPHONE .. a.. j�' i CONTRACTORS- JAAa1NG ADDRESS I i - CONSTRUCTION LENDER LENDER'S MPJUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 1 .l Plan Checking Fee $ BUILDING ADDRESS -Ay-.• •� t � Energy Plan Checking Fee $ -f - PERMIT FEE $ LOT NO. SUBDIVISIONS NAME ' PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 - USEOFSTRUCTURE SF d Duplex ❑ Mobilehome ❑ Other SPECS 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 Describe Work: L 4 7 •^-� 1-2 , . , i s c 1 f Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20 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. License Class •, "r `' f% `)/',� 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 thispERMIT'FEE reason ' Main Service 200A TO 1000A 46.00 NEW CONST. OWELUNO OCCUP. OR ADDNS. ( a Acc. OCC. SO 3.5QFT; NON.ROSID.NEW MULTI.O.W 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFDCTURES 20 ®100 BAL .50 OR Ex. Occup. oP"ruTi s_RESIo.1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 $ 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' compensation insurance carrier and policy number are: Carrier i-i�: (: .- r , w _' / Policy Number _' f-, - 41,:rjo,7/ (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 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. a-✓ "'- ,f �`of X �_� I/_'��`.'r/i �_ J Date �/ /-� /f_ l Signature of Applicant - ❑ Owner ❑ Contractor 01Agent' An OSHA permit is required for excavations over 5'0" deep and demolition or construction' of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TOTAL FEES HAz. o. FEES IMP MOODCOF PARCEL ro HD SSUE 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 .. // f ' -r. ta� Date PERMIT EXPIRES ON �r ate Receipt No. 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) 538-7541/11!57)1PE MIT o. s:(Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT ow R TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MYJU DRESS & ^^�� CO CTOR'S NAME 0 I-TEYPHONE S D. C TORS LING ADDRESS �. =- CONSTRUCTION CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fire lace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ SO'O ARCHITECT OR ENGINEERS MAILING ADDRESS rW Plan Checking Fee $ BUILDINGADDRESS _ 16�,17A4=641 Ale—,$ Energy Plan Checking Fee $ PERMIT FEE S S� IAT 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑emodel ❑ Utilities ❑ Installation ❑ Other Describe Work:)//L9e/-2&2Zd}y Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LEs Main Service 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�` License Class A-Aq Lic. No. C67/ �� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. 136 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 workersjcomgensan insurance. S,amer and policy number are: Carrier 4 _ �1 Policy Number Ala - Srj'I (The above sections need not be completed H 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 worker ' compensation provisions of section 3700 of the Labor Code, I shall fo "hi comply w' ose provisions. X Date Si ature of Applicant - ❑Owner ❑ Contractor en An OSHA permit is required for excavations over 5'0" d ep and demolition or construction of structures over 3 stories in height. Main Service 200A TO tOooA 46.00 NEW CONST. DWELLING OCS. SO OR ADONS. ( a ACC. BLDS. 3.5¢FT: N CONS . MULTI.OUTLET NON -REBID. 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDRURES BAS@'.550 Ex. Occup. oUTS(R� D,DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee 1 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $"' oo HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for whi ees have been paid. B Date PL 4d44 — JJ � !O3 PERMIT EXPIRES ON 7 ate O Receipt No. S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERM[ . T NO. 596-82B,P,E,M' F. PERMIT EXPIRES OWNER Robert Sylvester Lamb Const., Chico CONTR. 42-11-21 ASSESSOR PARCEL N/ST,Kennedy Ave.,app.5/10 mi.W.of LOCATION Muir Ave., Chico Temp. Power Pole Called PG&E 10�/ � Temp. Ele . Service Called PG& Temp. Gas Service Called PG&E , JOB FIN/AD (Date) `7 Signature f,: 1W J = OK 0 = Not OK = Not Applicable MO B I L•EHOM ES * = Not Ready MIS'CELLANEOUS 'Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.--Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ •/"Nat.or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -.Bl Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5: Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector • 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements Line Firewall & Openings 2. Ftg., Main; Soils -Steel -Flet. Grnd.- / /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth �-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth (I,-15'Iywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab / neer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab �f/p , tut -Dfip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel / 54. Glazin r � - s rotection-Skylights-Plast ic B. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; g- olts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Jr 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Dat rd -BI Date Dat Card -BI Date Card -BI ---Dat �j Card -BI Date Card -BI Date Card -BI Date Date FIN A Plans) OK except q's Card -BI Date Card -BI Date/ Date PLUMBING (Permit) OK except #-s xt. teps-Door & SidelightProtection-Landings ke Dete r 4. Water Ht.; Vent- Aeeess- omb t' it Furnace; a earan -Com ir-Connector %GLS 15. Water Pipe; Test & AncI%4k4ISMiPrphsetian kY$teeidn 16. D.W.V.; Test -F s *Ms rotection >•'57 o droom'Exiting 17. Shower t, F loor-Tu ccess G.F.I. & Bath Fixtures A Tub Access 18. Test Tu e , 2nd Floor -Tu Access -et-E-I'€c. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size I& Anchors Ser -Stairs & Rails '62. -Fireplace or Stove; Clearances -Hearth 7FE 5i2c. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date t. Fixt. & Appliance; Grnd. A+--Cookin Clearance Card -BI Date Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Date ELE RIVAL Permit OK except p's -& -Garage Fire Door; Swing -Landing -Closer %9=..C. Duct in Garage -Damper Fi ure & Transformer Clearance -Ins. Protection d9ellir. Htr.; Vents -C ante- om . ir- onnec - . .V.- 2 I eceptacles Spacing -Lights & Switches at Doors 2 i Boxes No. of Conductors -Stapled Ib., Elec. &Mech. Equip. Listed for Location x Install led Close to Edge of Studs J. _,y 9}n_ -Receptacles in Garage; (G.F.I.)-Romex Protec. Equip. Ground made up w /Mech, eductn s &Water 72. Insulation -Foam -Looked in Attic ❑Yes p lance Circuits in Kitchen &Conductor Size --ps►'1*ard Rails & Deck Construction -Post Caps - Su eed Wire Si - .C. Wire Size / ga. r AI n. Vents & Crawl Hole Dr_ D Rage.& Wood -Earth Clearance Looked under Floor ❑ Ye Xis 1�� 2 ange ic. / =ga. AI- v Ciro -f -J-0 Cu or AI, In ted Neut• 75. Following instld.: Dri a Yes Walks es ❑ No; Planters ❑YLM ice -Riser Conductors & Ground -Main Disconnect 76. Stucco; Br -Fi 2 Equip. Clearances; Panels-Motors-Mech. Equip. .--yp,C. Unit; Disconnect-Clrnces-Brkr. & Cond. Si e- SV Outlet 39-elothes-@Ivset Light -Shower Light ta-Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. r Well; Disconnect, Electrical, Plu bing Card B-1 Dat Card -BI Date �_xterior Elec. Trim; G.F.I. Receptacle- ndergroun i ation throughout House Card B -I Dat g'LCard-BI Date ass Protection Date MECH ICAL (Permit) OK except q's erections from Previous Inspections -94- Gas T' - ; 4W -;::Electric 31. A. Ducts; Insulation & Support er & Sewer Connected -C/O to Grade -HD Approval _._ 32. Vent an; Exhaust above Insulation nergy Compliance Certificate -Other Certificates _ 33. Conde Nate Drain & Overflow; Size & Grade 4. Furnace Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic AcAps S Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 'L� Card -BI Date Date FRAMING(Plans) OK a cept p's Comments at Final: 36. S' Pro r nchors _ 37 - il'ng, spacing & Bracing -Plates -Sound dl1s over Girders & Floor Nailing p in Nails (rat proof) red Ceilings -Stairs -Chases -Tub H Qer & Besm-_Siz_e & Bearing' 4 angers -P t Ca s- ors-onnector 3. Clng. st ftr. e Pu Roo rathn -Rf ire p ac s or ype A Flue -Fireplace Throat Z ss. Size & R mux otection-Draft Stop -Ins. Baffles 46. Bdrm. i o or ng i I. & it� 47. Fi ti n Fra `7 (NOTE: Anentry must be made each time you visit job site) (Check each'item or write N/A if not applicable) INSULATION: n GLAZING: Slab 'Edge q„' Single Glazed ,4 Edn..Walis Special (Insulated) Floors CERT. &.LABELED WDS.� Walls -P, & SLIDING DRS. ' Ceiling/Roof - kol ` .. WEATHERSTRIPPED DRS. Ducts IJ BACK DAMPERED FANS 'Circulating Pipes N INTERMITTENT IGNITION DEVICES APPROVED HEATER ` �C` ? CERT.. APPLIANCESQke. Z' I W(:,. T1 Elegy. sic APPROVED WTR. HTR. e -i c �(� G-c'��a✓► :. (-c•,� `,e woad e r .; Te 4+c¢ d Oyu ?ei - DECLARE THAT ALL•REQUIRED-ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED . IN . ACCORDANCE W ITH THE ENERGY CONSERVATION REQUIREMENTS .AND AGREE TO THECOMPLETENESS OF ,THIS CERTIFICATE 'AS SUBMITTED. Insulation- Applicator Nam ( c� / please rint) Signature of Insulation 'Applicator State Contract License No'. General contractor/Owner Name �� 11 Co I/ ✓ r"u GL -L � (P1 ase print) Signature of General Contractor/Owner Dated COUNTY OF BUTTE'- DE15AR?MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 a ' APPLICATION AND PERMIT ASSSSO PARCEL NUMBER Z Z NTNG ILDING PERM( OWNS / TELEPHONE SO. FT. C. BUILDING VALUATION OWN S MAILING ADD ESS C TRACT R'S ME TELEPHONE CrOf4TRAC-rO MAILING AD ESS Q Fireplace CONSTRUCTION LEN ER A E UNKNOWN Total Valuation $ ! Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. PlChef ing Fee $ S $ ARC ITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ e ( R SS BUILDDD -� L �. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 3"'00 h Water piping LOT NO. SUBDIVISION NAME _11PARCEL MAP Each qas water heater or vent 5,00 !Q() Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ installation❑ Other ❑ Describe work: W.1k Permit Fee $ d4 100 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 _/ 10AJ 4— a Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING O U OR ADDNS. ACCBLDGS P.tl ) sq ft . CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code >and G�my license is in full fojce and effect. License No: 3.7 52 / Classification —� I ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR I.Ou L 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS S / NON-RESID. (SINGLE OUTLET CIR. ) Ex. OCCUp OUTLETS OR FIXTURES 50 @ 25 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ s Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating am w Cooling Hood 3,00 Ventilation Permit Fee $ C Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments costs, and expenses which may in any way accrue against�sa d County in c sequence of the granting of this permit. t/ , -- �� X o Date 12Z 5 v Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST, JPARCFLJ P11 I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS t� BY Date /416 PERMIT EXPIRES Date Receipt No. �_%6O �'� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i uri •iri � •�. rw•.r�i • • � w r ��rrr••�.� r wwr� �rw.rwwwcw. � .. , - 1•-r fr.%# f♦ 1 V1 1 fir,% NOTE: ALL RAFTER5 ARE 2xb ® 24" O.G. LNO RAFTER5 ARE TIED ® 24" O.G. SPACED 5HEAT HIN6 WA5 REMOVED AND 1/2" PLYWOOD 5HEATHINC7 IN5TALLED. NEW L16HT 1E16HT GONG. TILE (LIFE TILE) INSTALLED UNDER. 5EPARATE PERMIT. 4 2 ///'�■••Iwrrlr•�1� Lon?%W!I'm pf. 1«Ifl-1 CHEC!&E D BY: R ,-3H DATE: Q614>&112 .108 MMMER SHEET si Or7Z, ,�` .n 0 ?l slit St