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HomeMy WebLinkAbout042-120-0249608-*9-lP;E r7425-, 2--,,, ADDITION WITHOUT PERMITS CHAPMAN, John & Anna 3/13/92 U;0lat"00-1 '3414 Oak Way, Chico cont, Moes P1bg (add -jwmqT"-/sf) re>lz 42-12-244 92-711 BPEM COMPLAINT TO INSPECTOR P CHAP MAN, John 3414 Oak Way, Chico (addition/sf) 042-120-024 ew HAMOR, CHAD & ANNE AINALED� 3414 OAK WY. CHICO CONT: PERFECTION POOL NEW POOL MASTER 500-57 042-120-024 02 -WALED STERLING, MIC1-1AE1- 3408 OAK \.AJAY' CMCO FLIT Ei_EC_:TR1C SER\�10E VO-2 AP -SEIZV11 -1-S ) 042-120-02-4Y 4 2 -'l 2'0'- 62 -4 02-2 STERLING, MICHAEL 3408 OAK WAY, CHICO RE -LOCATE GAS LINE .01 042-120-024 02-2$3 .1AP1 HAMOR, Chad, 3414 Oak Way, Chi co Relocate Ex Propane Tank/SF 042-120-024.02-2994. STERLIWG!MiCHAEL- 3408 OAK WAY, CHICO 46� A]bDi:riON TO EX SINGLE FArY -7 USE PERMIT # P-02-20 AP # 0 4 2 - 1120 - c2 -2-(-A L ENVrRONMENTAL HEALTH CLEARARANCE DATE 5 a N2 b A d 0 �] ., � � . _Z . ,� .., ,: �� Butte County Department of Development Services ADMINISTRATION *BUILDING *GIS* PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile 5 t January 6, 2006 Michael Sterling & Sharon Lewis 3408 Oak Way Chico, CA, 95973 i AP#042-120-024 BP#02-2994 Our records indicate that your building permit application has expired and was never issued. We are unable to provide continuous plan storage for inactive permit applications. If you would like to have the plans returned to you, you or your agent must pick up the plans at our office prior to January 19, 2006 or they will be destroyed (plans will not be mailed). Our office is located at 7 County Center Drive, Oroville. Our office hours are 8 a.m. to 4 p.m. Monday through Friday. If you have any questions concerning this matter, please contact a permit technician at our office, at the following number (530)538-7541. Please have this letter with you when you call or come into our office. Thank you. c COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75?97yow o• (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER •042- ZONING l-"--� G BUILDING PERMIT OWNERS TELEPHONE - SO. FT. OCC. BUILDING VALUATION l � 0 2 C -� S LF 55,533,00 . OWNER'S MAILING ADDRES OAK oen de l'� 1 , CONTRACTOR'S NAME OAZTM TELEPHONE ^ - G y .330.00 \ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ' Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 5S. 1 9 6.0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 446 . 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ _ _ 9 3103 , 0 V BUILDING ADDRESSEnergy 3408 OAK WAY CH Plan Checking Fee $ 3.00 $ PERMIT FEE $ -178. G0 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 5 7.00 35.0 Solar or heat pump water heater 23.00 Water piping 15.0 ).00 Each gas water heater or vent 15.00 1 _r; . G TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti itie ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets ? 15.00 1'c .00 Building sewer ^. 15.00,r, Mobile Home S G W 920.00 PERMIT FEE $ 1, 1.5 ELECTRICAL PERMIT I Filing Fee 20.00 600V OR LESS Mein SBNICe .0A OR LESS r� I, 23.0 r. 3 o G G ' 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: ❑ 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. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO I 46.00 W0 U NEW CONST. DWEWNG OCCUP. U OR ADDNS. ( 8 ACC. BIDS. SO 7 r 3.5¢FT: v • 0G MULTI.OUTLET CIRCUITS NOµRESID. T. @7.50 POWER APPARATUS a SINGLE ourLEr cIR. EX. OCCu OUTLET OR FDTTUREs .00 BAL Q I.50 Ex. Occup. OFIxUTs R'. o oE� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 79 .00 MECHANICAL PERMIT Fling Fee 20.00 Heating L 5 . 00 Cooling L5. 00 Hood 6.50 Ventilation PERMIT FEE $ 50.00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shallTOTAL _not employ an person in an manner so as to become subject to workers' P y�HA compensation laws of California, and agree that if I should become subject to thet workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' �© �/0 ^ / X Date ' Sign ure of pplicant - 3&Owner Vf Contractor ❑ Agent An O HA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 45 , 00 CONST.TYPE FEE $ UC1pyy LRR- p, � IMP FLOOD Nr " COF / PARCEL / PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate Receipt No. _ ( WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-rNSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7544n E" yyT%No• ptj (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-120-024 � - IINING A- 0 BUILDING PERMIT OWNER S= WGIAET, TELEPHONE ` 1 ]pen SO. FT. OCC. BUILDING VALUATION 1029 R S4 55,566.00 -342427 .OWNERS MAILING ADORES 3408 OAK WAY- M -Fm- CA 95973 deck CONTRACTOR'S NAME oizm TELEPHONE 70 9- 7 630.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - Fireplace -'"LENDER'S MAILING ADDRESS --Total Valuation $ 56 196.00 ARCHITECT OR ENGINEER LICENSE NO. " Filing Fee $ 20.00 Permit Fee $ 446 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 11 289.00 BUILDING ADDRESS 3408 OAK WAY CICO Energy Plan Checking Fee $ 23.00 \ i $ a PERMIT FEE $ 778.00 ; LOT NO. �. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 4USEOFSTRUCTURE ... SF ❑ Duplex>,❑- Mobilehom'e ❑ Other ..: /. .✓ SPECIFY Each Trap 5 1 7.00 35.0( Solar or heat um water heater 23.00 Water piping ] 15.00' 5.00 Each gas water heater or vent ], 15.00 15.0 ,.' TYPE OF WORK f Ne ' ❑ Addition ❑ Remodel ❑ ll'rbes ❑ Installations❑� Other ❑ - ?� Describe Work: ATIT)TTT(1NTrINYF VAL V t+ Gas piping system 1 - 5 outlets 1 15-0015.00 Buildin sewer 15.009.00 Mobile Home S G W 920.00 PERMIT FEE $ 115.00 ELECTRICAL PERMIT Filing Fee 20.00. 4 800VOR LESS Main Service zoOA OR LESS 23.0d, 3 . 00 -,0'LICENSED CONTRACTOR'S DECLARATION (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 ti Lic. No. OWNER -BUILDER DECLARATION i 4'� 1 ereby affirm under•pe�alty of perjury that I am exempt from the Contractors License L"aw, jor the following reason: ti - 10010- I, as ownkr of the pro`perty,,or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. h I, as owner of the property, am exclusively contracting with -licensed. contractors to.constructhe project- #' ❑ 1 am exempt under"Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one 'of the following declarations: ❑ 1 have and .will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall *not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions: ' /,,t 3/, O / X�� Datey' J' Signature of Applicant -' Owner Contractor ❑ Agent tr An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 2 TO tOooA 46.00 EL NEW CONST. OR DD S. ( °"b°Al co 12°CU 3.50M. 6.00 NEW CONST.MULTI.OUTLET NON -REBID. C @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 2101.1 BAL @ .50 FIXED APPLNS. OR Ex. Occup. otmETs REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE _ 79.00 MECHANICAL PERMIT "- r Fling Fee 20.00 Heating 5.00 Cooling 5.00 Hood 6.50 Ventilation PERMIT FEE $ 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 0 CCONST. R-3 TYPE VN TOTAL FEE$ SS L H7. % D. FEES I�XP / / FL OD A CDF PAyCEL / �PD HO ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the'applicable provisions Resolutions to do work been paid. Date low" 'Pate) Receipt No. -`506(o-797757 OA WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK- NSPECTOR GOLDENROD•APPLICANT M '',;.�,:• .:�..1 ✓rF. •.-i-r`-'r� �..�i" �.�-•�.►-r..�-��.� "'may.`-.:"*:--�w,...�.��w.`..:.,Y,,..r•�_.-•,, "`.'`�,:... ._-...'-s." .- _.--..y K �..-Q'� �_ f. ,.. �.�.,`.�,,.i,,.v��..�_..-...:F�jv COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754ER' r No. (Rev. 12/96) APPLICATION AND PERMIT ✓ �'/ `� ASSESSOR PARCEL NUMBER .. r? 042-120- 24 = ZONING .- A-10 BUILDING PERMIT OWNER NG MiCMEL SM-MI.OWNERS TELEPHONE , 71 SQ. FT. OCC. VALUATION {BUILDING 1029 R SY, 55 56 -142-1 _ MAILING ADDRESS J 3408 OAK WAY MTMt CA a Pen deck CONTRACTOR'S NAME 1 owm TELEPHONE 70 9- 7 (� U 30 ^ CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 56.196.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 446900 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan,Checking Fee $ IA 289.00 BUILDINGADDRESS 3408 OAK WAY. CHICO � Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 778.00 LOT NO. SUBDIVISIONS NAME f PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 �USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 5 1 7.00 35.0( Solar or heat pump water heater 23.00 Water piping 1 15.0D165.00 Each gas water heater or vent 1 15.00 15.01C ` .••f,�, r • TYPE OF WORK Ne ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation '❑ Other ❑ N� Describe Work' AMTTTON TO ;'X , K", ,V, FA x Gas piping stem 1 - 5 outlets 1 15.00 15.00 Building sewer 15.00. Mobile Home I S I G W @20.00 PERMIT FEE $ 115.00 w i ELECTRICAL PERMIT a Fling Fee 20.00 R LE Main Service zoOA OR LESS 23.00 .3 , QQ LICENSED CONTRACTOR'S DECLARATION 1. hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i i (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. �!� , •� tr.,,., OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law�for the following reason: ^ - job 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 owne�tof the property, am exclusively contracting with licensed contractors ' to :constr6ct,the project. ❑ 'I am exempt under'Sec. Business and Professions Code for this reason Main Service To ,000A 46.00 WEE200A NEW CONST. DWELLING UP. OR ADDNS. ( 8 ACC. BLnS. S'-36.00. 36 (�0 3.52FT. . V v T. NO" N.pESID. ANCHOU CIRCUITS T @7,50 POWER APPARATUS a SINGLE ourLEr cw. Ex. Occup. OUTLET OR FDTTURES .00 BAL @ x FIX Ex. Occu . ounFrs R61D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 , Misc. Wiring 23.00 PERMIT FEE $ _i 79.OQ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation )3(of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions: '/ ?. X //_1_--�''L--� Date / o. _�• d Signature of Applicant -_l Owner Cr Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling 5.00 Hood 6.50 Ventilation PERMIT FEE $ 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 0cONST. R- TYPE VN TOTAL FEE $ 1068.00 H1, I D• FEES Ir IP FLOOD COF PARCEL /PC), H/ ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. k,6(o7 J/ 1�3V2. OA WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1.. rte.. ..,.t.- r-'l--y�•�...y,•, •.,+'-'.. .1•ls ,f��..•+r�...-+.:.-^.....+� -Casey. •yr., ,x.15:16 . r� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION +I;�!"' 1 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 t , PER nT NO. (Rev. 12/96) APPLICATION AND PERMIT"�� rr' 9 ASSESSOR PARCEL NUMBER +� • 042-120-024 ZONING A-10 BUILDING PERMIT OWNER C S'TEIMING TELEPHONE 11029 SO. FT. OCC. BUILDING VALUATION R S4 55 , 566 0 • OWNERS MAILING ADDRESS - '3408 OAK WAY, C141M. CA 95973 pan deck CONTRACTOR'S NAME TELEPHONE Try 9~ 630.00 11J CON TRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 56.196.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ '44600 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 41 289.00 BUILDING ADDRESS 34W OAK WAY. �C� Energy Plan Checking Fee $ • PERMIT FEE $ 776.00 LOT NO. t SUBDIVISIONS NAME L PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 -USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 5 7.00 35.0( Solar or heat pump water heater 23.00 Water piping 1 15.001 5 . 00 Each gas water heater or vent 1 15.00 15.0( i TYPE OF WORK 11 New ❑ Addition ❑ -Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work ACIDMON TO FX .1;T i.P.. FA V Gas piping stem 1 - 5 outlets 1 15.00 15.00 Building sewer j 15.00• .5,001 Mobile Home S G W 920.00 PERMIT FEE $ 115.00 Ir "fir ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service .A ..SS 23.00,!3. 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.POWEPUS License Class Lic. No. -w, "_- 7: 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. 01 I, as�owner of the property, am exclusively contracting with licensed contractors toconstruct the project. O , I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one -of the following declarations: .10 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 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. .r la X ,- �'� - �« � Date i � � Signature of Applicant - ," Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. -, Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG OCCUP. SO �] OR ADDNS. ( 8 ACC. BLDS. 3.50F7. • 0 T. NEW geSID. MULTI.OUTLET @7,50 8 SINGLER AOUTLETPARATCIR. OUTLET OR FIXTURES 20 Q L.00 Ex. Occu BAL o .50•FIXED APPLNS. OR Ex. Occup. pUTLETS RESIp• EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 , Misc. Wiring 23.00 j PERMIT FEE $ 79.00 MECHANICAL PERMIT Fling, Fee 20.00 Heating * U_ Coolin • �%U Hood 6.50 Ventilation PERMIT FEE $ ��� Mobile Home Installation Fee $ Energy Inspection Fee $ 4b • U Occ R-3 CONST TYPE VN TOTAL FEE $ 106a . p0 H • • D. ES I °P OD CDF PARCELf PARC HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON - I I the applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. '�/t.�7) 1 �i/ J`7�. t?/� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK=INSPECTOR GOLDENROD -APPLICANT Feb 01 02 08:13a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P (Rev. 12/96) APPLICATION AND PERMIT �• ASSESSOR PARCEL NUMBER ©r,� Irl ZONNG g� ^, Q BUILDING PERMIT °N'"ER � t � �['j°"IE'�yZ�� S0. FT. OCC. BUILDING VALUATIO i OwNERs MANOIC$'^ ie �Ij V�� CONTRACTOR'S CONTRACTORS MAILING ADORES$ -CONSTRUCTION LENDER LENDERS MAILING ADDRESS ARCHrrECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS ' BURDWG.gODRESS ) LID LOT NO. I SUBDNISIONSNAME N0' I Filing Fee �� Permit Fee ( Energy Plan Checking Fee USEOFSTRUCTURE SF O Duplex O Mobilehome ❑ Other OPECIFY TYPE OF WORK New ❑ Addition ❑ Remoco ❑ Utilities O InstallatiorT O Other ❑ a Describe Work: d I�-fw Q'D ey, (SI -h• 1. C2 I LodI V r 02-- ?— e� - -1 ZC) "PBtMIT FEE PAID SRA • . SHERIFF arm PERMIT FEI PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G I W 20.00 (ling Fee 20.00 7.00 23.00 15.001 5, 15.00 t5 -L. 15.00 15.00 Xx @20.00 tVer .. Qy — BAL a .50 FIXED APPlNS. OR 6L. Occu ovnt�u Talo. eA PERMIT FEE _ / - 0 () S I Mobile Home Facilities ELECTRICAL PERMIT Fling Feel 20.00 23.00 Main Service 6OOV OR LESS 900A OR LEs$ 9 23.00 V� T6 ��� Main Service 200A TO IOGOA 46.00 `'�j,� NEW CONC OR ADONS. OWE1Ul" OCCVP. 8 ACC. BLD$. $O 3.SQFT,. NOWNtW RO10. -- NNCRTBCH CIRCUITS 1 @7.501 " TO i! KR INTO COMhliER EX. Occu p, OUnzr OR FIXTURES .. Qy — BAL a .50 FIXED APPlNS. OR 6L. Occu ovnt�u Talo. eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t -17. cJc> MECHANICAL PERMIT Filing Fee 1 20.00 Hood I 1 6.501 1 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee 5 3TMPE TO AL FEE $ / O IGHA2r�D.FEES I NO 1 &09' 1 CDP .J APA This permit is hereby issued under the applicable pro'vtsr5nt of the Butte County Code and(or Resolutions to do work Indicated above for which fees have been-patd. By Date ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I�peror -' i E.H. USE ONLY Piot Plan Attached V Floor Plan attached D Sent to ®., / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well _ \ Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: SGSDL z 4 0s�- 42 Environmental Health Spe ialist Date 8196 'ht;w'�+�"'�..�w�,+-.i'�''kf'Y�^��'" .. +w�"^"'air�ts �� rr�^.-�.•....w.= ...-�. .�.. ^V, _._ _ . , .. _ , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: i l K ASSESSOR PARCEL NUMBER ©`12- �� .. 2-9 Proposed Building Use: ` d a I So 1Z�e•5�� Counter Technician: T1Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 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. 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. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ; Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 0'9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑- 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Fees as shown on the attached Schedule of Fees Due Sheet ...................................... _ ❑ Statement of Intent for Non -heated and A/C Buildings .................................... 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use:,C) K_(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 an hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. �6 3/ v v" Applicant: Date: i 1. Index permit application for the above items numbered: 74 Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by V phone, ❑ mail, E)counter, by - Date: to Contractor, designer, owner, was advised of the above data by 0 phone, ❑ mail, ❑ countit, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by- Date: Structural approved by: Date:70' O�— Note transfer by: Date: Yellow: Building Divi Division o0 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 ^SCHEDULE OF FEES DUE OWNER. A.P. # PROPOS BUILDING USE 1 '' "' " ' �" �° ` DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --Balance Due .............................:.......................... $ (P 5P V --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee...............�..,.�.......//.... $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ..:.......... x = $ / Sq. ft. � Am. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE ` U �� I — v Pursuant to Governme t Code Section 66020, you are hereby nc ified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your proj t. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) 042-120-024 02-2994 STERLING, MICHAEL , 3408 OAK WAY, CHICO.. ADDITION TO EX SINGLE FAMILY 042-120-024 02-2994 STERLING, MICHAEL 3408 OAK WAY, CHICO.', _ ` ADDITION TO EX SINGLE FAMILY COUNTY bF'BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the lob site. A. P. No.—_042-120=024 —_02=2994 ' Owner _STERLING, MICHAEL 3408 OAK WAY, CHICO Contractor ADDITION TO EX SINGLE FAMILY Permit No. PERMITTEE MUST CALL . FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY ...Addresses laformatror►..... 24.Hr. Insp Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7/94 NOTES RESIDENTIAL 042-120-024 02-2994 PERMIT NO.J STERLING,'MICHAEL` 3408 OAK WAY, CHICO ADDITION TO EX SINGLE FAMILY t 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY \4 ='0K 0 = Not OK . = otReady able MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 Date 2. Soils; Special MH Support Sketch Date 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 1. Zoning Requirements -Setbacks -Easements 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 3. Blocking 8. Utility Clearance 4. Gas; MH Test -Demand -Valve Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 7. Water and Sewer Connected 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 9. Exits 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 11. Verify #'s with Office 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Card B-1 Date 10. Exits; Insp.-Sketch Date 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 13-.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-Con nectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness_ Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 60 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -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 FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors 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 Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 23. Fire Sprinkler; Test 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Card B-1 Date Card B-1 Date Siding -Nailing Veneer Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 60. Shear Walls; Nailing -Bolts 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. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes Q No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 67. 34. Clothes Closet Light -Shower Light -Spa Light 68. 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 73. 36. A.C. Ducts Insulation & Support 74. 37. Vent Fan, Exhaust above insulation 75. Garage Fire Door; Swing -Landing -Closure 38. Condensate Drain & Overflow, Size & Grade A.C. Duct in Garage -Damper 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 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 81. Guard Rails & Deck Construction -Post Caps 41. Sills Proper Materials & Anchors Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Clearance Looked under Floor ❑ Yes 43. Bearing Walls over Girders & Floor Nailing Following Instld./Drive O Yes O No/Walks O Yes O No/Planters Cl Yes O No 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 86. 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 ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters Cl Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: OWNER -BUILDER VERIFICATION j Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete anis 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 majo la and materials for construction of the proposed property ' ovement : YES 1 ' NO 0 I HAVE HAVE NOT 0 signed an app 'cation for a building permit for the proposed work. 3. I have contracted with the following person (firm) to providethe proposed construction: NAME: '. ADDRESS: CITY..: PHONE: CONTRACTOR'S LICENSE, NO. 4. I plan to provide portions of thus work, but'I have hired the following peison to coordinate, supervise, and provide the major work: NAiviE: ADDRESS: CITY: . PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SEW DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the Callfornla Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER I' OWNER BUILDER INFOR1ti1ATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible parry of record on such. a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ Ifyou employ or otherwise engage any persons oiher than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. Manfiger, Building Inspection NOTE. This Owner -Builder Information it required by Section 19830 of the CaWornla Health and Safety Cod& OVER BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: _ t , I Address: Phone Number: The above information is not available to the public!!!!!!! (2) October 9, 2002 Michael J. Sterling 3408 Oak Way Chico, CA 95973 �' ,butte C LAND OF NATURAL WEALTH AND BEAUTY S PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 CERTIFIED MAIL Re: se'Permit UP 02-20, AP_042420_024, Mr. Sterling: Enclosed is your validated Use Permit No. UP 02-20 to allow Use Permit to expand . a legal nonconforming second dwelling located at on the north side of Oak Way, approximately 1,000 feet east of Meridian Road, at 3408 Oak Way, west of Chico. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Rom Thornton Office Assistant II Enc. cc: Land Development Division (g) 1/Building Division (y) Environmental Health (p) Department of Forestry (gld) Animal Control Division USE PERMIT BUTTE COUNTY PLANNING COMMISSION OCT 9 2002 DATE: (Certified Mail Rec.) UP 02-20 PERMIT NO. 042-120-024 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below, Michael J. Sterling is hereby granted a Use Permit to expand a legal nonconforming second dwelling unit from 720 square feet to 1,346 square feet on APN 042-120- 024, subject to the following conditions: 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless otherwise provided for in a special condition to this Use Permit, all conditions must be completed prior to or concurrently with the establishment of the granted use. The use granted by this permit must be established within two years of the date of approval. 3.. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid, and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. 4. If any use for which a Use Permit has been granted is not established within two years of the receipt of the Permit by the Permittee, the Permit shall become null and void and reapplication pursuant to Section 24-45 (of the Zoning Code) shall be required to establish the use previously granted under the expired Permit unless, 30 days prior to the expiration date, a request for a one-year extension is submitted to the Planning Commission together with sufficient evidence that the time limits .for processing development permits under federal or State regulations require time limits which exceed one year. Upon application, and for good cause by the Permittee, at a public hearing pursuant to Section 24-45.25 above, the Planning Commission may extend any time limitation previously made a part of any condition to a Use Permit. 5. The terms and conditions of this Permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. 6. Neither the applicant, nor any agent nor representative of the applicant shall intentionally omit or misrepresent any material fact in connection with the application. Any alleged material misrepresentation shall constitute grounds for the Director of Development Services to commence a revocation hearing, and, if proven to exist, shall constitute sufficient grounds to revoke a Permit. Conditions of Approval: Planning Division: The project site shall be developed in accordance with the approved project site plan and the conditions contained. herein. Said site plan is on file in the Planning Division, which is identified as "Exhibit C," date-stamped June 20, 2002, and is incorporated herein by this reference. 2. The 1,346 square foot addition to the second dwelling shall not include a kitchen or have electrical connections installed necessary for a kitchen stove. 3. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. Environmental Health Division 4. Meet Butte County Environmental Health Division requirements for on-site sewage disposal: a. Prior to issuance of a building permit, apply and obtain a permit to install sewage disposal system for proposed remodel of the second dwelling unit. b. Under County review, remove old septic tank serving the second dwelling unit. Butte County Fire Department/CDF 5. Building identification and/or addresses shall be installed in conformance with Public Resources Code 4290 and shall be posted at the beginning of building construction and maintained continuously thereafter. 6. Provide an all weather access to all structures. The access shall have a minimum 10 -foot width and 15 -foot vertical clearance, and be able to accommodate a 40,000 pound fire apparatus. Building Division 2 7. Building permits are required. Prepare three (3) sets of construction plans and make an application for permit. Construction shall comply with federal, state, and local regulations. Plans shall be prepared, sealed, and signed by a California Licensed Architect or Registered Engineer for non-residential buildings and certain residential buildings. 8. Proposed improvements shall comply with. Title 24 energy conservation regulations. Appropriate compliance forms (two sets) shall be submitted indicating compliance with those standards. 9. Development fees for the proposed residential or non-residential improvements shall be paid prior to the issuance of building permits. The fees shall be those -in.�effect at time of application, and shall include, but not be limited to, School Fees, Park and Recreation District fees, Water and Sewer Service Fees, Permit and Plan Check fees, and Fire Protection Fees. 10. Prior to issuance of a building permit for the addition to the second dwelling unit, obtain final inspection for the swimming pool (Building Permit # 01-0761). County Counsel 11. If this entire matter or any finding, action or condition of this matter is appealed to the Board of Supervisors, the applicant or any other developer/operator other than the applicant agrees to indemnify the County of Butte from liability or loss related to the approval of this project and agrees to sign an indemnification agreement in a form approved by County Counsel before the Board's appeal hearing. If the application is not appealed, this condition is deemed satisfied. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: -I ` 4 -Y,*, A, , plicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. Butte Coun)�/Planning Commission Chairman cc: Land Development Division, Building Division, Environmental Health Division Animal Control Division, Fire Department/CDF, Assessor 3 I IMPORTANT MESSAGE Time—Date Taken By From � Telephone A Co ❑ Telephoned ❑ Please call ❑ Wants to see you ❑ Will call again ❑ Returned your cal ❑ URGENT ❑ Was here to see you i I Post -it° telephone message pad 7662 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541 MMIT NO. (Rev. 12/96) APPLICATION AND PERMIT (f�4 � ASSESSORPARC LZ lZo ZONING BUILDINGPERMIT OWNS 4MO.OWN TEL E,' f rJ ldJ� SO. FT. OCC. BUILDING VALUATION IU OR�S� �� �� /`�J1 1 la CA CONTRALTO 'm n /� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Jj4I K (I ('Lv nC-� 7 h Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: I� fi��/ �n Gas piping stem 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 p 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License LawJor 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 Service rG 46.00 NEW CONST. DDWELLINGDWELLINGMain EE G OCCUCUP. OR ADDNS. ( 8 ACC. BIDS. SO 3.50FT, NO" NpO�IDT MULTI-OUTLETTS @7,50 APPARArus PO' 8 SINGLE OUR.ET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 OR Ex. Occup. oimEFis Ro .) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not em loy any perso in any manner so as to become subject to workers' comp ti law o-11fornia, and agree that if I should become subject to the work rs pe n provisions of section 3700 of the Labor Code, I shall fort it mpl I those provisions. X Date ib Signatu a of Applic - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ Cj - Q HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica d_ bove for hi h f s have been paid. % 0 - �- By - Date /G �/ PERMIT EXPIRES ON I V �0 ( ' ee Defe �- Receipt No. (O i0 . 0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification'is received. IN 4. I personally plan to provide the major labor and materials for construction of the proposed properInWtrac; Lim.rovement : YESO NO O I HAVHAVE NOT C3 signed an application for a building permit for the proposed worlL I haveted with the following person (Firm) to provide the proposed construction: NAME: _ ADDRESS: _ CITY.-- PHONE: ITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, supervise, and provide the major work: NAME: but I have hired the following person to coordinate, ADDRESS: CITY:, PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: ADDRESS PHONE TYPE OF. WORK NAME SIGNED: PROPERTYO DATE: MOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the Cal (ornia Health and Safety Code. This verification must be completed and returned to our. office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible party of record on such. a permit. Briilding permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ Ifyou employ or otherwise engage any persons oilier than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including *state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the'Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations tinder State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. Manhger, Building Inspection NOTE. This Owner -Builder Information 1s required by Section 19830 of the California Health and Safety Coda OVER E.H. USE ONLY Plot Plan Anechod Floor ftn A c8ed,— Sent to ®.D.� TO: Building Department FROM: i"- Environmental Health SUBJECT: Sanitation Clearance Owner - Locat'on AP# Plan Approved for: Sewage Disposal L/ Water Supply: Public Private Well Clearance for dwelling. Other Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA • (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE '5'7 d X171' OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 2) L,137CI( ACV. C.¢S �,�%. INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION,�OROVILLE FROM: DATE: ENVIR. HEALTH, CHICO RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: �/�'i(�- SEPTIC: WELL: ADDRESS/LOCATION:-3�0�.Cr/� Comments: GL/memosheleasehold W1. 1, 1eT_1!1_ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -., 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 RM? NO. ' (Rev.12/96) APPLICATION AND PERMIT C v �,�� fl ASSESSOR PARCEL NUMBER 0 1 ONIN z BUILDINGPERMIT � OWNER 44,11 4Q TELEPHONE SO. FT. OCC.— BUILDING VALUATION OWNERS MAILING _DRESS ` awNArA. CONTRACTOR'S E � r F TELEPHONE _ CONTRACTORS MAILING ADDRESS U CONSTRUCTION LENDER F LENDER'S MAIUNG ADDRESS ` Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. 1 Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS t Plan Checking Fee $ BUILDINGADDRESS Q 0z c0a6l Energy Plan Checking Fee $ _3(403 $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ,�( Duplex ❑ Mobilehome ❑ Other S CIFv 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 ilities ❑Installation ❑1 Other ❑ 1 New ❑ Addition ❑ Remodel ❑, Ut/��J Describe Work: / tri-- a � `W (iilr_L 1-( -taALk 1 Jtz &J� 't Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S .00 ELECTRICAL PERMIT Filing Fee 20.00 600V LESS Main Service 200.0OR . LESS 23.00 1 LICENSED CONTRACTOR'S DECLARATION k I hereby affirm under penalty of perjury that I am licensed under provision's of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION 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. 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 !l hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi . comply with those provisions. /oy X _ _ Date V Signature cif Applicant -` xO ner ❑ Contractor ❑ Agent Ali OSHA per is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.501PT: NON-pESI. MULTI-OUTLET11, @7,50 OWERAPPARATUS a SINGLE ounFr CIR. Ex. OCCu OUTLET OR FIXTURES 20 ® 1"00 BAL @ .50 Ex. Occup. OF LYED APP E=.°El 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 l Coolin : Hood ' 6.50 Ventilation - PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ cc •3 .CONsX.-TyPE A TOTAL FEE $ S5 -� HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate above for which fees have ,� - ` Q �fC By �J /�KJCf' f�lCtia' PERMIT EXPIRES ON 9- the applicable provisions Resolutions to do work been paid. r Date 6 - 63 (Date) Receipt No )-73 WHITE-D.D.S.-B.D. CANARY- SSESS`OR PINK -INSPECTOR GOLDENROD -APPLICANT 042-120024 02-2476 ' STERLING, MICHAEL 3408 OAK WAY, CHICO ' RE-LOCATE GAS LINE ' i �t e i� i . ' C _ OFFICE COPY ------------- i Address .rf GAS D ate Meter BY ELECTRIC pate Meter BY i ' r ' �/ 0-V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT (2, - a - M 7'4,� ASSESSOR PARCEL NUMBERo q a- _ 20NIN -18 BUILDING PERMIT OWNER ,. , TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS IUNG DRESS ah CONTRA E TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS O XU L/Jt7rCAJ Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFN 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 ❑ Rz �OUfififis ❑ Installation ❑ War ❑ DescribW�ork: Gas piping system 1 - 5 outlets 15. 0 0116, Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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 Main Service 200A TO 1000A 46.00 NEW CONST. DW EWNCi UP. OR ADDNS. a ACC. BLAS. SO 3.5Q�; T. NON-RESID. MULTI.OUTLETITS @7.50 APPARATUS a SINGLE OUTLET CIR. EX. OCCUOUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. O.A� oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed I the permit is for work of a valuation of one hundred dollars ($100) or less.) h�Q L I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo hwi comply with those provisions. Date tD�V /SiatUre of Applicant - O ner ❑ Contractor ❑ Agent A permit is requir d for excavations over 5'0" deep and demolition or construction_6�tures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc z' Y PE TOTAL FEE $ 3� •� HA2. D. FE 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 indicate bove for which fees have been paid. By n Date PERMIT EXPIRES ON ?-6-03 Date Receipt No. WHITE-D.D.S.-E.D. CANARY• SSES OR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE .« DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — PIIQne: 891-2751 7 County Center Drive, Oroville — Phone: -538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �.oW(� /Y`An� 3q/V 06,k rJ6b-, `7/ 1— c19 NO. A routine inspection indicates that the following violations of County Ordinance ' exist at the.above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or additional explanation, please contact this office immediately. r 11011 7 / Date -5-1�- 9'a Inspector ! / E ID NTIAL �! l�raL;S +�/� a C oma! c fzr �iX.11.� I•✓6 `; -- - _ __ _ •- , 42-12-24 -- -- 92-711 BPEM !0 t„r, . i, Fin/ 6ti Glj (�! N j111i/1-�r,� rL @�,�7?� CHAPMAN , John 3414 Oak Way, Chico Jula l� GPiK�SS (addition/sf ) r� i Pr o N aG�R, ra &0ot 'l(5 s "4U, Li % (Z P-� a-- CU) .�.�., kn JOB FINALE Signature J=OK O=Not OK Not ApplicableNot MOBILE HOMES' �'"' ►� Date MOBILE HOME UTILITIES (Plans) OK except #'s b t 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except N'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 Connectors 6. Water; MH Test -Regulator -Connector k 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 'Date Card B-1 Date Card B-1 Date Card B-1 ti MISCELLANEOUS Date - DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric I 8. Frmg; Sils-Anchors,-Studs-Rftrs-Trusses 1 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings •. Date '- Card B-1 Date Card B-1 ` Date Card 13-11 t f Date Card B-1 +> Date POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability' 1 + 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosu res-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test t Date Card B-1 Date Card B-1 ( s t U J=OK -- O Noi'OK = Not Applicable RESIDENTIAL = Not Ready Date UNDERFLOOR (Plans) OK except It's + 1. Zoning -Setbacks -Easements -Flood -Slope oils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemv+e+fSr Main; Steel-Blockouts-Wrapped + 6. St%wV alts, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors . lm17-02 s Y, 41C&Z C1 tJL9�- (T)D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 1 ater Pipe; Test -Anchor -Regulator -Service Test r 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 5. Acce & Ventilation 16. Insulation Date-�3-�/ZCard B-1 V Q Date Card B-1 Date 17 -QZ Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except a's 16. Water Htr.: Vent-Access-96mbustion Air -Baffle 17. Water Pipe: Test & A hor-Nail Protection 18. D.W.V.: Test-Fitii s & Anchor -Nail Protection 19. Shower ParrVf est, First Floor -Tub Access 20. Test Tytf& Shower, Second Floor -Tub Access 21. pa<Pipe: Size & Anchors Date- -Card B_1 --- Date - Card B-1 ----------------------- Date Card B-1 Date Card B-1 Date ELECT ICAL (Permit) OK except ti's _- -- - 2PIfi re & Transformer Clearance -Ins. Protection ------------- --------- ------------------------ 2 EI . Receptacles Spacing -Lights & Switches at Doors -------------- -------------------------------------------------- -- -- 2 Siz Boxes & No. of Conductors -Stapled -- ---------------------- --------------------- -- ----------- -- _ _ 2 . omex Installed Close to Edge of Studs & C. uip. Ground made up w/Meth. Fastner - 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------------- ----------------------------------'------------------------ 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At ----------- --------------------------------------------------------- ---- 29. Range Girs-4_1 -I- / ga. Cu or Al. IQulated_Naa4•Fa+--"-0 Yes 0 No --------- ------------------------------------- ---- ------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------------------------------------------------------- 31. Equ' . Clearances Panels-Motors-Mech. Equip. -------------------------------------------------------------------------- lot es Closet Light -Shower Light -Spa Light ---------- - ---------------- ---- 3 - ---------------3 moke Detector !: ------------------------------------------------------------------------------ i------------------------------------------------------------------------------ Date ,S -r -_q Z. and B-1 L) J& Date Card -B-1 -------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except p's __ 36,4'.-C. Ducts Insulation & Support 3 ent Fan Exhauste insulation -----------3&ndensate Drain & Overflow_ - Size & Grade 37. Fur -V t: Access -Comb Air -Return Air Vent -115 outlet ------ ---------- ------------------------------------- -------------- 3' Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- Date5-'3-QZ-Card B_1 -(/Q------- Date -------------Card -B_1--------- --- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except p's 9 Sils Pro er Materi5> Anchors -- - -------------------------------- ------ - 40. Walls St+ -Mailing. Spacing & Bra Plates -Sound ----------------------------- ----- -- ------ - 4 earing Walls ove Gi er & Floor Nailing ---------- ----- ------------------------------------ 42 -'Draft Stop in Walls (rat proof) -- --------------------------------------------------- ----------------------- 493 'Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------------------------------------------- 4Z r eaders & Beam -Size & Bearing N" k Single & Duplex) D2te FRAMING (Continued) 4� ngers-Post Caps -Anchors -Connectors .. - 4C pe CIng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 4j Fireplace Ties or Type A Flue -Fireplace Throat clearance - Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 2,�Bdrm. Windows or Exiting Doors -Sill Hgt. &Dimensions 5G-_6acage Fire Protection Framing 5d!Property Line Firewall & Openings 5l� Ext. Doors -One 3' -Check Garage -3rd Story. 2 Exits ----------- ------------------ _ 5T_Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 5.4r'plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 .Siding -Nailing Veneer ----------------------- W.-Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57�Glazing Area -Glass Protection -Skylights -Plastic -- 58-Sn'Llar Walls; Nailing -Bolts --- X59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------- Date ----------------Date 5-13-" Card B-1 U8 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except 4's - _ EES -I. Steps Door & Sidelight Protection -Landings 1/L. Smoke Detector 62T -Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection Bedroom Exiting Jk G F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels ------------- fi . -- irs -& --Rails- --- ------------------------------- - V fieptace or Stove: Clearances -Hearth 9'- ETi? . Outlets at Wood Panel; Int. & Ext. 7l�-tlTl'fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance `fr@er Outlets & Receptacles at Kit. Counter ----- 7 rage Fire Door Swing -Landing -Closer 73 -IM'. -Duct in Garage -Damper 7*.-OCfr Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection ,t-157-Plb. Elec. & Mech. Equip. Listed for Location ---------- ----------------------------- A6.-!1ec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------------------------- - Z-illnsulation-Foam-Looked in Attic ❑ Yes --------------------------------------- -- 78-9crard Rails & Deck Construction -Post Caps ---------------- ---------------------- - . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes i; Following instld._Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 1:1 Yes 0 No ------------ ----------------------- _ .-Stucco: Brown -Finish - 8+ -A -G. Stucco_Brown-Finish_8+--A-E. Unit; Disconnect. Electrical, Plumbing --------------------------------- 8r3!Venis Above Roof; Plbg -Appliance-Fireplace. Clearance to Openings_ 84,MLater Well; Disconnect, Electrical. Plumbing or ­Elec. Trim; G.F.I. Receptacle -Underground 8,e'�`Ventilation Throughout House ------------- 4.-'Glass ------ 4. -'Glass Protection - ------ ]ii- - - --------------------------Inspectio--------- �corrections from Previous ns ---- 82-6a8'gest-Meters Tagged; Gas -Electric 9�Water & Sewer Cohnected-C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates .Date- _l __ Card B-1 Date Card B-1 -Date-J--2 Card _B- 1 Date Card B-1 --- Date Card B-1 Date Card B-1 Comments at Final: It COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillb, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 042-190-024 ZONING` A BUILDING PERMI -- OWNER John TELE H NE 349-1877 SO. FT. OCC. BUILDIN TION OWNER'S MAI LIN ADDRESS 3414 792 40...392.00 CONTRACTOR'S NAM Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $114-00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 197.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 4 1 5.00 20.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 027-0017.00 Each qas water heater or vent 1 7.00 7 .00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5-0015.00 Building sewer 1 15.00 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Add to existing bui1ding _ (work already done) /,k neh kr.4 1 Permit Fee $ 69.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 �^ Main service 6ESS 00V OR LESS 18.50 18.50 Main service 20GATO1000AI 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.SINGLE 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. / ACC. BLDGS. // DWELLING OCCUP.5\ OR ADDNS. l V 3.6Q sq.ft. 27 70 A NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRCI, 11TS @ 5.00 POWER APPARATUS e OUTLET CIR. 20@ 76 Ex. Occup( OUTLETS OR FIXTURES AL P 461 Ex. OCCUp. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 Permit Fee $76.20 - 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 �1 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 1 15.00 Heating 1 b.00 9.00 D 1 1 DU Roof g 0 9.00 Hood 50 *1. Ventilation 0 4.50 Permit Fee $ 37.50 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 against s 'd Co my in c nse a ce of the granting of this permit. X t Date _ Sig re 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 $ Energy Inspection Fee $ OCC CONST TYPE TOTAL VEE $ rlAz OFEES IMP FLOo C G ;1Y. EL 1 P HD Issu I This permit is hereby issue under the sions of the But County Code and/or work indica d bo hich fees F PUBLIC By PERMIT EXPIR S Date applicable provi- resolutions to do have been paid. WORKS at e Receipt No. 109966 X237.00// WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ,�� c/IC PV6� yam- 12-.2-V Owher Locatiob AP# Plan Approved for: Sewage Disposal X --Water Supply Water Supply Hold final for: Final clearance O.R. for: clearance for .ex.,/.s T/.-aq 3 heo` w M NOTE * * * Water Supply Other s c S`is - - Date ,a —ni—t a r 'A n � ,�}•.,�^•'"'�y�''7�i1��%.`v�(Y^n�'�`�r'^'i.'V's,.,i�',,•„r.;'^�•i�'+'y„t�`1+'�.'c�Y-1•KV'"Jy*�e,-.-y,c'"pt{;`�•.•,l'nrd.�,`r,'Y'�'=::�'s.'s.r\"�L�'.-:'�t-'�.,tw�iD`„�.•"^'','.Y'y'�_,,',,.�,�'r4;. t 4 COUNTY OF BUTTE - DEPARTF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERM:MAPPLICATION DATA SHEET x Permit No. OWNER A. ��fl —.w Lx Proposed Building Use al,2U'l-/y/lJ�'� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ......................... .......... 2. Plot plans in duplicate/triplicate,-signed. by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ............... y 6. Energy Design Compliance and supporting documentation ......... t . 7. Statement of Intent for Non -Heated and AC Buildings ................. 8. Engineered truss details and layout in duplicate (required prior to plan check) g 9. Mobilehome installation data including manufacturer's installation 'instructions. 1 Fees of ,.,,,,,, �,,,................................... 3— 1 . Chico Urban Area fees paid ....................................... 12. Park fees paid ' 13• � CJ S � School District fees paid ............. .�- Sanitation approval from �'�_ Health Department 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 .................. i 23. Owner -Builder Verification (Given to owner ❑, Mail to owner.❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... sv e7 26. 27. When yo issue the permit, recess as follows: Mail�n�r. Mail to contractor. Telephone �S and hold for pickup a /office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. r Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date Bye. I The following data must be submitted prior to permit issuance: (C-ircle new item not checked ghnvpi_ Plans checked by Copy—DPW �.�,...w7Vtaaj`fi..•T+.r..'H1i.'."'$ti�lv�li�n:ri2ir'%+r'c 'BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number (0gQ-1a6-00? Building Department No. School District � p City n County Jurisdiction Property Owner ___) p� n C -la-0 Yna r Project Location/Address (,)acyl Subdivision Lot Number Residential Development: � a _ Sq. Footage -] # of Living MHI Addition (Group R) A Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date c : (Floor Plans reviewed by School District Personnel) District Id No.- C° School District -certifies that (Applican a e) (Phone Number) .(Street Address) (City) (State) (Zip Code) has complied with the requirements -of Resolution No. by the payment of .$ representing % 9a square feet. School District Representative<' , D to �I PAID , BY CHECK NO.- &//;4 REMARKS: 0A A J �` (,UGU� C, o2t7 BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school districrt�6/�� SCHOOL•.FEE (8/88) ; t s COUNTY OF BUTTE - Deoar cmenc of Pub L i C t o r:cs 7 Councy Cancer Drive, Oroville, CA 95963 Phone: 910-339-7541 OWNER-3UILDER VERIFICATION Xtcention Property Owner: An "owner -builder" building permit has been applied for in your name and 'bearing your signature. Please complete and return this information at your 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 const=uc;ion of the proposed property improvement (yes'or no) 2. I (have/have not) signed an aooiication for a building permit for the proposed work. 3. I have contractedwith 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. S. I will provide some -of the work but I -have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security umber Date — 79/1 JOTS: 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 a:e per- mitted to issue the permit. Owner _ 1c FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PAC GE "A" (Additions) Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING WALL FLOOR SLAB ZONE it ) R-30 R43 R-11 R- R -11 R, R-7 RP E 16 GLAZING U-.65 (Dual) 4-.65\(Dual) SHADING SOUTH - OPTIMUM OVERHANG BUTTE COUNTY or ..36 Shading Coefficient BUILDING DEPARTMENT WEST - .36 Shading Coefficient A P P FR 0 V E LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) AAO A I n ) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET . OTHER 12/85 *1. HEATING. VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model`aumber) SE Btu/hr (heating capacity) Q Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Q Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling Q Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Q Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Q Other (describe) DOMESTIC WATER SYSTEM Q (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup ' (brand and model number) Gallons (tank size) Q *2 Active Solar (collector brand and model number) i (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Q Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. yleollf U11 S . TURE 0 BUILDING D GNER OR APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center'°Drfvi, Oroville, CA 95965 _ _ PHONE: 916 -538 -7541 - John Chapman 3414 Oak Way Chico, CA 95926 With reference to the above subject: _L Attached is: OTHER DATE April 24, 1992 ME' Permit Application #92-711 (addition, A.P. # 42-12-24 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet. Engr. CaIcs - Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced EXT We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in , including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. XXX Sanitation approval from Butte County Health Department at: XXXX 196 Memorial Way, Chico (with approved plot plan) 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded.copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact Dave Wasney. of this office. ( - Yours very truly, JFG/aj William Chaff Director of public Works .F. Glander Chief Building Inspector Building Owner Building Loca on ENERGY I`(STALLATION CERTIFICATE Building Permit 7 DESC'.IPTION OF JETS UTION RCOF ' Material (' OM P Thicicess (inches) r:.. '3IOR WALL Material R 1% Thickaess(inches) C 1LuYG Batt or Blanket Type Thic?=es s (inches ) Loose Fill Type Nom=.. -gum Thiccaes2(Inczes) Area covered(it. ) FLOOR, ELZ1 IM anterial P" �q Thic?tress (inches) FLOOR, STAB Mat _r ia1 Thick--ess (inches ) Width (inc:^.es) FCMM- A=ION WALL Material Thick=ess(inches) Brand Name Thermal Resistance (R Value) Brand Name Fl B e2G C a 5S Thermal Resistance(R Value) Brand Name_ 'r-( B 9Aa(A Ss Thermal Resistance(R Value)__ Brand Name . Number of Baas Wt. per bag lb. Thermal Resistance(P. Value) Brand Name_ F���/Ll�cgSS Ther --al Resistance(R Value)__ Brand Name Thermal Resistance(R Value)__ Brand Name Thermal Resistance(R Value)__ I hereby certify that the above insula t.on was installed in the above building, -.•....is consistent with approved building department plans -and attachments 'and con- forms with requirements of Chapter 2-53 of State of California Energy Requirement. FMM S=G"N&T=- OF INS IALL�TION APPLICATOR ST3:. CONTRUCTOR' S LICZ_NSc N0. . DAME. I hereby certify the required features, devices, and equipment, .az shown on the aooroved Building Department plans and attachments haze been installed and conform to the aooli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/010ER (Please Print) ( FIR.*i NAME) SI E OF BUILDING CONTR ACTOR/ OtdNER HVAC FI ,:K HAKE/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/ OWNER OWNEc2 - aLiccbe2 STATE CONTRACTOR'S LICENSE NO. q2— DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE `LUST BE ON FILE WITH THE BUILDING DEPARTZI—ENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE PCSTc.D WITHIN THE BUILDING. SEPTF-MBER 1988 NOTES , RESIOENTIAL 042-120-024 01-0761 iHAMOR, CHAD & ANNE 3414 OAK WY. CHICO CONT: PERFECTION POOLS NEW POOL MASTER 500-57 SPECIAL CONDITIONS CHECKED v, BY SRA FLOOD CERTIFICATE REQ. `} FIRE SPRINKLERS REQ. J . SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS' SUB -STANDARD HOUSING LETTER . 4 - f JOB FINALED Signature s INALED F f } f' ' A .i 4 pI; 4 a r j. SPECIAL CONDITIONS CHECKED v, BY SRA FLOOD CERTIFICATE REQ. `} FIRE SPRINKLERS REQ. J . SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS' SUB -STANDARD HOUSING LETTER . 4 - f JOB FINALED Signature s INALED V = OK 0 = Not OK - = Not Applicable • =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /" L'ft. / /'Nat. or/ /"L"tt./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. 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 2 5. Drain; MH Test -Fall -Flex Connector . 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S- 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cent. of Occupancy 9. 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 a C 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-Rttrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date / FINAL (Plans) OK except #'s e b cks-Easements 2 ils; Compaction -Structure Stability . Pool Structure; Steel -Connections -Thickness lad Men -Lining EI c.; Receptacles and Lighting, Distance-GFI S- lec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. E c.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. lec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Heap Department Approval 10. PI b.; Cir. Test -Water Supply Test .014 --fight Niche Date Card 13-1 ate Card B-1 Date Card B-1 Date Card B-1 `G, X5. Z3, o I ' -5co, e, tc--S � Z S Ca /� Wiry J = OK 0 = Not OK - = Not Applicable = Not Ready Date RESIDENTIAL (E Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Ease ments-Flood- Slope Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting. -Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Sleel-Elec. Grnd.-/ P' Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground t 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Ins u lation-Wal Is -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral I] Yes Q No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor Q Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Date Card B-1 Date Card B-1 Date Dale Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing r ►ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting. -Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Ins u lation-Wal Is -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Dale Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: = COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754/)/ PERMIT NO. (Rev. 12/96) APPLICATIONANDPERMIT lir ���Q ASS6�JPAgC L�JUM� 14 11 LL& ZONIN A-10 BUILDINGPERMIT owNviA lu` �ilJ ANN MMR, 896-1637 NE SQ. FT. OCC. BUILDING VALUATION cont. 20 500 owNR414 OREWAY CHICO CA 95973 AK CONTRACTORS NAME PERFECTION POOLS TELEPHONE 895-0437 CONAQYRSE.- -20th St. Chico CA 95928 CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 20 500 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 216.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 SUIItG-PgDMK WAY' CHICK L4�1144 (�t1L\ Energy Plan Checking Fee $ $ PERMIT FEE $ 259.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF [X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: POOL MASTER 7'500-97 Gas piping syEtem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 35,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa mss 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.POWERINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 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. Chi 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' c mpensation insurance carrier and policy number are: Carrier I COA� Policy Number J ;;;L's -;Lest '-' 0 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) El certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 'n � � C. Date _� I I a � Signa re of Applicant - ❑ Owner [3 Contractor ❑ Agent An OSHA permit is required for excavatio dv;eK&nd demolition or construction of structures over 3 stories in heigh Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCs0 OR ADDNS. ( a ACC. BLDUP. S. 3.5¢FT; NOµpESID. T. MULTI -OUTLET 97,50 APPARATUS a S OUT. CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL p .50 Ex. Occup. OUTLETS q p,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 FWL EC.ECTiZIC 1 30,00 PERMIT FEE $50.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 344.00 ES IMP FLOOD CDF PARCEL PD H ISS .i 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. / �� �6 /6 a By Date I I PERMIT EXPIRES ON 4//o/n Z., Receipt No. 77 WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK-INSPECTSGOLDENROD-APPLICANT(Date E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sant to B.O. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Z/ Water Supply: Public Private Well ✓ Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Wq / Environmental Health Specialist Date e . ,� . 7'�^r`^1R:*^"'• „TIrr %' �Yr r�- �"""-'�+': rii°'"'T.'�""`r'-T'v1�+ryr`�'"� i►r'i'y".-� � r , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 1� r, PERMIT APPLICATION DATA SHEET OWNER: Q -I4 4,D 46 -Wo e ASSESSOR PARCEL NUMBER: C4 ] - l Zo - 02-4 Proposed Building Use: Building Inspector: Date: 4 111 (M At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By Ell. Afi items have been submitted-------------------------------------------------------------------------------------- Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets; signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 5 ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- , ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9: Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 1110. ------------------❑10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees--------------- ❑ 3. Flood elevation certificate. --------- ------------------------------. 1 Sanitation and plot plan approva Health Department. ❑ 15. Cityof Chico plumbing permit. ------ ---- ----------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. El 17. 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 023. Owner-Builder ---------------------------------------------------.❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- ❑24. Letter of signature authorization.=------------------------------------------------------------------------- C125. Recorded copy of Agricultural Acknowledgment Statement. ------- 112 6. ------ ❑26. Letter of intent on building use. ---------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------- ❑28. Existing violations and/or expired permits. --------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $' 1130. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. _ (Date) ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. APPhcane� _ Date: l'/ 1 t AD Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By. 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, byDate: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by ` Da e: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil ' 'sion counter, by te: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on holdLin ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VPlln.v (`.,.,., _ Tlo.,�.i...e::t,:.f71�'e..,,l,...-....._. c.r.:--- ^-`'•�' 042-120-024 02-1799 -STERLING, MICHAEL., 3408 OAK WAY, CHICO SPLIT ELECTRIC SERVICE (TWO -200 AMP SERVICES) I OFFICE COPY Address 3 A GAS Meter By Da e. ELECTRIC Meter By Dat COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P 6T NO. (Rev.12/96) APPLICATION AND PERMIT i_ /JAW ASSESSOR PARCEL NUMBER D�%d- 1 �a � Opt Y ZONING BUILDING PERMIT OWNERTEL 11Y6OWNER'S OE SO. FT. OCC. BUILDING VALUATION MAILING _I /I CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS t !„ / C� /'Ga �f Tv i 7 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 � USEOFSTRUCTURE SF ❑ Duplex O- Mobilehome ❑ Other SPECIFY 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 �%�t. tl�fS�/1/ AA-rl 5(r VicoT 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 500VOR LE Main Service 2o.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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L,�avor the following reason: 71,,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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zoOA TO IOooA 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLOS. So 3.50Fr; LION N.R�,p • MULTI.OUTLET @7,50 POWEIFR APPARATUS a SIN GOlln.Er CIR. Ex. Occup. OUTLET OR FIXTURES zo p 1.00 BAL @ .SO Ex. Occup. DurE WIRES1 .DSL 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ „ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance ofWork for which this permit is issued. My workers' compensation insurance carrier and policy number are: S- Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation o ne hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall i not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the :workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X'• Date � " � -02- — Signat ru a of Applicant -0 ner ❑ Co tractor ❑Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei9ht.t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ * GC/ HAz. D. FEES IMP ROOD COF PARCEL PD HD ISSUE This permit is hereby issued under in the Butte �� unty Code and/or indicated above for which fees hav By. •.++ PERMIT EXPIRES ON /-- —Tete the applicable provisions been pai to do work been paid. Date r Receipt No. -�ig�/ ,� f14 . � WHITE-D.D.S.-B.D. CANARY- "SSES'SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751, 7 County Center Drive • Oroville, CA • (530) 538-7541 t CORRECTION NOTICE OWNER PERMIT NO." r «' routine inspection indicates that the following violations of butte county Ordinances exist at the aboveiaddress and should be corrected. Please notice this office when correction of work is- .,`,completed. If you have any questions pertaining to this matter, or need,additional explanation, gtease contact this office immediately. T;= v>` L�R t . • • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754nT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER �6 ( SO. FT. OCC. BUILDING VALUATION . OWNER'S MAKING DRESS CONTRACTOR'S NAME^ V IATELEPHONE f�/` CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plari Checking Fee $ BUILOINGADDRESS �.1 � ' �/ C ,y — �• /J Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex "bilehome ❑ Other SPECIFv 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:G�I `LL� �St,//l�L� (y� J C✓I% g/AAA& �G�'L VIGG'T- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S y ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service 200AORLESS 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 IL No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawor the following reason: 71- 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 TO 100 46.00 NEW CONST. DWEILIJNG W:U OR ADDNS. ( a ACC. BLDOCCUP. S. SO 3.5¢FT. rop6lpT' MULTI-OUTLETC. 97.50 POWER APPARATUS .11N. SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDnURES BAS p'.50 FIXED APPLNS. . OR Ex. Occup. ounETs RESIDEA 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ i IV WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code; I shall forthwith comply with those provisions. - _ 4 O X Date Signature of Applicant - n r ❑ Co tractor ❑Agent An OSHA permit is require for excavations o er 5'0"deep and demolition or construction'% of structures over 3 stories in hei t. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ aw HAZ. I D. FEES IMP I FLOOD I COF PARCEL I PO I HD I ISSUE This permit is hereby issued under of the Butte unty Code and indicated a ve for whiZtfee�sv By - EXPIRES ON Tare the applicable provisions esolutions to do work been paid. Date Receipt No.!De!�-L4PERMIT WHITE-D.D.S.- .D. A RY SS SOR PINK -INSPECTOR GOLDENROD -APPLICANT V OWNER -BUILDER VERIFICATION I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification"is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property im rovement : YES ❑ NO ❑ 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have co tra ed with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOVVNER: SOCIAL SECURITY NULMDER: DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORIN ATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ if you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Govertunents as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under -limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, 6k, Mic el C. Vi ira, C.B.O. Manhger, Building Inspection NOTE. Tlas Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ,dec of ,mP (eat P dge Ng °<Pe�s<etat�nWlhoUtkno U1\ONOFgCAN ,tea vat°e and NO QNOgE 8ES\vEN so�ed toy EF�,o A G�A\Mt0 b the ,n oion 2• NOT\CE 0\ p\MANS �egoestta. ed Se the \NSNNE on wtttten �cAr p(Ovd�ng the\%"-. e nye a°to aid pe�me of th d \t d�ess cee°mpate se ',n t e<e\n n• the naie4°este e �\,de�ke�( tpcov`da\d aPpeae at',ts eeneve� we th and ..anv t° vs F . HRM NGr-1153-A''(10/19/96) ORDER NO. BU -186872 DP „r c $-EXPRESS TITLE POLICY AMENDED (4/6/01) AMOUNT OF INSURANCE: $250,000.00 PREMIUM: $110.00 DATE OF POLICY: MARCH 8, 2001 AT 7:30 A.M. NAME OF INSURED: BUTTE COMMUNITY BANK GRANTEE: MATTHEW CHADLEY HAMOR & ANN MARIE MARTINI-HAMOR, HUSBAND AND WIFE, AS TO AN UNDIVIDED 50% INTEREST; MICHAEL J. STERLING, AN UNMARRIED MAN, AS TO AN UNDIVIDED 50% INTEREST EXCEPTIONS THIS POLICY DOES NOT INSURE AGAINST LOSS OR DAMAGE (AND THE COMPANY WILL NOT PAY COSTS, ATTORNEYS' FEES OR EXPENSES) WHICH ARISE BY REASON OF: 1. A DEED OF TRUST TO SECURE AN INDEBTEDNESS IN THE ORIGINAL PRINCIPAL SUM OF $161,250.00, AND ANY OTHER AMOUNTS AND/OR OBLIGATIONS SECURED THEREBY DATED: NOVEMBER 12, 1998 TRUSTOR: MATTHEW CHADLEY HAMOR AND ANN MARIE MARTINI- HAMOR, HUSBAND AND WIFE AND MICHAEL J. STERLI , AN UNMARRIED MAN, AS TENANTS IN COMMON TRUSTEE: FIDELITY NATIONAL TITLE COMPANY BENEFICIARY: BUTTE COMMUNITY BANK, A CALIFORNIA CORPORATION RECORDED: NOVEMBER 23, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-50824. 2. A VARIABLE INTEREST RATE DEED OF TRUST TO SECURE AN INDEBTEDNESS IN THE ORIGINAL PRINCIPAL SUM OF $17,000.00, AND ANY OTHER AMOUNTS AND/OR OBLIGATIONS SECURED THEREBY DATED: APRIL 25,•2000 TRUSTOR: MATTHEW CHADLEY HAMOR AND ANN MARIE MARTINI- HAMOR, HUSBAND AND WIFE, AS JOINT TENANTS TRUSTEE: MID VALLEY TITLE AND ESCROW COMPANY BENEFICIARY: BUTTE COMMUNITY BANK RECORDED: MAY 3, 2000, UNDER BUTTE',, COUNTY RECORDER'S SERIAL NO. 2000-15987. - JM:TR APRIL 6, 2001 PAGE 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891,-2751 7 County Center Drive, Oroville — Phone: 538=7541 - 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Y1a �o r.4� �i OWNER PERMIT NO A routine inspection indicates that the following violations of County Ordinance exist at the above address.and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matte r need additional explanation, please contact this office immediately.1A it It -� k a u GW (%A.V cCU 4s +*y. Date �^ /� Inspector�.Y� !? •y; �._ fE,, aT!�t1'A/'ti '". .. in4�..:a�'T1C:.'s '�'4 ."' ��'An ., 'P>�, r •- '7�'FE^ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . - RMIT d: 7'County Center Drive - Oroville,' California 95965- Telephone: 916/538-1541 of APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-120-024 ZONING A10BUILDING PERMIT OWNER Min & Anna Chawan TELEPHONE 345-1877 SO. FT. _ OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3414 Oak Way, Cii3.co 95926 CONTRACTOR'S NAME Moe's P3:umbin TELEPHONE { CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS j Filing Fee $ 10.00 Permit Fee $ ARCHITECT' OR ENGINEER LICENSENO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 • 3414 Oak Way, Mico Each Trap 2 2.00 4.00 ( } Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 3. PARCEL; MAP �► Water piping 1 5.00 5,1/�0 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY t Gas piping system 1 - 5 outlets 5.00 ',:Building sewer 1 5.00 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities K Installation[] Other'] Describe work: t Pi (+ Vo tQ114A r VELECTRICAL Permit Fee $ 24.00 Contractor PERMIT Filing Fee 10.00 V OR Main service 100 AMP LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. i0 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- Contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason I NEW CONST. DWELLING OCCUR ,h2sgft OR ADDNS. (ACC. BLDGS. {); s_, NEW CONSTFL MULTI -OUTLET "�? 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. 050t Ex. Occup(OUTLETS OR FIXTURES e2AUTALo30 FIXED APLNS EX. OCCup. OUTLETS PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring %. 9 15.00 15.00 Permit Fee $25.00 WORKMEN'S COMPENSATION INSURANCE �I declare under penalty of perjury (check one): r ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling �► g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id County in consequence of the granting of this permit. X <., -7 �+ �,/-��� Date y� �� SigP lure of Applicant — 04r Contractor ❑ Agent ❑ 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 $ 49.00 HAz. can PARK SCHL I FLD coF PAR PD ) HD. ISSU This permit is hereby issued unser the applicable provi- sions of the Butte Count Code and/or resolutions to do work ind• ated above for which fees have been paid. DIRj�=0 OF PU I WORKS By&f- Dale PERL41T EXPIRES Date Receipt No. 96692 WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 96965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 2� 0,4-ql 0. �,. ASSESSOR PARCEL NUMBER 042-120-024 ZONING BUILDING PERMIT 70 OWNER John & Anna Chapman TELEPH NE 345-1877 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3414 Oak Way, Chico 95926 CONTRACTOR'S NAME Moe's Plumin TELEPHONE CONTRACTOR'S MAILI G ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 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 10.00 3414 Oak Way, Chirn Each Trap 2 2.00 4.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 5.00 5.00 P P Each qas water heater or vent 5.00 USE OF STRUCTURE SFEM Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer j 5.00 5.00 Mobile Home S I G I IN O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation[] Other] Describe work: _ r�ELECTRICAL Permit Fee $ 24.00 Contractor PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification. FlI, 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.8d OR ACDNS. (ACC. BLDGS. , �zQsgft NEW CONSTR.ULT '_OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eAL93o Ex. Occup. out ETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities .15.00 Misc. Wiring g 15.005-00 Permit Fee $25-00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilit' s, judgments, costs, and expenses which may in any way accrue against Id C unty in con nce of the granting of this permit. %� Date Sig ature of Applicant — 0 ner . Contractor ❑ Agent ❑ n OSHA permit is required for excava ions over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz. cuA PARK SCHL FLD coF PAR PD ) HD. ISSU This permit is hereby issued under the applicable provi- sion 3 of the Butte County. Code and/or resolutions to do work i ' ated above for which f s have been paid. DIR OF PU I WORKS ByD e PER T EXPIRES Date Receipt No. 96692 WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER 1 - COUNTY OF BUTTE - DEPARTMENT 't OF P)A661C WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - O,_R,ROVI.°.~LE` CALIFORNIA 95965,- TELEPHONE: 916/538-7541 PERMIT APPLICATION DAT�A,,SHEET - _ Permit No. v Proposed Building Use,A%///BuiIdi Inspector A. P: Z /z Date =1. 'it application, I was advised the following data must.be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED items have been submitted . ..................................... 2. Plot plans in duplicate1tri _&ate, 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 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for 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 instructions ........................................... 1,0.. 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 r' 19. Driveway permit (construction approval required prior to occupancy),, 1 q 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: ail to owner. Mail to contractor. Telephone and hold Ffor pickup at office. Deliver w/inspector. Other �N Applicant ate Copy of ! az-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: j Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data b ydate- Plans q by—phone b date• Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder. Copy—DPW N Nem wn f. CArO -T A,,k Ad 4144 o N Zad APPROVED Butte County lu�prist= C40444- 1000 >PO A6vJ /00 0U se . �0 6e 3 4e, \vV�'ell F. YA 0 4v PO t4 eAAJ V/ IVA FA 0 ENVIRONMENTAL HEALTH -SEP 1 1 2002 CHIC®, CALIFORNIA P r%vr°rtvvtj) Butte ccmjni.. ENVIRONMENTAL HEALTH SEP 1 1 2002 CHIC®, CALIFORNIA J ` OSP 1r I1 IVI ri ! -17 J t Q h � Q) 1 �R+K�'�tRNIlN4bE+� �.. _ 2 2-' " APPROVED gutte County Environme7U ntal Hea6t�i , Y 9' 0 h T � w b ri ! -17 J t Q h � Q) 1 �R+K�'�tRNIlN4bE+� �.. _ 2 2-' " APPROVED gutte County Environme7U ntal Hea6t�i , Y 9' 0 h T 1 qt I NIN p4C7- DA > 10 p4C7- �y N--- ---- iUPJF CD mji , CO f - Twp f-�J`1`"i I`� C��'�t ��V,...• `VEF;-_ "; s �_Z �•, i ;,.. j . _ � ��-- f l � �iO rte :J 9�� ____,� � ���✓ 5r/�' :�;?Y. r+•� �a�oo- �\ �'.�. P �. >14�.- ..a `% � — ��irTrn dres'r✓ ? t r- : (n5 9�,�.r� t �I iF �.,d,,r- -f"�� . 1 � ;; .-.!. '.2 F 4 i {! s i r 5 ' yr AF7f . ro I rF• i f tit-�.Yl•.1�'ilt`> +C i.. tic. 2 x r~rl..!e E`s,fi a "L•4 c% -'ar= €.. 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