HomeMy WebLinkAbout042-120-049FAILURE TO FINAL ADDITION
8/30/82
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A.P. 42-12.LS y���
RAY NORBY
West End Oak Way, 700' eas` of Meridian
Rd., Chico
CONTR: Merle Webb, Chic
Permit 3131-72B,P,E,M
(new single family)
A.P. 42-12-24
RAY NORBY �go 1 J// 9/ V/'
N/S Oak Way, 1000' E. of Meridia
Permit 1537-74B,P,E (swim. pool)
42 -12 -25 -
Ray Norby v�
Pe.rinit #3609-a0B,P,E,M(addi ion �-
I remodel/SF)� 71aUr�f`
42-12-ZM-
NANCY MATTHEWS
3450 Oak Way, Chico
Contr: Sierra Roofing
Permit#413-88B(reroof/SF)
Permit#3157-91P
(gas line/sf) �•
042-12-0-049. 98-10P2 P
KHERA,'Chain
3450 Oak Way,- Chico
(gas piping/Moe Plbg). 1
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Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return thus information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building pern-dt will be issued until this
verification is received.
1. I personally plan to provide themajor labor and material for construction of this proposed
property imp ovement: 'YES [] NO [ ].
2• 1 HAVE [] HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
4. I plan to provide portions of the 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:
PROPERTY OWNER
DATE:
M
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.
v. 'A i i /Af' MA
Butte County Department of Develop72ent Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They, are also required by law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government 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.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact 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 contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Mic 1 C. Vieir+C.B.O.
Marlager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
BUTTE COUNT' 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 RE the person living at the complaint address!
Complainant:
Address:
Phone Number:
The above information is not available to the public!!! ! ! r r
(2)
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104
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - PERM�NO,
7 County Center Drive - Oroville, California 95965 - Telephone:. 916/57541 L/ /
APPLICATION AN4 PERMIT
ASSESSOR PARCEL NUMBER
1}) - 7 - 11) 1
ZONING
BUILDING PERMIT
OWNER - _-
Nancy Matthews
TELEPHONE
894-6437
SO. FT. OCC. BUILDING VALUATION
d nn
OWNER'S MAILING ADDRESS
3450 Oak Way, Chico, Ca
CONTRACTOR'S NAME
Sierra Roofinq Co.
TELEPHONE
342-1863
CONTRACTOR'S MAILING ADDRESS
PO BOX 252 Chico Ca.
Fireplace
CONSTRUCTION LENDER `--
UNKNOWN
Total Valuation Is
Filing Fee $
10,00
LENDER'S MAILING ADDRESS
Permit Fee $
1(1 nn
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
3450 Oak Way, Chico,
Permit fee ;
�ii . r,lJ
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater 20.00
LOT. NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G I W 0.00ea
TYPE OF WORK
i
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: 0 sqbyi It-ulp re -rant'
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service a001 OR LESS 10.00
100 AMP OR LESS
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No.tipf�ATA Classification �r-v9
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8i Yz2sgft
OR ADDNS. ACC. BLDGS.
NEW CONSTR. U TI.OUTLET 2.50 ea NON.RESID .BRANCH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. OCCUp 20050* OUTLETS OR FIXTURES SAL030
FIXED APLNS
Ex. Occup. OUTLETS P(RESID )KEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT, Filing Fee 10.00
Heating
Cooling
Hood 3.00
Ventilation
permit Fee ;
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
�I 1 ?/ R ti 2_9_$$
X Date
Signature of Applicant — OwneiE" Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 20.00
occup.ONST.TYPEJ
SCHOOL
FLOOD
PARCEL
PD
ND
IS9UE
This permit is hereby issued under the
sions of the Butte County Code and/or resolutions
work indicated above for which fees
♦L
/ DIRECTOR OF PUBLIC WORKS
%
By. ( / /, r / u�r I [!' /F / at@
� -'
PERMIT EXPIRES Date �' -
applicable provi-
to do
have been paid.
:_✓
Receipt No.
WHITE-D.P.W., YELLOW-ASSE33011. PINK -INSPECTOR. GOLDENROD -APPLICANT
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATPON AND PERMIT
PERMIT NO.
:"
ASS�$S R PA CELAAU R
(//
ZONING
BUILDING PERMIT
OWNER
WNC Matthews
TELEPHONE
894-6437
SQ. FT. OCC, BUILDING VALUATION
41/4 sq.
425.00
OWN MAILING ADDRESS
3450 Oak Way, Chico Ca
CONTRACTOR'S NAME I
Sierra Rocfino Co.
TELEPHONE
342-1863
CONTRACTOR'S MAILING ADDRESS
PO BC.X 252 Chico Ca.
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 10.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
3450
Permit fee,
$ Q
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I GW
O.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: U so, built-up re -r -o -of i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
t00 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Jll I I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS
and Professions Code and my license is in full force and effect.
License No. 2998 1 � Classification 6' 2
E] 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.y ,
OR ACDNS. ACC. BLDGS. /z¢sgft
TLET
NEW CONSTRESID, CH CIRCUITS)2,50 ea
NON.R ESID RANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
EX. OCCUp(OUT LETS OR FIXTURES Z0030t
030
—iAL
EX. OCCUp. OUTLETS PIRESID IFIXED APLNS. REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
PI have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement. -should you become subject,
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, �and hereby authorize representatives of the County of
Butte to enter upon tfie'above-mentioned property for inspection purposes.
I also agree to save, indemnify and,keep harmless the County of Butte against
all liabilities, judgments,. costs, and'expenses which may in any way accrue
against said County inconsequence of the granting of this permit.
X r / Date 2_9_8,
Signature of Applicant - Owner' Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -ORE
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 20.00
OCCUP.
CONST.TYPEJ
SCHOOL
FU)OOJ
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indj'pted above for which
CT PUY/D
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
ORKS
te 'c2
Z,2 -
Receipt No. S
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
. r-`- �.ir�--++as�x`�t� ��,.,"`-„"""'r;";c;�P•{t�+�E=:..r.E���c`.t
'COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530),538-7541
CORRECTION NOTICE
r
OWNERP.Ef A41T-A!®
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
i
j
Date - / T4�j-�_ Inspector 1'\7" C �j � /I/ G�
REV.4/05 Phone # �i7 i 5Y
FOR RE -INSPECTION CALL: 538 -7636 -OR 891-2834
Date - / T4�j-�_ Inspector 1'\7" C �j � /I/ G�
REV.4/05 Phone # �i7 i 5Y
FOR RE -INSPECTION CALL: 538 -7636 -OR 891-2834
I
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kRMIT NO.
1537-74B;P,E
P
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j
E
r
M
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Temp. Power Pole
Call e,/
PG&E
N
Temp. Elec. Serv.
Called PG&E
Temp./
Gas Serv.
Called PG&E
JOB
FINALED 5
(Datkr
(Signature)
kRMIT NO.
1537-74B;P,E
P
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M
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w
tMH UTIL.
'PERMIT NO.
A
PERMIT EXPIRES /
OWNER
Ray Norby
r
t:,ONTR.
Owner
' OCATION (A.P.
42-12-25 )
W. end of Oak Way, 700' E. of
Meridian Rd., Chico
.�A
P
Temp. Power Pole
Call e,/
PG&E
N
Temp. Elec. Serv.
Called PG&E
Temp./
Gas Serv.
Called PG&E
JOB
FINALED 5
(Datkr
(Signature)
COUNTY OF BUTTE,—'DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms _-�' �' `
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
.Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garacie Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
alls
Throat
Rough
Reinf. Steel �/ �--%
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors 117
Framing
Test
L0bygi, 6.4c, �l
Stucco
Final
Sub aneIs
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
�� =-�� !�s%T� s%� �i
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COUNTY OF BUTTE — I)EPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIie, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
Owner
`
SQ. FT. OCC. BUILDING VALUATION
Mailing Address O �.
Telepho a N'o`m
��
Fireplace
Contractor
Total Valuation —
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
OC
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00 _�_--
12 A2 Od J'oll>Aly / r/141 i
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50 "a
Each gas water heater or vent 1.50
A. P. No. % 2r "' �S
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F %?fl
k6l,
AtlkmFire
Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking I Parcel'Lawn
Plans eclaration
Parcel Map
60R/W
Improvements
sprinkler system 2.00
Bldg. Plan ec'd
Parcel 5iproval
P Approval
Permit Fee $
$ !�
NEW � ADDITION ❑ UTILITIES ❑ OTHER E]
No. @ FEE
PERMIT
PERMIT FILING FEE $3.00 J g
Main service incl. 1 meter
Additional meters, each 1.00
Sub -pan 12 or les (more than 12)
Range, Cook -top or Oven 1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Water Heater or Space Heater 1.00
Light fixtures bald io
Receps., swi es & fix ou lets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. FanorF.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
CPU -
Water pump i f- / �i f s S�
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ t47 Z%
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
o as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County, Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ j
authorize representatives of the County of Butte to enter upon the
above -me )oned property for inspection purposes.
X Date
$ig ature of Permitee or Agent
Receipt No. / / -77 7 Ci
White-D.P.W. — ellow-Assess — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
By Date
B ilding permit expires Date ............................................
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:'(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMIT NO.
BP052295
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/25/2005 APN: 042-120-049-000
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. - Site Address: 3450 OAK WAY CHI
License Class : License Number:
Date: Contractor: Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
C9 I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and P'rofe'ssions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 11aam Exempt under Article of the Business and Professions Code
Date) G S^ Owner: A
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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy
❑ I certify that in the performance of the work for which this permit is
issued. I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Dale:
Applicant:
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation; damages as provided for in -Section 3706 of the Labor
code, interest, and attorney's fees.
Description: RE -ROOF (30 SQ)
Owner: LASHER SATNAM & SURINDER K
1454 JAMIE DR
YUBA CITY, CA
95993-1185
Applicant: LASHER SATNAM & SURINDER K
1454 JAMIE DR
YUBA CITY, CA
95993-1185
Contractor:
License M
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
G50
' 353x-13
CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the Resol ti ns to do work indicated abov for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.) �' LJ _ 0 �
Name: BY� Q r1 Date:
Address: PERMIT EXPIRES ON:
p' / rl—
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ • Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
Cl Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon he (above mentioned property for inspection purpose .
Print � j . * La&,
Names-, � -� N ) D - ( J—J �j Signature: tAW
Date: r�- S / o
❑ Contractor
❑ Agent for Owner
0 Agent for Contractor
NOTES
r �
RESIDENTIAL
i
PERMIT NO.
'"-- -- -- `
042-120-049 05-2295
LASHER, SATNAM
i 3450 OAK WY, CHICO
Cont: OWNER
RE ROOF
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) v
—. Sianature
4=OK
0- Not OK
- = NotApplicable
. =NooRead
Not Heady
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Cana B-1' Date.
1. Zoning Requirements -Setbacks -Easements
Date
2. Sols; Special MH Support Sketch
Card B-1
3. Sewer, Location -Test -Fall -C/O -Concrete -
PERMANENT END SYSTEM (ONLY)
4. Water, Location -Test -Easement Needed (Sketch)
S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ - /" L'fL
/ PNat. or/ /"LW PLPG
2. Footings; Size -Spacing -Marriage Line
7. Well Clearance & Disconnect
8. Utility Clearance
-
8. Elea; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
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
S. Drain; MH Test -Fall -Flex Connector
6. Water, MH Test-Regulator-Connectoe
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
T. 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
Cana B-1 Date Card B-1
Date
Date
Cana B-1' Date.
Card B-1
Date
Card B-1' Date
Card B-1
Date _
PERMANENT END SYSTEM (ONLY)
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
1. Zoning Requirements -Setbacks -Easements
5. Elec.; Pool Lighting; 15 Volts-GFI
2. Footings; Size -Spacing -Marriage Line
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
3. Blocking
-
8. Elea; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
4. Gas; MH Test -Demand -Valve
9. Health Department Approval
5. Electricity; MH Test
11. Light Niche
6. Water, MH Test
12. Enclosure; Fencing -Alarms
7. Water and Sewer Connected
Date
Card B-1 Date Card B-1
8. Gas and Electricity Tagged
Card B-1 Date Card B-1
9. Exits
10. License Decals
11. Verify #'s with Office
Date
Card B-1 Date
Card B-1
Date
Card B-1 Date
Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except Vs
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
T. 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
Cana B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Sols; 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. Elea; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elea; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
= OK
= Not OK
= Not Applimble
= Not Ready
RESIDENTIAL (Single & Duplex)
late UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ P 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-Frtting-Test-2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Pennrit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or Al -AC. Wire Size/ /ga Cu or At
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral 0 Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels -Motors -Meeh. Equip..
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
61. Brace Interior/Exterior Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Date
36. A.C. Ducts Insulation & Support
Date
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac: Truss-Shting.-Rtng.
49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdmt. 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; NarTing-Botts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infittration-Walls-Windows
Date
Cana B-1 Date Cana B-1
Date
Card B-1 Date Card B-1 I.
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 -Meth 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. & Appfiance; 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 -Meth. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (FFI.)-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 0 Yes
83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O_N_o_
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Ptbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/0 to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
r—'F.,�---_ A.— . �1�; �; ;;�• .. _ '"*.tree t' .r�rkx?"�?"'1 rr�y,„_K.4� ..c.iy•.�X�t Wtt
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OFFICE COPY
Address 9:2
`�9:2
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GAS -6
Meter By /�4 �` Date
• M�Fer.6 p�
COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT -
ASSESSOR PARCEL NUMBER
42-12-25
ZONING
A-10
BUILDING PERMIT
OWNER
Ray Norby
TELEPHONE*
895-8189
SO. FT. OCL`, BUILDING VALUATION
OWNER'S MAILING ADDRESS
Rt 2 Box 298A, Chico 95926
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER X
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS y..
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
34% Oak Way, Chico ''IC
Each Trap_
2.00
Solar or Meat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF I Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1 s'0015.00
Building sewer 5.00''
Mobile Home S I G I W 10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ER Installation❑ Other ❑
Describe work: Gas Piping _
Permit Fee Mite Fee $25.
$ 25.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ 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. (OR CDNS. ACC. BLDGS. DWELLING OCCUP.81)
A
I/zQsgft
NEW CONSTR. ULTI-OUTLET
NON•RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
SINGLE OUTLET CIR. )
EX. OCCUp(OUTLETS OR FIXTURES
eLo
2AL@30
FIXED
Ex. Occup. PK
OUTLETS (RESID IEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
RL I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
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, jcosts, and expenses which may in any way accrue
agains said County in cons quence of the granting of this permit. /
JL
X Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required For exc . tions over 5'0" deep and demolition or construct.
ion of structures over 3 stories in h Ight.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
-
TOTAL FEE $25.00
HAL
CUA PARK
SCHL
FLD
CDF
PARudgments,
PD
1 HDA
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above fo which fees have been aid.
� p
DERE, F PUBLIC WORKS
% �/
' �� C Date �" S' 91
P -RMT EXPIRES Date
Receipt No. 9 IK
WHITE-D.P.W.. YELLOW-A.SFI.01R, PINK -INSPECTOR, GOLDENROD -APPLICANT
PC4
a
' COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT. OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
ER
3(-69- 9---,O
3/57
4 2 -
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.
W r / 4' 014u. U
61
Date `1 7 Inspector 1A 5 g e
REV 10/92
COUNTY OF BUTTE ,
BUILDING DIVISION
iDEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751 r
7 County, Center Drive, Oroville, CA - (9.16) 538-7541'
CORRECTION NOTICE
OWNER ! PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at r
the above address!and should be corrected. Please notify this office when correction of work
is completed. If you have ny questions pertaining to this matter, or need additional explanation,
please contact this office immediately. `
i-
' •H
Date Inspector
e
REV 10/92
-c .
-'s�k.:' r. u+a•.vfZl' -r -. -. �,: .,... ... .. .r- ,. •:+r a_. -�: .r: -r, .... .- c .. - c: .- .
042-12-0-0491 98-1062 P
- KHERA, Chain Y ,
3450 Oak Way, Chico
(gas piping/Moe Plbg)
• r s-aY-yS
OFFICE
COPY
Address SD v w
GAS &"Su
Meter By Date
ELECTRIC`
Meter y
COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSORPARCELNIdArEjEji� _ ./y
ZONING
BUILDING PERMIT /
OWNER
z.CHAIN q. THERA
TELfsP(433(•IQ�1=�
3
SO. FT. OCC. BUILDING VALUATIOf��
OWNERS MAILING ADDRESS
3450 OAK WAY CHICO
CONTRACTOR'S NAME MOE PLUMBING
TELEPHONE
1891-1151
CONTRACTOR'S MAILING ADDRESS
1?3'A OAK WAY
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHFrECT OR ENGINEERLICENSE
NO.
'Pilin Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 3450Cn OAC WAY
Energy Plan Checking Fee $
CHICO
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF IDuplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as -water heater or vent 15.00
TYPE OF WORK
i
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q
Describe Work: CHANGE TO PG&E SERVICE FOR—', t
f
NATURAL GAS FROM PROPANE
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00
Mobile Home S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
600VOR _S9
Main Service zo.A OR LESS 23.00
ii
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisiogs of Chapter
l
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSINGLE
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contr rs 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 sa e!
V I, as owner of the property, am exclusively contracting with license :'contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions .Csode for this
reason
Main Service 200A TO I000A 46.00
NEW CONST. DWELLING OCCso
OR ADDNS. ( & ACC. BUP. LOS. 3.50FT.
NEW CONST. MULTI.OUTL ,ET @7.50
NON-RESID. In
8 OUOWER APPARTLET CIR.ATUS
2U -
Ex. Occup.OUTLET OR FIXTURES BAS � I'so
Ex. Occup. ourlEtDTs A=.I EA, 5.00
Tem orar Service 23.00
Mobile, ome 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 ffor workers'
compensation, as provided for by section 3700 of the Labor CodX, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X+,_1:..�._� 1�a.��1n Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
O°C
1%
CONST.TYPE
TOTAL FEE $ 35 00
HAZ, D. FEES
IMP
FLOOD CDF PARC E Pp HD ISSUE
v
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
% �?
By Date _
PERMIT EXPIRES ON
Date
ReceiptNo.
WHITE -D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
Ad
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
a 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541n�,�QEjlM�NO•
(Rev. 12/96) APPLICATION AND PERMIT % ,z
ASSESSOR PARCEL NUUUI q,;{ ._ ! ZC� _0q
( v O
ZONING
BUILDING PERMIT
OWNER
TE 4 — r NE
8098
S0. Fr. OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRESS
3450 OAK WAY CHTC10
CONTRACTOR'S NAME MOE PLUMBING
TELEPHONE '
891-1151
MAILING ADDRESS
323-3 OAK 14AY
CONSTRUCTION LENDER
LENDER'SMAILING ADDRESS
'
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
3450 OAK WAY
Energy Plan Checking Fee $
CHICO
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF R 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 IN
Describe Work: CHANGE TO PG&E SERVICE FOR
NATURAL GAS FROM PROPANE
Gas piping s stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 60 ."....S OR LESS
0" OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business Professions Code,
) on ness anessons
and my license is in full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
d� I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46,00NEW
CONST. DWELLING OCCUP. so
OR ADONIS. ( d ACC. BUDS. 3.50FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ANC CU @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20
Ex. OCCu OUTLET OR FIXTURES BAL'@';5.
Ex. Occup. OUTELET8 RESIPPLND.oEEA. 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 of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws 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��_-- Date
Signature Of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
o c CONST. TYPE
TOTAL FEES 35 00
HAZ. D. FEES IMP FLOOD COf PARCEL HD ISSUE
li- I TL -1
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
late
PERMIT EXPIRES ON 5 /'
Date
Receipt No. Z -�S
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
oqa
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
a
!v.12/96)
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSORPAfiCELNUMBER j)�{ r^� ,/�}`
' �^ V_ 1 1 J l
ZONING
BUILDING PERMIT
OWNER LA �o C� 1< � U
TELEPHONE
3� 3 �a9S
SO. FT, OCC. BUILDING VALUATION
OWNER'S MAIUNO ADDRESS
CONTRACTOR'S NAMETELEPHONE
3 a3 3 � AKS,
j
CONTRACTORS MAILING ADDRESS SCI /�11�;,
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER _
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome O 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 O Addition 0 Remodel ❑ Utilities ❑ Installation O Other
Describe Work: L_�Y\O-�••q1? (0 --- c,
SSI 1 C`Q' �GL�w h�
Gas piping system 1 - 5 outlets
15.00 115, 00
Building sewer
15.00
Mobile Home I S I G I W
020.00
PERMIT FEE
! �jTJ -bo
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.
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.
O 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. DwELIINo OCCUP.
OR ADDNS. ( la ACC. OCS.
s°
3.50FT.
MULTLOUTLET
NEW CONST.
No'=ID.
@7.50
POWERNGLE APPARATUS
8 SI OUTLET CIR.
Ex. Occup. OUTLET OR FO(TURES
2O O '•�
BAL
Ex. Occup.°FIx�nEEo�A AID.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
above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O 1 certify that in the performance of the work for which this permit is issued, I shall
employ any person in any manner so as to become subject to workers'IMP
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner O Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FtE$
Mobile Home Installation Fee(The
Energy Inspection Fee
CONST. TYPE
TOTALnot
VT�hispermit
FLOOARCEL
PO
NO
ISSUE
is hereby issued under
utte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date _
(De to)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California,95965 -,Telephone: 916/538-7541
APPLICATION AND PERMIT
!P RMIT NO.
.ASSESSOR PARCEL NUMBER
42-12-25
ZONING
A-10 -
BUILDING PERMIT
OWNER
Ray Norby
TELEPHONE
895-8189
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Rt 2 Box 298A, Chico 95926
CONTRACTOR'S NAME//''
e� 0"
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee -
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Pian Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
3450 Oak Way, Chico
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 -5 outlets
1 5.00 15.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti cities ® Installation❑ Other ❑
Describe work: Gas Pi ping
Permit Fee Min Fee $25.
$ 25.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury check one
P Y P l y( )'
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license is in full force and effect.
License No. Classification.
ElI, 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. I DWELLING OCCUP.tr
OR ADDNS. % ACC. SLOGS. )
, Aosgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS tr
SINGLE OUTLET CIR. )
Ex. OCcup(OUTLETS OR FIXTURES
20050¢
DAL@30
FIXED APLNS.
EX. Occup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Iyirin 9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
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 liabilities, judgments, costs, and expenses which may in any way accrue
agains said County in cons quence of the granting of this per it
X Datesei
Signature of Appli ant - Owner Contractor ❑ Agent ❑
An OSHA permit is required for ex vations over 5'0" deep and demolition or construct-
ion of structures over 3 stories h fight.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $2
HALcuA
PARK
scHL
FLD
EDF
PAA
PD
) HD•
ISSU
This permit is hereby issued unoer
sions of the Butte County.Code and/or
work indicated above f r which
R. T F PUBLIC
BY
P R T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DateC1 °I/
(in
Receipt No. 9 ?,2 /S
WHITE-D.P.W., YELLOW-ASSF350R. PINK -INSPECTOR. GOLDENROD -APPLICANT
IT
71 COUNTY OF BUTTE = DEPARTMENT OF'�IiBLICC!WORKS - BUILDING DIVISION`
7 COUNTY CENTER DRIVE- OROVILLE, CALIFORNIA 9595 -TELEPHONE: 916/538-7541 i `3�(
PERMIT APPLICATIQ, 9��A SHEET
A Permit No. '
OWNER A. P. No. 06
Proposed Building Use 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
2AII items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of `Intent for 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 ..................
10. Fees of $ :f... ". .
11. Chico Urban Area fees paid ................................... .
12. Park fees paid .................................................
13• School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico'plumbing permit ..............
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW -
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification,.....
22. Certificate of Workmans Compensation Insurance ..................
��4?3. Owner -Builder Verification (Given to owner ❑, Mail to owner....
24. Recorded copy of Agricultural Acknowledgment Statement ......... ON
25. Letter of signature authorization ............... f'% ............... .
26. s,
27.
When you issue the permit, process as follows: Mai o Owner. Mail to contractor.
Telephone `L tj�q and hold for pickup at office. Deliver w/inspector.
Other
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted pri9Llloermit issuance:, (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California,95965-6Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILZING ADDRESS
T a Cao a9a4 Ch; Co RS9aC�
CONTRACTO,/R'S NAME
Te V1 AIL ZJ
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUC ION LENDER
NG
UNKNOWN
11
Total Valuation s
Filing Fee
$ 10.00
LENDER'S M�L ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy'Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS3�5� -
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
OA/C l/ ,
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDI VISION NAME 17FE7MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFj!�_Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 �..—
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti litie!,V Installation ❑ Other ❑
Describe work: 10/ v) v)0;
Permit Fee
$ t�
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR100AMP LOREssLESS
1
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification,
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
DWELLING OCCUP.a
NEW OR ADDNS. CONST. ACC. BLDGS.
(
�2¢sq ft
NEw CONSTR ULT' -OUTLET
NON.RES BRANCH CIRC TS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET OR.
Ex. Occup(OUTLETS OR FIXTURES
200500
eALO 30
FIXED APPLNS.
Ex. Occup. OUTLETS (RESIO )KEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �yirin 9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ Ishall 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 liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $
HAZ
CUA PARK SCHL
FLO
CDF
P R
PD
j HD•
ISSUE
This permit is hereby issued unoer the applicable provi-
sions or the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. a&M22a43
WHITE-O.P.W., TEL LOW- ASSESSOR. PINK -INSPECTOR. GOLOENROO-APPLICANT
BEAUTY
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
June 7, 1999
Chain S. Khera P�: 6�l- 33Z- 48100
3450 Oak Way
Chico, CA 95926
RE: Building Code Violation A.P. #042-12-0-049
3450 Oak Way, Chico'
Dear Mr. Khera:.
This is a courtesy notice to notify you that there is a code violation
existing on your property, created by a previous owner. The violations
are as follows:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration' for
construction of addition and remodel single family residence.
Permits and inspections are required to correct the above noted violation(s).
Even though you did not create this violation(s), you as the current owner
of record are required to resolve any violation(s) or correct any hazards.
Please contact this office to discuss the appropriate correction of this
code violation.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty 30 days to voluntarily comply with. the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Michael Vieira or Scott Rutherford of this office at the
address or telephone number listed above.
-MCV: dms
cc: Assessor
Yours very truly,
Michel C. V eira, C.B.O.
Mana er, Building Inspection
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
t ) 7 County Center Drive - Oroville,.Californla 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NIyS�q IER
/oC—
ZO ING
/
BUILDING PERMIT
ow R
X Or�'
TELEPH E
SO. FT. OCC. BUILDING VALUATION
O NER' MA LING D SS Vi
'
QNTRACTOR'S ME
-..
TELEPHONE
CONTRAC OR'S MAILING ADDRESS
Fireplace
CONS�TRUt TION LENDER
LI
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee 1(
_ $
ARC TECT, OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
' AR' ITI;CT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
L /
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
C2)
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water'heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
,--/ USE OF STRUCT R
SF Lim Duplex❑ Mobilehome❑ Other t '
SPE I Y
Building sewer
5.00
Mobile Home S I G I W.
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation [I 'Other ❑
Describe work: —
I i }�� j�7• �.%j�%J%�/.-t (�,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
666fff
Main service EA. ADD'L 100 AMP
2;50
CONTRACTORS LICENSE LAW
I declare under pe alt of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work, and the structure is not intended or offered
for sale. (Sec. 7044)
EJ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
fort eason
NEW CONST. DWELLING OCCUP.& t
OR ADDNS. ACC. BLOGS. 2�vZsgft
NEW NON•RESID R. BRANCH CIRCT Ts 2.50 ea
NEW CONSTR. (POWER APPARATUS &•)
NON -REST D. \SINGLE OUTLET CIR.
Ex. Occu 20®50e
P�o Ts OR FIXTURES BAL030
FIXED PR
EX. Occup. OUTLETS (RESID )EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare unde p natty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
ainst said County in consequence of the granting of this permit.
Vlgn.lul. of Applicant — Ownar ❑ Contractor ❑ Agent ❑
An OSHA pe`rmii is iequired foi excavations over 5'0" deep and demolition or construct-
ion of structures.over.3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP, GROUP
TYPE of CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
3a e
Receipt No. __...._._a_...._...-.._ ._
WNI.T.EsO.P..W..._?:-�..�I.$j^-A9w9 yQ$SOA1. F1 NiC-IN9PE CT'JA.. QN_ 2013 -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PE MIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
I ..»c.av � riaH a. tt_ NUMtltH
-1 –
OWNER
ZONING -
–10
BUILDING PERMIT
Rai Norby
TELEPHONE
342-3251
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Rt.TOR2 Box 298 A Chim
CONTRAC'S NAME
TELEPHONE
lst to
4ht Renewals
CONTRAC OR'S MAILING ADDRESS
844 Carrgrove Ct., Chico
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
none
Filing Fee
$ 10.00
Permit Fee 2 FEE x 4
Plan Checking Fee
$ 160.00
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
NIS Oak Way, app. 1000'
Penalty
$
Permit fee
$ 170.00
PLUMBING PERMIT
Filing Fee 10.00
Meridian Rd.
Each Trap
2.00
Chico
Solar Water Heater
20.00
Water piping
5,00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF91 Duplex ❑ Mobi lehome ❑ Other add. & remodel
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW I
--10.00e
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: I —
1st to 4th Renewals Permit #3609-80
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600 AMP OR OR LESSLESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under pen0y y of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
. License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work, and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for th eason
NEW CONST. // DWELLING OCCUP.&
OR ADONS, l ACC. BLDGS.
,
2/20sgft
NEW NON-RESID R BRANCH CIRCTITS 2.50 ea
NEW CONSTR. (POWER APPARATUS &)
NON RES,D. ,SINGLE OUTLET CIR.
Ex. Occu 20060t
P�ourLETs OR FIXTURES eAL®30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID,) EA.)
2,00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare unde penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
nst said County inconsequence of the granting of this permit.
!� Date
Ignarure of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE170-00
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
I
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY Q
PERMIT EXPIRES Date8/
__
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
13/85
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Ysfi/G a .1'
Zo o- -7Z 13
COUNTY OF BUTTE . DEPARTMENT OF, PUBLIC WORK
7 County Center Drive -' Orovi Ile, California 95965
=; Telephone: 533-1230, Ext. 259 _
APPLICATION AND PERMIT
"
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address
f`
Fireplace (3 �G
Contractor b 3yZ 3
Total Valuation
Mai I ing Address r� % G
Permit Fee '
Plan Checking Fee &/or Penalty
0
Permit Fee
$
$
Building Address
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00 Z
f„G•
Each Trap LQ 1.50
<5 eyi
ld
Repair drainage or vent piping
1.50
-
Water piping 1 1.50 /. j_01
Each gas water heater or vent 1 1.50 , 5-0
A. P. No. 2-- Z - .� Zoning
Gas piping system 1 - 5 outlets
1.50
"U
Each additional outlet .50
Fire Zone ,
Fire Dept. Sanitation 04Planning
Building.sewer 5.00
Plans ,P/
Fees o/
W. C. s�
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER ❑
Permit Fee
$
$ 2D �--
ELECTRICAL
No.1
@
FEE
PERMIT'FILING FEE $3.00 3 2
Main service incl. 1 meter G"
'
Additional meters, each
1.00
Sub -panel 02 Cr less)'(more than 12)
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Range, dryer or water heater 1.00
Oven, Cook -top or space heater
1.00
-2, %
Light fixtures 23 0
ceps., switches & fix outlets j O
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Calif is Business & Professions ode under the name,
style of:
od, Ex. Fan or F.A. Furn. Motor
Z,
1.00
vO
rEvap.cooler, gar. disp. or D.W. 1.00 2-'&c'
r conditioner or heat pump 411 -0
Water pump `
Misc. wiring
:z
License No. �'�sz/; Classification
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑IWhave placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
❑ I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws i
California.
MECHANICAL
No.
@
FEE
t
PERMIT FILING FEE $3.00
Heating 6(>, is<frJ
Cooling 3 0 H Q G
Ventilation
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
jtate Fee for Strpng Motion $0.07/$1000 Evaluation
nri rumen Lotion rogram
$
TOTAL PERMITFEE
$
autnorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X s G' !� Date
Si nature of Permitee or Agent
Recei No.
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By �'?� dDate/%-! , - 7 Z -
Building Permit Expires Date f(-�-
I
C
313l-72BjP,)E,M
PERMIT NUMBER B
P
Fm
PERMIT EXPIRES
OWNER Ray Norby
CONTR: Merle Webb., Chico
LOCATION (A.P. 42-12-25
Last Bldg. - west end Oak Way, 7001 -east of
Meridian Rd., Chico
COUNTY OF. BUTTE
Department of Public Works
BUILDING IN�PECT-40N RECORD
Zoning
Setback, %&' i Z
Forms zv l
Foundation _T1J 7.
n - j Z- Piers & Girders
Fireplace
Rgh. Plumbing J / -
2 p - Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
W6r. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary-"-
Temporary
Cert. of Occup.
Final
Final
Final
DATE REMARKS OR CORRECTIONS
��G ax
2a'9-;2 13 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK
7 County Center Drive..- - •OmviIIa, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
.- !cl.,cocntauvva VI UIe l01JIILy VI butte to enter upon the
above-mentioned property for inspection purposes.
i
X Date '
$i nature of Permittee or Agent
Recei No. /6770 5, .,P-
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
�_�DIRECTOR OF PUBLIC WORKS
By Date//-/ 7 Z
Building Permit Expires Date
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address
pr-
Fireplace 15V C3
Contractor ,3,y2 _os'63
Total Valuation 2,3
Mailing Address -2��
Permit Fee
—
Plan Checking Fee &/or Penalty
t G O
Permit Fee
$
$
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00 Z
Each Trap 10 1.50Ile
f
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water eater or vent 1 1.50 , -p
A. P. No. Z - 2. - �-� Zoning
Gas piping system 1 - 5 outlets
1.50
.�
Each additional outlet .50
Fire Zone
Fire Dept. Sanitation'AllPlanning
Building sewer 5.00
Plans w,--c,--Fees
�
W. C. ✓
R/W
Encroachment
Lawn sprinkler system 2.00
NEW ADDITION ❑ OTHER ❑
Permit Fee
$
$ 2,1 3
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00j75:7—
3.0035:Main
Mainservice incl. 1 meter cs�
Additional meters, each
1.00
USE OF STRUCTURE Single FamilyX Duplex ❑ Others ❑
Sub -panel (12 Cr less) (more than 12)
Range, dryer or water heater 1.00
Oven, Cook -top or space heater
2,
1.00
Light fixtures 2A WWU.,-o p
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Cali is Business & Professions ode under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
2,
1,00
2,00
Evap, cooler, gar, disp. or D.W. 2, 1.00
Air conditioner or heat pump -0
Water pump
Misc. wiring
License No.- Z/G Classification
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ , ZZY
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
DI certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
dPERMIT
FILING FEE $3.00 —
Heating OU p
Cooling 4 U
Permit Fee
I certifythat I have read this application and state that the above
pp
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
u n. .
othi
�strurnenratti nt` r q anion
f $0.07/$1000 Evaluation
$
TOTAL PERMIT FEE
,..
$ Ste,
.- !cl.,cocntauvva VI UIe l01JIILy VI butte to enter upon the
above-mentioned property for inspection purposes.
i
X Date '
$i nature of Permittee or Agent
Recei No. /6770 5, .,P-
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
�_�DIRECTOR OF PUBLIC WORKS
By Date//-/ 7 Z
Building Permit Expires Date
-? .:&A-809,P,E,M
PERMIT�NO.
PERMIT EXPIRES
/ OWNER Ray NorVy
own r
CONTR.
42-12-25
LOCATION (A.P. )
} "1Q -Oak Way, app.1000'E.of Meridian Rd.,
Chico
33-
F42p-.Rlv2-25 ICI S l D; . 3e1�57-91p J-�!
O, Ray
4 3450 Oak Way, Chico
(gas line/sf
9.
't
2
' 6
bl
i
t
it
• i,
1�
1
A Temp. Power Pole
�+ Called PG&E
Temp. Elec. Serv.
Called PG&E
# , Temp. Gas Serv.
Called PG&E
JOB q
FINALED
f� (Date)
{ (Signature)
CAUNTX OF BUTTE — DEPARTMENT OF PUBLIC WORKS
- tom`• -
BUILDING INSPECTION RECORD "
Stucco I Final ISuboanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
BILE OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
-DATE REMARKS OR CORRECTIONS
�V7 , (!s O Gtr a ,.o i" f•t t 1a i !-e-v� C p o r 11, D® e.
S t A e S . - N O LL $ r- -, OL (O 0- SCJ , t h R_ 5 e-tp � aV � > rT�-- : S .v v 'f- ► �Q. �= rh o
elle-/ i3 t.1q C o cQ� 7 v e F Fs. t_� a It * �n o- i % •v� n e r wv+0 i W c -S v- c- F v e-
G'oTI� t:� j0 N - i LJ 4&!5 �ON•L
.r.. p ?J .. 41 .N G• (•G '!D +'- U S S t7``�TGZ
L � L p..f L. IT
�1 (JAM! f g q! 3 t
5 7
-i� r u g 5 %% �" �
O>t J0 Says io
w / ysew��Q
Gas e S P y T Gii'
.� 9to g=1�6 y, rrNar i2zt "
t3•l 'I (A e y ap prn J -42-J
na
(NOTE: An entry must be made on this form each time you visit the job site.)
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Stucco I Final ISuboanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
BILE OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
-DATE REMARKS OR CORRECTIONS
�V7 , (!s O Gtr a ,.o i" f•t t 1a i !-e-v� C p o r 11, D® e.
S t A e S . - N O LL $ r- -, OL (O 0- SCJ , t h R_ 5 e-tp � aV � > rT�-- : S .v v 'f- ► �Q. �= rh o
elle-/ i3 t.1q C o cQ� 7 v e F Fs. t_� a It * �n o- i % •v� n e r wv+0 i W c -S v- c- F v e-
G'oTI� t:� j0 N - i LJ 4&!5 �ON•L
.r.. p ?J .. 41 .N G• (•G '!D +'- U S S t7``�TGZ
L � L p..f L. IT
�1 (JAM! f g q! 3 t
5 7
-i� r u g 5 %% �" �
O>t J0 Says io
w / ysew��Q
Gas e S P y T Gii'
.� 9to g=1�6 y, rrNar i2zt "
t3•l 'I (A e y ap prn J -42-J
na
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 -County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
42 /Z_ - z � /4 - /(} BUILDING PERMIT
OWNER �, /O ^�y - TELEPHONE S0. FT. OCC. BUILDING VALUATION
KH I (Y y)/�/({ / / /J/ /� yy�� l/3/]���f-y^2 5251 t//� o/ . 0 0
OWNER'S ILING-A4 /S ES �J •! i. /�/l 4// (.,, / r I�./�i ✓60 ^, OR Qn
CI(�`//(j-R Aek' S(4N,,(AM E /,? ! TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDE
NDER'S MAILING ADDRESS
RCH
NKNOWN
ICENSE N
f
BUILDING ADDRESS
AAl s 0/9 /< W A A PP- id Sao' Gt r
LOT NO. I SUBDIVISION NAME PARCEL MAP
USE OF STRUCTURE
SF [� Duplex❑ Mobilehome❑ Other
SPECIFY
��/� TYPE OF WORK
New ❑ Addition LJ- RRemodel VUtilities ❑ Installation❑ Other ❑
Describe work: t��+��t/E�JT a/sZ 61?1&1qGE TO
14kJP A 1) /,) (,AA�f'Ok' i
CONTRACTORS LICENSE LAW ,
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my, license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended'or offered
for sale. (Sec. 7044)
l, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
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.
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against ,said -County in consequence of the granting of this permit.
X fir! r �� // .• Date %/ f • i �' - "'oSignature 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.
Receipt No. / I J,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK,I[tSPECTOR, GOLDENR60D-APPIGANf}
Fireplace
Total Valuation $
Permit Fee
Plan Checking Fee
Penalty
Permit fee
.0
PLUMBING PERMIT
Each Trap
Repair drainage or vent piping
Water piping
Each qas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Lawn sprinkler ,system
Permit Fee
Contractor
ELECTRICAL PERMIT
Main service 600V OR LESS
100 AMP OR LESS
Main service EA. ADD'L loo AMP
NEW CONST. ( DWELLING O.C/b 4JP
OR ACDNS. ` ACC. BLDG
$ SC&! o
$ //i.Oy
z-/z)
AK) =_w
Filing Fee 3.00
2.00
2.00
2.00
2 -00
2.00
lei �J
$ u,�v
F i I i ng Fee
5.00
2.50
20 sq ft
2.50 ea
3.00
NEW CONSTR. POWER APPARATUS &)
NON.RESID, %SINGLE OUTLET CIR,
Ex. Occup( OR FIXTURES
50 L Zea
BAL2IOs
FIXED APPLNS. OR
Ex. OCCu \
p.(OUTLETS (RESID.) EA./
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee.
Contractor
MECHANICAL PERMIT
Filing Fee
3.00
Heating �U� 00CJ
4, N .c l>N C.K.
Cooling / 1 'f: Up
Hood 2.00
Ventilation
Permit Fee '
Contractor
Mobile Home Installation Fee
Land Development Fee
TOTAL PERMIT FEE
OCCUP. GROUP TYPE OF CONST. JPARCELJ P✓I iJI ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR.OF PUBLIC WORKS
ByDate
PERMIT EXPIRES Date
,COUNTY OF BUTTE
DErPARTMENT OF PUBLIC WORKS
196 Memoriai stay, Chico — Phone: 891-2751
D$(0 7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROP ERTb( ADDRESS
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
Inspector. Date `
For
Date6) -36 - qq
Argent ❑
Time
Wh'le You Were Out
M V,
Of Sj n)
Phone
AREA CODE NUMBER EXTENSION
Telephoned ❑
Came To See You ❑
Returned Your Call ❑
Please Call ❑
Will Call Again ❑
Wants To See You ❑
Message
i
Signed
9711 ADAMS BUSINESS FORMS
- - - RESIDENTIAL (Singly and Duplex)
.110
UNDERFL A Plans OK exe t p.'s
Date FAMA Continued
tng requirements -Setbacks -Easements
4 Prope y Line Firewall 8 Openings
Fig., Main; Soils -Steel -Else. Grnd.- " Fig. Depth
4 t. Doors -One 3' -Chick Garage -3rd stary, 2 exits
Fig., Garage; Soils -Steel- 0 " Fig. Depth
56--6"mrs--rnM-Headroom-Rise-Run- Landing -Fire Protection
Fig., Porches & Decks; Soils -Steel- ❑" Fig. Depth
oot Overhang -Attic Access -Rafter Outriggars
Siemwalls, Main; Steal -Blockouts -Wrapped-SlabSiding-Nailing-Veneer
_
Stemwails, Garage; Steel-Blockouts-Wrapped-Slab
esh-Drip Screed-Fdn. Vents-Undertlr. Access
Piers -Fireplace Fig. -Steal
64w,4GIazing Area -Glass Protectlon-•Skylights-Plastic
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
Nailing -Bolts
Gas Pipe: Size -Anchors
1 Water Pipe; Test-Anchors-Regulator-Seryice Test
1 Electric; Underground
1 Plenums & Ducts; Clearance -Material -Support -Ins. '
Glr ers ills -Anchor Bolts -Joist Vents -Cripples
Card -81 Date Card -BI Date
fl 11
Card -[31 )a(90/�_ Card -BI Date
Card -BI Date Card -BI Date
rd -B
Date&jt' Card -BI Date
Data FIN (Plans) OK except q's
rd -BI Date Card -BI Date
.to
PLUMBING (Permit) OK except q's
Ext. Steps -Door & Sidelight Protsction-Landings
:5 Detector
1114v Watet Ht., Vent -Access -Combustion Air
5B -. "Furnace; Vents--Clearance-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
59-Bedrooth Exiting
Test & Anchors -Nail Prosection
1 ttngs & Anchors -Nail Protection
wer Pan; Test, First Floor -Tub Access
F.1. & Bath Fixtures & Tub Access
10 T-1 *eb-r3hower, 2nd Floor -Tub Access
lec. Trim & Subpanel; Breaker Sizes -Labels
1 Gas Pipe: Size & Anchors
82-Sra%�& Rails
62_.-4-jkaplace or Stove; Clearances-Ilearth
Elec. Outlets at flood Panel; Int. & Ext.
rd -Bl --.7--
rd -BI
Card -BI Date
Date Card -BI Date
65"-*M:-F*xl. & Appliance: Grnd.-Air Gap -Cooking Gap—CookingClearance
66—Stec. utlets & Receptacles at Kit. Co n er
;te
ELEC AL Permit OK except H's
67. )Garage Fire Door: Swing -Landing- loser
68. A.C. Duct in Gara e -Gamper
. Fix! & Transformer Claarance-Ins. Protection
39�--Wir--Htr-.;,/ents-Clearance-Comb. Air-Connector-P.R.V.-
_ In Garage: Abova Floor -Meth. Protection
2 e eceptacles Spacing -Lights & Switches at Doors
ize xes & No. of Conductors -Stapled
7 .-PIb:, Elec. & Mach. Equip. Listed or Location
omex Installed Close to Edge of Studs & C.J.
(71 - Receptacles in Garage;(G.F.I. Rom.1^P otec.
2 tp. Ground made up yr/fAech. Fasteners -Bond Gas & Water
,-'Insulation-Foam-Looked in Atttc es
liaa^—QWuirs In Kitchen & Conductor Size
Y u -A.C. Wire Size / ga. Cu o A
79--Guacd;Rai's & Deck Construction -Post Caps
7b dn. Vents & Crawl Hole DoorDrainage& Wood -Earth Clearanco
Looked under Floor
ange trc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral El Yes 0 N
75.-'Pollowing instld�Orive [}Yes E] No; Walks 'Yes C] No;,
Planters MYes ❑No; CreatingDrug. Problems F-)Yeso
- Conductors &Ground -Main Disconnect
2 quip. Clearances; Panels -Motors -Meth. Equip.
76; ..Siueco78rown-Finish
Light -Shower Light
V7 -A: . Unit; Disconnect-Clrnces--Brkr. & Cond. Size -115V Outlet
y$ Vet'Plb
s bove Root; _
_ g.-Appliance-Firepl.-Clearance to Opngs.
79- Water -Well; Disconnect, Electrical, Plumbing
rd B-1
Date and -BI Date
80.,jExterior Elec. Trim G.F.I Receptacle -Underground
rd B -I
Date Card -BI Date
-e1. Ve 'rPl7(ion throughout ouse
S2 --Glass Protection
ie
MEC AL (Permit) OK except N's
Corrections from Previous Inspections
" TS-Ttest-Maters Tagged; Gas -Electric
A.C. Ducts; Insulation & Support
Sewer Connected -C/0 to Grade -HD Approval
ust above Insulation
Co sate Drain & Overflow; Size & Grade
_ 86.) Energy Compliance Certificate -Other Certificates
*,,'Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
tc ccess & latform If Furnish In Attic
d -BI
-d-BI
Date Card -BI Date
Date Card -BI Date
Card -BI Date 2 Card -BI Date
Card -BI Date I Card -BI Date
Card -BI Date Card -BI Data
:e
FRAWI (Plans) OK except q's
Comments at Final:
3Q risl & Anchors
labs; Studs -Nailing, Spacing & Bracing -Plates -Sound
39. _r_a Is over Girders & Floor Nailing
3 . raft Stop in Walls (rat proof)
rred Ceilings -Stairs -Chases -Tub
4 ea r & Bedm-Siza & Bearing
an 'S -Post Caps -Anchors -Connectors
Ing. Joist-Rfir. Ties -Purling -Roof Brac. russ- hthn_g.-Rf_ng__
_ Ties or Type A Flue -Fireplace Throat
b' 4 . Attic Access; Size & Romex Protection -Draft Stop -Ins. Batfeis
ows or Exiting Doors-SIII Hgt. & Dimensions
Garage Fire Protection Framing
�� �R00
Jerry Price Owner: Rfy Norb
Rt. 1. Box 764 A RE: Building P rmit No. 3609-80.(conv. gar)
Chico, CA 95926 Expired 8/13/81
(A . P . No. 42.12-25 )
With reference to the above subject, our records indicate that your building permit
has expired. Building permits are valid for one year and should construction not be
completed at the expiration date of the permit, the permit shall be renewed.for 1/2
the original fee.
Kindly contact this office within ten (10) days to renew your permit. Should our
records be in error or should your construction be completed, please advise this
office immediately.
Thank you in advance for your prompt attention concerning this matter.
Yours very truly,
Clay Castleberry
Director of Public Works
nder
F. G1
JFG:dd Chief Building Inspector
Attacbnents
P.S. For your convenience, we are attaching a renewal application form which may
be completed and signed by you where indicated and returned to this office
together with the fee shown.
r
r
cc: Building Inspector Chico `
ttecounty
LAND
OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
,r,_-. �+�.�_;.•;
CLAY CASTLEBERRY, Director
~�' �'��' ` •: t
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Teleohone: (916) 534-4541
•
H. W. McDONALD
Deputy Director
October 19�v 1981
Jerry Price Owner: Rfy Norb
Rt. 1. Box 764 A RE: Building P rmit No. 3609-80.(conv. gar)
Chico, CA 95926 Expired 8/13/81
(A . P . No. 42.12-25 )
With reference to the above subject, our records indicate that your building permit
has expired. Building permits are valid for one year and should construction not be
completed at the expiration date of the permit, the permit shall be renewed.for 1/2
the original fee.
Kindly contact this office within ten (10) days to renew your permit. Should our
records be in error or should your construction be completed, please advise this
office immediately.
Thank you in advance for your prompt attention concerning this matter.
Yours very truly,
Clay Castleberry
Director of Public Works
nder
F. G1
JFG:dd Chief Building Inspector
Attacbnents
P.S. For your convenience, we are attaching a renewal application form which may
be completed and signed by you where indicated and returned to this office
together with the fee shown.
r
r
cc: Building Inspector Chico `
r
COUNTY OF BUTTE - DEPARTMEI1T OF PUBLIC WORKS
• 7 County -C; -iter bVwe - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
Li V�, 1 0 8
'mrral m-, � asV,
ASSES 0 R PA �C NUIZ �1B
2
ZON G
� /o
BUILDING PE
OW �-y �vo,e�Y
TE EPHE
3Z --OZ.S/
S0. FT. OCC. BUILDING VA UAT�IyON
q73 &V
r �v
O ER'S MAILING,,ADDRESS
box 29,l C#/60, CA- 959? -(a
52 14 -PR
CONO . NAME„,,,,
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $ 1&Z90.00
LENDER'S MAILING AD KESS
Permit Fee
$ 00,00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ O
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
BUI"LpI G ADDRESS
/V 04K 400, /000/
PLUMBING PERMIT
Filing Fee 3.00
A ,c—R/� j�v e �D o
��I
Each Trap
2.00
Repair drainage or vent piping
2.00
Gh� ACU
Water piping
. Y
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
-2.-00
USE OF STRUCTURE
SF [90" Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler ystem
2.00
TYPE OF WORK
New ❑ Additions I/Remodel V�^Utilities ❑/ Inst��laat4ti/on❑ Other ❑
Gi
Describe work: �O,(/!/E�2T U� <719 -ACC— 70
/Q -(JD ADO CA4� T
Permit Fee f
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING
OR ADDNS. ACC. BLDG
•(,'
20 sq ft O
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sgLtion, will do the work,and the structure is not intended or offered
r sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)ZZ)r
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON -RESIT R BRANCH CIRCTITSL_
2.50 ea
&1
NEW -CONSTR. (POWER APPARATUS . /
RESID. SINGLE OUTLET CIR
ExOccu
. p(oUTLETS OR FIXTURES
50 @ �'a
BAL@10s
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID,) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3700
Heating Q 000
00
67 J+S p
Cooling fT�pp
Hood
2.00
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 liabiliti judgments, costs, and expenses which may in any way accrue
against I ounty in consequence of the granting of this permit.
X - Date /S-_ y
Signaturef Applicant - Owr 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 $
Land Development Fee $
TOTAL PERMIT FEE
occuP. GROUP
Kw
TYPE IF 1:1
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECT F PUBLIC WORKS
By Date p0'f^} ;�
P IT EXPIRES Date-_ /S �!! ✓ ��
Receipt No. /
WHITE-D.P.W., YELLOW -AS S_ O PI, PECTOR, GOLDEN IC
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
7 County Cent4r"D7rivb — 0roville, California 95965 — Telephone: 534-4541
ij PERMIT APPLICATION DATA SHEET C�
OWNER PAY AJO,0 1K
Proposed Building Use
Permit fee based uG
Building Inspector k�
At time of permit app
issuance:
Permit No. ,
/A..%P .. N o.
/ /Complete Contract Price ! -� DPW Valuation
COther (explain) / _
Date 71-15-/ / go
on, I was advised the following data must be submitted prior to permit processing and/or
DATE RECEIVED APPROVED
1. All items have been submitted...................................................................
2. Plot plans in duplicate/triplicate...............................................................
3. Complete plans in duplicate/triplicate...................................................
4. Complete engineered plans and calcs.....................................................
5. Plans with Energy Design Compliance Statement ............................
6. State Energy Forms No. ....................
7. Statement of Intent for Non -Heated & AC Buildings ...................
8. Fees of $ ...................................................
Sanitation approval from ..............................._
f9. Letter of signature authorization.............................................................
�ri,(,�,A'c,'y Health Dept....
11. Planning approval for .............
,.42. Certificate of Workmen%s Compensation Insurance ........................
13. -Con tractors -License Information (no., name style,
,
classification) ............................Ls
...
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow).................................................................................................
15. Pre inspection for regUlred. Pre•inspec. request to (date)
bldg.•inspector
16. Other
When you issue the permit, process as follows: Mail to owner Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspection.
Other
Applicant :vDate
Copy of plans sent Health Dept., Fire Dept., Other Dater
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
I
By
Plans checked by
Plans approved by
OTHER:
Copy/DPW
Telephone
Mail
Other
Date
)ate
Date �[
To: Build.inn Department
From: Envirormental Health
Subaoct: Sanitation Clearance
Oraner� ,Racat�ort AP
Mans 'approved for: Sewage Disposal Water Supply
Hold final. for: Water Supply
Sinai Clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other
Clearance for addition of y..o!N 36
Note VV
0anizarian a O
4
U
RAW A�ORB�-
COUNTY OF BUTTE - Department of Public Works
7 County*Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner-builder".building permit has been applied for in your name and bearing
your signature. a .
Please complete and return this information,in the envelope provided at.your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
0
1. I personally plan to provide the major. labor and materials for construction
of the proposed.`property improvement (yes or no)
2. I (have/have not) signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construct on:
Name
Address U0 ec OC'E= City
Phone �? 4/ 3 — ,Z 3 Contractors License No.—& / / / /,3
.4. I plan to provide portions of this work, but I have hired the following
person to ord ate, supervise, and provide the major work:
Name it iso
Address V City
-Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the,work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Sec rity��number
Date T"'.(/.r , / S
zz
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
-BUTTS COUNTY DEPARTMENT OF PUBLIC WORKS
SPACIAL INSPECTION RPPORT -
Owner: '�i9y /Vo/oH Y — -_ A.P.
Address: R% 2 EO--Z 29" ellleD C4 ?15-9Z6 Date of Inspection
Tenant: 4Inspector
Building Location: N15 D,4,,CW,¢Y APP, Yy
Type of Inspection requested:
1. Housing 2. Financi.:ig 3. Change of Occupancy to
L 4. Other (specify) H4114P/I /� W1
Preseut use cf buildi.ng,: Fi 1 IZ-Y
A. SanitatiM-0 1-01
1. (Mater closet:
2. Lavatory:.
Bathtub or shower'--
4. Kitchen. sink:
5. Hot and cold water to fixtures: -
6.• He :ting` fa litias:� t� ��zz` ``------- - --- 0,.\�.
t: and venttlatiofi: .. \
7. Natural ligh_
8: Roan and space requirements:
9. Bedrocmi window oF,door.f_or`second e_xit:__ 1
:a".,` 10, Infestat?on`o'. i�zsects, vermin, or rodnt:s:'~• = ,
- 11.. Connection to sew i¢e4 dispose].: • ` - � -
12. Connection to water suPP
% lv
13. Rubbish-and .g4rbage faciliti.e67 `•
14. Coaanents:
B. Structural
1. P .ers and footings:
2. Floor ronstnicti.on:
3. Wall construction:--
4.
onstruction:-4. Ceiling and roof construction:
5. F zrF.pl.aces:_
6. Ccrments:
C. Electrical
1. Servicc. „nd ground: '
2. Rece.ptacles:
3.-
4.
D. PljSb ink
1. Fixt::r.es cow =ct�-'cl and vented:
3 . .Gas t.e Zt it>g--
4. Ccrnents: --
E. Other
1.
Maintenance and repair:
�,# k�-
2.
Fire hazards:
3.
Safety hazards:
Weather protection:
Underfloor and attic ventilation:
6. "'Comments:
.
, - a 4�1 ♦p. Lirlr�
wi h
Y :1.`�4� �,\.3� T! `•A. ,
F. Commercial Buildings
1.
Roof covering:
2.
Distance to property lines:
3.
Physically handicapped:
4.
Restroom floors and malls:
S.
Exits:
6.
Lnprovements•
7.
Zoning:
8.
Comments:
G. Field Problems or Violations
1. Problem or ':violation (give complete description):
/ee1VOO,e5L 1A1 474,e4 GE d
2.
3.
C#z�,er XA1,P
What action taken (give complete description):
wr�at action recommended: PeRAI173
TO STD P WD/Z,-c
7-7 A.' lnfornation only - file.
V,E� Y SOON ', r CEP 1—,22lef ep .TO S
"/r/G 045-7V/.vEo
/!;!"B. Hold for ten (10) days, then write letter.
/ / C. Write letter.
% D. Other:
7,64—P cJ
JYX GlJ D r%i a'� p t-
f o ix77' -/2�a-4- 110. e-7oea-, ':i6— Ae eggh,
hu-�ld 4�2 Y
�Aff) �Ojj-e--'
4-0 e Y- M
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
Name
First Na p
Address `b > , Jaw;
a- � 1
City 6lA
State
Zip
Phone? S -
5-E O
Fax
E-mail
Planner
APPLICANT SIGNATURE
X -k, L-OS�V�'
For office use only:
CONTRACTOR
Name
^ ��
Address
r(IS(4
111
City
State
Zip
Phone '
5-E O
Fax
E mail
Planner
Lic. #
Class
APPLICANT SIGNATURE
X -k, L-OS�V�'
For office use only:
ARCHITECT/ENGINEER
Name
^ ��
Address
r(IS(4
111
City
State
Zip
Phone
5-E O
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X -k, L-OS�V�'
For office use only:
APPLICANT INFORMATION
Name
^ ��
Address
r(IS(4
111
Ciry
StateC 6
Zip�s/�93
77
Phone
5-E O
Fax
E-mail
Planner
APPLICANT SIGNATURE
X -k, L-OS�V�'
For office use only:
Zoning
Property Address/ :�`v O _n �
3`7 �G
Flood Zone
Cross Street
1Mcju"CAxaY\
SRA
Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgADDISubRgmts.doc
PERMIT
NO.
B D522g5
PROJECT LOCATION
AP#
042- QQ-C)�Jq
Property Address/ :�`v O _n �
3`7 �G
Ci �Cv
Cross Street
1Mcju"CAxaY\
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Page 1 of 2
Description or Scope of Work:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: K.V .
Receipt #:y 35383
23q
Datel-25-0 tJ
Amount: n5 6 - Bldg
SRA
Sheriff
SMIP
Other
5.03 Total
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form. -
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
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KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05