HomeMy WebLinkAbout042-160-051a
t
42-16-0-0'S1� .
96 0465 ;B,>E a ,
PRATT; -,Henry &?• Jean • '
1910 •West Sacramento; Chico�',`�
x '•,
Gadd -;family` room)SF Clay,-Jolinson t
jlrE r _r
042-160-051
03-1292
PRATT,HENRY
1910 WEST SACRAMENTO, CHICO.
CONT: P F REILLY
REPLACE WINDOWS c
's w
WILLIAMS, L.C. 309-70B ;
321-7OP...
360- OE
2-16-
1910 W. Sacramento Ave., Chico,
CONTR: R.D. Bryant, 3A Franciscan Way, C is
(remodel & repairs)
f
j— a
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI G DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 38-7541 PER
(Rev. 12/96) APPLICATION ANDPERMIT 7-2-f 2-
ASSESSOR PARCEL NUMBER
042-160-091
ZONING
1
BUILDING PERMIT
OWNER
PRATT-
TELEPHONE
i
SO. FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
1910 WEST
GQNT
CONTRACTOR'S NAME
PF RETTY
TELEPHONE
CONTRACTORS MAILING ADDRESS
3028 ESPIANA -DE SIECHICO, CA 959713
CONSTRUCTION LENDER '
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
q
Plan Checking Fee $
BUILDINGADDRESS
1910 WEST SACRAMENTO, njwn$
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF)Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX
Describe Work: REPLACE.WINDOWS
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LE
Main Service 2o.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license i . f II force and effect. / ���
License Class ' LIC. NO.
OWNER -BUILDER DECLARATIONEx.
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST, DWELLING OCCUP.
OR ADONS. ( 3 ACC. BLDS.
SO
3.5QFT.
No R� D. MULTI-OBRANCH UTLET
97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Occup. ounEroRFocruREs
Bn�Q':w
Ex. Occup. Onx SRM ORS
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 workerpompen�sation . uranc carrier and policy number are:
Carrier -,,��
Policy Number _f i `t — 1 Gd J
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply wit Be provi . ns.
.�
X Data _� Q
Si ature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavati ns over 5'0" deep and demolition or construction
er 3 stori in hei ht.
of structures ovNX3
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE TOTAL FEE $
128.00
HAZ.
D. FEES IMP FLOOD CDF PARCEL PD HD
ISS
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indi ed ab for whic fees have been
By ate
PERMIT EXPIRES ON
Vate
provisions
to do work
paid.
r
f�
✓✓
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR NK -INSPECTOR GOLDENROD -APPLICANT
r.:oUNTY OF BUT - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 536-7541 D�Ejt py
v 12/96) APPLICATION AND PERMIT !�
SSESSOR PARCEL NUMBER
NVNER
LLLL ,
NVNFRS AMAw
/o "No S�
ANT
b S 0 ADORES
bNSTRUCnDN LENDER
ENDERS MAIUNG ADDRESS
OR; CNrrECT ORENGINEER
ORCNrrECT OR ENONEERS MAILING ADDRESS
BULLDLNG ADDRESS
LOT NO. I SUBOWS ONS NAME
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
TYPE OF WORK
New ❑ Addition ❑ R el ❑ terms ❑ UlstaUation ❑ Olh ❑
Describe Work:
Fireplace
Total Valuation is
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee
PERMIT FEI
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each gas water heater
Gas piping systaR -
Mobile Home
t •
S '
S
Fling Fee 20.00
7.00
#23,00.00.00
15.00
15.00
@20.00
F,c. OCCu OVnFT OR ESQ
PERMIT FEE I
$
ELECTRICAL PERMIT
I Fling Feel 20.00
Main Service
pa cn LLESSS
23.OD
Main Service
tow TO WODA
46.OD
NEW CONST:
OR ADDNL (
gwE11W0 DCCUP.
a AGC. e1Ds.
I 3.$¢F°:
_ CONS]. r
MVLTFOVnEr \
I I n7 rn
F,c. OCCu OVnFT OR ESQ
BAL p .50
Ex. Occup. OMD Es.0RE,
5.OD
Tem orar rvice
23.00
Mobile Home Facilities
20.DD
Wise. Wiring
23.00
I PERMIT FEE I S
MECHANICAL PERMIT I Fling Fee] 20.00
Hood I 6.50 I
ventilation
PERMIT FEt S
Mobile Home Installation Fee S
Energy Inspection Fee S
CCC CONST. TYPE TOTAL FEE $
NAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD I - I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date
�REILLY
i
1.877 -NEW -LOOK
1877.639-5665
3029 Esplanade, Suite F, Chico, CA 95973 • CA Lic #711037
Chico: (530) 898.0833 Fax (530) 898.1599
Hanford: (559)585.1800 Santa Rosa: (707) 568.0333
oqa--A00-0Sl
NAME .01Z L. -'7 -
ADDRESS 7?
CITY l C STAT�ZIP O, / J
EST. START DAT —17� OEST. COMPLETION DATE ID '
AGREEMENT 13 910
NE3
(HM WK MB MR MRS)
VONE
(HM WK MB MR MRS)
PHONE
(HM WAKIMS MR MRS)
TM t1'.,;lr,
(DATES ARE APPROXIMATE ONLY)
• 1 • • 1 • OR 9 w PRU 4 11111114WAF-M III R F -I FAWN III 191k,•
�V�i SCC SI rYlo .✓ i -C N _LYL1. /�.� 55 r �Y t �L �1 vvz '401L 0_4 l l u C.
2 l!5� y1 -. �I,cv 'e>-eelo rc. = &JX4e
% 1( Y7 9Y(ZXS3' -,/w Dei Jr
5;1V . X�:5 -51q O 1.
5 5 q3114Y I&O>rh (s t i 5l�
4 vvL 7 00 ` t
ir-Ly-vk V -*.4 ZZJ1,
i s _
l
;3 ! e 5a
i�/2✓ of -L - xj-
�i :� ! vL -2K �e2►�x _ 5
The total amount specified thereunder is due upon completion of the project. Any payment not made within 15 days
of completion shall be deemed to be in default and a late fee of 10% plus finance charges figured at 1.5% monthly
which is an annual rate of 18% will be charged on the unpaid balance each month. The project is deemed completed
upon verbal or written notice of an authorized representative of RF. Reilly.
SUBTOTAL
E
!?_J xe,
SALESTAX
C
This proposal may be withdrawn if not accepted within 7 days of the date shown above. All agreements, or under-
standing must be set forth in writing in this proposal. This proposal is not valid or binding on either party until signed
and approved by the customer and an authorized representative of P.F. Reilly. This contract represents the entire
agreement between the parties. P.F. Reilly shall not be bound by any promises, representations or agreements not
expressly incorporated herein. The company gives no warranties, express or implied, other than those warranties
previously provided in connection with its services.
CASHTOTAL K'
$ a
DOWN PAYMENT b
$
BALANCE DUE {'
$
ALL CHECKS MUST BE MADE OUT TO P.F. REILLY LJ N G Jr` C�
CAUTION: DO NOT SIGN THIS PROPOSAL UNTIL YOU HAVE READ THE CONTENTS OF AE REVERSE SIDE. '
ACCEPTANCE: ALL PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND HEREBY ACCEPTED.
Authorization is given to P.F. Reilly, its employees and assignees for all rights and access to accomplish the work commissioned.
P.F. Reilly is not responsible for existing st u lural defects, code vio S, or conditions existing beyond their control.
CUSTOMER'S SIGNATU �� f DATE Q
/ DATE
REGISTRATION SUBMITTEfY{31'^' //11 DATE 1
ACCEPTED FOR
DATE
Contractors are required by law to be licensed and regulated by the Contractor's State License Board, which has jurisdiction to investigate
complaints against contractors if a complaint regarding a patent act of omission is filed within four years of the date of the alleged violation.
A complaint regarding a patent act or omission pertaining to structural defects must be filed within 10 years of the date of the alleged violation,
Any questions conceming a contractor may be referred to the registrar, Contractors State License Board, Post Office Box 26000, Sacramento,
California 95826. You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. See the accompanying Notice of Cancellation form for an explanation of this right.
B
RE IJINTIAL
042-16-0-051 96-0465 B,E
PRATT, Henry & Jean
1910 West Sacramento, Chico
(add family room)SF Clay Johnson
—4 Z-oc�m U't_
�
Sep
G� c--.-, 4z tL
JOB FINALED (Da —
Signature
V•= OK
y
0 = Not OK
6. Gas; Location-Test0rap; / /'L'ft.
/ /Nat. or/ /"L"ft./ /LPG
•=NottReady
ble MOBILE HOMES
8. Utility Clearance
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
Date
2. Soils; Special MH Support Sketch
Date
3. Sewer; Location -Test -Fall -C/O -Concrete
Date
4. Water; Location -Test -Easement Needed (Sketch)
MISCELLANEOUS
Date
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location-Test0rap; / /'L'ft.
/ /Nat. or/ /"L"ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
Date
6. Water; MH Test -Regulator -Connector
Date
7. Water and Sewer Connected -C/O to Grade -HD Approval
Date
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
Or Not OK ,
= Not Applicable
Not Ready RESIDENTIAL (Single
=
Date UN RFLOOR (Plans) OK except k's Date
Zo Ing -Setbacks -Easements -Flood -Slope
12 tg., Main; Soils-Elec."6rr%L-/p�/" Ftg. Depth
T'Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
-*-Ftg-Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemw IIs, Garage; Steel-Blockouts-Wrapped
Downs and Special Anchors yfig
t�velab; Steel -Wrapped
Iers-Fireplace Ftg.-Steel
-9." .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
6. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except n's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
- ----------------------------------------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
----------------- ----------- ------- ------- --- - -
18. D.W.V.: Te -Fittings & Anchor -Nail Protection
--------- -------- -- --- - -- --
---------------
19.- ---- ------ ----------------- - ---- S w est. First Floor -Tub Access
-----------------------------------------------
20. it hoover. Second Floor -Tub Access
------------ ------ - ver, Second
Floor ------
G s ipe: Size & Anchors
-------------- ------------------------------------------------------------------
Date Card B-1 Date Card B-1
-------------------------------------------------------- ------------ -------
Date
----------------------- -----------------------
Date Card B-1 Date Card B-1
Date -ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
-----------------------------------------------------------------
23.
-----------------------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------------------------------------------------ ----------
24. Size Boxes & No. of Conductors -Stapled
------------- 25. Romex I 'stalled Close to Edge of Studs & C J.
26. Eq p r n ade u w Mech. Fastners-Bond Gas &Water
--- 27. 2 Ap (fiance Circut in Ki Chen &Conductor Size GFl
22. S b ed Wire Siz a. Cu or AI-A.C. Wire Size - ga.
Cu or At
29. Ra a Ci ga. or Al -Oven Circ. ga. Cu or Al.
In ulatiS a al ❑ Yes ❑ No
------------------- ------------------------ ............... ..
30. Servi a-Ris r on ors & Ground -Main Disconnect
- -- -----
--------------- -__......----.... ........ ....... ..
31. Equip. an Motors -Meth. Equip.
- . ......------..-.... ....... ....... ..
32. Clothes Clo t Light -Shower Light -Spa Light
---------------------------------
33.
---------- --------------- 33. Smoke Detector
-------------------------- .... ........................ ....... ........ ....... ..
Date Card B-1Date Card B-1
...................................
--------------------------------------------------------- --- --- --- --- --- --
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except n's
34. A.C. Ducts Insulation & Support
--------------....-- ------ ............................ .... ... ... .. .... ..
35. Vent Fan: Exhaust above Insulation
36Cond_ens to Drai & Overflow: Size & Grade
37. Fur e- e . Acte b. Air -Return Air Vent -115 outlet
3is Attic A ess i irnance In Attic
--------------- ... ...... ... .. ... ... ......... ..
Date Card B-1 Date Card B-1
-- ------
Date Card B -t Date Card B-1
Date FRAMING (Plans) OK except a's
39 Slls. Proper Material & Anchors
....... ... -- ... ... .... ... ... ... ..
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
... ... ... ............... . ...... .
41. Bearing Walls over Girders & Floor Nailing -
. - --.._ ..................... .. . . .... ... ..
42. Draft Stop In Walls (rat proof)
4kade Sops: Furred Ceilings -Stairs -Chases -Tu
-23-Q(� a4rs & Beam -Size & Bearing
& Duplex)
FRAMING (Continued
45. Hangers -Post Caps -Anchors -Connectors
46. Cln Rftr. ties -Purl in -roof Brac-Truss-Shthng.-Rfng.
(replace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
-------- 51. Property. -Line -Firewall & Openings
--------------------- - -
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
-------------
-------------
----------- ___________ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -
55. Siding -Nailing Veneer
56. St uc o Mesh -Drip Screed -Fd. Vents-Underflr. Access
--------------------------------
57. G ng Area -Glass Protection -Skylights -Plastic
------- -------- - ---- j-: i- -- -
Sd._ ear Walls: Nailing -Bolts
--9 nsulation-Walls-Ceilings - - -- --
Infiltration_Walls_Windows - -- -
- -----
----------------------------------------- -
Date Card B-1 Date Card B-1
- - --- ----------------------------
Date Car -1 Date Card B-1
Date FI (Plans OK except ft's
61. Steps -Door & Sidelight Protection -Landings
- Smoke Detector------- -
e en s- learance-Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
----------------------------------------------
e room Exiting
----------------------------------
&
..-- ----------- & Tub Access -Spa
lec. Trim & Subpanel: Breaker Sizes & Labels
..--- ---------- ----- -------------
ais
.......- ------------------
- --..
(}Plreplac • r Stove: Clearances -Hearth
6 ec. Outlets at Wood Panel: Int. & Ext.
r..... ------- ------------------ ----------
7 x & App lance: Grnd.-Air Gap -Cooking Clearance
_- - - - ----------- ------------------------- --
7 eptacles at Kit. Counter
--------------------
- -----or Swing -Landing -Closer ------ -- ...... - - - -- ------
7 uc in e-_D_amper
7isnce-Comb Air-Connector-P.R.V.
In Garage: Above Floor -Meth. Protection --
7 --------------------------------------------
.. Elec. & Mech Equip. Lited for Location
7 ecep a s in Garage: (G.F.I.)-Romex Protection
• nsu anon- oam- poked in Attic ----- 11Yes --- -----
7 i s Construction -Post Caps
------------------------------------------------------------ --
7 Hole Door -Drainage & Wood -Earth
_Clearanc .Looked under Floor ❑ Yes
-------------------
ollowing instld.. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
. --- ----- ------------- -- ------------------------------------
.. ... . ..... '......`..'_..._...-. fish-------------------------
ni nnect. Electrical, Plumbing
. ... ... ..a ... i ; .. - - .. - -- - -------------------------------
Roo --
encs Above f: Plbg.-Appliance-Fireplace.-Clearance to
Openings
_...--- --- ---------------
ater Well: Disconn.ect. Electrical, - Plumbing -----------
xtenor Elec. Trim: G F.I ReceptacleUnderground -- ----
h - --
----- ------
_
ja Mc rougout House
.. .- --- ---- - ---------------------
las lion ----..
. _ .. - -- - -- --------------------
--------------
Corrections fr m Previous Inspections
Tagged: Gas -Electric
ewer Connected -C/O to Grade -HD Approval --- ----
- -._..-----------------
Energy Compliance Cerbhcate-Other Certificates
DateA;, d Date Card B-1 - --
Date Card B-1 Date Card B-1
Date Card B -t Date Card B-1
Comments at Final
i
� COUNTY OF BUTTE- DEPARTMENT OF DliVtLOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERM T N
APPLICATION AND PERMIT��
ASSESSOR PARCEL NUMBER
042-160-051
ZONING
ASR
BUILDING PERMIT
OWNER
HENRY & JEAN PRATT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
573 R 30,942
OWNERS MAILING ADDRESS
1910 W SACRAMENTO 95926
CONTRACTOR'S NAME
CLAY JOHNSON
TELEPHONE
877-2900
CONTRACTORS MAILING ADDRESS
PO BOX 3867, CHICO
Fireplace A 1,500
CONSTRUCTION LENDER
UN -OWN
Total Valuation $ 32,442
Fling Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 304.00
ARCHITECT OR ENGINEER
LARRY WARNER 873-1729
LICENSE NO.
C19689
Plan Checking Fee
$ 197.60
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
PO BOX 942 MATALIA 95954
Penalty
$
BUILDINGADDRESS
1910 W SACRAMENTO CHICO
PERMITFEE
$ 544.60
PLUMBINGPERMIT
Fling Fee 20.00
Each Trap
7.00
LOT NO.
SUBONISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23,00
Water piping
15.00
USEOFSTRUCTURE
SFXO Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition M Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: FAMILY ROOM
Mobile Home S G W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filing Fee 20:00
Main Service OOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( R ACC. BLDS. )
SO.
3.5¢ FT.
90 05
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( 8 POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q 1.00
aAL 0 .SO
Ex. Occup. ( OUTLEO
ESIDEA)
OUTLETS R .
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
'
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
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
[6 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL
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' co pensation provisions of Section 3700 of the Labor Code, I shall
forthw' ply with those provisions.
X Date
Sig r of Applicant - ❑ Owner ❑ Contractor AAge t
A A permit is required for excavations over 5'0" deep and demolition or construction
of ructures over 3 stories in heig
Mobile Home Installation Fee
Is
Energy Inspection Fee Is 46.00
Occ
CONST. TYPE
FEE $ 630.65
H
D. FEES
—
IMP FLOOD
COF PARCEL
.�
PD HD
ISSUE
//
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
L! /
By Date ry ! b
PERMITEXPIRESONHITE•D.D.S.• ( ate)
rReceiptNo.'�2 r% 3 ��
CAi6tsszR PINK -INSPECTOR GOLDENROD•APPLICANT
COUNTY OF BUTTE - DEPARTMENT
7 COUNTY CENTER DRIVE - OROVILL'E,
SERVICES - BUILDING DIVISION
95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER ¢1
I . /ej P/3 �PPYr- A. P. No.
y/2 -
16'
5-1
.&Ly
Proposed Building Use
/palGi✓i�3 /?.,.Building Inspector
Date
3
7 G
At time of permit application, I was advised the followifig data r ustrbe submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted . ..........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
0. Fees of $ A,?Q - 01 . ............. .
........ ....... ..
OYN"Impact fees as shown on attached schedule. .....................
2. California Department of Forestry plan approval/fees. ................ `...... .
TA Flood elevation letter (100 year flood) by California Engineer . ................. .
San_ itation and plot plan approval CWe o Health Department . ............
1 Cit of Chico plumbing permit Y P 9P ••••
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. ••Driveway permit (construction approval required prior to occupancy). .. .. .. .
Pre4nspeclon req,
20. Pre -inspection for required. . to Building Inspector Date)
21. Contractor's license information. (No., Name Style, Classification) . .............. '
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . .................. -
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road.
27. Letter of intent on building use . ...................... �o................
.-
28. Mobilehome utility clearance.
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50%I subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31. Existing violations/expired permits.... .
Plan check list..UfJlA5tAAVV...AQ.f��b......................... ':.. .
When pu issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 6 77 29DIc' and hold for pickup at C HiG a office. Deliver with inspector.
Otherlop
Parcel Creation
Acreage T Applica ate G
Copy of Haz-Mat for sent Health Dept. Fire Deptr-1000' Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data mtust be submitted prio per it issuance:
1. Index permit forbove items No.
2. Additional items required:
new item not checked above).
Contractor, est ner owner, was advised of above required data by � phone _ mail Counter by(:; -Date
Contractor, est ner, owner, was advised of above required data by � phone _ mail Counter by G Date -3-28-1
Plans checked•by %'0GON5 Date Plans approved by 0,oY-S Date�,.Ty��
Sets of plans on hold in 3 File cabinet AP folder
Copy - Department of Public Works
N
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
H.H. USE ONLY
Plot Plan Anached eS
Floor Plan Attached t &es
Seat to B.D.
v Tease
r� %i/O
�J�� mP.�cZuC,
Owner
Location
AP#
Plan Approved
: Sewage Disposal
Water Supply:
Public
Private Well
Cl ce for
bedroom mobile home.
Other
5?�� sem;
'Hold final for:dz�
Final clearance O.K. for:
NOTE:_.
Envirorodental Heal Specialist Date
8/92
. .. 'y. ^.-.r'r-�'r5t, `.1.•...A is �l'-?`'1;4">'4F`/iw«.1ri 3'x�iiroi�""{�a'.v'tii •'K'i�.. n _.,. `.k !..+`t lf.i kri'eE,.",.,..'.'M ..t �v..._ .� .._ T. ;. .. ,
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
S SS (One Form Per Building)
319
School District Building Department No.
A.P. Number y2 " A Jurisdiction: Ci.'`y' County-:
Property Owner
Property Location/Address �/` �i✓2s�isc_.c,s.�`"' . }
Subdivison ? ` Lot No
Residential Develo p ment Sq. Footage
0'I .
No.'V Living MHI*" Addition '(Group R)
µ --Units
Commercial/Industrial 0 0 Sq. Footage
New t; byAddit'oC �_ . ... �: �,(IncludingsExterior:.
�- Roofed Areas)
But + partment Representative Date
(Floor Plans reviewed by School District Personnel)
n O
District Identification No: 7�8•
4 School.District:certifies that,,. Cl%}cQ, crr
(Applicant)
(Street Address) (Phone Number)
{City), (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $
r%jpresen"iing /'3 square feet. As 2926 $
FULL MITIGATION
School Dis rict Representative jf((jee �' Date
.A•. FfFFFf. , � r .
Paid by # �g 7Remarks:,., +'
Bank Number
Paid by Ca�sli
If, sLbsequent to. the School District.Representative signing this Butte County.,Schools Impact Fee
c Certification Form, the School District is notified by the applicable Local Plashing Agencythat this project
is being reviewedUnder-the. California Environmental uahty Act. (CEOA),;this,.project may be,subject to
additional school.fees to fully mitigate' it§ impact on`the school•:distnct's:schb6 s ::
White (applicant), Yellow (b ilding•department), Pink (school district) feetormmk, (11/94)dmm
COUNTY OF BUTTE
BUILDING DIVISrO'N `
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE;
OWNER PERMIT
NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
ec�z�- (". .4 -
Date , 70 "— (z7 Inspector
REV 10192
'}- COUNTY,OF BUTTE
BUILDING DIVISION
'tA DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
' 7 County Center Drive, Oroville, CA - (916) 538-7541
W «. 747 Elliott Road, Paradise, CA - (916) 872-6307
a . CORRECTION NOTICE
" OWNER PERMIT NO.
M` -
A routine inspection indicates that the following violations of Butte County Ordinances exist at
k ' the above address and should be corrected. Please notify this office when correction of work
r K is completed. If you have any questions pertaining to this matter, or need additional explanation,
pl se contact this office immediately.
f(vL)00'z
:k
Y
jT Fy ti -�
fir Date •'�3 i Inspector
lcl'pn
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Croville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances ixist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
ay.c-)% re6A)(le 2 lu k
z
rat
'w.
4
N
4
,
•j
y�
,f
{
x
r
Of
Date �j �1.V Inspector
rt�t
REV 10/92
fa
z.
k
�i
i
}
,y
L
COUNTY OF BUTTE
BUILDING DIVISION "
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Croville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
L --4.11-G 5
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
700
.41 /At 2(4'r --( �?0", rebug /wA/� s
Date Inspector
REV 10/92
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Piot Plan Anbchad
jPloor Plan Alt=W
Sent to B.D.&/4M/
Owner Location AP#
'Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE: - �.
8/92
�- !o - 76
Date
w
4o
1'
I
nu15o�3
33' -
20' 40. b0' 80' 100'
120'..: 140'
160'
G A RAGS
c .r
4 t.
-
N
nu15o�3
33' -
20' 40. b0' 80' 100'
120'..: 140'
160'
1
t
E\ERGY INSTALL-ATION CERTIFICATE
Building Owner' 1,eZ= A1,& -RV AIN7-rBuilding Permit #
Building Location
DESCRIPTION OF INSULATION
ROOF
Material A1bz-r 19S -
Thickness (inches) /,21V
EXTERIOR WALL
Material
Thickness(inches)_ �Z
CBa or 1y9
Blanket Type SS
�i Ey`�,
hickness(inches) 12
Loose Fill Type
Minimum Thickness (Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name ��1.✓thS �or�2i�;�J
The --=l Resistance (R Value) gr
Brand Name U Weld S
Thermal Resistance(R Value) K^��
Brand Name Owens Cowl%4L
Thermal Resistance(R Value) 3S' `J
Brand Name .
Number of Bags Wt. per bag 4 lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
-is consistent with- approved building department --plans--and attachments and- con-
forms with requirements Chapter 2-53 of State of California Energy Requirement
F /0 'eo' STATE CONTRACTOR'S LICENSE NO.
/ %% �/� 7-23-J;
S TURF STALLATION APPLICATOR -.. DATE -
I hereby certify the required features, devices, and equipment, ab
Building Department plans and attachments have been installed and
ante standards and Chapter 2-53 of the State of'California Energy
DING'CONTRACTOR OWl
(FIRM `2E)
AWYKE NG
yw,s 7.
Please Print
OWNER
'HVAC FIRM NAME/OWNER (Please Print)
shown on the
conform to the
requirements.
6-6-9 8� 8:?
STATE CONTRACTOR'S LICENSE NO.
DATE
STATE CONTRACTOR'S LICENSE NO.
approved
appli-
SIGNATURE OF HVAC CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER'1988
TO:
SUBJECT
INE
1
OFFICIAL NOTICE
BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
1469 HUMBOLDT ROAD 7 COUNTY CENTER DRIVE
CHICO, CALIFORNIA 95928 OROVILLE, CALIFORNIA 95965
TEL: (916) 891-2727 TEL: (916) 538-7281
FAX: (916) 895-6512 FAX: (916) 538-2140
DATE:
ahrr.son �?dr-//
70
TIME DAYS
RECEIVED COPY ENVIRONMENTAL H§OCTH SPECIALIST
S41.278 R
CSC: Z3u�lc�-� �� G-ic-9C
a �r,
BUTTE COUNTY DIVISION OF ENVIRONMENTAL HEALTH
C Requirements for Septic Tank Destruction
1. Complete and submit "Request For Service" form with the required
inspection fee of $80.00. Fee may be waived if septic tank destruction
is performed in conjunction with permit and installation of new system.
a. Submit scale plot plan showing location of septic tank (and future
construction, if applicable). Submit plan for engineered fill from
registered civil engineer if construction is proposed for within
five (5) feet of septic tank.
2. Pump and break out bottom of septic tank, or remove and dispose of tank
(as per engineered fill plan, if applicable).
3. Fill.remaining portion of tank with acceptable material and compact.
4. Call Environmental Health office for inspection.
5. Complete and submit "Declaration of Septic Tank Destruction" to
inspector at time of inspection.
When these steps have been completed, a "Septic System Inspection
Certificate" will be issued by Environmental Health. If you have any
questions,._please contact your local Environmental Health office.
DECLARATION OF SEPTIC TANK DESTRUCTION
A sewage disposal sysst/em was destroyed at O
%C !i AP# / Z -�6 - QS'� Ac3,dress
Date
f our ty Cqe,- IDIZA7 by r9� �
(Property Owner)ntractor
NOTE: If there is existing construction or proposed construction within five
5 feet of the septic tank, STOP WORK and obtain engineered fill approval
from the Building Division.
Method of Destruction: 42"fS71-0;2 ge-r{►r -C ,Za7`7Ot-1 dJe
4 -WI 7p-N/Z -5"4m> Sluv�y
1.
Tank Bottom Perforated?
Fill Used:T`J t -i << SAA. C>
Comments:
Field Verification by:
R.E.H.S. 4' -06
ivisi f Eavir tal Health y.,� r �S� (Date)
SQ Septic/gl/require
r,