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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,