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HomeMy WebLinkAbout042-170-0110 -- 4?17HOI,MAN, James2628B BOB & WANDA METZEN ff. ; - r ._ ,-� - 2063P -21f � � ; �Q " W/S Dairy Rd, 550'N of Grape WaV Chico'. Permit��1042-85B,P,E,M(new single family) -17- Y) n�s Sacramento Ave. app. 500' eas o or' �lll 17AZ � �%_� _Chico 42-17-11 CONTR: Sierra Western Const., 1673 Par�ermit...��56.8�(instal.l.wood,.s.t .. � ove/SF).- (hew, single family) Drive, Chic 0 r F -- 4?17HOI,MAN, James2628B BOB & WANDA METZEN ff. ; - r ._ ,-� - 2063P -21f � � ; �Q " W/S Dairy Rd, 550'N of Grape WaV Chico'. Permit��1042-85B,P,E,M(new single family) -17- Y) n�s Sacramento Ave. app. 500' eas o or' �lll 17AZ � �%_� _Chico 42-17-11 CONTR: Sierra Western Const., 1673 Par�ermit...��56.8�(instal.l.wood,.s.t .. � ove/SF).- (hew, single family) Drive, Chic 0 r q0 PERMIT NO. 1042-85B,P,E,M PUC C " - % PERMIT EXPIRES �/ ✓ / V V OWNER BOB & WANDA METZEN CONTR. Owner ASSESSOR PARCEL 42-17-11 LOCATION W/S Dairy Rd, , 550' N Grape Way, Chic O Temp. Power Pole a ! Called PG&E } h Temp. Elea S Called P( Temp. Gas Sei Called PG 1 JOB FINALE[ C' Signature 9 t7yyO�yFtFICE COP1Y' ; akr4 r � k Addr eess��/k' .i q �t 4s` Yx Meter ' �+ELECTRIC� i`s:;�' '"'psi;-�y�-�^�x•r � � ,�. 'may yF.f�� J e !� .. rOFFICE COPY r ,� Address 0A ' GASOr Meter By s� Date ELECTRIC .� Meter By Date Temp. Power Pole a ! Called PG&E } h Temp. Elea S Called P( Temp. Gas Sei Called PG 1 JOB FINALE[ C' Signature 9 I TO: Building Department FROM: Environmental health, Chico SUBJECT: Sanitation Clearance // c T-01-eP-IL�T� E'er �v Owner Location / I�,APN P13_D�-approve sewage disposal watt i old final� o ater supply Final clearance O.K. for: water supply Clearance for � bedroom mo�home Other , Note' Sanitarian Date Owner: Permit No. ENERGY CERT IF ICAT ION Diary Road LOCATION ' A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 64" CEILING Batt or Blanket TypeFiberglass Batts Thickness(inches) 9Z" Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Fiberalass Batts Thickness(inches) 64" FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name. Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R19 Brand Name Owens-Corning Thermal Resistance(R Value) R30 Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R19 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 An conformance with the State of California Energy Requirements. LOERKE INSULATION CO. #432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. e;12ax.1pq - "-'� -/-/ jz z August 16, 1985 ` SIGNATURE 6F INS T074 APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM /0 1 se ri STATE CONT TOR'S LICENSE NO. 9SIS SIG TURE OF GENERAL CONTRXTOR 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. January 1984 Permit No. ENERGY CERTIF ICATION Diary Road 42—) 7 — I LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberalass Batts Thickness(inches) 64" Brand Name Thermal Resistance (R Value) Brand Name Otrdens-Corning Thermal Resistance(R Value) R19 CEILING Batt or Blanket TypeFFiberglaSs Batts Brand Name Owens-Corning Thickness(inches) 92" Thermal Resistance(R Value) ,Loose Fill Type Brand, Name Minims Thickress(Inches) Number of Bags Wt. per bag lb. Area covered(ft. ) Thermal Resistance(R Value) t FLOOR, ELEVATED Material Fiberglass Batts Thickness(inches) 61tll FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Brand Name Oviens-Corninq Thermal Resistance(R Value) R19 Brand Name Thermal Resistance(R Value) Material Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. LOERKE INSULATION CO. #432518 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. August 16, 1985 SIGNAk7URE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by .the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are spedal appro d y the State of California. FIRM P eas STATE CONTRACTORS LICENSE NO. a 9 "5 SIdNATURE OF GENERAL CONT CTOR OWNER DATL THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN. THE BUILDING. January 1984 J=OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2.. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting;. Distances-GFI 5. Drain; MH Test-Fa1I=Flex`Conneotor 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date I Card -BI Date Card -BI Date Card B-1 Date Card -BI Date I Card -BI Date Card -BI Date 0 3 J = OK, ► 0 Not OK Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date LIVER LOOR PI s OK except #'s Date FR MING Continued . Zoning requirements -Setbacks -Easements r Property Line Firewall & Openings V. Ftg., Main; Soils-Steel—a Pik- / /" Ftg. Depth . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3,!Ftg., Garage; Soils -Steel- / /" Ftg. Depth ­515—Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 1 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 1 Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Piers -Fireplace Ft .-Steel W. Glazing Area -Glass Protection -Skylights -Plastic V.: -Fi ' gs- st 2 way C/0 -Sewer Test -551- Shear lyalls Nailing -Bolls Gas Pipe; Size -Anchors ^`, ` �� , r• fZ Water PiW, T -Anc s -Re lator Servi est 11. Electric; Underground cts; Clearance-Materi I -Support -I s. 1 Gir S nch is Jo-VAp(s-Cr• les Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINA (Plans) OK except N's Card BIZif Date S Card -BI Date Date PLUMBING (Permit) OK except q's ext. Steps -Door & Sidelight Protection -Landings L?r Smoke Detector 14. Water Ht.; - A s -C bustion A• Furnace; Vents -Clearance -Comb. Air-Connector- I Garage; Above Floor-Ducts-Mech. Protection ater Pipe; Test &Anchors -Nail Protection i > .W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access bedroom Exiting . G F.I. & Bath Fixtures & Tub Access .ter—rest Tub & Shower, 2nd Floor -Tub Access as Pipe; Size & Anchors 6P Elec. Trim & Subpanel; Breaker Sizes -Labels A.;0l�irs '1f(_W & Rails Fireplace or Stove; Clearances-Hearth pec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date t. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except k's Elec. Outlets & Receptacles at Kit. Counter x, 6Z#-6trage Fire Door; Swing -Landing -Closer C. Duct in Garage -Damper Fixture & Transformer Clearance -Ins. Protection 69. tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Jn Garage; Above Floor-Mech. Protection 2 --Elec. Receptacles Spacing -Lights & Switches at Doors�/ 4'0 Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled c. Receptacles in Garage; (G.F.I.)-Romex Protec. �22!Homex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water I ulation-Foam-Looked in Attic es ward Rails & Deck Construction -Post Caps b�J'`2 Appliance Circuits in Kitchen &Conductor Size --2A•--Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Fdn. Vents & Crawl Holp9oor-Drainage & Wood -Earth Clearance Looked under Floor ['Fes .xilAange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes Following instld.: Drive ❑Yes Walks E] Yes o; Planters Yes o (28.)Service-Riser Conductors iMain Disconnecttr '7Stucco; B n-Fi '' .C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Equip. Clearances; Panels-Motors-Mech. Equip. t0. lothes Closet Light -Shower Light Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing —/Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date throughout House Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's Ducts; Insulation &Support lass Protection lass otection Corr! tions from Previous Inspections 4. . Test -Meters Tagged; Gas -Electric W ter & Sewer Connected -C/O to Grade -HD Approval l Vent Fan; Exhaust above InsulationjAe"Energy Compliance Certificate -Other Certificates ondensate Drain & Overflow; Size & Grade Car -BI Date Card -BI Date Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet _Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Car -BI Date Card -BI Date Card -BI Date Card -BI Date Car BI Date Card -BI Date Date FRAMING Plans OK except p's Comments at Final: r -.36—Sills; Proper Material & Anchors $ ' 17"Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound §/Bearing Walls over Girders & Floor Nailing r ` 3"raft Stop in Walls (rat proof) . Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41,-lTeader & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors g'3!Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-_Rfn_g._ _ 4 F• lace Ties or Typ�Flue-Fire lace Throat 4 ,Attic Access; Size &mex r can -Draft Stop -Ins. Baffles 46--Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4T—Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF.BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional exolanatinn_ nipasP rantart this nffiro immnrli �fnl.. Inspector Date ,t /fY Y\tit Inter -Depart ental oMem®randum FROM: C SUBJECT:llo/ �r71 �%r &4da DATE: 0 • COUNTY OF BUTTE l' DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or negg additional explanation, please contact this office immediately. kux-) Inspector Date � lI ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE U`f2-,PS R (I A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately.. ft . %2 Inspector / v R Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County. Center Drive, OroviIIe — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Da r COUNTY OF BUTTE - DEPARTMENT O PUBLIC WORKS': PERMIT NO., ` 1 7 County Center Drive - Orovtlle, Califorrria 95965 - Telephone 916/534-4541 ` Q I APPLICATION AND PERMIT ASSESSOR PARCEL UMBER ZON NG - `�- °� _ ,_� BUILDING PERMIT o vv4ff 'S T LEPH NE' S S0. FT. OCC. BUILDING VA ON' O MAILING AD E5S /71 CO RACTOR'S IqAME f TELEPHONE Den CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER u UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 65 K10 Penalty$ LCWJ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee Q L $ BUILDING ADDR SS LO S PLUMBING PERMIT Filing Fee 10.00 r 1 � �J Each Trap ra 1 2.00 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 .5 , �—,� USE OF STRUCTURE SF LTJ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home TSTG W 10.00 e � TYPE OF WORK ,.,_, New 2 Addition ❑ gemodel[—] Utilities ❑ Installation ❑ Other ❑ Describe work: C — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 IND Main service EA, ADD'L 100 AMP 2.50 OR ADDNS. I ACCNEW CONST. LBLDGS LING 0 U 21/Z0sgft , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 CON5TR U TI.OUT E NON•RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES eA ®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 MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling V e- !Z Hood 3.00 An Ventilation Permit Fee $ Contractor 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 construct' n, and hereby uthorize representatives of the Countyot Butte t enter upon above- nti ed property for inspection purposes. ss the County of Butte against I also ree s deMS, all li ' iti j g' its,xpenses which ma inany way accrue agai sai n cothe granting of thi ermit. X Date Signature of Applicant — Own Contractor ❑ Agen 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 $ alp Vp TOTAL PER T FEE $ OCCUP GROUP TYPE CONST. / X-3 It Al This permit is hereby issued under sions the Butte County Code and/or wor in icated a ove for which IR CT�OR OF PUBLIC By PERMIT EXPIRES Date PARCE PD HD (SSU the applicable provi- resolutions to do fees have been paid. WORKS Date 7�'%�I� 7 /t 1f6 Receipt No. _ % (� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J' COUNTY OF BUTTE - DEPARTMFNT ,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE :GAL-IFORNIA 95965 - TELEPHONE: 916/534-4541' PERMIT APPLICATION DATA SHEET. Permit No. (/ + OWNER �1 \T'' 1 t! \ u' 1l/�U�-� A. P. No. T �� I �� F Proposed Building Use Permit Fee Based Upon: Complete Contract Price . �W Valuation Other (Explain) Building Inspector �/Date At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. y f�� J Plot plans i,n dupes I ica a/trripl icate. AY\Complete plans i`n 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 and AC Buildings. 8. Fees of $ . ... . . . s 9. Letter of signature authorization: ..Sanitation approval from ��Al ) Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance., 13. Contractor's License Info at-ion'(no'",'name style, classif.) 14. Owner -Builder Verification (Given,to owner0, Mail to ownerE] 15. Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . •Pre-Inspec. request to Z_Recorded Pre -Inspection for- Required. Building Inspectof (Date copy of Agricultural Acknowledgment Statement. �! aG 19. Other t When you -issue the permit, process as follows: Mailto owner. _ Mail to contractor. �Telephone3(l_G=6QQ 1 and hold for pickup at a,office. A Deliver w. /inspector. Other f res Applicant �1/l(,GwT DateA� � Copy of plans sent Health Dept., Fire Dept.,. Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of applic , circle .item.) 1. Indexpermit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Rv r10tc Copy—DPW TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation. Clearance Owner1,]// ocatzon APP Plan approved for: sewage disposal water supply old final for atersupply Final clearance O.K. for: water supply Clearance for --�:5 bedroom mnbril home Other Note*** Sanitarian Date / Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 85-12256 / The property described herein is adjacent to land or included APR 26 9 13 ,within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from ELEANU'` m ' ' k•::. V+4�� CLEI?K, rr�lt the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit.of agricultural operations including, but not limitedr to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a p iority use for productive agricultural purposes, and residents within said zones and on atjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. - All that real property situate in the County of Butte, State of California, described as follows: The South half of Lot 48. as spam on that Certain Mal► entitled, s "MAP OF 18F: WrENPH MWIVI3IOi1 CY TM JOHN BXVML RANCHO, NSAR CHICO. BO77= CORM, CALIFORNIA". filed in the office of the Recorder of the County -of Butte, State of California, on November 11, 1902, in Book j of laps, at pais 29. Date. ! / ; � /U_51� State of SS. County of .13u -M& ) On this me, the PROPE , ,ERS the a2 day olf i LL 19 gem , before undersigned Notary Public, personally appeared 013 E 2'f- 4P , P7 F 7-17 C_/V W&I914 N? F T a E N Ll Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that THF y executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Y a--! 17 -1 1 - Notary Public OFFICIAL, SEAL WAYNE A MATTSON ati NOTARY PuBCIC - CALIFORNIA BU1TE OOIiNTY MY Comm. expires BOOT Y 28, 1988 ,. C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,Oalifoia)a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT \ / PERMIT NO. lam. ASSESSOR PARCEL NUMBER 1A!lii`-_�. _. J % --. i ) ZON ISIG BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRE;S.S X77 CONTRACTORS NAME LU Nt'. r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1� r�ot,u. :acs CONSTRUCTION LENDER tv UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDERS MAILING NG ADDRESS Permit Fee $ ARCHITCT OR ENGINEER " "V'�"'Energy LICENSE NO. Plan Checking Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 O Each Trap 2.00 k, Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME r PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Q- Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q. Describe work: +r'� d« rl IAJVoc� S �� - _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V 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 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.&) , OR ADDNS. ACC. BLDGS. I 2/2¢sq ft NON-RCONST ESIT R BRANCH CIRCUITS 2.50 ea PO ER APPARATUS e (SINGLE OUTLET CIR. I EX. DCCUp(OUTLETS OR FIXTURES 209501BAL930 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin 15.00 g 4— Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate dof 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to buildi!ng�construction, anclhereby authorize representatives of the CountyotButte r upon II alsotag rreeeto savehif ide�nfy and keep harmlessntioned thethe Countynof Butte against all liabilities, ludgm ts, bs s,. -and expenses which may in any way accru againsi said C unty in ns uence of the granting of this mit. 1�� /J9 { f j �� f N Date 1` `'r ` ❑ ❑ Signature of Applicant — Owner Contractor Agent An OSHA permit is required for excatations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ _ TOTAL PERMIT FEE 1. N FLOOD PARCEL PO� ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OOECTOR OF PUBLIC By. ! PERMIT EXPIRES Date J the applicable provi- resolutions to do fees have been aid. p WORKS Date_; r ,•� - Receipt No. �% I (r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Claliforniz 95965 - Telephone 916/534-4541 _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER a _ 1? — ZONING BUILDING PERMIT OWNER TELEPHONE tis =69 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADOR S to CONTRACTOR'S ME TELEPHONE LA, "e yr CONTRACTOR'S MAILING ADDRESS Fireplace NA `QVO. ©in- CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER MAILING ADDRESS Permit Fee $ /7.5-0 ARCHITCT OR ENGINEER Nr—%__ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FIIingFee 10.00 Each Trap 2.00 �t� 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 SFa?�— Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities❑ Installation❑ Other Describe work: S -4,a P (Aiac,.z'/S�v�� _ Permit Fee $ 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): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. /// License No. Classification •,�(., I, as the owner, Or my employees with wages as their SOI. 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 CONSTR AIDONS.. DWELLING OCCUP.pl LDG S. , ) h¢sgft NEW CONSTR.(A ULTB OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS 6) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO3t .00030 FIXED APPLNS(RES. OR EX. Occup. OUTLETTSS (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 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to buildi construction, an hereby authorize representatives of the Countyot Butte to en r upon th abo mentioned property for inspection purposes. I also gre to ave, • de fy and keep harmless the County of Butte against all Iia ilit'es, u expenses which may in any way accru again id un c e ce of the granting of this mit. X Date Q� Signature of Applicant — Ownerl�t Contractor ❑ Agent ❑ An OSHA permit is required for exca ations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �7eS—U occuP. CONST.TYPE IFLOODIPARCELI PD ND 199UE. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which ECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No� f 17(, WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovill.e, 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. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be.issued until this verification is received. 1. I personally plan to provide the major labor andials for construction of the proposed property improvement (yes or no) mate 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City 'Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address 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 Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit., x Y"