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042-310-013 PERMIT#95-2820
(J YOUNG, Chris /r�I
2874 Rodeo Ave., Chico �`,aENCROACHMENT-PERMIT
Cont; Ely Roofing Inc. t71 DATE q— -� ` I
21
Reroof/SF = ------------------
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042-310-013 PERMIT#98-0742
SCOTT, Ritchie & Dawn
289q Rodeo Ave., Chico o
New Pri Det Garage
042-31-0-013 99-2 1
KNIGHT/Hoss B'E ±
2874 Rodeo iAve, co
garage)
(new s
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RIC
HORN, RICHARD
HORN, OS -2432
2874 RODEO AVE, CHICO
CONT: MCCLELLAND AIR COND
HVAC PIIJVL gl2.0 /o5
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P NOTES RESIDENTIAL
042-31-0-013 99-2527 B,E
PERMIT NO., KNIGHT/Ross -
2874 Rodeo Ave, Chico
f
(new garage)
t;
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A-
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SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS _
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature 0
r
ti
1
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS _
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature 0
.i = OK
Not Applicable
= Not Ready °*
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Footings; Size -Spacing -Marriage Line
1.
Zoning Requirements -Setbacks -Easements
4.
2.
Soils; Special MH Support Sketch
Drain; MH Test -Fall -Flex Connector
3.
Sewer; Location -Test -Fall -C/O -Concrete
7.
4.
Water; Location -Test -Easement Needed (Sketch)
Gas and Electricity Tagged
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
10.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ , /' Nat. or / /"L"ft./ PLPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'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
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
i
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 -Depth -Spacing -Connectors -Steel
j 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
f 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Frg-Bracing
f 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
(. 6. Carts; Windows -Doors
Trusses
I.
118' R of; SMf1�_Robfrng
SCFE
eps-Doors-Landings
Braced Wall Panels
Date/
3 n
Card B-1 Date Card B-1
= Date
Date
Card B-1 Date Card B -1 -
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
(
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
(
f
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
t
11.
Light Niche
Date
Card B-1 Date' Card B-1
p Date
Card B-1 Date Card B-1
I.
✓ = OK
0 = Not OK
= Not Applicable
=Not Ready
RESIDENTIAL (:
Date
FRAMING (Continued)
Underfloor (Plans) OK except #'s
46.
1.
Zoning -Setbacks -Easements -Flood -Slope
47.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
48.
3.
Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
49.
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
50.
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
51.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
56.
10.
UF, Gas Pioe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
59.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
60.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
PLUMBING (Permit) OK except #'s
63.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
64.
18.
Water Pipe; Test & Anchor -Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
66.
20.
Shower Pan; Test, First Floor -Tub Access
67.
21.
Test Tub & Shower, Second Floor -Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ELECTRICAL (Permit) OK except #'s
73.
23.
Fixture & Transformer Clearance -Ins. Protection
74.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
75.
25.
Size Boxes & No. of Conductors Stapled
76.
26.
Romex Installed Close to Edge of Studs & C.J.
77.
27.
Equip. Ground made up w/Meeh Fasteners -Bond Gas & Water
78.
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
79.
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
80.
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral O Yes ❑ No
81.
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearan:es Panels-Motors-Mech. Equip.
82.
33.
Clothes Closet Light -Shower Light -Spa Light
83.
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical -Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Exterior Elec. Trim, G.F.I. Receptacle -Underground
35.
A.C. Ducts Insulation & Support
Ventilation Throughout House
36.
Vent Fan, Exhaust above insulation
Glass Protection
37.
Condensate Drain & Overflow, Size & Grade
Corrections from Previous Inspections
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Gas Test -Meters Tagged, Gas -Electric
39.
Attic Access & Platform if Furnace in Attic
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
R
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rhr. Ties-Purlin-Roll Brac.-Truss-Shting.-Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Instld./Drive ] Yes ❑ NoMalks l] Yes' No/Planters ] Yes rj No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES"
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER,"'PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
�;,//v
!% y Inspector'
REV
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street * Chico, CA - (530) 891-2751
7 County Center Drive * Oroville, CA - (530) 538-7541
CORRECTION IN
-01110E
OWNER PERMIT No.
z.
rti A routine inspection indicates that the following violatio s of butte county Ordinances; exist at the -
A
above address and should be corrected: Please notice this office when correction of work is
completed. If you hav; any questions pertaining to tel� matter, or need additional explanation,
I e
please contact t is office immediately.
411
D.. 3 Inspector
REV 10/92k
COUNT' OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DMS N
County Center Drive Oroville, California 95965 • Telephone (530) 538-75 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
042-31-0-013
ZON J
BUI ING PERMIT
OWNER TELEPHONE
ight and amy hes-s 8-94 7997
OWNERS Ln BE --0 0 AVENUE, CHICO 95926
SO. Fr. OCC. BUILDING VALUATION
768 1:3,824
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 153.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 99.45
BUILDINGADDRESS
2874 RODEO AVENUE, CHICO
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 272.45
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE
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 EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:Mobile
_NRW f;ARA(;R RFT.t7C'.A'j'FT) Tt7 PRF4F.ATT T.(1'['
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
800V OR LESS
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 commencin eon ovision oe usness anroessons oe,
( g with Scti7000 )f Di3 f thBid PfiCd
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P tY P 1 rY P
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 Coda for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service TO IOCU00A
46.00
WEE200A
NEW CONST. DWEWNG OCCUP.
OR ADDNS. ( a ACC. BLDS.
SO
3.50FT. 26.88
NEW CONST. MULTI.OUTLET
NON-RE NS
97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
BAL ®'.w
Ex. Occup. FIXED APPLNS. OR
P• OUTLETS (RESI . REA
Temporary Service
_5.00
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
PERMIT FEE
$ 6.88
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'HAZ.
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 c mply with those provisions.
X _ Date �- ow `lei
Signa ure of App cant Owner ❑ Contractor ❑ Agent
An OSHA permit is requi ed for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection ee $
occ
CONST.
V TOTAL FEE $ 299.33
_
D. FEES IMP
�.
FLOOD
_ .
CDF
�.
PARC
pp
HO
SUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
44
By G
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
l
D to G
De
ReceiptNo. 0 0 ZS
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 P
ERMO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMM ZONIN° BUILDING PERMIT
D
OWNER TELEPHON! SO. FT. OCC. BUILDING VALUATION
OWNore M.NQ ADDRESS2
o
u> S
COMRACTOR•S H&Mg
TELEPHONE
N
CONTRACTORS MALINO ADDRESS
AJI+
Z!4
CONSTRUCTION LEWIN
, V
Fireplace
LEWER•S MAILING ADDREN
N
Total Valuation S
ARCHITECT OR EWINEER ^' j /l-
NSE NO.
Filing Fee $ 20.00
Permit Fee $ 153.
ARCHITECT OR EMGIEERS MALJW ADDRESS
Plan Checking Fee
eurlDwO 1DORE88:IgIft ,y /J j
7
C 1h
Energy Plan Checking Fee S
$
v�
PERMIT FEE t Z 7Z. '13—
f"'LOTND'
LOT W.
81,15DIVNIOMMAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
Solar or heat pump water heater 23.00
SF ❑ Duplex ❑ Mobliehome ❑ Other s
Water piping 15.00
sPeCFY
Each as water heater or vent 15.00
TYPE OF WORK
Gas piping system 1 - 5 outlets 15.00
New ❑ Addition ❑ ❑ Utilities❑ Insulation
Other ❑
Buildingsewer 15.00
nRemodel
jj❑
r((P�OCG-�� 'Cb
r [
"C loT
Mobile Home S G W @20.00
Describe Work: ( G
QSC-
r+•OIUVLMC�'ti� S �iec ti .cam 1 .
PERMIT FEE $
elft e1,44 g 7YL
ELECTRICAL PERMIT Fling Fee 20.00
Main Service = oA M.' 23.00
Main Service 200A TO 1000A 46.00
NEW CONST OWEIINO OCCUP. SO
OR -c,-.% a Acc. sins. 3.5Q�' 2.
NtW GUNS 1. NON•RES D. MULTI -OUTLET @7.50
PSS�OLE OWERllTtET APPARATUS
a OG0.
Ex. OCCU OUTFT OR S�- ® ,y0F=mEB L100
EX. Occup. ovnFrsEsio.�e.� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
j
Heatin
i
Cooling
Hood 6.50
•
I
I
Ventilation
PERMIT FEt S
i
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE TOTAL FEE _ y 33
i�
I NAZ. 0. fEE3 IMP I n=0 I COF PARCEL PO NO I SSUE
I
I This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
j
indicated
above for which fees have been paid.
By Date
PERMIT EXPIRES ON
::+�—�-�w•—'.g�+�`-"�"cj_"�..i�ii��ic'.,i .;. �•xr.. y._,• :3: j� y�•.i:) r::.,��'"l ,�;;4 r i .ac i.. _ ;;;'�c +�.uu rwrr 's .:!e;: L; "v v5,.�e �: w•�•�s� • � v�..
�4
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: CvA NS kri ighr ASSESSOR PARCEL NUMBER: 4L - ")/ 0 - O / 3
Proposed Building Use: Building Inspector. (_ Date: 2-. /V,�y - 2 O oO
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans. -
E13. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ _
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------•--------------------
❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ _
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ _
❑ 10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
12. California Department of Forestry plan approval/fees.
x.;:,..
h131. Flood elevation certificate. ------------------------------.
Sanitation and plot plan approval OHealth Department.
Ci of Chico plumbing permit. ---------------------------------------
❑ 16. Pl1t plan and business license approval from the City of Biggs. ---
❑ 7. Tanning approval for (A) Use: (B) Parking: `, u ----------------
18. Contact Land Development about ElImprovements, ❑ Drainage, ❑ Legal Parcel.
19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
❑ 20. Pre -inspection for
required Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
022. Workers' Compensation carrier and policy number. -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
024. Letter of signature authorization. --------------------------------------------------------------------------------
5. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑ 2 . Letter of intent on building use. -----------------------------------------------------------------------------------
Manufactured Home utility clearance. ---------------------------------------------------------.____________------
28. Existing violations and/or expired permits --f '-✓--_--------------------------------------------------
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . ---------------
❑30. other:
(Date)
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
.Telephone �'69'f ' �q7 and hold for pickup at C- Office. ❑ Peliver with inspector.
Applicant: aA, Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: V By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: �' _5 Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date
Vallrnv f nnv _ Tlo..o,+...o..t ..f Tlo..el,.......,,..a c,._.:___ n___t�__ _ r__• _
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 and materials for construction of the proposed
property improvement : YES J2L , . NO D
'2. I HAVE 0- HAVE NOT 13 signed an application for a building permit for the proposed work.
3. I have contracted with the following person. (firm) to.provi,the, proposed co
nsQruction:
NAME: u.
ADDRESS: CITY:.
PHONE:
CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired.the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:.
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER: L�s
SOCIAL SECURITY NUMBER:
DATE: 2 EDJ 111
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of propeity
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and. to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply. -rL
If yod pled to do(j,our own work, with the exceptlon of various trades that you plan tdsubcontracl you 'should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire.project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security. taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, emoneoirsly implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
Mic el C. Vi ira, C.B.O.
Ma ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the Callfornla Health and Safety Code.
OVER
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION,#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541
PERMIT NO.
BP052432
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
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 : License Number:
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as Their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ 1 am Vxempt under Article 3 o/ Business and Profess' ns%Code
Date: 21 5 Owner: _l7. / .._11�11,iif
WORKERS' COMPENSATION DECLARAY6N
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
CPolicy #:
7r� I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith c mp76,�Pse
provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Address:
Issued Date: 09/09/2005 APN: 042-310-013-000
Site Address: 2874 RODEO AVE CHI
Map Index:
Description: HVAC UNIT & UP -GRADE ELECT. SERV.
Owner: HORN RICHARD L
2874 RODEO AVE
CHICO, CA
95973-8963
Applicant: HORN RICHARD L
2874 RODEO AVE
CHICO, CA
95973-8963
Contractor: MCCLELLAND AIR CONDITIONING, INC
801 MARAUDER ST.
CHICO, CA 95973
(530) 891-6202
License M 345121
Architect:
Engineer:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
This permit is her9by issued under the ,
Resolutions to Pork indicated above
PERMIT EXPIRES ON
4owov �-,# �7-)
of the But
been paid.
Date:
Code and/or
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. .
(D Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is'unlawful to alter the substance ooffany
�offiiccial form or document of Butte County. I hereby
authorize represP1r
ves of Butte CountZtnter upon the above mentioned property for inspection purpose's)
Print Name: r Signature:
Date:
❑ Contractor
❑ Agent for Owner
0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.nettdds
**PLEASE PRINT CLEARLY**
OWNER INFORMATIO,!e
Last Name
ar
first am
Address Z I%
City C/. r
State
Zip
Phone� 0 JV IJ
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name c
F_
W4
Address a
s�
City C / ( � o
Fax
StateG
Zipf V
Phone �'
��
Fax S /
E-mail
Planner
Lic. #312
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City tr`
CO
Address
Zip
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number .
APPLICANT INFORMATION
Name
C1 i
Address
City tr`
CO
State`
Zip
Phone S 3o p
U
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
ProR rty Addres
jo c s d
I Flood Zone
Cross Stree
SRA
Yes
No
Occ,
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
PERMIT
BP :.
BIN #
PROJECT LOCATION
AP# i
ProR rty Addres
jo c s d
C
C
Cross Stree
WORKER'S COMPENSATION
Policy Number
Carrier
F1101iringanyone other than license contractors, a certificate of worker's
mpensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope of Work:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received y:I Amount U Z • 1-3 Bldg
SRA
Receipt #:4 8,c—S Sheriff
cSMIP
Other
Date: arc C
Total
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑ 1: Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage lineinfo, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. .❑- Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORM BUILDING F0RMS1BIdgApp1SubRgmts.doc Page 2 of 2 REV B-12-05
FROM Butte County Public ibrks FRX NU- : 530-538-7683 Rpr. 0S X001 11:4" Pi
ENCRRACRIIENT PERMIT
UNITY IF 19TH ♦ jE'4IfMEjT If flilft
7 County Center Drive ♦ ororiUe. CA 95965 • phwnQ: (534) 538.7681 ♦fax. 1530} 53134366••
DOwr>k= Forms.- www.buneoounty.rteVpublicworks
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Num Or DiSLInc
Phww: cam) . 2 /2z 7 3
t/ a,eunderalyn�, a APpucAnow
M in enoe wifb Cflu .... ow^ P b do tM �°Aowin9 w�C wider ar ow M Counb road and
t aaaM
3.
8. koetanrt i�trfr _ �- .
TYPS of Wou To "BB Down
C111� Crab: O Gutter p 5, D
!7. VAINk (lilt TIP;!
IL 01ta
. Pala GOAMM
f1 tAll7Ml. DB8 Weft is aMQDK ow aA todrro. corldMlpRQ tlto30 M t d On ttte black Ot finis tfm) Wd
19. Cant�ene n —.
Ml
_�MMMI 0101
20. O Alm* - --
t+nat canb'rum b a000mp"q Dobe O pwd ❑ Sptcial Coftd�Doft: �
Mike Crump, Director of Public Works Q». /Z /03
"Note: If permits are tatted to arty dumber besides (5W)53&4W, can
be the
Y delayed up to one week.
No
a
R 042=310-013, �, PERMIT#95-2820•
4
YOUNG, 'Chris
2874. Rodeo Ave., Chico # ''
Cont; Ely Roofing Inc.
Rercof/SF`l
P
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 1 PERMIT NO.
APPLICATION AND PERMITk
ASSESSOR PARCEL NUMBER
042—jlu—U13
ZONING
BUILDING PERMIT
OWNER
i✓nris You,
TaMhONE
:s/�:i-`j;,3b
SO. FT:' OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
6/4) Lecl,a iW Durriam L;A »y3u
CONTRACTOR'S NAME
u.ly iCUU1JI1}, .inn
TELEPHONE
j4j-/bvJ
CONTRACTORS MAILING ADDRESS
Lj491 C;Ui1L. iiCLO S Ui: (,hiCu t;ti 9591j
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $ Z y J
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS
2074 itoac.O AVE: - l;aiCO
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
ach Trap 5 . '' 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USE OF STRUCTURE
SF ❑� Duplex ❑ Mokilehome ❑ Other
SPECIFY
Water piping 15.00
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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑(
Describe Work: vei.,ioyd u rcl)lace ruofiny w/lu yr
1) bqj
Mobile Home S G W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service EOOV OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO I000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that.l"am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division" 3 of the Business and Professions Code,
and my license. is irk full force and effect.
La— 1.-J`1 b, /.3L'b
License Class ► Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR s0.
( )
OR ADDNS. d ACC. BUDS. 3.50 FT.NEW
CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
S
( POWER APPARATUS )
8 SINGLE OUTLET UCIR
Ex. Occup.OUTLET OR FIXTURES 20 @ I•00
( ) BAL so
Ex. Occup. oFIXEEDTs PESD.OR
( ) 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.
a I 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 b E d Le n UIIU
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number U-140
(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 with those provisions.
X ' .? Date l l - oindicated
Signature of Applicant - ❑ Owner 0 Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ '; 9 . J ti
HAZ.
I D. FEES
IMP I FLOOD
I CDF PARCEL
I PO HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
above for which fees have been paid.
B /��� - ;� Date -
y
PERMITEXPIRESON ///1HITE•D.D.S.-B.D.
(Date)
rwReceiptNo.�� 1
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
_ COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMITNO
APPLICATION AND PERMIT'�
ASSESSOR PARCEL NUMBER
042-310-013
ZONING
BUILDING PERMIT
OWNER
Chris Young
TELEPHONE
343-9636
SO. FT. OCC. BUILDING VAL TI N
D%ILILMO-0—
emmSRd Durham CA 95938
114U
CONTRACTOR'S NAME
Ely hoofing Inc
TELEPHONE
343-7663
CONTRACTOR'S MAILING ADDRESS
13291 Contractors Dr Chico CA 95973
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Fling Fee $
20.00
Permit Fee $
29.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDINGADDRESS
2874 Rodeo Ave — Chico
PERMITFEE $
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
1 7.00
LOT NO.
S UBDNIS IONS NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF IK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [3,r
Describe Work: remove & replace roofing w/20 yr
19 sqs
Mobile Home I S I G W 1
@20.00
1
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main Service eoov oR LEss
( 2o0A 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 1 11 force and effect.
License Class C —14 , C — 3 9 Lic. No. 607386
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( & ACC.
SO,
3.5¢ FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
(a SINGLE OUTLET CIS. )
• p. (OUTLET OR FIXTURES
ExOccup.
)
20 Q 1.00
BAL 0 .50
EX. Occup. OUTLEEDTS (R SE D.)EA
( )
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.
IX I 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 State Fund
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number---5-3T--148Mobile
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ I'certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with thos provisions.
X��(�[� Date 11-8-95
Signature of Applicant - ❑ Owner IN Contractor ❑ Agent
An OSHA rmit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Home Installation Fee $
Energy Inspection Fee Is
occ
CONST. TYPE
I
TOTAL FEE $ 49.00
HAZ.
1 D. FEES
I IMP
I FLOOD
I COF PARCEL I PDHD
5SU
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 ate p
PERMITEXPIRESON / �Y/ /
(Dt
Receipt No. (a a -
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
a
VIOLATION CHECK LIST
i
A.P. # oN2-3i Address �?b'�y ono% ✓c ,moo
Owner S a W17 A .t'.' aLi`v
Owner's Address 9'06 e -a A -re 9SS 9---
Owner's Phone No. Supervisaral District
Tenant's Name Phone No
Type of Violation in Detail with Code Section . Priority No.
Specific Plot Plan with C/V Noted _/'yes no Penalties Required
1st. Notice Sent 0 GJ J A`�rI119 2nd. Notice Sen
ate ate
Comments and/or Determination
Disposition For Citation Citation
Date Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
Scott S. & Dawn E. Ritchie
2890 Rodeo Avenue
Chico, CA 95973
RE: Building Code Violation
2874 Rodeo Avenue, Chico
Dear Mr. and Mrs. Ritchie:
B E A U T Y
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 536-2140
April 15, 1998
A.P. #042-31-0-013
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from
this office for a 20 X 30 building moved onto your.property.
Since permits and inspections are required for the above work, please submit
three (3) complete sets of plans, apply for the required permits, and pay
the appropriate fees. All work must stop until these permits are issued
and you are authorized by our field. inspector to proceed. The field
authorization cannot be made until the existing work is inspected and
approved. (A Special Inspection will also be required for move -in
building.)
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including.a description of the action necessary to abate the violation.
You have thirty 30 days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Scott Rutherford or Michael Vieira in this office at the
address or telephone number listed above.
Sincerely,
MCV:dms Mic
Man
cc: Assessor
0
1 C. Vkeira, C.B.O.
r, Building Inspection
042-310-013 PERMIT#95-2820
YOUNG, Chris
2874 Rodeo Ave., Chico
Cont; Ely Roofing Inc.
Reroof/SF
•
COUNTY OF BUTTE
�- BUILDINgSVISION
DEPARTMENT OF DEV71OPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
S
CORRECTION NOTICE ;
-a7
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. •y?
LF
1
-4
S
. 1
,y.
Date -/c7 '7
-j 0
Inspector
REV 10/92
FROM FAX NO. Oct. 18 1999 02:00PM P1i1
Attn, SCott gUt#ford
Butte Co_ Buildfny Dept_
Curtis .40919ht and Any /floss halve aur permission to use the
the current plans for the garage at 217,► Rode& Ave.
r-
(ap-p
Than* you very Ruch,
Scott S. Ritchi� - -
Da� E_ Ritch
Page 1
,a�,�r��
-�
s5
��
�� - utte ount
LAND OF NATURAL WEALTH AND BEAUTY
'-:
` BUILDING DIVISION
�. DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530)538-2140
September 29; 1999 .
Curtis A. Knight &.Amy F. Hoss:
2874 Rodeo Avenue
Chico,CA 95973
RE: Code Violation A.P. # 042-31-0-013
2874 Rodeo Avenue, Chico
Dear Mr. Knight & Ms. Hoss:
This is a courtesy notice to notify you that there is a code violation
existing on your property, created by a previous owner. The violation
is as follows:
Failure to obtain the required permits, inspections and approvals
from this office for a 20`X 30 building moved onto your property.
Permits and inspections are required to correct the above noted
violation(s). Even though you did ,not create this violation(s), you as
the current owner of record are required to resolve any violation(s) or
correct any hazards. Please contact this office to discuss the appropriate
correction of this code violation.
It is the County's goal to obtain voluntary compliance with the Butte
County Code. However, you should be advised that Butte County has an
active Code Enforcement Program which, provides an effective means of
enforcement if voluntary compliance is not obtained. Enforcement may
be .pursued..through the issuance of citations, fines and the recording
of a Notice of Violation including a description of the action necessary
to abate the violation.
You have thirty 30 days 'to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Scott Rutherford in this office at the address or telephone
number listed above.
aS' cerely,
Mi ael C. Vieira, C.B.O.
Manager, Building Inspection
MCV:dms
cc: Assessor
COUNTY OF BUTTE
Oroville, Califomia
GENERAL CLAIM
CLAIMANT: SCOTT & DAWN RITCHIE
ADDRESS: 78982 THORNTREE LANE
CITY & STATE: COTTAGE GROVE OR 97424
DATE OF CLAIM: 10/21/99 IMPORTANT:
SEE INSTRUCTIONS
SUBMIT CLAIM TO DEPARTMENT RECEIVING 0001A nR SFQvir=c ^KI o� ,.,.
- - --- - ��
DATE
WIN r[GVCiCQc
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA
%Wut
AMOUNT
Owner sold property. (Ap#042-310-013, BP#98-0742, receipt #236345 dated 04/24/98 owner: Scott & Dawn Ritchie.
Total amount paid $272.45
Retain refund processing fee $ 25.00
Retain building permit filing fee $ 20.00
Retain plan checking fee $ 99.45
Total amount to be retained $144.45
Total amount to be refunded $128.00
TOTAL
$128
00
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or deliv ed, that this claim is true and correct as
stated.
Dated this day of 19Tat
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articified above performed or delivered and that there is a
Budget Appropriation [ I or Specific Board Approval ( ] (Check one) for the same.
Dated this day of; 19� at v� ( Calif.
D artment ead or Authorized De
Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM tONSTRUCTION PERMITS FUND
Dept. Code Exp. Code PAYABLE FROM FUND
Det Code ExD. Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.
0
October 21, 1999
Scott and Dawn Ritchie
78982 Thorntree Lane
Cottage Grove, OR 97424
Dear Mr. & Mrs. Ritchie:
Count
L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
RE: Request for refund
(A.P. #042-310-013)
Your request for a refund was received by our office. Please find attached a general claim form
ready for signature.
Please sign only where indicated and return to this office so that we may process your refund.
Should you have any questions concerning this matter, please contact Alice Mefford of this office
at (530)538-7541.
Yours very truly,
Scott -Rutherford
Chief Building Inspector
SR: aam
A00
�4g
�� S
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT: SCOTT & DAWN RITCHIE
ADDRESS: 78982 THORNTREE LANE
CITY & STATE: COTTAGE GROVE, OR 97424
DATE OF CLAIM: 10/21/99 IMPORTANT:
SEE INSTRUCTIONS
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SFRVICFS r)KJ RF\/FRCG SIr1G
DATE
DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELA
AMOUNT
Owner sold property. (Ap#042-310-013, BP#98-0742, receipt #236345 dated 04/24/98 owner: Scott & Dawn Ritchie.
Total amount paid $272.45
Retain refund processing fee $ 25.00
Retain building permit filing fee $ 20.00
Retain plan checking fee $ 99.45
Total amount to be retained $144.45
Total amount to be refunded $128.00
TOTAL
$128
00
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as
stated.
Dated this day of , 19_; at Calif.
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a
Budget Appropriation ( J or Specific Board Approval [ ] (Check one) for the same.
Dated this day of , 19_, at Calif.
Department Head or Authorized Deputy
Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND
Dept. Code Exp. Code PAYABLE FROM FUND
Det Code Exp. Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.
CLAIMANT'S NAME
MAILING ADDRESS
REFUND CLAIM APPLICATION
SCoii-Sj �it�V� �4elat-e
ASSESSOR PARCEL #:
RECEIPT NUMBER(S)
RnQquest a refund of feesff paid on tfhe above receipt n1LfJmber(s) for the following reasons:
#moo � n AAD Y ni r0/N _ . CF�11 fir Ll n CIL. i
Please refund any applicable fees in the following categories: (Check those. categories
which you wish to have refunded.)
( ) Building Permit Fees
( ) SRA Fees (CDF Fire Planning)
Disposition of Plans:
( ) Plans returned to me at counter
( ) Sheriff Fees
( ) Urban Area Fees
( ) Please mail plans to me at above address.
( ) Please dispose of plans.
1 `
SIGNATURE
DATE
PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
FOR BUILDING DIVISION USE:
Receipt Information:
Number:
Date:J�w , 1, �_4
Issued To: /
Amount:
Fees Retained:
I00
Processing Fee: $- .
'.,/Bldg Filing Fee: $
Plbg Filing Fee: $
Elec Filing Fee: $
Mech Filing Fee: $
Energy P/C Fee: $
Plan Check Fee: $��S
Inspection Fee: $ 1
SRA Fee: $
j
Total Amount Retained $
TOTAL REFUND DUE $
7g9rz
zy
4
�aP &;�W_
COUNTY OF BUTTE=-,OEPARTMENTOF DEVELONTL R ES- BUILDING DIVISION
-' 7 County Center Drive - Oroville, Cfilifornia 95965 - Telephone (916) 538-7541 r /^ D PERMIT T
(Rev.12/96) APPLICATION AND PERMIT '�`
ASSESSOR PARCEL NUMBER 042-310-013
�
ZONING
A-5
BUILDING PERMIT
OWNER
ITCHIE DAWNeSCOTT
TELEPHONE
899-8483
SD. FT. OCC. BUILDING VALUATION
OWNER'S MAI%�ORERODEO AVE, CHICO
76R 11 13,824-00
CONTRACTOR'SNAME
OWNER BUILDER
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ 193,00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
RODEO AVE
Energy Plan Checking Fee
$
B'S`I CHICO$
PERMIT FEE
$ 979-19
LOT N .�
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome J] Other GARAGE
SPECIFY
Each Trap
1 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 Q( Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: NEW GARAGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION i
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
La�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 OCCUR
OR ADDNS. ( 8 ACC. S.
s0
3.52FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ANC
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occu OUTLET GRFO(TUREs
BA�p':50
Ex. Occup. OUTELETS RESIAPPLND.DEEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
hwith comply •t th a provisions.
2
X Date J
Signa a of Applicant - Owner ❑ Contractor ❑ Ag t
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
oFc
C N T. n E
TOTAL FE $ 272.45
HAZ.
D. FEES IMP
_
FLo
CDF
PARCEL PD
H
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date _
Date
Receipt No. J7 15
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�
�
i'
� �w - I
- ,��
`�'✓`,�
COUNTY OF BUTTE'="DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OPdVII.;LV, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: + Scc�, -f4— ASSESSOR PARCEL NUMBER: DLI — - I0 -- D 13
Proposed Building Use: F_QkLCAG 0 . Building Inspector: S F} Date: Zf - 23 'IR t?
At time of permit application, I wa advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted.-------------------------------------------------------------------------------------
OrC
lans 3/ sets, signed by the prepard of plans. -----------------------------------------------------------
lete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
eered plans, 3/4 sets, with wet'signature on plans. All'engineering must be shown on pl40b ans. - l u./ f - r u Ste_
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! =--='------------
❑ 6. Energy Design Compliance and supporting documentation.-----------------------------------------------------
El
---------------------------------z=-----= ------❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------.
r y�t
❑ 8. Hazardous Material Form.--------------------------------------------------------------------- n-----------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specification ---------L--/
--------
❑ 10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan approval/fees.
❑ 13 Flood elevation certificate.---------------------------------------------------------------------------------------- i
4. Sanitation and plot plan approval C," C 0' Health Department. ----------------------- --------------=='---
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------==----
❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------••------------= ----
❑ 17. Planning approval for (A) Use: (B) Parking: ---------------------
18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
❑20. Pre -inspection for required Request to Building Inspector on y(Date)
021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =-------------
❑22. Workers' Compensation carrier and policy number. ---------------------
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
❑24. Letter of signature authorization. ------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. -----------
❑26. Letter of intent on building use. --------------------------------------------
1127. Manufactured Home utility clearance. --=------ =---------------------------
❑ 28. Existing violations and/or expired permits. -------------------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . ---------------
/k30. Other: (���;�1��G(0l/� f'Y�Gf/I��-------
When ,you issue the Dpmt process as follows ❑ Mail to owner, ❑ ail contractor.
❑ Telephone g 3 and hold for pickup at ce. ❑ Deliver ith spector.
v
'Applicant:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑.Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required: >fe_�ko
Contractor, designer weer was advised of the above required data by one, ❑ mail, ❑ Building Division counter, by of S.Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above req ' data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by:_� Date: L Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.�� h
U
+i ;'
4an
E.H. USE ONLY
Attached 2S
lan Attached
t
Sent to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
/fin;
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
ILA PERMITAPPLICATION DATA SHEET
0 5
OWNER:Sco77— �T-6 F ASSESSOR PARCEL NUMBER: o
Proposed Building Use: Building Inspector: Date:
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
111. All items have been submitted.
P,2� Plot plans, 3/4 sets, signed by the preparer of plans.
Complete plans, 3/4 sets, signed by the preparer of plans. 9\V
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
06. Energy Design Compliance and supporting documentation.
El 7. Statement of Intent for Non -Heated and A/C Buildings.
08. Hazardous Material Form.
❑9. Manufactured Home data and installation instructions including Tie Down Specifications.
❑ 10. Fees of $
❑ 11. Impact fees as shown on the attached schedule.
012. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate.
RT4. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit.
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy).
020. Pre -inspection for
required.
021. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number.
1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
❑24. Letter of signature authorization.
025. Recorded copy of Agricultural Acknowledgment Statement.
1126. Letter of intent on building use.
1127. Manufactured Home utility clearance.
028. Existing violations and/or expired permits.
El 29. ❑433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
❑ Telephone
and hold for pickup at
office. ❑ Deliver with inspector.
Applicant: Date:
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued, will expire by limitation one year after date of application. In
order to renew action on an application after expiration, a new application, plans and fees will be required.
FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within
two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for
permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing
fees, plan checking fees for work plan checked and other department costs are not refundable.
Original - Applicant
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 c/ O PER
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 0L r o r 0 I (
ZONIN0 �tn 5
BUILDING PERMIT
OWNER 1. ^ -'
TEIEPNONE�
�QJ
SO. Fr. OCC. BUILDING VALUATION
•,
OWNERS MAILING ADOR S~.nJC•_1J1i�1-
'4"� V
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
a
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 1 S3 , DD
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS ^ 9 —7 ,. ` eO j.� _ _
l/^ t_�t �f�,J'r��•l(J/
Energy Plan Checking Fee
$
a a.L 5 PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other "S
sPECIFv
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
1 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ce Q�je ' iI9>1r 0a Nouu
Gas piping system t - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
920.00
PERMliT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service p A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
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 To
7--46.00so
CCU000A
NEW CONST. DWELLING OCCUP.
DWE200ALLING
OR ADDNS. ( a ACC. BLDS.
SO
3.50FT.
►NO RES D. MULTI.OUTLET
CONST. ,ANC
97.50
POWER APPARATUS
a SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FDCTUREs
2* @ , ,o
BAL o .w
Ex. Occup. OFuc�LE. q�6.1 OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 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 with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in/height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ ,
HA2
D FEES
IMP
I FLOOD
c0F
PARCEL PD HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
'�) -7
Date
DA
Receipt No.
WHITED D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
•a
I
I
I
I
;
I
I
YO
--oa
i
Environmental Health
MAR 15 1999 ay
CHOO, California
I
NOTES
PERMIT NO.
RESIDENTIAL
042-310-013 05-2432
{' HORN, RICHARD
2874 RODEO AVE, CHICO
CT: MCCLELLAND AIR COND
HVAC
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
t
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
OFFICE COPY
Address
GAS
Meter By Date-
ELECTRIC
ate�L
Meter
By D t.e
JOB FINALED (Date) O
J=OK
o- Not OK
_ = Not Ready adcahle
. =Not Re
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity, Location-Clearances-Gmd-/ . /Amp -Concrete
6. Gas; Location -Test -Wrap;=/ : : /' L'fL -:
/ P Nat or/.. /" L "ftl . • P LPG .
7. WeII.Clearance & Disconnect
8. UL74 Clearance, --
10. Roof; Shthg-Roofing - ; ,: i : .
11. Ext; Steps -Doors -Landings.
Date
Card B-1 Date Card B-1
Date
Card B-1 -.Date .: Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requiremerits-Setbacks:Easements
Date
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
6. Water, MH Test-Regulator-Connectot
7. Water and, Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert
10. Exits; Insp.-Sketch
11. Cert of Occupancy
10... Plumb.; Cir. Test -Water Supply Test .
11.,..Light Niche .... :. -:.
Date
Card B-1 Date Card B-1
Date
Card B-1 :. _ °:: Date. .Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Date
1. Zoning Requ'irenierds-Setbacks-Easements
2. Footings; $¢e=Spacing'-Marriage Line'..'. .
3 Bkoctari
4.'' Gas; MH Test=Deiilarid=Valve .' . ..'
5. -Electricity; MH Test
6. Water, MH Test
.:..::,
Water. and Sewer _Qgnnected :..
8. Gas and Electri*Tagg`ed'.
9. Exits
A 0.: License Decals `.
.... ._ ..
11. Verify.#'s with office '::-
..
' Date
Cana B-1 Date -
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 -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. 'Wood Awn.; Posts-Beams-Rttrs-Connectors
Shthg-Frg-Bracing
S. Alum. Awn.; Columns-Connections-Splice-Decal-Enciosures
6: Carports- Windows -Doors
.J. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing - ; ,: i : .
11. Ext; Steps -Doors -Landings.
.12. Braced Wall Panels '
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils, Compaction -Structure Stability
3. Pool Stricture; Steel -Connections -Thickness .
Dead. Men -Lining.
4. Elec.; Receptacles and Lighting. Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI .
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elea; Bonding; Metal w/5' -Circulating Equip_ Heater
8. Elea; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes=Enclosures-Panelboards-Ins. to Main Conduit
9-- Health Department Approval ..
10... Plumb.; Cir. Test -Water Supply Test .
11.,..Light Niche .... :. -:.
12. Enclosure; Fencing -Alarms
Date....
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
OK
: Not OK '
NotAppr=bte RESIDENTIAL (Single & Duplex)
Not Heady
rte UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Sags-Elec. Gmd.-/ . /" Ftg. Depth
3. Ftg., Garage; Sols-Steel-Elec. Gmd. / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ P Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
)ate Card B-1 Date Card B-1
)ate Card B-1 Date Card B-1
)ate
PLUMBING (Permit) OK -except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor- Nail 'Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler, Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B=1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Sire Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFl
30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI
Insulated Neutral 0 Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes.Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform 9 Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearina
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac: Truss-Shting: Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Iris. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions
52. Garage Fre Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fre Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd_ Verits-Undertir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation-Walls-Gelings
63. Infittration-Walls-Windows
Date Cana B-1 Date Cana B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight.Protection-Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.1. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove. Clearance -Hearth
72. Sec. Outlets at Wood Panel, Int & Ext.
73. Kit Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fre Door, Swing -Landing -Closure
76. A.C. Duct in Garage -Damper' .
77. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Medi. Equip: Listed for Location
79. Sec. Receptacles in Garage (FF.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InstldJDrive O Yes O No/Walks O Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings.
87. Water Well, Disconnect, Electrical. Plumbing
88. Exterior Dec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas-Etectric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fre Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
0
Neq
Ave. _
AND A" PCl#ON OF L 0 T ✓• v' n ;,�, N
9fl
s0gro OY
qw
10's�2S S
2900
'a�► NORM
o>
L > .
Lo> 6 yam
Cor5.
401
C or
4 of
0 = n
c//
QD
1w ok
N Po g2 I Lot. i3 Lot,12 Lottoi Lor /1���-� ✓ �
o /V ° 'J o N
kc
Lot Lol`^
� I 0 �OiO N i
6 ."Is
s/y 00 �fil I � I N
104.0 6
150
B��i 2900
�8
t, P 2223
Cojtry Estates Sub. ti10R 9
r
Third Sub of John Bits—All Pf7nr_ho MOR 19k.5 P9-61
c
i
NOTE—ASSESSOR'S PARCEL BLOCK
& LOT NUMBERS SHOWN
00
t
�\/Z�
.21? I�
-3 I
z800
�\ Av.
AVENUE
Assessor's Map No. 42-3/
County • of Butte, Calif.
-957
MARCH, /