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HomeMy WebLinkAbout042-320-00642-32-6 Fred Salyers ` t, bor Dr . , Chico j contr : Cg,Chbo �! N4 t Permit # 2789-818 reroof/.S O/2� j 042-320-006 PERMIT#98-0410.1 ` SALYERS, Pauline 11 Arbor Dr., Chico 'Cont: Jessee Htg & A/C HVAC/SFF� `f/�f/�� ,� ---. 042-320-006 99-0969 SALYERS, Pauline 11 Arbor Drive, Chico. Contr: Ely Roofing rO Re roof 042-320-006 06-2082 SALYERS,PAULINE I I ARBOR DR, CHICO ,YwPc/J Cont: MCHATTON ELECTRIC ELEC 1 kI I �f i f I M i r CAMP, Gene F. pppl a 28 ti S 42-32-E Arbor Drive off Highway 32 Chico .4 COMPLETE 7-11-62 +. 2 Af E,y "I . 4L."riw rl. i.' " r t E. 042-320-006 06-208` SALYERS, PAULINE p. De.. 11 ARBOR DR, CHICONOTES Cont; MCHATTON ELECTRIC RESIDENTIAL APN: Permit No. " Owner. Site Address: Contractor. i Type of Permit ern. e�� 6 F� OF/F?ICE COPY Address! 1 C.-(AJYWl b � GAS Meter By Date ELECTRIC q� Meter By Date CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED - SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE y i DATE JOB F04ALED: ' lC d � t/ 40 SIGNATURE: v �Z� i CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED - SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE y i DATE JOB F04ALED: ' lC d � t/ 40 SIGNATURE: v �Z� . =OK a = Not OK MANUFACTURED HOMES MISCELLANEOUS - DATE PERMANENT FOUNDATION Lj SOFTSET '--DATE D E C K S`C O V E R S'C A R P O R T S'G A R A G E S 1 ZoningSetbadts-Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftgs; SoilsSZ-DpthSpacing•CnnctrsSteei 3 Sewer, Loctn-Test; FalUC/0-Concrete 3 Decks, Girders/Joists-Dcldng-Brcing 4 Wtr, Loctn Test -Easement Needed -Regulator Stairs-DuardlHandrails 5 Elec Loctn•Cimcs-Gmd Amp -Concrete 4 Wood Awn; Posts-Beams-Rftrs-CnnctmShthg. 6 Yard Gas; Loctn-Test Wrap Nat ❑ or LPQ Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnncinsSplice-Decal-Encisrs 7 Blckng; SzSpacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Ctmr-s 8 Frmg; Sills-AnchrsStuds-PJtm Tnisses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath 11 Wtr & Sewer Connected -CIO to Grade 10 Root; Shthg-Roofing 12 Gas and Electricity Tagged 13 Tie DovMs Q Foundation ❑ 11 E* Steps-Doors4-andiirgs 12 Braced Wall pnts 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns Thickness Dead Men4 fining 4 Elec Rcptds/Lting; Distance -GH °,r mss` °,e �a• • 5 Elec Pool 1.099;15 volts-DFI 6 Elec.Endsrs; Conduit Entries-Tgrminals-Disted T Elec Bonding; Metal w/Y-Crdtng EqrHtr 8 Sec Grndng; Eqp wls• Crdtng Eqp-Pool Ightg Bares-Encisis-ppMoards-lnsultn-to Main Conduit ' 9 Health Dept Appiil . 10 Ptmb; Cir Test-Wtr Supply Test 11 Lt• Niche ; 12 Endsr; Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing Nnf RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr, Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Gmd Ftg Dpth 54 Wtr Pipe; Test & Anchr Nail Prtctn 3 Ftg Garage; SoilsSteel-Etec Grnd Ftg Dpth 55 DWV; Test Fittings & Anchr•Na!I Prfctn 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 56 Shwr Pan; Test, Fust fir -Tub Acc 5 Stemwalis Wain; Steel-Blockouts Wrapped 57 Test Tuti & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc FtgSteel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgmd DATE FM E C H A N'I C A L 13' Plenums & Ducts; Clmc-MaterialSupport4nsultn 61 AC Duds Insulfn &Support 14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insulin 15 Acc & VnUtn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air RhuNent 115 Outlet 65 Attic Acc & Pitfrin if Furnace In attic _ oe DATE j1vRAMING 17 Silts Proper Materials & Anchrs DATE FIN AL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls ovef Girdert:,& fir Nailing 67 Smoke Detector 20 Draft Stop In Walls (iat proof), 68 Furnace Vnts-Cimc-Comb, Air-Cnnctr 21 Fre Stops; Furred C%eilingsStairs�hasers Tubs In Garage; abv-Hr-Ducts-Mech Prtctn 22 Headers & BeamsSi &'Bearing 69 Bedroom Exiting 23 Handers-Posf:CaQs-Anchrs Cnncins 70 GFl 8 Bath Fxtrs & Tub Acc-Spa24 Ceiling .IOist-Rl r Ties-Pur#R-Roof Brac TrussShthg 71 GFl Arc Fault 25 Frpie Ties or Type A Fltf&Frple Throat Cimc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Act Sz &: Rirui Prtctri-0rafi Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -SIH Ott & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtcbi Framing -RC Channel 75 Elec Outlets at Wood Pnt, Int & Ext 29 Prprty Line Fuewall Olin .' . 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cimc 30 Ext Doors -One 3' -Check Garage 3r4 Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Dobr, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgm 79 AC Duct In Garage -Damper. 33 Siding -Nailing Veneer - 80 Wtr Htr, Vnts-Cimc-Com Air Cnnctr-PRV; abv fir 34 Stucco lath Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; LPG Appince Undr House 3' drain 35 Glazing Area -Glass PrtctnSkyL.ts-Plastic . 81 Pimb; Elec & Mech Eqp Listed for Loctn 36 Shear Walts; Nailing -Bolts 82 Elec Rcptcls in Garage (GF) Romex Prtctn 37 Brace int/Ext Wall pnls 83 Insults -Foam -Looked in Attic 38 Insults Walls -Ceilings 84 Guard Rails & Deck CnstrcbrPost Caps 39 Infiltration Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cimc Dmge Planters ❑Yes ONO v' 4a' �a 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Pimb 89 Vnts abv Roof, Pimb-Appinc-Frple-Cimc to Opngs 90 Wtr Well, Dscnnc% Elec, Pimb 91 Ext Elec Trim, GFl Reptcl-Undrgmd DATE ELECTRICAL 40 Fxtr & Tmsfrmr Cirnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Irispetns 44 Eqp Gmd made up w/Mech Fsbus 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires In Ktchn & Cndctr Sz GFl 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz Qa ❑CU or ❑AL 98 Address Posted AC Wire Sz ga C 1or AL 99 Fire Sprinkler 48 Range Circ pa CU or AL Oven Circy,Rjor AL Insulated Neutrals No 8r ��` o,.• mss` 49 Service -Riser Cndctrs & Gmd Main Dscnnct 50 Eqp Cimcs pnls-Motors-Meth Eqp 51 Clothes Closet Lt-Shwr 1.1 -Spa Lt 52 Smoke Detector as 0 4 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE),(530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP062082 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/29/2006 APN: 042-320-006-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profpssions Code, and my license is in full force and effect.// - l t � '(1,-:5 q 2 2 & 1 Site Address: 11 ARBOR DR CHI License Class : : License Number: Map Index: r I e: Contractor: Description: ELECTRICAL SERVICE CHANGE 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 Owner: SALYERS PAULINE M Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 11 ARBOR DR to its issuance, also requires the applicant for such permit to file a CHICO, CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 95926 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 Applicant: MCHATTON ELECTRIC pp 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 9 ARBOR DRIVE such work himself or herself or through his or her own employees, CHICO CA 95926 provided that such improvements are not intended or offered for , sale. If however, the building or improvements are sold within one (530)893-3616 (530)321-3094 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 Contractor: MCHATTON ELECTRIC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed 9 ARBOR DRIVE pursuant to, the Contractors' State License Law.). CHICO, CA 95926 ❑ 1 am Exempt under Article 3 of the Business and Professions Code (530)893-3616 Date: owner: License #: 477674 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as A required by Section 3700 the Lab6r Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy Census Code: 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'(, -11If�7 compensation provisions of Section 3700 of the Labor Code, I shall �Tij V forthwith comply with those provisions. ��� Dater (T Ll r< 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 - This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol do s to go work inalcate above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By. Date: `( Address: PERMIT EXPIRES ON: ) L� 71 1 / Date ❑ 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. ❑ 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 of any official form or document of Butte County. I hereby authorize representatiyes of Butte County to enter upon the above mentioned property for inspection rpo)es. Print Name- v ( �`�` / Signature: fil cyqs[Z� Q Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor S. C. Building Permit 01-16-04 pg 1 ef-I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP062082 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 08/29/2006 APN: 042-320-006-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof ssions Code, and my license is in full force and effect. e_' 0 L 7 Site Address: 11 ARBOR DR CHI License Class: Map Index: /Liic/e�nsseeNumber: 1 � Date: r Contractor: { v—rVh l I Cl�v Description: ELECTRICAL SERVICE CHANGE 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 Owner: SALYERS PAULINE M Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 11 ARBOR DR to its issuance, also requires the applicant for such permit to file a CHICO, CA signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 95926 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 Applicant: MCHATTON ELECTRIC 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 9 ARBOR DRIVE such work himself or herself or through his or her own employees, CHICO, CA 95926 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one (530)893-3616 (530)321-3094 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.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business Contractor: MCHATTON ELECTRIC 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 9 ARBOR DRIVE pursuant to. the Contractors' State License Law.). CHICO, CA 95926 ❑ 1 am Exempt under Article 3 of the Business and Professions Code (530)893-3616 Date: Owner: License #: 477674 - WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 p Policy Census Code: 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 `� !� bJ� become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Ric uoq compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dater �� AA 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 _ This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resol do s to do work ind cate above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �� f1 – 06 Name: By,odm Date: ly PERMIT EXPIRES ON: Address: (Date) ❑ I 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. ❑ 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 of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectionrpo es. �� , _ Signature: Print Name: ` Date: ❑ Owner WContractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nme Fl_1 yi , re,,15 first Addressd City(�k L Cz City\f 1, t CPhonle.�i''O State ZipOI S� , - � O� � /_ Fax E-mail CONTRACTOR Name Address n .�0� �� City(�k L Cz State Tzi_P-1,� a, Phone 92-( Fa�r,A s 4 E-mail L'c13# I —io APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT �SIGNATURE X i /� 1, For office use only: Zoning Pr pe=ddress 7,_Cites Flood Zone Cross S reet 41 w(�3z SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # PROJECT LOCATION AP# —o Pr pe=ddress 7,_Cites <O Cross S reet 41 w(�3z WORKER'S COMPENSATION Policy Number. Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 'EiabV L cliL C (n e Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: , Amount: � 1 Bldg SRA Receipt #:o06n Sheriff &Wi %2 SMIP I I Date: U`,2q`® G Other �5 Total I I Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) .' ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature' authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 042=320-006 99-0969 SALYERS, Pauline 11 Arbor Drive, Chico Contr: Ely Roofing i ,Re roof t e r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 If PERMIT NO. (Rev. 12/96) APPLICATION AND PERMITG�'� ASSESSOR PARCEL NUMBER U42-32U—uub ZONING BUILDING PERMIT- OWNER Pauline Salyers TELEPHONE 343-0396 SO. FT. OCC. BUILDING VALUATION 5i4 OWNER'S MAILING ADDRESS 11 Arbor Dr Chico CA 95926 CONTRACTOR'S NAME Ely Roofing Inc TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS 13291 Contractors Dr Chico CA 95973-8$37 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54. UO ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ , BUILDING ADDRESS 11 Arbor Dr - Chico - Energy Plan Checking Fee $ ' PERMIT FEE $ LOTNO: t -114•k:• -r -S SUBDNISIOWS NAME %+JL�L`* '.r'•t..l.+v>.f�['1•iT.. }14 I.` ++RZ�.n,. R iPARGEL•.MAPyi47'.gCsp.K g.,y.'t••x•. �-- x - _ ..fi ,`w" r • Filin Fee ''"20.00 tf PLUMBING PERMIT t;i USEOFSTRUCTURE - -- • ..- " t .- SF ❑' Duplex ❑-.Mobilehome ❑ Other - SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 kTYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑Y Describe Work: R/R roofing w/25 yr arch — 37 sqs .. 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W + 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00' Main Service noon o .os 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 1.—l;i, �-3y Lic. No. 607386 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. I ❑ 1 am exempt under Sec. Business an ' d Professions Code for this reason Main Service TO . 4t).tso CCU000A WEE200A NEW CONST. DWELLING OCCUP. 3 5aS0. OR ( FT• EW coNsr. n&iuACC. u.S. NON•RESID. ANC cl cu @7,50 POwER APPARATUS 6 SINGLE OUTLET CIR. 20 @' °° Ex. Occup. OUTLET OR FucruREs BAL @ .50 Ex. Occup. DUTLEEDTspaE.s o.oEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S I r ..._ i. ' WORKERS' COMPENSATION DECLARATION`, I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. }❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 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 vilfanova ins 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.) ❑ 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' 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. 5-6-99 X ' lG7/i`?�C.l�_tt«4C� Date Signature of 1a pplicant - ❑ Owner O' Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionj� of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 74.00 4Thi.permit HAZ. O. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. n By �alr�/, ,1/'142✓Date PERMIT EXPIRES ON !:� �/ I Receipt No.2 4 �Q� WHITE-D.D.S.-'9.0?-, CAN R -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT1(6atef For 0111►rCY12*NkA0 BUILDING DIVISION y 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. e, 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. s JA. 1� •. r Date IF 9 Inspector— REV nspector-REV 1OA2 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P R IT o. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-320-006 ZONING BUILDING PERMIT OWNER Pauline Sal ers TELEPHONE 343-0396 SO. FT. OCC. BUILDING VALUATION 3700 2220 OWNER'S MAILING ADDRESS 11 Arbor Dr Chico CA 95926 CONTRACTOR'S NAME Ely Roofing Inc TELEPHONE ' 343-7663 CONTRACTOR'S MAILING ADDRESS 13291 Contractors Dr Chico CA 95973-8837 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 Ar r D — Energy Plan Checking Fee $ PERMIT FEE _ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Cx Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑x Describe Work: R%R roofing w/25 yr arch - 37 sgs Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE S 1.3 ELECTRICAL PERMIT Filing Fee 20.00 s 'Main Service " oonoaUEss 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 C-1 , C-39 Lic. No. 607386 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 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. �(] 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 Villanova Ins Policy Number WC20526123 (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'--FHA2. 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 Q/� QiC.� _ Date 5-6-99 Signature of pplicant - ❑Owner M Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR so OR ADDNS. ( 8 ACC. B.S. 3.5¢FT, NON-RESNDT MULTI.00IRCUITST 97.50 POWER APPARETATUS a SINOUTLc,R. GLE Ex. Occup. OUTLET OR FUTURES BAL @ .50 Ex. Occup. DIFtITXE, RES,pOEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 74.00 D. FEES IMP I FLOOD I CDP PARCEL I 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 I the applicable provisions Resolutions to do work been paid, at n 1 IDat ReceiptNo. WHITE.D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 042-320-006 PERMIT#98-0410 SALYERS, Pauline ' 11 Arbor Dr., Chico ! Cont: Jessee Htg & A/C HVAC/SF ° r 6 �° I r • J , 1 4 �, COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 57541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �—�— ASSESSOR PARCEL NUMBER i ZONING12BU w DINGPERMIT OWNER C TELEPHONE , SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAIUrIAO RM CONTRACTOR'S NAME �• p �p� ��p JCa�7CLr NAM CY AN TELEPPHpH�•�OyyN�EE//,,�y� C79 -4M CONTRACTOR'S,Ci§yJJf,b. iti. am CONSTRUCTION LENDER , Fireplace LENDER'S MAILING ADDRESS ' Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee •'$' 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ' Plan Checking Fee $ BUILDING ADDRESS 11 Energy Plan Checking Fee $ $ PERMIT FEE $ _ LOT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap _ 7.00 USEOFSTRUCTURE i t SF p Duplex ❑ Mobilehome ❑ Other 1 SPECIFY Solar or`heatpum ater heater 23.00 Water piping �t." 15.00 Each as water heater�or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: HVAQ Gas piping system ,f -{5 outlets 15.00 Building sewer r_ 15.00 Mobile Home I S I GI &: @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z onoaLr:ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. // w �/ ;2 /r 5�r�L/ License Class /j Lic. No. —'T ( ✓rr —/ 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 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 4g,A)Z, X-C•r L"// Main Service ( TO IOooA 46.00so NEW CONST. DWEWNG OCCUP. 3 5QS0. W OR ( FT EW CONST. MUAir�i ounEf NON-RESID. I c I @7.50 POWER APPARATUS 8SWGTEOUTLETCIS. 20 p ,.00 Ex. Occup. OUTLET OR FIXTURES BAL p .so Ex. Occu ouTlFfS RRE8ID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating 4 t:m MOD Cooling 2D•00 Hood 6.50 Ventilation PERMIT FEE $ 60.00 Policy Num er -,„T_f -i J/1 (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 pro ions of section 3700 of the Labor Code, I shall forthwith comply with those ovisions. X�/��A .f I— Date-- SignatureYof✓A"pt r Contractor ❑Agent An OSHA Ipermit is required for excava ions over 60" deep and demolition or construction of s�tr�ctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 6().ap HAZ. 1 D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ' 1 3 Date 101 PERMIT EXPIRES ON J Date ReceiptNo. • WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 ` 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 !' 7A1 (�5 _ r8-651/6 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. Date .���7 C/ COUNTY OF BUTTE -DEPARTMENT OFD�VELOPMENTSERVICES -BUILDINGDIV ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 419 _6ERMIT No. (Rev. 12/96) APPLICATION AND PERMIT I _rwo ASSESSOR PARCEL NUMBER ZONING BU LDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUr ADJM DR. . CONTRACTOR'S NAME JE'SSEE WATM & AIR TELEPHONE 891-4926 CONTRACTORS„ 1a{yC�A ULLW 11V T Tri Gaco CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 11 ARBOR DR. Energy Plan Checking Fee $ $ PERMIT FEE _ LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFIIR Duplex ❑ Mobilehome O Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation ❑ Other Iff Describe Work: HVAC 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 ioon OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 c -ao Lic. No. o J4o� 4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. O 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 W:U200A CCU000A NEW CONST. DWELLING OCCUP. OR AOONS. ( s ACC. S. SO 3.5¢FT; NEW CONST. MULTI -OUTLET NON-RESID. ANc c cu " @7.50 POWER APPARATUS BSINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES .00 SAL @ I.50 Ex. Occup. O�E�RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers',Fcfnpe satin insura a &a1rier and polic number are: Carrier S . Policy Number (The above sections need not he -comp d if Ifie permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall 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 'compensation . ions of section 3700 of the Labor Code, I shall comply with th a ovisions. Date_ i`�❑ r ontractor O Agent 4rc&mwew, A is requiredfor excavations over 5'0"deep and demolition or consVuctionoer 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 4 ton 20.00 Cooling 20.00 Hood 6.50 Ventilation PERMIT FEE S 60.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 60.00 2.A. D. FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON 3 r(/ '7 Date ` Receipt No. 231666/$60.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;}..�_t..�j. .-.�..Ji.+e.*wS1'.5:,'li .....�- � ..-... _ ,...,.._f._ .. 4..-r�..s� ..�...in .......-w ..ave.=..s:.. ,.L-2.: .-.*'^'� ..-.e+r�»+---�.n..,, t .�Csy+i��,a.--. .�. rrL...� i. (•,� \ r �l V.O f ik, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS + 7 County Center Drive - Oroviile, California 95965 - Telephone 916/534-4541 APPLICATION AND_PERMIT PERMIT NO. ��� " / ASSESSOR PARCEL NUMBER �2 ZONING BUILDING PERMIT $10.00 OWNER Fred &""aw S A 0 C Q 5 TELEPHONE 343-1854 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS BA� nC n-+ 9:5926 CONTRACTOR'S• AMEv•+-eel •- C A J Roof im and Insulation TELEPHONE 895-3900 CONTRACTOR'S MAILING ADDRESS �y� /17� (� {� � 3P.51 morriow Lane, Suite Mim Cil 95926 CONSTRUCTION LENDER UNKNOWN X Fireplace Total Valuation $ 4,A44.00 LENDER'S MAILING ADDRESS Permit Fee $ 32. no ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 42.00 BUILDING ADDRESS - *11 Aichor Drive. 0dw. M 95926 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping "`2:00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New F-1 Addition [I Remodel❑ Utilities❑ Installation❑ Other [N Describe work: Re -'roof with Heavy Cedar Stakes 11ti'3r off existing roof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LE LESS5.00 Main service EA, ADD -L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS.CCUPM 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑X I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and y TT effect. 309245 �jiM & ynS. 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 NEWCONSTR ULTI.OUTLET 2,50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS .&) NON-RESID, (SINGLE OUTLET CIR. Ex50 @ 25a BAL@tCq . Occu p(OUTLETS OR FIXTURES\\ FIXED APLINIS. Ex. Occup.(0UTLETS P(RESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor ! MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 Hood 2.00 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 construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. I"7/� 81 X /��» �}' 1 !� !� G •}f% - ) Date "� Signature of Applicant — (Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 42.00 OCCUP, GROUP I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work, indicated above for which fees have been paid. OR OF PUBLIC WORKS ( /&=— IBy-' Date ��(' ' PERMIT EXPIRES Date , _Z. /y — �� Receipt No. 6_ 7 `� Z' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT Wo ..� /•I ASSESSOR P RCEL NU BER �Q�:3 z0 BUILDING PERMIT V$10.00 OWNER Fred gaaywees SA -"EES TELEPHONE 343-1854 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS l l Dr-/ Ghiee, GA 95926 'Ve ft CONTRASWA E C & J Roofing and Insulation TELEPHONE 895-3900 CONTRACTOR'S MAILING ADDRESS 3851 Morrow Lane, Suite 7, Chico, CA 95926 CONSTRUCTION LENDER UNKNOWN X Fireplace Total Valuation $ 4.844.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN INEER - LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 42.00 BUILDING ADDRESS 411 Arbor Drive, Chico CA 95926 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ® Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEl Other ® Describe work: Re -roof with Heavy Cedar Shakes Tear off existing roof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA, ADD'L 100 AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCLBL GS.CCUP.&) 20 sq ft 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. 309245 ClassificationRoofing & Ins. ❑ 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 CONSTR ULTI.OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5BAL@I AL�1os Ex. Occup.(OUT ETS FIXED P(RESID )LNS R \\ EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 FiIIng Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai County i e e ce of the g ing of this permit. X oe Date ��21�81 SignatureofApplicant — Owner ❑ Contractor ❑ Agent IN An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation. Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 42.00 OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or wor indicate above for which RECTOR OF PUBLIC PERMIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS n �1 Date /'2✓�g Receipt No. l�7i WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT