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
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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
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CAMP, Gene F.
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Arbor Drive off Highway 32
Chico .4
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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