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HomeMy WebLinkAbout042-330-012.42-33-12 3343-89P,M BOYD, Dennis & Sandy 5 Walnut Circle, .Chico ContR: Suburban Gas (propane -tank & gas lines) 042-330-012 03-1134 BOYD, DENNIS-.... j .5 WALNUT, CHICO I ;N nAL OD `Cont: PACIFIC SUNROOM SUNROOM; 042-330-012 03-1158 BOYD, DENNIS 5 WALNUT, CHICO INAL Cont: C & C ROOFILNG 0 RE -ROOF 042-330-012 03-1657 BOYD, DENNIS 5 WALNUT, CHICO CONT: PACIFIC SUNROOMS ELEC. FOR SUNROOM BOYD, Dennis 38978 - _7 3180P .3985E 2-33-1 wf #5 Walnut Circle, Chico, C-7 IT�. CONTR: George Santos, Rte 2, Box 4,66 Sr' Chico (new single family) -AI COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - B ILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 30) 538-7541MIT MI NO. (Rev. 12/96) APPLICATION AND PERMIT 03 r/(0� 7 ASSESSOR PARCEL NUMBER 042-330-012 ZONING BUILDING PERMIT OWNER BOYD DENNIS- TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS S WALNUT CONTRACTOR'S NAME PACIFIC SU TELEPHONE - CONTRACTORS MAILING ADDRESS P.O. BOX 836 PARADISE, CA 99967-0916 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5 WALNUT CIRCLE CHICO CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap7.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: ELEC FOR SUNROOM BP# 03-1134 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class ® .9 t V Lic. No. –16L!�� 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 Main Service 200A TO 1000A 46.00NEW CONST. / DWELLING OCCUP, SO OR ADONS. \ & ACC. BUDS. 3.5¢FT. =RESI. MULTbOUTLE BRANCH IRCUI @7.50 TS POWER APPARATUS 8 SINGLE. J.ET CIR. 20 O 1.00 EX. Occup. OUTLET OR FIXTURES 94L @ .SO Ex. Occup. DUiEEDTS pp °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 1 21ocit 3. 0 PERMIT FEE S 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation lone hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit those rovisions. �— X _ jf Date Signature of Applicant - ❑ OwnerContractor ❑ Agent An OSHA permit is required for ex vations over 5'0" deep and demolition or construction of structures over 3 stories in hei Mobile Home Installation Fee $ Energy Inspection Fee $ occ Corsi. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEESIMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B d ate 6 it PERMIT EXPIRES ON Date Receipt No. – WHITE-D.D.S.-B.D. CANARY- SS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 COUNTY OF BUTTE t DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO APPLICATION AND PERMIT -s 7 :sEssoRPARcatuMe ��/� In iDf�`N° _ / / ' BUILDING PERMIT �NER TELEPf1° E SO. FT. OCC.. BUILDING VALUATION ONTgAT�TORS NL11E n TEIEPHDNE v °mss MA4J R� W 3 - a ONSTRUCTLON LENDER Fireplace _NDER*s Ma L NG ADDRESS ' Total Valuation S PCHIrECT OR EHMNM LICENSE No. Firma Fee S 20.00 Permit Fee �� S Rc:Wmc:T •OR DMNEUM MkIUM ADDRESS Plan Checking Fee ULDNG ADDEnergy Plan Checking Fee S . 5 PERMIT FEE S DT N,O. sUBD?4Z01I5 NOME PAtuEL MAL+ PLUMBING' PERMIT Firing Fee 20.D0 Each Tia ._.._.—.._.-'-• .ti -------- ---7:00 ---- USEOFSTRUCTURE >F Duplex D Mioblefiotne D' Other air Solar or heat pump water Heater 23.00 Water p ing `� 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New D Addison D Remodel D L06as D InstakliOn D Other Describe Work: C UIV Gas piping syslem' t - 5 outlets 15.00 Building sewer t'S:gO Moble Home S G W +220.0p, PERMIT FEE s ELECTRICAL PERMIT Firing Fee 20.00 Main Service �w oR t= 23.00 e Sl k i► May. J� e'/ AwwoiAIl ` L 3 F t Q l� 2 (� j — J (��/ — Maur Service aoaA"�TO t000A 46.00 NEW coNST: DWELL IF0 ooam. 3.5¢ OR ADDNS. a ALC. BE MW POW]. MLLLTFOUf1.ET inN RLsia�. @7.50 aPVMr�APPAR+ws "� Ex. Otxu . CO ET OR FIXTURE2eat_ ® 2D 9 r. .50 . Ex. Occu FD® APRWID OR , S.DD ounETs ro. EA. Temporary Service N23.D0 Moble Home Facilities 20•°00 Mlse. Wiring 23.661 a 3 v e PERMIT FEE 92 MECHANICAL PERMIT Fifing Fee 20.00 Heating �• coorng Hood 6.5o � Ventilation PERMIT FEI_ S•' Noble Home Installation Fee S Energy Inspection Fee S w` -NsT TYPE TOTAL FEE $ l � D. FEES IMP FLOOD CDF PARCEL PD H i CSA t4 km 'o,n�o 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 lAelo) oil 42-33-12 3343-89P,M t BYD, Dennis & Sandy 5 Walnut Circle, Chico ' ContR: Suburban Gas (propane tank & gas lines) O G� / c Ulle. 6s -.411- r Q4r 'Ole cs„`'� ✓Cel. /��,�i�i1f. u 7Gc C9 ✓ �. ` f , u G f/.0 AIR coF `4i*y C� ,� � ... •� 2 o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ,a 7 County Center Drive - Oroville,•Calify rnia 95965 - Telephone: 916/538,75411'. �•��-���_„�� APPLICATION AND PERMIT ASSESSORoqz— PARCEL ! © —d f ^ � ZONINi BUILDING PERMIT OWNTheTELEPHONE 'RC1 SS;L t �. SO. FT: OCC. BUILDING VALUATION , OWNER'S MAIA, OD ESS f! tj CONTRACTOR'S NAME A WIV TELEPHONE CONTRAfTOR'S MAILING ADDRESS (,•// /Q' M F1 GO A, r, Cf11 e- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICEN E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fel PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent y 5.00 5 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 $ Building sewer 5.00 Mobile Home S G I W 0.00e TYPE OF WORK New ❑ Addition ❑ Remoddei ❑ Uti Cities ❑ Instal ation ❑r Other Describe work:�� �,� 1�) n Ct `(lP Vi, 4 t� (>t Kai\\ 'C 7l t C) 4 tt S PA—s CG I in/ �/ /S'^`'� �� `� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y OR ADDNS. ( ACC. BLDGS. , /22sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@@300 eAL030 FIXED APLNS. Ex. Occup. OUTLETS (PRESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I'declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating < no kdjre, 16 v ^d 00 Cooling 3 tfa.r tS" Hood 3.00 Ventilation Permit Fee $ ZZG 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 Countyot Butte to enter upon the above-mentioned property for, inspection purposes. I also agree�tp save, indemnify and keep harmless the County of Butte against all liabilities', judgments, costs, and expense', which may in any way accrue against said'County/^in conseq'� (nc %Af he gra ting of this/permit.. {/ �X fl ! -`�" ' Date( o Signature of Applicant — Owne eContractor ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ . 7 HAz I CUA PARK I SCHL I ELD I PAR PD 1 HD 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIREPTOR OF PUBLIC / 1 By _ �� PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date J -_� ♦(l Receipt No. O WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ° E✓ 196 Memorial Way::Chico — Phone: 891-2751 c 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office. immediately. >z "3'" Q� K L 7 Vvu N Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 77 OWNE�t ? -PERMIT NO. A routine inspection indicates that thefollowing violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, ordeed additional explanation, please contact this office immediately. W" i /1 ' /" 6%f cs ;�" / (l S/% f r —,- 511 511 r ls�v ter_ Inspector Date i x Inspector Date COUNTY OF BUTTE -r DERARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 0.��7 r ASSESSOR PARCEL NU BER C)4, —�' — c9cfotll ZONING BUILDING PERMIT OWNE ` s TELEPHONE I S0. FT. OCC. BUILDING VAL A ION OWNER'S MAILI G ADD SS CONTRACTOR'S NAMt. J 8ve!t/J /'J 6i 1* -3 TELEPHONE CONTRA TOR'S MAILING ADDRESS f -D ✓9 Cr// (,!J Z Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 5' UqLtvvr Ciecci_ r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 ,5 USE OF STRUCTURE SF Duplex[-]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Instal ation❑ Other Describe work: © /42 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 / /��j�� ) ♦ Bp , •��� rr� 4,J�l�r L✓ S•1Y�- �/ �7?- ��W Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main Service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.tr OR ADDNS. ACC. BLDGS. , /2Qsgft NEW CONSTR. MULTI -OUTLET NON.R _S,., SID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20®501 BAL030 FIXED APPNS Ex. OCCUp. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 HeatingI'D 0lC r// Cooling CJ Hood 3.00 Ventilation. permit Fee $ Z.Z Contractor L 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. save, indemnify and kee harmless the County of Butte against I alsoyit' all liajudgments, cos. an ense which may in any way accrue againsounty in cons c e gr ing of this permit. / Date L � Signature of Applicant — Owne ontractor ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ J / HAZ CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees IRE TOR 91 PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date QHS *' Receipt No. 8tl WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPART,MENT PF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFCLRNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNERS � '{'�`? - � A. P. No. 7 2'' 3 � b .' Proposed Building Use s/� `�'y'• "V'Building�,lnspector CSr'') Q/ / Date 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... e2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in'duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ..................:...................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit .................................... . '16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 9 riveway permit (construction approval required prior to occupancy) 0. Pre -Inspection for L P required Pre-Inspec. request toL5 I L �21. . Building Inspector Contractor's license information (No., Name Style, Classification) ... ( te1 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................. 26. 27. When you issue the permit, process as follows:Mail to owner. Mail to contractor. Telephone and hold for pickup at - office. Deliver w/inspector. Date _-q --� Copy of plans sent Health De.pt., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1'. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). a 11 Contractor, designer, owner, was advised of above required data by_phone_-mail counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date �e 9 Plans checked by Date Plans approved by i ='Date Sets of plans on hold in . File cabinet AP folder Copy—DPW 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C=!iforni,,95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. FESSOR PARCEL NU SER C2 SNE5., n s ZONING TELEPHONE BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION IfIER'S MAILI G ADD SS l PllNTRACTOR'S NAM.^E/ TELEPHONE J c t n �/S 5 TRgTOR'S MAILING ADDRESS `% AlO o _ �23 _ Fireplace TJSTRUCTION LEND- UNKNOWN NDEn'S MAILI AD7 (/ C " � Total Valuation $ Filing g Fee 1Q,QQ Permit Fee $ CHITECT OR ENGINEER CHITECT O ENGINES 'S M�'I'' A ESs 7�� LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ ILDING AD RESS Permit fee $ t' PLUMBING PERMIT ng Fee 10.00 Each Trap 2.00 - Solar or heat pump water heater 20.00 iT NO. SUB VISION NAME --]PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 5 USE OF STRUCTURE Duplex❑ Mobilehome❑ Other -- SPECIFY Gas piping system 1 - 5 outlets 5.00 S ' Building sewer 5.00 Mobile Home I S G Nl 10.00e TYPE OF WORK�G�f r; ,,w ❑ Addition ❑ Remodel ❑ Utilities ❑ Instalillation❑t Other I scribe work —Lr✓ Permit Fee $ 4S "�_o Contractor ELECTRICAL PERMIT Filing Fee 10.00 �A,?3._!f ��. 11i:�•r� tip,-. L9,e fes,^fir a r� j� �J r�, Main service 1111 OR LESS 100 AMP OR LESS 10.00 1 CONTRACTORS LICENSE LAW ecIare under penalty of perjury (check one): FFFF i. ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business i' and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- E 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 Main service EA. ADD -L 100 AMP 2.50 NEH CONST. DWELLING OCCUP.a OR ADON.S. ACC, SLDGS. l22Sq ft NF V+ CONSTR •ULTI.OUTLET NOtJ_RESID, BrZANCH CIRC ITS 2.50 ea /POWER APPARATUS hl SINGLE OUTLET CIR. / EOc_cu / 20*50e Ex. p\OUTLETS OR FIXTURES 5AL030Q FIXED APLNS.�: Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ --"- WORKMEN'S COMPENSATION INSURANCE Oclare 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 subjectHood to the W. C. laws of California. itice to Applicant: If after making this statement, should you become subject !the W. C. provisions of the Labor Code, you must forthwith comply with such visions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating �PLIr LSC �,- Cooling T'O r 3,00 Ver. tiIation Permit Fee $ ZZ`'L' Contractor rtify that I have read this application and state that the above information ;correct. I agree to comply to all County Ordinances and State Laws relating Crouilding construction, and hereby authorize representatives of the Countyot rte to enter upon the above-mentioned property for inspection purposes. agree o save, indemnify and kee harmless the County of Butte against ud ments, cos s an x ense�)which may in any vray accrueuA Inst s i Co nt�in cons u i%� grayyfing of this permit. ., Mobile Home Installation Fee $ Energy Inspection Fee $ occTCONSTE —6liabilit TOTAL FEE JIlso PARK SCNL FLD PAR PD HD Issue Date l✓ mature of Applicant — 0Wn`e1A ontractor ❑ Agent ❑ ppOSHA permit is required for excavations over 5'0" deep and demolition or constrLct- Fof structures over 3 stories in height. [.,eipt No. _ %J jr-O.P.W.• YELLOW-AS5Z93111, PINK-INSPF.r,TOP, 11, inis permit is hereby issued under the applicable provi- F, sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ECTOR OF PUBLIC WORKS i' 7t 0. -4; -i -.i BY- Date PEPMI F'XP1a--C n.,,. S /��/� �er✓ni�S �� Yo C /!t / c L.J rALhlWr � Cr/iLa- �P � q I - 3 3 - 12 Lo l /ve.-j �5ysre-0-7. ti t' F-BOYD, 2-330-012 ;. OJ 3.115g DENNIS WALNUT, CHICO.. ,Cont: C & C ROOFING t ARE-ROOFAo r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIPJG DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 8-7541 -3 E (Rev. 12/96) APPLICATION AND PERMIT (� ASSESSOR PARCEL NUMBER ZO L�ENE I � BUILDINGPERMIT OWNER EP SO, FT. OCC. BUILDING VALUATION 5 l !, OWNERS, IAIUNG ADDRESS L 4t ` (\ CONTRACTOR'S El/ 1 `va TELE. HOJ1yE[/^ / I vas coNrRACTo/Y MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 5 r tN ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 5 1 Energy Plan Checking Fee $ $ L PERMIT FEE = a" LOT NO. SUBDN510NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF EY Duplex ❑ Mobilehome ❑ Other SPECIFY 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 d* Describe Work: _^^ I L. �.'i t '-cltoc 1d4(e, " (A , Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S i ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. > -•! l License Class �`� Lic. No. (<• � /� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. 10-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 ) , r ,. V\_ '•) Main Service TO 46.00so WEU200A CU00A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( a ACC. eLnS. SO 3.50FT. NO paID =T-0 LET @7,50 POWERLE APPARATUS a SINGOUTLET CIR. Ex. Occup. OUTLET OR FDRURES zu @ 1.00 BAL @ .50 FIXED APP LNS. . OR Ex. Occup. our.(FIMEa S.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number ' '-' ' , ) (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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' compensationfprovisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _✓�^-�' Date f C_ Signature of Applicant - 0 Owne�Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ pcc3 �/ �� co21 TOTAL FEE $ 74 . HAZ. D. FE IMP FLOOD COF PARCEL PD HD IS$UF 1V� This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica d above for which fees have been paid. e r /� / /'� �,, Date B4 1y I Yom- ' rlo q-e)p PERMIT EXPIRES ON -( d; Gy.D.S.-B.D. (Date) rR7eceipto. 32 5( tl (n 7�� 00 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT rm COUNTY OF BUTTE - DEPARTMENT OF DEVECOPMENT SERVICES - BUILDI DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 8-75410-3 „ T 3f (Rev.12/96) �'` APPLICATION AND PERMIT (IJ (� ASSESSOR PARCEL NUMBER 30 - 01t3l� ZONING f2-` BUILDING PERMIT OWNER ELEPHON SO. FT. OCC. VALUATION CBUILDING OWNErIUNG ADKESS a00 /I J!L/Jly� CONTRAPR TLMONE 3-D CONTRPOO'MlINO AD 3 S CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ cp ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 1 (� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ' 1 1,//` JI Energy Plan Checking Fee $ $ egalb PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other sPECIFr 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 "❑� �Otther Describe Work: ,�'a � I1X) l�.nC� 750 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home IS I GI W 1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 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 i full force and effect. �—� License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR aNS. ( ACCBRANCO. BLDSS so 3.50 MST NEW T NON-RESID, C "IS @7.50 aps NWG�LE o 1T IC R. Ex. Occu ourtET OR FIXTURES�0 @'.00 0 Ex. Occu . ouTi�is ..,,6.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the -R000rmance 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' m e tion in urance carrier and policy number are: Carrier pt +ti n, Policy Number D 004 1 - ti (The above sections need not be completed 0 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 worke s' compensatio rovisions of section 3700 of the Labor Code, I shall forth th comply it h se pro ' ' ns. _ X Date 2� () Signature bf Applicant - Owne Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories In height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee $ �c3 �� TO AL FEE $ , HAZ. D. FE IMP I FLOOD I CDF PARCEL PO HD IS U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica above for which fees have been paid. ` 1,1 By Date 7_ dry PERMIT EXPIRES ON -d,:;'-641 Date Receipt No. 3 5(o � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTES \ n( RESIDENTIAL V ` '042-330-012 0311344 PERMIT NO. ; BOYD, DENNIS 5 WALNUT, CHICO " Cont: PACIFIC SUNROOM SUNROOM JOE .�1 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD, HOUSING LETTER J=OK 0 = Not OK. ' . = Not NotApplicaReady ble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 . Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements -2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to'Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected ' 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card. B-1 Date Card B-1 MISCELLANEOUS Date ' DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool.Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.. Boxes -Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK = Not - =NotAApplicable p . = Not Ready � RESIDENTIAL (. Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al _ 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing jingle '& Duplex) Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes O No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: USE PERMIT, CONDITIONS If a Use Permit is issued by the County requiring certain conditions be met :pri6r to occupancy of the building, we are required to enforce these provisions. (See copy of Butte County Code Section 24- 44). Procedurally, we will furnish you, along with the inspector records, a copy of the Use Permit conditions. The conditions may not have been incorporated with or shown on the building plans. At the time of completion and final inspection, if a1 of the conditions on the Use Permit have been satisfied; we willcomplete the final inspection and permit occupancy. If the conditions of the Use Permit have not a been satisfied, notify the owner or contractor of the deficiency and handle like any other correction; however, the final inspection .and occupancy cannot be approved. Final responsibility for Use Permit compliance is that of the Planning Director "so questions and problems should be referred to that agency. PLEASE NOTE: This procedure must be incorporated into your daily inspection. SUNROOMAND SCREENED ROOMANCHORING TO FOUNDATION OR SLAB When the anchor bolts are not exposed for visual inspection at framing or final inspection, use the attached certificate in lieu of an anchor bolt and sill, or anchor plate inspection, on panelized, screened room or sunroom enclosures. CERTIFICATE OF ANCHOR SILL INSTALLATION (SUN.ROOMS) I certify those portions of the anchor bolt and sill system installed previous to framing inspection were not damaged prior to or as a result o of the installation, were not modified prior to or during the installation, and were installed in accordance with the manufacturer's installation instructions, plans and specifications of the engineered system referenced on this certificate. Manufacturer: Model: Installed by: Date: rontrLicenseNo: u e County Building Division 4/95 U. B. G SECTION 2602.4 EXCEPTION 4 In attics and crawl spaces, where entry is made. only for service of utilities, we will accept "R -Fax, RX -2, reflective aluminum foil insulation as an approved material to cover foam plastic; provided the material is identified and labeled as Class I. See the following I.C.B.O. Evaluation Services Report Number 4367 for description of foil insulation and manufacturer's application data. December 1996 4.13 r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 MIT NO. (Rev. 12/96) APPLICAY ION AND PERMIT 06 ASSESSOR PARCEL NUMBER `Y ZONING BUILDING PERMIT OWNER DENNIS & SANDY__B0)M TELEPHONE 891-5760 SQ. FT. OCC. BUILDING VALUATION 432 $29 10,800, . OWNER'S MAIUNG ADDRESS c6NTR4CTOR'6NAME / TELEPHONE CONTRACTOR'S WAILING ADDRESS P0 RARADISE, QA_ 95967-0836 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5 1 WALNUT CI CLE CHICO Energy Plan Checking Fee $ $ PERMIT FEE S169.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFS Duplex ❑ Mobilehome ❑ Other . SPECIFY 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)(X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: S()N OOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. � s� License Class ��� L' , Lic. No. "u] l 42:Z OWNER -BUILDER DECLARATIONEx. 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) E not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall s. forthwith comply with7,�eel �_ EDate dS/ • Ai - ©3 3gn`atu_,:�f Applicant - Owner 2 tontractor ❑ 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 occUP. so OR ADDNS. a ACO. Blas. 3.5¢FT: NO.R.IDT MULTI.OUTLU @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Occup. OUTLET OR FIXTURES BAS 0 '.w Ex. Occup. our E's AP. '.,6°Ew 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE EE $ 169,00 HAz. D FEES IMP FV CDF PARCEL PD H ISSU This permit is hereby issued under of the tte County Code and/or indic d above for which fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date D to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR- K -I ECTOR GOLDEN RCD -APPLICANT y` ro'�1�'S�?i3�'�,vr71+;'f��"�'7�,�,+�if+.^+wriW�'E""��',+rr�Y"'n� �.,,,,-.�,,.�,.,,..! `'�.��^rt�...-,�,-.•.,�;..:r�•„P� i i�}+.,,�,,�.;;�'—..,y,�. COUNTY OF BUTTE -DEPARTMENT O&DEVELOPMENT SERVICES -BUILDING DIVISION . 7 County Center Drive, Orovillei;AA95965 Phone (530)538-7541�Faxf(530)538 2140 - �w PERMIT APPLICATION DATA SHEET 6. OWNER:l �� 1 j ­ASSESSOR PARCEL NUMBER 0 T ) ✓ Q Proposed Building 9:1GY Counter Technician: Date: 7 O� Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. ❑ 'Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer. it Items required for initial plan review. If checked items have not been received, plan review cannot proceed. indexed and returned to the plan review line-up when required items are received. 0 Date Received ❑ '8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. - Hazardous Material Form............................................................................... _ ❑ 13. Other The.permit will be , By Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ..............................:........ ACl `15. Statement of Intent for Non -heated and A/C Buildings .....................................::.....;•. 16. Sanitation and plot plan approval from the Environmental Health Depi rtment,in' ❑ 17. City of Chico Plumbing permit... ^�6 ............................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent z ...................... 1 \by ,0-19. Planning approval for (A) Use: (B)Parking: ', -V Parcel Check: ✓ 0`20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for •., ' required ................ ❑ 23.; Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Nu`mber�.............:.............................. ti ❑ 25. Owner -Builder Verification (❑ Given'to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization ............... .... ................ T ❑ 27. Recorded copy of Agricultural AcknowledgmeneStatement.................................... ❑ 28. Manufactured home utility clearance.........................'...................................... e ❑ 29. Existingviolations and/or expired permits ...........................................:.............. P P ,t ❑ 30: ❑Grant Deed, ❑ M.H. Title/Statement of Facts, ❑Letter from Legal Owner' ❑Check toI C.D. $ c ❑ 31. Other: When issued Telephone 9, 17— and hold for icku ' { I have been informedof the above items and requirements for obtaining a building permit. 'f Applicant: tea" '' / 9 Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑ mail, ❑counter, by, Contractor, designer, owner, was advW_Dat ove data by ❑ phone, ❑- mail, ❑ counter,.by _ Plans reviewed by: tans approved by. Structural reviewed by: tructural approved by: Note transfer by: 4 Yellow: Building Division Plan Check Letter _Date: _Date: Date: Date: TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance wner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: ;nvironmental Health Specialist 4 Date 8/96 05-1(067 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �.V \ ( W Building Department No. A.P. Number 042 .3,3&o Jurisdiction: City Cot Property Owner Property Location/Address Subdivision Lot No. .......................................... ;!�.................................................................. Residential Development E2'Sq. Footage No'of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection): Commercial/Industrial �. _ Sq. Footage (Including Exterior Roofed Area Date / District Identification No. V ►_.> School District certifies that (Applicant) �f0` U (Street Address) _ (Phone Number) �"-6i d ( 7 (City) has complied with the re�quirements.of Resolution No. representing square feet. School District Paid by Check # IState) X51 -v z (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ 7 3� v Date Remarks: -A MH -10- 5o S b(;` Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As (10/98)dmm County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Pacific Sunroom Company ADDRESS: P.O. BOX 836 IMPORTANT: CITY & STATE: Paradise, CA 95967-0836 SEE INSTRUCTIONS ON REVERSE SIDE DATE OF CLAIM: 4/29/2003 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Reason for the Refund: pian check co Top ilon. ofi fees Blag Permit App 1 No.: 03 `'134 AP No 042 33:0' 012 Receipt No.: 3760.97 Receipt Date: Q1/03 Bldg Permit Fees: Owner's Name: D6.h.hJS n*, Sandy Boyd TOTAL FEES PAID: $286.00 TOTAL FEES RETAINED (Breakdown Below): $169.00 Building Permit Filing Fees: Plan Checking Fee: Plumbing Permit Filing Fees: , Energy Plan Checking Fee: Electrical Permit Filing Fees:Refund Processing Fee: Mechanical Permit Filing Fees:Inspection Fee: _. S Fee: $117.00 I, the undersigned, declare under penalty perjury that the/(services or articles claimed have been is clai i e a correct as stated or livePSigniture 'of ated this v day of /performed V 2003, at �' "" v �"�� Calif. of Claimant I, the ndersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been pe lormed or deliveled and that there is a Budget Appropriation or Specific Board Approval (ck one) for the same. Dated this � 1 Laa l P day of �� 2003, at _Oroville Calif. Department Head or Authorized Deputy Dept. Code 440-001 Exp. Code 4210500 PAYABLE FROM Construction Permits FUND Dept. Code Exp. Code PAYABLE FROM FUND Dept. Code Exp. Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT & SUB. PROJ. SUB. OBJ CLAIM NO. INV. NO. INV. DATE ENCUMB GROSS AMT. l� l FOR BUILDING DIVISION USE ONLY: , ... Receipt Information: Number: 7 4 C1 ' % Date: 3 Issued To: C. Amount: Fees Retaiined: BP# 13 BP# Processing Fee: $ Processing Fee: $ Bldg Filing Fee: $ _ Bldg Filing Fee: $ Plbg Filing Fee: $ Plbg Filing Fee: $ Elec Filing Fee: $ Elec Filing Fee: $ Mech. Filing Fee: $ Mech Filing Fee: $ Energy P/C Fee: $ Energy P/C Fee: $ Plan Check Fee: $ Plan Check Fee: $ Inspection Fee: $ Inspection Fee: $ SRA P/C Fee: $ SRA P/C Fee: $ Other: $ Other: $ Total Amount Retained: $ QG' $ TOTAL REFUND DUE:$ _ vv )- $ Amount from 440-001 $ Amount from $ Amount from $ Amount from $ J:\My Documents\REFUND CLAIM APPLICATION.doc 12/17/02 �UTrF 00 00 Butte County Department of Development Services ° ° ° - ° . Building Division � ° cOUN �y REFUND CLAIM APPLICATION REQUEST FOR REFUND Refunds can only be made upon written request by the person who paid the fee(s). 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 are not refundable. Fees paid to other County Departments are not covered by this claim. [Butte County Code section 341(t)] CLAIMANT'S NAME: (ar c ,C, S'Uc,-,A0'b-y7'n UE MAILING ADDRESS: P - D (�}( CSS 3 % ASSESSOR'S PARCEL #: G 4 --'� - 3 3 © '-O / r_� BUILDING PERMIT #: 3 RECEIPT NUMBER(S): `� '? o 7 A request for refund of fees paid on the above receipt number(s) is for the following reasons: Please refund any applicable fees in the following categories: (Check those fees which you wish to have refunded) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Other (specify): Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address ( ) Please dispose of plans Signature Date A COUNTY OF BUTTE GENERAL CLAIM FORM WILL BE MAILED TO YOU FOR SIGNATURE AFTER REVIEW BY BUILDING OFFICIAL. 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Box 850163 Mcdquife; NO.3421P COLORADO FLORIDA IDAHO �I85-0163, ,so9)>xoo)es KANSAS MINKESafA NMMMICO LOAD TABLES Telephone: 214 2$4 fiffNl I�:4L882843 UNTY M E OREGON lrAN WASNINO ON S, m E� PP R 0 D A •DD: �a N N `°off OD � o � N N 2 r r J o w N tfl3 � on o y Z o m �g I - o o�0�0�99 I� I �ZZ Il a °\ r� � o �� � O N N �zPN N N � I J I o � �o J I a F l9 l I 0? I l9 I l9 I O A N m W N CL S 61 N CL 61, W W 0 0 0 S O O X m O � � N � a � O C. �CPNSRD pROwSS10NAt. m -, � Io R� ALLMET BUILDING PRODUCTS... ® ICBO EVALUATION ASHTON VANCE '-%! ,J,NC. F.Nr.,N[ ea ,A mgpl 10 F?SF LIVE 227 S. Town FBIvdM ulu; Tx 75149 A SERVICE INC. REPORT w.IYI�.14�,.,�o "'" " ARIZONA CALIFORNIA p• • P.O. Box 850163 Mcdquife; NO.3421P COLORADO FLORIDA IDAHO �I85-0163, ,so9)>xoo)es KANSAS MINKESafA NMMMICO LOAD TABLES Telephone: 214 2$4 fiffNl I�:4L882843 UNTY M E OREGON lrAN WASNINO ON S, m E� PP R 0 D A •DD: N � `°off OD � o N N N r N tfl3 N 0 on o y Z o m �g I - j I� I �ZZ Il a� to 0 C. �CPNSRD pROwSS10NAt. m -, � Io R� ALLMET BUILDING PRODUCTS... ® ICBO EVALUATION ASHTON VANCE '-%! ,J,NC. F.Nr.,N[ ea ,A mgpl 10 F?SF LIVE 227 S. Town FBIvdM ulu; Tx 75149 A SERVICE INC. REPORT w.IYI�.14�,.,�o "'" " ARIZONA CALIFORNIA p• • P.O. Box 850163 Mcdquife; NO.3421P COLORADO FLORIDA IDAHO �I85-0163, ,so9)>xoo)es KANSAS MINKESafA NMMMICO LOAD TABLES Telephone: 214 2$4 fiffNl I�:4L882843 UNTY M E OREGON lrAN WASNINO ON S, m E� PP R 0 D j �ZZ Il � � I J I J Oi 0 - J I D? i � I l9 l I 0? I l9 I l9 I O A N m W N CL S 61 N CL 61, W W 0 0 0 S O O X -rte � O 0 J CP (9 Q N r9 �� � Q Q N c�mW�oO�AocooO���oo 0D � rpt- Z Z i � moo �o ����o ���Q m � a J (b l9 l9 nN 0! 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