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Home My WebLink About042-340-01242-34=12 Ray Rolls 9 Churchill Dr., lot 4, Chico contr:Champion Const., Chico Permit #5500-77B,P,E(remodel exis. bathroom/SF)F^,�-///�9/7pr-� 427,34-12 contr: Champion Const., Chico Permit #219-78B,P,E,M(remodel master bath/SF) A � f 42-34-12 1387-91P ROLLS, Ray 762 Churchill Dr, Chico Cont: Advanced Plbg (gas line/sf )- -- - - • --�.)1�' �, X42-34-12 91-3706 ROLLS, Ray. 762 Churchill Dr, Chico cont; Greg Lee (repairs/sf ) I 042-340-012 - PERMIr'#96-103Y WITTFIELD,,Steve 762 Churchill Dr., Chico Cont; Thomas Burkett 9 1 Add Bedroom & Bath/SF 90 - '' /2. ro� �- �. 042-340-012 PERMIT # WHITFIELD, STEVE & MARY 762,CHURCHILL DR., CHICO AG EXEMPT PERMIT -ORCHARD EQUIP/S _ RE ,IDENTIAL i�% `L- `//lam -"L 1-042-340-012 PERMIT#96-1030 G ! WITTFIELD, Steve 762 Churchill Dr., Chico Cont; Thomas Burkett r�► —/g Add Bedroom & Bath/SF �— V=OK 0 = Not OK Not Not Re ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location-Test0rap; / / L'ft. / /Nat. or/ PL°ft./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s . Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL'(,; ' = Date UNDERF OR (Plans) OK except tf's Hing- tbacks-Easements-Flood-Slope Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soil - feel-/ /Ftg. Depth temwalls, Main; St -Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 1E. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Ancho Nail Protection 18. Df�pf� Test -Fittings A r -Nail Protection ^" iS r Pan; Firs or -Tub Access ---- - ----------------------- 20. Test T b o er. Sec d Floor -Tub Access ---------- ----- --------------------------------- - 21. Gas Pi e: Siz & nchors ------------------------- -- -�fl------------------------ -------------------------------- --------------------------------------- ----- - - --- - - - - - - Date - - Card B_1 - Dae Card B_1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ir's 22. Fixture & Transformer Clearance -Ins. Protection --------- ------------- ------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- - ---- ------ -- ------ --------- --- --- -- - __.. 24. Size Boxes & No. of Conductors -Stapled ----- ---- - - ---------------------------------------I---------- 25. RomexLln�all�edd Close to Edge of Studs & C.J. ------------------------- -----------`-------------------------------------- 26. Equip.d made up wrMech. Fastners-Bond Gas & Water -------------- ---- ----------------------- . -- 27. 2 n Kitchen &Conductor S,zerGFl 22. S bfe Wire Siz ga Cu or AI-A.C. Wire Size ga. u At ------------------- - 29. Range.Ci c. Cu or AI -Oven Circ. ga. Cu or Al. qEip. U.1--e eutra ❑ Yes ❑ No 30.v' Riser Conductors & Ground -Main Disconnect ---------------------------------------------- .... .. 31.Clearances Panels-Motors-Mech. Equip. -----------------.---- ----...------------ --._. ....32. thes Closet Light -Shower Light -Spa Light - ---------- -- - --------- ------------------.' ... -- 33. Smoke Detector------------------------- etector -- ----------------------------------.................... _....... .............-. .. Date Card B-1 Date Card BQ ---------------........- ............ ...................... ... ....... ... ... .. Date Card B-1 Date Card B.1 Date MECHANICAL.(Permit) OK except #'s 34. A.C. Ducts Insulation & Support -------------------------- ----------------------................ ... ....... 35. Vent Fan: Exhaust above insulation _____3_6. Conde sa D & O !flow: S ze & Grade ------------- - / ....... . 37. Fu an Vent: A c s b. Air -Return Air Vent -115 cullet - - . _. ... ... .. 38 A i Acces & P}atf m u Hance in Attic ...... __._.._..__ ..- e . --- . --- - ...... .. Date Card B -t Date Card B -t - ------------------ ------- . . Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ....... ...... ....... ... ............ ... ... ... .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... ._. _.. ... .. -- ----............ ...... ... 41. Bearing Walls over Girders & Floor Nailing ........... ... ............... .. - -- . .._... ... -. 42. Draft Stop in Walls (rat proof) ...... -- ....... ................ .........I _.. ... _.. . 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------- ------- ----...... ............. .. .. .. ....... .. ... ._. .. 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties -P rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties o yof 6,flue-Fireplace Throat clearance 48. Attic Acc s , S ex Protection -Draft Stop -Ins. Baffles 49. _ Wi ws r x ting Doors -Sill Hgt. 8 Dimensions 50. r ge F re Prott)e io Framing ---- -51. Pro erty Line II & Openings 52. Ext. D rs- neeck Garage -3rd Story, 2 Exits -------------------.-. - -r - ---------- 53. Stairs i room -Rise -Run -Landing -Fire Protection 54. plyw on Roof Overhang -Attic Vents -Rafter Outriggers _-- -- ----- 55. Siding Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ----------------------------- --- - 58. Shear Walls: NaiIin9 Bolts ✓iitration-Walls-Windows •------------------------------------ --------------------------------------- Date Card B-1 Date Card B-1 ------- --------------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except s's 61. Ext. Steps -Door & Sidelight Protection -Landings _ ---- ----------- urnace_Vents-Clearance-Comb. Air -Connector- In GAbove floor -Ducts -Meth. Protection - e6N�8 d Exiting ----------- _-- F.I. & Bath Fixtures & Tub Access-Spa --ft-Elec_ - Trim& Subpanel_Breaker Sizes & Labels -67 -Stairs & Rails - - --- --- --------------------------------- __6drF replace or Stove. Clearances -Hearth -----------.. ..---------------------------------- -6--&ec. Outlets at Wood Panel: Int. & Ext. ..... ....... ..--------------------------- ---------- t.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ...... .. .... ...--------------------------------- -- -- -q-T41ec. Outlets & Receptacles at Kit. Counter ...... ----------------------------------- 1-17-darage Fire Door: Swing-Landing-Closer ---Z+-A.C. Duct in Garage -Damper ...... ................... ---------------------------- ----- ;4-.Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Gar ge: Above Floor-Mech. Protection -------------------------- b.. Elec. & Mech. Equip. Listed for Location - l7G-ET ceptacles n Garage: (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic __ ❑ Yes- -- �2- Cru d Rails & Deck Construction -Post Caps ....... - ------------------------------------------------ Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -�89"following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No - -- ---------------------------------------- __e . Stucco: Brown -Finish .. ... ....... .....-----......_.._..----------------------- -------- ------- �a; A C. U Disconnect. Electrical, Plumbing .. ... ...----------------------------------------- ents Above Roof: Plbg.-Appliance-fireplace.-Clearance to Openings .... ................................................. --- ------------ --8#-Water Well: Disconnect. Electrical. Plumbing io! --Tri: G F.I Receptacle -Under round m--- - 8 nt�latio Throughout House -------- ----------------------------------- --- - ------------------ ass Protection --fs8;'Correcuons from Previous Inspections . .. ... ....... .. .... .- -------------------------------------- ---ftT-G7'STest -Meters Tagged: Gas -Electric _ ... -------------------------------------------- < Un ^'�'^• & Sew Connected -C/O to Grade -HD Approval -------•------------------ 9 ray ComCert ticate-Other Certificates Dat -44 U ` Card B-1pliant Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final ...... ..... .. V COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION _ 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT % -/030- ASSESSOR PARCEL NUMBER 042-340-012 ZONING SR -1 BUILDING PERMIT OWNER STEVE WITTFIELD TELEPHONE SO. FT. OCC. BUILDING VALUATION 494.5 R 26 703 OWNER'S MAILING ADDRESS 762 CHURCHILL, CHICO CA 95928 EL. 00 CONTRACTOR'S NAME THOMAS BURKETT TELEPHONE 345-9577 CONTRACTOR'S MAKING ADDRESS 4265 RANCHO RD. CHICO CA 95973 Fireplace 3 -70-3 CONSTRUCTION LENDER U rWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee E37,50 $ � ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 3 8 $ ?7.27� Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 33. BUILDINGADDRESs 762 CHRUCIiIL CHICO __ . PERMITFEE $ 485—+ PLUMBING PERMIT Filing Fee 20.00 Each Trap 51 7.00 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF INX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition INX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ Ann MASTER BEDROOM & RATH Mobile Home I S I GI W 1 920.00 PERMITFEE _ 70-00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 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 16 Lic. No. S� �� (�� R- OWNEBUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. s0. OR 8 ACC. BUDS. ) 3.5¢ FT. 17.30 CNS. NEW CONST.MULTI.OUTLET NON-RESID. BRANCH CIRCUITS ) 97.50 POWER APPARATUS ( 8 SINGLE OUTLET CIR. ) 20 @ I000 Ex. Occup. ( OUTLET OR FIXTURES) B . Ex. Occup. (oFIXEEDTs PLNS..ORRn ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 37.30 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating EXTEND DUCT Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ ____ Date �� ` �P_ Si nature of Applicant - ❑ Owner A Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 OCC CONST. TYPE TOTAL FEE HAZ. I D. FEES I IMP FLOODCDF PARCEL I PD HD S This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work indicated above for which fe have been paid. By D to PERMITEXPIRESON (Date) Receipt No. CN -Y � % •D.D.S-ASESSO PINK-INSPECOR GOLDENROD•APPLICANTWHITE it M COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVA;CES*, o 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Croville, CA - (916)'538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307` CORRECTION NOTICE f :Tr OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation; please contact this office immediately. a CA'Rfou /3 L2 i o1 f; T to C U CU f7_ �r Date -2- C 1 ? Inspector REV 10/92 j} COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ,- 103 OWNER / PERMIT NO. A' A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date e/ Inspector , REV 10/92 :`• COUNTY OF BUTTE -ti BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _ 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conte t. this office immediately. ,y> i. 9J' rsa�• i+ -L r. . r Y Cil it pi 3?, Date �Inspector t.. REV 10/92 t COUNTY OF BUTTE . ' BUILDING DIVISION 1 DEPARTMENT OF DEVELOPMENT SERVICES k'==" 1469 Humboldt Road, Chico, CA - (916) 891-2751 10, 7 County Center Drive, Oroville, CA - (916) 538-7541 P'.: 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE to (7 96-1030 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �j �I(/•� ti �L�3� i9N/2S 0 ' �I?Wh12 Cate Inspector REV 10/92 Owner: Permit No. ENERGY C ERTIF ICATION �� a Lh1AT-C�-- LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material FIBERGLASS BAITS Thickness(inches) -5')a 11 CEILING Batt or Blanket Type FIBERGLASS-BATTS Thickness(inches) ' Loose Fill Type Minimum Thicknesi(Inches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Tlhickness (inches) Brand Name Thermal Resistance (R Value) Brand Name SCI-IULLER INT. Thermal Resistance(R Value) r Brand Name SCHULLER INT. i Thermal Resistance(R Value) 3U Brand Name Number of Bags Wt. per bag '' lb. Thermal Resistance(R Value)__ Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Loerke Insulation Co.. Inc. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attacl.unents hive been installed as required by the State of -California Energy -Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF QEVERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984. rrr.-•w.. � ... .. `�-�. 7 •-v -.�..l a�-� ... •�u.r .(►-;'..,--.fir. .... - ,.. i -•,,-. ... - i r .....n, .. '1 J�:. OUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION -Aa )t 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 OWNER 1. u .CJI. Proposed Building Use PERMIT APPLICATION DATASHEET On -> 17't Building Inspector ! �P. No. C)4a-31/0- ol-L ro4. h Date S �� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehom manufacturer's installation instructions, 2 sets. ........... Fees of $ 4 3.8 . y.3....... , ... . ............. Impact fees as shown on attached schedule . .............................. 2. California Department of Forestry plan approval/fees. ....................... . 1 Flood elevation letter (100 year floorCalifornia Engineer................... Sanitation and plot plan approval Health Department. . 15. City of Chico plumbing permit. ........ ............... . 16. Plot plan and business license approval from .City of Biggs/Gridley. ................. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy)... .. . 20. Pre -inspection for Preanspecb.. . on req est . . tc Bu;,d;ng Inspedar (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plan check list. .................................................... . 01 34. �W= Whgn you issue the permit process as follows: Mai ovyner. Mail to contractor. X Telephone YS - Y5-" and hold for pickup at office. Deliver with inspector. Other Parcel Creation - p Acreage Applicant /• Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. Other Date By The following data must be submitted prior to permit issuan 1. Index permit for above items No. 8 1 1 2. Additional items required: (Circle new item not checked above). ►t Contractor, esigner, owner, was advised of above required data by -)C phone _ mail Counter by Date5- I �(-�'1�� Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by C 11; 13�) i Date Plans approved by 1 136on/ Date S -/6,6r Sets of plans on hold in 3, -:File cabinet AP folder Copy - Department of Public Works r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan nnaceea Poor Plea Agnched Seat to E.D. Z LAor6�1<�/ �r , a li-o .�Z- 3 ya -a1Z r Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other /�'k �z�� s c✓ib�ra�I Z �lx� - Hold final for: Final clearance O.K. for: NOTE: Environmental Hq&th Specialist Date 8/92 `V BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM School District A. P. Number (4 3 10* Property Owner (One Form Per Building) Building Department No. QJ Z Jurisdiction: City [3�q County Property Location/Address r� p •n e Subdivison Lot No. Residential Development 0 FT Sq. Footage f ving MHI No. oft Addition (Group R) Units Commercial/Industrial 0 Sq. Footage Oql New Addition (Including Exterior Roofed Areas) dez 1,2 67-,? - ?(0 -Lrozemo Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. N +� School District certifies that � �� r Kt:d-- (Applicant) (Phone Number) (City) " (State) (Zip Code) has complied with the requirements of Resolution No. d� by payment of $ 4e0g', ' representing 4-qsquare feet. 11 AB 2926 $ -- -- - ---- ON $ Date Paid by Check # Remarks: ` 1 Bank Number Paid by Cash 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 (CEQA), 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) feeformmkl (11/94)dmm BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 —TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT RMIT NO. C� Agricultural building is defined as follows: Agricultural building is a structure designednd constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. AS0SESSORR P.OARCEL NO. RO�NING OWNER PHONE NO. OWNER'S ADDRESS 762 CHURCHILL DR, CHICO 95926 LOCATION OF BUILDING 762 CHURCHILL DR CHICO USE OF BUILDING STORE ORCHARD EQUIPMENT & SUPPLIES. SIZE OF STRUCTURE 35 ' X 1.050 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME X STEEL CONCRETE OTHER (Specify) TYPE OF SIDING WOOD ROOF COVERING WOOD FLOOR TYPE CONCRETE ESTIMATED COST OF CONSTRUCTION $—,nnn AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: SI FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. - AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 6� " I ` '1,f� Signature of Owner "v . Permit Fee - $60.00 Receipt No. The above described AG Building is exempt from a building permit. FLV6 I PAPtL I Py I ROObfNG ISSU Manager Building Division By Date 612 O %9/ White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant V �R SI ENTIAL 42-34-12 __- --- --- 91-3706. ROLLS, Ray 762 Churchill Dr, Chico cont: Greg Lee (repairs/sf) 0 JOB FINALE Signature ri J=OK O = Not OK Nott RQadyApplicable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"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. Exits; Insp.-Sketch 10. Cert. of Occupancy 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 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, Distances-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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 �Y Or �r fC�fo%<< S�✓�in g QCT, ✓=OK O = Not OK =Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ti'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 -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- - -- ---------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --------------------------- ------------------- 19. Shower Pan; Test, First Floor -Tub Access ----------------- -------------------------- 20. Test Tub & Shower. -Second -Floor -Tub Access 21. Gas Pipe: Size & Anchors ------------------------------ ----------------------------------- Date----------Card B 1___--_--- Date -- --------- Card -B-1 -------------- Date ard-B 1 ------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------------------------ -------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- ---------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled - 25. Romex -Installed Close to Edge of Studs & C.J. --------------------------------------------------------- 26. Equip Ground made up w/Meth. Fastners-Bond Gas & Water ---------- ----------------------------------- -------------------------- - 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---- ------------------------------------- ------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. -Cu or At ---------------------- --------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------ --------------- ---------------- - - 31. Equip Clearances Panels-Motors-Mech. Equip. -------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --- --------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------- ------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support ----------- ------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation ------------------------------------------------ --------------------------------- 36. Condensate Drain & Overflow: Size & Grade ----------- ----------------------------- ----- - - -- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- ----------------------------------------------------------------- 33 Attic -Access-&- Platform if Furnance in Attic ----------------------- ------------------------------------------------------------------------ Date ---------------------------Date Card B-1 Date Card B-1 ------------------------ -------------- ----------------------------- ---------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors . - - -- ---•-•--------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------- -- --------------------------------- --- - ---- -- 41. Bearing Walls over Girders & Floor Nailing --- ------------------------------------------------------------ 42. Draft Stop in Walls (rat proof) •----- ------------ ----------- ------------------------------------ 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors - 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ -------------------- _ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------- -------- - 55. Siding -Nailing Veneer _______ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------- Date _ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- 62. Smoke Detector ------------- ------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ---------- ------------------ 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa ------------------------------ 66. Elec_ Trim -& Subpanel; Breaker Sizes & Labels 67. Stairs & Rails ------------ 68 Fireplace or Stove: Clearances -Hearth - 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit Fixt_& Appliance_Grnd_Air Gap -Cooking Clearance ---------- --71. --Elec. Outlets & Receptacles at Kit. Counter ------------------- -- ----- 72. Garage Fire Door; Swing- Land ng -Close r ------------------------------ 73. A.C. Duct in Garage -Damper 74. Wtr, Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------- ---- 7,. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- ----------- ---78.-Guard-Rails & Deck -Co nstruction- Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth ----------------- Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; - Planters -❑ Yes ❑ No i31. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ----------------------------------------- -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ------ --------- 84. ------- 84. Water Well; Disconnect, Electrical, Plumbing ------------ ------------------------- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - .. --- --------------------- -------- 86. Ventilation Throughout House -- ------------------------------------ 87. Glass Protection ------ --------------------------------------- - ------ --- ---------------- 88. Corrections from Previous Inspections - - --------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric _.- ----------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy -Compliance -Certificate -Other Certificates ------------------------------------------ --- -- Date ___________ Card -B-1 Date__ _Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538.7541 APPLICATION AND PERMIT P RMIT NO. &z ASSESSOR PARCEL NUMBER 42-34-12 ZONING BUILDING PERMIT OWNER Ray Rolls TELEPHONE 895-1422 SQ, FT. OCC. BUILDING VALUATION Est,2,000.00 OWNER'S MAILING ADDRESS P.O. Box 9019 Chico 95927 CONTRACTOR'S NAME GreR Lee Construction TELEPHONE 345-4227 CONTRACTOR'S MAILING ADDRESS 40 Centennial Dr. 361352) Chico 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$2,000.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 37.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $52.50 PLUMBING PERMIT Filing Fee 15.00 769 Churchill Dr., Chico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFXI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New U AdditionEl Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Replar-e Patio-Str't1Ctllr t REpni r Siding,— Dr -y Rte-t/R,€pair Bathroom Floor rr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2000A OR LESS 18.50 Main service 2000ATO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license Is In full force and effect. License No. Classification ❑ 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 CONST. / DWELLING OCCUPM OR ADD NS. l ACC. BLDGS. I 3.6Q sq.ft. NEW CONSTR ULTI-OUTLET NO N.R ESI D. BRANCH CIRC ITS @ 5•�0 POWER APPARATUS h (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED APPLN Ex. Occup. OUTLETS ((RESID )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 Filing Fee 15.00 Heating Cooling g Hood 6.50 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I ilities, j ents, costs, and expenses which may in any way accrue ag ins sai o nt in consequence of the granting of this permit. X o Date Signature of Applicant — Owner Ellsions ❑ 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 S ttj Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 52.50 rlAz DFEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the of t Butte County Code and/o work i Ic ed a e raic DI FORKS By PER IRE Date applicable provi- resolutions to do have been paid. Date Receipt No. 100949 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -OROVILLE,*C4IFOPNIA 95965 - TELEPHONE: 916/538-7541 ' PERMIT 1ALICATION DATA SHEET ,e�d �,/ OWNER /tel' i C/ r✓ ... - . - NIWYAZ1I/!'�dA W Permit No. 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 . ................:`,', ................. . 2. 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 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 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 y iissue the permit, process as follows: Mail too owner. 351 Mail to contractor. 1 Telephone and hold for pickup at�office. Deliver w/inspector. Other ApplicantL-0. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. -----Air Polluteion Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 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 —ma ll—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. CallfornlEr 95965 - Telephone: 916.538-7541 APPUCATIDN AND PERMIT PERMIT NO. ASSESSOR PAq EL NUMB R —✓� "� % � ZONING BUILDING PERMIT OWNER. pp TgjEPNONE C,Jf'lJS SO. FT. CC. BUILDING VALUATION OWNE AILING ADDRESS COIyf,�i A_S!}TSNAM. TE,LPHONE_ L'7.G7 CACTOR'S MAILING ADDRESS Fireplace ONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD RESS / _ / Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or_ heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or. vent 7.00 USE OF STRUCTURE SFXDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New L AdditionLj R odel Utilities ❑ Installation❑ Other ❑ Describe work: U Permit Fee $ Contractor ELECTRICAL PERMIT FiIingFee 15.00 ///�� _ �% O „ Main service 200A OR LESS 200A OR LESS 1$•50 Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.al NEW CONST. ( ACC. BLDGS. / OR ADONS. 3.64sq. ft.NEW CONSTR. MULTI -OUTLET NON-RESID• BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APNS. Ex. OCCUp. OUTLETS PRESID iREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IYirin 9 '15.00 Permit Fee s , — 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 Filing Fee 15.00 Heating Cooling 9 Hood 6.50 Ventilation permit Fee j 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 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. X Date Signature of Applicant — OwnerClContractor E]Agent ❑ An OSHA ion of structures tover 39stor esoinehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE $ FEE TOTAL 67�. S HAz 1 0FEES I IMP I FLOOD I COF PARCEL I PO I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller Cellfornle 95905 - Telephone; 918/538.7541 _ APPLICATION AND PERMIT A111111951110141 11FAI 042-340-012 ZONING SR -1 BUILDING PERMIT " y R011S i91-5750 S0. FT. OCC. BUILDING VALUATION OWNKRIS MAILING DD It 762 Churchill Dr., CHico 95926 5 CONTRACTOR'S NAME Advanced Plumbing TELEPHONE 894-0606 CONTRACTOR'S MAILING ADDRESS 3602 Bridle Lane Chico 95926 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 10.00 762 Churchill Dr., Chico Each Trap A 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP r Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [A Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00Pn TYPE OF WORK10 New E-1Addition [:]RemodeI [IUtilities ® Installation ❑ Other ❑ Describe work: Natural Gas ,00 Permit Fee $ 25 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 610011 OR LESS 10.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I clave under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio Code and my license is in full force and effect. Q �„ License No. Classification. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.m OR ADONS. ACC. BLDGS. , .�2CSgft , NEW CONSTR. ULT'-OUTLEJ *, 2,50 ea NON-RESID BRANCH CIRC S POWER APPARAT.CJS e SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES 200501 eALa 3o Ex. Occup. oU LETS PFIXED APLNS. R (RESID,)EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g 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. shall not employ any person in any y 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 Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County o Bu a against all liabilities judg ents, costs, and expenses which may in ny ay accrue I against said unty/' c s uence of the granting of this per t. If /-- X Date l Signature of Applicant — er❑ Contractor Agentp An OSHA permit is required for excavations over S' 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 $25.00 HAz cua PARK scHL I rLD cDF PAR Po i HD, 117 This permit is hereby issued unser the appiicable provi- sions of the Butte County. Code and/or resolutions to do work in �caeove or which have been k td abffhbaid. DIREfyy OF PUBLIC,WORKS ��% _ / f� B /: c wJ,i1/ � Date t / C_ PERMIT EXPIRES Date ? / lam / 88755 Receipt No. WMITE-D.P.W., YELLOW-ASSEI.R. PINK-IN9PECTOR. aaLDERROD-APPLICART r ... —� -. ��/. ty.u'.--.C,+.'r+C "'"".��t.. �_ �...�ti,�;r^„r'iL. . — �F •s..:s. tt�l,A q.^, •.:: �s COUNTY OF BUTTE ,a` l DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 . 7 County Center Drive, Oroville — Phone: 538-7541 a • 747 Elliott Road, Paradise— Phone: 872-6307 fi CORRECTION NOTICE 1--4 ERMIT 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. �a if !moo- R -c Date_ % Inspector A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle. California 95965 - Telephone: 916/538-7541 APPLICATIO AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 042-340-012.._ _ _ NING _ SR -1_ BUILDING PERMIT OWN Vd y Rolls 1C TELEPHONE 91-5750 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 762 Churchill Dr., CHico 995926 CONTRACTOR'S NAME Advanced Plumbing TELEPHONE 894-0606 CONTRACTOR'S MAILING ADDRESS 3602 Bridle Lane Chico 95926 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 10.00 762 Churchill Dr., Chico 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 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 15,00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities a Installation[] Other ❑ Describe work: _ NAfiirnl Cng Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess Io s Code and my license is in full force and effect. L/ Q2t License No. 6 Classification. y ❑ 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 CONST. / DWELLING OCCUP.SI\ OR ADDNS. \ ACC. BLDGS. I 1/22Sq ft NEW CONSTR. MULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e I SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES eAL@AL930 FIXED Ex. Occup. OUTLETS (RESID 1EA.) PR 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 fX 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 FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County o Bu a against all liabilities judg ents, costs, and expenses which may in ny ay accrue again t said . ount c uence of the granting of this per t. X Date Signature of Applicant — Winer ❑ Contractor Agent An OSHA permit is required for excavations over 5' 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 $ 25.00 HALcuA PARK SCHL FLD cOF PAR PD I HD. ISS This permit is hereby issued unoer the applicable provi- sions of the Butte County.Code and/or resolutions to do work 1 'cated above for which fees have been aid. P OIR OF PU IC ORKS B Date PERMIT EXPIRES Date Receipt No. 88755 WNITE-O.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT •'.Jii(i`V..i-K....{ i1 .7'+'...n ^,}�. I. ..t ,r J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OF3(�3�1FLLN', Wi=ORNIA-95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER— -/ keln–c A. P o. Proposed Building Use �cGLl� l /"/N C/ Building Inspector Date S 7 At time of p `rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ?mss DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. 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 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 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. Ma'.iKto contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant J Date 7 Copy of Haz-Mat form sent Health Dept. Fire Dept.AI Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data mu submitted prio�tormit issuance: (Circle new item�nolhecked above). 1. Index permit for ove items No 2. Additional items requir Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_maII_count�r by date Plans checked by Date Plans approved by t Date Sets of plans on hold in File cabinet AP folder Copy—DPW �. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ATO PERMIT ASSESSOR P RCEL NUMBER _� ZO G / BUILDING PERMIT OWNER I„ ^ / ` TELEPHONE . S0. FT. OCC. BUILDING VALUATION OWNER -P MAILING ADDRESS c-'_- 14 � CONTRACTOR'S NAME O TRACT RR'S MAILING A DRESS 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 ARE G , J�C /�� C/ Permit fee $ 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 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 p Building sewer 5.00 Mobile Hom S I G JW 1 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities, Installation[—] Other ❑ Describe work: %��%Z L- /� /O U (J Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is 1n full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.li OR ACDNS. ACC. BLDGS. , /zQsgft NEW CONSTRESID, RANCH TLET NO N.R ESID BRANCH CIRC ITS CIRCUITS) 2.50 ea (POWER APPARATUS e\ ,SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050t SALO3o FIXED PR Ex. Occup. OUTLETS (RESID IEA.) 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. ❑ 1 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. I Contractor MECHANICAL PERMIT- Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ; L—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. I 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. 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 $ Energy Inspection Fee $ cc. I CONST TYPE TOTAL FEE $ HAL PARK SCHL FLo coF PAR PD I HD. ISSUE 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 7 ,;�Z WRITR,-Q.P.W., L,nw-Ac!i SnR. Pi x-Iq SPrr.Toq. �Ol,n ru or,n. SPP.., C. ART r PERMIT NO. 219-78B,PE,M PERMIT EXPIRES OWNER Ray Rolls CONTR. Champion Const., Chico LOCATION (A.P. 42-34-12- 9 2-34-12-9 Chrchill Dr.,,. Chico Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB�� v �� FINALED (Date) (Signature COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall "" Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish—F-, 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping — Piers Roofing Sewer Garage Fdn. Vents - Fixtures��—� Slab Carport Footings Slab Patio Footings isonry Walls Reinf. Steel Bond Beam Mesh ECHANICAL Gird. Fault Prot. --t Scratch Heating Service Brown Cooling Temp. Pole �-- Finish Ducts Underground Interior Lath Ventllation Permanent Door Closer Final Final y� _ MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MO MU I4NSTA66ATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE t REMARKS OR CORRECTIONS �j ® S�0/c -r �s2d �/Q/p� i�1/� C�ic%� c�d c,61-74 `0 r£rrt/k C 6e X/&,f c 70 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7rCount;MCenter Drive` — Uroville, California 95965 s�/ J'/%-7d9Telephone: 534-4541 cj�/ APPLICATION AND PERMIT ti - — '...Y•....v•�...••••�y•+ • •�� vvul,ay u UULI lV —IIGI UVUII 111C above-mentioned propertfor inspection purposes. x X e.g..1t.ref Permiteee or Agent Receipt No. 14L4✓e White-D.P.W. - YeIlow-Assessor - Pink -Inspector - Goldenrod -Applicant 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 havnOF paid. DIRECTOPUBLIC WORKS BY / to /-/!- 7 Uilding permit expires Date 1—�-7 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Addre s Telephone No. Fireplace Contractor G �` `g� S CO4z Total Valuation '" O Mailing Addresso Permit Fee P I an Checking Fee &/or Penalty r G Telephone No. Permit Fee $ Building Address PLUMING No. @ FEE PERMIT FILING FEE $3.00 J11 j2 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P o. ;T%— 39'— IZZoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ees SaRi4a#en FireDept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' /W ImprovementsLawn sprinkler system 2.00 Idg. Pions Recd Parcel Approval Plans Approval Permit Fee $ SO $ L NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER J3 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 p QS */g D/V-• ,e 4i Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST.DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &� 20sgft NEW CONSTR. (MULTI.OUTLET NON-RESID, BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 104 Ex. OCCU FIXED APPLNS. OR qJ P•(OUTLETS (RESID.) EA) 2.00 Z O Temporary service 10.00 0 Mobile Home Facilities 15.00 License No. Lc�� E: Q �� Classifica ion `. Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 00 $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. r I have placed on file with the County of Butte a certificate of ' Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 ,, 00 Heating Cooling Ventilation , ojLQD Hood 2.00 Permit Fee $ TOTAL PERMIT FEE $ - — '...Y•....v•�...••••�y•+ • •�� vvul,ay u UULI lV —IIGI UVUII 111C above-mentioned propertfor inspection purposes. x X e.g..1t.ref Permiteee or Agent Receipt No. 14L4✓e White-D.P.W. - YeIlow-Assessor - Pink -Inspector - Goldenrod -Applicant 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 havnOF paid. DIRECTOPUBLIC WORKS BY / to /-/!- 7 Uilding permit expires Date 1—�-7 PI�RMIT No. 5500-77B',P,E PERMIT EXPIRES OWNER Ray Rolls CONTR. Champion -Construction, Chico LOCATION (A.P. 49m 42-34-12 9 Churchill Dr., lot 4, Chico Temp. Power Pole Called PG&E i Temp. Elea Serv. Ca71ed PG&E Temp Gas Serv. Called PG&E X98 � FINALED (Da 0 ZZ (Si natur COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) a PLUMBING Setback Firewall Soil Piping Forms Parapets Underground 1st Floor Main Bldg. Restroom Finish Door Closer 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final — Sanitation Patio FIREPLACE Final — Footings Footing 'M: ELECTRICAL Relnf. Steel Final Fixtures Bond Beam FIRIfSPRINK RS Motors Framing Test Water Htr. Stucco Final Suboanels Mesh Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final —� MOBILEHOME UTILITIES --------------•--- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MROILEHOME INSTALLATION - - - - - - - - • • - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTI S / 7 7Y AV (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF -BUTTE — DEPAkTMENT OF PUBLIC WORKS y 7 County Center Drive — Oroville, California 95965 Tel ephohe: 534-4541 APPLICATION AND PERMIT r.X X i Signature of Permitee or/Agent Receipt No. I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant i the Butte County Code and/o lutions to do work indicated above for which fees have en pa d. DIRECTOR OF P BLIC WORKS By Date /-. D-1 - 7 7 ilding permit expires Date /,3— I - 7 BUILDING Owner AOV14, SQ. FT. OCC. BUILDING VALUATION C ov >Mai Iing Address � Telephone No. Fireplace Contractor Total Valuation s"Od ,Mailing Address ° Permit Fee Plan Checking Fee &/or Penalty e e hone No. r. •Building Address Permit Fee $ ✓Q® PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 SZ Qv �/• Each Trap 1,50 (J Repair drainage or vent piping 1.50 3 ` rC Water piping 1.50 f Each gas water heater or vent 1.50 A. P.'o. J —Ac?_ Zoning& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 4 es I all. 9arrrta'tPon Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im ovements Lawn sprinkler system 2.00 -B-Idg. Plans Rec'd Parcel Approl va fans Approval Permit Fee 06 $ 10C NEW ADDITION ❑i/ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 . ,(❑/� yp� �/ It (! it / �i j( / ry � �D%J� r�f Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 'Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD•L foo AMP 1.00 NEW CONST. ODWELING R ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name sty o : 1s4e= R License No. A 60 3 a V Classification Ex. Occup(OUTLETS OR FIXTURES)Z�2 BAL @ 1 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 2 13-2 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. r I have placed on file with the County of Butte a certificate of 4� Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 nrnnarty fnr inencntinn noimnono TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of r.X X i Signature of Permitee or/Agent Receipt No. I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant i the Butte County Code and/o lutions to do work indicated above for which fees have en pa d. DIRECTOR OF P BLIC WORKS By Date /-. D-1 - 7 7 ilding permit expires Date /,3— I - 7