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042-350-012
_ .. _ _ _ na.n_v . .. -.. r.+a•� � - tom'..-. � 7 A. P. 2-3 12 {,x Dean Dixon V e s Glenwood Ave. 2001 so. of Glen Haven Dr., Chico /7 76 CONTR: Gus Gore & SAS, Durham Permit 1222-7.1B_(new_sn-ale family) 042-35'.0-012. , r , �� 95-240 ` `.DIXON; aTwyla 1'268 �Gl'enwood' Drive, -Chico s Gadd :wall's to carport~to make•garage)'y .' ' 042 350=012'" :. PERMIT#98"0623, DIXON,?Twila f'r*'•, ` 1268"Glenwood'-'Ave . ; Chico, f., Cont: Mark Hoffman o , New ,Pri ,Det;: Garage 0 350-012,; 01-0256 MIL DIXON 'TWILA 1268 GLEN D AVE., CHrI CONTR: RRR ROO G REROOF COMP W/SHEE t oo { i w j ' z -+.r.. .... ...� �..�.c•�•,.ivyr�'aii er?�Sl�"�1=`1��vL"19111',7y�;.s��'+�i'`'=i'RtNF!�`f7'y�^G•��"�'�ah�Ko^�4Ai�M7!���'�'�"�"r^�rR.i-�-�riyw.;e►�.�..�.rt ,. _ ..�. � � - 4 • r, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT Ci��' ���' ASSESSOR PARCEL NUMBER - 1 �� - /^ 1 ZONING. , �) BUILDING PERMIT OWNER - ; I _ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MANJAGADDRESS._. �1 , T ( .. � � I -! f� _ ' ( 1• CONTRACTOR'S NAME1 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ �' C , �+• ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS rf \ S r ) L i 1 �.� I Energy Plan Checking Fee $ L ' 1 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: r] -� , - _i_ i '�� i } ; �'_' t C .) Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ + ELECTRICAL PERMIT Filing Fee 20.00 Main Service '*.' oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. q' 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 permitis Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) 0 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 R I should become subject to the workers' compensation provisions, c��ff section 3700 of the Labor Code, I shall forthwith comply With those pr6VIsio►'(s/ ��/�. q , '� //~% X G `' 1� _ Date /f �� . + C/� Signature al Applicant,' Q''Owner'❑ Contractor ❑ Agent /An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.5¢Fo OR ADONS. a ACC. BLDS. ppp}RESID,' NtW tCUITS MULTI.OUTLET @7,50 a SOM o Tis w. Ex. Occup. OUTLET OR FIXTURES x®'•50 BAL .so Ex. Occup. Asio.°RE, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ �� CQNST TYPE r�l' TOTAL FEE $ r ,(�13 HAZ, D. RE iMP -..i l FLOOD CDF PARCEL PD HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated.above for which fees have I - By / �/ /' PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date atio Receipt No. '/_� f ',' �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _,. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PER )T NO. (Rev. 12/96) APPLICATION AND PERMIT Ci ASSESSOR PARCEL NUMBf,Q V1 _ 5-0-01ol /``Jl- ZONIN —I BUILDING PERMIT OWNER •. Ie(xoh TELEPHONE 45 SO. FT. OCC. BUILDING VALUATION .OWNERS MAIU S ^ 797 /`.CA/A�/'"p" CONT�CT E I TELEPNONE , CD CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ euILDwGADDREss G O Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF,X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilides ❑ Installation ❑ Other ❑ Describeus!s� //Work: 1'7 sem` CB%M� (�} /I e:900. 00L Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, III 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 permitis 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 L./.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 H I should become subject to the workers' rc fin s tin provisio s ection 3700 of the Labor Code, I shall forthwith omply R tho s' Qj X Date v gnature App Ican - (�wne o tr or ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR AODNs. a ACC. erns. 3.5QFT: ipµNEW pEglD• MULTi0IITLET Q7,50 POWER APPARATUS 8 SINGLE 011ILEi' CIR. 20 EX. OCCU . OUTLET OR FD=RES X ®' Ex. Occup. TiEDTa R6D°� 5.00 OMD Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ �°Cj D T. TYPE FEE $ pO HAz p p I FLOOD I CDF PARCEL PD HD UE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated ove for which fees have been paid. By Date PERMIT EXPIRES ON o? �� d I IlDatq) ReceiptNo. / C% �l WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I J JOB FINALED (Date Signature :. RESIDENTIAL 042-35-0-012' 95-2409 B,E ,+ DIXON, Twyla: 1268 Glenwood Drive, Chico (add walls r ort to make garage) 21 /to.c V. t •4f n.' JJ I J JOB FINALED (Date Signature J=OK O = Not OK = Not Readyable MOBILE HOMES k. Date MOBILE HOME UTILITIES (Plans) OK except Ws 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch •" I - 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water.; Location -Test -Easement Needed (Sketch) 5. Electricity;'Location-Clearences-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / CL"ft. / /"Nat. or/' /"L"ft./ .P'LPG 7. Well Clearance & Disconnect ' 8. Utility Clearance Date Card B-1 Date . W. Card B-1 Date Card B-1 Date. - Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except a'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 :. MISCELLANEOUS Date 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 -Bea ms-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. CaCagpks; Windows -Doors Si Is-Anchors-Studs-Rftrs-Trusses LO 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/ G. j -EV,5- Card B-1 ffQLZ�V Date Card B-1 Date Card BDate Card B-1 Date Card B-1Date Card B-1 Date POOLS (Plans) OK except A'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 S. 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 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 :. MISCELLANEOUS Date 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 -Bea ms-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. CaCagpks; Windows -Doors Si Is-Anchors-Studs-Rftrs-Trusses LO 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/ G. j -EV,5- Card B-1 ffQLZ�V Date Card B-1 Date Card BDate Card B-1 Date Card B-1Date Card B-1 Date POOLS (Plans) OK except A'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 S. 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 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 O=Not OK = Not Applicable =Not Reedy RESIDENTIAL (1 • Date UNDERFLOOR (Plans) OK except 1r'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-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-Te3t-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 1a. O.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 •---------------- ------------------- ----------------------- Gate Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a'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. ------------------------------- I - - -------------------------------•--------------- 26 Equip Ground made up w•Mech. Fastners-Bond Gas & Water --------- ---- -------- ------------ 27 ---------- 27 2 Appliance Circuts n Kitchen & Conductor SizerGFl -----------... ------ -------------- --------------------------------------------- 28. Subleed Wire Size ga. Cu or AI-A.C. Wire Size ' ga. Cu or At •-------------------------- ---------------------------------- 29. Range Circ. ' • ga. Cu or AI -Oven Circ. r r ga. Cu or At. Insulated Neutral 0 Yes 0 -No - •--------•----- ------------------------------------------------------ - 30. Service_Rrser Conductors & Ground -Main Disconnect - ------------------------------------------ 31. Equip. Clearances Panels-Motors-Mech. Equip. ------- ----•--------------------------------------------- 32 Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector -------------------------------------------------------------------------------- DateCard 8-t Date Card B-1 -------------- _ ..._..._. .. - - Date Card B-1 Date Card 3-1 Date MECHANICAL (Permit) OK except P's 34 A.C. Ducts Insulation & Support ---------------------------------- ------- .--------------------------- --------•---- 35 Vent Fan: Exhaust above insulation ------ ---- - . .-- ----- - ------------------ -- - _ _36. Con denFate Dram & Overflow. Size & Grade 37 Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet 36 Attic Access & Platform if Furnance in Attic Date Cara B -I Date Card B. I Date Card B-1 Date Cara B- I Date FRAMING (Plans) OK oxccut ,r s 39 Sill Proper Material 'S Anchors 40 Wails Slutis-Nnnrnq Spacmq 3 Bracing -Plates -Sauna -11 Beannq Walls over Gii(wis & Flour Nailinq 42 Diall Stou in Walls :rat wooti J3 Fur• til(,p, Fnrnirl (:cihnrl5-tilaus-(;bases-jun .14 Hr•a .wi . Beam -'slit ° 11,rarmn jingle & Duplex) ' .t,rr.tfi �X3 Date FRAMING (Continued) airs a r. 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 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 Ext. Doors -One 3' -Check Garage -3rd Story. 2 Exits - 53. Stairs: Width -Headroom -Rise -Run -Landing -Fre 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 _ _5a. 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 1Ys 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garaoe: Above Floor -Ducts -Meeh. 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 -Landing -Closer ------- - -•-------------- ------ 73. A.C. Duct in Garage -Damper __ _ 74. Wtr. Htr.: Vents -Clearance -Comb Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location -------- • --------------- --- --- 76. Elec. Receptacles ------- in Garage: (G.F.1.)-Romex Protection ------------------- ---------------------- ------ -- - 7; Insulation -Foam -Looked in Attic--- 0 Yes 78. Guard Rails & Deck -Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor -- D Yes ------ ----------------------------------- 80. Following instid.: Drive 0 Yes 0 No: Walks O Yes 0 No: Planters 0 Yes 0 No ----------------------------------------------- d1. Stucco: Brown -Finish a2. A.C. Unit Disconnect Electrical Plumbing - 63. Vents Above Roof: Plb Appliance -Fire lace. -Clearance to Openings --------------------------- d4 Water Well: Disconnect. Electrical. Plumbing ...... ... ........... -------------------------- g -- 85 Exterior Elec. Trim: G.F.I. Receptacle- Underround 86 Ventilation Throughout House ----- - ---- ---------------- ----------------- d7. Glass Protection dC Corrections from Previous Inspections - -- ----- ----------------- - - --------- - d9. Gas Test -Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C O to Grade -HO Approval - -------------- 91 ----------- 91 Energy Corn pliance Ceruhcate-Other Certificates .. . - - - - - ----- ----- -------------- ---- -ate Card B -t Date _ Card B_1 -- Date Cara B-1 Date --_Card B-1 ------------ - __-- Date Cant R -I Date Card B-1 Comments at Final: -_-------- PA, -COUNTY OF BUTTE -DEPARTMENT OFDEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO., APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER 042-350-012 2-1 ZONING BUILDING PERMIT OWNER WILLA DIXON TELEPHONE SO, Fr, OCC. BUILDING VALUATION 215 M-1 OWNER'S MAILING ADDRESS 1268 GLENWOOD CHICO, CA 3,870.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESs 1268 GLENG+IOOD DP.. PERMITFEE $ 106.0 CHICO PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSroN'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ff Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: _ ADD WALLS TO CARPORT TO MAKEPERMITFEE GARAGE Mobile Home I S I G W 1 920.00 $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service OOOV OR LESS ( 2ooA OR LE- ) 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. 7.50 NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( & POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 9 x•50 BAL SO Ex. Occup. OUTLEE°TSPaEso.°eA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc . Wiring 23.00 PERMITFEE $ 27.50 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 Heating 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.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ture of Applicant � Date _ �� Signa - ❑ Ow er ❑ Contractor gen 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 OCC CONST. TYPE TOTAL FEE $ 133.50 HA2. IMP FLOOp cD PARCEL H IS E This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON /���z/4' applicable provisions Resolutions to do work been paid. Date /O / Date) Receipt No. WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4��7� ��4" O.B.-1 �. Attention Property Owner: • An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO[ ]. _ 2. I HAVE HAVE _NOT[_ Jsigned an application for a building. permit for the proposed work. 3. I • have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and, provide the major work: NAME: ADDRESS: CITY:.... PHONE: - CONTRACTOR'S LICENSE NO. - 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK 4Z1 SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: NOTE: ..This owner -Builder -Verification is required -by Section 19831and 19832 of the California Health and Safety Code. euo►'OPS This verification must be completed and returned to our office before Qcr f 1G°gyp rIt we are permitted to issue the permit. 1995 OVER D 4p --ayD� Dear Property Owner:,. An application for a building permit has been submitted in your, name listing yourself as the builder of property improvements specified.For your protection, you should be aware that as "owner -builder" you are the responsible. party of record on such a permit. Building permits are not required to be signed by property owners unless they are personalty performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and, the Division -of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse -side bf t,Lis form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Si ccrel Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7COUNTYCENTERDRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �.�A +-�� � A. P. No. O - 3 5-C) _a 2 Proposed Building Use _qZ- - Building Inspector JZ 61 wl, Date At time of pe mit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 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. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. 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 required. 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 .I� 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. 32. Plan check list. 33. 34. W en you issue the permit, process as follows: Mail owner. Mail to contractor. Telephone 1 �q - 5Gq 2 and hold for pickup at office. Deliver with inspector. Other MY Ic it. * 21 Y I - Q 6 S w Applic Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. AM" _...'�. /). / . _ Oriqinal - Applicant . � t t . _ �. - Y7 '� • K • � _� _ _ __a ' , l _�%//—/�/_�/ice . //�/���./ ..y /_ •. v�� , _ � ; � f i- RESIDENTIA 042-350-012 PERMIT#98-0623 PERMIT* Ni.. DIXON, Twila 1268 Gleiiwood Av6.,'Chico- PERMITE)'Cont: Mark Hoffman New Pri bet GeCrage-- OWNER CONTR. ASSESSOR PARCEL LOCATION C4� tt Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) t 2—V Signature V=OK O = Not OK Not '=NotReadypble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'a 11 ndinge 1. Zoning Requirements - Setbacks - Easements 12. Braced Wall Panels 2. Soils; Special MH Support Sketch • . Card B-1 Date Card B-1 3. Sewer, Location. -Test -Fall -00 -Concrete Card B-1 ' Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) POOLS (Plans) OK except #'a S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 1. Setbacks Easements 6. Gas; Location -Test -Wrap; / PLYL / /NaL or/ /VtL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date ! j Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date i MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirementa- Setbacks Easements 2. Footings; SiaeSpacng-Manage Line 3. Gas; MH TesN)ernardValve-Connector. 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test-FalWlex 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 CerL 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 MIS EL ✓ DateCK ARPOR , GARAGES OK except #'s RequirementsSetba aaements Footings; SoilsSize-0epthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-BeamsRftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.: Columns-ConnectionsSolinF�-nerAWnr*,..a� 7 B-Fw o-SirAnchomStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Root, Shthg-Roofing 11 ndinge 12. Braced Wall Panels Da_tr!_•Z!" . Card B-1 Date Card B-1 Date Card B-1 ' Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR S. Elec.; Pod Lighting; 15 Volts-GF1 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to•Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 • ✓ OK O Not OK = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 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 #'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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GF] 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes p No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. 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 (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. --ire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purtin-roff Brac: Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 [_ Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive 0 Yes Q No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Tixv<�- e7& -06Z3 OWNER PERMIT NO. A /tact indigates that the following violations of butte county Ordinances exist at the abhbuld be corrected. Please notice this office when correction of work is coave any questions pertaining to this matter, or need additional explanation, plffice immediately. -L (A) f2*/J co 'e REV 10/92 COUNTY OF BUTTE " -� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 7t CORRECTION NOTICE D oly 96 -U6z3 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. N � 2oU'V1 4-?' Date r � G Inspector REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California, 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT CM- �/ ASSESSOR PARCEL NUMBER 42-35-12 � ZONING R-1 BUILDING PERMIT OWNER DIXON, TWILA TOLEPHONE 343-8218 SO. FT. OCC. BUILDING VALUATION 480 11 8640-- OWNEA'S MAI1r2VOES6LENW00D AVE CHICO W f1A CONTRACTOR'Wk HOFFMAN T343 - 8218 CONTRACTORI'rOlUSOYAH AVE CHICO �LENDERl CONSTRUCTION Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 8640.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1268 GLENWOOD AVE Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ 198.20 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other garage SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 24x20 GARAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service loon oa v ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class © Lic. No. f. yJ� 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 Zoog Io00A 46.00 NEW CONST. DWELLINGOCCUP. OR ADONS. ( 8 ACC. BLDS. � O .3.5QSF'TO. 16.8C V O NON•RESIDT MULCH UT CIRCUI @7,50 POWER APPARATUS 8 SINGLE OUTLET CIS. EX. Occup. OUTLET OR FIXTURES 20 100 aAL SO Ex. Occup. DELETS REw.SID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 36.80 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 pl-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. / /� X l X0 _� _( -- Date y�l��— Signature o Applica wner ❑ 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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc CONST. TYPE VN TOTAL FE $ HAZ. D. F➢�S I FL D c p L JpjH Is IIII This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By/_,,egg��,L4V-__-Date EXPIRES ON applicable provisions Resolutions to do work been paid. Oete ReceiptNo. 7z197zPERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'C"!111 111. e..�{Ill'.''ff�"1"'"r"'K"+'p`.,".r,�'p'v'�ITY�'Ifiv-'=�.. rs... r f COUNTY OF BUTTE=DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILLE, CAI;IF95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: _ gtjA/ ASSESSOR;PARCEL ER: :Z Proposed Building Use: g5&0124 Cc Building Inspector: Date: 411 119 + At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. Statement of Intent for Non -Heated and A/C Buildings. ---------- ----------------------------------------------- ❑ 8. Hazardous Material Form. ----=------------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------------------ ❑ 12. California Department of Forestry plan approval/fees.--, ------------------------------------------------------- 0 13 Flood elevation certificate. --------------------------------------------- 1. �" l4. Sanitation and plot plan approvalCWt%W Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: _ 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- J ❑20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - =-----=------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- r 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.----------------------------------------------------------------- - ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 1130. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: �/ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:- Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: '� ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑phone, ❑mail, ❑Building Divis�ion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ BuildingyiCsion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division gounter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ BBuil&g Divisio counter, by Dat : ..Plans reviewed by: Date: Plans approved by: Date: - MT 4! Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Plan Anacbad U;7- Floor Plea Attached Sort to B.D. M-----:, Building Department ..� FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP// Plan Approved for: Sewage Disposalater up ly: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: /1 aental Vealth Specialist Date 8/92 9 - 1222-71 k PERMIT NUMBER - B "a P 1175-71 r E 1116-71 a � PERMIT EXPIRES OWNER Dean Dixon CONTR:. Gus Gore & Sons, Durham a. LOCATION (A.P. 42-35-12 j: e/s Glenwood ave. 2001 so. of Glen Haven Dr., Chico `I F r�. li y . 1 1 j • 1 • I I . II _ Q • DATE REMARKS OR CORRECTIONS i COUNTY OF BUTTE Department. of Public Works BUILDING INSPECTION RECORD ► Zoning /!%��b"o27 / Setback A�d� Q— ��" ?/ orfns.— Foundation Piers & Girders Fireplace /f— Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test —��/" Found. Vents Framing PImg..Topout a,>/-- Rough Elec. Q!� zl '24 Wtr. Htr. furnace Kitchen Vent' Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary _ r�—� —''7 / 5E= Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS NEW 0'� ADDITION O REPAIRS 0 OTHER E-1 Others Single I" Multi USE OF STRUCTURE Family [] Duplex E] Dwelling F-1 Others FOUNDATION MATERIAL EXTERIOR PIERS Width at Top r''•. COUNTY OF BUTTE Width at Bottom I t xy +` DEPARTMENT OF:_PU,BLIC OORKS ,/ '.� 7 County Center Drive - Oroville, California 95965 OCC.. ' , - "k, Phone: 533-1230, Ext. 259 Phone: SPACING SPAN f ' APPLICATION AND BUILDING PERMIT Girders r % �'"� joists - 1st Floor'` A. `7 rte~ t 2— Permittee Owner /' P. No. Joists- 2nd Floor Fireplace 6?J Mailing Address �L • /��r Fire Zone r„i Zoning Contractor r�u _i C1�'-C d 3 :�.1�/ `� I Sanitation Planning . Mailing Address ill" J �'' yy/fig G1� rs�_- Plans i,.., Fees W. C. t. BLDG. Address r���'��� w ' �' rC `� o - L� 1 fr R/W Encroachment Total Permit Fee Bearing Walls NEW 0'� ADDITION O REPAIRS 0 OTHER E-1 Others Single I" Multi USE OF STRUCTURE Family [] Duplex E] Dwelling F-1 Others FOUNDATION MATERIAL EXTERIOR PIERS Width at Top - - Width at Bottom f Depth in Ground ,/ S0. FT. OCC.. ' BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN �' `/0 (7 av Girders r % r �• joists - 1st Floor'` r Joists- 2nd Floor Fireplace 6?J Joists -'Ceiling �L • /��r Total Valuation / Lauf f J �' '� Exterior Stdds Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters 1 fr Total Permit Fee Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name style of..... F .................................:............................................................................................................................................................................................. . License No. '; �7,��;� .., Classification...... � and certify that the aforesaid license is in -full force and effect. .... Y B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors. (Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis,. if any, for other statutory exemption............................................................:......................:.............................................................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am_ aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of1compliance or proof of exemption pursuant to Section 3800. " 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. r Date . w SIGNATURE OF PERMITTEE OR AGENT ReceiptNo....................................................................................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. k 1, DIRECTOR OF PUBLIC WORKS Permit Ekpi►es Date,,,,,,, ,,,,; ............. Permittee Owner Mailing Address Contractor Mailing Add BLDG. Addi COUNTY OF „BUTTE DEPARTMENT OF' PUDLIC` WORK'S 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND PLUMBING P E R M I T A.P. No. 4-"' 3`^ A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed,/under the provisions of ha ter 9, Div. 3, of the State of California Business & Professions Code under.the name styleof ....... .��...' `.....,,fid ................. ............................`/�............................................................................................:...................................................................... License No. „�( ��,3....... Classification....../?. and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................. ............................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with 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. X...... ............................. ....L`...............................Dace0:.�p.^.......... SIGNATURE OF PERMITTEE OR AGENT ReceiptNo ................................ .........:......................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY...../-!',--'��=-^..:..�........................ Date! `.:.'................. DESCRIPTION OF WORK NEW/F-7 ADDITION REPAIRS 0 OTHERS: Remarks: PERMIT FILING FEE No. @ Fee $2.00 �✓ / Each fixture or trap or set of fixtures on one trap /(J 1.50 Repair or alteration drainage or vent piping 1.50 Installation or repair water piping 1.50 Each gas water heater�or gas heater vent 1.50 c USE OF STRUCTURE Single Multi RESIDENTIAL Family 0, Duplex 0 Dwelling Q OTHERS: Remarks: Gas piping system 1 - 5 outlets 1.50 Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 TOTAL FEE $ A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed,/under the provisions of ha ter 9, Div. 3, of the State of California Business & Professions Code under.the name styleof ....... .��...' `.....,,fid ................. ............................`/�............................................................................................:...................................................................... License No. „�( ��,3....... Classification....../?. and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption.................................................................................................................................................................. ............................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct. I agree to comply with 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. X...... ............................. ....L`...............................Dace0:.�p.^.......... SIGNATURE OF PERMITTEE OR AGENT ReceiptNo ................................ .........:......................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY...../-!',--'��=-^..:..�........................ Date! `.:.'................. COUNTY OF BUTTE r r DEPARTMENT OF P.IIBLIC, WORKS 7 County Center Drive-Orovi14e, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner t�-�- e---� A. P. No. ' S� Mailing Address Remarks: TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed i"der the provisions of �C/h„ Chapter 9, l Div. 3, of the State of California Business dr Professions Code under the name gK styleof.............r.................jy................................."°............_........................................................................................................ ..................................... _...... _..__ . LicenseNo'x�t7,,�1 7 Classification,,,,,1%,,,,,,,,,,,,, ,and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check ones 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). F—] I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, foLother statutory exemption....................................................................................................._.._...._......_...» _._.. ._. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection,purposes. U� i "' DIRECTOR OF PUBLIC WORKS " 0, >' / X .......... ...�.....:� . �........'.... Date ................~.................... SIGNATURE OF'PERMITTEE OR AGENT B- .. '................... Dote f ReceiptNo............................................./.................... Mailing Address BLDG. Address DESCRIPTION OF WORK NEW 0 ADDITION 0 METER SERVICE OTHERS: Remarks: PERMIT FILING FEE No. Fee � $2.00 _ • � � . Supplementary Filing Fee 1.00 Main Service ' Sub -panel (12 or (more than P less) 12) Each Range, Dryer or Water Heater Each L00 Oven, Cook -Top or Space Heater Each -50 Light Fixtures .7 0 First 2020 . Each Additional . 10 USE OF STRUCTURE Sin Multi SIa Family O Duplex Q Dwelling Q OTHERS: f Cl Receptacles., Switches & Fixture Outlets rap G First 20 .20 Each Additional .10 / r H^'ood, Exhaust Fan or F.A. Furor Motor % Each .50 Evap. Cooler, Gar. Disp. or Dishwasher % Each .50 _ 'Air Condicione or Heat Pum J r Water Pum Misc. Wiring Remarks: TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed i"der the provisions of �C/h„ Chapter 9, l Div. 3, of the State of California Business dr Professions Code under the name gK styleof.............r.................jy................................."°............_........................................................................................................ ..................................... _...... _..__ . LicenseNo'x�t7,,�1 7 Classification,,,,,1%,,,,,,,,,,,,, ,and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check ones 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). F—] I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, foLother statutory exemption....................................................................................................._.._...._......_...» _._.. ._. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection,purposes. 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