HomeMy WebLinkAbout042-350-028'�` r ,92 1y542B• ; .. - : STRATTON, ;O.B. �F_ 09- 7,
42-35 , t� 248=67P
STRATTON,..Ori ri ; y 181=
..
1-220 Glenn,Haven -Chico 35-2y„„
contr :.Hayward &� .Co . , 1220 Glenn Haven Driv hicoT
I (new single
t replace.`windows/sf 7'a f ,; ` +' /�-6 % • t�
042-350''-028& 93-178B
STRATTEN, Bernice.21
1220 Glen .Have r, Chico'
(sf/vinyl sng front of house)':-
i X042-350-028' t , 4�. 03-0750 .'
SINIE, PAMELA y� �� ; �.
;'1220•GLEN HAVEN DR, CHIIWALED
<Corit DAVE DUISENBERG29.03
{
042-350-028 • 03-2242.
SIME, PAMt€
1220 GLEN. HAVEN, CH' ICO ' 114A.E 4`
CONT: DUISENBERG, DAVE _2,.q
MISC WIRING TO•EX STRUC..
-
t04 1182—
8 •`�
p42-350-02 gLA - CHICON
' ()42-
S-fgAVENDR'Pd..
122p GLE, f
KEI CONST
( CQorrnRt.oo�EAR OFF e ,
1W j
B07-0892 ` w 042-350-028
MISCELLANEOUS' Water. He 'ter. Cl
j 'REPLACE WATER HEATER t
'1220 GLENN HAVEN,DR, '
..HANNA-GORE, JILL•TRUSTEEV*27.O
4
'i
,
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041182
0q,-
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perl'ury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 04/26/2004 APN: 042-350-028-000
the Business and Professions Code, and my license is in full force and
effect. t93
License Class: License Number:
Site Address: 1220 GLENN HAVEN DR CHI
Date: -o Contractor: �'V ��l �l
Map Index:
Description: TEAR OFF SHAKES & REROO W/ COMP
p
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
SHINGLES
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
Owner: SIME PAMELA
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
1220 GLENN HAVEN DR
7000) of Division 3 of the Business and Professions Code) or that he or
CHICO, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95926
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: SCHUKEI CONSTRUCTION, GLENN
such work himself or herself or through his or her own employees,
EDWARD
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
25 AMBER WAY
proving that he or she did not build or improve for the purpose of
CHICO, CA 95926
sale.).
530-343-6020
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: SCHUKEI CONSTRUCTION, GLENN
❑ 1 am Exempt under Article 3 of the Business and Professions Code
EDWARD
Date: Owner:
25 AMBER' WAY
CHICO, CA 95926
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
530-343-6020
❑ 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
License #: 606543
is issued.
I have and will maintain workers' compensation insurance, as
equired by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Architect:
insurance carrier rid p licy number are:
�-
Engineer:
Carrier:
Policy #: 1
❑ I certify that in the performance of the work for which this permit is
Total Square Ft: 0 S. F.
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Valuation: $0.00
and agree that if I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject aemployer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
(
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
re
CONSTRUCTION LENDING AGENCY
This permit is hereby'sed under thea .able provisions of the Butte County Coda ?nft/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do ork ' i ed abov for hich es have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
BY Date.
^`� — U
PERMIT EXPIRES ON:
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or docu ent of Butte County. 1 hereby
authorize representatives of Butte County to enter upon th abov mentioned property for inspection purposes... r
Print Name: �� \�/��� Signature:
Date:
❑ Owner contractor ❑ Agent for Owner 0 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
op, IIg
DATE:% Z-(,
APN: ^/ JZ -O✓ D C/
U �I1
ZONING:
NEAREST CROSS STREET:
TRACT/LOT#:
SITE ADDRESS:
CITY. ZIP: C ,
V �
OWNER NAME:
PHONE 72 7
U
STREET AD RE!L��
„ �
FAX
CITY, ZIP:
\ Co
E-MAIL:
APPLICANT NAME: — kL� kms_ Cc nS
PHONE.-
HONESTREET
STREETADDRESS:�` ���
FAX:
CITY, ZIP: C % C n 2L
71 � 7
E-MAIL:
CONTRACTOR NAME:
PHONE:
STREET ADDRESS. r
1"�` �-
FAX.,
CITY, ZIP: C j
n
C�
1 G_
E-MAIL
LICENSE NUMBER6
LICENSE TYPE
ARCHITECT/ENGINEER NAME:
PHONE:
STREET ADDRESS:
FAX:
CITY, ZIP:
LICENSE NUMBER
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:
13 Structure Built without permits
El Proposed Change of Occupancy (note previous use)
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the.person who paid the fee. The request must be made prior to
the expiration ,of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
For office use only:
Notes:
Application Received by: C�"1 /- J� Date:
Receipt number: 5Q, / p'15� Amount Received:
B. C. Building Permit 01-23-04 pg 2
fr
r,... 042-350 028;'
03'-2242 ,,
SIME, PAM
U20 GLEN HAVEN', CHICO -
' CONT: DUIS6MERG, DAVE
-
MISC WIRING TO EX STRUC.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI G DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 8-7541 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 042-350-025
ZONING
BUILDING PERMIT
OWNER
cT�y'�
i ["ll -I J ll'iE
TELEPHONE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
1220 GLEN HAVEN DR., CHICO CA
CONTRACTOR'S NAME
DAVE DUISENBERG
TELEPHONE
892-2551
451 RORD NkURY RD., MICUC CA 95928
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING�ADDRESS
12l(, GiFN HAVEN DR., CHICO CA
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO. SUBDIVISIONS NAME PARCEL MAP
USEOFSTRUCTURE
SF ❑` Duplex ❑ Mobilehome ❑ Other
SPECIFY
PLUMBING PERMIT
Fling Fee 20.00
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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MISC WIRING TO IMSTING SMUCTURE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service '.0.'.0.R.::
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 fug -force and effect. ,/� / /
License Class Lic. No. 7 4
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law or 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 To I000A
46.00
NEW CONST. DWELLMIG OCCUP.
W
OR ADDNS. ( a ACC. BLDS.
SO
3.5¢T_
NE T. MULTI -OUTLET
NON-R61D.BRANCH
97.50
POWER APPARATUS
a SINGLE OUTLET CSI R.
Ex. Occup. OUTLET OR FIXTURES
Bn0 @ 1.00
Ex. Occup. 0 E RE�sID°Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S 43 00
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 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' compensatio qh range carr' -and policy number are:
Carrier �/
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number X 1i- '
(The above sections need not be completed if the permit is for work of a valuati n
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' compensatio pTpvisions of section 3700 of the Labor Code, I shall
fofthwith comply wit th�se provisions
A/ /' , ate ZO �
Sigrrature of Applicant - ❑ Owner l Contractdr ❑ Agent
An OSHA permit is required for excavations over 5'0" dee and demolition or construction
P 9 P
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FEES IMP
FLOOD
CDF
I PARCEL I PD
HO
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated, above for which fees have
B / '
Y %
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. .St 944 �- 4.3.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
=>t 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 03-2242
ASSESSOR PARCEL NUMBER 042-350-028
ZONING
BUILDING PERMIT
OWNER
PAM SIME
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
1220 GLEN HAVEN DR., CHICO CA
CONTRACTOR'S NAME
DAVE DUISENBERG
TELEPHONE
892-2551
CONTRACTORS MAILING ADDRESS
4515 ORD FERRY RD., CHICOC CA 95928
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAULING ADDRESS
Plan Checkin Fee
$
BUILDING ADDRESS
1220 GLEN HAVEN DR. CHICO CA
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ 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: MISC WIRING TO EXISTING STRUCTURE
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service A oR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is ince 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,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for h this permit is issued.
My workers' compensatio s ra carr' d p number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valu do
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 em any person in any manner so as to become subject to workers'
comp ns 'on laws of Cal'rfor a, and agree that 'rf I should become subject to the
wor rs' ompensatio i ons of secti n 3700 of the Labor Code, I shall
fo it complywith p ovisions.
- yq
X ate
Sign ur of A plica - Owner o tract ❑ Ag t
An OSHA permit is required for excava Ions over 0"deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEw coNsr. DwEwNG Occup. so
OR ADONS. ( & ACC. BUDS. 3.5¢FT.
CO-F__MULTI.O
NEW
NON -REBID. UTLEi
@7.50
poSINGll APPARATUS
a IE ourLFT C.
EX. OCCU OUTLET ORFIXTURES Bn�0'.w
Ex. Occup. OFDL S FPM) OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00 23.00
PERMIT FEE $ 43.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D FEES IMP
FLOOD
CDF
PARCEL
PO
HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County C de and/or Resolutions to do work
indicated bove for ich fees have been paid.
y Date
PERMIT EXPIRES ON
ate
ReceiptNo. 384944 $ 43.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ell—
NOTES RESIDENTIAL
PERMIT NO.
---042-350-'028,
y1 0 -0750'
3
SIME, PAMA" - � ,j .;,
I, I - --- 4k
220 GLEN HAVEN DR,dfcb
c - -
DAVE IUIS
?�,;�ENBERG
oV.-
DECK,;
J
SPECIAL CONDITIONS
CHECKED
BY
SRA r.4t,
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB-STANDARD;HOUS�ING LETTER
JOB FINALED (na 4P
Signature
ZA
PERMIT NO.
---042-350-'028,
y1 0 -0750'
3
SIME, PAMA" - � ,j .;,
I, I - --- 4k
220 GLEN HAVEN DR,dfcb
c - -
DAVE IUIS
?�,;�ENBERG
oV.-
DECK,;
J
SPECIAL CONDITIONS
CHECKED
BY
SRA r.4t,
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB-STANDARD;HOUS�ING LETTER
JOB FINALED (na 4P
Signature
J=OK
0 = Not OK
. = Not Readyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
Electric .
7. Well Clearance & Disconnect
8.
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
Date
Ext.; Steps -Doors -Landings
Card B-1 Date Card B-1
Date
Braced Wall Panels
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Size -Spacing -Marriage Line
Date
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
Elec.; Receptacles and Lighting, Distance-GFI
8.
Gas and Electricity Tagged
Elec.; Pool Lighting; 15 Volts-GFI
9. Tie Downs -Type -Installation Cert.
6.
10.
Exits; Insp.-Sketch
7.
11.
Cert. of Occupancy
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. -
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
Date
Plumb.; Cir. Test -Water Supply Test
Card B-1 Date Card B-1
- S Date
Light Niche
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Size -Spacing -Marriage Line
Date
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits •
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric .
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. -
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date- Card B-1
Date
Card B-1 Date • Card B-1
J=OK
= Not OK
- =Not Applicable
. = Not Ready '
32.
RESIDENTIAL
Date
UNDE OOR (Plans) OK except #'s
Equip. Clearances Panels-Motors-Mech. Equip.
T
o g -Setbacks -Easements -Flood -Slope
Clothes Closet Light -Shower Light -Spa Light
2.
g., Main; Soils-Elec. Grnd.-/ /2/" Ftg. Depth
Smoke Detector
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Card B-1 Date Card B-1
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
Card B-1 Date Card B-1
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
54.
6a.
Hold Downs and Special Anchors
37.
7.
Slab, Steel -Wrapped
38.
8.
Piers -Fireplace Ftg.-Steel
39.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
40.
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Glazing Area -Glass Protection -Skylights -Plastic
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
FRAMING (Permit) OK except #'s
13.
Pl!,p ms & Ducts; Clearance -Material -Support -Ins.
Sills Proper Materials & Anchors
Card B-1 Date Card B-1
irders-Sills-Anchor Bolts-Joists-Vents-Crippies
Walls Studs -Nailing Spacing & Braces -Plates -Sound
15. Access & Ventilation
43.
16. Insulation
44.
Draft Stop in Walls (rat proof)
Date
45.
Card B-1 Date Card B-1
Date
46.
Card B-1 Date Card B-1
Date7
PLUMBING (1134rmi 'OK except #'s
Bedroom Exiting
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes 0 No
(Single & Duplex)
Date
32.
Service -Riser Conductors & Ground Main Disconnect
47.
33.
Equip. Clearances Panels-Motors-Mech. Equip.
48.
34.
Clothes Closet Light -Shower Light -Spa Light
49.
35.
Smoke Detector
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
54.
36. A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
Glazing Area -Glass Protection -Skylights -Plastic
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Infiltration -Walls -Windows
41.
Sills Proper Materials & Anchors
Card B-1 Date Card B-1
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Card B-1 Date Card B-1
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
6 . Brace Interior/Exterior Wall Panels
,62. Insulation -Walls -Ceilings
o-�
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83.
Following Instld./Drive O Yes O No/Walks Cl Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
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
OWNER PE MIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75
APPLICATION AND PERMIT ��-0750
PERMIT NO.
ASSESSOR PARCEL NUMBER
049-150-098
ZONING
El
BUILDING PERMIT
OWNER
Pamela Sime
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNER'S MAILING ADDRESS
1220 Glenn Haven Dr Chico CA 95
R 12 240.00
CONTRACTOR'S NAME
Dave Duisenber 343-8980
TELEPHONE
CONTRACTORS MAILING ADDRESS
4515 Ord Ferry Road Chico CA 95928
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 2 240.00
ARCHITECT OR ENGINEER
LICENSE NO.
—FilingFee $ 20.00
Permit Fee $ 144.0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 93.60
BUILDING ADDRESS
1220 Glen Haven Dr Chico CA 95926$
Energy Plan Checking Fee $
PERMIT FEE $ 257.60
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 1 20.00
[Each
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Trap7.00
Solar or heat um water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: covered deck
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
500VOR UES
Main Service 20.A OR LESS 23.00
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 force and effect. I�
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.
❑ 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
Mein Service TO 46.00
200ALICENSED
NEW CONST. DWEW
WEE NO OCCUCUP. SO
OR ADONS. ( & ACC, BLDS. 3.50FT.
pESI�.' MULTI.OUTLET 9G 7.50
pOWERAPPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES BAS @';50
Ex. Occup. DFF E' R=ID,GERA, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
j performance of the work for which this permit is issued.
QQ 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' compensati - su nce c ier an policy number are:
Carrier
Policy Number
(The above sections need not be co plated if th6 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
Wo ers' compensation provisions f section 3700 of the Labor Code, I shall
f ith crom ly wit o se provisi ns.
X,- Date `-
Si ture of pp is t - ❑Owner Co actor ❑Agent
An OSHA permit is required for excav Ion 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 $
tT4 -F CONST.
TOTAL FEE $ 257.60
D. FEES IMP 1 FLOOD CDF EAAnn HD 5
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By AV Date
l ;
PERMIT EXPIRES ON �'�%(QT
Date
Receipt No. t
WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.�Y�'�•'^....4-n..�+'+���*w.,hl,..,•�n+s�,r.l`,.�i.���,i��a:>rr�yt,�a�s�Ara�►,,a�,.w�gkv. �r>•`'a"R:s�';.�
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
S PERMIT APPLICATION DATA SHEET -1 jl��
r '�
OWNER: ASSESSOR PARCEL NUMBERi
Proposed Building Use: Counter Technician: Date: ' C3
Items required in order to apply for a permit. All boxes MUST be checked OR ma d NA in order to apply. / ti
I. -Plot plans, 3 or 4 sets, signed ,�y the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
G 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en ineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line=up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
15. Statement of Intent for Non -heated and A/C Buildings..:
16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. ' Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check:
p
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) .......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H.Jitlgtatement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued TTee�l phone % f and hold for pickup.
I have been hfor ed of the ve ems and requiremen�fs for obtaining a building ermit.
Applica Date:
1. Index permit application for the above items numbed' Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑ mail, ❑ counter, by Date: -
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by:';'7 r . '? f *^� <-7, Date: .
J
'-�Yellow: Building, Division ,
W .y" _ +*S.. JP.♦ 1X r r;.. - F:._. r„ ..f �' y�,
.� .i.�M.• R �,S"� <•F1��. �C .ire. ix.r4•�f�-�.`:t�.su4ea�.�N*`+�°i�";,-Ms".'Hi,;+^4�
01AA6�6&-� �DC� 2
�
42
n
/ '_, nn,,��. `
;�/vi�60J
. =j {",
��
- STRATTON , ``Orin ,
1220. Glenn Have Dr,,wChico
Harward. &„Co .
a
contr''
replace windows/sf
f
meq'
.
��
���✓'�.. i ? .. .. •..
ti;1WJ -
-
-
j �+x ilk ;y. J�•{. ras p fr4� fiC .'d, t,t,; _ ' .r, . w".4 7.1W ..
i COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS. PERM I40.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 -
APPLICATION AND PERMI
ASSESSOR PARCEL NUMBER
042-350-028
ZONING
R-1 I
BUILDING
MI
OWNER
Orin 3 a
TELEPHONE
342-b039
S B
G VA 0
OWNER'S MAILING ADDRESS
1220 Glenn Haven Dr.,,Chico 95926
---
CONTRACTOR'S NAME
Harwood & Co.
TELEPHONE
893-5898
CONTRACTOR'S MAILING ADOgRES.
1 MotTow LanChico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation W.595.00
Filing Fee ..
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$82,50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$97.50
PLUMBING PERMIT
Filing Fee 15.00
1220 Glenn Hazen a.,.Chico
Each Trap
1 5.00
J. r
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME I
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF,STRUCTURE
SFCJ Dup.ex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JWF
@ 15.00
TYPE OF WORK
New' Addition RemodelL Utilities Installation❑ ,C[t,ef,[
Describe work: Replace Windows
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
-
Main service 200AA 00OR LESS
2OR LESS
18.50
Main service 20rATO 1000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�J
AP!'I I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Code an my license is in full force and effect.
License ,JO. aClassification
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 Iicensed,contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING oCCUP.&\ 3.54sq.ft.
OR ACDNS. 1 ACC. BLDG S.II
NEW CONSTR. MULTI -OUTLET
NON-RESID• BRANCH CIRC ITS @ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
20 7644
Ex. Occup(OUTLETS OR FIXTURES dAL_ 4F;44
FIXED APP LHS. OR
Ex. Occup. OUTLETS (RESID.) EA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. bVirin 15.00
9
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I d Clare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
ii I have placed on file with the County of Butte Building Dgpartment
a Certificate of Workmen's Compensation Insurance or a Gertificate
of Consent to Self -Insure.
i } I shall not employ any person in any manner so as to become subject
..'j " 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 th's permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
permit Fee
$
Co tractor
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 abov en Toned property for inspection purposes.
I also agree to save, i dem f cep harmless the County of Butte against
all liabilities, judg en ts, a x ses which may in any way accrue
against said County in con gr��flce o t 1g nting of this permit.
X Date — —
Signature of Applicant — wn o tactor ❑ Agent
/�
An OSHA permit i4 req e x a a ions over 5't)" deep and demolition or construct-
ion of structures ��hr $stories '
Mobile Home Installation Fee S
Energy Inspection Fee $
occ CONST TYPE
/�7. !/�
7 JV
HAz
4FEE$
/
P FL DF
PARCEj
PDI
HO
ISSUE
This permit i$"herebyLis Ue rider
sions of the Butto C,0 ty'Co a
work indicated ai�'o for vv i
D R Q ( LIC
By
PERMIT EXPIRES Date r
_
e'applic,'able provi
/or resotutions to do
fees ha k en paid.
Wp` t$
. )54te 41;
' —
�.
Receipt No.
WHITE-D.P.W., YELLOW -AS SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovhle, Caitfornla 95985 - Telephone: 918,'538.7541
APPLICATION AND PERMIT
A33M33OR PARtELNUMMKR
042-350-028
ZONING
"R-1
BUILDING PERMIT
OWNER
Orin Stratton342-6039
TELEPHONE
S6. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1220 Glenn Haven Dr., Chico 95926
CONTRACTOR'S NAME
Harwood & Co.
TELEPHONE
893-5898
CONTRACTOR'S MAILING ADDRESS
3851 Morrow Lane 7 Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$7.595.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $82.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $97.50
PLUMBING PERMIT Filing Fee 1 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF [I Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home Is G W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other a]
Describe work: __ Replace Windows
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600VORLESS 18.50
200A OR LESS
Main service 200A TO t000A1
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 Profession Code and my license is in full force and effect.
a D
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
_37.50
NEW CONST.DWELLING OCCUP.&` 3.60 sq.ft.
OR ACDNS. ( ACC. BLDGS. I
NEW CONSTRESID, ULTI.O CRLET
C @ 5,00
NON -R ESI D� BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76d
FIXED APPLNS. OR
Ex. Occup. OUTLETS IR ESI D.) EA.� I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. byirin g 15.00
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
Id�yClare under penalty of perjury (check one):
:g- The permit is for $100.00 (valuation) or less.
56 1 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
dto 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 $
LContractor
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 ranting of this permit.
X e ' n D_____� Date— —9 8L
S nature of Applicant – Owner
g pp ❑ Contractor ❑ Agent
An OSHAwork
permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $97.50
HAz
1 0FEES I
IMP
I FLOOD
CDF
PARCEL
PD
H D
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicte d abo for which fees have been paid.
R OF PUBLIC WORKS
By �- D Ae
PERMIT EXPIRES Date
Receipt No. 115334
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMIENT O& PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIMRNIA 95965 - TELEPHONE (916) 538-7541
OWNER
Proposed Building Use
PERMIT'APPLICATI.ON DATA SHEET`
•'%.
No. Cj 2 - 3< -
Building Inspector Date Y
0
At time of t application, I was advised the following d6ta must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ........ .
2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation .................. .
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of$ ..........................................
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). . .
Pre-4nspection requ�
20- Pre -inspection for required. . to Building Inspector (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 . .......................................
32. Plan check list . ............................................... ; .... .
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation t
Acreage Applicant � dyN 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 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 _ mail Counter\by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovifle, t✓alifornia 95965 - Telephono, 916 :538.7541
APPLICATION AND PERMIT
A!!E» R PARCIEL NUZ
x!02 ---3 s—
NIN
BUILDING PERMIT
OWNER �1 <
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING TADDRESS
V Lc
CONTRACTOR'S NAME
0"',
TELEPHONE
8 3-5�gg
CONTRACTOR'S MAILING ADDRESS
3 9 5/ 24�GkLf0
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15,00
LENDER'S MAILING AODR SS
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
$ 7r
PLUMBING 'PERMIT
Filing Fee 15.00
Each Trap
I 5.00
Solar or heat pump water heater
1 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
1 7.00
USE OF STRUCTURE
SF�4 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'71 Addition emodel ❑ Utilities ❑ installation,/Other/l I
Descrjpe tyd n-��_��—�–rz—=
����--llll////����
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 2orATO 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.
No. Classification
jJ 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.&)
OR ADONS. ACC. BLOGS. //
3.66 sq.ft.
NEW CONSTR. ULTI.OUTLET
N O..RES.,BRANCH CIRC ITS
@.5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76d
R
FIXELicense
EX. Occup. OUTLETS PRESIDIAP LNS. REA.)
1 3.00
Temporary service
1 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.
71 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.
Contractor
MECHANICAL PERMIT
FiIIng Fee 15.00
Heating
Cooling
Hood
6.50
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 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 againstTOTAL
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permi C
XDate Z / Z
Signature of Applicant – Owner ❑ Contractor ❑ Agent ❑
An OSHA ions over 5'0" deep and demolition or construct-
ion of structures t over r 39 stories ineheight.
Mobile Home Installation Fee $
Energy Inspection Fee
$
occ I CONST TYPE
FEE $
I'HAz
0FEES IMP
FLOOD
CDF
PARCEL
PO
Ho
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.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROO-APPLICANT
Y � _R �`�'T;-',-t,,y>R +'.�.�o"'! rY'"#�,•€*�,: •. `�rs?'"o '; �"�„"' ,' -.1�,e�.;►°;�!�'��`P�?'���"1't�'�'�+.t�:.�"�'^.�!'37
042=350-028 n �: r93-178B
STRATTEN, Bernice
r�'' „fi; "f •? " ' �'ti' r 1220_Glen Haven Dr, 'Chico
(sf/vinyl siding front of house)-Z75
r•
• l t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
!41 APPLICATION AND PERMIT
PERMIT NO.
,2-? — �g
ASSESSOR PARCEL NUMBER
042-350-028
ZONING
R-1
BUILDING PERMIT
OWNR
*ernice Stratten
TELEPHONE
3421-6039
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1220 Glen Haven Dr., Chico 95926
3,920.00
CONTRAC'OR'SNAME
Harward & Co.'
TELEPHONE
893-5898
CONTRAC :OR'S MAILING ADDRESS
3851 Morrow Lane 4117 Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 3.920.00
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE ND.
Filing Fee $ 15,00
Permit Fee $ 52.50
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $67.50
�n r FI ChiCo
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 1 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF EX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W ]j@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Vinyl Siding on Font of House _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
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 Co a and y license is in full force and effect.
License No. Classification 7",
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) 1
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A) 37.50
NEW CONST. ( M DWELLING OCCUP3.64 sq.ft.
OR ADONS. \ ACC. BLDGS. I
NEW CON5TRMULTI-OUTLET
NON-RESID BRANCH CIRCUITS) @ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 751JAL- 464
Ex. Occup. OUTLETS (RESID.)REA.1 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring '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.
.pf I have placed on file with the County of Butte Building Department
F� 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
Hood 6.50
Ventilation
Permit Fee $
Contractor
I certify that 1 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 - ,f (� A-0 e , Date �' .� �e '�
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $67.50
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
PD
I HD
Issu
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 'r�.r .1 / 1, r -a1 Date 1- . I
PERMIT EXPIRES' Date
, ,
Receipt No. 135157
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AN -0 -PERMIT
PERMIT NO.
�3- ,/�
ASSESSOR PARCEL NUMBER
042-350-028
ZONING
R-1
BUILDING PERMIT
OWN
Dernice Stratten
TELEPHONE
34.2-6039•
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1220 Glen Haven Dr., Chico 95926 '
3920.00
CONTRACTOR'S NAME
Harward & Co.
TELEPHONE
893-5898
CONTRACTOR'S MAILING ADDRESS
3851 Morrow Lane #7 Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 3,920.00
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 52.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
Permit fee $ 67.50
199n Glen Haven Dr-, Chico
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 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
SF EJ Duplex❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Vi nVI 4i di ng on Front of 14011RP _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200V OR LESS
00AORLESS 18.50
CONTRACTORS LICENSE LAW
declare under penalty of perlury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Co a and y license is in full force and effect.
License No. � � Classification "?1Ex.
El I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000AI 37.50
NEW CONSTDWELLING OCCUPM
3.64 sq.ft.OR AODNS. / ACC. BLDGS.I
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS @ 5.00
POWER APPUS e
(ARATSINGLE OUTLET CIR.
20 @ 76
Occup(ouTLETs OR FIXTURES
FIXED APLNS
Ex. Occup. OUTLETS P(RESID )REA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring -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.
AI 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
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 liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X lf>� —d 1.0 �` Date �`�
Signature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEES 67.50
HAz
I DFEEs I
IMP
I FLOOD
I CDF
PARCEL
PO
HD
Issu
This permit is hereby issued under the applicable provi- l
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
IRECW PUBLIC WORKS
ByF. Date 1-L% 3
PERMI EXPIRES Da
Receipt No. 135157
WHITE-D.P. W,. YELLOW-A58(SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSF- - """AEA
- 2 - 350
O�.
ZONING
iI
BUILDING PERMIT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
rl
CO TRACTOR'S NAME -
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
3 -1 ;7Y1d'?Aor. 0 GLC Cly
CONSTRUCTION LENDER UNKNOWN
Fireplace
Total Valuation Is
LENDER'S MAILING ADDRESS _
ARCHITECT OR ENGINEER - - LICENSE NO.
Filing Fee
$ 15,00
Permit Fee
Plan Checking Fee
$ SZ S
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS '
Permit fee
$ SC
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
I 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
S'I;�A Duplex❑ Mobilehome❑ Other
SPECT FV
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW 1
15.00
TYPE OF WORK
New Addition E] Remodel❑ Utilities❑ Installation❑ Other
` r
Describe work: _
i ��i n o
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 15.00 .
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of
p y perjury lur y (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and Professions C de and my license is in full force and effect.
License No. O Classification L_7
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000A)
37.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADONS. l ACC. BLDGS. /
3.66 sq.ft.
NEW CONSTR_ ULTI.OUTLET
NON.RESID BRANCH CIRCU ITS
@ 5.00
APPARATUS 6\
SINGLE OUTLET CIR.
Ex. Occ up(ouT LETS OR FIXTURES
20 76d
FIXED APPLNS. R
Ex. Occup. OUTLETS IRESIO.) EA.0)
1 3.001
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
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
Hood
6.50
Ventilation
Permit Fee
$
Contractor
Lify that I have read this application and state that the above information
rect. I agree to comply to all County Ordinances and State Laws relating
lding construction, and hereby authorize representatives of the Countyot
to enter upon the above-mentioned property for inspection purposes.
agree to save, indemnify and keep harmless the County of Butte against
bilities, judgments, costs, and expenses which may in any way accrue
st said Countyin conse/nq►uence of the granting of this permit..QI C1�^ -� ` IL1�-Y Date Z`",%,` `�
ure of Applicant — Owner Contractor CI Agensions
HA permit is required for excavations aver 5'0" deep and demolition or construct -work
structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz
DFEES
IMP
FLOOD
CDF PARCEL
PD HO
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
WReceipt No. -13-5/5-7
TC -O. r. W.. T[LLO W-As9[,s 5O R, PINK -INSPECTOR. GOLDfNRO D-APPL)CANT
i1 \� 'r � `+ � �/f _.., r,,,V 1'�Irr... c�':Ytl .njXt'•r .. r�.fFi�,_ 'f ud'H�}'.y ...., r' �.. r-',l.r., <�. .Ir . . i�j - . � ..> .. •'i , .,. r r
r
.COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIPORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER �I'Nlc� fie f A. P. No. yZ - 3�U - O Z
Proposed Building Use V I N 4j b i N g Building Inspector AD Date 450
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. 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). .. Pre.. t... . �
-Inspacion requ
20. Pre -inspection for required. .. to Bu;;ding inspector (Date)
�21. Contractor's license information. (No., Name Style, Classification). ..............
! X22. 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 . ......................................
32. Plan check list . .....................................................
33.
.34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant _
Date V-1-6/93
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 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 _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
c9=� Gt.�wevo
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 5
INSPECTION -CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-0892 Issued: 04/25/2007
Address: 1220 GLENN HAVEN DRArea: CHICO
Owner: HANNA -GORE, JILL TRIAPN: 042-350-028
Applicant: HANNA -GORE, ALL Map Page: 14 c_ 3
Permit Type: Water Heater C/O
Description: REPLACE WATER HEATER
Flood Zone: None SRA Area: No
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVE.D`BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Ho ldowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Ins ection Type I
IVR I WSP DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool Elec/Bonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
177 , -777 77-7777777 n 7_'777=
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Public Works Fina
538-7681
Fire Department/CDF
538-7111
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
801 e— -a
-rru,ect rmat is a i,cruucaa u1 occupancy fur tncsIucnu111 vnry)
PERMITS BECOME NULL AND VOID I YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A I YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
D-7
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING,PERMIT'
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
r'
WEBSITE: www.buttecounty.net\dds
= PROJECT INFORMATION '
Site Address: 1220 GLENN HAVEN DR
Owner:
Permit No: B07-0892
APN: 042-350-028
HANNA -GORE, JILL TRUSTEE
Issued Date: 04/25/2007 By KCG
Permit type: MISCELLANEOUS
435 OLIVE ST
Subtype: Water Heater C/O
CHICO, CA 95928
Expiration Date: 04/24/2008
Description: REPLACE WATER HEATER
(530) 342-6765
Occupancy: Zoning: R1
Contractor
Applicant:
Square Footage:
CONRADS PLUMBING
HANNA -GORE, JILL
Building Garage ' Remdl/Addn
954 E LASSEN AVE
435 OLIVE ST
CHICO, CA 95973
CHICO, CA 95928
Other Porch/Patio Total
(530)893-1124
(530)342-6765
FEE INFORMATION
DBP Water Heater (qty) $55.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
CONRADS PLUMBING 670692 / C36 / 05/31/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect. ,
X 04/25/2007
Contractor's Signature Date '
WORKERS' COMPENSATION -DECLARATION . _ ' I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier. State Fund Policy Number. 1442472 Exp. Date:05/01/2007
���(This section need not be completed a the permit is or once hundredollars ($100) or less.
f
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
SUED, I shall not employ any person in any manner so as to become subject to the Workers'
ampensation laws of California, and agree t t if I should become subject to the workers'
compensation provisions of Section 3700 the Labor Code, I shall forthwith comply with those
3I/1J11 %1RUL :L:��_I_ffl I WAS t
ON
WARIN : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND LL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUN ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
City State Zip
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B2796
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
❑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 (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
5I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a oontractor(s) licensed pursuant to the
Contractors License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
04/25/2007
Date
1
I here y certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
0 owner or a authorized to ap on e o e owners beyalf.
;VT
ro_ (I 1 ✓1 V1 ( -rAlf'.P_ 04/25/2007
rZA Owner ❑ Contractor OR.Agent for Owner ElAgent for Contractor
'fes FILE COPY -
Qti
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the 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 personally 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:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
° If you are an employer, you must register with the state and federal government 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.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact 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 thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier'website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (YES OR NO)
2. I (HAVE/HAVE NOT) SIGNED 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 CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
5. 1 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
Description: REPLACE WATER HEATER
Reference Number: B07-0892
Applicant Name: HANNA -GORE, JILL
Owner's Name: HANNA -GORE, JILL TRUSTEE AP # : 042-350-028
Signature of Property Owner: Date:
c./
BUTTE COUNTY
o�����0 DEPARTMENT OF DEVELOPMENT SERVICES
G BUILDING PERMIT APPLICATION
° OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
c —fir �:�-• o A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.neVdds
cOUN'��l **PLEASE PRINT CLEARLY**
WNER IN 0RMATION
Last NaW NA !, v� 0
First Name
n
Mailing Address �5
City 21�C O
Stat
Zip S
Phone Z— •
Fax
E-mail
a , n e('ne e n
u
CONTRACTOR
Name C64radls y !A
Address
City
Statee
Zip
Phone 112
Fax
E-mail
Lic. #
Class
APPXIqANTSIGNATURE
WWW"All
PERMIT
NO.
BIN #
PROJECT LOCATION
Property Address Zn /�y� a- u�
City G
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
' a
Q 1
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
ARCHITECT/ENGINEER
Name
—
pin no_
"Addfess
(L-7 [" 0
VV
City
/t„` j, O7
1 /
State
Zip
Phone
Fax
E-mail
State License Number
APPXIqANTSIGNATURE
WWW"All
PERMIT
NO.
BIN #
PROJECT LOCATION
Property Address Zn /�y� a- u�
City G
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
' a
Q 1
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
APPLICANT INFORMATION
Name
—
pin no_
Address
(L-7 [" 0
VV
City
/t„` j, O7
1 /
State
Zip r
J
Phone
Fax
E-mail
APPXIqANTSIGNATURE
WWW"All
PERMIT
NO.
BIN #
PROJECT LOCATION
Property Address Zn /�y� a- u�
City G
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
' a
Q 1
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone SRA
I Yes
I No
Occ.
Type Const.