HomeMy WebLinkAbout042-390-045° 42-39-45 ��
Al Vial
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1011 Meier r., Chico
t Permit # - B(n-'w/ plea)
42-39-45
Co- r: Al Vial
Perms k 006-83B(new triplex)
-42=39-45
Contr: Al Vial
Permit #1489-83E(teO ele rser for/1006-
83)`k iplex
42-39-45
1
Permit#1594-83- plbg/1006=83)triplex
42-39-45
Permii 476-83E.,M(ele .&-mech/,1006-83)
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ELECTRIC
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ELECTRIC
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PERMIT NO.
1006-83B
PERMIT EXPIRES_
OWNER AL VIAL
CONTR. Al Vial
y' 42-39-45 ASSESSOR PARCEL
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�,r LOCATION 1011 Meier Dri, Chico'
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1 . OFFICE COPY vy
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GAS'
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' r•' Date
ELECTRIC o ,
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Temp. Power Pole
Called PG&E -
�em Elec. Service r ''
` Called PG&E
Temp. Gas Service
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Cal led PG&E
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'�' JOB FINALED (Date)
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�I Signature j
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This building has been constructed and completed in accordance with the
requirements of the Uniform Building Code under permit number 1006-83
for the following:
Use Classification Tri-Plex Apartment
Address or Location 1011 Meier Drive, Chico
Group R-1 occupancy; Type V -N construction.
It is hereby certified for the occupancy described above and may be
occupied.
Director of Public Wrk
Date 9/28/83
By
POST IN A CONSPICUOUS PLACE
(Over)
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1
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This building has been constructed and completed in accordance with the
requirements of the Uniform Building Code under permit number 1006-83
for the following:
Use Classification Tri-Plex Apartment
Address or Location 1011 Meier Drive, Chico
Group R-1 occupancy; Type V -N construction.
It is hereby certified for the occupancy described above and may be
occupied.
Director of Public Wrk
Date 9/28/83
By
POST IN A CONSPICUOUS PLACE
(Over)
R
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CER' IFICATE.�F
ON
CF��OIRMANCE
1HE UNDERSIGNED MANUfACTURER HEREBY CERTIFIES
that the products identified below and on attached sheets Nos. are marked
with the Collective Mark of the AMERICAN. INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance. with applicable provisions of U. S. Product Standard
PS 56-73, for Structural Glued Laminated Timber, and that such manufacture has been at our plant in
Drain, Oregon , which plant has a quality control system approved by
the Inspection Bureau of the AMERICAN INSTITUTE OF. TIMBER CONSTRUCTION and inspected
periodically by such Bureau,
The manufacture of .these members complies With the manufacturing and fabricating provisions of
Chapter 25 of -the Uniform Building Code. -
JOB NAME: SecluOia Suppi
JOB LOCATION, Fairfield, CA ,
. ,q A r � e
CUSTOMER'S ORDER NO. PO* 90-15110' DATE �"30-83 MFGR'S ORDER NO. 3093-3
24F -V3 DF, WP Gluty,. Arch; .A . , ' iridv. Wrap.
...0-�.. _.-�� ` � Duco-Lai ' Inc.SIGNATURE � +':-,r ; COMPANY ►
TITLE -Quality Control '16 i DRESS Ei6x L91..`.,Drain, OR DATE Aril 26, 1983
AITC HEREBY -CERTIFIES that the said company at its said plant is licensed by the
AMERICAN INSTITUTE OF•TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of
products which zcomply with applicable provisiofis of said Standard, that the'adequacy of the quality
control system in effect at said plant is periotkal+y4nspected and verified by the Inspection Bureau of
-the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, -in the judgment -•of the under-
signed; said company is capable of complying with applicable manufacturing and testing provisions of
said, Standard in respect of products manufactured at said plant. Conformance with the Standard in {
respect of any specific'.or particular product is 'the sole responsibility of the manufacturer; AITC's
guarantee hereunder being that the said company is qualified to produce a product meeting the said
Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau.
A 67684,,
AITC Certificate No. _ Signed for
AMERICAN INSTITUTE OF TIMBERT.ONSTRUCTION
a' 49
- b�7u-- �._ ��
Russet/ P. Wibbens F, J MiTeci r
Executive Vice President * !• bisector, nspectibn Itureau
•�' ®'1982 AMENICAN-INSTITUTE OF TIMBER CONSTRUCTION
AITC FORM IBCA - S �"
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SEQUOIA�SUPP�,Y'` _
250 DITTM R' ROAD FAIRFIELD, .CALIFORNIA,9:.46D (70 )864-1711
INVOICE NUMBER DATE. ,
9072:786, 6/15/83
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<:� i., ii ._E ail ,i:! �.: ;gk.�A� a 3s � S}- ppl-is'
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0 - Not OK •
�— = Not Applicable RESIDENTIAL, (Single
_* = Not Ready „
and Duplex)
l
Da
(NOTE: Anentry must
VND FLOOR Plans OK except H's
Date
FRA ING Continued
Zoning requ' s-Setbac sem nts
Property Line Firewall & Openings
teel.-EI - / /" Ftg. Depth
Ext. Doors -One 3'-Checaiage-3rd story, 2 exits
Garage; Soils -0h;61- / /" Ftg. Depth
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Porches & Decks; Soils -Steel- / /" Ftg. Depth
-54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
tem Is, Main; Steel-Blockouts-Wrapped-
walls, Garage; Steel-Blockouts-Wrapped-SI
-t.
52. Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
g
is -Fireplace Ftg.-Steel
W.V.: Fall -Fittings -Test -2 way CIO -Sewer Test
Glazing Area -Glass Protection -Skylights -Plastic
STIShear Walls; Nailing -Bolts
._8_.6as-Ripe; Size -Anchors
C' Jbi
ater Pipe; nchors- st
�T . Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
-1-k.-Girders-Sills-Anchor Bolts-Joists-Vents-CripplesCard-BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Cl` Date ��Card-BI Date
Date
FINAL (Plans) OK except N's
Card IB —Dam Card -BI Date
Date
PLUM Permit) OK except q's
6.,.,i-xt. Steps -Door & Sidelight Protection -Landings
P. Smoke Detector
Vent -Access -Combustion Air
58. Furnace; Vents -Clearance -Comb. Air -Connector-
In Garage; Above Floor -Ducts -Meth. Protection
ater Pi e; Test & Anchors -Nail Protection
_
_
W.V.. Fitngs &Anchors -Nail Protection
Eg/13edroom Exiting
1 'Shoyfer Pan; Test, First Floor -Tub Access
!G.F.I. & Bath Fixtures & Tub Access
st Tub & Shower, 2nd Floor -Tub Access
pJ. Iec. Trim & Subpanel; Breaker Sizes -Labels
-
as Pipe; Size & Anchors�/�
'rs & Rails
-
-
. Fireplace o ,7 Clearances -Hearth
64e'*Elec. Outlets at Wood Panel; Int. & Ext.
Card-61fZ+
Card -BI Date
6b!)Cit. Fixt. & Appliance; Grnd.- 6ir Gap-CookingClearance
Card B1
Date Card -BI Date
Elec. Ou ets & Rece t sat Kit. Coun
Date
LETRICAL Permit OK exceptit's
arage Fire Door; Swing -Landing -Closer
JW'A.C. Duct in Garage -Damper
- --
Fixture & Transformer Clearance -Ins. Protection
fj9�Ntr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
+_-
-21. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Plb., Elec. & Mech. Equip. Listed for Location
2PJ ize Boxes & No. of Conductors -Stapled
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
_
lid! Romex Installed Close to Edge of Studs & C.J.
J&P�I'nsulation- Foam -Looked in Attic LPoTes
'_Appliance
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
L3e/Guard Rails & Deck Construction -Post Caps
Circuits in Kitchen & Conductor Size
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
--2��SSubfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga.'Cu or At
2r Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75. Following instld.: Drive es ❑ No; Walks a_:,hee's ❑ No;
Planters 0-Yos Fi4<oo
-
2& service -Riser Conductors & Ground -Main Disconnect76..
S cco; own-FiRi gr
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-
--- Equip. Clearances: Panels-Motors-Mech. Equip.
- -
Clothes Closet Light -Shower Light
nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
-
--------•-•-------- ------
Card B -I
Card B-1
-7&1/F, -Card -BI Date
%�+__Date ---_--_-_— -_ _-_-
Date Card -BI Date
X79.
BD�Exterior Elec. Trim; G.F.I. Receptacle -Underground
LU -Ventilation throughout House
L2* GIass Protection
Date
MEC ANICAL Perrc,it OK except N's
( ) p�tj�
_
83. Corrections from Previous Inspections
s Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
C.Ducis: Insulation &Support
_ -
_
3 _ent-Fan; Exhaust above Insulation
_39r Condensate Drain _& Overilow; Size & Grade
nergy Compliance Certificate -Other Certificates
44r Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet
Card -BI
Card -BI
,a2 - Attic Access & Platform if Furnace in Attic
----_---- -•- _ .-_- -----------_---------_-_-
- Date_ _Card -BI - Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card-
Date Card -BI Date
Car -BI
Date Card BI Date
Date
RAMING(Plans) OK except k's
Comments at Ftnal:
Sills; Proper Material & Anchors _ _'
Walls; Studs -Nailing, Spacing & Bracing -Plates_ -Sound
18! aring Walls over Girders & Floor Nailing
Dr t Sto in Walls (rat proof)
- 7j
(
__(;j3,1j it o F�-S'^C#rasc+s- Taff
-
Li! Header & Beam -Size & Bearing
4Q,,onangers-Post Caps -Anchors -_Connectors
(J$/Cing. Joist-Rftr. Ti 5Roof Brac.-Truss-Shlhng.-Ring.
fireplace Ties Ty Fireplace Throat
] ci J1.t
_
_
4ST Attic Access; Size &_Rom_ex Protection -Draft Stop -Ins. Baffles
tieBdrm. Windows_ or Exiting Doors -Sill Hgt. & Dimensions_
raming
4Garage Fire Protection Framing ----.----
a�T -
(NOTE:Anentrymust be made each time youvisit job site)
= OK
0 = Not OK
- = Not Applicable MOBILEHOMES V
* = Not Ready
y
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures -
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1., Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except #'s -
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining___
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10, Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
I
J
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s _ COUNTY OF BUTTE
DEPARTMENT OF PUBLPC WORKS
196 Memorial Way, Chico —.Phone: 89172751
7 County Center Drive, Oroville — Phone: 534454.1
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOT"BCE
uj�_�j ) 0 0 k FS"
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
Inspector Da
COUNTY OF BUTTE,
DEPARTMENT OF PUBLIC WORIC'S
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
V�
A
COUNTY OF BUTTE
'~ DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 -
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE f
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
A
b V
r
��
Inspector . /"�-. Date
/ &—
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
l CORRECTION NOTICE
OWNER �c
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
f .V -t /-,? ji
1 C�,
Inspector Date
RFCTnIT Tf'TAT.
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Triplex, Meier Dr., Chico
(location)
BU ILD ING PERMIT NO. /0(0(0 - A.P. NO .
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write,N/A if not applicable)
INSULATION:
Slab Edge /9
Fdn. Walls
Floors N/A
Walls R19
Ceiling/Roof R30
Ducts //
Circulating Pipes
APPROVED HEATER S
APPROVED WTR. HTR.
GLAZ ING :
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS. VE S
WEATHERSTRIPPED DRS. V ZF S
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVI ES v g„ s
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of
Insulation Applicator.
Loerke Insulation Co,
ease print)
State Contractors
License No. 432518
General Contractor/Owner Name L _]-' V/ AL
(please print)
Signature of
General Contractor/Owner u /�(�� Date tT, / / � — F 5
State Contractors �
License No. 2:1 / r7 q
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
r 7 County Center Drive, Oroville -- Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
j CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial- Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
T
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
U�
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of vwork is completed. If you have any question pertaining to this
matter, or need! additional explanation, please contact this office immediately.
t
Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico'— Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE .
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction -of work is completed. If you have any question pertaining to this
matter, or needladditional explanation, please contact this office immediately.
Inspector Date=
COUNTY OF BUTTE - DEPARTIVIENT OF PUBLIC WORKS
' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0.
DO -�I3
ASSESS RR^ PARCE N
``
�T ` �
Z NG ^ 1
4
BUILDING PERMIT
-aUMBERV
OWNER 1
TELEPHONE
SO. FT. OCC. BUILDIN V UATION
OWNER'S MAILING ADDRESS
CON R
CTO S NAJF_
TELEPHONE
CONTRACTOR'S MAILIADDRESS
WAS' e
`
Fireplace "
CONST$.�ICTION LENDER i
J f/1
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S (LING ADDRESS
Permit Fee
$ a
ARC CT OX7GI ER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHI ECT G NE ER' AILING ADDRESS
.
Permit fee
$73. Sh
BUILDINGADDRESS'
_. ,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT IjO.
r`lJ�
SUBDIVISION N ME
::0 de (i1 S
P RCEL MAP
- O&
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE j
SF ❑ Duplex ❑ Mobi lehome ❑ Other 71-1 / P �X
- PECI d
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New Rr Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ Other ❑
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC, BLDGS.
t
220sgit
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 71 Classification A
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2.50 ea
NON.R ESID BRANCH CIRC ITS
NEw CONSTR. (POWER APPARATUS &1
NON.RESID. SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES gA G30C
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00 `
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue,
against said County in consequence of the granting of this permit.
X Date --V/2
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
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL PD
HD ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC ORO BLIC
By
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Da— �'
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
40,
r ~ "`—�QOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
t- 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
f
PERMIT APPLICATION"DATA SHEET
Permit No. 1 r
OWNER .1' V i P1 Y A. P. No. �. 3 9-41—S
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price '�DPW Valuation
.Other (Explain)
Building Inspector. Date _ — / �. — 3
M r
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
omplete plans i Ic /triplicate. . . . . . . . . 2 g3
4. omplete engineered plans and calcs. . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No. . . .
7 Statement of Intent fo`rt%Non-Heated , n�
Q 8 ees of $ W ..t' 1c �1 .r (P
9. Letter of signature authorizat'on. , .
��0. Sanitation approval from !i �r� Health Dept.
�_ ttr' Planning approval for (A) Use: W (B) Parking:
2. Certificate of Workmen's Compensation Insurance. . . . . . S
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner F-1)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
.
./�, Pre-Inspec. request to (Date)
17. Pre -Inspection for / Required. Building Inspectoy
J.,�'��
When you issue the permit, process as'follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector
Other_ !
Applicant y tf (s-� Date ��%�•-*a
JA' r
Copy of plans sent Health Dept., %c Fire Dept., Other
Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at ti a of-icat�ir m.)
1. Index permit for above Items No.
2. Additional items required:
o Desi ,Owner as advised of above required data by )!C—Telephone Mail Other
By
Plans checked by
Plans approved by
Other
Copy—DPW
Date
Date
Date
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
/'01/
Owner Location,� AP#
461 r .
Plann approved for; sewage disposal water supply
Hold final for: water supply
Final clearance 0A. for: water supply _
Clearance for bedroom mobile home. Other r `4 — 7 p
Note***
tarian
-1,- I -C3
Date
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 83-12249
FOR RESIDENTIAL DEVELOPMENT
Escrow No. 100160/CJ OFFICIAL RECO?ftL`'
Section 26-8.1 of the Butte County Code requires this acknowledgement 3U1TE COUNTY
be recorded prior to issuance of a building permit. c ORS & ry-raLE C(
COMM WEALT
R b4 ! ��H I B3
The property described herein is adjacent to land or included k AP
within an area zoned for agricultural purposes, and residents of"�
this property may be subject to inconveniences or discomfort arising CLERK-RRECORUE8
from the use of agricultural chemicals, including, but not limited to herbicides, E
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established. agricul-
tural.zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Lots 45 and 46 , as shown on that certain Map entitled, "LORI GARDENS SUBDIVISION"
which Map was recorded in the office of the Recorder of the County of Butte, State
of California, on November 13, 1972, in Book 43 of Maps, at pages 5 and 6.
Date: April 13, 1983
State of California )
) SS.
County of Butte )
OFFICIAL SEAL
DONALD L. MULKEY
NOTARY PUBLIC — CALIFORNIA
PRINCIPAL OFFICE IN THE
COUNTY OF BUTTE
Comm. Exp. Oct. 16, 1983
PROPERTY OWNERS:
/aJ vW
A4�;Zfia�
Sharon K. Vial
On this the 13th day of April , 19--u-1
before me, the undersigned Notary Public, personally
appeared Al J. Vial and
Sharon K. Vial
known to me to be the person(s) whose name(s) are
subscribed to the within instrument and acknowledged
that they executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Present A.P. 140. 42, 3/- 4 S
IT
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,
PROPERTY OWNERS:
/aJ vW
A4�;Zfia�
Sharon K. Vial
On this the 13th day of April , 19--u-1
before me, the undersigned Notary Public, personally
appeared Al J. Vial and
Sharon K. Vial
known to me to be the person(s) whose name(s) are
subscribed to the within instrument and acknowledged
that they executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Present A.P. 140. 42, 3/- 4 S
IT
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A! . 1
Page 1
MULTIPLE FAMILY AND COMMER=L PLAN CHECKING GUIDE
Bldg. Permi # .n
A.P. # Z••� S
A.
Zoning requirements (sideyard(parkin special conditions).4r;-01- �r
Valuation.
Signature by R.C.E. or Architect (if required). Calculations.
f;;.**"Complete
✓/ Improvements and drainage -- Land Dev.,DPW; City of Chico; City of Biggs.
r Complete plot plan with dimensions, easements, other buildings, and other pertinent data.
See previous permits and plans in file for expired permits, change of use, etc.
B. OCCUPANCY REQUIREMENTS
1. Building use ""
2. _Occupancy Class
3. Building floor area
4. Total allowable floor area _
Basic allowable floor area _
Basis for increase
sq. ft.
sq. ft.
sq. ft.
_ Type of Constr. N
Occupant Load
Additions, alterations, and repairs exceeding 50% (Sec. 104).
XCompliance with occupancy group requirements (Chapters 5-13).
50.0"Occupancy separations (Sec. 503).
Area separations (Sec. 505).
j� irewalls due to location on property (Sec. 504).
1.<ximum height requirements (Sec. 507).
W. Attic separations (Sec. 3025).
WO.' Ventilation and special hazards requirements (Chapters 6-13).
].a� Fire extinguishing systems (Chapter 38); Fire alarm systems (Sec. 809 & 909).
14/. echanical code requirements. (Grease Hood w/fire sprinkler system - Chapter 20).
15!�ealth Dept. Plan Review -(a) Restaurant Act; (b) Commercial Pool.
lf/. Smoke detection system.
Fire Dept. Plan Review and/or Fire Marshal Plan Approval.
Electrical Code Requirements (Pools or hazardous occ.)-(Art. 680 & 500's).
C. TYPES OF CONSTRUCTION REQUIREMENTS
Fire retardant roof coverings (Sec.
arapet walls (Sec. 1709).
Toilet room floors and walls (Sec.
!� Physically handicapped (Sec. 1711 b
'�. Guardrails (Sec. 1716).
1704).
1711).
Table 33A).
6o!'_ Detailed types of construction requirements
7�Proper.roof pitch for roof covering (Chapter
Attic access and ventilation (Sec. 3205).
(Chapters 17-22).
32) .
. Roof drainage (Sec. 3207).
1 . Skylights (Chapters 34 & 52).
1-3/ Stages and platforms (Chapter*39).
i] Interior wall and ceiling finish (Chapter 42).
11 // Fire resistive requirements (Chapter 43).
1Wall and ceiling coverings (Chapter 47).
li. Glass and glazing (Chapter 54). Human Impact (Sec. 5406).
1;.. Building Materials - Check: Grade, Species, Allowable Stresses, Ext. or Int. --
Example: (Glu -lam Beams w/ certif. 24F ext.grade).
Page 2
MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE (continued)
D. ST RS EXITS AND OCCUPANT LOADS
General Exit Requirements (Sec. 3301) (Post occ. load, etc.).
Dumber of exits, width and locations (Sec. 3302).
oors (Sec. 3303). _
Corridors and exterior exit balconies (Sec. 3304).
;Htairways, rise & run, width, winders, and construction (Sec. 3305).
orizontal exit (Sec. 3307).
7'xit and smokeproof enclosures (Sec. 3308 & 3309).
/xit signs and illumination (Sec. 3312).
9isles & seating (Sec. 3313).
lO! Exits for occupancy groups A-E (Sec. 3315-3319).
E. ENGINEERING REGULATIONS, DESIGN, QUALITY, MATERIALS, AND DETAILED REQUIREMENTS
Complete plans sufficient to show how building is proposed to be constructed and to
verify conformance with Chapters 23-29. Plans must include plot plan, floor plan,
-- // foundation plan, elevations, and complete structural details.
2!//' Energy design, calcs, and necessary details (State law).
;; Veneer (Chapter 30).
4/.Chimneys and fireplaces (Chapter 37). Engineered plans if required.
'Elastics (Chapter 52).
xcavation and grading (Chapter 70).
.� Continuous or Special Inspection (Sec. 305).
VFactory or other certification.
Soils or compaction data. r30%1;it
1 oise regulations. �(C-21L
MEN
JoK Footing reinf. Min. Two #4 bars (cont.) . Spvmtf; Pit, T$/,L C6S d b
12. Engineering Calc(s) should include:. _�g.6746
(a) Roof - Ceiling.
(b) Floor - Ceiling. - 4WAL
(c) Foundation. oLoMq U L
(d) Walls -- Large openings? (consider lateral). er 00*60 24-27aL
(e) Lateral: 1. Roof Diaphram. 'C=T
2. Shear Walls.
3.• Anchorage & Tie -downs.
4. Connections thru-out. oW (p# _743L
(f) Retaining Walls. Q
J
RECORDING REQUESTED BY
Commonwealth Title and Escrow Company
Escrow No. 100160/CJ
AND WHEN RECORDED MAIL TO:
D�r-1FII:CIA-L. ,RE-CORID
,►( . t. .m •Y.. otrot.1:
'.l1ik�,i S',iY.J ;f �`::�_ iw�:;:. ;? •fir L[� :.� �t .
1 1381
CLEIRK"REC&RCE? '
�EE
Name r Mr. and Mrs. Al J. Vial
Street 224 W. Tonea Way
Address Chico, California 95926 3 � G
City 8 4
State L J
F
MAIL TAX STATEMENTS TO:
1
Name
Street
Address
city a SAME AS ABOVE
State
L_j SPACE ABOVE THIS LINE FOR RECORDER'S USE
Grant Dee L P.N.
THIS FORM FURNISHED BY COMMONWEALTH LAND TITLE INSURANCE COMPANY
The undersigned grantor(s) declare(s): Nor CbMPARED WITH
Documentary transfer tax is $ NONE ORIGINAL I)OCUMENT
( ) computed on full value of property conveyed,. or
( ) computed on full value less value of liens and encumbrances remaining at -time of sale.
( X�) Unincorporated area:( ) City of and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Al J. Vial, a married man as his sole and separate property
hereby GRANT(S) to
Al J. Vial and Sharon K. Vial,
husband and wife
the following described real property in the Unincorporated Area
County of Butte , State of California:
A nonexclusive easement for ingress and egress for driveway purposes over the
Southwesterly 12.50 feet of Lot 46 of "Lori Gardens Subdivision", recorded November
13, 1972, Book 43 of Maps, at pages 5 and 6.
Said easement is for the benefit of and appurtenant to Lot 45 of "LORI GARDENS
SUBDIVISION". I
Dated: April 26, 1983 Aoz,
Al J. Val
STATE OF CALIFORNIA
COUNTY OF Butte }SS.
May, )
before me.
the un ers gne
a Notary Public in and for said State, personally appeared
Al J. Vial
(known to me)
to be the
person whose name_is subscribed to the within instru-
ment end ac)Mowledged that he executed the same.
WITNESS y hand and off' ial
Signatu 47
Title Order No.
OFFICIAL SEAL
DONALD L MULKEY
NOTARY PUSUC — CAUFORI"
INIMFAL OMC! IN TM
GOUMTY of rim
Cdn/r L E:pr Oe►. 16, 1983
(TLia area for official notarial well
Escrow or Loan No.
Form 3195 MAIL TAX STATEMENTS AS DIRECTED ABOVE.
t
i
RECORDING REQUESTED BY
Commonwealth Title and Escrow Company
Escrow No. 100160/CJ
AND WHEN RECORDED MAIL TO:
F
Name Mr. and Mrs. Al J. Vial
Street 224 W. Tonea Way
City Chico, California
State L
MAIL TAX STATEMENTS TO:
F
Name
Street
Address SAME AS ABOVE
city a
State
OFFtU;AL RECQ'[)S
BUTTE COUNTY-
JIA
ELEANOR M BL;; �,E;- .�,_G�L
CLERK - RECORLlE_R
FEE
SPACE ABOVE THIS UNE FOR RECORDER'S USE
Deed I A.P.N.
THIS FORM FURNISHED BY COMMONWEALTH LAND TITLE INSURANCE COMPANY
The undersigned grantor(s) declare(s): NOT COMPARED 41/Ir,4
Documentary transfer tax is $ NONE ORIGINAL DOCUMENT
( ) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
(XX ) Unincorporated area:( ) City of and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Al J. Vial and Sharon K. Vial,
husband and wife
hereby GRANTS) to
Al J. Vial, a married man as his sole and separate property
the following described real property in the Unincorporated Area
County of Butte , State of California:
A nonexclusive easement for ingress and egress for driveway purposes over the
Southwesterly 12.50 feet of Lot 46 of "Lori Gardens Subdivision", recorded November
13, 1972, Book 43 of Maps, at pages 5'and 6.
Said easement is for the benefit of and appurtenant to Lot 45. of "LORI GARDENS
SUBDIVISION". ,
Dated: April 26, 1983
Al J. 19 ial
)("
Sharon K. Vial
STATE OF CALIFORNIA
COUNTY OF 1�t SS.
On May 2. 19t3i before me,
the undersigned
a Notary Public in and or said State pe onally appeared
Al J. Vial and Sharon K. Via
(known to me)
to be the
person whose names SLS subscribed to the within instru-
ment and 'ackg (edged that they executed the same.
WITNESS nik hhnd and Dffia%l saalC) 4, / 7")
Signatur
Title Order No.
�uu�wunnmutuntauwgawgeggrgwgwugaa.aa111
OFFICIAL SEAL
DONALD L MULKEY
NOTARY PUBLIC — CALIPORNLA
PRINCIPAL ORICE IN TM
y COUNTY of WM
S Conal. Ftp Oct. 16,1993
innmmmmmemnafll mnnnm
i 1bla area for official notarial goal)
Escrow or Loan No.
Form 3195 MAIL TAX STATEMENTS AS DIRECTED ABOVE.
RECORDING REQUESTED BY
Commonwealth Title -and Escrow Company
Escrow No. 100160/CJ
AND WHEN RECORDED MAIL TO:
FMr. and Mrs. Al J. Vial
Name 224 W. Tonea Way
reet
Address Chico, California 95926
City a
State L J
OFFICIAL RECORD5
R117rE O0i1N;Y' tai .1''
, �•.
Common w ea /
3 19:I�rS
ELEAHOUR at!')i. M.".L::t Ci
CLERK - REC013t)1R
FEE
as- lvL�gs
MAIL TAX STATEMENTS TO: '
Name
Street
Address
city a SAME AS ABOVE
State
LSPACE ABOVE THIS LINE FOR RECORDER'S USE
Brant iJeea I A.P.N.
THIS FORM FURNISHED BY COMMONWEALTH LAND TITLE INSURANCE COMPANY
NOT COMPARED !A/ITH
The undersigned grantor(s) declare(s): ORIGINAL DOCUMENT
Documentary transfer tax is $ NONE
( ) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
( XX) Unincorporated area: ( ) City of and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged;
Al J. Vial and Sharon K. Vial,
husband and wife
hereby GRANT(S) to
Al J. Vial , a married man as his sole and separate property
the following described real property in the Unincorporated Area
County of Butte , State of California:
A nonexclusive easement for ingress and egress for driveway purposes over the
Northeasterly 12.50 feet of Lot 45 of " Lori Gardens Subdivision", recorded November
13, 1972, Book 43 of Maps, at pages 5' and 6.
Said easement is for the benefit of and appurtenant to Lot 46 of "LORI GARDENS
SUBDIVISION". I
Dated:
STATE OF CALIFORNIA
COUNTY OF Butte }SS.
On May 2. 19 ) before me.
the undersigned
a Notary Public in and for said State, personally appeared
Al J. Vial and Sharon K. Vial
. (known to me)
to be the
person s whose names ar%ubscribed to the within instru-
ment and eckn ledged that they executed the same.
WITNESS h nd and off' 'al
Signature
u:
Al J. Pial
C�//,
Sharon K. Vial
OFFICIAL SEAL
DONALD L MULKEY
NOTARY PUJUC — CALIF0111NIA
MXCIPAL OFIRCII IN TNf
COUNTY OF LURE
Corms. Esp. Od. 16, 1983
area for official notarial meal)
Title Order No. Escrow or Loan No. I
Form 3195 MAIL TAX STATEMENTS AS DIRECTED ABOVE.
RECORDING REQUESTED BY cr
,cEF;I�G;IrLii :Fct;E,CCFSCIS
Commonwealth Title and Escrow .Company "F 'tiutr��1�> cx , ,.i _ CI_�1 B
Escrow No. 100160/CJ
AND WHEN RECORDED MAIL TO: MAY � '� �* ��� 0�
FEEELW16P K. EEC 4 , 7
FEE'
F
Name Mr. and Mrs. Al J. Vial
Street 224 W.. Tonea Way
Address Chico, California 95926 U
city a
State L
MAIL TAX STATEMENTS TO:
Name
Add ess SAME AS ABOVE
city a
State
L_j SPACE ABOVE THIS LINE FOR RECORDER'S USE
__J—Grant Dee A.P.N.
THIS FORM FURNISHED BY COMMONWEALTH LAND TITLE INSURANCE COMPANY
The undersigned grantor(s) declare: NOT
Documentary transfer tax is $ NO ORIGI/VgMP'4 C 0 to
( ) computed on full value of property conveyed, or DO �
( ) computed on full value less value of liens and encumbrances remaining at time of sale. UM&Nr
( ) Unincorporated area: ( ) City of and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
Al J. Vial, a married man as his sole and separate property
hereby. GRANTS) to
Al J. Vial and Sharon K. Vial,
husband and wife
the following described real property in the Unincorporated Area
County of Butte , State of California:
A nonexclusive easement for ingress and egress for driveway purposes over the
Northeasterly 12.50 feet of Lot 45 of "Lori Gardens Subdivision", recorded November
13, 1972, Book 43 of Maps, at pages 5 and 6.
Said easement is for the benefit of and appurtenant to Lot 46 of "LORI GARDENS
SUBDIVISION". I
Dated: April 26, 1983
Al J. lial
STATE OF CALIFORNIA
COUNTY OF Butte } SS.
Ot a un ersig 3 ) before me.
aANoyry Pubyc in and for said State, personally appeared
(known to me)
to be the
person whose names—subscribed to the within instru-
ment and ackAowledged that he executed the same.
WITNESS y and and offigtal s
Signatur
OFFICIAL SEAL
DONALD L MULKEY
-� NOTARY PUKIC — CAUFORPAA
MIICI►AL OFRCK 1N THA
COUNTY Of LYRE
Comm, Exp. Oct. 16,1983
(lis area for ofndal notarial seal)
Title Order No. Escrow or Loan No.
Form 3195 MAIL TAX STATEMENTS AS DIRECTED ABOVE
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSE , PAREUMB R
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWN R'S MAILING ADDRESS
CON R CTOR•S NAME
1 1a
TELEPHONE
CONTRACT R•S MAILIN ADD ESS
Q.... �tS- UYl
Fireplace
CONSTRU ION LENDER
��-Filing
UNKNOWN
Total Valuation $
Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDR SS
AV if i r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other 1 k V 19 X
SPECIFY
Building sewer
5.00
Mobile Home S I G IN
1 110.00e4
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatio Other
Describe work:
S
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
1
220sgft
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 a d m license is in f force and effect.
Y
License No. Classification r
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEWCONSTR POWER APPARATUS WINON•R ESI D. ( SINGLE OUTLET CIR. /
20050c
Ex. Occup(o OR FIXTURES BAL@30
A
FIXED APPLNS, OR
FIXED
Ex. OCCup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00 t
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
CR I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 �aid--County in c ns��eq��u��e((n��ceof the granting of this permit.
X �L"`' Date �"l O '
Signature of Applicant — Owner F-1 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 $
TOTAL PERMIT FEE $ r
OCCUP. GROUP I
TYPE OF CONST.
F
PARCEL
PD
HD
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
CTO OF PUBLIC
BY
PERMIT EXPIRES D to
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_
Date -13
Receipt No. 97a Cl
WHITE-D.P.W., YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CalifoFnia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT.
NO
v
ASSESSOR PARC&L MUMBER '
Z _ .r
Z�iG
BUILDING PERMIT
Ow ER
c
TELE ONE
SQ. FT. OCC. BUILDING VALUATI
OWNER'S MAILING ADDRESS
CONT CTOR'S AME
C
TELEPHONE
M (LING ESS
C TRACTOR'7,d4(21_G
Fireplace
CONS UCTIO LEFDEji
KNOWN
Total Valuation $
Filing Fee
$ 10.00
L DER'S MAILING ADDRESS
Permit Fee
$
ARCH EC OR ENGINE
LICENSE NO.
9-4
Plan Checking Fee
$
Penalty
$
ARCHIT CT OR EXE R'S MAILING ADDRESS
C 2 a
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
(/J 2.00 Vf Qp
Solar Water Heater
20.00
- t
Water piping
% 5.00 S O
LOT NO. SUBDIVISION NAME PAR EL MAP
Each qas water heater or ve
5.00 S;C)o
Gas piping system 1 - 5 outlets
5.00 v
USE OF STRUCT
SF ❑ Duplex ❑ Mobi lehome ❑ Other r
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New Addition Re 'del U'liti s❑ Installation❑ Other
Describe work: 2, �3 —
Permit Fee
$ Q
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP.&
OR ADDNS. l ACC. BLDGS.
1
2/20Sgft
CONTRACTORS LICENSE LAW
I de la under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Co e a my license is in full force and effect.
License No.a Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEWCONSTR ULTI.OUTLET 2.50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTR. ( POWER APPARATUS &'1
NON-RESID, SINGLE OUTLET CIR. /
Ex. OCCUp(OUTLETS OR FIXTURES PALO 0
FIXED APPLNS, OR
Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $10Q.00 (valuation) or less.
�I have placed on file with the County, of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that i have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 Fogsequence of the granting of this permit.
X �3
Date
Signature of Applicant — Owner❑ Contractor ❑ Agent
IA 'OSHA permit is required for excavations over 5'0" deep and demolition or construct-
lorrpf structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ p
OCCUP. GROUP
I TYPE OF CONST.
I
PARCEL
PD
HD
19SUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI E T R OF PUBLIC
By .—
PERMIT EXPIR e
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �
v L
e 2 1- S ,
Receipt No. C,Q
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cafifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT
NO.
C® —
ASSESSOR PARCE NUMBER
ZONI�Ly
/(/
BUILDING PERMIT
OWNER
G.
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S M (LING ADDRESS
CONT
R/
HONE
/ ✓
CON ACTOR'S MAILING ADD ESS
G
Fireplace
CONS RUCTION LEND R,
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
L ND R S MAILING ADDRESS
f LCA
Permit Fee
$
ARCHWEC7 OR ENGINER ENSE NO.
A-0 L d cJ LICC/ �p 2,
Plan Checking Fee
$
Penalty
$
ARCH C R ENGINEE •S MAI ING ADDRESS
Permit fee
$
BUILDING- ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
/ £
Each Trap
2.00
Water Heater
20.00
lzozSolar
C
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.le
USE OF STRUCTU
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5
Mobile Home S G W
10.0
TYPE OF WORK
New Addition ❑ Remodel❑ Utilities Ins Ilation❑ Other
Describe work: G
! �
/�
Permit Fee
$
ontractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1001 OR LESS
1
100 AMP OR LESS
10.00 DO
1(�
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. FLING
OR ADDNS. (ACCLBLD
21/22sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business2®SOa
and Professions Coe an m license is in full force and effect.
Y
�
License No. o?% 1 % Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR.MULTI-OUT LET 2,50 ea
NON•RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR.
Ex. OccupOR FI xTURES BA0L030
IXEDTs
Ex. Occup. our ETS PRESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
W I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating a -
p
�s
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against )d County inj�o/ns,�,qu n'ce of the granting of this permit.
%� �� V��""' Date /�-��
Signature of Applicant — Owner F1 Contractor ❑ AgentZ
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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
I
PARCEL
PD
HD
ssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated ove for which fees have been paid.
IRE TOR OF PUBLIC WORKS
BY Date ��
PERMIT EXP to
Receipt No. ���,�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r,.
v - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541 �� (/
APPLICATION AND PERMIT
�cr�c.ac�, a�+a�vco U� 11!G VV.—Y UI pULM lU U11LUI UPUII IIIC
above-mentioned property for inspection purposes.
X Date�41,—
Signatur of Permit or Agent
Receipt No. 177p3ay
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Building permit expires Date
Date
BUILDING
OwnerA-)
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
1 (�
Telephone No.
Contractor 'a
Mailing Address i
Fireplace f 00 1 ' D
Total Valuation
f
T.Ieph ne o.
Permit Fee
Building Address r
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
_
29ning Y.Orificafion Onl ;
Repair drainage or vent piping 1.50
R_t� r
A. P. No. ^3 �-• q-� Z .in g
Water piping 1.50
Each gas water heater or vent 1.50
F s
Sanitation Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma 60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
`"�
Parcel- yl
Plans A pol
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADO'L 100 AMP 1.00
NEW CONST.( OR ADONS. ACCLBL GS.LING CCUP. Y� 2¢Sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of: '
Y
NEW CONSTR BRANCH C1 :._,TS) 1
NON.CRESID,ONST � BRANCH CIRCUITS/ 2.50ea
NEWCONSTR. POWER APPARATUS A
NON .RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTURES5 254
L ,
Ex. OCCu FIXED APPLNS. OR
p•�OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. -3Z8,� Classification >�
,�—
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
®I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
�cr�c.ac�, a�+a�vco U� 11!G VV.—Y UI pULM lU U11LUI UPUII IIIC
above-mentioned property for inspection purposes.
X Date�41,—
Signatur of Permit or Agent
Receipt No. 177p3ay
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Building permit expires Date
Date
,u 6"r' . rP E
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