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HomeMy WebLinkAbout042-580-0440 ..---....fir. 42-58-44 WEBB BROTHERS F1774 Heron Ln lot 17 Sil crtr-c I Chico Contr: Webb Homes Sf Permit#310-87B,P,E,M(new single nmly) 04258-0=0449.7-114 BES LIERSCH FAMILY TRUST — -. 1774 Heron,,"Chico (add :erinclosed' office')SF J.,, 7042`-580-044 .;N� PERMIT#9.7-14 - i, LIERSCH; Albert: "'�' 1'7474 Heron 1n co' NewCar".po 7�. '.'�/Y" e♦ ray, ,'4y�� �+�+. 042-580-044' 01-2580 LI , ALBERT 1774 HERO CHICO�b CONT: MCCLELL NEW HVAC 042-580-044 02-0718 • pju LIERSCH FAMILY TRUST kq"k,pv 1774 HERON LN., CHICO ' GAS WATER HTR CHANGE OUT 042-580-044 04-2137 LIERSCH, ALBERT 1774 HERON LN, CHIC0/� Cont: RRR ROOFING iii RE -ROOF ccJJ I q lbq- n rj F t RESInEIVTIA� �y-� �- i 042-58-0-044 97-.1143 B,E _ LIERSCH FAMILY TRUST 1774 Heron, Chico i (add enclosed office)SF J.M. Const —4- PERMIT NO. PERMIT EXPIRES 1 OWNER CONTR. �^ ASSESSOR PARCEL ;{ LOCATION .I } ITemp. Power Pole Called PG&E Temp. Elec. Service i Called PG&E f Temp. Gas Service Called PG&E JOB FINALED (Date) Signature REQUEST FOR INSPECTION Permit No. q Location: �J Con Owner: Call L] Phone: - BLDG. PLUMB/MECH ELECTRIC L/M.H.U. PRE= INSPECTION Form Rough Top Out Rough Temp. Service Fnd/Ftg Job Status Frame/ Underfloor Stucco Lath Gas Piping/Test Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Well Circuit Final Verify Utilities Ex Mobile Site Woodstove Sewer Piping POOL Brace Panel Water Piping Insulation Shower Pan Gunite Nailing Bonding Nemo Light Niche Corrections Final Corrections Final ;/� (�// Corrections Final / Corrections Final Ready for Inspec. on: V ' Date: Comment: ti COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION A� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT //. /_ ASSESSOR PARCEL NUMBER 042-580-044 ASRZONIN0 BUILDING PERMIT OWNER PR F; 1 lr TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4 T .T f 3 R 757 50 CONTRACTOR'S NAME J Pl WNST1ITT MON TELEPHONE � ;' �: ] -; � n C � `) C 5 CONTRACTORS MAILING ADDRESS 135 r CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 14.073.75' ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 105,30 BUILDING ADDRESS 1774 ITER02 Energy Plan Checking Fee $ 23.00 $ CTITCO PERMIT FEE $ 310.30 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pu(mlS Nfater 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: ``>ln 01s+t� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20OA 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 i full force and effect./[ License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OWELLIUP. NG OCC OR ADDNS. ( 6 ACC. BLOS. SO 3.50FT. 8.26 NE NON -R SI1DT MAUJLCTI-OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 @'.000 BAL @ .0 Ex. Occup. ouT.E'sRESIo.oER.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ iR 7(� WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20,00 Heating T)T ICT Cooling Hood 6.50 Ventilation PERMIT FEES J5- •� Policy Number' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date —`�J Signal fe of Appll`ci'nt - Q7 Owner Contractor ❑ Agent An OSHA permit is required for excava ions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE $ 373.56 Z. D. fES ETOTALEE CDF PARCEL - PD HD, ISSUE, ✓ This permit is hereby issued under the Butte County Code and/or in indicated above for which fees have By ; JJ -1—,,,A PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /n /�• �% el, - Dale Receipt No. 103.JU — LL1yi31// WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V=OK O = Not OK �= NotApplicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #t'a Card B 1 Date Card B-1 1. Zoning Requirements - Setbacks - Easements , Card B-1 Date Card B71 2. Soils; Special MH Support Sketch POOLS (Plans) OK except #F'a 3. Sewer, Locabor-TesE ll-C/n-Cancreta 1. Setbacks•Easements 4. Water, Location. -Test -Easement Needed (Sketch) 2. Soils;.Compaction-Structure Stability S. Electricity; Location-Clearances-Gmd-/ /Amp40oncrets 3. Pod Structure; Steel -Connections -Thickness Dead Men -Luring 6. Gas; Location -Test -Wrap; / JUL / /Nat or/ M -ft./ /LPG 4. Elea.; Receptacles and Lighting, Distance -GF] 7. Well Clearance & Disconnect S. Elec.; Pod Lighting; 15 Volts -GR • . 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK exceW,,#r's 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test DemarKWahp•Connecror 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/0 -to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card 0-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS - Date DECKS, . cAR _ AO (Plans) OK except 8's 1. Toning Requimm*nteSe0mpk9-Easements 2. Footings; SoilsS4e-Depth-Spacing-ConnectorsSteel i 3. Dedts, .Girders and/or-Joists-Decluro Bracing•Stairs-Rads 4. WooQAwn.; Posts-Beams-Rltrs.-Conners Shthg.-Rf$.-Bracing 5. Alum. Awn.; Columns•ConnectionsSplice•Decal-Endosures 6. Carports; Wirrdows•Doors 7. Electric S. Fnng.; Sils-ArKhorsStuds-Rftrs-Trusses,, ., 9. Siding; NailingAkneerStucco•Mesh , 10. Root Shthg•Roofing 11. ExL; Steps -Doors -Landings 12. Braced Wall. Panels T. l Date Card B 1 Date Card B-1 Date Card B-1 Date Card B71 Date POOLS (Plans) OK except #F'a 1. Setbacks•Easements 2. Soils;.Compaction-Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Luring 4. Elea.; Receptacles and Lighting, Distance -GF] S. Elec.; Pod Lighting; 15 Volts -GR • . 6. Elec.; Enclosures; Conduit Entries -Terminals -listed , 7. Elec.: Bonding; Metal w/6 -Circulating Equip. -Healer 8. Elec.; Grounding; Equip. w/3 Circulating Equip.­F�ool Lghtg.- Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test' 11. Light Niche - - Date Card B-1 Date Card B-1 Date Card 0-1 Date Card B-1 T. l ✓ ,= OK 0 = Not OK - = Not Applicable * = Not Readv (Plans) OK except RESIDENTIAL (Single & Duplex) CfAll116-F fq., Main; Soils-Elec. Gmd.-/ /° Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped QV 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hol s and Special Anchors ab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water H • Vent -Access -Com tion Air Baffle 18. Water Pi ; Test & AnSOdf-f4ail Protection 19. D.W.V.; Te Fi ' s & Anchor -Nail Protection 20. Sh a ; Test, First Floor -Tub Access 21. t Tub & ower, Second Floor -Tub Access 22. Gas Pipe; Sixe Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date _,WCTRICAL (Permit) OK except #'s Fa Transformer Clearance -Ins. Protection 2C1E_1ecAe159_ptacles Spacing -Lights & Switches at Doors 26-'9_ize Bs & No. of Conductors Stapled o stalled Close to Edge of Studs & C.J. 2 quip. Ground made up w/Mech Fastners-Bond Gas & Water ce Circuts in Kitchen & Conductor Size GFI ize / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No .U-tWTc_e-"Riser Conductors & Ground -Main Disconect arances Panels -Motors -Meth. Epuip. o es Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 D to Card B-1 Date MECHANICAL (Per OK except #'s 35. A.C. D cts Insulati Support 36. Vent Fak, E st above insulation 37. Con % to Drain & Overflow, Size & Grade 38.,&ffianceAthpt Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ,iRAMING (Plans) OK except #'s 40"'Sits,Rf6per Materials & Anchors 4 tuds-Nailing Spacing & Braces -Plates -Sound B g Walls over Girders & Floor Nailing Dra p in Walls (rat proof) e i ops, Furred CeilingsStairs-Chasers-Tubs ders & Beams -Size & Bearing Date EBWNG (Continued) , 46!13anglars-Post Caps -Anchors -Connectors - Cling. Joist-Rftr. Ties-Puriin-roff Brac: Truss-Shting: Rfng. ep ace Ties -or-Igoe A Flue -Fireplace Throat clearance ss; rz_e Romex Protection -Draft Stop -Ins. Baffles dnn. Windows or Exiting Doors -Sill Hgt. & Dimensions e ire Protection Framing firewall & Openings oors n '-Check Garage 3rd Story, 2 Exits d -n -Rise -Run -Landing -Fire Protection on Roof Overhang -Attic Vents -Rafter Outriggers eneer 5 tucco Mesh -Drip Screed -Fd. Vents-Underfir. Access X68: - laang Area -Glass Protection -Skylights -Plastic 0 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels . nsulation-Walls-Ceilings 62. Infiltration -Walls -Windows Date -iq -q,) CardB-iV45 Date Card B-1 Date B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. V.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpane1, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. 72. 73. Elec. Outlets at Wood Panel, Int. & Ext. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Elec. Outlets & Receticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper `j 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Fo!!qXring Instld./Drive 0 Yes 0 No/Walks Q Yes 0 No/Planters 0 Yes 0 No 84. 85. tucco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE /-/f- �-//Y3 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. %)ryuI Dir. S14 C, % COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt�Road, Chico;, CA - (916) 891-2751 7 County Center Drive, Oroville,,CA - (916) 538-7541 747 Elliott Road, Paradise, CA- (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date ��� In c REV 10/92 LOERKE INSULATION -GO!, INC. INSULATION CERTIFICATE 1774 Heron Chico Number and StreetCity { Butte of County Subdivision Lot Number DESCRIPTION OF INSTALLATION 1. ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2. CEILING Batt or Blanket Type Fiberglass Batts Brand Name Schuller Int. Thickness (inches) 10.25 Thermal Resistance (R -Value) R 30 _Loose Fill Type Fiberglass Brand Name Schuller Int. Contractor/s min. installed weight/ft sq. Ib. Minimum Thickness inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) 3. EXTERIOR WALL Material Fiberglass Batts Thickness (inches) 3.5 4. RAISED FLOOR Material Fiberglass Batts Thickness (inches) 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches 6. FOUNDATION WALL Material Thickness (inches DECLARATION Brand Name Schuller Int Thermal Resistance (R -Value) R 13 Brand Name Schuller Int Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficient Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the Certificate of compliance, where applicable. C.L.#499150 LOERKE INSULATION CO., INC. t� i n ure, Date- Installing Subcontractor (Co.Name) Or General Contractor (Co. Name) Or Owner Item #s Signature, atensta ing Subcontractor Co. ame Or General Contractor (Co.Name) Or Owner Item #s Signature, Date Installing Subcontractor (Co. N ame) Or General Contractor Co. Name Or Owner BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP042137 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class B— License Number. ,3 Date:r% 1 Contractor. �E t,�6*r 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 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 signed statement that he or she is licensed pursuant to the provisions of the Contractor's State 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).): ❑ 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 such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, 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.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner. WORKERS' COMPENSATION DECLARATION I 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and p6licy number are: Carrier. J(C crA t�JZ a S ]D T- a--1(� Policy #: OC�� - cac or -K ! 2�a ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:1(91) ( (,7-1 Applicant: A.43-- WARNING: d WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer 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. Issued Date: 07/19/2004 APN: 042-580-044-000 Site Address: 1774 HERON LN CHI Map Index: Description: RE ROOF 32 SQ. COMP Owner: LIERSCH FAMILY TRUST LIERSCH ALBERT E & LORETTA ANN TRUSTEES 1774 HERON LN CHICO, CA 95926-1106 Applicant: LIERSCH FAMILY TRUST Contractor: RRR ROOFING 716 HAZEL STREET CHICO, CA 95928 530-345-9646 License M 717351 Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 7P_ w __ .:-_. -11 /i I i! it Ic— '.a BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP042137 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under Issued Date: 07/19/2004 APN: 042-580-044-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Site Address: 1774 HERON LN CHI ' License Class : License Number: �%3 • Map Index: Date: Contractor.�Cr. Description: RE ROOF 32 SQ. COMP 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 Owner: LIERSCH FAMILY TRUST Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior LIERSCH ALBERT E & LORETTA ANN to its issuance, also requires the applicant for such permit to file a TRUSTEES TRUSTEES signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 1774 LN 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95926-1106 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).): ❑ 1, as owner of the properly, 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 Applicant: LIERSCH FAMILY TRUST pp owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, 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, Contractor: RRR ROOFING and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 716 HAZEL STREET ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 530-345-9646 Date: Owner.' License #: 717351 WORKERS' COMPENSATION DECLARATION. I 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 Architect: is issued. I have insurance, and will maintain workers' compensation as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier. J(acri IJl a _(. �a Total Square Ft: 0 S. F. Policy#. Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -LA Date: ! ) ( 0 Applicant:. L .,n WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer 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. �� ' d cSV� pL�UC�i�• rT l `'10`� • s6 CONSTRUCTION LENDING AGENCY This permit is hereby issued under t applicable provisions of the Butte County Code and/or affirm I hereby arm that there is a construction lending agency for the Resolutions to o work indicated ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMIT EXPIRES ON: 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 document of Butte County. I hereby authorize representatives of Butte County to enteruponthe above mentioned property for inspection purposes. Print Name: f l (Tl Iy l �! — Signature: Date: 'S3 (C ❑ Owner 13 Contractor 'Agent for Owner Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS ..24 HOUR INSPEG"TION#: OROVILLE: (530) 538-7636 - CFHCO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION I -L APPLICANT SIGNATURE X For office ase on : OWNER Name �. Address I r7rIL4 I � O - City Ci C-0 c i -c c.0 Stated -7,p Phone —taw ay5-4,, X410. Fax E-mail Phone 5; g - I -L APPLICANT SIGNATURE X For office ase on : CONTRACTOR . Nam �. Address� I � O - City c i -c c.0 State G4. Zip Phone ay5-4,, X410. Fax ;5c4t>-Ci (o L4_7 E-mail Phone 5; g - Uc. #rl I q 1351 Class I -L APPLICANT SIGNATURE X For office ase on : ARCHITECT/ENGINEER Name �. Address 1— City _ 7;> 0 State 7 Zip Phone Planner Date Approved: AM% / Fax E-mail Phone 5; g - Slate Ucense Number I -L APPLICANT SIGNATURE X For office ase on : . APPLICANT NAME Name �. 1— Address 14 _ 7;> 0 Subdivision Name. ` , City ` G� Planner Date Approved: AM% / StateC, Zi pC'1j1 Phone 5; g - Fax �J E-mail d I -L APPLICANT SIGNATURE X For office ase on : Zoning Flood Zone SRA Yes I No Occ• I Type Const Subdivision Name. Map Book Pae Lot # Planner Date Approved: AM% / vvcrc IFUR Su13MITTAL REQUIR MENTS KAFORM BUILDING FORMS\BldgApplSubRgmts.d c Page 1 of 2 PERMIT NO. -/'AiL?f7 BIN # LOCATION AP# 6W.- a114 Property Address 1 Cross Street WORKER'S COMPENSATION Policy Number 005 - oov 1 ri LA 1251-4 Carrier J CO _Nr, . If hiring anyone other than license contractors, a certNfcate of worker's compensation mustbe shown at the time otparmltissuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage 11 Structure Bulit without Permits ❑ 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, pians and fee will be 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 peravt and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount:. se) Bldg SRA Receipt P Sheriff SMIP Date: Other r?'�5 x T_._. REV 430-04 Y_l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT G "� I r ASSESSOR PARCEL NUMB _ — ���.. zom G� BUILDING PERMIT OWNER 1TELEPHONE to .7• SO. FT. OCC. BUILDING VALUATION OWNERS MAJJNG WDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS ,I CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS '+"� /A Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 9 Each Trap 7.00 USEOFSTRUCTURE SF -K Duplex ❑ Mobilehome O Other SPECIFY 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 O Remodel O Utilities ❑ Installation O Other O Describe Work: urn_tAQ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE 57, OW ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license iis�in�full force and effect. ,!/ / 7, 7 License Classc- r .26. Lic. No. �% /y 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or,my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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. O 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' compensatiSn insurance.carfier and policy number are: Carrier x-71/7 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLDs. SO 3.50 NEW NON•REOSID. RANCHO CIRCUITS @7,50 POWER APPARATUS a swGLE ouTLEr' CIR. Ex. Occup. OUTLET OR FocruREs 20 SAL Qa ,50 FIXED APPLNS. OR Ex. Occup. ourLErs RESID. E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 71/10 -- (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall1E not employ any person in any4manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation . provisions of section 3700 of the Labor Code, I shall forthwith comply with thosi provisions./ - / ? X %%` Date vX7 Signature of ;Applicant - O Owner Q,,Contractor ❑ Agent An OSHA pe`mit isrequired for excavations over 5'0" deep and demolition or construction��" structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ c PE TOTAL FEE $ 35. +� -VAI HAZ. D FEES P FLOOD CDF PARCEL Po HD ISj,U V This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 1- .,ter cf� d—yo—,U PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. li �1of Date VP 3 -d 7 iQ.3 Date Receipt No. _ OP WHITE•D.D.S.•B.D. CANARY -ASS S OR PINK -INSPECTOR GOLDENROD -APPLICANT 51 :*% _. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75416 ,, + �� (Rev. 12/96) APPLICATION AND PERMIT 0- ASSESSOR PARCEL NUMB _ I ~ 094/ ZONIb IG (^C �• BUILDING PERMIT OWNER q TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERSNG DRESS 1 CONTRACTOR'S ME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 04 BUILDINGADDRESS Energy Plan Checking Fee $ $ 4 Grj PERMIT FEE $ LOT NO. BDN510N'S NAME 7 PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or hest um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ee 1 Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 1100V OR LES 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 usiness and Professions Code, and my license i in full force and effect. �� � License Class Lic. No. !!! l7 t OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, f the performance of work for which this permit is issued. My workers' comp a n suranca�ftr and olicy number are: Carrier ��y Policy Number — (The above sections need not be completed if the permit is for work of a va ation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the ork for which this permit is issued, I shall not oy any person in a man er so as to become subject to workers' co pen tion laws of Cal' nia, nd gree that 'rf I should become subject to the wo ers' c mpensation provi ons f sec io 3700 of the Labor Code, I shall J fo with c mply with o rlon'tractor X Date �' v _ Si ature p icant - ❑ OwnerW ❑Agent A OSHA rmit is required for excavations over 60" deep and demolition or construction of es over 3 stories in height. Main Service TO I 46.00so W:.200A NEW CONST. DWFJ.L.ING OCCUP. SO U OR ADDNS. ( 3 ACC. BLDS. 3.5¢FT. NEW CONST. MULTI.OUTLET NON -REBID. @7.50 POWER APPARATUS Ex, Occup. OUTLETslOR ARE a20 1.00 FIxEOAPPLNs.oR Ex. Occup. O.FIXED EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ cc -3 PE TOTAL FEE $ 356 t� HAz. D. FEES FLOOD CDF PARCEL PD HD UE This permit is hereby issued under of the Butte County Code and/or indicat above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. DateU 3 -CP $03 Data Receipt No. 3q3LJ WHITE-D.D.S.-B. D. CA ARY-ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT Name ILIERSCH FAMILY TRUST Addr1 ILIERSCH ALBERT E & LORETTA ANN TRUS- Addr2 1774 HERON LN Addr3 I CHICO CA 95926.1106 Addr4 Comments 14258004400 CONVERTED 09/08/88 Creating D oc#1 1987R 2413400 D ate Current D oc# 11994R 46111 D ate 10/27/1994 Killing Doc# I D ate Asmk Desc 1 774 HERON LANE Zoning ASR 00 D well Acres 1 0.00 N /C 042 S uplCnt F– Asmt # 042-680-044-000 Fee # 042-680-044-000 Status ACTIVE Status Date Tax F00-01NORMALOWNERSHIP TRA 062-110 Situs 11774 HERON LN CHI Base Dk Landk S tructure Fixtures Growing Total L&I Fix. R F MH PP PP AgPres 98,710 E tal 0 N okes 0 B onds 0 Multi Situs Flag1 Flagg Asmk PP Pen Tax PP Pen Appeal Pending Split Pending Landk S tructure Fixtures Growing Total L&I Fix. R F MH PP PP L40,649 98,710 0 0 139,369 0 0 0 E xemptl 7,000 Net 1 132,369 R /C# T/R Dt R /C S kat PHY I OWN I EXP I TAX I H H N I AT T I al T I APR. I PCL I f --l ---,I PP.I m ' Find r,:7. . , I 1nr 1nnP7-q n n"7 na ML i a, . V42--)6U-U44..' . 01-25f LIERSCH, ALBERT 1774 HERON LN, CHICO CONT: MCCLELLAND NEW HVAC A COUNTY OF `BUTTE-- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754Z, P E R# NO. (Rev. 12/96) APPLICATION AND PERMIT J' .Q - NO ASSESSOR PARCEL NUMBER q w _012 -04 ZONING BUILDINGPERMIT OWNER TELEPHONE sit. im SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS ' CONTRA OR'S NAME / M 1 �1 TELEPHONE f GT'1 � • �DW� CO RACTORS MAIUNG ADDRESS 7" t.,+tit 3,!m,1L1S0tr 6r i+�Ca CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS �..•� �1 j % / Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFyDuplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 0-4-11A.i 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 2o0A OR LESSs 1 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.�+ License Class C. • )_ Lic. No. �,.� J ' (C jl OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier !' - -rla ;" = =% 11..% (� Policy Number rI i _ _*`2_&4 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions' of section 3700 of the Labor Code, I shall forthwith comply witch those provisions. X / 71, Signature ofApplican wrier ❑ ContractorAgentAn OSHA permit is required for excavations over 5'0" depand demolition or construction of structures over 3 storiesIn height. A Main Service 200A TO tOooA 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. S.3.5¢FT; - NCNEW RalpT MULTI -OUTLET @7,50 cUTS POWEPPARATUS 8 SINGLER AOURET CIR. 20 @ 100 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. oFur�rs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating Coolingrill, Hood 6.50 Ventilation PERMIT FEE $ /). Gv Mobile Home Installation Fee $ Energy Inspection Fee $ OCC T.,T CONST TOTAL FEE $ U, ` HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abovefor which fees have been paid. !z By 4-1 (r -0 Rate. l PERMIT EXPIRES ON U Date ° Receipt No. /� / 44.�`� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK=INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754�/. PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �xa ASSESSOR PARCEL NUMBERCly L_ 57LOD _04 ZONING BUILDING PERMIT OWNER " TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNEWS�I.IIAILING ADDRESS , 1 i w IV LQ CONTRACTOR -6 -!NAME a (,, TELEPHONE ep�-�W� CONTRACTORS MAILING ADDRESS �//���� joqQ �/(gAV L 1 Sr C1, CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ [/ BUILDING ADDRESS 7iYl��61,f /G� / Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE / SF I Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑1 Utilities 13 Installation ❑ Other Qi Describe Work: � ;1�t.,i li �' �. / Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 a00VOR LE Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. -s-- License Class - zn Lic. No. � J " I -` OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier �'{� 1 =_ r �; (� Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( a ACC. BUDS. SO 3.5¢FT: N"ON RESD. RANCH MULTI -OUTLET @7.50 FowER APPARArus a swGLE GvrLEr CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'50 SAL @ .50 Ex. Occup. oMDTssRs D °eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating U,C� Cooling CV Hood 6.50 Ventilation PERMIT FEI: S . (/U Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' com ensation laws of California, and agree that if I should become subject to the wo rs' compensa ' provisions of section 3700 of the Labor Code, I shall fo with comply w' ose rovisions. X a u I ( Signature of Applica wner ❑ ContractorAgent An OSHA permit is required for excavations over 5'0" d p and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ T I.A D. FEES IMP FLOOD CDF PARCEL pp HD U by issued under This permit is7,uf of the Buttety Code and/or indicated r which fees ' �Z % By 01 PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Receipt No. / WHITE-D.D.S.-B.D. CANARY -ASSESSOR —PINK—IrTSPECTOR GOLDENROD -APPLICANT k ,f t iL f t r ! i r • i r. i . t l' e e 4 t iL f COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75419'z- P RMI NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /J�^ rn yy J��j ZONINO BUILDINGPERMIT OWNER77 L TELEPHONE �Y2- 733 SO, �, OCC. BUILDING VALUATION s , OWNERS �i' D0. S �,-f Com« ss`S 2� 3 L -7 6 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 3 Z ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee $ 4-3— 3_Plan ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILOINGADORESS } Q' I / L Energy Plan Checking Fee $ ca( o $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTUREEach SF Duplex ❑ Mobilehome ❑ Other 04 SPECIFY Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 / TYPE OF WORK New ¢�' AdditioI Remodel ❑ Utilities 13 Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoonOALEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class LLC. NO. OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am. exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADONS. ( a ACC. BLOB. 3.5¢FT. No RES o. MMu�LTI•CH DUT U @7,50 8 OIJrLtT CIR.OWER APPARATUS Ex. OCCU OUTLET OR FIXTURES BAL @ 1.00 Ex. Occup. DUTEIETS R= OE'A, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 12 3 , HAZ. I D. FEES I IMP I FLOODCOF I PARCEL pD ( HD i ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Oalel Receipt No. WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E-Ft,t rz To Lr nlf- -kW f 6d pt,R,4s RECE((Tf,� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541Q P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT `�-/ s (a ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling 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: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 1 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( d ACC. BLDS. SO 3.5QFr: NEW CONST.MULTI-OUTLET NON-RESID. CIRCUITS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL Q I .50 OWNER Ex. Occup. DUT�is AEs D.OERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) fitl I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date '7- 9—f7-- Sig ature of Applicant - Z�-Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAz. o. FEES IMP I FLOOD I COF PARCEL Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. �Z12 Zg WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT * COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541Q PERMIT NO. ``(Rev.12/96) APPLICATION AND PERMIT d�`�5612 ASSESSOR PARCEL NUMBER ( ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS r CONTRACTOR'S NAME ,-... TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S 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 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home, IS I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service AORLEgg 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGL License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A To 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & AGC. BLDS. s0 3.50FT. NOON-REOSID.T MULCTI-OCUTCL"I @7,50 OUTLET COWER APPARATUS & E IR. , Ex. Occup. OUTLET OR FORUREs �' @ 1.00 Ex. Occup. ouTELEis REs=.oERA 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 performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall 1 not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. C.. Date "7_ g=�_ Sig ature of Applicant - 9O -Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. -L-L . Zq WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. °(Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME _ TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Pian Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling 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 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI G W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OvORMain Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR DNS. ( 6 Acc. BLDs. SO 3.5,so rNOW..'DT NEW ANCTI OCIRCUTITS @7.50 8 PSINOWGERLE APPARATUS OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES xI @ 1.00 SAL @ .50 Ex. Occup. OUTLEEDTs RESID.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �' __ Date -7— g= _ Sig ature of Applicant - PoOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. Zl Z,,, ���] WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541� PERMIT NO. "'(Rev. 12/96) APPLICATION AND PERMIT 9-'` �'� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE, SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ' SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 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 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: `W 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLD.. SO 3.50Fr. NEW CONST.MULTI-OUTLET NON-RESID. I @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES 20 ° I'000 BA.0 D APPLNS Ex. OCCu . OUTELETS RESDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: j O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 7 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X<_ __ Date _y- �^_ Signat re of Applicant - PoOwner O Contractor ❑ Agerit An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. -ti 10il WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '40 t }s COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: /Q L i3li/l(/ 1 r 2 e -d ASSESSOR PARCEL NUMBER: - w 1? Proposed Building Use: co I �e_ � Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit pr6cesisirig and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- [j2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------- '---------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- Q*'Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation.---------------------------------------------------- Cl ---------------------------------------------- --- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. -----------------------------------=--------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. -------'►-- ---------------- ❑ 15. City of Chico plumbing permit. ---------- ------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- ---------- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. --------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $--------------- ❑ 3 0. Other: ------- (Date) Pen you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. 3z(Z--133 ' Telephone and hold for pickup at office. C1 Deliver with inspector. Applicant: G� Date: % Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: z Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. .: 1. I personally plan to provide the major 1 or and materials for construction of the proposed property improvement: YES VJ NO[ ]. 2. I HAVE[Vf 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise,,and provide the major work: NAME: N' • ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME/4 ADDRESS PHONE TYPE OF WORK AJ SIGNED: _ PROPERTY OWNER: ; SOCIAL SECURITY NUMBER:_ � DATE: -7 J 9 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are 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: 0 If you -employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks* are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your<community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2.27 LOcAT/d N I �, HI�D�I/ �a., r Aiv DI �2 / K z Al CpNcr-r�r1G P" D. 641 M4 G3 Z RX Ow �L� iac K 2 3/8" Tubing 5" l .• 1 3/8" X 3" BOLTS I OR MIN. 3-#12-14 X 1" SELF -TAPPING SCREWS ON ALL JOINTS. 1' 2 1/8" Tubing 1 1 � Z 21lX3" 2 3/8" Tubing % MOM ASSE ELY DRAWING 2 1/8" Tubing (typ.) 5116'. WEATHER -WISE -STRUCTURES PAGE 1 Weather -Wise structures "Protection for everything under the sun" P. O. Box 688, Rocklin, CA 95677 1800 354-5665 Dear Friends, Thank you so much for your interest in Weather -Wise Structures. We are very proud of our products and the results we are having with our many satisfied clients. The first time anyone see's our buildings, they are so impressed with the look, that they don't realize the quality of the structure. In case I forgot to mention it in our telephone conversation, there are a few important facts that you should know. LEGS & ROOF BOWS; 2 3/8" GALVANIZED STRUCTURAL TUBULAR STEEL. SIDING; 26 GAUGE GALVANIZED STEEL W/BAKED ON ENAMEL. 15 YEAR RATED PAINT. CONSISTENTLY PROVEN SUPERIOR TO TRADITIONAL POLYESTER AND ACRYLIC FINISHES, THE PAINT'S TWO -COAT SYSTEM COMBINES AN EPDXY PRIMER WITH A NEW GENERATION POLYESTER OUTER COATING WARRANTEED TO RETAIN ITS "LIKE NEW" LOOK FOR YEARS, EVEN IN THE MOST DEMANDING WEATHER CONDITIONS. COLORS; WHITE, BEIGE, TAN, BROWN, GRAY, GREEN, BRICK RED, AND BLUE. SIZES; STANDARD SIZES HAVE LEGS ON 5' CENTERS. THEREFORE, LENGTH OF STRUCTURE CAN BE ANYTHING DIVISIBLE BY 5. YOUR TOP COVERAGE WILL BE 1 FOOT LONGER DUE TO 6" OVERHANG ON EACH END. SNOWLOADS; IN ORDER TO ACCOMODATE SNOW LOADS, THE LEGS CAN BE PLACED CLOSER THAN 5' CENTERS & IN SOME CASES, SPECIAL BRACING ADDED. DESIGN YOUR OWN; ALL BASIC STRUCTURES START AS CARPORT STYLE. ADD PARTIAL OR FULL WALLS, LEAN-TO'S, SKYLIGHTS, DOORS, WINDOWS, PARTIAL OR FULL BACKS & FRONTS. ALSO, WE NOW FEATURE OUR NEW "SNOW KING" MOBILE HOME ROOFS. ENGINEERING SPECIFICATIONS; BY CALIFORNIA STATE LICENSED ENGINEER AVAILABLE WHERE NEEDED ON MOST SIZES. We are enclosing some other material so you can see a few of the ways our customers are using their structures. There are literally unlimited uses. If you have any further questions or if we can be of any assistance, please don't hesitate to give us a call at 1-800-354-5665. If you have decided what you need and would like to get in on the next delivery to your area, please call immediately. If you would like to get together so we can look at your space and figure out all the details, we would -be happy to set an appointment to come by. Thanking you in advance for your prompt response, Maxine Helt P.S. WHEN CALLING ASK FOR MAXINE OR TISH. rml 2 3/8" . Tubing .0 I 3/8" X 3" BOLTS i t OR MIN. 3-#12-14 X 1" SELF -TAPPING SCREWS ON ALL JOINTS. I. 2 1/8" Tubing I FRJOS ASSEIMLY DRAWING 2 1/8" Tubing (typ.) .*% " 3/16 L� ' WEATHER-WISE STRUCTURES 2 3/8" Tubing PAGE 1' Roof irng Ma-terial To Be Secured To Structure With No.12 Post Screws Through Vallies Of Sheets To Rafters And Poles. (sheet to tubes) Typ. Roofing Material Sheets To Be Connected With No. 14 Lap Screws At And Between Each Rafter And Poles. (sheet to sheet ) Typ. Notch Top Of Trim In This Manner Secure With No. 14 Lap Screws 1 II h� - QQZ�-, \L Make Cuts On Front Of Trim To'Go Around i Curve Of Roof Sheet, Secure With No. 14 Lap Screws ROOF SHEETING LAYOUT DETAILS WEATHER -WISE STRUCTURES t PAGE 5 i FOOTINGS: NUMBER OF FOOTINGS WILL VARY DEPENDING ON LENGTH OF STRUCTURE. L 2."x3"(3.07lb. ) , 3/411x10"Anchor Bolt a 4 Fill Footing Hole 4:• With v "SACK=CRATE" Concrete •D Typical Footing Detail A 30'1 Dee INSTALLLATION ON SLAB: USE ROTARY HAMMER AND "REDHEADS" TO ATTACH BASE PLATE TO. SLAB DEPTH OF FOOTINGS CAN VARY FROM 24" DEEP TO 30" DEEP DEPENDING ON WIND LOAD REQUIREMENT FOR AREA WHERE STRUCTURE -IS INSTALLED. WEATHER-WISE STRUCTURES PAGE 6 LOcATid /� 1-7-74 Zwv a� �I2d>�US S D ��-'�'L I - eD/�2 IZ/ K Nem /NAL STIE-�L c�vi�Di.✓6 pN C, -i �GNclecrG ��� BY Lc/5ATH0��!✓l! 4u0,a k Siq o P. 4o Z Ir ?ac K 2 3/8" . Tubing us 3/8" X 3" BOLTS I OR MIN. 3-#12-14 X 1" SELF -TAPPING SCREWS ON ALL JOINTS. I' 2 1/8" Tubing I I � MOM ASSEISLY DRAWING 0 1/8" Tubing (typ.) 5" + L� WEATHER-WISE STRUCTURES 2 3/8" Tubing PAGE 1 Weather-Wise structures "Protection for everything under the sun" P. O. Box 688, Rocklin, CA 95677 1800 354-5665 Dear Friends, Thank you so much for your interest in Weather -Wise Structures. We are very proud of our products and the results we are having with our many satisfied clients. The first time anyone see's our buildings, they are so impressed with the look, that they don't realize the quality of the structure. In case I forgot to mention it in our telephone conversation, there are a few important facts that you should know. LEGS & ROOF BOWS; 2 3/8" GALVANIZED STRUCTURAL TUBULAR STEEL. SIDING; 26 GAUGE GALVANIZED STEEL W/BAKED ON ENAMEL. 15 YEAR RATED PAINT. CONSISTENTLY PROVEN SUPERIOR TO TRADITIONAL POLYESTER AND ACRYLIC FINISHES, THE PAINT'S TWO -COAT SYSTEM COMBINES AN EPDXY PRIMER WITH A NEW GENERATION POLYESTER OUTER COATING WARRANTEED TO RETAIN ITS "LIKE NEW" LOOK FOR YEARS, EVEN IN THE MOST DEMANDING WEATHER CONDITIONS. COLORS; WHITE, BEIGE, TAN, BROWN, GRAY, GREEN, BRICK RED, AND BLUE. SIZES; STANDARD SIZES HAVE LEGS ON 5' CENTERS. THEREFORE, LENGTH OF STRUCTURE CAN BE ANYTHING DIVISIBLE BY 5. YOUR TOP COVERAGE WILL BE 1 FOOT LONGER DUE TO 6" OVERHANG ON EACH END. SNOWLOADS; IN ORDER TO ACCOMODATE SNOW LOADS, THE LEGS CAN BE PLACED CLOSER THAN 5' CENTERS & IN SOME CASES, SPECIAL BRACING ADDED. DESIGN YOUR OWN; ALL BASIC STRUCTURES START AS CARPORT STYLE. ADD PARTIAL OR FULL WALLS, LEAN-TO'S, SKYLIGHTS, DOORS, WINDOWS, PARTIAL OR FULL BACKS & FRONTS. ALSO, WE NOW FEATURE OUR NEW "SNOW KING" MOBILE HOME ROOFS. ENGINEERING SPECIFICATIONS; BY CALIFORNIA STATE LICENSED ENGINEER AVAILABLE WHERE NEEDED ON MOST SIZES. We are enclosing some other material so you can see a few of the ways our customers are using their structures. There are literally unlimited uses. If you have any further questions or if we can be of any assistance, please don't hesitate to give us a call at 1-800-354-5665. If you have decided what you need and would like to get in on the next delivery to your area, please call immediately. If you would like to get together so we can look at your space and figure out all the details, we would be happy to set an appointment to come by. Thanking you in advance for your prompt response, Maxine Helt P.S. WHEN CALLING ASK FOR MAXINE OR TISH. 2 3/8" . Tubing • 5" FRJOS ASSIIBLY DRAWING ` � I ' t 3/8" X 3" BOLTS OR MIN. 3-#12-14 X 1" SELF -TAPPING SCREWS ON ALL JOINTS. 2 1/8" Tubing 1 1 t � L 21lx3" ` 2 3/8" Tubing T - 2 1/8" Tubing (typ.) WEATHER-WISE STRUCTURES PAGE 1 Roof ing Ms.terial To Be Secured To Structure With No.12 Post Screws Through Vallies Of Sheets To Rafters And Poles..(sheet to tubes) Typ. Roofing Material Sheets To Be Connected With No. 14 Lap Screws At And Between Each Rafter And Poles..(sheet to sheet ) Typ. ' I Notch Top Of Trim In This Manner Secure With No. 14 Lap Screws \L Make Cuts On Front Of Trim To *Go Around i Curve Of Roof Sheet, Secure With No. 14 Lap Screws ROOF SHEETING LAYOUT DETAILS WEATHER -WISE STRUCTURES PAGE 5 •FOOTINGS:. NUMBER OF FOOTINGS WILL VARY DEPENDING ON LENGTH OF STRUCTURE. t 2'x3"(3.07lb.) , 3/r4"x10"Anchor Bolt Iq • ,, 30 ©• Dee i 'Fill Footing Hole -v With v »SACg CRBTE" Concrete •V. fid.: �Jr • y ' � _: '` Q• 10 Dia. Typical Footing Detail A INSTALLLATION ON SLAB: USE ROTARY HAMMER AND "REDHEADS" TO ATTACH BASE PLATE TO. SLAB. DEPTH OF FOOTINGS CAN VARY FROM 24" DEEP TO 30" DEEP DEPENDING ON WIND LOAD REQUIREMENT FOR AREA WHERE STRUCTURE IS INSTALLED. WEATHER-WISE STRUCTURES PAGE 6 t'd2 �UAr hdv$� '09/v D1�2 IZ / K . / /►/e. ' a CoNcier�rt BY Lt/5ATH0��2 k/1 � Coke IC s"q o P. " ?ac jc 2 3/8" Tubing i 3/8" X 3" BOLTS ` I OR MIN. 3-#12-14 X 1" SELF -TAPPING SCREWS ON ALL JOINTS. I 2 1/8" Tubing I � FRAlS ASSEISLY DRAWING 2 1/811 Tubing (typ.) I +; 5 11 5" 3/1611 WEATHER-WISE STRUCTURES 2 - 2"x3" 2 3/8" Tubing PAGE 1 Weather -Wise structures 'Tmtecdon for everything un& -r the sun" P. O. Box 688, Rocklin, CA 95677 1800 3545665 Dear Friends, Thank you so much for your interest in Weather -Wise Structures. We are very proud of our products and the results we are having with our many satisfied clients. The first time anyone see's our buildings, they are so impressed with the look, that they don't realize the quality of the structure. In case I forgot to mention it in our telephone conversation, there are a few important facts that you should know. LEGS & ROOF BOWS; 2 3/8" GALVANIZED STRUCTURAL TUBULAR STEEL. SIDING; 26 GAUGE GALVANIZED STEEL W/BAKED ON ENAMEL. 15 YEAR RATED PAINT. CONSISTENTLY PROVEN SUPERIOR TO TRADITIONAL POLYESTER AND ACRYLIC FINISHES, THE PAINT'S TWO -COAT SYSTEM COMBINES AN EPDXY PRIMER WITH A NEW GENERATION POLYESTER OUTER COATING WARRANTEED TO RETAIN ITS "LIKE NEW" LOOK FOR YEARS, EVEN IN THE MOST DEMANDING WEATHER CONDITIONS. COLORS; WHITE, BEIGE, TAN, BROWN, GRAY, GREEN, BRICK RED, AND BLUE. SIZES; STANDARD SIZES HAVE LEGS ON 5' CENTERS. THEREFORE; LENGTH OF STRUCTURE CAN BE ANYTHING DIVISIBLE BY 5. YOUR TOP COVERAGE WILL BE 1 FOOT LONGER DUE TO 6" OVERHANG ON EACH END. SNOWLOADS; IN ORDER TO ACCOMODATE SNOW LOADS, THE LEGS CAN BE PLACED CLOSER THAN 5' CENTERS & IN SOME CASES, SPECIAL BRACING ADDED. DESIGN YOUR OWN; ALL BASIC STRUCTURES START AS CARPORT STYLE. ADD PARTIAL OR FULL WALLS, LEAN-TO'S, SKYLIGHTS, DOORS, WINDOWS, PARTIAL OR FULL BACKS & FRONTS. ALSO, WE NOW FEATURE OUR NEW "SNOW KING" MOBILE HOME ROOFS. ENGINEERING SPECIFICATIONS; BY CALIFORNIA STATE LICENSED ENGINEER AVAILABLE WHERE NEEDED ON MOST SIZES. We are enclosing some other material so you can see a few of the ways our customers are using their structures. There are literally unlimited uses. If you have any further questions or if we can be of any assistance, please don't hesitate to give us a call at 1-800-354-5665. If you have decided what you need and would like to get in on the next delivery to your area, please call immediately. If you would like to get together so we can look at your space and figure out all the details, we would be happy to set an appointment to come by. Thanking you in advance for your prompt response, Maxine Helt P.S. WHEN CALLING ASK FOR MAXINE OR TISH. 2 3/811. Tubing 5" .II •. I 3/8" X 3" BOLTS t OR MIN. 3-#12-14 X 1" SELF -TAPPING SCREWS ON ALL JOINTS. 2 1/8" Tubing I I I • Z 211x3 2 3/8" Tubing % FPArI=- ASSII0LY DRAWING 2 1/8" Tubing (typ.) . It WEATHER-WISE STRUCTURES PAGE 1 Roof ing Ms.terial To Be Secured To Structure With No -12 Post Screws Through Vallies Of Sheets To Rafters And Poles. (sheet to tubes) Type Roofing Material Sheets To Be Connected With No. 14 Lap Screws_ At And Between Each Rafter And Poles. (sheet to sheet ) Type Notch Top Of Trim. In This Manner Secure With No. 14 Lap Screws' \ Make Cuts On Front Of Trim To'Go Around i Curve Of Roof Sheet, Secure With No. 14 Lap Screws ROOF SHEETING LAYOUT DETAILS WEATHER -WISE STRUCTURES PAGE 5 t i F' i FOOTINGS: NUMBER OF FOOTINGS WILL VARY DEPENDING ON LENGTH OF STRUCTURE. L 2"x3" (3-07 ib , 3/411x10"Anchor Bolt 3011 • • • v Dee 'Fill Footing Hole 4 With ' • • ' v "SACC -CSE" Concrete .d f i d.. 1000 12"Dia. Typical Footing Detail r A INSTALLLATION ON SLAB: USE ROTARY HAMMER AND "REDHEADS" TO ATTACH BASE PLATE TO.. SLAB. DEPTH OF FOOTINGS CAN VARY FROM 24" DEEP TO 30" DEEP DEPENDING ON WIND LOAD' REQUIREMENT FOR AREA WHERE STRUCTURE IS INSTALLED. WEATHER-WISE.STRUCTURES PAGE 6 9 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do nc remove until all required inspections are made an building is approved for occupancy. Plans must b available on the job site. A.R.N . 042-58-0-044 97-1143 B,E LIERSCH FAMILY TRUST Owne. 1774 Heron, Chico Contr (add enclosed office)SF J.M. Const - 'Permit _ PERMITTEE MUST CALL FOR INSPECTIONS `.INSPECTION. DATE `: h SPECTOR € Footings 4-1 — Piers Underground Conduit Pre-Gunite Do. Not. Pour Concrete Until, Above ;Signed Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Do Not Install Floor or Slab Until. Above Si.gn,ed <; :: Rough Plumbing Rough Electrical Rough Mechanical Framing Shower Pan Do Not Insulate Until Above Signed Insulation Do Not Cover Until AboveSigned .. Fireplace Footing Fireplace Throat Do Not Continue Fireplace UntitAqpp, Signed, Stucco Lath Scratch and Brown Do Not Cover Until Above Sioned Sewer Service Water Service _ Pool Final Plumbing Final Electrical Final Mechanical Final Building orlty.Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Addresses I I Information I 24 -Hr Insp Oroville 7 County Center Dr.. L 538-7541 1 538-7636 Chico 1469 Humboldt Rd. 1 891-2751 1 891-2834 Revised 7194 t J , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION h 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT'_ ASSESSOR PARCEL NUMBER 042-580-044 ASR ZONING BUILDING PERMIT OWNER LTERSCH FAMILY TRUST TELEPHONE SO. FT. OCC. BUILDING VALUAT N ± OWNERS MAILING ADDRESS 1774 HERON CHIC0 236.25 R 12,757.50* CONTRACTOR'S NAME J M CONSTRUCTION TELEPHONE 891-8107 101.25 C 1,316.25 CONTRACTOR'S MAILING ADDRESS 1-35 EARGATE IN CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 14.073.75', ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 105.30 BUILDING ADDRESS 1774 HERON Energy Plan Checking Fee $ 23,00 CHICO PERMIT FEE $ 310.30 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap, 7.00 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 93 Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: A��iSF�I� — -� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos ORLEss 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 &Lull force and effect. / n / License Class Lic. No. C/� / (7! 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. sLos. So 3.50F NEW CONS.ET NON•RESIDT MULCT,11 CIRCUITS IR UI @7,50 PowER APpARArus 3 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @''50 BAL @ .50 Ex. Occup. OUTLETSPREs D.PLNSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring"23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by 'section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X __ Dateexcava �'�_ Signature of Applicant - O ner Contractor ❑ Agent An OSHA permit is required for ions over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating DUCT i on Cooling Hood 6.50 Ventilation PERMIT FEE S 35.00 Mobile Home Installation Fee $ Energy Inspection Fee $ occ . nPE coNsrTOTAL FEE $ 373.56 HAZ. D. FEES IMP � FLOOD CDF PARCEL PD HD SU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have I / By / J �L�r(/79'i� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date —i2 ( —12-1 R Date Receipt No. 165.30 — .221981//2-t 'L1 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPAR iMENT°OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/ � //,4fPEF� NO. (Rev. 12/96) APPLICATION AND PERMIT j ASSESSOR PARCELNUMSER Z0 n BUILDING PERMIT OWNER .��^� f ONE J SO. FT. OCC. BUILDING VALUATION , OWNERS MAILING ADORE S A' CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAWNG ADDRESS , CONSTRUCTION LENDER Fireplace % LENDER'S MAILING ADDRESS Total Valuation $ ARCHrrECT•OR ENGINEER LICENSE NO. Filinci Fee $ 20.00 Permit Fee $ ARCWrECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINOADDRESS a Energy Plan Checking Fee $ $ PERMIT FEE $ t LOT No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF, ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition V, Remodel ❑ Utilities ❑ In Ration Other ❑ Q Describe Work: C F Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service .0. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 'License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCURSO OR ADONS. ( a ACC. BWS. 3.5��: NNOO FESIOT MULTI.OUTt.ET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIS. 20 (P' 00 Ex. Occup. OUTLET OR FIXTURES BALD .30 FI APPLNSOR 5.00 Ex. Occup. ourLETs a.16. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ r HAZ. I D. FEES IMP I FLOOD COF PARCEL Po HO ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date _ (Data) Receipt No. N O IL e- WHITE-D.D.S.-B.D. CANAR ASSESSOR PINONSPECTOR GOLDENROD•APPLICANT '��s"'�'+}s�„�tir�-1r".'"�,�Y.N`_1/?'yr�tT�Gf�d7:a+I/�.-a1i'+7y',�fti`,;7+�'x1^L�...�i�r�..,,\h'�r'r;rr'►rt."`f�r.+glf'n'^.t';y'�1`i�"��i•Tf" �^`^+'�''rr=��.y-•.wr�,.�,r� r BUTTE -COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM _ (One form per Building) School District _ C 4 It l v Building Department No. A.P. Number Z '�(/ -e(A' Jurisdiction: City [i:]�County - Property Owner / / /r' a] ('L 4 IC,11q / /V / x_z . ► / - Property Location/Address % 7 ylJ a/� Subdivision Lot No. Residential Development �Sq. Footage �3b �•g-- �� No of Livingkl Mobile Home Addition (Group R) Units ? 4 Installation Commercial/Industrial '7yY_ Sq. ,Footage New Addition `r' (Including Exterior n R f dA Building 'aa - '.4, V (Floor Plans reviewed by School District Personnel) District Identification No -. School District certifies that (Street Address) (14OV-) (City) has complied with the requirements of Resolution No. o�-05 representing square feet. (State) oo a reas, Date .Jj4m, . 66y, (Applicant) (Phone Number) (Zip Code) � 5 f2— / (Vby payment of $ �IC, School District Representative B 2926 $ ULL MITIGATION $ /0-z Date Paid by Check # Remarks: s Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable. Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm „,,,COUNTY OF BUTTE DEPART4IEIyTaOF DEVELOPMENT SERVICES -BUILDING DIVISION £ ” 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 " PERMIT APPLICATION DATA SHEET OWNER: I V_ ASSESSOR PARCEgsumitte—dprior ER: O c%Z 7SJo -64W Proposed Building se: Ce Building Inspector: Date: At time of permit application, I was advised the following data must be to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ omplete plans, 3/4 sets, signed by the preparer of plans. --� g --�1�� �1a �--------------- C:I, Engineered plans, 3/4 sets ,with wet'signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (requiredz prior to plan review) No faxes! El 6. Energy Design Compliance and supporting documentation. --------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------- ❑ 8. Hazardous Material Form. ❑ 9 Manufacture m Fees , v installation instructions including Tie Down Specifications. schedule. 2. California Department of Forestry plan approval/fees. ❑Yyloodelevation certificate. --------------------------------------------- 59 t tation and plot plan approval iG Health Department. of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval. from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 1119. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑20. Pre -inspection for required.. Request to Building Inspector on am (Date) 1]21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ------------------ =--------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violationg and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- Other: W N LL ?AAEL 1 I t;S A- L O 4 Atl a,4.0------- Whenyou issue the permit, process as follows ❑ Mail to owner, []Mail to contractor. P P or. 2-Telephoneiff/ r Z and hold for pickup at C 14, LCA offipe. ❑ Deliver with inspector. F1 6-7 Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index pemiit application for the above items numbered: 50 1 M El Plan Check List 2. Additional items required: R//KCon actor, esigner, owner, was advised of the above required data by hone, ❑ mail, ❑ Building Division counter, by Date: ontrac or , esigner, owner, was advised of the above required data byptphone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building 'vision counter, by Date: Plans reviewed by: Date: Plans approved by: Date: 7 11Sets of plans on hold in Plan'Cibinet; ❑�"A.R `folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. is •�..•fi'�.. i! !"�',� •, 4,t' a, a ',� 47 ,.r.,� ��'1��,-3�-al�r/��� .T,.k!'tI'MS.,'�1':y,,,13",.�rw+"�+/t�J."'�Tr..,.""^�._.*-,.-�.'ti-�.✓tni��.w�'�gti n'.�G.-f1..'Y4s�.r+ik!i..fr�..4r-' ..ilj -•� SvJ'`rk.'.'r.'�r.'.",i�w. ���YY'� (TAY"` 1� �� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, .OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER L.L.. , E z PROPOSED BUILDING USE OA+-, Cc' / foW-%%O 1. BUILDING PERMIT FEES —� -- Balance Due ................. L -- Additional Fees Due .........: $ -- Additional Fees Due............ $ -- Revised Plan Checking Fee :. $ ,-- 2./ SCHOOL DISTRICT FEES C l (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. _ 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . . x = $ #Units Amt. Commercial (sq.ft.) .. X. =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) _r 7. SRA F REi•INSPECTION AND PLAN CHECK $89.00 (paid' -at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) A.P. # /��'Z S��C� 'C7 q( f DATE REC #. DATE REC w 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the. plan checking process. APPLICANT f DATE Q �� Original -Owner Copy -Building Div. (Rev. 12/96) s v 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the. plan checking process. APPLICANT f DATE Q �� Original -Owner Copy -Building Div. (Rev. 12/96) PERMIT NO. 310- 7B P E M PERMIT EXPIRES - OWNER WEBB BROTHERS CONTR. Webb Homes r ASSESSOR PARCEL 52-58-44 LOCATION 1774 Heron Ln,12t 1 Silvertree II,Chc; j OFFICE COPY r a Address I GAS Meter By Date ELECTRIC Y - Meter ByI Dat) u y OFFICE COPY _ Address-_Ty':jw s GAS Meter B ! M 1• F ELECTRIC Daa �r t Meter By Date r% Temp. Power Pole fi I Called PG&E Temp. �Elec. Service Called PG&E r Temp. {iGas Service Cal led PG& E / JOB FINALED (Date) Signature ot:� 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS n 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE L)J ER T 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. Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 r 7 County Center Drive, Oroville — Phone: 5344541 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. oN �U �l , i/L h �� �.. i7• 4, � 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 we�n� i(-.,- jd'-7 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. O.✓ r --a/"• ✓jyC 1- 7 P_ V :5j-1 U—"- . V Inspector 1' ✓` Da 1:141:,itwGY'CI:R'TIFICAT I0I•i rep TT .�ykZivisiO;Z,�:ic �lI Ct Chi co Lot LOCATION A. P. ilo. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WAI.I. Material Fiberqlass Thickness(inches) -1't CEILING Batt or Blanket Type Batt Thickness(inches) 10" Loose Fill Type Insul--Saf-e III Minimum Thickness(Inches Area covered(ft.2) 11 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value)_ Brant] Name Ceri:ainteed _ Thennal Resistancc(R Value) R-13 Brand Name Certainteed Thermal Resistance(R Value) R-30 Brand Name Certainteed N:.c.:. of Bags 215 Wt. per bag 25 lb. Thermal Resistance(R Value) P-30 Brand Name - Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in confonnance with the State of California Energy Requirements. Sha -a_ FIR1.1 1:1.1.10014 SIGIINTURE OF INSTALLATION APPLICATOR 2729JI STATE CONrRACTOR'S LICENSE NO. ebruary 11, _1987 DATE 1 hereby certify the above insulation and all required items as shown on the Building Departmmut approved plans and attachments have been installed as required by l:he State of California Energy Requirements. All cquipmont, (levi.ces 111(1 nuiterials are of the quality prescribed or are. spL l), approved by Lil State of California. w �71 I It 1 ?;A2ff:%O:.IrI:R (Please print) STATE CONTRACTOR'S LICEN'SF. NO. SIGNATURE OF GENEitAL CONTRACTOR OWNi3R DATE. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 J = OK 0 = Not OK - =iVot-Applicable * = Not Ready v RESIDENTIAL (Single and Duplex) Date UND F OR (Plans) OK except ft's Date FRAMIN Continued - _ i requirements -Setbacks -Easements -2: F mfi; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4R r ty Line Firewall & Openings 4 Ext. Doors -One 3' -Check Garage -3rd story, 2 exits / F ., Garage; Soils -Steel- / /" Ftg. Depth _56�Sta -Nldth-Headroom-Rise-Run-Landing-Fire Protection _ 8� Ft rches & Decks; Soils -Steel- / /" Ftg. epth 5 ood on Roof Overhang -Attic Vents -Rafter Outriggers w Main; Steel-Blockouts-Wrapped-SI _ Siding -Nailing -Veneer Garage; Steel-Blockouts-Wrapped-SI 53. ;St cco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Pi Fireplace Ftg.-SteelGlazing Area -Glass Protection -Skylights -Plastic 65 Fall -Fittings -Test -2 way C/O -Sewer Test Sheaf -Walls; Nailing -Bolts 9Gas Pipe; Size -Anchors S J �1td.. Water Pipe: Test -Anchors -Regulator -Service Test :41J1. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card-BI.do Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI i Date Card -BI Date Date /0 Card -BI Date Date. FINAL (Plans) OK except p's Date PLUMBING (Permit) OK except k's Ext. Steps -Door & Sidelight Protection -Landings . Sm Detector Card -BI Card -BI 4. Water Ht.: Vent -Access -Combustion Air 1 n/ aterr Pipe: Test & Anchors -Nail Protection W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access t as Pipe: Size & Anchors — -- --' Date Card -BI - _ Date Date Card -BI Date\61. Furnace, ents-Cleara -Comb. Air -Connector - In Garage; Abov Floor -Ducts -Meth. Protection Bedroom Exiting N,6V' G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails Fireplace or Stove; Clearan es -Hearth Elec. Outlets at Wood Panel; t. & Ext. Kit. Fixt. & A liance `fi15td.-At-Cookin learance Elec. Outlets &Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's Garage Fire Door; Swing -Landing -Closer �ZA.C. Duct in Garage -Damper Card B -I Card B-1 Fixture &Transformer Clearance -Ins. Protection 21 c. Receptacles Spacing -Lights & Switches at Doors 2 Si a Boxes & No. of Conductors -Stapled _ 2 R mex Installed Close to Edge of Studs & C.J. 2V ip. Ground made up w/Mech._Fasteners-Bond Gas & Water 2,,Appliance Circuits in Kitchen & Conductor Size Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, In lated Neutral Yes .,__;No /price -Riser Conductors & Ground -Main Disconnect 2B' Flu p. Clearances: Panels-Motors-Mech. Equip.ect-Clrnce 39/Clothes Closet Light -Shower Light - ry�n/ // Date Card -Bi Date _ -- Date Card -BI Date Wtr. Htr.; Vents -C ranee -Comb. Air -Connector -P. `�.- In Garage; Above Floo ech. Protection Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72, Insulation -Foam -Looked in Attic E] Yes r Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Y s 15. Followin in Id.: Dri a Yes ❑ No: Walks Yes ❑ No; Planters es No Stucco; B wn- ish B kr. & Cond. iue-1 Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing - Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House V. Glass Protection 3. Corrections from Previous Inspections as Date ME ANICAL (Permit) OK except N's t -Meters Tagged; Gas=Electric Card-BILAA Ca,d-BI 3 Ducts. Insulation & Support _ _ Went Fan: Exhaust above Insulation _ 3! 3Condensate Drain & Overflow: Size _& Grade 4;72 -Furnace /6 ' ccess-Comb. Air -Return Air_ Vent -115V outlet 3 Attic Access & Platform if Furnace in Attic Date Card -BI Date _ Date Card -BI Date `B� Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -BI Date �� Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date F MING(Plans) OK except q's Com lents at Final: S' s: Proper Material & Anchors 3 W : Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) Fire tops._Furred Ceilings -Stairs_ -Chases -Tub e r & Beam -Size & Bearing angers -Post Caps -Anchors -Connectors Joist-Rft ies Purl in -Roof Brac.-Truss-Shthnq.-Rfnp. Fue lace Ties o�A Flue -Fireplace Throat 45. t c Access: Size & Romex Protection -Draft Stop -Ins. Baffles 4 tsar.). Windows or Exiting Doors -Sill Hgt. & Dimensions 4 Garage Fire Protection Framing - - • - (NOTE Anentry must be made each lime youvisit jobsite) JOK 0 = Not OK - = Not Applicable MOtILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H'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.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/. /"L"ft./ /"LPG 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 N'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-GFI - 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/O 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. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -Bl- Date Card -BI Date Card -BI Date F � I V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Calitorn a 95j96b - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N ASS S PAR EL NU BER r�6/ ZO G BUILDING PERMI Ow ER T PH SQ. FT. Ow. BUILDING VALUATION OW 'S M I INGA IESS D • 1 ` (J" CON AC OR'S NA l� �e.� Q N byn '&-s TELEPHONE /7 (/ CONTR C R S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE NO. Plan Checking Fee $ l Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 /6,0/,9 Solar or heat pump water heater 20.00 LOT N . SUB VI ION NATE I VtrY' e_47:l PARCEL MAP �(-3 Water piping 5.00 , 00 Each qas water heater or vent 5.00` USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G w_ __ TYPE OF WORK Newyy Addition ❑ Remodel U�ti)ities ❑ installation[] 0 er ❑ 5/ - r� _ Describe work: A%&�i� •//' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 O, Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Codeacnd my license is in full for and effect. License No. �L 7 /q J 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 OR ADDNST ( ACCLCU BLDG SC��20sgft170, NEW RESID, BRANCH2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200500 e ALO ao FIXED APLNS Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 21"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 10.00 Heating o Cooling g 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 Qounty in c ns nce of the granting of this per it. X Date li9 Signature of p Dant Owner - El E]Agent ❑ Ap An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ D� TOTAL PERMIT FEE OCCUP, CONST.TYPEJ F 060 PARCE P I ND ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do fees have been paid.. WORKS Dated -4f -,? Receipt No. W HITE-D.P.W... YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT B FEE Return to DPW AGRICULTURAL STATEMfidT"OF ACKNOWLEDGEMENT FOR RESIDEN71AL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of .this NOT COMPARED UlITN, property may be subject to inconveniences or discomfort arising from ORIGINAL DOCUMENT the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke,"noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State'of California, described as follows: Being a portion, of Lot 25, as said Lot is shown on the Map entitled, "Map of the .Second Subdivision of the John Bidwell Rancho", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on September 17, 1900, in Map Book 5, at Page 27, more parti— cularly described as follows: COMMENCING at the Northwest .corner of said Lot 25; thence along the North line of said Lot 25 East 120.00 feet to the true point of beginning for the herein described parcel; thence from said point of beginning and continuing along said North line East 532.23 feet; thence leaving said lot line South 601.73 feet; thence 'West 223.97 feet to a point on the Westerly line of Bidwell Avenue; thence along said Westerly line the following courses and distances: North 25° 42' West 70.69 feet; North 470 34' West 99.00 feet; North 80° 55' West 66.00 feet; and South 720` 24' West, 146.20 feet; thence leaving said line North 504.74 feet to the point of beginning. Date: 9/2 rald�Z eim ,l• oy, e A. Storz State of Cd ifornia ) Butte ) County of ) Z�R:0 QRS - . �n Date Dou as A. Fleimann Date -.�2 ate On this the .2—,j 7` day of _September 1986 , before SS. me, the undersigned Notary Public;"personally.appeared Joyce A. Storz and Gerald J. Heimann ------------------- --------------------------------------------------------- ------------------------------- / / Personally known to me. (LXX Proved to me on the basis el11111111I/IIIIIt1111111111111t11t11111111t111111111111111 . _ OFFICIAL SEAL of satisfactory evidence. ' RANDY COY = to.be the person(s) whose name(s) are subscribed '�� NOTARrDUBUC — CAUFOgN�A the within instrument and acknowledged that they COW" OF surrc W executed the same for the purposes therein contained. to omm. Exp. May 5, 1989 = IN WITNESS WHEREOF, I hereunto set my hand and official seal. III IIII IIIII IIIIitillllllllll 1111111E '. No. ny ��S (%��rt No ry Public i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER k4bPermit No. OWNER W Proposed Building Use e / Building Inspector Date O At time of permit application, I was adv.ised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7, Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authoriza/li n ^ Oa Sanitation approval from ( kQ� . I�lth Dept. o� 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), —15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . • Pre-Inspec. request to 17. Pre -inspection for Required, (Date) p q Building In 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. Wh�ou issue the pe piit pro ess as follows: Mail to Wner, Mail to contractor. Telephone e9 fff- T and hold for pickup at C-44, sdQice, Deliver w/inspector. Other Applicant ' Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to/ rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. V 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnaiI—counter by date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved byW ate Q �_7 Sets of plans on hold in File cabinet AP folder Copy—DPW —,Flours: 10:00 a.m. - 3:00 p.m. 1.✓1•,•.�I \\ foo-.1�� 'JO '/ ELI _.._ IV_ _ . -r, �l `` Thi se ns and sp ' ication . MUST be e _ on a job at a I~ir. nd it is unlawful to an chi es or alterations�on s me without See Master P n er ion from the nt of Public ,cun , U. f�ilcfe �1 e - moi. c= i bft. from the — r LI �Ao t property lin and a setbdtk 50 t. from a roa%a FS7' 6nterline shall be char , cam'structures or equipmintfsept - — ��i . r a -2 fit_ ea„a overha q. t 113 n G 7i NI _ LANG E`PAR: MEN - - �. P R , — iL s i�, n _ !+aommmQS GaMIANCE WIIH BSM COUNTy MINAFtCE 2463 & SchOo#,.iliatr'ict certifies th8tI (City) tate "(Z pj""`T� has coVliod with a requireas�,ts of 0• a»co 2463 regarding ' r� ^rtt al units) gra by the on 6�ssossor. ,x execut on of a payment of few of 9 School te�pacs iKtigat on i�giti bF%an