HomeMy WebLinkAbout042-600-029i 29 1104-9.1B,P,E,M s
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2490 Streamside , Ct -' ' A Lot 1B. �•�
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042-60-0-029 rt 93-1056 BPEM y
DENNEY, RICK & ROCHELLE - -'
2490 STREAMSIDE CT, CHICO- LOT 1B -
NEW SF�i
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042-60-0-029 93-1056 BPEM
DENNEY, RICK & ROCHELLE -
2490 STREAMSIDE CT, CHICO LOT IB
NEW SF
9FFICE Copy
Address
--------------------
Ad(
-GAS
Meter By
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L Date
LELECTRI,C'
Meter
Meter 13
Date
v
JOB FINALED (Date)
Signature
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
53- 1as6
OWNER / PERMIT NO.
A rautne itspection 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
iscorrpleted-If you have any questions pertaining to this matter, or need additional explanation,
cc this office immediately.
Date Inspector
REV 10192
V=OK
O = Not OK
- = Not •Applicabitr
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UN RFLOOR Plans OK except #'s
oning-Setbacks- Easement s- ood-Slope
0g., Main; Soils-Elec. -/I, ' Ftg. Depth
Ftg., Garage; Soils-Steel-Elec. 6fnd.-/V2" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. old Downs and Special Anchors
. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
Insulation
1;-I\_0%I GCT
IT -13-'13 GG
Date/Initials PLUMBING Permit OK except #'s
6 Water Htr.; Vent -Access m stio ir-Baffle
I -T. ater Pipe; 1,2!t & Anchor -Nail Protection
D.W.V.; T -Fittings & Anchor ail Pro c ion
c--Y9"-Shower Pan; Test, First Floor -Tub Access
--20.Test•-Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
wDate/initials ELECTRICAL (Permit) OK except #'s
22. Fi ure & Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
ize Boxes & No. of Conductors -Stapled
mex Installed Close to Edge of Studs & C.J.
`2 . E uip. Ground made up w/Meeh. Fastners-Bond GA & Water
2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
_X29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
(� Insulated Neutral ❑ Yes ❑ No
Service -Riser Conductors & Ground -Mein Disconnect
Equip. Clearances Panels -Motors -Mach. Equip.
32 -Clothes Closet Light -Shower Light -Spa Light
43!Tmoke Detector
Date/Initials ME ANICAL Permit OK except #'s
le A.C. Ducts Insulation & Support
35. tint Fan; Exhaust above insulation
Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
Attic Access & Platform if Furnance in Attic
Date/Initials FRA
MfNG (Plans) OK except #'s
34. Sils, Proper Material & Anchors
40'Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
4111searing Wells over Girders & Floor Nailing
32!Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
41/Hngers-Post Caps -Anchors -Connectors
Ing. Joist-Rftr. ties -P in -roof Brec-Truss-Shthng.-Rfng.
/11. Fireplace Ties or pe Flue -Fireplace Throat clearance
8. Attic Access; Size & Romex Protection -Draft Stop -Ins. 8
4 Windows or Exiting Doors -Sill Hgt. & Dimension
.Garage Fire Protection Framing
44*o"Prqperty Line Firewall & Openings
50 offxt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
�53r-6tairs'Width-Headroom-Rise-Run-Landing-Fire Protection
5 . plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. ding -Nailing Veneer
Simco Mesh -Drip Screed -Fd. Vents-Underflr. Access
5 Glazing Area -Glass Protection -Skylights -Plastic
6• fact. Steps -Door & Sidelight Protection -Landings
6{,Smoke Detector
6d' Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
4. Bedroom Exiting
69. G.F.I. & Bath Fixtures & Tub Access -Spa
6. Elec. Trim & Subpanel; Breaker Sizes & Labels
Stairs & Rails
9. Fireplace or Stove; Clearances -Hearth
. Elec. Outlets at Wood Panel; Int. & Ext.
7Q Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
1. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
Stucco; Brown -Finish
A.C. Unit; Disconnect, Electrical, Plumbing
a�Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to
Openings
ter Well; Disconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
.8.§e Ventilation Throughout House
7 Glass Protection
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
a Energy Compliance Certificate -Other Certificates
Comments tt Final:
V=OK
O = Not OK ,
-N tReeaadyeble. MOBILE HOMES
Date/Iniftals MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Eaeements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fell -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /"L"ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Well Clearance & Disconnect
& Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances ..
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
C,i ,
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements %,
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability n .
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
COUNTY OF BUTTE 2yso
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 PERMI 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. Hyou have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
I ) el3jI ell—, ::�;ve-xt'U. t'&" / �(/•G.r, I',l�l/.o�c t�Qni
S'e Cu„ctZ C'ts,.��✓ t� /B� / / v�L
Date � -21,5- 7 Inspector
REV 10/92
* :0,'Win
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.
L
Ali ,04-aJ14-
J 8.,A l /G per' I 6r4 Vi't •b
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C 1"Jit^/'vce-NGe-
Date
-7/1 Inspector
REV 10192
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W("5738-7541
PERMIT
_ 7 County Center Drive - Oroville, California 95965 -Telephone: 91
APPLUTION AND PERMIT �J .•�Y
ASSESSOF3 PARCEL NUMBER
042-600-029
ZONING
SR
BUILDING PERMIT
OWNER
Rick & Rochelle Denny342-7056
TELEPHONE
S0. FT. OCC.1 BUILDING VALUATION
1,453 R-3 78 462.00
OWNER'S MAILING ADDRESS
2268 Cahnnel View Lane, Chico 95926
417 M-1 71-506.00
CONTRACTOR'S NAME
Owner
TELEPHONE
2/. C 312.00
�F
CONTRACTOR'S MAILING ADDRESS
Fireplace Q 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 87 780.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 503.00
ARCHITECT OR ENGINEER
Bob Metzger
LICENSE NO.
Plan Checking Fee $ 251.50
Ener Plan Checking F
Energy 9 ee $ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
113 E. Walker Orland
Penalty $
BUILDING ADDRESS
Permit fee $789.50
PLUMBING PERMIT Filing Fee 15.00
2490 Streamside Ct . 1B Chico
Each Trap 8 5.00 40.00
Solar or heat pump water heater 20.00
LOT NO.
1B
SUBDIVISION NAME
Walnut Manor
PARCEL MAP
118-60/61
Water piping 1 7.00 7.00
Each qas water heater or vent 1 7.00 7,00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 1" 5.00 5.00
Building sewer 15.00 15.00
Mobile Home S G W @ 15.00
TYPE OF WORK
New LX Addition;__] Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: New 3 Bedroom Single Family _
Permit Fee $ 89.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 20GATO1000AI 1 37.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. S7ZY�2 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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.&\ 3.66sq.ft. 65.00
OR ADDNS. ( ACC• BLDGS. /
NEWC
CONSTR ULT' -OUTLET
NON-RESID BRANCH CIRC ITS @ 5•�0
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 760
Ex. Occup. OUTLETS PIRESID IFIXED APLNS.REA.� 1 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee $ 98,00
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
G.a 1 shall not employ any person in any manner so as to become subject
1a� 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 1 15.00
Heating 1 9.009-00
Cooling 1 9.00 9.00
Hood 6.50
Ventilation
permit Fee $ 33.00
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 s unty in nsequence of the granting of this permit.
X Date :!!U-/2 71
Si nature of Applicant - ner
9 PP � Contractor ❑ Agent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 40,00
OCC
-
CONST VPE
TOTAL FEE $ 1.050.00
HAz
DFEE
IMP
I FLOOD
CDF
PARCEL
-
PD
--
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte Count ode and/or resolutions to do
work Indic a abo r which fees have been aid.
p
E OF PUBLIC WORKS
B D to !6
P EXPIRES Date e 9
$251.50 PC 136086 //$798.50 Balance 141228
ReceipZ No.Y
WNIT[-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
• COUNTYOF BUTTE -DEPARTMENT ®F°DE#ELO'PMENT SERVICE - BUILDING DIVISION
7COUNTY CENTER DRIVE -OROVILLE CALIFORNIA 95965 - TELEPHQN (916) 538-7541 t/
PERMIT APPLICATION DAYA SHEET
OWNER 1 / A. P. No. 12 -60 -2
Proposed Building Use l,'inT� ,t-��,... , �n Building Inspector EZ, w_A-, Date
At time of permit application, I was advised the following data must be sulLmitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . .................... `....................
2. Plot plans, 3/4 sets, signed by preparer of plans . ............................
3. Complete plans, 3/4 sets, signed by preparer of plans . ...... :.:...............
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ -79g. 50 . ........ �.
11. Impact fees as shown on attached schedui'e. 3 ,6-
19. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year floo by California Engineer... ........... .
14. Sanitation and plot plan approv Health Department. ..........
15. City of Chico plumbing permit. ... .............................. .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.about (A) Improvements (B) Drainage. ........ +`
19. Driveway permit (construction approval required prior to occupancy). .. .. ...-=c T3-
st
20. Pre -inspection for required. .. o Build 9 �spaaor (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner _)............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits. .... ............................... .
32. Plan check list . .................................................... .
33.
34
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
✓Telephone 3ya-7D5(o and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date '70-11,03
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted pr r to pernjit i s nce: rcle n w em not checked above).
1. Index permiffor above items No.
2. Additional items required:
Contractor, designer owns as advised of above required data byphone _mail Counter by _ ate
Contractor, designer, owner, was a vised of above required data by _ phone _ mail Couj� y _ Date
Plans checked by�� Date 4--�9 9 4 Plans approved by K Date s-iD
7 Sets of plans on hold in ke"" File cabinet AP folder
Copy- Department of Public Works �/%j�
I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
I K ' 7 County Center Drive - OrovillE, California 95965 - Telephone: 916.'538-7541
�% Clef 5 �1iZ, RT t APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 07L
Q2 - eo - Z
ZONING
S -
BUILDING PERMIT
OWNER t
nG % f It
TELEPHONE
Z_7U`�
J
SO. FT. OCC. BUILDING VALUATION
I �f53 R'3
OW -'� �KILI G AQJ,�RE55 � •s �
NG�'� 0 (/., e.> �<_ Q
CONTRACTOR'S NAME_
C/ -GK
TELEPH �E
34 Xr
CONTRACTORr MAILING ADDRESS
SGi�e 2 Z��, �„ / 1
Fireplace,cltz�
CONSTRUCTION .LENDER
UNKNOWN
Total Valuation Is
,
LENDER'S MAILING ADDRESS
Filing Fee
$ 15-.00
Permit Fee
$ 5
ARCHIT CT OR ENGINEER
LICENSE No...
Plan Checking Fee
Energy Plan Checking Fee
$
ARCHITECT OR ENGINE -S MAILING ADDRESS / /
113 ,� C.c/ oma- drla.��f C14
Penalty
$
BUILDING ADDRESS
Permit fee
$ 1
r
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.001 440.W
Solar or heat pump water heater
1 20.00
LOT NO. SUBDI�VISI N AME l�/J )PAARQCEL MAP
""q �i1 u I (J —60&
Water piping
7.00 , cO
Each qas water heater or vent
7.00 ,00
/ USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
t SPECIFY
Gas piping system 1 - 5 outlets
5.00 00
Building sewer
15.00 OU
r
Mobile Home S I G I W
@ 15.00
TVfTYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _ n
Permit Fee
$ Vt. op
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.501 187, -D
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed Contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
Main service 200ATO1000A1
37.50
NEW CONST- DWELLING OCCUP.d\
OR ADONS, ACC. .
BLDGS
3.GQ sq.ft.l
NEW CONSTFLULTI.OUTLET
NON-RESIO BRANCH CIRC TS
@ 5•00I
POWER APPARATUS e
SINGLE OUTLET CIR. )
Ex. OCCUp\( OUTLETS OR FIXTURES
20 @ 76d
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.I EA-)
I 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ q9,0b
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become -subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
r(� •�
Hood
6.50
Ventilation
Permit Fee
$ 3.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County or
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 accrueHAz
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agenf ❑
An OSHA
ion of structuresover3Qst9 As inehe ghtf Ions o er 5'0" deep an a of i�Co onstr t -
Mobile Home Installation Fee S
Energy Inspection Fee $
CON TrYPE
N
TOTAL FEE $
0FEES 11IMP
FLOG OF
I PA CEL I PD HD IS
--
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 0 =_ 7���
WNITE-D.P.W., YELLOW - ASS ESSOw. PINK -INSPECTOR, GOLD ENROO-AP NT ZZ�/
'% Vl-
\ I!rv"%b
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 'BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
A CC`` /
VER A. P. NO .. '/cg " l9
:POSED WILDING USE DATE Ll _Co 1-1 3
REC. ; DATE REC
Ire
1. School Distric Fees
(paid at District Office).....................S 7 A3
2. Sheriff Fees .....
(paid at Building Department)
Residential ......... 360 s�f
g =$ .
unit amt.
Commercial(per sq.ft.) Z =$
sq.ft. amt.
k--3-. Urban Area Fees
(paid at Building Department /
Residential (per unit) I x 133/ 41331 S 7`
JL units amt.
- Commerical(per sq.ft.) X 3$
/ sq.ft. amt. I
G
4. Recreation District Fees
(paid at District Of =ice) „ ........................
5. Drainage District Fees
(Contact Land Development)
6. Other
7. Other
{
time of permit -application, I was advised the above fees are required to be paid prrc-
issuance of the permit. _ a
?LICANT DATE 2/
FA
xq ryuil j�4fA--I�
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ��MUU I�NGoBPTTE
r
(One Form Per Building)
MNY 0 7 1993
f;
School District Building Department No.
�( A.P. Number (oQO —CQ9 Jurisdiction City u county
Property Owner
Property Locatic
Subdivison
LC.lfjrlu,c..t �Lot No.
Resideritial Development Sq. Footage
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial
Building Department Representative
0 = Sq. Footage
New Addition
(Floor Plans reviewed by School District Personnel)
District Identification No. 3
at School District certifies that
(Including Exterior
Roofed Areas)
q -a
Date
(Applpant)
:;>i/n mit C"l.
(Street Address) (Phone Number)
(City) (State) (Zip Code)
A
has complied with the requirements of Resolution. No. 1/fr _ 9 by payment of $
representing `� S 3 square feet.
School District Representative
Paid by Check Number ( Remarks:
Bank Number
Paid by Cash
,593
Date
If, sub"sequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School.District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this, project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
i
Return to DPW AGRICULTURAL STATEMENT OF AC1KNOWLEDGE'SNT
FOR RESIDENTIAL DEVELOP..KMNT
Section 26-8.1 of the Butte County Cdde
requires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent I ,
to land or included within an area zoned 93-0182181 Rec Fee
for agricultural purposes, and residents I Cash
of this property may be subject to incon- Recorded I
veniences or discomfort arising from the Official Records I
use 'of agricultural chemicals, including, County of I
but not limited to herbicides, pesticides, Butte I
and fertilizers; and from the pursuit Candace J. Grubbs I
of agricultural operations including, Recorder I
but not limited to cultivation, plowing, 2:27pm 7 -May -93 I PUBL
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has establishe
tural zones which have as a priority use for productive agricultural purposes, and
within said zones and on adjacent property should be prepared to accept such in
or discomfort from normal, necessary farm operations.
911 that real property. situate in the County of Butte, State of California, de
follows:
65)
W -e cry.
G
r
Date: S- 7 ` 3 PROPERTY OWNERS:
State of C%a ) On t is the _Z day of 19 1, before me, the
SS. undersigned Notary Public, persofially appeared
County of AV_1�5
NOI
T02930 (1290)00 TICOR TITLE INSURANCE
(General Acknowledgment)
STATE OF CALIFORNI asis
COUNTY OF ((�� } $$. l ice .
On before me, the undersigned, a Notary Public in and for said State,
personally appeared that
IN WITNESS '
personally known to me (or proved to me on the bans of
satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal.
Signatur k'i�1'�
OF OFFICIAL SEAL
QP tJn `17v UIURIF 11fl i7rl)
v y'r�
t'r NOTARY PUBLIC- CALIFORNIA
�r `> 6UTTE COUNTY
Cq(fros My Comm. Expires May 23, 1995
(This area for official notarial seal)
0
5.00
5.00
XX 1
d agricul-
residents
convenience
scribed as
W -e cry.
G
r
Date: S- 7 ` 3 PROPERTY OWNERS:
State of C%a ) On t is the _Z day of 19 1, before me, the
SS. undersigned Notary Public, persofially appeared
County of AV_1�5
NOI
T02930 (1290)00 TICOR TITLE INSURANCE
(General Acknowledgment)
STATE OF CALIFORNI asis
COUNTY OF ((�� } $$. l ice .
On before me, the undersigned, a Notary Public in and for said State,
personally appeared that
IN WITNESS '
personally known to me (or proved to me on the bans of
satisfactory evidence) to be the person(s) whose name(s)
is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal.
Signatur k'i�1'�
OF OFFICIAL SEAL
QP tJn `17v UIURIF 11fl i7rl)
v y'r�
t'r NOTARY PUBLIC- CALIFORNIA
�r `> 6UTTE COUNTY
Cq(fros My Comm. Expires May 23, 1995
(This area for official notarial seal)
0
COUNTY or. Ut;`yi
BUILDING DEPT
MAY 0 7 1993
i CITY OF CHICO APPLICATION PERMIT TE OF APPLICATION
COUNTY AP. NO.
PERMIT NO.
PROJECT ADDRE 441 MAIN STREET/P.O. BOX 3420
PHONE (916) 895-4891
au
I y
— (.6 . I
LOT BLOCK s!; ? 1' SBDIVISION ZONING
OCCUPANCY ES. UNITS
MASTER PLAN'";: PLAN NO.
sr2c-A M
_.MA
cov
—
..--
OWNER: PHONE L
VALUATION USE/VAR.
NO. STORIES TYPE CONST.
81DG. USE PARKING SPACE
AREA SO. FT.
OWNER*d ADDRESS: ;I. :)L_}
LESSEE:
PHONE:
BLDG. USE/DESCRIPTION OF WORK'
LESSEE'S ADDRESS:11
!�
CONTRACTOR:
CRY BUSINESS
LIC. NO.
CONTRACTOR'S
PHONE:
-
MALING ADDRESS:
ARCHITECT
SGNGINEER
DEINtR
ATE
L
C
ARCHfTECT'S, ENGINEER'S OR
DESIGNER'S ADDRESS
PHONE:
'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'e' DEEP AND
DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 9 STORIES IN HEIGHT.
LICENSED CONTRACTORS DECLARATION
PLUMBING PERMIT
PROCESSING
OTY. FEE
SUMMARY OF FEES
Acct. Nos.
I hereby affirm that I am licensed under the provisions o1 Chapter 9 (commencing with
FIXTURE TRAP
BUILDING P/C
10-476
Section 7000) of Division 3 of the Business and Professions Code, and my license is In
full force and effect.
BUILDING SEWER
License Class . Uc. Number
WATER HEATER AND/OA VENT
GRADING PLAN CHECK
10.476
GAS SYSTEM
SS APPLICATIONS
31.467
Date ' Contractor
OWNER-BUILDER DECLARATION
INSTAL. ALTER REPAIR WATER PIPE
OFFSITE IMPR. P/C
10474
I hsreby affirm that I em exempt from the ContractorLicense cense Law for the following
ANTI-SYPHON/BACKFLOW PREVENTOR
reason [Sec. 7031.5• Business and Professions Code: Any city or county which requires
SEWER MAIN EXTENSION
ENERGY P/C (EST.)
10.476
a permit to consbW. atter. Improve, demolish, or repair any structure, prior to Its Issuance,
also requires the epgicant for such permit to file a signed statement that he Is licensed
the Contractor's License Lew (Chapter 9 (commencing with
TOTAL PLUMBING FEES
-.
6
TOTAL FEES PAYABLE AT
pursoan! to the iDrovlSic, a of
Section 7000) o Division 3 of the Business and Professions Code) or that he is exempt
theretrom. and the Dosis 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
TIME OF APPLICATION
hundray collars ($500).1:
PROCESSING
❑ I, as owner of the property, or my employees with wages as their sole compensation,
ELECTRICAL PERMIT
CITY. FEE
will do the work, and the structure Is riot intended or offered for sale (Sec. 7044, Business
SERVICE/SUBPANEL
BUILDING PERMIT
10425
and Professions Code: The Contractor's License Law does not apply to an owner of prop-
erty vino builds or Improves thereon, and who does such work himself or through his own
omp7dyees, provided that such Improvements are not Intended or offered for sale. it. how-
CIRCUITS
PLUMBING PERMIT
_ 10425
ever, the Cuilsing orimprovement Is sold within one year If completion, the owner-builder
RECEPT SWITCH OTHER OUTLET
ELECTRICAL PERMIT
10425
will have the burden 1 proving that he did not build or improve for the purpose of Bele.)
POWER APPARATUS
APPLIANCE
MECHANICAL PERMIT
10425
1, ati owner of the=, am exclusively contracting with licensed contractors to
� nscup the project [Sec. 7044, Business and Professions Code: The Con tractoes
U,-ease Law does not apply to an owner of property who builds or Improves thereon, and
SIGNS
GRADING PERMIT
10.425
who crn:7ects for such pvjedth s wa oontractor(s) licensed pursuant to the Contractors
NEW RESIDENTIAL .025X
uoen^e Law'[.
TEMP POWER
STREET FACILITY IMPROVEMENT
FEE2x It 29-485 2
C) I am exempt under Sec. B. P. C. for this reason
SEWER TRUNK LINE
30488
Did `TOTAL
ELECTRICAL FEES
SEWER WPCP
31-487
WORKERS' COMPENSATION DE TIO
SEWER MAIN
32-488
1 hereby alarm that I have a certificate of consent to self-Insure, or a ceNficate of
PROCESSING
Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800. Lab. C.).
MECHANICAL PERMIT
OTY. FEE
PARK FEE p
41-478
MECH EXHAUST - HOOD/DUCT
PARK FEES
44.478 it
Policy No. Company
❑ Certified copy Is hereby furnished.
VENT FAN SINGLE DUCT
❑ Certified copy is filed with the city building inspection division.
COOLING
STORM DRAIN
26.493
Date APplicant
HEATING
IN-LIEU (STREET)
25.497
CERTIFICATE OF EXEMPTION FROM WORKERS'WOODSTOVE
COMPENSATION INSURANCE
ALLEY IMPR.
25 498
['his sf Aion need not be completed if the permit Is for one hundred dollars ($100) a.
. `
ENG. INSP. FEES
10.474
less.) " "• ' . ,
I :.+rr'.y that in the performance of for which W k Is Issued, I SW not
PLAN MAINTENANCE FEE
10481
employ nny peen in any manner ed W Compensation
Lam of s roAL
MECHANICAL FEES
SUPP. PLAN CHECK FEE
10.476
DaAppllcan
OTHER:
NOTI. TO PLI ANT:If,effer thisCertificateofExemption, should become
",4lc' the workers' Compensation of the Labor Code, you must forthwith
DEPT. APPROVALS REO.:
to provisions
compy with such provisions or this permit shall be deemed revoked.
❑ HEALTH ❑ PLANNING ❑ ARB ' ❑ ENG.
❑ SCHOOL ❑ FIRE
CONSTRUCTION LENDING AGENCY
I hereby of ntn that there Is a construction lending a ency for the performance of Che
wok'for whit h this permit Is Issued (Sec. 3097, CN. C.
❑OTHER -
APPROVED B
THI$ARPICATION
Lendsr's Nemo
BECOMES A PBIM1IT
TOTAL FEES PAYABLE AT
Lender's Address -.
_
WHEN VALIDATED.
TIME OF PERMTT ISSUANCE
❑CASH CHECK
I oedtly that I have read JhIA ap Ilcation and state that the above Information Is cored.
X
I agreF'to compy with all ��}pp and county ordinances and state taws relating to building
=hereby
SI ATURE OF APPLICANT O ENT
construdlon, authorize representatives of this city to order upon the above
for inspection
❑ AGENT ❑
BY: VAUDATIO
DATE
5 • % j
memlohed property purposes.
OWNS CONTRACTOR
12/921M THIS PERMIT EXPIRES WITHIN 180 DAYS'FR01N-iitE VALIOAHON DATE t3numu wum nul or urimmmctu
PERMITTEE COPY
TO:
FROM:
SUBJECT
Building Department
Environmental Health
Sanitation Clearance
J
c eD�D/VG��P ire
NA r ® i 1993
I...H. USE. ONLY
Plot Ilam Auudhed
Floor Ilan Amiclwd� `—
sent to B.D. I
Owner Location AP#
Plan Approved for: Sewage Disposaly Water Supply: Public . Private WellClearance for bedroom mobile• home. Other -A
Hold final for:
Final clearance O.K. for: _
NOTE: ��� (n�T .� �,-VtOr'
,,,i
40�
Environme al Health Specialist Date
8/92
� y90
y2-
�y 8aB H�7z y,Er1 o.Qs
:� •�- 86S. -S'688 m-c.3.�z-.9'688.._._.__..... ._. - ---
ROVED
ivironmentcai Health
:5ao5&-/
3 �o� � G�Gyur�iL
SY1'�
Wn
COMPUTER METHOD SUMMARY Page 1 C -2R
Project Title.......... 1453 B Date........ 03/25/92
Project Address........ ---------------------
CHICO.CA- /0-57,9
Documentation Author... BOB METZGER O.D.S. B i ng Per t #
Company ................ BOB METZGER O.D.S. l/
Telephone .............. (916) 865-9688 Plan theck / Dat
Compliance Method...... MICROPAS4 by Enercomp, Inc: Field Check/ Date
Climate Zone........... 11 ---------------------
-----------------------------------------------------=-------------------------
-------------------------------------------------------------------------------
MICROPAS4 v4.01 File-1453BC Wth-CTZ11S92 Program -FORM C -2R
User#-MP0400 User- BOB METZGER O.D.S. Run -D. JONES
--------------------------------------------- ---------------------------------
MICROPAS4 ENERGY USE SUMMARY
= Energy Use
Standard
Proposed
Compliance =
_ (kBtu/sf-yr)
_-----------------------
Design
----------
Design
----------
Margin =
---------- _
_ Space Heating.......... 15.98
15.66
0.32 =
= Space Cooling.......... 11.77
11.06
0.71 =
= Water Heating.......... 14.49
14.49
0.00 _
=
Total 42.24
41.21
1.03 =
_ *** Building
---------=-------------------------------------------------------
-----------------------------------------------------------------
complies with Computer
Performance
GENERAL INFORMATION
-------------------
Conditioned Floor Area.....
Building Type ..............
Construction Type .........
Building Front Orientation.
Number of Dwelling Units...
Number of Building Stories.
Weather Data Type. ........
Floor Construction Type....
Number of Building,Zones...
Conditioned Volume'.::...:..
Footprint Area.............
Ground Floor Area..........
Slab -On -Grade Area.........
Glazing Percentage.........
Average Ceiling Height.....
1453 sf
Single Family Detached
New
Front Facing 210 deg (SW)
1
1
FullYear C (-/
Slab On Grad J Racka��D )
10800 cfp
1453 sf
1453 sf4*
1453 sf ote
11 % of FA�
7.4 ft
COMPUTER METHOD SUMMARY Page 2 C-2?:
Project Title.......... 1453 B Date........ 03/25/93
MICROPAS4 v4.01 File-1453BC Wth-CTZ11S92 Program -FORM C -2R
User#-MP0400 User- BOB METZGER O.D.S. Run -D. JONES
-------------------------------------------------------------------------------
Floor .
Area
Zone Type (sf)
-----------------------
HOUSE
Residence 1453
BUILDING ZONE INFORMATION
-------------------------
of Vent Special
Volume. Dwell Cond- Thermostat Height Vent Area
(cf) Units.itioned Type (ft) (sf)
--------- ------------------------ ------ ---------
10800 1.00 Yes Setback 2.0 n/a
OPAQUE SURFACES
Area
U- Insul
Act Solar Form 3
Location/
Surface
(sf)
------
value R-val
----- -----
Azm Tilt Gains Reference
--- ---- -----------------
Comments
----------------
--------------
HOUSE
1
Wall
90
0.088 R-13
210 90 Yes W.13.2X4.16
2
Wall
325
0.088 R-13
210 90 Yes W.13.2X4.16
UNCOND.
3
Wall
296
0.088 R-13
300 90 Yes W.13.2X4.16
4
Door
20
0.330 R-0
120 90 Yes None
5
Wall
272
0.088 R-13
30 90 Yes W.13.2X4.16
6
Wall
464
0.088 R-13
120 90 Yes W.13.2X4.16
9
Roof
1453
0.029 R-38
0 0 Yes R.38.2X12.16
ATTIC
PERIMETER
LOSSES
----------------
Length F2
Insul
Surface
(ft) Factor
--------------
R-val Location/Comments
------- ----------------------
------------
HOUSE
.7
SlabEdge
112 0.720
R-0
8
SlabEdge
16 0.900
R-0
FENESTRATION
---------------------
SURFACES
Sc
SC. Interior
Area #
of,. Frame
Open `U-..- Act. Glass
Int Shade
Surface
t--- -----
(sf) Panes
----- -----
Type
---
Type '.'value Azm Tilt Only
------ ----- --- ---- -----
Shade Description
----- ---- ------
HOUSE
-1
Window
24.0
2 Metal
Slider 0.87 210 90 0.88
0.78 None
2
Window
24.0
2 Metal
Slider 0.87 120 90 0.88
0.78 None
3
Window
15.0
2 Metal
Slider 0.87 120 90 0.88
0.78 None -
4
Window
20.0
2 Metal
Slider 0.87 120 90 0.88
0.78 None
5
Door
53.4
2 Metal
Slider 0.77 30 90 0.88
0.78 None"
6
Window
24.0
2 Metal
Slider 0.87 30 90 0.88
0.79 None
r
COMPUTER METHOD SUMMARY
-----------------------------------------------------=-------------------------
Page 3 C -2R
-------------------------------------------------------------------------------
Project Title..:.......
------------------------------------=------------------------------------------
1453 B
Date........ 03/25/93
MICROPAS4 v4.01
File-145.3BC Wth-CTZ11S92 Program -FORM C -2R
User#-MP0400 User- BOB METZGER O.D.S.
-----------------------7--------------------------------------------------------
Run -D.. JONES
THERMAL MASS
Area
------------
Thick Heat Conduct- Surface
Mass Type (sf)
--------------- ------
(in) Cap, ivity R -value
----- ---------------------
Location/Comments
--------------------------
HOUSE-
1 SlabOnGrade 1216
3.5 28.0 0.98 R-2.0
2 SlabOnGrade 237
3.5 28.0 0.98 R-0.0
HVAC SYSTEMS
------------
Minimum Duct
Duct _ Duct
System Type
----------------
Efficiency Location
-------------------------
R -value Efficiency
-----------------
HOUSE
Furnace
0.8:0 AFUE Attic
R-5.6 0.837
ACSplit
11.00 SEER Attic
R-5.6 0.823
WATER HEATING SYSTEMS
---------------------
Number
Tank External
in
Energy Size Insulation
Tank -Type Heater Type Distribution Type System
------------ ----------- ------------------- ----=-
Factor (gal) R -value
--------
Water Heater to meet
minimum CEC Standards
------ ----=-----
SPECIAL FEATURES/REMARKS
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
�. APPLICATION AND PERMIT
PER�MITi NO.
r
V "` 1
ASSESSOR PARCEL NUMBER
_ _
ZONING
: BUILDING PERMIT.--
Ow
r1 0
TELEPHCt4E-
342-8463
SO. FT. OCC. BUILDING VALUATION
1
R 52,060.00
300
OWNER'S AILING ADDRESS
P.O. Box 4055, Chico 95927
420 M 5,880.00
CONTRACTOR'S NAME -
TELEPHONE
155 C 1 530.00
CONTRACTOR'S MAILING ADDRESS
Fireplace "'All 1,000.00
CONSTRUCTIOt: LENDER
UNKNOWNNonp
Total Valuation is
Filing Fee $
X0.00
LENE)E.n'S MAILING ADDRESS
Permit Fee $ 316.00
ARCHITECT OR EN :WEEP,
Nonp
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
30.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
94()n Streamsidp Court- Chico
Permit fee $
PLUMBING PERMIT Filing Fee
10.00
Each Trap q 2.00
Solar or heat pump water heater 20.00
LOT NO.
1B
SUBDIVISION NAME
Walnut Manor
PARCEL MAP
(o
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SFN71Duplexes Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G I W 10.00ea
TYPE OF WORK
New p Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 3BR
Master #60-88
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS
10 00
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and my license is in full force and effect.
and Profes ' d Classification.
License N
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ i, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&` ,
OR ADDNS. C ACC. BLDGS. / /2es" ft
43 00
NEW CONSTR.MULTI-OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
APPARATUS e
(SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES 2AL0ao
eLe30
Ex. OCCUp. OUTLETS P(RESID )R EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. 6Virin 15.00
9
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
he permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
�
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT FiIingFee
10.00
Heating 1
6.00
Cooling 1 6.00
6.00
Hood 1 3.00
3.00
Ventilation ITF3,
F.6.00 _
Permit Fee $
31.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 s✓ount in conseq�wce�ine nting of this permit.
` /L `� g
Signature of Iic t Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
occ
CONST TYPE
E
TOTAL FEE $ '56I
HAz.
CUA
PARK
SCHL
FLD
PA
Po
i HDy
_-
Issue
This permit is hereby issued unoer the applicable
sions of the Butte County. Code and/or resolutions
work indicated above for which fees have been
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
provi-
to do
paid.
Receipt No. 88379-70//
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT Oi-PUBLIC'WORKS - BUILDING DIVISION
!! 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATIr�TA SHEET
t. Permit No.
OWNER A. P. //'�
Proposed Building Use Building Inspector Date q /6 9
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ -�
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7: Statement of Intent for Non -Heated and AC Buildings ..............
0 ineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ...... „ • „
10 ees of $ -� --: • i
(. Chico Urban Area fees paid
12 Park fees pa ..
3 �^—�� r P School District fees paid ..............
14: Sanitation approval from Halth Department
ru
ty of Chico plumbing permit...���/...417- Lei......,
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
L'91-1 4. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When ou issue the permit, pr cess as follows: Mail tcaner. Mail to contractor.
Telephone and hold for pickup at 1 X_office. Deliver w/inspector.
Other /
Applicant 'IL Date ld
Copy of Haz-Mat form sent Health Dept. Fire Dept.., Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. ID, 1 I , 12. 13
2. Additional items required:
Contractor, designer, owner,
was advised of above required
data by_phone---nail—counter by
.date
Contractor, designer, owner,
was advised of above required
data by—phone —mal l—counter by
date
Plans checked by l6w
Date__6Ij1A_Plans
approved by
Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
A
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS1
PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone_: 916/538-7541 1
APPLICATION AND PERMIT
ASSESSOR PARCEL UMBER ZONING _
l% % 0 BUILDING PERMIT
OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION
l�4 1,300 R 52,000.00Q 40 CV) I
OWNER' MAILING ADDRESS -
1,300 ESS
59 �.�420 M 5,880.00
CONTRACTOR'S NAME- TELEPHONE
153 ( C 1, 530.00 -
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING-AODR'E-S , _ - ,
G
LIT 1•{Q. IS 8DIVISION NAME PARCEL MAP
USE OF STRUCTURE
SF ❑ DuplexMobilehome❑ Other
/k SPECI FY
Fireplace I A 1,000.00
Total Valuation S -
Filing Fee
Permit Fee
Kan Checking Fee
Energy Plan Checking Fee
Penalty
Penult fee
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
`Nater piping
Each gas.water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home I S I G 1W
I Tilt_ VI- WVHK
New Addition Remodel ❑ Utilities ❑ Installation ❑ Other❑
Describe work: fe
Permit Fee
Contractor
ELECTRICAL PERMIT
Main servjce 500V OR L'SS
too AMP OR LESS
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
License No. Classification.
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADO -L 100 AMP
NEW CONST. DWELLING OCCUP.y`
OR AOONS. ( ACC. SLOGS. 1
NEW CONSTR. UL 1-0UTLET
NON.R ESIo 9RANC1-1 CIRC ITS
( POWER APPARATUS e l
9NGL= OUTLET CIR.
Ex. OCCUO(OUTLETS OR FIXTURES
FIXED APPLNS. OR
Ex. OCCuo. OUTLETS tRESI .I EA.)
Temporary service
Mobile Home Facilities
Misc. Wiring
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
_ a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Heating
Cooling
Hood
Ventllatien
Permit Fee
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyor
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" eep and demolition or construct-
ion of structures over 3 stories in height. �
Receipt No. 6-
WHITE-OO.P.W:.TELLOW-A7SE0'-IOR. P!YR-INSPECTOR• / 41.DENROD-APPLICANT
11
Contractor
Mobile Home Installation Fee
tnergyinspection Fee
GCC CCNST TYPE
TOTAL FEE
1
MAL CUA PARA I SCHL I FLO
S 10.00
5316.00
5158.00
$ 30.00
5
5514.00
Filing Fee 10.00
2.00
20.00
5.00
5.00
5.00 9 on
5.00nn
0.00 e
Filing Fee 10.00
10.00 10, 00
2.50
Ihesoft 43.00
2.50 ea
1 2.00
10.00
15.00
15.00
$73.00
Filing Fee I 10.00
H1 6.00 0
3.00 �J
S
$ 9
5o. no
196.00
PAR I PO i Ho I ISSUE I
T`:s permit is nereoy issues urger the aopticaole provi-
sions or the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
----^C` nc 0119LIC WORKS
By
PERMIT EXPIRES Date
Date
NOTE: .All Materials & Work .anship Sha!I B In
Accordance with Peconnized qLooc4.j aj%ces jnd
of a quality prescribed -For the 1pecified use -Tr
Uniform Building, Plvrnbing & Mechanical C
.and the National Eiectlical Codd
,hits sit of pions «,'vd
400 on f6p job oh rh ri
natio any chcY-,g(s (n cx''
,vAtfen permission from
�dn�lcs. C01111ty n4 Buff
;Pecihcc ho►is MU)1 L
fes rd i is un-6wful be
roti`,s n se*-ne withatffi
is D� Pa linen+ e54 Pum'
d�
4
5
T
.. ��v COUNTY.
of _ UI ISA DEPARMAM,
As sNowrt
A setback ems• from th®
lines and a setback ������
property taw y- 24-%
of 50ft. from the road
centerline shall be clear of NEST- F^C—IN�
structures or equipment except
for a �? ft, emve overhang. t /10,
v o ull eascmesn+% — ... t� � :_....
ctea . �
ow we 25
;St j to o� PIM cad specs icatlatfs MUS -1 TA
¢ept on'FI inb t vA times a d it is unla�rf s c
�alc� cx�y eh�sic�es car �=?�ar�ric o� sct�me -grit ol�f
wife" permission from the D arfimn+c� P
-wo&, County of Butt& �!.D:tq
NOTE:—All Meteri
Accordnce with
of e quality pvescr
Uniform.. Building,
and the National E
I
s Wo l kmanship Sha
!co%,,hizc, d Good Practi
e(Vor t ie Specified us
lur)bin & Mechanica
qtr cal Code.
AS SHOW A
prope y Iines and a setback
of 5Dft from the road
centerline shall be clear of
structures or equipment except �j
-•,r n^e ft. pave overhang. + ��t'-'� �, # 1��{�I
clear o� all a l.cv v untY
o eo M
Pf'N II8-61 /
WILDING DEPARIMEM
FILF_
:�-C a `
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
.SSESSOR PARCEL NUMB
ZONING
'_WL
BUILDING PERMIT-
4 TELEPHONE SO. FT. OCC. BUILDING VALUATION
OWNER'S AILING Anr,n_ _ 342-8463 T,,,,,
N
CONSTRUCTION LENDER
UNKNOWN
NnnP
LENDE';•S MAILINC ADD R ESS
CH17F_CT OR L.v ;WEEP LIC
CHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDR
LOT NO. SUBDIVISION NAME
:JPARC=�M�AP1B Walnut Manor��
USE OF STRUCTURE
SF 5Q Duplexes Mobilehome❑ Other
SPECIFY
TYPE OF WORK
New 9 Addition ❑ Remodel❑—.Utili\s ❑" irtstaltation❑ Other ❑
Describe work: 3BR' f
Master #60-88 `
CONTRACTORS LICENSE LAW
lar nder penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profen odd and my license is n full force and effect.
License N 5 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ he permit is for $100.00 (valuation) or less.
!bJ 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.
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Count in conseq ce of the granting of this permit.
Date T
Si pure of lic t Owner❑ Contractor ❑ Agent ❑
A A permit is required for excavations over 5'0" deep and demolition or construct-
io structures over 3 stories in height.
Receipt No. 88379-70//
WNITE•D.P.W., YELLOW-ASSESSOII. PINK -INSPECTOR. GOLDENROD-AP►LI CANT
Fireolace ' "All
Total Valuation $
Filing Fee
Peretti• F, -e
Plan Che-ri-ing Fee
Energy Plan Checking Fee
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each qas water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home I S I G 1W
/ /1
Permit Fee
$
Contractor
■ 1 /1
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eDOv OR LESS
100 AMP OR LESS
10.00
QQ
Main service EA. ADD'L 100 AMP
-30
2,50
NEW CONST. DWELLING OCCUP.N
OR ADDNS. ACC. SLOGS,
hQsgft
42 00
NEW CONSTR ULTI.OUT LET
NO N.RESI D. BRANCH CIRCUITS)
2.50 ea
( SINGLE OUTLETTUSCIR.e
Ex. Occup(OUTLETS OR FIXTURES
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID,1 EA.�
Temporary service
Mobile Home Facilities
Misc. Wiring
Permit Fee
Contractor
MECHANICAL PERMIT
Heating
Cooling
Hood
Ventilation
Permit Fee
Contractor
Mobile Home Installation Fee
Energy Inspection Fee
OCC I CONST TYPE
TOTAL FEE
PAP/ I PD/I i HD . ISSUE
This permit is hereby issued unaer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
PERMIT EXPIRES Date
Date
71
■ 1 /1
ONO ON
■ 11
_
■ /1
-
1 1/
�• 11
11
11
• 11
11
/ 11
PAP/ I PD/I i HD . ISSUE
This permit is hereby issued unaer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
PERMIT EXPIRES Date
Date
71