Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
042-610-008
0 S` < F7731�kyla�rk, -ID8 OTHERSlark Dr,lot 2JSilvertreeWebb Homesr�/%534-87B,P,LM(n�w'Si gle'famil0-008 92-3386 BPE Craiglark, ChiconRobert Hill v ! swimmin ool 042-61-0-008 93-1374 BPE POLLOCK, CRAIG 731 SKYLARK, CHICO CONTR: -ROBERT HILL SWIMMING POOL. CLAIMANT: ADDRESS: &Uud*" J13U& OROVILLE, CALIFORNIA GENERAL CLAIM R.T. Hill:& Associates 199 E. Shasta Ave. CITY & STATE: Chico CA 95926' IMPORTANT: July 8, 1993 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner- has decided not to .do work. (Bldg Permit Application #93-13711, Receipt #140377, dated 5/14/93,.A.P. #042-610-008, Owner: Craig -Pollock). Total fees paid ------------------------------ -------$207.00. Retain building permit filing fee --------- $15.00 Retain plumbing permit filing fee --------- $15.00 Retain electrical permit filing fee ------- $15.00 Amount ret ained------------------------------------ $ 45.00 Total Refund Due ------------------------------------- $162.00 $162. 00 r TOTAL $162. 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim Is true and correct as elated. '/--�„ Dated this /.�.�.�....... day of ............................ 19...... at................................ Calif. ........................................... !.... . . . .... ............... . Signaturo of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specif' abo h e een performed or de- livered and that there is a Budget Appropriation O or Specific Board Approval Q (Checkone) for t me Dated this 8th da of July 19 93 at Oroville�sur. y` ................................... Y ................ ................ .................................................. Department Head or Authorized D eputy Dept. ..............440-002.......... c de .....421OSOO................... PAYABLE FROM COnSt. Permits ...... ............. FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. GROSS AMT. I F"M aM o, E o � 131i j F. A 2T - 4Ue-::;- e -'sc. 6 cx � a vc.-e- 7/y3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-610-008 ZONING ASR BUILDING PERMIT OWNER Crai Pollock TELEPHONE S0. FT. OCC. BUILDING VALUATION Est. 12,200.00 OWNER'S AILING ADDRESS 731Sk lark Chico 95926 CONTRAC TO 'S NAME R.T. HI11 & Associates TELEPHONE 891-4280 _ CONTRACTOR'S MAILING ADDRESS , 199 E. Shasta Ave. Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $12,200. 00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $120.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $155.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 11 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other pool SPECIFY Gas piping system 1 - 5 outlets5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New a Additionj_! Remodel❑ Utilities ❑ Installation❑ Other ® Describe work: Swimming Pool Master 511-92 Permit Fee $22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOA) _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 2'1 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. 377464 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) ❑ 1, 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 OCCUPM OR ADDNS. (ACC. BLDGS. I 3.64sq.ft. NEW CON STP. ULTI.OUTLET NON -RE D, BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED PR Ex. Occup. OUT ETS IRESID IEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 15.00 Permit Fee $ 0.00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 5-14-95 nature of Applicant — Owner 9 PP ❑ Contractor VG Agent ❑ An OSHA over 5'0" deep and demolition or construct- ion of structures toverr3gstoriesoin height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 207.00 HAz OFEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the sionssi 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. y 3'7� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT P) COUNTYOF BUTTE - DEPARTMENT9F DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 r PERMIT APPLICATION DATA SHEET OWNER /Z�I r �O / �o G A. P. No. Y2-41- O O g Proposed Building Use Building Inspector 4-1 Date ' 2 `/- 5,3 - At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ............ . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $.......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval 0.1 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). ...........request . 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:. . ..................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ..............•. 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. 01 When u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone CF/l t o. and hold for pickup at - 5/m 45-14o - office. Deliver with inspector. Other Parcel Creation f � --( � -(+-Q3 Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil-le, California 95965 - Telephone_ 916 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ A:�. j - eDg ZONING 4A BUILDING PERMIT OWNER/ J' C/' 41 /�`/l © (�' 4"t TELEPHONE S0. FT. OCC. BUILDING VALUATION O WN EFTS MAI LikV �'C. DR/fr ' 1.. Hl L C / _5 CONT CT 'SN r �sstx i�o-eJ TELEPHONE da 19n CONTRACTOR'S MAILING ODRESS AMA�/1 �rs�yoL �i//�- C���� o Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ teL -0 -- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ I PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other /��� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New. Addition _ Remodels Utilities❑e- Installation❑ Others work: ��b�`t-�� 7 �� S2— - Permit Fee $ Z2 —Describe Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification Lj 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) 711 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.E 3.64 sp.f[. OR ACDNS. ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRCUITS) /POWER APPARATUS 6 (SINGLE OUTLET cIR. #AIL00 EX. Occup( OUTLETS OR FIXTURESd FIXED APPLNS. Ex. Occup. OUTLETS IIRESID )REAJ j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring (� ±: E!! Permit Fee $ p — 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyotEnergy Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner 9 pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr39sroriesDinehe excavations over S'0" deep and demolition or construct- Mobile Home Installation Fee S Inspection Fee $ OCC CONST TYPE �' TOTAL FEE $ �ifl HAz DFEES IMP I FLOOo I COP PARCEL PO I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date ' Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT t 9 ... . . . . . . . . I I � I v 9 \ �r M eount* JButt OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Robert Hill & Ass ADDRESS: 199 E. Shasta Ave. CITY & STATE: Chico, CA 95926 IMPORTANT: DATE OF CLAIM: October 29, 1992 SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING', GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)I AMOUNT 'Owner has decided not to do work. Permit #92-3386B,P,E, ! I _12 i AP#042-610-008, Receipt #123139, dated 9/24/92. � i Tntnl Pcrmi i- TP--- 1), -;,4 &01A cn _ Retain Building Permit Filing Fee ------------- $15.00 iRetain Plan Checking Fee---------------------- 20.00 ,Retain Plumbing Permit Filing Fee------------- 15.00 (Retain Electrical Permit Filing Fee----------- 15.00 Total Permit Fees Retained----------------------------- 65.00 (TOTAL REFUND DUE --------------------------------------- $149.50 i i i TOTAL $149 'So I,the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this .1 aim is true and correct as stated. //Jp �ou•�� —� Dated this lb -116 . . ................. day o[ , liG •% ' ri/G�L�!" - ................... l9 9�, at v Califcalif. ................................................................................ ................. .......................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge• the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval I� (Check one) for 4e sa . Dated this 27th ..._... day of October 19 92, at Oroville Cailf. ............................. ....... ...... .................. .... ' ... ... ........... ........... ep rtment Head or Authorized Deputy Dept.440-002 cod 4210500 Con Permits FUNDCode............................................ Code ................................................PAYABLE FROM............................................................................................ DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. /P -i& - 92- 0 z D �Pxt 042 - (oi Hw 19q E 514457-1q �q tJE . 9s9z� RM COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. '-�3 6P6 ASSESSOR PARCEL NUMBER I Z`t,I LIJG 042-610-008 " ASR BUILDING PERMIT OWNER Craig Pollock TELEPHONE SO. FT. OCC. BUILDING VALUATION Est. 14 000.00 OWNER'S MAILING ADDRESS 731 Skylark'r Chico CONTRACTOR'S NAME Robert Hill & Associates TELEPHONE 891-4280 CONTRACTOR'S MAILING ADDRESS .4199 E. Shasta Ave. , Chico 95926 Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation I $ 14.000. 0 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $127.50 ARCHITECT OR ENGINEER Bachman LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking Fee 9Y 9 $ Penalty $ BUILDING ADDRESS Permit tee_ $162.50 PLUMBING PERMIT Filing Fee 15.00 ( 731 Skylark, Chico Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other P001 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK NewFX Addition ❑ Remodel[-]- Utilities ❑ Installation❑ Other ❑ Describe work: Swimming Pool Master #511-91 I I Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. X7%4,04 Classification 15- G53 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A) 37.50 NEW CONST. / DWELLING OCCUP.8i 3.6Q sq.ft. OR ACDNS. 1 ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET @ 5.00 NON.RESIO BRANCH CIRCITSPOWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 761 FIXED APLNS. Ex. Occup. OUTLETS IPRESID )RE A.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 1 15.od 15.00 Permit Fee $30.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. [g, -r have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling LHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. X Date 9 2 41,9Z signature of Applicant - OwnerElContractor Ei�- Agent Elsions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONS""' TOTAL FEE $214.50, I HAZ DFEES IMP ;ZJ CDF PARCEL I E This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do work indicated abo for ch fees have been paid. PU LIC WORKS D E� _Z BY Date PERMIT EXPIRE Date 2--R Receipt No. 123139 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT i 7 I COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OFtOVII�CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER . -L..-� �. A. P. Proposed Building UseBuilding Inspector Date r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by Cali o nia Engineer . ................. . 14. Sanitation and,plot plan approva- `mo w ealth Department. .....: . 15. City`of.Chico plumbing permit . ......................................... 16. Plot plan .and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for to Buispeg Ins requ� required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification. (Given to owner , Mail to owner ). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on -building use . ......................................... 28. Mobilehome utility clearance . .................:....................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. Wren ou issue t r�njt ro s as follows: Mail to�gwner. Mail to contractor. (,s''' Telephon and hold for pickup at2 /O office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollutioni/Date Copy of plans sent Health Dept. Fire Dept. Other CDate By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co titer by _ Date Plans checked by Date Plans approved by Date fid, Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works NOTE:—An Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in tke t 6 • vvl Uniform Building, Plumbi & a'o 1�6ttiei, . I f is a g , Mechanical C ,,.1®+R and A . - E'2 (F) o a See Master Plan on Tile Tor Ad— plans. This set of plans and sped ' tions MUST be kept on the job at all times and itis wful to make any changes or alterations on same w out written permission from the -Department of 93 Public Works, County of Butte. ':no G I._ O� LOG ,a;P. � �r�-•toj�-vo8 T. �� ► � � ,U. - Gam.. T ��� BUTTE.000NTY - - - BUItD6NG DEPARTMEN' APPROVED s t i PERMIT NO. 534-87B P. E M- PERMIT EXPIRES v OWNER WEBB BROTHERS CONTR. Webb Homes r ASSESSOR PARCEL"" 4a— LOCATION 731 Skylark Dr, lot 29, C hico r' r . ---- _ A.9 ^� OFFICE COPY Address �+ �� :�',. .� .� > r.•, hof � .� GAS y 4•; r Meter,By�r Date ELECTRIC"� y Meter By n ) OFFICE COPY Address ------------- Temp. GAS Meter By� Date E � er By, Date Ner�rorr - 1 Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) ZV �X/ 13 -15 Owper, Webb Hanes ENERGY'CYR Perictc - No. T I F I C A T I O N Silvertree II Phase III Lot # '9 Skylark Dr. LOCATION A.P. No. DESCRI-VION OF INSULATION ROOF ,Material Thickness(inches) EXTERIOR WALL Material Fiberglass Thickness(inches) 3'," CEILING-' E Batt -or Blanket 'type Batt Thickness(inches)_ :108 1 -Loose Fill Type Insul-Safe III Minimum Thicknesl(Inches)• 11"'s Area covered ('f t . -;,FLOOR, ELEVATED °''MaterialFiberglass j Thickness(inches) N/A FLOOR, 'SLAB Material Thickness(inches) Width(inches) Brand.Name Thermal Resistance (R Value)_ Brand Name Certainteed Thertnal Resistance(R Value) R-13 _ Brand Name • Certainteed Thermal Resistance(R-Value)R�„ Brand'lName ' Certainteed Number of Bags 18 Wt'. per bag m Theral Resistance(R•Value) R-30 Brand Name Certainteed Thermal R.esistanee(R Value) : Brand Name Thermal Resistance(R Value) - FOUNDATION WALL ' Material Brand Name . Thickness(i.nciics) _ _ .Thernial• Resistance(R Value) I• hereby certify that the above insula tion'�wa's installed in' thea' above building in conformance with the State of CalifoaniarEnergy Requirements. elation #'27,2941 FIRM '1rIE/OlJ 'R STATE -CO'NTRACTOR'S LICENSE NO. SIGIA+:'.e'RE OF INSTALTAT.T.0141 APPLICATOR_ _ _ �•' DATE Jf I hereby certify Lite ahova in:,u atiun aard,x' 1 required items as shown on the Building Department approved plans and"attachments have been installed as required -by the State.of California Energy Requirements. All equipment, deyices and materials ara of the quality'preBcribed or are specifically',hpproved by' e*he' State of California FIRM OWNER N(Pleasep.ant) ,• STATE CONTRACTOR'S LICENSE N0. IGNATL'RE+O GENERAL 1 997RACTOR OWNER 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 COUNTY OF BUTTE r J DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE s3'1' r7 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. yvN Com/ G-�4' 42tA.1/iJ JfA, J'e' Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS , 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE T NO. A routine inspection indicates that the following violations of County Ordinance l 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 peed additional explanation, please contact this office immediately. J Inspector Date J = OX 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL -Single and Duplex) Date UND LOOK Plans OK except #*s Gara ire Door; Swing -Landing -Closer ing, requirements -Setbacks -Easements in Garage -Damper Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth _ Ftg., rage; Soils -Steel- / /" Ftg. Depth r 4. F ., Porc &Decks; Soils -Steel- / /" Ftg. Depth 7 Ste a rf; Steel-Blockouts-Wr pPed-Slab 7Kjpsulation-Foam-Looked te_m_w Garage; Steel -Block o -Wrapped-Slab 7. P' -Fireplace Ftg.-Steel - _ W V. Fall -Fittings way C/0 -Sewer Test _ 9. Gas Pipe; Size -Anchors 10. _ Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date s.//�7 Card -B Date •7- _ Card-BI Date„ i 2 Card -BI Date Date MECHANICAL (Permit) OK except #'s Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles KING (Continued) Property Line Firewall & I I. Ext. Doors -One 3' -Check -Garai 2 exits —50 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers id ing-Nai l i ng -Veneer St Mesh- Screed-Fdn. Vents-Underflr. Access- ` 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI ate Card -BI Date Card -131 Date Date Card -BI Date Card -BI Date Card -BI Date ins) OK except H's eps-Door & Sidelight Protection -Landings Date MBING t OK except #'s oke Detector ater ,-Ven Access -Combustion Air Fur ce; Vents -Clearance -Comb. Air-Connector- �. �Wat�er�ipe: T &Anchors- Protection Gar ; Above Floor-Ducts-Mech. Protection_ ��f D 4.V. mkt-Fttngs & Anchors -Nail Protection 5 r om Exiting 17. Shower Pa-n'Nst, First Floor -Tub Access < 6 .I. & Bath Fixtures & Tub Acc 18. Test Tub & Shower, 2nd Floor -Tub Access60o.0'Elec. Trim & Subpanel; Breaker Si 19. Gas Pipe Size & Anchors t s-& Rails Is replace or Stove; Clearances -Hearth ' c. Outlets at Wood Panel; Int. & Ext. Gard -BI Date _ _ Card -BI _ Date 6 . Fixt. & Appliance; Grnd.-Air Gap -Cooking C Card -BI Date - Card -BI Date 6C E_Leiff-Outlets & Receptacles at Kit. Counter Date k, ELECTRICAL Permit OK except #'s 6 Gara ire Door; Swing -Landing -Closer -- in Garage -Damper Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing-Lights_&_Switches at Doors Size Boxes & No. of Conductors -Stapled r Romex Instal Ied'C 1pse_to Edge of Studs & C.J. X24! Equip. Ground made up w/Mech. Fasteners-B�on Gas & Water 2 Appliance Circuits in Kitchen & Co 1 r Sizk i `26.- Subfeed Wire Side /2yga. C r A. . Wire Size / / ga. Cu or AI Range Circ. `r� / ga. Cu r AI ven Circ. / / ga. Cu or AI, Insulated NeuYesYes No 28. Service -Riser Conductors & Ground -Main D_isconnect_ 29. Equip. Clearances: Panels-Motors-Mech_Equip. 30. Clothes Closet Light -Shower Light _ /// - ---- --- -- �JJ Gard B 1 Date���,,d"Card-Bi Date Card B -I - Date Card -BI Date 6 . Wtr. tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I Gara e; Above Floor-Mech. Protection 7 P ec. & Mech. Equip. Listed for Location 7 c. Receptacles in Garage; (G.F.I.)-,Qpmex Protec. 7Kjpsulation-Foam-Looked in Attic 0 Yes Guard Rails &Deck Construction -Post Caps Com lents at Final: rawl Hole Door -Drain -& Wood -Earth Cleara ce Lo d under Floor ❑ Yes 7 o ing instld.: D i , Yes [� No; Walks Yes C anters ❑ Yes ,J No 7 7 S cco rown-Finish A Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7& -Vents Vents bo_ve Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Fire Stops: Furred Ceilings Fase T b Header & Beam -Size & Bearing a ell; Disconnect, Electrical, Plumbing 4 \49 ter'o(Elec. Trim; G.F.I. Receptacle -Underground 8 - 'V tilation throu "out House 8401!21 Protec - n Date MECHANICAL (Permit) OK except #'s Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles o c ' from Previous Inspections 8 a -Meters Tagged; Gas -Electric A.C. Ducts. Insulation & Support _ - -- - - _ Vent Fan: Exhaust above Insulation g ater &Sewer Connected -C/O to Grade -HD Approval 89K Energy Compliance Certificate -Other Certificates \ 38t �j. Condensate Drain & Overflow: S'& G_rade, Furnace -Vent: Access -Comb. Airgturn Air Vent -115 outlet -- Attic Access & Platform if Furnace in Attic �%�_ _ / Card -Bl Date �p Card -BI Date - Caid-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Com lents at Final: 36. Sills: PropeNMpterial &1ic(`or Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound - 3 Ci3J Bearing Walls over Girders & Floor Nailing Dratt Stop ,n Walls (rat proof) "`4D' Fire Stops: Furred Ceilings Fase T b Header & Beam -Size & Bearing 4 \49 Hangers -Post Caps -Anchors -Connectors -_ 44•' Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or x-ype� e -Fireplace Throat - -_--_ - \45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles - Y - 8. Bdrm. Windows or Exiting Doors -Sill Hql. & Dimensions Garage Fire Protection Framing- _ - --- -- - - (NOTE Anentrymust be made each time youvisit jobsite) No; J = OK 0 = Not'OK = Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS = Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2, Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Con nec.-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 H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 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 -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT NO 7 County Center Drive - Oroville, California.95965 - Telephone 916/534-4541 APPLICATION -IAND PERMIT t SS ESSOR PARCEL NUMBER 9^ '�–'" '^ �� q;)—(0 1 —oe ZONING ASR BUILDING PERMIT OWNER Webb Brothers TELEPHONE 891-3351 ,SQ, FT. DCC. BUILDING VALUATION 1474 960 f OWNER'S MAILING ADDRESS 389C Connors Ct., Chico, CA 95926 4448 M 15,272 CONTRACTOR'S NAME Webb Homes TELEPHONE 212 Ov f 120 CONTRACTOR'S MAILING ADDRESS 1 0 1 , Fireplace:1 CONSTRUCTION LENDER 1vKNOWNTotal A 68352 Valuation Is f Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 5fttTECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Skylark Dr. Permit fee $ JOU. UU PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Chico Solar or heat pump water heater 20.00 LOT NO. 29 SUBDIVISION NAME Silvertree II PARCEL MAP 104–<b0A'_ Water piping 5.00 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 I G W 10.00 ea TYPE OF WORK New Addition❑ Remodel❑ Utilities El Installation❑ Other ❑ Describe work: Master #81-82 (Plan #231B) _ Permit Fee $ 46.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Q, QQ Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and ProfessioCode and my license is in full forced effect. License No. 12 i ft2 - Classification Q 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. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCJtg2811 YzQsgft 8.05 OR ADONS. ACC. BLOGS. iLL/ NEW CONSTR. MULTI -OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS POWER APPARATUS Q (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20050t e AL030 FIXED Ex. OCCUp. OUTLETS IPRESID ILNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 68.05 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l-#gave 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 Filing Fee 10.00 Heating Duai Fak Cooling6.00 Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s Count , i co a ence of the granting of this permit. X Date 0 �3—,F'� Signature o licant - 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 $ TOTAL PERMIT FEE $ ' 0c UP. CONST.TYPE C lD FLooD PARCE PD ND I�ssy E Y This permit is hereby issued under sions of the Butte County Code and/or work i dicated above for which 1 CTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date f APR_ ' Q rT►4 rttf Receipt No.206 WHITE -D. P. W.. YELLOW -A9 eCSSO R, PINK -INSPECTOR. GOLDENROD -APPLICANT ,�; * „x _�_ . ..-,�,A .. �1�47r �.'.31_l •�! f 'F. �,.. i 2`�. 'r ..L" `� ..f.o 'v .. < s:... _, .. ,q . � COUNTY OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUILDING DIVISION �1 ` 7 COUNTY CENTER DRIVE - OROVI LLE, (SAG J 4N[A 95965 - TELEPHONE: 91fi/, 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER P. o.. JX Proposed Building Use ). Building Inspector Date_�24 L�o 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. 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 $ . . . . . . . . 9. Letter of signature authorization. -- A. Sanitation approval from At"ra cge-w& bLHealth Dept. 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[], Ma -11 to owner ❑ ), _15. Improvements may be required. . . . . . ... . . . . 16. Mobilehome Installation Data. . . . . . . . Pre-Inspec. request to �i'�Pre -Inspection for Required. Building Inspector (Dote) . Recorded copy of Agricultural Acknowledgment Statement. 1/S Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: —.Mail t wrier, Mail to contractor. Telephone _�9z -33 � and hold for pickup at office, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to per 1. Index permit for above items No. 2 Additional items required it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone—mal I counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. BATH MASTER 14'x13' b - L ATH 02 HALL BEDR0014 BEDROOM 11'x12' 11'x12' . r PLAN - 231 ig 8 .1474 'SQ . FT`. COVERED PATIO S7 kKI�TCHEN 000 ��IDINING w12 . FAMILY ROOM �N 19'x 151 n. F - COVERED PORCH 1GARAGE 24' 10 ,�4T F � ��y2�5 ?le;7 \\\ \% This set of plans and s ecifications MUST be' s \, kept'on the .job at all tim _s and it is unlawfu'I to make any changes or alfE rations on same with- \�\. 'gout written permission f°r m the Department of « See :Master Plan -on :f le for building,' ` ktl is Wdrks, 'County 6f'Butte.' plans.' ` =� 141.q0`. -.` :141:.;_ Z. WC 0. \A set Of 5 ft. from the property s i nd a setback of 50ft. from road 5� centerline shall b tear of \` structures ore uipm t except For: a 2 ft. eave verhang. I- N94 ,. /=97 ' f 3' wF- a M 00 29 41 i Al 7.1 a 670 lV 93. 35. f 154. 9y N 81'0 59' 27-" W BUTTi e0t3jhTy BUILDING DEPARTMENT APPROVED 1?7 N .. - - f �,L � � 3 �:.. /CDD ��T bIv d�,v. COUNTY OF BUTTE - I P TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville Cal rnia 95965 - Telephone: 916.538-7541 PERMIT N0. APPLICA 0 ND PERMIT ;SESSOR PARCEL NUMB q 042-610-008 Z IN vNER R BUILDING PERMIT Crai Pollock T EPH NE SQ. FT. OCC.E1:2 BUILDING VALUATION VNER'S AILING ADDRESS I Est, 1200.00 1 Sk lark Chico 5 26 ACTO •S NAME � Tl T •. t•- - - Tr• DRESS % I CONSTRUCTION LENDE I LENDER'S MAILING A NEER NEER'S MAILING AD I BUILDING A T NO. I SUBDIVISION E VA 0 1 / USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome❑ Other- Pin 1__ TYPE OF WORK �S� New Ir AdditionL Remodel❑ Utilities❑ Installation F7 Other® Describe work: SWimmina POOL Master 511-92 CONTRACTORS LICENSE LAW 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 .do. 5774Cq Classification �f 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): ❑ The permit is for $100.00 (valuation) or less. �� have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 71 1shall 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 or Butte to enter upon the above-mentioned property for inspection purposes. also agree to save, indemnify and keep harmless the County of Butte against 911 liabilities, judgments, costs, and expenses which may in any way accrue tgainsi saio County in consequence of the granting of this permit. Date 5` ( •-� 3 of Applicant — Owner ❑ Contractor & Agent ❑ k OSHA permit is required for excavations over 5'0" deep and demolition or construct- or of structures over 3 stories in height. leceipt No. /7 0 3% 7 ------------ INITC-a. P.W., YELLOW Aoe C]sOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -vv $ 1 $120.00 $ 20.00 $ S155.0( Fi I i ng Fee 15.00 Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service OR LESS) 26000V 18.50 Main service 200ATO1000AI 37.501 NEW CONST. / DWELLING OCCUP.y) OR AODNS. 1 ACC. BLDGS. 3.64 sq.tt. NEW R NON-RESID BRANCH CIRCTITS 5.00 (POWER (POWER APPARATUS e� OUTLET CIR. Ex. Occup (OUTLETS OR FIXTURES 20 76 Ex. Occup. NS OUTLETS (RESID IRE A.) I 3,00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 Permit Fee 0-100 Contractor MECHANICAL PERMIT Filing Fee 1500 Heatino Cooling Hood 6.50 Vent lation Penult Fee $ Contractor Mobile'Horne Installation Fee g Energy Inspection Fee $ OCC ICONST TYPE !TOTAL FEE $ 207.00 Thls.permlt Is hereby Issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date