HomeMy WebLinkAbout042-610-01042* --ta
WEBB BROTHERS
740 Skylark Dr,lot 31, Silvetree II,
Chico j� -1
?1? Al
Contr : Webb Homes - ���c:.
Permit#536-87B,P,E,M(new single family
RANI -row
42-61-10 2228-91B9M
(740 Skylark Drive, Chi o
.'(add dining room/Doug Imho )
42-6
Permit#,2681-91B,E
A,
(addl square foot e/diningroom
• f )
130-2307 ' 042-610-010
MISCELLANEOUS Remodel
KITCHEN REMODEL (250) Y .
' 740 SKYLARK DR
CHAN, TRUST
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
?` , PROJECT INFORMATION
Site Address: 740 SKYLARK DR
Owner:
Permit NO: B07-2307
APN: 042-610-010
CHAN, TRUST
Issued Date: 11/09/2007 By KEJ
Permit type: MISCELLANEOUS
740 SKYLARK DRIVE
Subtype: Remodel
CHICO, CA 95926
Expiration Date: 11/08/2008
Description: KITCHEN REMODEL (250)
(530) 342-5341
Occupancy: Zoning: ASR
Contractor
Applicant:
Square Footage:
REMODLERS INC THE
REMODLERS INC THE
Building Garage Remdl/Addn
P O BOX 899
P O BOX 899
FOREST RANCH, CA 95942
FOREST RANCH, CA 95942
Other Porch/Patio Total
(530)893-4741
(530)893-4741
FEE INFORMATION
DBMSC Remodel -Residential $379.94
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
REMODLERS INC THE 813508 / B / 10/31/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 4 h,,, L/-\-- 11/09/2007
Contractor's Signature Date
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Cartier: lJolicy Number: 713-0012499 Exp. Date:08/01/2007
(This section need not a completed if the permit is for one hundre otters ($100) or less.
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
X 11/09/2007
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
IrL>> F0i` CONSTRUCTION LENDING AGENCY I
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address
City State Zip
$379.94
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
E1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ I AM EXEMPT under Section B. & P.C. for this reason:
Owner's Signature
11/09/2007
Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
A (A : (/L-- M r 41u e ( 4OU ate11/09/2007
Owner Contractor OR: Agent for Owner ElAgent for Contractor
FILE COPY
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION.
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE'REOUIRED AT TIME OF.APPLICATION
Website: w. rw.buttecounty.net/dds BIN #
* TLEASE PRINT CLEARLY**
OWNER INFORMATION
LastName /r h .a r
First Name
W (FA)D
Mailing Address 7Lto S (Cc. � Iz fir l
City C N'�_ 'C O
State C?
GVC.
Zip.
Phone 3 N. -z 5 3`i I
Fax
E-mail
APPLICANT SIGNATURE 1n I^ n
X
- PROJECT LOCATION
AP# bLqZ �Ib �l O.
Property Address —7 S k Gt r� L T� r,
city O C.4 ,
WORKER'S COMPENSATION .
Policy Number
7f 7)
Carrier
rff��I_i�rninanyone other than license contractors, a certificate of worker's
mpensation must be shown at the time of permlf issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
CONTRACTOR
Name
-T VVl o GI 0!r S
rl G.
-Address - -
-
City
rorCSl GIS
State
Zp CSy`{.1,
Phone
530. k� 3
FaX....�
State License Number
E-mail
v'2 ave oke— r5 I V)C
a 1 • CO.. VVn
Lic, #
Fi(3 L�
Class
APPLICANT SIGNATURE 1n I^ n
X
- PROJECT LOCATION
AP# bLqZ �Ib �l O.
Property Address —7 S k Gt r� L T� r,
city O C.4 ,
WORKER'S COMPENSATION .
Policy Number
7f 7)
Carrier
rff��I_i�rninanyone other than license contractors, a certificate of worker's
mpensation must be shown at the time of permlf issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
ARCHITECT/ENGINEER
Name
�Q. W1 O d e Loss 1 vt c
Address
0 o V e- . .
City -
No
State
Zip
Phone
Fax
E-mail
❑ Structure Built without Permits
❑ Proposed Change of Occupancy:
(Note previous use):
State License Number
APPLICANT SIGNATURE 1n I^ n
X
- PROJECT LOCATION
AP# bLqZ �Ib �l O.
Property Address —7 S k Gt r� L T� r,
city O C.4 ,
WORKER'S COMPENSATION .
Policy Number
7f 7)
Carrier
rff��I_i�rninanyone other than license contractors, a certificate of worker's
mpensation must be shown at the time of permlf issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
APPLICANT INFORMATION
Name
�Q. W1 O d e Loss 1 vt c
Address
0 o V e- . .
City
No
State
Ztp
Phone
Fax
E-mail
❑ Structure Built without Permits
❑ Proposed Change of Occupancy:
(Note previous use):
APPLICANT SIGNATURE 1n I^ n
X
- PROJECT LOCATION
AP# bLqZ �Ib �l O.
Property Address —7 S k Gt r� L T� r,
city O C.4 ,
WORKER'S COMPENSATION .
Policy Number
7f 7)
Carrier
rff��I_i�rninanyone other than license contractors, a certificate of worker's
mpensation must be shown at the time of permlf issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Zoning
Pa -W I / Ll lq-00 vrl
�J e-�]< h& K_
�a f cit
Gc c c- o
Yes
No
L I h ii 1'
ko ve 0-k C q _I ,
Sq FT- Living 250 G ge
/ v
❑ Structure Built without Permits
❑ Proposed Change of Occupancy:
(Note previous use):
; /�-
3
For office use only:
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const.
ENTIAL
C44AI) 77
42-61-10 oo r511� 2228-91B,M
(740 Skylark Drive, Chi
(add dining-room/Doug Imhoff)
F
JOB FINALE
Signature
x
• 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 - .-
G�
OWN E -- 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
r , .,
i-te
Date �""�. �j ' Inspector
COUNTY OF BUTTE
DEPARTMENT OF OUBLIC.WORKS
196 Memorial Way, Chico,- Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
/'CORRECTION NOTICE
VNER 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/cd'rrection of work is completed. If you have any question pertaining to this
maI fir, or need additional explanation, please contact this office immediately.
r7.., /o i► / �. t'7
ec�,d -F�. o �WO(W., bio•,
t
F.0 041 C3 t S o b Q Rdo-e Q r'
r
'A C1
r
Date?— Inspector c1,
&4Owner Permit No.
ENERGY CERTIFICATION
LOCATION v A.P. NO.
DESCRIPTION OF INSULATION
ROOF
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
EXTERIOR WALL
MATERIAL F14FiPLASS. BRAND NAME CE TAINTEED
THICKNESS Z,� THERMAL RES. — l
CEILING
BATT OR BLANKET TYPE-FiberglasBRAND NAME CERTAINTEED
THICKNESS THERMAL RES.
LOOSE FILLTYPE NSUL-SAFE IIIBRAND NAME CgtB INTEED
THICKNESS L Z THERMAL RES. 3 O
FLOOR,ELEVATED
.MATERIAL FIBERGLASS
THICKNESS
FLOOR, SLAB
MATERIAL
THICKNES
WIDTH
BRAND NAME CERTAINTEED
THERMAL RES.
BRAND NAME
THERMAL RES.
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
SHASTA INSULATION INC. #622184
FIRM N M OW R (� STATE CONZR. LICENSE NO.
I hereby certify the above insulation and all required items as shown
on the Building Depart. approved plans and attachments have been installed
as required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or
are specifically approved by the State of Calif.
FIRM E/OWNER (PLEASE PRI .T) STATE CONTRACTOR'S LICENSE NO.
TURE,0,T` GENERAL CONTOxLMR/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
J=OK
O=Not OTC
Not
= Not Readyable MOBILE HOMES '
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements _
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK 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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; 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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, 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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL
=
Date UND LOOK la OK except h's
g Set k asements-Flood-Slope
VI-Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., G rage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. F ., Porches & Decks; Soils -Steel-/ /Ftg. Depth
Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Id Dowd Special Anchors
Slab; St -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; 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. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date -� Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit).OK except h's
16. Water Htr.: Vent-Access-Combustio r -Baffle
--------------- -----------------------
17. Water Pipe; Test & Anchor -N ' rotection
---------------- --------------- ---------
18. D.W.V.; Test -Fittings & hor-Nail Protection
------------ - — -----------------
-
----19.-Shower Pan; Test st Floor -Tub Access --- - -
20. Test Tub & wer, Second Floor -Tub Access
---- ------ - --------- ---------------
21. Gas Pi . Size & Anchors
------------- -----------------------------------------------
Date Card B-1 Date Card B-1
---------- - ----
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. xture & Transformer Clearance -Ins. Protection
- ---- ec. Receptacles Spacing -Lights & Switches at Doors
---- -- - - --------------- -
--- - ----------------------
24
-----------------------------
ze Boxes & No. of Conductors -Stapled
--------------- -- ----------------------------------------------------------
mex Installed Clo o Edge of S uds & C.J.
---------------------------nd--de u - Ed ---- - - - ---------------------
p . Fastners-B ater
2 Appliance Circuts in Kitchen &Conductor Size/GFI
------ ------------- ------------------------- ---------------------------
Weed Wire Size r r ga. Cu or AI-A.C. Wire Size / / ga.
Cu or AI
ay'-FC31igj�'t� / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
- ---- ------ --- ---------------------------------
Conductors
- --
i Conductors & Ground -Main Disconnect
- -------------- ---------------------------- -------------
3 _ Equip_Clearances Pane Is- Motors- Mech. Equip_
------------ - - ------------------
lothes oset Light -Shower Light -Spa Light
-33..-Smoke Detector
Date , Card B-1 Date Card B-1
-- - ---------------- -- - ------------
1,
- - -- --
-- -- - --
Date rd B-1 Date Card B-1
Date ME ANICAL (Permit) OK except h's
A.C. Ducts Insulation & Support
----------------------------------------------------- ---------------------------
t above insulation - -
----------------------------------------
&
---------------- --------------
& Overflow; Size & Grade
-- -------------------------------------- '�. .a:..:`�Access-Comb Air -Return Air Vent -1 15 -outlet --
------ - --
Platform if Furnance in Attic
------ --------------------------------------
----------
Date
------------------ -- - - - -- - -- - Date Card B-1 Date Card B-1
----- - - --- --- --
--- - --- - ------------ - -- -----------------------------------------------
Date Card B-1 Date Card B-1
Date FRA (Plans) OK except ft's
s. Proper Material & Anchors
- - ---------------------------------------- ----- -- -----------
4 Walls Studs _Nailing_ Spacing &-Bracing_Plates_Sound
------------- ------ - -
over Girders & Floor Nailing
-------- --- - -
42. Dr p in Walls (rat proof)
---- ----- --- - - ---- --
4 Stops: Furred Ceilings -Stairs -Chases -Tub
---------------- - He -W
� Headers & Beam -Size & Bearing
Single•& Duplex)
Date A G (Continued)
H ers-P t Caps -A ors nneci s
i;t-Rftr ' •-Pull n -roof ac -Truss -S n -Rfng.
4 ue-Fireplace Throat clearanc ,,
ection-Draft Stop -Ins. Baffles
Doors -Sill Hgt. & Dimensions
-----------------------
5.. in-OperTrrrgs
Garage -3rd Story, 2 Exits
---------------------------------
eedreew-Rise-Run-Landing-Fire Protection
-------------- ---- —
44*�
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
St _ oIAA sh-Drip �reed-Fd. Vents-Underflr. Access
__ ----------- _
lazing Area -Glass Protection -Skylights -Plastic
ra Chaar gran •' .icing -Bolts
--------- --- -
In ation-W,,_IK__CeiRrgs
----------
Infiltration_W3N<-Win¢�ws
Date 1 Card B-1 Date Card B-1
Date Cord B-1 Date Card B-1
Date FIN (PI s) OK except h's
E .Steps -Door &Sidelight Protection -Landings
Smoke Detector
3. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
-------------------- ------ -
-TIV."BeCroom Exiting
iEl-& Bath Fixtures & Tub Access -Spa
----------------------------
Trim &Sub anel; Breaker Sizes &Labels
------------ -- ---------------------
a7 &6ws & Rails
- - - 68. Fi lace or Stove Clearances -Heart
Elec. Outlets at Wood Panel: Int. &
_Zn K,�xt. & Appliance; Grnd.-Air Gap -Cooking Clearance
-- -.Outlets & Receptacles at Kit. Counter --
r--il4--6sc�ge Fire Door Swing -Landing -Closer
----------------------------
in
in Garage -Damper
r. F_, Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
-- r5--Ptb•-•Elec. & Mech. Equip. Listed for Location
i:Fo-Etee-Receptacles in Garage; (G.F.I.)-Romex Protection
dation-Foam-Looked in Attic ❑ Yes
-----------------
-�-�RaF�-Rails & Deck Construction -Post Caps
ti'9-FTWrilents & Crawl Hole Door -Drainage & Wood -Earth
Cleara_�nce Looked under Floor ❑ Yes
ng instld.; we ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
-------
anters ❑ Y-- ❑ No ---
Stucco; Br n -Finish -1`
- - - u: Disconnect. Electrical, Plumbing
3. en above Roof; Plbg.-Appliance-fireplace.-Clearance to
Openings
a er Well: Disconnect, Ele rical, Plumbing
5. Exterior-Elec.-Trim I. eceptacle-Underground
- -
Y�SrVenfiltion Throughout House _
- - - ----- --------------------------
_ttf. ss Protection
Corrections from Previous Inspections
-------------------..--------------------------------
--oT-TTaTs Test -Meters Tagged; Gas -Electric
----------------------------
-------------
------_ V773—ter & Sewer Connected C/O to Grade -HD Approval —
Energy Compliance Certificate -Other Certificates —
- ------------------------------------ ---- --
Date Card B-1 Date Card B-1
----------------------- --------- --- ---
Date 0 ard B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT NO.
,7 County Center Drive - Orovlller Gall fornla 95965 - Telephone: 916/538-7541 �
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
'42-61-10
ZONING
ASR
BUILDING PERMIT
OWNER
Tom Chan
TELEPHONE
342-5341
SQ. FT. DCC. BUILDING V TION
44 R 2 244.00
OWNER'S MAILING ADDRESS
740 Skylark Dr. Chico 95926
CONTRACTOR'S NAME
D m
TELEPHONE
343-4870
CONTR CTOR'S MAILING ADDRESS
977 Woodland Ave. Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$2,244.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 38.50
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 19.25
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 82.7,5
PLUMBING PERMIT Filing Fee 10.00
74n qkylark Dr., Chico
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF X❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home IS G W
10.00 ea
TYPE OF WORK
New ❑ Addition ® Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: Add Area to Pining _
i►`"`� ,��i"'94
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 1.0.00
Main service sooV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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. 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-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.a)
OR ACDNS. ACC. BLDGS.
'/22sgft
1.10
NEW CONST R. RANCH TLET
NON-RESID BRANCH CIRC ITS
CIRCUITS)
2,50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES
ti
.-Lo 30
"ALO 0
Ex. Occup. ou LETS ED P(RESID IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$I 1-10
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty Of perjury (check one):
❑ The 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
I 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.
1 also a to save, indemnify and keep harmless the County of Butte against
all Ii,iii ies, .Idgm ts, cos ,and expenses which may in any way accrue
agai t s d County ' copse ence cc=of granting of this permi .
X Date �
Signature fo plicant — OW Contractor ❑ Agent n
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 $
occ
CONST TYPE
TOTAL FEE $ 93.85
HAL
CUA PARK SCHL
FLD
cDF
PAR
PD
I H
Iss E,
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated By tet/ ✓ ab vDate for which fees have been paid.
R. OR OF PUBLIC WORKS
`,,,�
aI,
PERMIT EXPIRES Date
Receipt No. 96917
WHITE-D.P.W.. YELLOW-ASSESOOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
.. assu:..si:� _ ''�:�: c%+f....c'1<^ �'. E+-.1.1x�-:'�........a...-.�......« .. e...a.-J�.. ..u.r. ... r.•.. .... -.. ._rte. -.. .-
HJR 1I
TO Buildinc Department
4
FROM:. Environmental Health
SUBJECT: Sanitation Clearance
owner Vocation AP#
Plan -Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other
Q 9L
NOME Q(
- D to
Sanitar n
a—..-�,.n�ti.. � -i.. �i�t�ti'aI'"'t+n•-1"tt^^h'-iL;i','.,�`tr" - rte"^= -^a.•^.+, r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 i
PERMIT APPLICATION DATA SHEETC�
LL,, Permit No.
OWNER _ � �i . G `7/9 vv+ .: A. P./No. T Z
Proposed Building Use � -���,� Building Inspector Date3L//'7/
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 ..... :........
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12 Park feC�(................................................
L Scho 9istr ees paid ..............
�14.anitation approval from, �/ Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval '#or (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. 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, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27. �*
When you issue the permit. `rgcess follows: Maier. Mail to contractor.
lephone nd hold for pickup at office. Deliver w/inspector.
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_.sub.m.i_tted prior to permit issuance: (Circle new-,item-no.t_c.hecked above).
1, Index permit for above items No.'
2. -Additional items required:
Contractor, designer, owner,
was advised of above required
data by
—phone __rnai1_counter by
..date.
Contractor, designer, owner,
was advised of above required
data by—phone
—mal l—counter by
date.
Plans c ecked by
Date
Plans
approved b
Date 4
Sets of plans on hold in File cabinet " AP folder
Copy—DPW
• COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephune: 916/538-7541
APPLICATION AND PERMIT
N
N
PERMIT NO.
BUILDING PERMIT
SO. FT. I OCQ. 1 BUILDING VALUATION
/ M I d
CON RACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ is
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ ,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
Water piping
•00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 Outl
5.00
Building sewer
5.00
Mobile Home G W
10.00 ea
TYPE OF WORK
New ❑ AdditionRemodel❑ Utilities ❑ Installation❑l, //Other ❑
Describe work:��- 0 � �l�!/1y
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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.
❑ 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 s. exempt under Sec. Business and Professions Code
for this reason
NEW CONST. ( DWELLING occuP.$)
OR ADDNS. ACC. BLDGS.
2yz2sgft )
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
(POWER
OUTLETTUS.&)
Ex. Occup(OUTLETS OR FIXTURES
zooeoe
eAL030
FIXED
ExOCCUp. OUTLETS P(RESID )REA.)
2.00
,.
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 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 County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner El 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 $
occ
CONST TYPE
TOTAL FEE $ 3,
HAZ
I CUA
I PARK SCHL
FLD
C0F PAR
I PD
j HD •
ISSUE
This permit is hereby issued unser 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
Receipt No.
Date
+P�'Ip"'°."'"i"If.YM"y�s+S"'��y'."��»�rt!'I�jy1c','' +^a`+vssrr'.faF��"�"�+�i'"a%1diM�'►,Y'-.,�.pr•"..,�.....�+.y,..�,y-.Ivry..-.'.-�.�rw,�,raw_+w�..,.�•^•-•,K.y.M•.��....•-.-..-w1n".cv„�•..•,�
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form per Building)
A.P. Number �r�—"�C�' Building Department No.
School. District (, Z2 City D County �J,urisdiction
Property Owner"{ Y Ud ef /7/7
Project Location/Address 7 0) 157
Subdivision Lot Number
Residential Development: a
Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
s'// Z47uildin Departtfient Representative Oate
(Floor Plans reviewed by School District Personnel)
District Id No.
School District certifies that
Applicant Namt
10
S-t�l
reet Address
City)
has complied with
by the payment of
C
School Dis
PAID BY CHECK NO.,
BANK NO
PAID BY CA
the requirements
ct Representat
one Number
(State) (Zip Coded
of Resolution No. gig
representing. square feet.
ive Date
REMARKS: r
I KLM 15z)tl 19 - A,1,11A 4
w
r
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
back Of 8 ft from tbA
arty lines and a. setbWk
ft. from the road
Arline sb&U be clear Of
-tures or equipment exa60-
2 ft- save ALLC-nM"NU TS
.Ago f
eltmcouWy
---BU!ff ARTMEN7
APOto E
w
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovii4e; Calleornia 95965 - Telephone: 916/538-7541
APPLICAtION AND PERMIT
ASSESSOR PARCEL NUMBER
42-61-010
ZONING
ASR
BUILDING PERMIT
OWNER
Tom & Wend Chan
TELEPHONE
342-5341
SQ. FT. DCC. BUILDING VALUATIO
340 R 17,340.00
OWNER'S MAILING ADDRESS
740 Skylark Dr., Chico 95926
CONTRACTOR'S NAME
Doug Imhoff
TELEPHONE
343-4870
CONTRACTOR'S MAILING ADDRESS
977 Woodland Ave., Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 17,340.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 128,50.
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 64.25
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 217.75
PLUMBING PERMIT
Filing Fee 10.00
740 Skylark Dr. Chico
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
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
1 5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New ❑ Addition K:1 Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Dining ARea
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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. 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)
LJV 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 OCCUP.a ,
New CONSTR.( A X /zQsgft 8.50
MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex, Occup(OUTLETS OR FIXTURES 20050t
eALO 30
FIXED APLNS.
Ex. Occup. OUT LETS P(RESID )REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
9
Permit Fee $ 18.50
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 shal I 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 10.00
Heating
Duct
1 6.00 6.00
Coolin 9
Hood
3.00
Ventilation
permit Fee
$16.00
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 said County in co sequence of the granting of this permit.
X �+.v Date % "� -'
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $30.00
occ
CONST TYPE
82
TOT 25
E
HAz. cuA PAR
scH
c F28
PD
I HD.
Iss
This permit is hereby is unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIR, T R IC WORKS
ff,,
By Date %�7�
PER IT EXPIRES ate ^ C.
Receipt No.
WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
.. .., . , »r: . f...F s'r-�+;.. awn-++.:r'k-r -- w.,,�..T'. •.. •.t • ' wr .- .:� fi„ _ _ ,
r r!p s
COUNTY OF BUTTE - DEPAR�Tf' ENT 'OF PUBLIC WORKS - BUILDING DIVISION
.� 7 COUNTY CENTER DRIVt - O OVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ,✓'
PERMIT A PLICATION DATA SHEET
Permit No.
OWNER I IN �/y� /D1 7" 1 /G N�� A P o.
Proposed Building Use // Jti e,2 T � r r7 Bui lding Inspector Date
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 ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12 ark fees paid ..........
Loee3. �- !/S L School District fees paid ........ �.�
14. Sanitation approval from 0 -AZ' ealth Department
15. City of Chico plumbing permit .....................................
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
19. 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, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows:---- 4!!!!�<ail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
ApplicantlJ. 'Z.Date
_w ? /
/-il6e�opyt,rr%er"" Health Dept. Fire Dept. Air Pollution Date
Copy of plans sen Health Dept. Fire Dept. Other Date By
The following data _ - for to permit issuance: (CirQle new item not checked bove�Jf
1. Index permit for above items No.
2. Additional items required:
L AM
I�� Z
Contrac o , designer, owner, was advised f above required data by n _ 1 phone mail counter by date
Contractor, designer, owner, was advised of above required data by—phone—mall counter by date
rjaft§ checked by ate Plans approved by Date :�4
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPA�TMENT OF PUBLIC WORKS
7 County Center Drive - Orovlfle, Callfornle 959135 - Telaphone: 910/0313.7541
APPLICATION AND PERMIT
PERMIT NO.
Ago oZ _ _0/0
" S f?--
BUILDING PERMIT
W"C"/� C gzsa
OWNER'! 0 I G ADOS K /l I—R6�7 ^ •_/
,�}�GJ-
SO. FT, OCC. BUILDING VALUATION
CO TRA TOR' NA/_e/_ "Z! :3
L y
CONTRACTOR'S MAILING S
cl-7CI
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ V,a1
Energy Plan Checking Fee
$ /-5" 0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty$
BUILDING ADDRESS
S l2 G
Permit fee
$ S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
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 I IN
0.00ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: %'/N//lZ-�a
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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.
❑ 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.°I)
OR ADDNS. ACC. SLOGS.
Yz¢sgft ,
NEW CONSTR. ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR. )
Ex. OCcup(OUTLETS OR FIXTURES
20 050t
AL1
BALo30
Ex. Occup. OUTLETS FIXED P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
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.
❑ Ishall 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 becomesubject
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
G
Cooling
Hood
3.00
Ventilation
Permit Fee
$ ego
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
to enter upon the above-mentioned property for inspection purposes.TOTAL
also agree to save, indemnify and keep harmless the County of Butte againstHAz
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories ig=kqfight.
Mobile Home Installation Fee $
Energy Inspection Fee $ Q
E
CONST TYPEButte
FEE $I
CUA PARK SCHL
FLD I CDF PAR Po
Ho. IssuE
This permit is hereby issued unser
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. qv
WHITE-O.P.W.. YELLOW- A38E390R. PINK-IN9PECT0R. GOLDENROD -APPLICANT
� � � i�
;, _
� �i z�
N
y
f
BUTTE COUNTY SCHOOLS ;DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number _711114-7--t�/-0/0 Building Department No.
School District U LAS D City D County .Jurisdiction
Property Owner M t � � C.�iAA
Project Location/Address LA )2,e- L -21 t,
Subdivision Lot Number
Residential Development: D
Sq. Footage „��
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: 0 Sq. Footage
New Addition (Including Exterior
Roofed; Areas )
.3le
'',-Building DEffiartment Representative bate
(Floor Plans reviewed by School District Personnel)
District Id No.
04) lex) School District certifies that
Applicant Name
`7 yn __%�
(Street Addres
(City
ate
Phone Number
P co
911
has complied with the requirements of Resolution No. 48- d
by the pa meat of $ representing Q square feet.
-713191
School District Representative -D'ate
PAID BY CHECK NO. AJ
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
FLOOD PLAIN'DECLARATION
I declare the actual value of the proposed construction work under build-
ing permit application at %y0 YZIZerIC 02.
A.P. # for does
not equal or exceed the definition of "Substantial Improvement."#
I am aware the building site is in a flood -plain area, even though I
am not required to comply with the flood plain management criteria.
PROPERTY OWNER ;;�:„ y 4�-f//�,�/
ADDRESS % y o J& y el -7,c /t 121t .
PHONE NO. 9/6/ 3 V 2 - r!? V /
DATE �7- ,2 �V— J/
*Substantial improvement is defined as follows: Any repair, reconstruc-
tion, or improvement of a structure, the cost of which equals or exceeds
50% of the market value of the structure either, (a) before the improvement
or repair is started,'bi'(b)"if"the""structure has been damaged, and is being'
restored, before the damage occurred..
NOTE: Documentation may be required to substantiate costs.
f
PERMIT NO. 536-87B,P,E,M
A /d/
PERMIT EXPIRES
OWNER
WEBB BROTHERS
CONTR. Webb Homes
ASSESSOR PARCEL
LOCATION
4Z _1—49pex, 4-�- G I- l b
740 Skylark Dr, lot 31, Chico
FOFFICE COPY
t I Address - -
GAS
Meter By Dare
ELECTRIC l
Meter By _ Dater�J///�'�
OFFICE COPY
Address
•I
GAS
4 Meter By Date—
Meter
I
ELECTRIC Datey�
Meter By
Co s J
{ OFFICE COPY
Address
Tera
t GAS
Meter By Dat=
i
ELECTRI
TeMeter By Date
m,
L -----
Called PG&E
Temp. Gas Service
o
1,
Called PG&E
JOB FINALED (Date)
Signature — ---
.: Os+aer .
Webb Homes
Permit No.
ENERGY CERTIFICATION
Silvertree II. Phase II - Lot # 31
LOCATION A.P. No.
DESCRIPTION;OF INSULATION
ROOF 1
Material Brand Name
Thickness(inches) r Thermal Resistance (R Value)
EXTERIOR WALL
Material Fiberglass Brand Name Certainteed
Thickness(inches) 3t," Thermal Resistance(R Value) R-13
CEILING
Batt .or Blanket Type Batt
Thickness(inches) 10'
Loose Fill Tyne Insul-Safe III
Minimum ThicknesW nches) 11"
Area covered(ft. ) 127
FLOOR, ELEVATED
Material Fiberglass
Thickness(inches) N/A
FLOOR, SLAB
Material '
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness (i.nches) _
Brand Name:. Certainteed
Thermal Resistance(R Value)R-
Brand Name Certainteed'
Number of Bags 27 Wt. per bag 25 lb.
Thermal Resistance(R Value) R-30
Brand Name Certainteed
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify.that the above insulzt4.nn was installed in the above building
in conformance with the State of California Energy Requirements.
Shasta nsu1at1 # 272941
N%k1E t*"ER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
5-1-87
DATE
I hereby certify Lite above insulation and all required items as shown on the
Building Departincttt approved plans and. attachments have been installed as
' required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by Lite State of California.
321f5 s-
FIRM JNER (Please print); STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF GE RAI, CONTRACTOR 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
<� 1 COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIIe — Phone: 538-7541
747 Elliott:Road`, Paradise — Phone: 872-6307
i
CORRECTION NOTICE
OWNER PER T N0.
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.
IJ
est /4f��
-3 e ct ra
Inspector C71 Date -� 7
I
^d' = OK
0 = Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single and Duplex)
Date UNDEJRFLOOR (Plans) OK except R's 11 Date FRA G Continued
vlzQning requirements -Setbacks ents
3/Fjg., Main; Soils-Steel-Elec n .- / /" Ftg.
tg.,4 Garage; Soils -Steel- / /" Ftg. Depth
4. 1%., Porches & Decks; Soils -Steel- / /'' FtqA
to r avis, Main; Steel-Blockouts-Wrapped-
terAwalls, Garage; Steel-Blockouts-Wrapped-bW
7. Pi -Fireplace Ftg.-Steel
EW V. Fall -Fittings -Test -2 way C/O -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
Gard -BI Date
Card BI DaI r Card -BI Date
Card -BI Date L Card -BI Date Date FI flans) OK except #'
56. Steps -Door & Sidel
Date PLUMBING (-erm' OK except q's S Sm a Detector
P rty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Bt Width -Headroom -Rise -Run -Landing -Fire Protecti
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
52. Siding-Nailin -Veneer
Q Stutbrg Mesh -Dr t S reed-Fdn. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
6br-6hea-Walls: Nailina-Bolts
Card -BI Date
Card -BI Date
Landings
14. W ter Ht. Access -Combustion Air 58. urnace; Vents -Clearance -Comb. Air -Connector -
1 Water Pipe; Test & Anchors -Nail Protection In Q; Above Floor-Ducts-Mech. Protection
EV \ D.W.V.: Test-Fttngs & Anchors -Nail Protection 5 om Exiting
7. Shower Pan: Test, First Floor -Tub Access 60 G.F.I. & Bath Fixtures & Tub Access
t8. T t Tub & Sho_wer, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels
1 Gas Pipe: Size & Anchors 'Is
"Al
.
Fir p ace or Stove; Clearances -Hearth
'
Card -BI
Date
Card -BI
Card -BI
Date
Date
Landings
14. W ter Ht. Access -Combustion Air 58. urnace; Vents -Clearance -Comb. Air -Connector -
1 Water Pipe; Test & Anchors -Nail Protection In Q; Above Floor-Ducts-Mech. Protection
EV \ D.W.V.: Test-Fttngs & Anchors -Nail Protection 5 om Exiting
7. Shower Pan: Test, First Floor -Tub Access 60 G.F.I. & Bath Fixtures & Tub Access
t8. T t Tub & Sho_wer, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels
1 Gas Pipe: Size & Anchors 'Is
"Al
.
Fir p ace or Stove; Clearances -Hearth
'
64
0 tlets at Wood Panel; Int. &Ext.
I•
Card -BI Date Card -BI Date
�
65
Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
V ec. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except p's¢
�j/
Garage Fire Door; Swing -Landing -Closer
uct in Garage -Damper
'1
2 Fiytore & Transformer Clearance -Ins. Protection
c. Receptacles Spacing -Lights & Switches at Doors
2 SiE�ze Boxes & No. of Conductors -Stapled
231,.+�comex Installed Close to Edge of Studs & C.J.
�_� ��Ed�!!!ggqqiyyyu.��tp. Ground made up w/Mech. Fasteners_ and G er
Pliance Circuits in Kitchen &Conductor Size
69
tr. Htt ; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In as ; Above Floor-Mech. Protection
70
I ., Elec. & Mech. Equip. Listed for Locatio
7
I c ceptacles in Garage; (G.F.I.) Ro x Protec.
7
su lat ion- Foam- Looked in Attic Yes
Guard Rails & Deck Construction -Post Caps
'�T4:'-F'8fi'"Vtsfrt
Crawl Hole Door -Drainage &Wood -Earth Clearance
Look nder Floor ❑ Yes /s
26. u d Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
2 ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral Yes _-J No
--
28. Service -Riser Conductors & Ground -Main Disconnect
- - - -----------
29. E-;Pkrro. Clearances: Panels-Motors-Mech. Equip.
3 Clothes Closet Light -Shower Light
- -- - --
7
Sollowin i Id.: Drive
9 [� es [� No; Walks es [
nt ❑ es ❑ No
S co; n -Finish
_
nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
7
nt hove Roof; Plb A liance-Fire I Clearance to 0 n s.
9•- PP P •- P
- -- :----- ---
- - --_- —
Card B -I Date Card -BI- Date_ - -_
Card B -I Date Card -BI Date
ter II; Disconnect, Electrical, Plumbing
8,.
erior lec. Trim; G.F.I. Receptacle -Underground
8
V elation throughout House
ss Protection
`
Date MEC NICAL (Permit) OK except a's
8
Cor hs from Previous Inspections
8
s�-Meters Tagged; Gas -Electric
:•
- ,
33 A/,����iiii: Ducts. in &Support __
---
C�Faw Exhaust above Insulation
8
Water & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
Condensate Drain & Overflow: Size _& Grade _ -
? 34: Fycra -Vent: ccess-Comb. Air -Return Air Vent -115V outlet _- -- ---
3 AAttic Access & Platform if Furnace in Attic —
- - -- - .- _ — , • -- - - - - _- Card -BI Date �
Card -BI � Date Card -BI Date _ — Card -BI Date
' Card -BI Date Card -BI Date Card -BI Date
Dale FR ING(Plans) OK except N's Com tents at Final:
S' s: Proper Material &'Anchors - —
i
E
s: Studs -Nailing, Spacing & Bracing-Plates-Soundring Walls over Girders &, Floor Nailing
/t Stop n Walls (rat proof)4V,-P,-re Slops: Furred Ceilings-Stairs_Chases-Tub_
' 4 �ader & Beam -Size & Bearing - —
' 42° Post Caps-Anchors=Connecters
43. g. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
4 " F place Ties or Type A Flue -Fireplace Throat
45 is Access: Size &Ramex Protection�Draft Stop -Ins. Baffles
?m. Windows or Exiting Doors -Sill Hgl. & Dimensions --
4 arage Fire Protection Framing --
(NOTE, An entry must
raming(NOTE,Anentrymust be made each time youvisil jobsite)
Card -BI Date
Card -BI Date
Card -BI Date
No;
t
= 6K'
= Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's
1, Zoning Requirements -Setbacks -Easements _
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location Test -Wrap:/ /••L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except k's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulaiing Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -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 PERMIT NO.
7 County Center Drive - Oroville, CaliNarnia 95965 - Telephone 916/534-4541 V V(O ��
APPLICATION AND PERMIT '
ASSESSOR PARCEL NUMBER
a— (p (— b
ZONING
ASR
BUILDING PERMIT
OWNER
Webb Brothers
TELEPHONE
891-3351
SO. FT. OCC. BUILDING VALUATION
787 R 71,480
OWNER'S MAILING ADDRESS
389C Connors Ct. , Chico, CA 95926
484 7(76.
CONTRACTOR'S NAME
Webb Homes
TELEPHONE
(�
177 COV 1,790
CONTRACTOR'S MAILING ADDRESS
Fireplace 1 0 1.000
CONSTRUCTION LENDER
UNKNOWN
X
Total Valuation $ 81.046
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
7Ra WTECT OR ENGINEER
1ARUCHITECT
LICENSE NO.
Plan Checking Fee $
15.00
Energy Plan Checking Fee $ 15.00
OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
740 Skylark Dr.
Permit fee $ 419.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Chico
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAMEPARCEL
qi1xrPrt-rPP TT
MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF[9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00 QQ
Mobile Home S I G I W 10.00ea
TYPE OF WORK
New M Addition ❑ Remodel [IUti lities ElInstallation ❑ Other ❑
Describe work: Ma. -,t -pr #51-82 (Plan #228A)
Permit Fee $
46 00
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00
100 AMP OR LESS 00
Main service EA. ADO'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
95 -1 -am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio Code and my license is in full forcp�and effect.
7( 9S ��,j
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
NEW CONST. DWELLING OCCUP.S� ,
OR ADDNS. (ACC. BLDGS. h�Sgft
NEW RESID. U NCH CIRC 2.50 ea
NO N•R ESID BRANCH CIRC ITS
(POWER
(POWER APPARATUS e)
OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20050t
eALO 30
FIXED APLNS.
EX. Occup. OUTLETS P(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. 1Yirin 9 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
-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.
8686
Contractor '
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
g
Hood 3.00
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 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 Co t in consequ a of the granting of this permit.
X 6i g
Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -I
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ in nn
TOTAL PERMIT FEE $ J®6.70
occuP.
CONST.TYPc
C
FLOOD
PARCEL
PD
ND se
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work icated above for which fees have been paid.
CTOR OF PUBLIC WORKS
BY Date R8ze
PERMIT EXPIRES Date r/ 'r• ��
Receipt No.P904
WHITE-D.P.W., YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
'i:�� i11 rvc�•fy. tet- X� rp ;;,a9 ,N \
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIV, ISION
7 COUNTY CENTER DRIVE - OROVI LLE, CA& F,O'RNW95965 - TELEPHONE: 916/534-4541
PERMIT*APPLICATION DATA SHEET
Permit No.
OWNER A. P. o.
Proposed Building Use Lkj Building Inspector s Date
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 tans with Energy Design Compliance Statement. . . . . .
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. . . . . .
01,
0 . Sanitation approval from l .lh r n�1��Health Dept.
—�. Pl.annin approval for A Use: B Parking:-
12.
9 PP ( ) ( ) 9
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement. �l� y��� CVS
_I Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue term�t process as follows: —Mail owner, Mai i to contractor.
.Telephonehe /' and hold for pickup arlQoffice, Deliver w/inspector..
Other
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior top it 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 _mall—counter by date
Plans checked by -Date Plans approved by 49 Date Z
Sets of plans on hold in File cabinet' AP folder
Copy—DPW
— Flours: 10:00 a.m. - 3:00 p.m.
PLAN 228A
1787 SQ.FT.
P Z -SB- 69
z
This set of plans and 1pecifications MUS be
kept on the job at all tim Bs and it is unlawft 11 to \ See Master Plan -on lie for building
make any changes or alt rations on same with. pans,. •�3`out written permission fr m the Departmen of ''$ L
Cly
Public Works, -County of Butte. j
32 : � ::3i. .. . �� � .•38
K/-
C>._ _ _ _•.tr' �
A setback o ft. fr m the
property nes and a setback
of Sof from the rod yt
cen Hine shall be c ear of •
s uctures or e
• • quip ent except .• . )
ora 2 ft. eave overl ang. .40
00
.29 41
40-
ti 7-fes�';'7 q �,
l� 93.35. i54.
9y.* N ' 69'0 59' 27 " W
BUTTE MWATY
BUILDING DEPARTMENT
ftp APPROVED
w�6 - Fr7
N I...
• car
`
"
NOTE: All Materials & Workmanship Shall Be;i ., s �. V
'i ,,
t
.
OU�i , ,
n-_ t ,
Accordancg with Recognized Good Practices and �.
,
~ ', j =
,�::
`
_�,�
• , ` , ? t
y;' ., ''
s.,' of a quality prescribed for the Specified use In theNf, . ; ' t �
�-
{' 4
{`
"
Uniform Building Plumbing & Mechanl I .• jR' t"•ir.�," Y
r ca Codes s
I.
V.
' i „�, ' . the National Electrical Code: • ' t ''r t„t Asa, i-t:�-�F� x ' ;;'r
/�,� r Y• it r r. I �• ..,.•. <. �K.: 7^="';t"•�cy ••`V. °y t!,'4 hl,. 4�,.�. _ ti c ,
/- .. ... ' 1 ,ti, r } 1. ,, '�+ } 2r;~t'i�gSSjj'�•y` `- •••;. 1
it y - y • ( , F �, t#' y�..N • j`,. ,•v �},. -d r _ t� '` +- t
1.
• _.. - ,a �� tr• a.••f.1 •y -t `'� tJt �'r.� -„ . � r; t,Ili 4y+c lkI t w �.
.t 1.
t ^ : r11i8 S ttir 'F as i, y:'t t
t f + 3- - ?� wacions MUST qi� �� ,
1. ., 'j 7_ 0I,; . im�IGe any;c ', �,
i:r1 � , •,•r`+i.•t t`•r,- .v._ t r.J };g "r�`E•`• fir' v..r •�tirW,tyMaRal s.gµ.T
! �, ,! ♦� � I. tri t >r vaYf1C_ 1.' �,sa�(li�lKf; �I,iVTaar ..
-•' �J1y� t t�y�pa'�•'1 r.. i'r r c i'" t.rD.r i t r ; .p, c: i' i 4\l ' s Z
�S & s.'flT"/'+t' -,j ^ t ,f 1 3 ) . '�! s: ;`��.y� rllt��f �}�� r� 13!y� f . i �' ., -V4
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