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HomeMy WebLinkAbout042-610-02194 WEBB BROTHERS 729 Brandonbury-Ln, lot 42, ilv `tree II, Chico . Contr; Webb Homes Permit#547-87B,PE,M(new single family) 042-610-021 03-2887 MILLER, MARY 729 BRANDONBURY LN, CHICO REROOF SHAKE TO COMP ( i i; t W nil �� P��M� lmm�� ��� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03-2887 A ASSESSOR PARCEL NUMBER 042-610-021 ZONING A -S R BUILDING PERMIT OWNER MARY R - MIT I ER TELEPHONE 142-4614 SO. FT. OCC. BUILDING VALUATION .OWNER'S MAIUNG ADDRESS CONTRACTOR'S HAM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1.740.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 41.06 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 61.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1LE ROOF SHAKE TO COMP Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 RLESS "OOVMain Service 2o.A OR LESS 23.00 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service TO 200ALICENSED 46.00 NEW CONST. DWEwNG OcCcuCU p. WEE ( ACC.BUDS. ORw 3.5aF°. CONS . M NoN RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 � , O0 BAL o .so Ex. Occup. OFIX S aEs LNS oREA� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com ly with those provisions. X / 1 —Date 103 Signature o pplicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 61.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL Po HD LSSUE This permit is hereby issued under of the Butte County Code and/or indicated bove for wh' fe have IV`Date PERMIT EXPIRES ON I I the applicable provisions Resolutions to do work been paid. – –Q Da, Receipt No. 385690 $ 61.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive -Oroville, California 95965 • Telephone (530) 538-754 , PERMIT NO. (Rev. 12/96) APPLIC_ AND PERMIT ASSESSOR PARCELNUMBEA�'jU 1 ZONI BUILDING PERMIT T OWNER TE " E SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUN DRES y� (�/ / - �- CONTRACTOR'S IIAME I ITELEPHONE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS SULDINGADDRESS n q LOT NO. I SUBDIVISIONS NAME PARCEL USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition Re 1 ❑ U6rrNes' ❑ Installation ❑ Other ❑ Describe Work: rnil'n/Q .PERMIT FEE PAID SRA SHERIFF OTHER AMOUNT RECEIVED $ G� DATE RECEIVED RECEIPT ## Total Valuation $ PERMIT FEE S cv Filing Fee $ 20.00 Permit Fee $ Main Service Plan Checking Fee $ NEW CONST. Energy Plan Checking Fee $ OR ADDNS. 6 ACC. BLDS. $ NEW CONST. / NON.R61D. l PERMIT FEE S PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 1 15.00 Mobile Home I S G I W I 1 1 @20.00 EX. OCCU . OUTLET OR FIXTURES PERMIT FEE S Ex. Occup.oMA P= OR1 E, ELECTRICAL PERMIT Fling Fee 20.00 Main Service 6.0OVoa tEss 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.5¢FD.. OR ADDNS. 6 ACC. BLDS. NEW CONST. / NON.R61D. l MULTI.OUTLET nneucu emn me @7.50 EX. OCCU . OUTLET OR FIXTURES I BAL 3 .SO Ex. Occup.oMA P= OR1 E, 5.00 - Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE I S MECHANICAL PERMIT I Fling Fee 1 2 0. 00 I Hood . 1 1 6.50 1 1 Mobile Home Installation Fee I $ Energy Inspection Fee I $ CCC CONST, TYPE TOTAL FEE $ a HA7- I D. FEES I IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date PERMIT NO. 547'87B,P,E,M • 'Mr!• PERMIT EXPIRES *• OWNER WEBB BROTHERS F CONTR. Webb Homes Y ASSESSOR PARCEL Tn 9r • �• LOCATION 729 Brandonbury Ln,l t 42, Chico O �i f r.• OFFICE COPY I Address_-� GAS _ Meter By' 2te I ELECTRIC Meter By Date L FICE COPY Date��!`� O' �— Date Temp. P — Called PG&E Temp. Elec_ Service Calle Temp. Ga Calle t JOB FINA Signa 1• f� ' r~ OFFICE COPY I Address_-� GAS _ Meter By' 2te I ELECTRIC Meter By Date L FICE COPY Date��!`� O' �— Date Temp. P — Called PG&E Temp. Elec_ Service Calle Temp. Ga Calle t JOB FINA Signa 1• f� .Ovl 1'l.' R3$4 Y f 1 S, -111 L? a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Wray, Chico — Phone: 891-2751 r 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance +exist,at the above address and should be corrected. Please notify this office when,correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this)office immediately. J _ r; / _ t 4,y i ~ a I P r'. - 5 Inspector 7 / f l 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 F'LHMIT 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. Inspector47 Date '� O r' J OK {n 0 - Not OK - = Not Applicable ; -RESIDENTIAL (Single and Duplex) Not Ready Date UN ERFLOOR Plans OK except #'s Date NERAMING Continued oning requirements -Setbacks- asements ,Property Line Firewall & Openings _ ___ Fig., Main; Soils- Steel- Ele rnd.- //,2 /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story,12 exits Ftg., Garage; Soils -Steel- / 2/" Ftg. Depth 0. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4444.., Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers b�temwalls, Main; Steel-Blockouts-Wrapped-Slab 6 y.qS emwalls, Garage; Steel-Blockouts-Wrapped-Slab - S"ding-Nailing-Veneer j 911 cco Mesh -Drip Screed-Fdn. Vrnts-Underflr. Access_ Piers_-F-irepla gytg.-Steel 5 Glazing Area -Glass Protection Skylights -Plastic �7/. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts ______9. Ga_s Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test Mai �+ 11. Electric: Underground 12. Plen_um_s & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Its -Joists -Vents -Cripples 5(/4 .0 C, a Card- B Card -BI Card -BI Date / Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date —��u Date FIN Plans) OK except q's Card -BI Date Card -BI Date Date ING (Permit) OK except k's 5 t Ceps -Door & Sidelight Protection -Landings 5, S oke Detector Water Ht.: Vent- ccess-Combustion Air Water Pipe: & Anchors-Nail'Protect ionKGarage; - W.V.: Test- ttngs & Anchors -Nail Protection ^ Shower Pan: Test, First Floor -Tub Access / 18. Test Tub & Shower, 2nd Floor -Tub Access �. Gas Pipe: Size & Anchors Card -BI Date QCard-BI Date Card -BI Date Card -BI Date 58. urnace; Vents -Clearance -Comb. Air -Connector - Above Floor -Ducts -Meth. Protection 57,5 -froom Exiting 60Y & Bath Fixtures & Tub Access 61?'E le . Trim & Subpanel; Breaker Sizes -Labels Irs & Rails 6 Fireplace or Stove; Clearances -Hearth 44!p;6d. Outlets at Wood Panel; Int. & Ext. 65' t. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 6 c. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except h1's• i-4_/Garage Fire Door; Swing -Landing -Closer ct in Garage -Damper Fixture & Transformer Clearance -Ins. Protection ��^. Elec. Receptacles Spacing -Lights_& Switches at Doors SZ. Size Boxes & No. of Conductors -Stapled Romex Instal led.Close to Edge of Studs & C J — Equip. Ground made up w/Mech. Fasteners Son & r `- moi. 2 Appliance Circuits in Kitchen & Conductor S' 26. Subfeed Wire zeZaa. Cu �.C. Wire Size / / ga., Cu or AI �9y Range Circ. �p��a. Cu A ven Circ. / / ga. Cu or AI, Insulated Neutral Yes --No _ — _ _ Service -Riser Conductors & Ground -Mai nDisconnect_— Equip. Clearances: Panels-Motors=Mech_ Equip. - _ Cloches Closet Light -Shower -Light _ Card B-igo,-�n Date a� Card -BI - Date__ _- - _- Card B -I Date Card -BI Date tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- I arage; Above Floor -Meth. Protection , 7 p :, Elec: &Mech. Equip. Listed for Location 7 Elec. Receptacles in Garage; (G.F.I.)-R ex Protec. 7 ulation-Foam-Looked in Attic Yes 7 Guard Rails &Deck Construction -Post Caps its & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 7 ollowing instld.: Drive,,' eS ❑ No: Walks EYes ❑ No; lancers El Yes No , S cco; Sown -Finish eL Zhq 7' -Unit; Disconnect -CI nces-Brkr. & Cond. Size -115V Outlet 78 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ell; Disconnect, Electrical, Plumbing EI 'erior Elec. Trim; G.F.I. Receptacle -Underground 81 ntilation throughout House 8 asg.Protection _ Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts. Insulation & Support _ _ __ _ _ _ `1a Vent Fan: Exhaust above Insulation `tY C `O� Condensate Drain & Overflow: Size _& Grade Fornace-Vent: Access -Comb. Air-Return_Air _Vent- _11.5_V outlet ,,,3j. Attic Access & Platform if Furnace in Attic _ Cara -BI Date Card -BI Date - Card -BI Dale Card -BI Date 8 . _ r,ections from Previous Inspections 8 as -est-Meters Tagged; Gas -Electric L 8 . Water & Sewer Connected -C/O to Grade D pproval Energy Compliance Certificate -Other Certificates - — - -' Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans) OK except p's Sills; Proper Material & Anchors (Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings-Stairs=Chases-Tub _ Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss.-Rfnp.__- 4. Fireplace Ties or Type A Flue -Fireplace Throat "U. Auic Access: Size & Romex Protection -Draft Stop -Ins. B_affles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing Com Tents at Final: _ "- (NOTE Anentrymust be made each time youvisit jobsite) J = OK 0 = Not OK = Not Applicable = Not Ready MOBILEHOMES '`' `'' ` ''' ''-`" �' MISCELLANEOUS � Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS; ETC. (Plans) OK except k's' 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn :;,Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; • Location-Clearances-Grnd.-/ / 'Amp -Concrete _ 5. Alum:'Awn.;:Columns-Connections-Splice-Decal-Enclosures 6. Gas; 'Locafion-Test-WraP :/ /"L"if./ /"NaLor/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI F. Date 4 POOLS (Plans) OK except N's 1• Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability T- -- • - --3. Gas; MH Test -Demand -Valve -Connector'= 3. Pool Structure; Steel-Connections-Th ickness-Dead.Men- Lining. 4. Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Tesf-Crossovers- Breakers -Clearances 5. Drain;,MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15-volts-GFI - - 6. Water;,MH Test -Regulator -Connector 6• Elec.; Enclosures.; Conduit .Entries -Terminals -Listed 7• Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding;. Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged' 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to. Main in Conduit 9. Exits; Insp."'Sketch 10. Cert: of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I DateCard-BI Date 11 Card-BI Date Card -BI Date . Permit No_. ENERGY C E R T I F I C A T ION lot #42 - Silvertree - Plan 231B LOCATION A.Y. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALI. Material Fiberglass Thickness (inches) 341" CEILING Batt or Blanket,Type uarr� Thickness(inthes). 10" TT= Minimum: Thicknesl(Inches) ll" Area covered(ft.•) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Matex.ial Thicknes�ches) Width(inches)_ FOUNDATION WALL - Material Thickness (i.nches) _ Brand Name Thermal Resistance (R Value) ;' A Brand Name Cp.,r'ai nt_Ped Thermal- R.i':::..stance(R Value) ' R_ 1-1 Brand Name CPrtaintPPd Thermal Resistance(R Value) R-10 Number of Bags _ Wt. per bag y ylb. Thermal Resistahce(R Value) R -m Brand Name Thermal Re'sistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)__ . I'hereby certify.that the above insulation was installed in the above building in confonnanc� with the Stats of California Energy Requirements. 27 941 STATE CONTRACTOR'S LICENSE N0. DATE I hereby cert;fy the above insulation and all required items as shown on the Building Department approves plans and attachments have been installed as required by the State of California Energy Requirements. All equiptient, devices and materials are of the quality -prescribed or, are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SI TUBE OF M:141`1" 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 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541' 1h y _ APPLICATION AND PERMIT moi` ASSESSOR PARCEL NUMBERING ASR BUILDING PERMIT OWNER Webb Brothers TELEPHON 891-335 S0. FT. OCC. BUILDING VALUATION 1474 R 58,960 OWNER'S MAILING ADDRESS 389C Connors Ct., Chico, CA 95926 448 M 612-72 CONTRACTOR'S NAME Webb Homes TELEPHONE 211 C 2 2 ov 2,120 v L CONTRACTOR'S MAILING ADDRESS Fireplace 1 0 1,000 CONSTRUCTION LENDER UNKNOWN !1 Total Valuation $ 68,352 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 340.00 r4Z)U lTECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ 15,00 AR ARCHITECT CHI TECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 729 Brandonbury.Ln. Permit fee $ 380.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 6,00 Chico Solar or heat pump water heater 20.00 LOT NO. 49 SUBDIVISION NAME - Silvertree II PARCELMAP 104-g-JW6 Water piping 5.00 9,00 Each Qas water heater or vent 5.00 USE OF STRUCTURE SFN Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00ea TYPE OF WORK New (P Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Master #81-82 (Plan #231B) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service $00 AMP OR LESS 10.00 Main service EA. ADO'L too 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 fs3fCe and effect. License No. 47�9Q� 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) El I, 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.d+ OR ADDNS. ACC. BLDGS. , /z¢sgft NEW NON.RESID R BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. / EX. Occup(OUTLETS OR FIXTURES 5AL SOC eAL9 30 Ex. Occup. OUTLETS FIXED (RESID )REA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring . 15.00 Permit Fee $ iWORKMEN'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. Contractor ' MECHANICAL PERMIT Filing Fee 10.00 Heating Diial Pak 6.00 Cooling g 6.00 Hood 3.00 3.00 Ventilation permit Fee $ 25.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 unty in_c ns nce of the granting of this permit. _�� _� j X Date / Signature of App Icant - Owner El Contractor 1-1Agent1:1work 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, TOTAL PERMIT FEE $ 549.05 O CUP. _3I/ CONST.TYPC C F,761PARCEL PD Hcy f/ ISSUE This permit is hereby issued under sions of the Butte County Code and/or 'ndicated above for which fees D I;ECTOR OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS DateRff�ff2'CU 6 Receipt No. WHITE-D.P.W., YELLOW-ASSEsso R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILI2t; �dAL`TFORNIA 95965 - TELEPHONE: 916/5 X-4541 PERMIT APPLICATION DATA SHEET j Permit No. ._ OWNER b 9 A. P. o T Proposed Building Use Building Inspector Dated �✓� 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. tans with Energy Design Compliance Statement. . . . . . __-6A-CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . , , , ZKiJ1,� /99` Letter of signature autho ization. 414 Sanitation approval froi�� � c0 Si w, Health 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[], Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 1 Pre -Inspection for Required. Brild: specI. req fest to (Date) tri 18. Recorded copy of Agricultural Acknowledgment Statement. �1KDriveway Permit. 20. Plot plan approval from city of 21. 22. ui ing nspec or When you issue the ermit, rocess as follows: Mail&twner, Mail to contractor. Telephone �) "S) and hold for pickup aoffice, Deliver w/inspector.. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permiTur (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 _mal l—counter by date Plans checked by Date Plans approved by Date ZIZ Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. PLAN - 231 # 6 1474 -SQ . FT`. Ll COVERED PATIO BATH at F-71 k IITCHEN 0 DINING9-0 MASTER (� J _� 11ix112 'x112 14'x13'— FX4ILY ROOM / �-� N.I. 19'x 151jo�[d BATH 12 HALL COVERED GARAGE PORCH 11144' BEDROOM BEDROOM 11'x12'. 11'x12' •.fir..' .. '•f•;>': .%r - '.t. • rvWdh'" �•� . S' i.A.. �.� ::)" .•'r•fi;"^ :$' q�s ��ri�:.�.:.'.� ct. ••):ice.• ;,�• ,,(ma�(yy(( :+` 5 '�� �' a�!•. �'2. '':•.1• t '•:.!:.moi' �j l 3� r; ti:'� . 1, * t ,v.. •i•y.. i.' ..). ,l :Y•-,:K'o .T.:t•..M1 r t:�. -• •.1 {'�' '•T<•• :.11 •' :,Y;� _ .b; �;��:''�'• .a:•` ,,'!>;:: ,�S' ,r X f s*.. yr..'/��jG/'S.�.: f. :f'.. .. e��Ai'•`..!f:.'� ��nl .: �.YS "-''F,%.y •}.:. .1�' .ia{y� •�� 'T �� r' •i.•: f.,I ;� ^'s�'= ';r• �' •? -•'- 7Z0� i+t� .):: �"A� .`�:«r:.�ti�:•y�trR•»!., f ,Y .!.�_;1. _`.j .:Tfis .se . of•pla s. and ape ifi6tions UST be .' = kei* o_ •n the joki'a al.l times nd'.i't is' rnl wfuf tc: a aik '.any chang or al' re ions. on .,sa n e w . N T�.- -• _� ? :' ' rir r frrti tFt De ar•t ,rit of 1. v c Works, e• _N foY:loB' Ma5:fer. Pian'_on:3e f r buitdi g pla- - - _ _ 228 � : I - _ • ' ,"�'�` � .. 101.70' _ •� ."• � .. � � r' •. mor � W* MlENT A setback 19 5 ft. fro m f, L-- .the `. i prbper�y �i-nes and -, setba� of S4f�1.frtthe'road > center in�4half-b clear strucfiures'.or-egljipmerrt exp a �`' ' for 2'.ft..eave overhang: !O