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HomeMy WebLinkAbout042-630-006y' \\ _. ,. - � 1 � '� :� � a a Q / ® l� 0 9 0 a i t R 7...- Imo.- yy. i.:.`c r, � YiJ; x x;' ,T ;1 i , � t., 1 'F sS, u i tz., ,y � ;- S Satq� R l S i }F �S C,. '`sy�.aYf �� i �'� t �� x � �� � F" a i� �� Z � �_ ,. ¢t; . �f. �'' XL ,� r r ;r' �r tom, i�: l"' 4 .: � v �'� S, f '� '4 w �: �' �'�. l! :,; � y Xf l h t T { '- J µ'k t 1, � �, rpt , i� i A.. T� t !. � 4 tiw -r � F �.; r �"� r h 3E �i sj�Y �_ �;: �it ft .tJ7 T��;3 "'X �.°�:? � ��tt���-�3-'�� �� `., '�:r �z /�+"'r ++�s ' Y ' �'�' t �.� � i � , k: 14 �, .. �. 1 !LL Srf � Y �_ v1- 4 � � f +l y f}„� s ;- S Satq� R l S i S ;P`�7M< '`sy�.aYf �� i �'� �,� St M .. � t �� a t-' 1 h- Z � �_ ,. ¢t; . �f. �'' XL ,� r r ;r' S -r =� � ., w �: 3 p � .., :..'��,� �F� � Fa Xf l � � �” rpt , i� i A.. T� t !. � 4 tiw -r � F �.; h 3E �i sj�Y 3 r�r �it ft .tJ7 T��;3 "'X �.°�:? � ��tt���-�3-'�� s L > iy{ '�:r .: a��� t ++�s ' Y ' �'�' y 4 ;n� yy ,S �'i �t'J i �i � • h � �+� - h ✓.� �. K � � � t. 7:,y�i� ��`,f� ` .rY,�d, t', �vr ;r -_tf � 3m h: h i ,� � ` -� � ��� "�F% .y, i d�� t � � a� ,�A �� d r #1 .4 1 ��� � 9 �,, ,t ywa.,y.�, y � b.., r ,.. 1 !LL Srf 042-630-006, 01-1047 1 ROBERTSON, JOHN,' 866'BWz4B CHICO •CONTR: SIERRA ROOFING REM SHAKE ,1NSTALL'40YR COMP g*6r�OG���� Lei M 1 i { ,..n..�,;,,-,,.�,.: '•;r. to" -✓.Y •_: y�'w, "issi„it', �_ � �r �-.;;.,,:may.. ,'i'..�'1"�.�.., .•`Cr}...,, � .. .:;�,.rw• •H ... �. ...,�, ..x. ..,,..,,��(i�- .,, COUNTY OF BUTTE - DEPARTMENT OKDEVELOPMENT SERVICES BUILDING DIVISION 7 County.,,Center Drive,A:• -0roville, California 95965 • Telephones (530) 538=75r�{ 1 PE IT NO., (Rev.12/96) APRLICATION ANS P.ERMIT'T A� / ASSESSOR PARCEL NUMBER /•11� ��]± fVJ � �•�� �Y � � ZONING \• >� J BUILDING PERMIT OWNER . K. �• •�• - - , ' :. rl TZ .tea-✓ P SO. FT: OCC. BUILDING VALUATION la .. owNERs MAID ADDRESS ren w 4 40 ' CONTRACTOR'S NAME 5., `. f le, CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $�� ARCHITECT OR ENGINEER LICENSE NO.' Filing Fee $ 20,.0Qc Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS .0y' D {oAJCne1W91f11CAI' Energy Plan Checking Fee $ $ PERMIT: FEE $ 3 (r LOT NO. SUBDNISIOWSNAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE 00 SPECIFY SF',O Duplex ❑ Mobilehome ❑ Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK acs New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other�A }SAV Describe Work:-P�ljI�Y t, f✓t— li�f1%xt� qU V 1 "#*14 !' Gas i in stem 1 - 5 outlets 15.00 Building sewer _*5.00 Mobile Home S G W Q20.00 PERMIT, FEE $ - ELECTRICAL PERMIT Fling Fee 20.00 ' LE Main Service ".A zow oRoR LEsss ,� .. s 23.00... LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of. Division 3 of the Business and Professions Code, and my license . . full forC and effect. / /,rf/�(,,i/��//,, License Class . M'�' . L•ic. No. Ip 't�'►6�•+ (Y � OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury thetA am exempt from, the Contractors License Law for the following reason: ,; ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ,P0011 have and will maintain workers' compensation Insurance, as required Uy Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation I nce ca rler d policy number are:, Carrier _ 4 Policy 'Nu ber (The above sections nee not be completed 4 the permit Is.for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject t0 workers' compensation laws of California, and agree that if I should become subject to the workers' compnsation. provisions of section 3700 of the Labor Code; I shall forthwith co py h tho pr ' ons X Date Signature of Applicant - ❑ Owne/, Konontractor ❑ Age'nt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories In height. Main Service sow To ,000A 46.00 NEW CONST. DWELLNIG OCCUP. SO OR ADDNS. a ACC. BLns. ` � , 3.5aFT:NEW . NON-RESoID. ' MULTI -OUTLET ICUI@7.50 WHCIRCUITS POWER APPARATUS a SINGLE ournEr CIR. Ex. Occu oUTLEr oR ForruREs 20 ® 100 SAL SO Ex. Occup. D TS E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 j PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00. Heating Conlin x, Hood 6.50 Ventilation PERMIT FEB $ Mobile.Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE a{, ,,AZ, D.ES IMP FLooD CDF PARCEL PD HD ISSUE This permit is hereby issued under -the applicable provisions of the Butte,County Code and/or Resolutions to do work indicated/a"biAve for which fees have been paid. , By.f-- w.�.wd Date' G "� PERMIT EXPIRES. ON to ReceiptNo. �, l �? �i , SI Sf, Et% WHITE-D.D.S.-B.D7 'CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-AP.PLICANT, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 9 Telephone (530) 538 -'71 -,Al PER IT NO. i (Rev. 12/96) G APPLICATION AND PERMIT _A9 ASSESSOR PARCEL NUMBER �-r� ��{_D V ZONING BUILDINGPERMIT OWNERV T I�-NES d� l( z W SO. FT. OCC. BUILDING VALUATION 0 .106 OWNERS ADORE to A ran It/r eco 60 CONTRACTOR'S NAMENN TELEPHONE�� CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ d ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ Cfl ARCHITECT OR ENGNEERS WAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSL'/m� O TV �' Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISION'S NOME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Tra 7.00 USEOFSTRUCTURE SF,,Z"'Dupiex ❑ Mobllehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping . 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ �Ojthe�rx /Z' �/Jr/ Describe Work:. 7U i�L�G Pr Wrl//- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 bile Home S G W (020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.aL 'o RR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of.perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is full orc and effect. /' ��iG� License Class �'� � Lic. No. /0 g8ga OWSAL NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 erformance of the work for which this permit is Issued. 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 workeral compensation ins nce c rier d policy number are: Carrier",1Oz & ✓i GS/it 1 __ Policy Number Z_q_7-65_Y1V> I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers',, compensation laws of California, and agree that if I should become subject to the workers' com n 'on provision of section 3700 of the Labor Code, I shall forthwith Ith tho r Ions. X Date Signattfre of Applicant - vlowner/Otontractor ❑ Agent An OSHA permit is required for exc'dQions over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLNGSO OR ADDNS. ( a ACC. IOCCUP. D9. 3.5¢FT, NOWRESID. MULTI -OUTLET 97,50 a SINO�LE o �T ICIC R Ex, Occup. OUTLETGR FocruREs 0 ® ':00 0 Ex. Occu . GRA D,DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST.TYPE TOTAL FEE $ AZ. D �� IMP FLOOD CDF PARCEL PD HD U This permit is hereby issued under the applicable provisions of the Bu unty Code and/or Resolutions to do work indicate ab ve for which fees ve been paid. By Date ^l� PERMIT EXPIRES ON to Receipt No. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PIN INS E TOR GOLDENROD -APPLICANT �!'� �«:.�c�itr,�,mw!iYSlv��S+}v-s��tx+moedvn.-;n.�r,.�.�+�...-...•�..%w�,..•,..4�„�+e'.rw•..�...a«, �T..\.*:an..;ya-:fFV'�„""'A. �r...�:ST�l�ii'YX•}({cx:?b"�t, ',1a�J�`,3'n'�7t;2i'�'-.�: (. • , 042-63-0-006 98-O289P ROBERTSON, Joan' 866 Brandonberry, Chico (gas piping/SF) Daniel Heal Plbg i r COUNTY OF,BUTTE-.DEPARTMENT-OF'DEV,tLOPMENTS.ERVICES -BUILDING DIVISION 7 County Center Prive - Oroville, Californicl , 95065 .- Telephone °(916) 538-7541 PERMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBER 42-63-06 ZONING. BUILDING PERMIT OWNER AN DOBERMON JO TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAJL1W6rAVkj=N8LM y CHICO CONTRACTOWSDJ�M HM PLUMING #5.;HO fi42 -W CONTRACTIOR'sr2livoAlkIDI I AN Mi. CHCMD CONSTRUCTION LENDER [Fireplace, LENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO.' Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MALING ADDRESS Plan Checkingl Fee BUILDING ADDRESS 866 BRANDORURY, Energy Plan Checking Fee PERMIT FEE LOT NO. , S UBDrVtS1ONS NAME MAP PLUMBING PERMIT Filing Fee 20.00 SF 10 Duplex 0 Mobilehome 0 Other SPECIFY ach Trap 7.00 Each Solar or heat- i:)ump, water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities Installation 0 Other 0 Describe Work: —Gas piping system 1 - 5 outlets 15.00 —.Building sewer 15.00 'Mobile Home. I �GW P20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20-00 "00 OR LESS Main Service .1V1 OR LESS .23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury.that I am licensed und er, 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."E` License Class Lic. No. 3 12 3 <1 i� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License' Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their Bole compensation, will do the work, and the structure is I wo not intended or offered for stile. wrier of the property, am exclusively contracting with licensed contractors 0 1, as owner to construct the project: .0 I.am exempt under Sec. Business and,Professions Code for this reason Main Service 200A TO 1000A L 46.00 NEW CONST. OWE NG so. OR ADONS, 3-50 & ACC. EESUP -FT. _NZUE�'XoO, @7.50 0 APPARATUS &Ps1NGLEoUTLE-r CIR 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 UNS Ex. Occu UFITXLELTDSA I P FP1ESID.'R) EA.) 5.00 Temporary Service 23.00 I Mobile Home Facilities 20.00 —Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of Perjury one of the following declarations; 0 1 have and rrWill maintain a cerfifidate�of consent to self -insure -for workers' ?ompensatJon, as provided, for by section 3700 'of the Labor Code, for4the performance of the.work for Which this permit is issued. I have and will maintain workeW compensation insurance, as required by Section 3760of the -Labor Code, for the performance of work for which this permit is issued. My workers' compensation' carrier arrier and policy number are:. Carrier MECHANICAL PERMIT' Filing Fee, 20.00 ' Heating 9 Cooling Hood a1l,` Ventilation PERMIT FEE $ Policy Number �...<1 , C4 0 Z_ \_ (The above sections need not be comoleta-If the'permit is for work of a valuation of one hundred dollars ($160) or less.) 0 1 certify that in the performance of the work for which this permit is -issued, I shall not employ any person in any manner so as to become subject . to workers' compensation laws of California, and agree that if I should become'subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions., X Date Signature of Applicant -_0 OWn-er -0 Contractor 0 Agent/ An OSHA permit is required for excavations over 60" deep and demolition or construction: of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Ener $ C 4.3 CO�2�PE -V kLL ITOTAL FEE $ HAD.FEES,[IMP FLOOD COF PARCEL PO HD 1_J SSUE1 00, This permit is hereby issued the under �I!ciiicile provisions of the Butte County Code and/or. Resolutions to do work indicated above for which fees have been aid By D PERMIT EXPIRES ON I (Date) FRe.ei teceipt NaN "7 'TE D UANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT WHITE-D.D.S.-B.u. M J. (ReJ.12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES —BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 P NO. APPLICATION AND PERMIT a . ASSESSOR PARCEL NUMBER 42-63-06 ZONI"O BUILDING PERMIT owNEla JOAN ROBERTSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIDD S TM MANDONBERRY CHICO. CONTRACTOR 'VZftEL ., HEAL. PLUMBING 345.2142 coNTRACTORsIJILUb PLS IDIAN RD. CHICO CONSTRUCTION LENDER - LENDER'S MAILING ADDRESS .. ... .. ... Fireplace.. Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS 866 BRANDONBERRY Energy Plan Checking Fee $ PERMIT FEE $ Lor No. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap_ 7.00 Solar or heat` um water heater 23.00 ' Water Water piping 15.00 gas water heater or vent A 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 11 Installation ❑ Other ❑ Describe Work: :Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '...R'.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. �� �j License Class LIC. NO. N Q OW ER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑' I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO +aOOA 46.00NEW CONST. DWELUr CUP. OR ADDNS. ( s A°c, gLDS. so 3.5¢FT: T. NO"RESID MULTI-OUTLEr `l POWER APPARATUS d SINGLE OIfTLEr CIR. Ex. Occup. OUTLET OR FIXTURES BAL O I: o Ex. Occu . ouTEL>DTs A o.° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. W I 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' c pe sa ion insur a card and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE .a< .>.•,,,.:: ,.::.T..- Policy Number q — O (The above sections need not be completeTR 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 W erscompensation provisions of section 3700 of the Labor Code, I shall orth ith comply with those provisions. - / X _ Date ?.. Signature of Applicant - Owner ❑ Contractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee a TOTAL FEE $ , 0 M D. FEES IMP FLOOD CDF PARCEL PD HD ISS YW 1011 This permit is hereby issued under of the Butte County Code and/or indicated ove for which fees have By qq PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date '9 ee98 fo Receipt No. WHITE-D.D.S.-B. B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i- -_ .. �-- ... ..� r __�_ �.. ., -�. . - - .. .. _. _ _ _. ...�.- _ T . - _ _ ... __ . !r r_ 1 1- .. _ _ - _ � _ _ .. 3 y x i _ - J � i, •_ _1 1 , t - y . - r � � _ � f �_ ' � r ' . Cis � •;i - _ � .. �' � - -. _ _ � _. ,1 . . _ ... � r. � i 1, ! � - - _ ' � � � r ` � ' � ' « 1 r � _ . � ] _ `., t 4 ��'� .. , ,`�� (Rev. 121961 .. -.COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICESBUILDINGDIVISION. 7p -,County `Center Drive - Oroville, California 95965 - Telephone .(9.16) 538-7541 PERMIT- APPLICATION AND PERMIT -• - A9SESSORPAACEL ��� ' ZONING' - BUILDING PERMIT - OWNER _ TELEPHONE SO. FT. OCC.. BUILDING, VALUATION. .OWNER'S MAU 89 CONTRACTOR' E .•' 3 CONTRACTORS MAILING ADD RE98 .c; CONSTRUCTION LENDER Fireplace ., LENDER'S -MAILING ADDRESS ., .. - a Total Valuation $ ARCHITECT OR ENGINEER .. .. .- LICENSE NO. - Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGWEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee $ ' PERMIT FEE _ LOT NO. � SUeoARSION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee - 20.00 Each Trap7.00 USEOFSTRUCTURE SF- ❑ Duplex ❑ Mobilehome ❑ 'Other - SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 5,00 TYPE OF.WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In tip(t ❑ Other .❑ Describe Work: Gas piping stem.1 - 5 outlets 15.00 ,p() Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE 'S ELECTRICAL PERMIT Filing Fee 20.00 Main' Service z�ooi oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with. Section 7000) of Division 3 of the Business and Professions Code,, and my license is in full for a and effect. /\ 3 [] I �[ License Class Lio. No.` —/ 1 C� 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, las owner of the property, am exclusi4ely contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this ` reason Main Service TO 48.00so CCU000A NEW CONST: OWEl1NN3 OCCUP. SO WEL OR ADDNS. , A ACC. BLDS. 3.5¢Fr: NON-RNEW ESID. MULTI -OUTLET Q7,50 I POWER APPARATUS a swGLE oUTLEr CIR- OUTLET OR FIXTURES Fac, Occup. Bn� ® I:w Ex. Occup.ofluTLtDrs AE9�'Io:�A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE s WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section -3700 of the Labor Code, for the performance of the work for which this permit is issued. I 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' co n do insuranc arrier a policy number are: Carrier �,� Policy Number Z 0 's (The above sections need not be completed if the permit is for work of.a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shalt not employ any person in any manner so as to become subject- to workers. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date _ _ Signature of Applicant, - ❑ Owner ❑ Contractor 0 Agent An OSHA permit is required for excavations over 5'0° deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 . Ventilation PERMIT FES i Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 5 _� RAZ. D. FEES IMP FLA00 CDF PARCEL Po HD ISSUE This permit is hereby Jesued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ 'PERMIT EXPIRES •ON Dela Receipt No. WHITE •D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR 'GOLDEN ROD -APPLICANT - Date MOBILEHOME'UTILITIES (Plans) OK except q's' 'Date` DECKS, COVERS, CARPORTS, ETC: (Plans) OK -'except #.s t. Zoning Requirements—Setbacks-Easements' 1. Zoning Requirements—Setbacks—Easements '2. Soils: Special MH Support -Sketch ..2. Foot ings;,Size—Depth-Spacing—Connectors $. Sewer; Location -Test -Fall -C/O -Concrete 3..Decks; Gi[ders and/or Joists—Decking—Bracing—Stairs-Rails 4. 'Water; Location-Test—Easement'Needed`(Sketch)• '4. Wood 'Awn.; FPosts'—Beams—Rftr's.,Connec.-Shthg. Rfg:=Bracing' 5 Eleotricity;: Location-Clearances—Grnd.=/ / Amp -Concrete ,• �'. S. Alum. Awn.; Columns-Connections-Splice-Decal=Enclosures _6. Gas; Location—Test=Wrap:/ /"L"ft /: •/"Nat.oc/`./'L"ft.L„ /"LPG 6. Carports; Windows -Doors, — 7. Utility Clearance J. Elec.l -- Card BI' Date Card BI Date • ..- Card: Bl' Date Card -81' ' Date . ' 'Card -BI Date :' rd -BI ,' Date " :''- Card -BI Date Card -BI . Date': Date MOBILEHOME INS TALLATION'(Ptans) OK -except #'s: Date. '. POOLS (Plans) OK except #'s f t. •Zoning Requirements—Setbacks-Easements r: + ', 1. 'Setbacks—' Easements 2. Footings; Size—Spacing—Marriage Line.''• 2• Soils; Compaction—Strucfure'Stability.. ' 3 Gas;`MH Test—Demand—Valve—Connector• 3. Pool Structure; Steel—Connections—=Thickness=Dead Men=Lihing', - ' ,4. Electricity -,:MH Test—Crossovers_ Brea kers-Clearance's '.4: Elec:;-Receptacles and Lighting; Distances-GFi ' 5.. Drain; MH Test -Fall -Flex Connector' S ;=EIecC; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec:'; Enclosures; Conduit Entries=Terminals=Listed " 7, Water and Sewer Connected—C/O,to Grad -HD Approval 7,Elec:; Bonding; Metal w/5'-Circulating.EgGipment Heater.,;. 8., Gas.and Electricity Tagged 8.' Elec.; Grounding;Equip.w/5'-Circulating Equip.=Pool Lghtg ; 9. Exits; Insp:-Sketch 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-1. Date, Card -BI; Date _' Card-BIDate Card -,BI Date'.' Card,B-1 Date Card -BI ."' Date Card -BI , Date' Card -BI Date.. . t ! �i , 0 _ Not OK Not Applicable Not Ready t r t RESIDENTIAL (Single and Duplex) Date UND FLOOR Plans OK except #'s Date FRAMI G Continued requirements -Seib k E 'sements r erty Line Firewall & Openings Main; SoiIs-Steel- rnd.- / /" Ftg. Depth . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits F(g., Garage; Soils -Steel- / /" Ftg. Depth emirs; Width -Headroom -Rise -Run -Landing -Fire Protection_ t ., Porches & Decks; Soils -Steel- / /" Ftg. Depthywood on Roof Overhang- Aftic'Vents- Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-S 52. ing-Nailing-Veneer Garage; Steel-Blockouts-Wrapped-S Stucco Mesh -Drip eed-Fdn. Vents-Underflr. Access_ - L[�emwalls i;�?�',rs- g.- teel 3/u_rv.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors ater Pipe Anchors -Regulator -Service TestAa _ _b.4: lazing Area -Glass Protection -Skylights -Plastic ^ r5 --Mar Walls; Nailing -Bolts 11. Electric: Underground 12. Plenums &.,Ducts; Clearance -Material -Support -Ins. - 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -B1 ate Card -BI Date Card -BI Card-BI L DateCard-BI Date Date__ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAk*-(_PIans) OK except it's DateMBING (Permit) OK except Ws pxt. Steps -Door & Sidelight Protection -Landings P'�Smoke Detector yWater Ht.: Vent- Access -Combustion Air Pi e: T &Anchors -Nail Protection 1 r'st V es Fttn Anchors -Nail Protection1er Pan: T First Floor -Tub Access /Test Tube& Shower, 2nd Floor -Tub Access Ube Gas Pipe: Size & Anchors Card -BI Date P/ Card -BI Date Card -BI Date �� Card -BI Date Furnace; Vents -Clearance -Comb. Air- r= In Garage; Above Floor-Ducts-Mech. Protection /Bedroom Exiting G.F.I. &Bath Fixtures &Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Irs & Rails F' place or Stove; Clearances -Hearth 4; Fyl�c. Outlets at Wood Panel; Int. & Ext. t. t. Fixt. & Appliance; Grnd.-Air Ga=Cookin Clearance E,1Outlets & Receptacles at Kit. Counter Date ElLRICAL Permit OK except q's 6 Garage Fire Door; Swing -Landing -Closer Duct in Garage -Damper r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- arage; Above Floor-Mech. Protection Card B -I Gard B -I xture & Transformer Clearance - Ins_. Protection 1/.�iec. Receptacles Spacing -Lights &Switches at Doors fiz a Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. ip. Ground made up w/Mech. Fasteners -Bond Gas & Water (z( 2 pliarce Circuits in Kitchen &Conductor Size feed Wire Size % ga. Cu or AI-A.C. Wire Size / ga. Cu or At Range Circ. i ga. Cu or AI -Oven Circ. / ga. Cu or Al, ated Neutral Yes - _ _ _ _ _ ��Vipc -Riser Conductors &Ground -Main Disconnect Clearances: Panels-Motors-Mech. Equip.A.C. Closet Light -Shower Light -------- ----------- ----- -xterior /ti� Date and -BI Date --b ��---- - -.- -- // Date Card -BI Date '•, Elec. &Mech. Equip. Listed for Location EI . Receptacles in Garage; (G. F.I.)-Romex Protec. nsulation-Foam-Looked in Attic EJ Yes 73. Guard Rails & Deck Construction -Post Caps -.F4. -Vents & Crawl !-tole Door -Drainage & Wood -Earth Cl e ranee L ked under Floor . ❑ Yes �S./�oglAlowi—ng instld. Dr'v No: Walk Yes No; `_ p nters es o ❑ ❑ 7 Stucco; B n-Fi sh Unit; Disconnect-Clrnces-Brkr. & one. Size -115V Outlet cots Above Roof, Plbg.-Appliance Fire I Clearance to Opngs. erWell; Disconnect, Electrical, Plumbing Elec. Trim; G.F.I. Receptacle -Underground VJlentiIationthroughout,House Glass Prot ctionCor Date MEC NI AL (Per it) OK except q's tons from Previous Inspections 84. G s ;est -Meters Tagged; Gas-ElectricDucts. 7 Card -131, Caid-Bi Insulation &Support 3 V nt Fan: Exhaust above Insulation __Energy �ndensate Drain & Overflow: Size& Grade trnace-Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Date Card -BI Date- Date Card -BI Date 85. ter &Sewer Connected -C/O to Grade -HD Approval Compliance Certificate -Other Certificates --- - -- - ---- - - - Card -BI Date Card -BI Date Card -BI Date Card -B1 Date Card -BI Date Card -BI Date Date FRA GIFlans) OK except N's Com lents at Final: Z iel_Is,Prover Material & Anchors Y//y$Lya�•IIs. Studs -Nailing, Spacing & Bracing-Plates-Sound �• caring Walls over Girders & Floor Nailing __ ------ Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings-Stairs_Chases-Tub 4 Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors V4 . Ing. Joist-Rfti. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fir place Ties or Type AFlue-Fireplace Throat 4- `nic Access: Size -& Romex Protection -Draft Stop -Ins. Baffles Windows or Exiling Doors -Sill Hgt. & Dimensions - {y arage Fire Protection Framing - - - --- --- ' (NOTE An entry must be made each time you vis it job site) ':COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27,51 ,L 7, County Center Drive, Orovi I le --.Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 C®RRECTIO�V"NOTICE OWNER _PTE NO. A routine.-inspection- indicates that the following violations of County Ordinance y.k.?t1• i exist at the atiove­address-and"siiould' be corrected. Please notify this _office when-correction of work is completed: if.you have any question pertaining to this matter, o, need.•additional_ a lanation; please c ntact this, off Ice, immediately. t j Ite COUNTY OF BUTTE DEPARTMENT OF, -PUBLIC WORKS. - t 196 Memorial -Way, Chico - Phone: 891-275.1 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION IVOT.ICE 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 thi office immediately. r' Inspector Date CD. �rert_.Steve Lane Const. Permit No. - r .- E N E R G Y. C E R T I F I C A T I.0 N Lot.43-Park Place,,Chico All equipment, devices and materials are of the.quality prescribed or are speci&c lly ap -toved by the State of California: FIRM NAME/(AWNER fease print) STATE CONTRACTORS LICENSE -NO. SIGNIKTURE OF GENERAL 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 LOCATION A. P. No:. } . DESCRIPTION 'OF INSULATION j7J ROOF Material Brand Name I b_. Thickness(inches) Thermal Resistance .,(R Value).: 1 EXTERIOR WALL Material- Fiberglass Brand Name Certainteed Thickness(inches) 3 z Thermal Resistance(R Value)R-13 ,. CEILING Batt.or Blanket Type Batt Brand Name Certainteed Thickness(inches) 10" Thermal Resistance(R Value) R-30 Loose Fill Type Insul-Safe IIIBrand Name Certainteed....: -Minimum ThickneTInches) Number of Bags 25 Wt. per bag 25 lb. Area covered(ft. ) 1657 Thermal Resistance(R Value) FLOOR, ELEVATED Material Fiberglass Brand Name Certainteed Thickness(inches).- N/A Thermal Re.sistance(R Value) FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width (inches) ,,... - WALL - SOUND. Material _ Fiberglass Brand Name :Certainteed Thickness(i.nchcs) 3A Thermal Resistance(R Value)—R-11 I�hereby :certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Sul tion # 272941 ;. 'R -STATE CONTRACTORS LICENSE N0. ; 11LE 159 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all 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, devices and materials are of the.quality prescribed or are speci&c lly ap -toved by the State of California: FIRM NAME/(AWNER fease print) STATE CONTRACTORS LICENSE -NO. SIGNIKTURE OF GENERAL 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 Ork COUNTY. OF BUTTE'- DEPARTMENT OF PUBLIC WORKS- PERMIT I ' 7 County Center Drive -•Oroville, Callfornia-%965,- Telephone 916/.534-4541 f„t,,'rl 4 --AND AND PERMIT ASSESSOR PARCEL NUMBER - rt . ZON G. BUILDING PERMIT - OWNER - - - S�C..k4CLha TELEPHONE - SQ. FT. OCC. BUILDING VALUATION. 776"90,00 OWNER'S MAILING ADDRESS 441 r rC N ka 4 J , Ov CO.N A TO 'S NAME 1' . Jif l'. TELEPHONE C) J t? d© t pZ) ' CONTRACTOR'S MAILING ADDRESS Fireplace �' 11 a (DO • UO CONSTJ�VTION LENDER iV oT tc_ UNKNOWN Total Valuation $ 7 - Od Filing Fee $ 10.00 LENDER'S MAILING ADDRESS. Permit Fee $ O,• pc -3 ARCHITECT �^R1 ENGINEER- -_ - /1 LICENSE NO. Plan Checking Fee $ O0,. pp Energy Pic$ n Checking Fee CIO ARCHITEC OR ENGINEER'S MAILING ADDRESS Penalty $ - BUILDING A r r Permit fee $ , 00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 01 2.00 p,- pn ` Solar or heat pump water heater 1 20.00 LOT NO. 3 SUBDIVISION NAME - PARCEL MAP Water piping 1 5.00 S. Cla Each qas water heater or vent 5.00 S 1J0 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other - SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Gd Mobile Home S G W 0.00ea TYPE OF WORK NewXAddition❑ Remodel❑ Utilities[] Installation❑ Other ❑ Describe work: 9&Z on' 4010 r�r•�l;ler rOG Permit Fee $ �p Contractor' ELECTRICAL PERMIT Filing Fee , 10:00 10OV OR LESS Main service 100 AMP OR LESS 10.00 /Q, 00 Main service EA. ADD'L 100 AMP 2.50 a_s"a CONTRACTORS LICENSE LAWDWELLING I declare der penalty of perjury (check one): - I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force •and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the, structure is not intended or offered for sale. (Sec: 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.a , A ( ACC. BLOGS. /20sgft (Po, /0 NEW. CONSTR MULTI -OUTLET NON.RESID BRANCH IRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 eAL930 Ex. Occup. OUTLETS ((RESI0 )REA). 2.00 Temporary service 10.00 , 00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee Contractor WORKMEN'S COMPENSATION INSURANCE I declare under enalty of perjury (check one): ❑ ;4_11 -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 FiIingFee 10.00 Heating Cooling Old Hood 3.00 , i+0 Ventilation permit Fee $ p Contractor I certify that I have read this application and state that the above information is correct. I ree to comply to all County Ordinances and State Laws relating to building ns ctionj ereby authorize representatives of the Countyot Butte to e n the mentioned property for inspection purposes. also agr sa t Iny and keep harmless the County of Butte against all liabili ( jud ments, a expenses which may in any way accrue un ince of the granting of this permit. X Date f. Signature of. Applicant— Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $, -3d• co TOTAL PERMIT FEE $ (00I / ��` OCCUP, CONST.TYPC O RLooPARC 11 5against PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PERU/ ER EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS ate ' ��O ron ipt No.rl -D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r .,�; 4 r �''T '� t 'i r.�r �f. a � , j t r ` c i � �- � � ',�'„ `� � `•` I.,z�l - �_ ,, • .. ♦ y^�k �� `� - ` �, � iF'ci 2+'-na ,j, ,� a;� ?'� .. �' t' s rt l:• ,, `.ty�+t.�,' �,i �" y • �i _ ,.Yot, i' M _ -.- ., • �• •...� Y:. uta f --+ h -i - '!- � :v d �.. ,. � � -' ~t �. .� L_ J i w„ lS � ��f i�'� I'� '�t 1+4 I.S � � •", •r _ 1: inA f t i ,� � t , �_ • � -70 t1 ti 4 ' i ` \ I r t •{ L t�r .,f N d.. yiAti,. ax' t � >H r+ - I. ...-• _ _' _ ry .. - yl`?Jiiayr v1},'n.•s 1 .4 ` S r .'_t 4 , ' '( ' a 'i. 16 ( !. j w4i4. V,�, }:• _ ..._.r _ � .. r`. '} it I t + �7. ',� J} ��w � r �r t �, .. C l t c —r v 1. yt... ''TT 1� ..•tp} 4 r� _ , ,...:., a :#„�' �<•.y� ,' r t;fi 1fi ,ti✓LLl t' �" nrJ5 -, -i .. r 'y�, f tt ,;t . .(+. r• I a krk :itt y c. i., r' a �ttis'' ':4� Y� '� � t }C � � - ... .,j ...-f. i[ "7. .fi Y �� .� !r :i. 1 3"j fV l, !g i�.• i' t�'. t Y f } } �..7.1��. - 4�� $� 1 .. , +` ,�, ii �`.� { 1� ` _. «..q t,#� 11t .`7''t •+ ''r i; > �^'' f _._ :.y' � ,'s tE ,`-. ...- .-- qk "" r - z � � r. � a aMi t } a - r+a• i Wit. f <.il 7 '' -'t -... __ _ _, .,t .' 3",Y• �-I'�v` Vj Y1�.A 1� '{° )p:. i,l'J r,, � -S i - ":° if ) - VOL -r 1 _Z-- Y �i _ ...-s .. .. � T. ± .Y - 1 - _ t,t ` � t t I �.•? l i 'ia.7 1 i I!-` �,, ,� _... .- - :•_. w. .._ ... .. Olt ,.. i-. 1 i ,it [ .: .� 1., <-i �F k iC t • V. I' Y '!} d , f P 1 '4 t ,,r. �.; -.. N . � �:.:. +..:'w-,�x�ati ; •. • , :.csiv �. •, i. . =...T ...,., �'. 'y, ..$ `Wt -�+"RtJ'' ; ''�.' i Pi - � i`o �•..c` Q5 qt'.'=+!} ''r..'"+:'tlS'i{�r�G1,r'+i-+' . ter`. COUNTY OF BUTTE - DEPARTMENT & PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE,,CALIFORNIA 95965 - TELEPHONE: 916/534.45411 G` PERMIT APPLICATION DATA SHEET } OWNER' - Proposed Building Use Building Inspector Permit No. o. 4/ :Z -1 5, 7 Date 3 At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans, 4. Complete engineered plans and caics, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . OP >Sanitation approval from 4-h1c,4 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. Mobi lehome Installation Data. . . . . . . Pre-Inspec. request to ; (Date) Pre -Inspection for Required, Building Inspector ecorded copy of Agricultural Acknowledgment Statement. A=Lladveway Permit. 20. Plot plan approval from city of 22. When you issue the permit, process as follows: Mail to owner, Telephone and hold for pickup at/1offic Other / / k / 214 /?,7 Applicant _Ma to contractor. Deliver w/inspector. `0 Date Copy of plans sent Health Dept., Fire Dept., ' Other Date The following data must be submitted r or to a mi iss anc (C'rcle 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---jnall—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter rbby date C� Plans checked by Mt Date ,� Plans approved by e _ Date -3/ 1 Sets f plans on hold in File cabinet AP folder — Flo urs*: 10:00 a.m. - 3:00 P.M. 4 Copy—DPW ' " i -. .' _ ' � .f � . ._ C �t'- _.. ... — r'4-. �.-. .. _ .. .t - � i. ... r _ ... - ... _ - �. � � _ . .,�. '�J,. .... .. ..,., ... _. . 1, ! � .tai ,. _ . l \ �. ..- � - F_. i' .. ' / ' 4 �.� . .:1 � � '#.- a 'l ' � . I _ h���. .. , .. .w ham.. y en•,' TO: Building Department FROM: Encroachment Permit Section RE: ,Dt!ueway,;CIearance Zall�t,a, owner location AP # Driveway permit ✓ -zf-- numbaO sigrAure has been issued for the above property. date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 5384541-4j`',± ` DATE 3116/R7 Steve'Lane RE: Building Permit #735-87 44 Kingsburry Ct. Chico, CA 95926 A.P. # 42-15-7 (Port) With reference to the above subject: L1 Attached is: Application for permit Mobilehome Utilities Installation.Sheet Building Plans Mobilehome Installation Information Sheet . Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section_(DPW). sets of plans in accordance with the changes marked in red. �— Sanitation approval from Butte County Health Department at: % 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER (1) Driveway Permit. (2) Parcel Ma Recorded. (3) Additional CUSD fees will probably be r_e__q_uTr_ed since parcel was not create on 3-6Z8_7_. f17r-- 4---b s 33v-4- o ..J c- 6,1- 2 L -e 'S^ A�r L -e � Ar e . 0 M Should you have any questions concerning the above, please contact this office. Yours very truly, William Cheff Director of Public Works .F. Glander JFG/aj Chief Building Inspector