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042-770-015
(Aa --no Yi Geral -Early N/S C ??-fa Lane, 400'E.of Jones,;1600' N.of Bell Ave., Chico Permit #676-80B,P- E,M(news;angle - family) a d Permt,-r 'Ifw1-uL,,,..---%tel - �\ S SF p e Contr: Bonita Pools & S as ool; Permit#3117-84B,P,E(new swimming p 92 _0152 BERGMAN, TERESA t CONTR: HANKINS, BILLY , 732 C NLLA LN, CH I CO GAS LINE/SF k g Z -mss- 3 08 - "'"-----92-2783B,E BERGMAN, Teresa ` 0-44.91.710 -015 732 Ciulla Ln, Chico wiring & new doors/sf 042-� 94-0210E BERGMAN, TERESA •'732 CIULLA LN., CHICO ELE FORePORTABLE SPA 92L2783 BERGMAN, Teresa 732 Ciulla Ln, Chico wiringA& new doors/sf ' 1 042-770-015 04-3595 SHIELDS, DOUGLAS 732 CIULLA LN, CHICO CONT; OWNER SIDING(930) 042-770-015 - 05-1088 SHIELDS,I DOUGLAS N�P2 CIULL'A LN, CHICO I Lorit:OWNER 1�REP (2) WNDWS.&SLDNG DOOR /5 r-MUJtlr 1: Uoug Shields PROJ NUMBER: 0505 - . BEAM: door header ENGTH= DF std & btr TRIAL A Fv (psi)= 165 b= 3.13 Fb (psi)= 2400 h= 12.00 E (psi)= 1.90E+06 Adjusted Bending Stress F'b (psi)= 2040 Duration (Cd) = INPUT SPAN (inches)= 120 max TRIB WIDTH (feet)= 1 max UNIFORM LIVE LOAD (psf)= 590 UNIFORM DEAD LOAD �(pso= 163.5 DEFLECTION (span/x)= 360 Adjustment Factors Adjusted Bending Stress F'b (psi)= 2040 Duration (Cd) = 1.00 Size Factor= 1.00 Temperature = 1.00 Wet Service (Cm) = 0.85 Repetitive Member (Cr) = 1.00 BUTTE COUNTY APR 1 ', 2008 OEYELOPMRAT PAGE: 1 DATE: 4/27/2005 USE: 3.13x12g/I f2 A= 37.5 i>O:K>> > >>> 103% S= 75.0 135° /o 1= 450.0 `OK>?`<'''> ?><>> [ 168% OUTPUT ' HORIZ. SHEAR (Vmax)= 3390.8 Ibs. AREA REQUIRED (A)= 36.26 IN MOMENT (Mmax)= 113.03 KIP IN SECTION REQUIRED (S)= 55.40 IN MOM INERTIA REQ'D (1)= 267.69 IN Adiustment Factors Adjusted Shear Stress F'v (psi) = 140.3 Duration (Cd) = 1.00 Shear Stress (Ch) = 1.00 Temperature = 1.00 Wet Service (Cm) = 0.85 rRVJr-U I: 5hields PROJ NUMBER: 0505 ,x 1 4 ,PAGE: 2 85 BEAM: small door header DATE: March 18, 2008 STRENGTH= DF #1 USE: TRIAL MEMBER 4 x8' DF #1 Fv (psi)= 85 Fb (psi)= 1200 b= 3.50 A= 25.4 S.F. 317% 1.00 Repetitive Member (Cr) = h= 7.25 S= 30.7 o /o INPUT 3209% SPAN (inches)= 40 Max HORIZ. SHEAR (Vmax)= OUTPUT 453.72 Ibs. TRIB WIDTH (feet)= UNIFORM LIVE LOAD (psf)= 9.5 max 20 AREA REQUIRED (A)= 8.01 IN UNIFORM DEAD LOAD (psf)= 15 MOMENT (Mmax)= 5.54 KIP IN DEFLECTION (span/x)= 240 SECTION REQUIRED (S)= 3.80 IN MOM INERTIA REQ'D (I)= 3.46 IN' Adiustment Factors Adlustment Factors Adjusted Bending Stress F'b (psi)= 1459 Adjusted Shear Stress F'v (psi) = 85 Duration (Cd) = 1.15 Duration (Cd) = 1.00 Size Factor = 1.06 Shear Stress (Ch) = 1.00 Temperature = Wet Service (Cm) = 1.00 1.00 Temperature = 1.00 Repetitive Member (Cr) = 1.00 Wet Service (Cm) = 1.00 I'R�' C� 843 Date 13UTTE COUNTY Y BUILDING DIVIS10 APPROVED DOOR LO Q0 V-' 03 • i ._ m '0 ..� J O .r �c: PAT COLO 3/28/08 ©1999 A R C A D E M E A Copyright i5 [loin'( by A R C A D E M E on the Conceptond id"s Or this unpublished work. MO publicotion. Ossignment, 0 -1 -tion or Further distribution is ollowed without the express rrit ten permission or A R C A D E M E. 23'- 3" 8,_0" (E) SITTING ROOM 2X4 STUDS @1 G L(E � HVAC RGTR IN RISER ���CLOSE„ (E) DOOR L) �--.G -12 UP7 2 ABOVE TRANSOM —�-- - -� _-; E REMOVE V -- N " (E)WINDOWS( ) CASED LL OP 'NING (N) 4x6 POSTS (E) LIVING ROOMA 8' CEILING A2 STRUC ELEV (E) BEARING WALL --� PROJECT NAME: E) KITCHEN I�(E) STAIRS N. 7' a SCALE: 1 /4"=1 '-0"I A R C A D E M E SHEET: Studio... 530.343.5709 PARTIAL FLOOR PLAN 1037... Park .. Avenue Chico, California 95928 DOUGLAS SHIELDS REMODEL PHONE: 732 CIULLA, CHICO, CA (530) 864-6363 SHEET NO: Al 1 OF _ SHTS. WAL L FLOOR s� c:: C ABOVE STRUCT vv 1 VV I `L J PLATE @ (N) DOOR 12 END G/L 24FV4 "df#1 HDR EA SIDE EA — (N) 2x4 KING (N) 4x6 DF #1 (N) BC460 EA END (E) HEADER (N) 2X 24X18 FRAMING TRANSOM —REMOVE(E) STUDS —(N) 2X TRIMMERS —(N) P.T. SILL—SHOT STUD EA END POST—EA. END END DRAWNPROJECT NO.: D.S. A R C A D E M E SHEET: CHEZ' B OL DATE: 205 Studio... 530.343.5709 STRUCTURAL WALL �7/ 8/08 1037... Park .. Avenue ELEVATION "A" ©11199 ARCA D E M E Chico, California 95928 A Copyright fig clo fined by A R C A D E M E on the conceptantl ideos of this unpublished work. PROJECT NAME: DOUGLAS SHIELD Mp publicutior, assignment..t the or further S REMODEL PHONE: distribution i5 011Owed without the ex pr p55 written permission of A R C A D E M E. 732 CIULLA, CHICO, CA (530) 864-6363 SCALE: 1 /4"=1 '— 0"I SHEET NO: A2 2 OF _ SHTS. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT i 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penally 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 : License Number: Dale: Contractor: 'OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to rile a signed statement that he or she Is licensed pursuant to the provisions of the Contractors Stale 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 t Gvll penalty of not more than five hundred dollars ($500).); 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 Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who does such 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 imp(ovements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or Improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply, to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). O I am Exempt under Article 3 of the B sln d P rssions Code Dale: f Owner: WORKERS' COMPENS ION DECLARATION I hereby affirm under penally 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. O 1 have and will maintain workers' compensation Insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: PolicyIt: 0- 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 provisidns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n Dale: [ Z� E,e . '. WARNING: Failure to sec re workers' compensation coverage Is unlawful, and shall subjec an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest, and attorney's fees. ' ' CONSTRUCTION LENDING AGENCY - - — — `Thl I hereby affirm that there Is a construction lending agency for the Re performance of the work for which this permit Is Issued (Sec 3097 CIV.) Name: By. PERMIT NO. BP051088 Issued Date: 04/26/2005 APN: 042-770-015-000 Site Address: 732 CIULLA LN CHI Map Index: Description: REPLACE 2 WINDOWS WITH SLIDING DOOR Owner: SHIELDS DOUGLAS T 732 CIULLA LN CHICO, CA 95973 Applicant: SHIELDS DOUGLAS T 732 CIULLA LN CHICO, CA 95973 Contractor: License #: Architect: PAT COLE @ ARCADEME Engineer: Total Square Ft: Valuation: Census Code: Is peraby Is . tddo work PERMIT EXPIRES ON 0 S. F. $0.00 a i a pllcable provlslons of the Butte County Code and/or e or W ich fees have been paid. Date: '^ , Address: JLO1/ ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or the duly authorized agent of the wner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form o doc enl o idle unty. I hereby authorize representatives of ulte County to e�n-tCerpon the ov mentioned property for inspection purposes. Print Names- Li J `� J� Signature: Dale: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor R C n„ilrlinn PPimil OT -16-04 DD 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING"PERMIT APPLICATION -1 AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER Last Name ame Name- �Name Address l 1�State City �. P C 0 1 Zip �, 1 I PhoneCJS3�S ! ` LISrSc Fa A.) op C_ E-mail Fax APPLICANT NAME CONTRACTOR ame Name- � �� Address Address rca City Address I �� 1C State Zip Phone Stat K1 Fax E mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name � �� State rca '4 G Address I �� 1C YtJ 2 City Subdivision N me Stat K1 Z p 4 Page C c i"Z Phone :3113 , 15- +0 `) Fax E-mail State License Number X13 APPLICANT NAME Name ®t.9 "i Address City State Zip Phone Fax E-mail API ANT SIGNATURE X For office only: AP# 01-1 2- — ®1 Zoning City c_�ca Flood Zone WORKER'S COMPENSATION SRA I Yes Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. Subdivision N me Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION AP# 01-1 2- — ®1 Property Address 4�Z2_ C-11..1( City c_�ca Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:7F Amount: Receipt #: a,2 3so� 6y Bldg SRA Sheriff SMIP Other G Total REV 2-24-05 Description or Scope of Work: f�c tact �'xr s �,•�. wt,s�o� w�� Sc�d��.-� Sq. rootage ❑ ❑ Structure Built without Permits Proposed Change of Occupancy (Note previous use): K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by:7F Amount: Receipt #: a,2 3so� 6y Bldg SRA Sheriff SMIP Other G Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details. and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan; (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet --stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory ..Building Form filled out by the owner (if required). ` ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. ' Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information, (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ti ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds.can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-.24-05 III .S. PROJECT NO.: 0505 D BY: DATE: FBY: T COL 4/21/05 E t claimed h is b A R C A D E M E on Yeptand Ideas of this unpublished cork. ation, assignnent, deviation or Further lon Is allowed without the express e—Isslon of A R C A D E M E. 251-311 E SUN ROOM (N)1 O' -O "BLDG GL DOOR (E) BEARING WALL REMOVE (E) WINDOWS 8 WALL (N) 4x6 POSTS (E) LIVING ROOM 8' CEILING t2 STRUC ELEV (E) BEARING WALL —\ N . -7 11 13 ' Flo (E) STAIRS -0 or. -108b TTE COUNTY DING DIVISION P OVED M (E) KITCHEN I I I SCALE: 1/4"= I' -O" A R C A D E M E SHEET: Studio... 530.343.5709 PARTIAL FLOOR PLAN 1037... Park .. Avenue Chico, California 95928 PROJECT NAME: DOUGLAS SHIELDS REMODEL PHONE: 732 CIULLA, CHICO, CA (530) 864-6363 A 1 1 OF _2__ SHTS. DRAWN BY: D.S. PROJECT NO.: 0505 CHEx O L DATE:4/21 /05 ©1989 ARC ADEME A copyright Is claimed by A R C A D E M E on the conceptond Ideas of this unpubllshed work. No publication, osslg—.mt, deA tlan or Further dls,rlbutlon is allowed without the express wrliten permission of A R C A D E M E. A R C A D E M E SHEET: Studio... 530.343.5709 STRUCTURAL -WALL 1037... Park .. Avenue ELEVATION "A" Chico, California 95928 PROJECT NAME: DOUGLAS SHIELDS REMODEL PHONE: 732 CIULLA, CHICO, CA (530) 864-6363 SHEET NO: A2 2 2 OF _ SHTS. PROJECT: Doug Shields TRIB LOAD PAGE: 0 UNIFORM ROOF 1 LIVE LOAD (psf)= PROJ NUMBER: 0000 20.0 = DATE: 4/25/05 BEAM: door header 13.00 USE: 3.125x12"g/l 24fv4 STRENGTH= g/I 24fv4 TRIAL MEMBER S.F. Fv (psi)= 190 b= 3.13 A= 37.5 OK 119% Fb (psi)= 2400 h= 12.00 S= 75.0 OK 135% E (psi)= 1.80E+06 18.0 1= 450.0 OK 159% 40.0 = INPUT OUTPUT SPAN (inches)= 120 max HORIZ. SHEAR (Vmax)= 3390.8 lbs. TRIB WIDTH (feet)= 1 max AREA REQUIRED (A)= 31.49.IN2 UNIFORM LIVE LOAD (psf)= 590 MOMENT (Mmax)= 113.03 KIP IN UNIFORM DEAD LOAD (psf)= 163.5 SECTION REQUIRED (S)= 55.40 IN DEFLECTION (span/x)= 360 MOM INERTIA REQ'D (1)= 282.56 IN' Adjustment Factors Adjusted Bending Stress F'b (psi)= 2040 Duration (Cd) = 1.00 Size Factor = 1.00 Temperature = 1.00 Wet Service (Cm) = 0.85 Repetitive Member (Cr) = 1.00 Adjustment Factors Adjusted Shear Stress F'v (psi) = 161.5 Duration (Cd) = 1.00 Shear Stress (Ch) = 1.00 Temperature = 1.00 Wet Service (Cm) = 0.85 TOTAL LIVE LOAD (psf)= 80.00 (P/LF)= .590.( TOTAL DEAD LOAD (psf)= 22.00 (P/LF)= 163.: SOIL BEARING (psf)= 1500 FT'G REQ'D= 2.261 SF = 3391 @1500 PSF FT'G WIDTH (2 STORY)= 16 INCHES REQ'D LENGTH = 40.70 INCHES C1304 <, �A eR®vr `X Dat® _ate/ TRIB LOAD UNIFORM ROOF 1 LIVE LOAD (psf)= 13.00 20.0 = 260.0 UNIFORM ROOF 1 DEAD LOAD (psf)= 13.00 6.0 = 78.0 26.0 338.0 UNIFORM ROOF 2 LIVE LOAD (psf)= 3.00 20.0 = 60.0 UNIFORM ROOF 2 DEAD LOAD (psf)= 3.00 6.0 = 18.0 UNIFORM FLOOR LIVE LOAD (psf)= 6.75 40.0 = 270.0 UNIFORM FLOOR DEAD LOAD (psf)= 6.75 10.0 = 67.5 TOTAL LIVE LOAD (psf)= 80.00 (P/LF)= .590.( TOTAL DEAD LOAD (psf)= 22.00 (P/LF)= 163.: SOIL BEARING (psf)= 1500 FT'G REQ'D= 2.261 SF = 3391 @1500 PSF FT'G WIDTH (2 STORY)= 16 INCHES REQ'D LENGTH = 40.70 INCHES C1304 <, �A eR®vr `X Dat® _ate/ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perl'ury 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: License Number: Date: Contractor. OWNER -BUILDER DECLARATION Thereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which 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 State 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).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 'I am Exempt under Article 3 of the Business ffid P14essions Code Date: r21171dCOwner: WORKERS' COMPEN AT N 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy J�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. Date: t—�2 2/ O L ( 4 i Applicant: WARNING: Fa' ure o secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code,.interest, and attorney's fees. CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097 Civ.) Address: PERMIT NO. BR043595 Issued Date: 12/22/2004 APN: 042-770-015-000 Site Address: 732 CIULLA LN CHI Map Index: Description: SIDING (930) Owner: SHIELDS DOUGLAS T 732 CIULLA LN CHICO, CA 95973 Applicant: SHIELDS DOUGLAS T 732 CIULLA LN CHICO, CA 95973 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit' hereby issiDed under the applicable provisions of the Bntte County Cody enruor Resoiution ori dica d above fo which fees have been paid. a By: Date: 19 PERMIT EXPIRES ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that'1 am the owner or the duly authorized a ent f the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official fo or d u nt of Butte County. I hereby authorize representatives of Butte Co tty to enter ulion the above mentioned property for in purposes. Print Name: CJ'C�(a� �Q �(�' t (-XIX Signature: Date: r %'.c --L' 1 V Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor � � '.' 1a g ��,r;�;� �� ,\ .�. `-�� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION# `OROVILLE: (530) 538-7636 • CHICO�(530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds - "PLEASE PRINT CLEARLY* OWNER Last Name J t Name Address 32 G City C -O^; Stat tq Zibws +3 Phone _ Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name J S Address r City State Zip Phone Fax E-mail APPL ANT SIGNATURE X For Ae4 o'use only: Zoning Property Address �_92 I Flood Zone Cross Street SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: ki3 ERMIT O`rt—•/P LOCATION AP# Property Address �_92 City Cross Street .WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY— GENCY•Name Name Address Description or Scope of Work: J2 S Sq. Footage 9 a o ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL KF—UUIKtMtN 15 L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 by: Receipt #: lf19 1 Date: I '-� 0 Amount: SRA Sheriff SMIP Total Q SUBMITTAL & PERMIT REQUIREMENTS The following; drawings and specifications mustbe submitted to the Building Division in order to apply for a permit:, INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Siteplans, 3 or 4 sets;.signed:by the preparer of the plans. No graph paper! O .2. Complete plans, 3 or 4 sets, signed b y the preparer of the plans No rah paper!) OR P P 9 Y P P P ( graph ) Engineered plans, 3 or.4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in -duplicate. (Note: Not required for additions to mobile or modular homes.) , Y ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings., . -❑ '6. Manufactured homes: (A).Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ .7. Metal bldgs: (A) Metal:Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D)'Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 1 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). _> 3 0. 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11... Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). 13. Sanitation and site plan approval from the. Environmental Health Department. - Remaining items needed to issue the permit. -Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required)` :❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). . ❑ 4. NPDES Form. O 5. Encroachment Permit for driveway'from the Public Works Dept. (construction approval prior to occupancy). O 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ,. ❑ 9. Letter of Signature authorization (if required). ❑; 10. Recorded copy of Agricultural Acknowledgment Statement. ' 11. ❑ Grant Deed, O M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process,, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit;has not been issued will expire one year after date of application. In order to renew action on an- application after expiration,.a new application, plans'and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made up6q.written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and. two years from the date of permit issuance for permits issued; however, on issued permits. refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES NO [ ]. 2. I HAVE [ HAVE NOT [ ] signed an application for a building permit for the proposed work. ",` 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department,of Development Services ADMINISTRATION *BUILDING * GIS' PL"ANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: ` An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. , Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: 01 o If you employ or otherwise engage any persons other than your immediate family, and the work (includinCr g materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or ' subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes; workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. } o There may be financial risks .for you if you do not carry out these obligations, and these risks are especially. serious, ' with respect to workers' compensation insurance. -o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, .property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under .limited' conditions. A frequent practice ,of unlicensed persons professing to be contractors is to secure an "owner -builder" building` permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building . permits are not required,to be signed by property owners unless they are performing their own work personally: Information about licensed"contractors may be obtained by contacting the Contractors' State License Board in your, community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Si cerely, NOTE: C. Vieir , C.B.O. ' Building Inspection This Owner -Builder Information is required by Section 19830 of the California Health and SafetyCode. SIDENTIAL 64j�j4-0-085 92-2783BjE BER MAN, Teresa 732 Ciulla Ln, Chico wiring & new doors/sf 10%� jm" A\fC/ ZFLL (ZoM� JOB FINALED (Date) Signature"— J'= OK O =,Not OK Applic =No Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except N'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: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except q'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 k'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-Panelboa rds-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 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 ft'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 q'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 k'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-Panelboa rds-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 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Vngle = Date UNDERFLOOR (Plans) OK except It s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -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 ti's -------------------- ---------------------------------------------- 16. Water Htr.. Vent -Access -Combustion Air -Baffle ------------------------------- 17. Water Pipe; Test & Anchor -Nail Protection ----- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -- ---------- --- - ------------------ 19. Shower Pan; Test, First Floor -Tub Access ------------- --------- - -- ------------- Date -------- Date ------ ------------------- 20. Test --- Tub &--- Shower, - Second Floor -Tub Access --------------------------- ----- -- - - 21. Gas Pipe: Size & Anchors -------------- ----- ---- ----------- ----- -------------------- -----------------Date Card B-1 DateCard B-1 -------------------------------------------------------------- Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------------------------- ---------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------- - ---------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------- 26. - - -------26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ------- - - ---- P--------------------------------- ---------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI - ------------------------------------------- ---- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ga. Cu or At -------------------------------------- --------------- I -- - ---------------------------- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect ---------- - - -------------------------------------- - ---------- 31. Equip_Clearances Panels-Motors-Mech. Equip ----- ------ 32. Clothes Closet Light -Shower Light -Spa Light --------- --------------------------------------------- ---- - -- -- 33. Smoke Detector ---------------------------------------------------------------------------------- Date ---------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------- -------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ---------------------------------------- 35. Vent Fan Exhaust above insulation ----------------------------------------- - - - - -- --- __ ----- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance_Vent Access -Comb. Air -Return Vent -115 -outlet -- 38 Attic Access & Platform if Furnance in Attic ------------------------ Date ------------------- Date Card B_1 Date Card B-1 -------------------- ----------------- Date --------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors ------- --- ------------------------------------------- ---------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- ------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------------------- 42. Draft Stop in Walls (rat proof) ------ ----------------------------------------------------------------------------- 43. Fire Stops- : Furred Ceilings -Stairs -Chases -Tub ---- -------------------------------------------- 44. Headers & Beam -Size & Bearing A0 & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors - 46. Cing. Joist-Rftr_ties-Purlin-roof Brac-Truss-Shthng.-Ring. -- -- 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles i 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------------------------- 53. Stairs: Width -Head room-Rise-Run-Landino-Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ------------------------ -- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 -------------------------------- -- Date Card B-1 Date Card B-1 Date FIN (Plans) OK except #'s V. Ext. Steps -Door & Sidelight P,rrotteectiioorn--LLaanndinggs�i1Cs ----_ __--_ h2�5moke Detector-�-Q F;,.--vm - �/%�"� 69�e : Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection -sn Radrnnm_Exiting----�-- ,F A ath Fixtures & Tub Access -Spa T -----------Trim & Subpanel: Breaker Sizes & Labels - ---------------- ST-Mirs & Ra ---------------------------ils --------------- -- eplace or Stove: Clearances -Hearth ----------- --- -------------- --- 1397171-c. Outlets at -Wood -Panel: Int. & Ext. �9.-#rt.Pict. & Appliance: Grnd.-Air Gap -Cooking Clearance - -- -...----------------- - - Outlets & Receptacles at Kit. Counter 'Z-n-armge Fire Door: Swing-Landing-Closer ------------------------ Duct -Duct in Garage -Damper ---------------------- --------------------------- tl�t� Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. ------------- -In Garage. Above Floor-Mech. Protection - --------------- Plb.. Elec. & Mech. Equip. Listed for Location ----------------------------- T6-ri-ec. Receptacles in Garage: (G.F.I.)-Romex Protection -- ------------------------------------- , . 1-n-su lation -Foam-Looked in Attic ❑ Yes ------------------ --------------------------- uar Rails & Deck -Construction -Post Caps ents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes M. Full wing instld.'Drive ❑ Yes C1No: Walks C1Yes ❑ No: Planters 1:1Yes ❑ No - ---- ----------------------------- d�o: Brown -Finish --------------------------- --- - --82-'A.C. Unit; Disconnect, Electrical, Plumbing --------------------------------------------- ---- --- --&3-.Vents Above Roof: Plb A liance-Firep lace. -Clearance to Openings //ater Well: Disconnect, Electrical, Plumbing --- .. xter-------------------------------- ----- ior Elec. Trim; G.F.I. Receptacle -Underground - -- -- - ----------- entilation Throughout House -- ..------------------ - ------------------- -- ssProtection �Corre tions from Previous Inspections - --�-� 1.4J- G est -Meters Tagged, Gas -Electric -- -- ater &Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate Other Certificates Date L Card B-1 C - Date Card B-1 - - - - ----- ----- --- -- - ---------------� Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. n ►) )"Ut-A// .S G Q'ateCr04'S �PI Ji<-. leze/he-lr - CeAr 17 Date Inspector e S� REV 10/92 It, � ..'fir''.. .... ..� ` . rKv. 7 �. �„ . � - ♦. r �... _ - _ i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 NER CORRECTION NOTICE q-2 -Z 983 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date �'�\ Inspector REV 10/92 SMOKE DETECTOR INSTALLATION CERTIFICATE BUILDING OWNERloge 1. PERMIT # ! �Z- 27 e3 BUILDING LOCATION M2 - 3yo - D8�— When the valuation of an addition, alteration or repair to a Group R Occupancy(dwelling units, hotels and apartment houses,) exceeds $1,000 and a permit is required, or when one or more sleeping rooms are added or created in existing Group R Occupancies, smoke detectors shall be installed in accordance with the 1991 Uniform Building Code, section 1210 (a). In general, section 1210 (a) specifies that in new construction a smoke detector be installed in: (1) Each sleeping room, and at a point centrally located -in the'cc*ridor or'd ea.giving access to each separate sleeping area. Where the ceiling height of a room open to the hallway serving the bedrooms exceeds that of the hallway by twenty-four (24) inches or more, smoke detectors shall be installed in the hallway and in the adjacent room. (2) In each story and in basements, and on each level containing a sleeping area. . Such detector(s) shall receive their primary power from the building wiring and be equipped with a battery backup. When the valuation of an addition, alteration or repair to a residence exceeds $1000 and a permit is required, smoke detectors shall be installed in each existing sleeping room, and centrally located within each sleeping area if one is not currently installed. Such detectors may be solely battery operated. A repair, alteration or addition applies to a deck addition, wood stove installation, re -roof, vinyl or aluminum siding, and remodel or additional square footage to an existing residence. Declaration I hereby certify that the above smoke detector (s) were installed in the building at the above location in conformance with the 1991 Uniform Building Code, section 1210 (a). Building Contractor/Owner (Please Print) 10, of State Contractors License No. 3dY- Date This completed certificate must be provided to the building department prior to fZWOFs uo�No ter MAR 2 8 094 tr y COUNTY -OF BUTTE - DEPARTMENT'OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller Callfarnla 35965 - Telephone: 916,1536-7541 } APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R 042-340-'085 ZONING Iff-1A J BUILDING PERMIT OWNER Teresa Bern TELEPHONE, 8891-:4536,_ SQ.FT OCC. BUILDING VALUATION Est x 00+00 OWNER'S MAILING ADDRESS Y 732 Ciulla Lane Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace " CONSTRUCTION LENDER UNKNOWN- Total Valuation 1$2.500.00 Filing. Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Q$ $ 22.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee - $82.50 PLUMBING PERMIT PLUMBING Filing Fee 15.00 7 iullfa %,iQ. Mico R '--5.601 a w`ISUBDIVISION Solar or heat pump water heater 4 20.00 LOT NO. NAME 13 .'* PARCEL MAP 175 p$" 72 Water piping :i3 - 7.00 Each qas water heater or vent ..7.00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer f " 15.00 " Mobile Home S',J G W '@•15.00...•.--N " TYPE OF WORK New ❑ Addition ❑ Remodel [A Utilities ❑ Installation ❑ Other ❑ Describe work: French Doors Added in Living ,- Permit Fee $ Contractor - ELECTRICAL PERMIT FiIingFee 15.00 Main service 600V OR LESS 200A OR LESS - 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification IY9LYI I, as the owner, Or my employees -with wages as their SOIe 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 AD ACC. BLDGS. M I 3.64 sq.ft. NE WOR ON5. ST NO ES R. BRANCH CIRC "ULTIOUTLT ITS 5•00 POWER APPARATUS &) (SINGLE OUTLET CAR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLES. OR Ex. OCCUp. OUTLETS (RESI D,) EA,� I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 15.00 Permit Fee $30,00 — r�. WORKMEN'S COMPENSATION INSURANCE''-. a l eclare undfrkpknalty of perjury (check one): ""`'^ '�" ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. I- 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 FiIirig Fee 15.00 ' Heating Cooling g Hood 6.50 Ventilation t Permit Fee $ > Contractor I certify that I have read this application and"state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.OCC I also agree to save, indemnify and keep harmless the County of Butte agains,t all liabilities, judgments, costs, and expenses which may in any way accrue agair r ,said County in consequence of the granting of this permit. X l 2, Date ACIP. ❑ ❑ Signature of Applicant — OwContractor 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 S Ener Inspection Fee $ Energy P CONST TYPE TOTAL FEE $112.50 HAz DFEES IMP FLOOD ---- CDFPARCEL -- 1•' PD HD ISSUE I ------ This permit is hereby issued under the sions of the Bu County Code and/or work indica ab a fhich fees /+ R 0R PUBLIC • By �/'""' PER I ,EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 3 Receipt No. 117699 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TERESA BERGMAN 732 CIULLA LANE CHICO CA 95926 DEPARTMENT OF VPVtLUrmtNI stnvwts 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 S. cA!i-1 CHICO OFFICE - 1469 HUMBOLDT-RD., CHICO 95926 TELEPHONE: 916-891-2751 MARCH 2, 1994 RE: Building Permit # 92-2783 Expiration Date :3-10-94 A. P.__:# -042 -rt -340-0 - With reference to the above subject, our records. indicate that your building permit expires on the above date and your permit falls into the category marked below: 1X4 Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the c'.HTcO office. Thank you for your prompt attention concerning this matter. Yours very truly, Micblael C.1 vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office 747 Elliott Rd/872-6307 COUNTY OF BUTTE - DEPARTMENT OF DEVELO. MENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 PERMIT N0. APPLICATION AND PERMIT �� D l ASSESSOR PARCEL NUMBER 042-340-085 RT1—A ZONING BUILDING PERMIT OWNER TERESA BERGMAN TELEPHONE 891-4536 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 732 CIULLA LANE CHICO 95926 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 732 CIULLA LN PERMIT FEE $ CHICO PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex Cl❑ Mobilehome ❑ Other pORTABLE SPA SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CX Installation Q Other O Describe Work: _ ET.K.. TO SUPPLY SPA PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLOS. ) S 3.5C FT'. NEW CONST. MULTI -OUTLET .NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification c I, as the owner, 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) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 0 .50 Ex. Occu p' ( FIXED APPLNS. OR OUTLETS (RESID.) EA. ► 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 County i onsequence the granting of this permit. Date /' o�S — y Signature of Applicant - ner ❑ 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 $ DCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP F100D CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ONS jf the applicable provisions Resolutions to do work been paid. . 4���4f Date yReceipt De tel No. 156009 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT X. .....�rSi:'.Iir�ti'y.y,..�...'.�''Yrsrf',`'c.'%'w+6�Y..�u...y0�r.'f `�'r�j�,�`lraair++iv1�+�+n"n-..w-�ti..Y'`1+'"•.`•ti•k�-Y�`^^+yr.s^.""y.� -COUNTYOF BUTTE -DEPARTMENT OF DEVEWPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNfA 95965 -TELEPHONE (916) 538-7541 OWNER / Proposed Building Use PERMIT APPLICATION DATA SHEET A. P. No. O ti' 2 Building Inspector Date d0J At time�f permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: V/ DATE RECEIVED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. .� ....................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . P�a"� 10" �qu� 20. Pre -inspection for - required. . . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . .................................................... . 33. 34. When you issue the permit, process as follows:Mail to owner. Maifto contractor. Telephone and hold for pig pat office. Deliver with inspector. Other p9* Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date 11 Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ""� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER�D ZONING �Tr-� BUILDING PERMIT OWNER �- - TELEPHONE OWNER' G ADDRESS ( 3 Z /rl <—(LA, L,7 z SQ. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENOER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 73� I (% llL - l C PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome O Other Pp C+A W e— S 'ft SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 --F— E Mobile Home I S F —GTW 2EOO TYPE OF WORK New O Addition O Remodel O Utilities kinstallation O Other O Describe Work: L W 5 a T`T_ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 6wv OR LESS 200AORLESS ) 23.00 Main Service ( 200A TO IOGOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. SLOS. ) SO 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MUL n-OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B 20 @ 1.00 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 23 •co WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 - O Owner O Contractor O 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 $ DCC CO"ST. TYPE //?J O� TOTAL FEE $ '7 HAZ• I D. FEES IMP I FLOOD CDFPAR CEL PO HO 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON lOatel . (9 Receipt No5 6 60' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT N0. 676-76 PE 4 PERMIT EXPIRES Gerald Early ' OWNER CONTR. owner I LOCATION (A.P. 4.9-14-90 pnrt ) �f NIS Ciulla Lane, 400'E.of Jones,* 600' N. r of Bell Ave., lot 3, Chico �s . t a4 1't .N r I r ! Temp. Po ger Pole— Calle PG&E ole CallePG&E emp_lec. Serv. V. K� O ` CalZed PG&E Temp as Serv. Called PG&E � QQ NALED Bond Beam' FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL, Gird. Fault Prot. f` Scratch Heating y Service ` Brown Cooling - Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------- Elec. Service s Elec. Pedestal Water Piping Sewer Gas Piping 0016EHOME INSTALLATION - - - - - - :-- - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS J • v 1; (NOTE: An entry must be made on this form each time you visit the job site.) .i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BU..ILDING BUILDING (Cont'd) '-PLUMBING Setback Firewall Soil. Piping Forms "" �•' t Parapets tst Floor Main Bldg. w Restroom Finish 2nd Floor Footings 'Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piersv Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas,.Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL Masoniv Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam' FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL, Gird. Fault Prot. f` Scratch Heating y Service ` Brown Cooling - Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------- Elec. Service s Elec. Pedestal Water Piping Sewer Gas Piping 0016EHOME INSTALLATION - - - - - - :-- - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS J • v 1; (NOTE: An entry must be made on this form each time you visit the job site.) .i UNDERFLOOR' . Permit ho.� � �p n s 1. — 2. Se backs--Easenents 3//Soils--Footings &.Stem all--. /" Fill Re uired--Steel--Block-outs--Elec.Ground 5 u-„tbing--DrA'in--Fali itt - :Ira ed in Concrete 42" test/R --Size &Test 7,. ater Pipe --Test & Anchors --R ±' 10. Girders--Sills--Anchor Bolts--joists-=vent V. FRAM-'ING Permit ho..i V, laps 2: Sills --Pro er'lfater al and Anchors 3. •calls•= -Studs-- wiling & Spacing & Bracin6--Plates 3 ""over`Girders &Floor. Naili 4. LBearinc, t•:al1s' ry _ t Draft Stopin Valls. rat proof Fire .Sto s --furred Ceilings --Stairs- Ch 'es -Tfi 7, Bader-& Beam --Size & Bearing 8, angers, --=Post Caps--Anchors--Connectors �.. eil�ng_Jois�.Rai` -Ti� r%_� Roc:f B cinry Tru�se{ s Shea iih na ` r 'iii epl�ce Ties 'or T Flu-T'ire 1p ace :Throat lI.- ttic Access==Size &Rom-. Protection 12b,,Be�om Windows or Exiting,Doors--Sill H,t. & Dimensions ��_ _ere Protection Framing ' --?_men a—zatzon V'ally--1 hr. Fire --2 hr, LiF.ire 15. :st. Doors --One ;3" eck-Gara- r i A< t "16 taus--Wid h', Hea°Rise Rd'n, Lanrns--F ire otectian 1 % --wood on Roof Overhang --Attic its--Rtrf r Outrigger s Sidi --1 ai rg ee iesh, Driu Screed & Foundation Vents & Underfloor Access Protection if required hard -BI DameCard-Y Date -. Card -3I Date Z Card'` PUR-0- LNG -=Above Floor' Permit .I�o. 1. a er Heater- L=_-Acct-=Conuusti_on A,i7- 2. Baer Pioe--T & Ancbs�.iail P-e�ctir,�*t % Pi e--T-9st--Fi as & And t ion 42" test .L;Y__ Sh _ .ea,I Test e a_rst floor--l.ub Acce.rs� _ 'i' t Shower, second floor- ub cess ioe--Size & Anchors � _ - 7. Sian Job Card _ Car -B Date Arn Card -3I Date Card -BI Date Card -:3I Date - ELECTRIC-ALILAbove Floor Permit No. ' 1._earance & Irisulation Protection at Flus:i Light Fixtures 4 Y 2, lec. Rece-_6tac:les Spacing --Lights & Scaitctaes-at Doors _ 3,iSize Boxes & i:o, of Conductors --Stapled - -.4 Rcmex Installed Close to Edge of Studs & C.J. 5 •uip. Ground made up w/:tech. Fasteners _ 6J,4 Appliance Circuits. in Kitchen & Conducf-)r Size zders-•41_r_e seize. [= ga.. Cu or At, Breaker Size Amp.-- Insulated Neutral, Yes rto_�� _97 Range Circuit [ ga. Cu or Al., breaker Si e .__� Amp. --Oven -Circuit ga. Ci Breaker Size 9 rvice--Riser Conductors & Ground _ Bon &- Fater Pipezt ; r- y rhes Close:- Lig h�- ova _ Sign Job Ca -d _ Ward -BI Date Card -3l Date - Card -BI Date Z Card-�BI Date I-IECH.A_NIC4I.--Above Floor _ _Permit No. 1.G. Ducts --insulation & SuP aort.... —uexz� an--E:thaust Above Insulation n ensate Drain &Over=low--Size & G -ads cvt 4.VF'urnace- A c c -6e - eturn t Ven - S_, ar`;r__.'ccess & PlatforLt if Furvace i _ _ .6. Sign Jeb Card _ Ward -BI Date Card -BI Date Card -BI Date Card -BI Date I A ` FINAL t Perait NL.o.-;Z(g- 2. rtrance Steos--, Door & Sidelight Protectio,i , ChV �.n.. D2L�_�or Clearances, Combustion 1kir,,:Connec.tor ,f -n Garage -Height & 'Nech.Protection e d ro o G 't, i:l_. 2 i ? -- -- —.._.....1-- — , & Bat'r_ Fi t- rAS 3 ectric I rin & Sull) Panel- -Labels_ , t f /� Lcj�c ect.ri^ Outlets at C L,CJ --- ill(.. w -- W-.'Electrical Outlets & Receptacles at Kitchen Counter "I3. araz F; -re Door --Suing & Landing, Closer ' _ ": cetai I C 1 :'ester ��tex--V Clear cls, Comsr, V., C — /- 'tight & 1 & Oneni_nos--Area Separation Walls 1 ctrTcal Receotacles in Ga; age (G,F I Romney. protect 1 nSt, -i.on-�F_e ^--Loo'_�ed in Attic / Yes~` .19/SteDs a= Ext. Doors & Landin7,s Sl{l r'__�n<3 R�ii c ��ririrTl7nt Cnnc'-rirPinn ' Clearances- Unit—Disconn ect, Clearances, Breaker & Conductor Size --115V. Out -let is Above Roof--•Pluabina. A -n - - �liauces, FireplaceClearance to Opensas ^ .e� T,^ "'__Discon:�ect, Electrical�Plu:«Si:ng Brio~ Electrical `.i'ri_,i & G.F I. Rece�taele f S-5—pro �L ect:i.ons f-om- Previous Inspections s 'e. ' _ �i`e+�nrs Tamed -Cas & Electric ter. Su —.-)Iv & Sevaee Can-nected _ _ _ ej�, Ccnmmliance Certificate cr. J,7b Card RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN. INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Bell Rd. Chico, CA , (locat'.n) BUILDING PERMIT NO. j — A.P. N0. . Y THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: I GLAZING:, N/A Slab Edge. N/A Single Glazed (/ Fdn..Walls N/A Special (Insulated) N A t/ Floors N A CERT. & LABELED WDS. Walls X & SLIDING DRS. N/A Ceiling/Roof X WEATHERSTRIPPED DRS. N A V Ducts BACK DAMPERED FANS N/A I.— Circulating Pipes N/A INTERMITTENT IGNITION DEVICES N A APPROVED HEATER N/A CERT. APPLIANCES N/A 6/ / APPROVED WTR. HTR. N,/A &.,- I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Signature of Insulation Applicator. State Contractors License No. 309245 General Contractor/Owner Name Alease print) Signature of General Contractor/Own Date 715o, -. State Contractors License No. 32S'70 (3 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE LEPARTMENT OF PUBLIC WORK, 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. Inspectb i�i� Date /� � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . 7 County Center Drive = tOroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. If X Dated 3 �� Signature of ermitee or �Ant Receipt No. White-D.P.W. - Yellow-Assess/r - Pink -Inspector - Goldenrod -Applicant 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. DIRECTO 0 PUBLIC WORKS BY Date ,e2 Building permit expires Date BUILDING Owner 6eAky- SQ. FT. OCC. BUILDING VALUATION 60 Mailing Address j^Z Ellf t-lyq 2, GO1 Telephone No. Z Contractor,v Mailing Address Fireplace Total Valuation 7,071 Telephone No. Permit Fee Building Address�j� L Plan Checking Fee&/or Penalty Permit Fee (p (o ^ gebf &,�J 40 Oec' Ave PLUMBING No. @ FEE PERMIT FILING FEE $3.00 OD Each Trapp -zZ,OO CyQ Repair drainage or vent piping 1.50 A. P. No. `t'(��`3Si' Z� t$�r yy��' Zon of lanning Water piping --A.ao .ovZ Each gas water heater or vent Fdpe S ire Dept. Fire Zone Use Permit Gas piping system 1 -.5 outlets 1.50 EQA Parking Parcel Plans Declaration - 7 Parcel Map 60' R/W Improvem is Each additional outlet .30 Building sewer 5.00 Bldg. Plans ec'd G` 1�arcel Ap royal Plans Approval sprinkler s stem 2.00 Lawn s P Y NEW ADDITION ❑ UTILITIES ❑ OTHER [:]Permit G Fee $ ii ov$ ZZ of ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , 6"t) Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O + Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OOSIjP` !) 2�sgft o. 3 OR ADDNS. ACC. BLDGS. U CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID, BRANCH CIR T NON.CON5 ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES) eBALo@L@2%(% FIXED APP LNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I MA am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ Ll MECHANICAL N0.1 @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of W kmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3,60 H tinj Cooringe4, - , 00 Ventilation Hood 2.00 dD Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. If X Dated 3 �� Signature of ermitee or �Ant Receipt No. White-D.P.W. - Yellow-Assess/r - Pink -Inspector - Goldenrod -Applicant 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. DIRECTO 0 PUBLIC WORKS BY Date ,e2 Building permit expires Date RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX;& MISC. ONLY) / �,/ Bldg. Pe?�it #� 670✓ � OWNER 67 l�-r� L U C� f�"�L- / _ A. P. # ' ' 7' Z-- - 00 C Jqq0eT A. GENERAL Zoning requirements.(sideyards and parking). Valuation. Bf�gnature by R.C.E. or Architect (if required). B. PLO PLAN VComplete parcel size and dimensions. _ Setbackq, sideyards, easements, etc. �: Other buildings or.structures. wading, fills, drainage-. C FLO R' PLAN .complete to scale plan with dimensions. q' ,,, -Required windows for light and ventilation (Sec. 1405). equired windows for second exit (Sec. 1404). ?�'Allowable glazing'for•energy requirements (20% max. per.State law). n impact glass (Sec. 5406). an room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). �! Light fixtures; switches, receptacles, and exterior receptacles for maintenance of ��,6echanical equipment. J: Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and,plumbing fixtures. "age firewall, door size, and closer (Sec. 503(d)(4)). 1 3'0" exterior exit door (Sec. 3303d). replace location. ke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. elevations and -wall construction details complete enough to construct building. 4�Roof construction details•complete enough to construct building. E�g:; lace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E.! MISCELLANEOUS ITEMS TO LOOK OUT FOR .�CCX plywoo& on exposed locations and overhangs. Q/ Stairway details (Sec. 3305). ?�4ail details (Sec. 1716). �k4ek or stone veneer '(Chapter 30) . or plaster - weep screeds (Sec. 4706 & 4708). '�P�roper roof pitch for roof covering (Chapter 32). Rafter tiestor bearing ridge beam. i�farage door or porch header sizes. Adequate bracing. area over garage - complete 17hour separation required including supporting walls and posts, etc. IL.� 2) exits on three-story dwellings (Sec. 3302). COUNTY Of BUTTE - DEPARTMENT OF PUBLIC WORS PERMIT NO., 7 County Center Drive - Oroville. California 95965 - Telephone: 916,'538 5 fll APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-340-085 ZONING RT -1A BUILDING PERMIT OWNER Teresa -Bergman TELEPHONE 891-4536 SQ. FT. OCC. BUILDING VALUATI Est. 2,500.00 OWNER'S MAILING ADDRESS 732 Ciulla Lang Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total valuation $2,500.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 22.50 J Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $82.50 PLUMBING PERMIT Filing Fee 15.00 712 Citilla Lanp, Chico Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. 13 SUBDIVISION NAME PARCEL MAP 75 pg • 72 Water piping 7.00 Each ctas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S7 G FWT @ 15.00 TYPE OF WORK New r" Addition ❑ Remodel � Utilities ❑ Installation ❑ Other ❑ Describe work: French Doors Added in Living Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License Ao. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM ACDNS. \ ACC, BLDGS. 3.64sq.ft. NEW CONOR NO N•RESISTFL BRANCH CIRCUITS @ 5.00 (POWER /POWER APPARATUS &) OUTLET CIR. ) ( EX. Occup\OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 15.00 Permit Fee $30.00 — - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 again Did County in consequence of the granting of this permit. X I Ld o __ ���M G ----Date e 2- Signature of Applicant — Own r� Contractor 11Contractor1:1^ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ coNSTTVPE TOTAL FEE$112.50 HAz OFEES IMP FLOOD COF -- PARC L I Po I HD ISSUE --- This permit is hereby issued under the sions of the But County Code and/or work indica ab e r hich fees R PUBLIC By •-•� PERMIT EX IBES Date applicable provi- resolutions to do have been aid. p j WORKS Date 3 io 4 Receipt No. 117699 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT }��7""•rF'�u'fJ"h'y'r7}{�4,'k'i-�x'i++� x " i" � ' ��� ��li"��'f��i�'�'4`7�t �,��� � �� �:t�� ... COUNTY OF BUTTE - DEPARTMENTrOF-PUBLIC WORKS = L ING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPH NE (916) 538.7541 PERMIT APPLICATIOU DATA SHEET OWNER lG �� v�YV}J� No.�-37q Proposed Building Use "K OW/t '"Building Inspects Date At time. of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: t DATE RECEIVED BY 1, All items have been submitted . ................................ I..... ; !Plot plans, 3/4 s ts, signed by preparer of plans...... . 3. Complete sets, signed by of 4 plan/4 preparer plans. Engineered plans and calcs, 3/4 sets, with wet signature on plarfs. "V.o.. bo0.r, 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ...................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . 20. Pre -inspection for to Building Inspector ) required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner_) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . ........ :......... 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ................. !'................... . 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: :L--4" Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant 1 ` Date Copy of Haz-Mat form sent Health Dept. Fire Dept. . Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. Other ` Date By The following data must be submitted prig cl per ' .ssuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, o r, was advised of above required data by phone -mail Counter _ DateY Contractor, designer, owner, was advised of above required data by phone _ mailCounter by _ Date Plans checked by Date PI s approved by Date -?1,,-o7;;3- When /o ; Sets of plans on hold in File cabinet ' AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR .EL NUMB -_ ZONI G -- BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILQUa VALUATION OWNER'S MAILING ADDRESS C RL'S. E .v- 4 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace , CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADD SS - Filing Fee $ 15.00 Permit Fee $ t62 ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee $ a r S Ener Plan Checking Fee 9Y 9 $ ARCHITECT OR,ENGIN F2'S MAILING ADDRESS T -t Penalty $ BUILDING ADDRESS t Permit fee $ q PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 t Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION,,N/AME /ice 4- PARCEL MAPA Water piping 7.00 Each oas water heater or vent 7.00 USE OF STRUCTURE 1 SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New r_ Additional Remode-I Utilities^^❑ InstallationC Other F-1Permit Describe work: F-!'PC-t, !JI ne'R S L, r f J Y1 I dl'QQi7'� Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License .Jo. 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) `j I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATOI000A1 37.50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 3.66sq.ft. NEW CONSTR ULT LOUT LET NON-RESID• BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) iSINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 75d RA 1 6 ARA FIXED APPLN S. OR Ex. Occup. OUTLETS IRESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 , d Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for 5100.00 aluation) or less. I have placed on file w th theXunty of Butte Building Department a Certificate of Workmen,s_fothpensation Insurance or a Certificate ,,,of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against County in co equence of the granting of this permit. _f 2- 1,,4'X' X �"�� Date vow / Signature of Applicant — Ow er fi,I Contractor ❑ Agent ❑ An OSHA Vi ion of structurestoverr3 storiesoineheighttions over S'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE HA: 0FEES IMP FLOOD CDF EL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY _ EXPIRES Date applicable provi resolutions to do have been paid. WORKS DatePERMIT Receipt No. WNITE•D. P,W„ YELL OW-ASSCSSO R, PiNtl-INSPECTOR. GOLDENROD -APPLICANT .. a hh,.J� ny _ / ` .. ", l t. <?' _ i. ._ Y C a �- , � ,i:� COUNTY OF BUTTE - Department of Public Works 7 County Canter Drive; (Iroville, CA 95965 Phone: 916-558_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid 'unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit Number Date S'&-- 2 - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. -"+:1 .�vra .•,F•yq. �.� rr., -•... v •-• t �` "!f"'a'i�l COUNTY OF BUTTE DEPARjT-�ME'NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilles. California 95965- Telephone: 916/538-754f APPLICATION AND PERMIT 1�. ASSESSOR PARCEL NUMBER �;� '' 42-34-- .� ZONING BUILDING PERMIT OWNER . Teresa Bergimn TELEPHONEa.ti X91 -45i .� SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS„r.y:•,)?;r:rq.!.. 732 Ci 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 42-34-0 ZONIN 1 ~ BUILDING PERMIT OWNER ' Teresa Bergman TELEPHONE 891-4536 .SQ. FT. OCC. BUILDING VALU ION OWNER'S MAILING ADDRESS �. 732 Ciulla Ln Chico CONTRACTOR'S NAME Billv G. Hankins TELEPHONE CONTRACTOR I'z f46 ADDRESS 3549 Es lanadLe, Chico 95926 Fireplace CONSTRUCTION LENDEIR UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 732 Ciulla Ln, Chico Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5=1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities RX Installation❑ Other ❑ Describe work: natural gas piping _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. -�1 -7 L160 Classification � /i� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 DWELLING OCCUP.>\ NEW OR AODNS. CONST. ACC. SLOGS. // 3.6gsq.ft. NEWCONSTR ULT"OUTLET NON -R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS .&) SINGLE OUTLET CIR. EX. Lccup(OUTLETS OR FIXTURES 20 76 EX. Occup. OUTLETS P(RESID,)FIXED APLNS.R_EJ 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -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. ❑ 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 JN to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such ,provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling FHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidounty in cc sequence of the granting of this permit. X aZAd= Date 1 �) – �� y Signature 6 Applicant — Owner ❑ Contractor � Agent ❑ An OSHA 5' permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE I TOTAL FEE $ 20.00 I HAz 1 DFEES IMP I FLOOD I CDF PARCEL PO HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte Coun ode and/or resolutions to do work indic abov for hich fees have been paid. � R PUBLIC WORKS By D to93 �Z PE MI XPIRES Date / Receipt No. 103450 WHITE-D.P.W•, YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER „_`il'� ._z +7.�,.—,.--� .T,,,',�,� ,. '�.r.�w rr.'y`r"'i-= ,`�' 1:•c ..K� ,�.'s y .'�`M(r .... .. .� � . , COUNTY OF BUTTE - DEPARTMENT OF�PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLk &LIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLI ATION DATA SHEET 0 Permit No. Proposed Buildin,gygq[ g� ' � Building 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. Park fees paid ..................................................... 13. School District fees paid .............. 14. Sanitation 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 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: Mail to owner. Mail to contractor. Telephone and hold for pickup at -- office. Deliver w/inspector. Other Applicant 4a4k / / ,t6i-r .Date—/Y27/7f Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date ' Copy of plans sent _Health Dept. Fire Dept:. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone --- mail Contractor, designer, owner, was advised of above required data by—phone—mall Plans checked by - Date Plans approved by_ Sets of plans on hold in Copy—DPW File cabinet AP folder ter by date ter by date Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER all y- try - G _ D1_p- O ZONING 11 1 1 BUILDING PERMIT OWNER TE4ErHONE SO. FT. OCC. BUILDING VALUATION ' OWN R'S MAILING ADDRESS v 61 u �� ' W i, -( / FC 7At1�S Y� CONTRACTOR'S NA E LQn (ltiOj TELEPHONE CONTRACTOR'S MAILING ADDRESS qC� l vtd< Z�_S / 4fCv 4�, LG Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS % � % G � L Lam C � h(C I Permit fel $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK�,/ New ❑ Additior;Remodel ❑ Utilities (�( Installation[]Other ❑ Describe work: N07u1d �� si91114 TP Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. C 70- 2/7N 60 Classification C 20 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&\ OR ACDNS. ACC. SLOGS. II 3.6Q sq.ft. NEW CONSTROUTLET NON.R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 S 76d FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes.DCC 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❑ Contractor ❑ Agent ❑ An OSHA ion of structures tover resoin he excavations over 5'0" deep and demolition or construct- Receipt No. WNIT[-O.P.W.. 1E11OW-A53[9SOA. PINK -INSPECTOR, GOLDENROD -APPLICANT Mobile Home Installation Fee $ Ener Inspection Fee $ 9Y P CONST TYPE TOTAL FEE $�. HAz 1 0FEES I IMP I FLOOD =P0 HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date ERMIT NO. 361-81B 'E PERMIT EXPIRES / ? Atz OWNER Gerald Early CONTR. owner ASSESSOR PARCEL 42-34-85 LOCATION 732 Ciulla Lane, lot 3, Chico t. t n tj i v 4 L B r_ h : Temp. Power Pole B Called PG&E Temp. Elec. Service Called PG&E Temp. Gas /G&E e Calle JO AL ED (Date) 101S 2 Signature J = OK 0 = Not OK — = Not Applicablq, * = Not Ready MOBILEHOMES MISCELLANEOUS 'v. Date MOBILEHOME UTrLITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC: (Plans] OK except N's 1. Zoning Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance . 6. Carports; Windows—Doors 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 p's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4• Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4• Elec.; Receptacles and Lighting; Distances—GFI 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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J =OK 0 = Not OK,; = Not Applicable )C= Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plp.ns OK except#'s Date FRAMING,<�ntint oning requirements -'Setbacks -Easements 4d_,F1o_pffty Line Firewall & I boils -Steel -Elea Grnd.- / /" Ftg. Depth xt. Doors-One.3'-Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / Z/" Ftg. Depth eadroom-R ise-Run- Land i ng- Fire Protection Q_F.1g,r2ercfres & Decks; Soils -Steel= / /" Ftg. Depth 5 ywo .on Roof Overhang -Attic Vents -Rafter Outriggers -6--eM,f TffrT'ffain; Steel-Blockouts-Wrapped-Slab V, -Ti -ding -Nailing -Veneer 1-4te iwalls, Garage; S4es4•.B+ee1=ts-Wrepped--S ip Screed-Fdn. Vents-Underflr, Access 77- WM lace Ftg.-Steel azing Area -Glass Protection -Skylights -Plastic 8--9-WId-Fittings-Test-2 way C/0 -Sewer Test :n �a�-�og' �-ze-Anchors f est -Anchors -Regulator -Service Test 1erground 12---44effw„s,I,-8ucts; Clearance -Material -Support -Ins. 13ti ^' ^ ^ e'�� Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card-f3`L Date Card -BI Date Card -BI Date Card -BI Date Date FIN (Plans) OK except #'s 6e Ext. Steps -Door & Sidelight Protecti rmiq OK except #'s SZ.-SmekrrDe[ector Date PLUMBING Ike Its Card -BI Date Card -BI Date Card -BI Date 14. Water HL; ent-Access-Combustion Air 58-,--Fmrnatu-GeeTi s -Clearance -Comb. Air -Connector - 15. Water Pipe; Test & Anchors -Nail Protection In Garage; Above Floor -Ducts -Meeh. Protection 16. D.W.V.; Test Fttngs & Anchors -Nail Protection 5n Rprirnnm Exiting 17. Shower Pan; T st, First Floor -Tub Access 60 r., .A Bath Fixtures & Tub Access 18. Test Tub & Sho r, 2nd Floor -Tub Access W-Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Nnchors Condensa Drain & Overflow; Size & Grade 6a.--SZaife- Rai Is 34. Furnace -tent; Access -Comb. Air -Return Air Vent -115V outlet Stove; Clearances -Hearth 35. Attic Acce s & Platform if Furnace in Attic Elec. Outlets at Wood Panel; Int. & Ext. -Card-BI Date Card -BI Date 3^ �c�i--ri c Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Qu),lets & Receptacles at Kit. Counter Card -BI Date Card -BI Date �ge Fire Door; Swing -Landing -Closer Date ELEC 16CAL Permit OK except #'s Date Card -BI Date A.C. Duct in Garage -Damper F' ure & Transformer Clearance -Ins. Protection G(Plans) OK except #'s VO Vents -Clearance -Comb. Air-Connector-P.R.V.- 2 c. Receptacles Spacing -Lights &Switches at Doors 11s; Proper Material & Anchors Inage; Above loor-Meeh. Protection F i zes & No. of Conductors -Stapled Is; Studs -Nailing, Spacing & Bracing -Plates -Sound !tk�Elec. & Mech. Equip. Listed for Location ex Installed Close to Edge of Studs & C.J. aring Walls over Girders & Floor Nailing U-1—Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Equip. Ground made up w/Mech. Fasteners -B Stop in Walls (rat proof) tsrFFoam-Looked in Attic E] Yes uits in Kitchen & Conductor Size rred Ceilings -Stairs -Chases -Tub g2 -n -g Deck Construction -Post Caps e / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At e r & Beam -Size & Bearing gers-Post Caps -Anchors -Connectors dn. Vents & Crawl Hole D - rainage & Wood -Earth Clearance Loo ^under Floor ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Type A Flue -Fireplace Throat Size & Romex Protection -Draft Stop -Ins. Baffles '❑ 7 ollowing instld.: Drive es ❑ No; Walks es No; 4�arage Planters ❑Yes o uctors & Ground -Main Disconnect •dawn -Finish /€quip. Clearances; Panels-Motors-Mech. Equip. 32 e-&.-yml-Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 3 oset Light -Shower Light- ve oof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -We1�r-We++�Disconnect, Electrical, Plumbing _ IE 8 xterior Elec. Trim; G.F.I. Receptacle -Underground Card B- Date Card -BI Date n throughout House Card B -I at rd -BI Date 8 I s Protection t3 -1 -Corrections from Previous Inspections Date MECHAN1 L (Permit) OK except #'s g#-,-Gee-;vsr--Ipreters Tagged; Gas -Electric 31. A.C. 0 ts; Insulation & Support g�-Wg gewer Connected -C/O to Grade -HD Approval 32. Vent Fark, Exhaust above Insulation compliance Certificate -Other Certificates 33. Condensa Drain & Overflow; Size & Grade 34. Furnace -tent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Acce s & Platform if Furnace in Attic Card-BDat Card -BI Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Card -BI Date Card -BI Date FRA G(Plans) OK except #'s Comments at Final: 3 11s; Proper Material & Anchors Is; Studs -Nailing, Spacing & Bracing -Plates -Sound _ aring Walls over Girders & Floor Nailing LOZDraft Stop in Walls (rat proof) _ rred Ceilings -Stairs -Chases -Tub 4 _ e r & Beam -Size & Bearing gers-Post Caps -Anchors -Connectors 4 _ 4_ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Type A Flue -Fireplace Throat Size & Romex Protection -Draft Stop -Ins. Baffles "'' +^' -or Exiting Doors -Sill Hgt. & Dimensions 4�arage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2791 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. .� Inspect r Date COUNTY OF BUTTE - ®EPAFiTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION, AND PERMIT nA 'I ASSESSOR PARCEL NUMBER • 07, I _ ZONING BUILDING PERMIT OWNERe �. TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS G G ' c v CONTRACTOR'S NAME TELEPHONE CONTRACTOR S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .2y, 0 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee I $ A'? �V Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , BUILDING ADDRESS � �• � PLUMBING PERMIT Filing Fee 10.00 i n 0 J SSD D All /41 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP /10M17,5'-72, Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Lipp' Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: //L/ 1/G7�� C�G�flr9 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OC •N1 ADDNS. ACC. BLDG Z�sq ft _/0OR CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR MULTI -OUT -LET 2,50 ea RESID BRANCH CIRC S —NON. NEW CONSTR. / POWER APPARATUS 6) NON•RESID. `SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES 150 -250 BAN100 FIXED APPLNS, OR EX. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ () Contractor • 041 MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I d/�r penalty of perjury (check one): he 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 ,01consent 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 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 agai said Cou ty in copse ence f the granting of this permit. Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for exc votions over 5'0" deep and demolition or construct- ion of structures over 3 sto/ies i!n height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ a, OCCUP. GROUP I TYPE OF CONST, PARCEL PD I NO ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY PEP20EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date p ?s�Lr Receipt No.y zs L/ WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT a PERMIT NO. 3117-84B,P,E #} PERMIT EXPIRES n�i�lgs� OWNER GERALD•&.k-ATY EARLY CONTR. Bonita Pools & Spas, Orland ASSESSOR PARCEL 42-34-85 �^ LOCATION 732 Cuilla Lane, Chico fl 00 iT c • Temp. Power Pole L� Called PG&E Temp. Elec. Service Called PG&E J� �t Temp. Gas Service ' Called PG&E F JOB FINALED (Date) t a Signature V. = OK 0 = Not O'k = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS r Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts— Beams— Rftrs.—Con nec.—Shthg.—Rtg.—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 N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date I Date Card -BI Date POOL tans) OK except k's tbac ks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector I f S 'Is; Compaction—Structure Stability Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances } Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5er Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector V Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval . Ele .; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged i lec.; 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 He th Department Approval j 1 lumb; Cir. Test—Water Supply Test 1 Card B -I Date Card -BI Date 'Card -BI Date Card -BI Date 6 Card B -I Date Card -BI Date ;Card -BI Date e..S Card -BI Date r I r - Th 0 0 = Not OK Not Applicable Not Ready RESIDENTIAL (Singljo and Duplex) � Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements-Setbacks=Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /". Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel= / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts=Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn.•Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic . 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ' Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic E3 Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic 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 Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-P_urlin-Roof Brac.-Truss-Shthng.-Rfn_g_.__ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Oroville -- Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. (2� WAVA/z . , qtr-�w✓ 12 C l► t � C �� C2 .+�-ami. " " � 21'5A5, Inspector. Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way; Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext 57 CORRECTION NOTICE/ R 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 mmatterr,, or nne( eefdadditiona(l�explanation,1please contact this off ice,imtnedlately. Inspector Date . COUNTY OF BUTTE - DCP�;RTM?-NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION} -Alp PERMIT PERMIT NO. 17-11 1 ASSE SPR PARCE NUM —� — ZO 1 G BUILDING PERMIT OWNER E�EPHO�t SO—F-T. OCC. BUILDING VALUAT N ♦✓ OWNER`?"/y MAILING ADC,Z E S r 2 dWA_.A_ CONTRACT O MEa ,4 LEPHO % x"3 3 —0 CO RACTQR'S MA LING ADDRESS '.ci � � S Fireplace CONSTRUCTI- ON LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'9M�AA•IILItNG ADDRESS Permit Fee $ 7Q, d ARCHITECT 0 EN NEER LICENSE NO. Plan Checking Fee $ V Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S G BUILDING ADDRESS -32 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 �j, 0 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ ❑ ❑ DuplexMobilehomeOther SPECIFY Building sewer 5.00 Mobile Home S G W 1.0.00 e ' TYPE OF WORK New[ Addition❑ Remodel❑ /Utilitie ❑ Installation[] Other ❑ Describe work: 2P.O1 Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoOV OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR AODNS. ( ACC. BLDGS. t 2�2QSgft 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 a d my license is in full force, and effect. License No. HZ2� 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 NO CONSTR. BRANCH CIRCUITS2.50 ea NEW CONSTR. POWER APPARATUS &\ NON.RESID. (SINGLE OUTLET CIR. / zo®s0e ) Ex. Occup(ourLETs OR FIXTURES 9AL®ao FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /1�1 00 Perkt Fee $ 00 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. ® 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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s ' County in consequence of the granting of this permit. X q_ 2t7 -_9 Date Sig to f Applicant — OwnerV1 Contractor ❑ Agent 91 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 $ TOTAL PERMIT FEE $ tv OCCUP. GROUP 1p TYPE OF CONST. I PARCEL PD ND 155 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. d WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, .GOLDENROD -APPLICANT