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042-770-030
42-34-35 ,LOYAL MINER 11, Churchill Drive, Chico Contr: Serv6matic Solar Systems, Chico Permit#974-83P s•1 ur heater/SF ,42-34-35 1925-90B Miner, Loya 784 Churchill Dr, co (reroof & repair/sf) _ - •� - - 42- -35 .� Permit#2449-90B, ,(skylights reroof/sf) 42-34-35 3012-91B,E,M MINER, Loyal 784 Churchill Dr, Chico (bay window, wtr htr, hvac/sf) 042-34-0-035 93-3331,B MINER, LOYAL��. 784 CHURCHILL DR, CHICO CONVERT. PORCH- TO SUNROOM/SF 042-340-035,e4! a PERMIT#95-1356 MINER, Loyal & JewA 784 Churchill Dr., Chico Cont; Oak Tree Const. Bathroom Remodel/SF 042-340-035 PERMIT#97-0605 MINER, Loyal 784 Churchill, Chico Cont:,Chico Electric Repair Ele Ser/SF 042-340-035 PERMIT#98-0199 MINER, Loyal 784 Churchill Dr., Chico Cont: Mike Richard Replace Windows /SF�/Jt-z— 042-770-030 04-2895 ROOS, ERIK 784 CHURCHILL DR, CHICO Cont: DANIEL HEAL PLUMB1N GAS TEST LINE EXTENSION 10ri544 I�-,OUTSMA, G.D.993-68B 936-68E ' --34-315 Churchill Dr. 990fw. of B4-� ay Ave,, Chico (newsingle family) PIERCE, Dr. C. 8/1-'70B1 i - - - -- 829-70E 11 Churchill Dr.2-34-35' , , Chico " CONTR: Floyd tober 1135 Wendy, Way, Chico j (addition ) off( —a S % I 7 1) II 7 T__� .1 r� 0 BUTTE C* OUNT PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BP042895 BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE All: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds w,4S- oyz•3yd-635 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/04/2004 APN• 042-770-030-000 the Business and Professions Code, and my license is in full force and License Class ' 3�Ae eNumber: Site Address: 784 CHURCHILL DR CHI Map Index: Date: ontracto R. Description: GASTEST & LINE EXTENSION 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 Owner: ROOS ERIK H & STEPHANIE G permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 784 CHURCHILL DR signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 95973-8749 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).): LID ❑ 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 Applicant: ROOS ERIK H & STEPHANIE G 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 Contractor: HEAL, DANIEL PLUMBING 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.). 12206 MERIDIAN ROAD ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530) 345-2142 Date: Owner: License #: 393518 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of F the work for which this permit is issued. My workers' compensation ; insuran career andpolicynu are: t 1 Carrier.:iA��C� Total Square Ft: 0 S. F. 7 S- Z r 3 Valuation: $0.00 Policy #: Census Code: r_ O 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 C/ / forthwith coply wyi those provisions. Date: G Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. GC.� -ti-` � U �1 v�S• r � �i�? CONSTRUCTION LENDING AGENCY This permit is hereby iss ed under the applic a provisions of the Butte County CodR ?n(Vor I hereby affirm that there is a construction lending agency for the Resolutions do wo Rated above for/whiclYfees h ve been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) BY Date: Name: �v PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the o or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the subsI ce o any official form or document of Butte County. I h by authorize repr entatives of Butte Count to enter upo t e above mentioned property for inspection p oses. 17 r Print Name: a Q Signature L 6 Date: _ El owner LL -Contractor ❑ Agent for Owner 13 Agent for Contractor 'e", BUTTE COUNTY' -t$ DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netkdds PERMIT NO. BP042895 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of hued Date: 10/04/2004 APN• 042-770-030-000 the Business and ProfessionsCode, and my license is in full force and License Class ' 3 Site Address: 7$4 CHURCHILL DR CHI AseNumber:V35'4 Date: ontracto Map Index: Description: GASTEST & LINE EXTENSION OWNER43UILDER 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 Owner: ROOS ERIK H & STEPHANIE G permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 784 CHURCHILL DR signed statement that he or she is licensed pursuant to the provisions of CHICO, CA 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 95973-8749 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).): ❑ 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 Applicant•' ROOS ERIK H & STEPHANIE G 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 Contractor: HEAL, DANIEL PLUMBING 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.). 12206 MERIDIAN ROAD ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530) 345-2142 Date: Owner: License #: 393518 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 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 insuran carrier and policy nu are: Carder:Tzr C44-�L Total Square Ft: 0 S.F. Policy #: Z -7 Z '— 3 Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 c0 ply wyi those provisions. G 0 Date: Applicant: WARNING: Failure to 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. `County `JCode CONSTRUCTION LENDING AGENCY This permit is hereby iss ed under the applic a provisions of the Butte ?nrUor I hereby affirm that there is a construction lending agency for the Resolutions do wo dicated above forAvhic fees h ve been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: qZZ Date: �U Address: PERMIT EXPIRES ON: Date O 1 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. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 o or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the subst ce o any official form or document of Butte County. I h by authorize reprentatives of Butte Count to enter upo t e above mentioned property for inspection p oses. Print Name: Q .2 Q Signature L Date: ❑ Owner WContractor ❑ Agent for Owner 13 Agent for Contractor '..��. •. ... �'t . t . ` ,; BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION G1 / 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891.2834 (CHICO) �( OFFICE #: (530) 538-7541 2. - 3110 -O ^„ ` 12&1 - 0 J ZONING SITE ADDRESS: OWNER NAME: APPLICANT NAME: CONTRACTOR ARCHITECT/ENGINEER NAME: DESCRIPTION OR SCOPE OF WORK: ❑ 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 fees will be required. 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. For office use only Notes: Application Received by: Receipt number: f/9 10-�-0� Date: Amount Received: o B. C. Building Permit 01-23-04 Pg 2 V Y PERMIT#95-1356 340=035 � , A784 NER, Loyal & Jewell �. Churchill Dr.,, Chico M Cont; Oak Tree•Const. t "'1 Bathroom Remodel/SF i• _ � t �9 r r _ G% Si�ti P `"r t D113 �� 5� 4 COUNTY OF BUTTE- DEPARTMENT OF-DEVELOOMENTSERVICES - BUILDING DIV 7 .County Center Drive - Oroville, ,California *5965 - Telephone (916),.,538-7541'4_PERMIT NO. APPLICATIONAN I P9RMIT . 042-340— 035 ' ZSRI I BUIL NG PERMIT �: OWNER, LOYAL & JL�)ELL MINER TELEPHONE - 893••4070 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 784 CHURCHILL DR CHIC 0 95973 ++y+ • - 'moi .,/ 0�� CONTRACTOR'S NAME + OAK TREE CONSTRUCTION TELEPHONE 898-0001 CONTRACTOR'S MAILING ADDRESS 3415 SILVERBELL #1 CHICO Fireplace CONSTRUCTION LENDER P UNMOWN Total Valuation is LENDER'S, MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 72.E 2KNO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS - 784 CHURCHILL DR ,CHICO PERMITFEE $ 92.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 31 7.00 21.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE - SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 5.00 Each gas water'heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer _ 15.00 TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ ' Installation ❑ Other ❑ Describe work: - BATHROOM REMODEL NONSTRUCTURAL ' Mobile Home S G W 920.00 PERMITFEE $ 49.00 Contractor ELECTRICAL PERMIT Filing Fee 20:00 ' Main Service 600V OR LESS ( 200A OR LESS ) 23.00 - Main Service ( 200A TO 1000A )— 46.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.' ,! License Class:.'-=:; .' .. 4 Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under. enal of perjury' I -am exempt from the Contractors License P, tY , P 1 rY p Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ': u I ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) SO. , 3.5¢ FT. NEW CONST. MULTI.O,UTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS t) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ I.00 . 100 BAL Q .So Fac. Occup. FIXED(OUTLETS RES D.) R 5.00 Temporary, Service 23.00 Mobile Home Facilities 20.00 Misc.' Wiring 23.00 r PERMITFEE $ • 00 Contractor' WORKERS' COMPENSATION'DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section -3700 of the Labor Code, for the performance of the work for which.this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating , Cooling' Hood 6.50 Ventilation PERMITFEE $ r' Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall ,not employ -any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' -compensation provisions of section 3700 of the Labor Code, I shall forthwith, comply with thoserprovisions. X___ pal3j h_' Z'--' ' 1 Signature of.Applicant - ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories inheight. Mobile Home Installation Fee $ Energy Inspection Fee Is ocC CONST. TYPE TOTAL FEE $ 162.00 HAL. I D. FEES IMP FLOOD CDF PARCEL PD HD - ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. w ,,� ` � • G . %r� X17 ' BY �.. �"-.,...�- Date c, PERMITEXPIRESON // Z. /-' ' (Date) ReceiptNo. �:%""f" 1 U1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .�, RESIDENTIAL Qs-i3E(, M NES 0y?_- 3yv, 03s S �7 OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date • JOB FINALED (Date A— Signature V=OK �. O = Not OK •=NottRepaldyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning RequirementsSetbacks-Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; SoilsSize-Depth-Spacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location-Test-Fa$C/O-Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures S. Electricity; Location-Clearances-Dmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / Mit. / /Nat. or/ /°L°tL/ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailinga/eneerStucco-Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip, w/8 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 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 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning RequirementsSetbacks-Easements 2. Footings; SoilsSize-Depth-Spacing-ConnectorsSteel 3. Decks; Girders 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-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailinga/eneerStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Door, -Lendings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and lighting, Distance-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/8 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-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 ✓ = OK 0 = Not OK = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Fig., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ P Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts4Nrapped 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/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL.(Single & Duplex) Date 46. FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73.Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No a3. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 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- DEPARTMENT OF-,?EVELOPMENTSERVICES -BUILDING DIV ISIO 7 County Center Drive - Or6ville, California 95965 - Telephone (916) 538-754 - PERMIT NO. APPLICATIOWAND PERMIT 5 ASSESSOR PARCEL NUMBER 042-340-035 ZONING SR1 BUIL NG PERMIT OWNER LOYAL & JEWELL MINER TELEPHONE 93-4070 SO. FT. OCC. BUILDING VALUATION EST. - 5ond OWNERS MAILING ADDRESS 784 k"HURCHILL DR CHIC 0 95973 CONTRACTOR'S NAME OAK TREE CONSTRUCTION TELEPHONE 898-1001 CONTRACTORS MAILING ADDRESS 3415 SIL'JERBEL L 1 CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 5000. LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 72.00 RK(H ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Plan Checking Fee $ECT ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 784 ILL DR CHICO PERMITFEE $ 92.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 31 7.00 1.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF IR Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 5.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BATHROOM REMODEL NONSTRUCTURAL Mobile Home I S I G W 1 @20.00 PERMITFEE g 49.00 Contractor ELECTRICAL PERMIT Filinct Fee 20:00 • Main Service a OR LESS ( 200A OR LESS / 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fufl force and effect. !J ll License Class6 l Lic. No. 7166 Z � OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR \ OR ADONS. ( a ACC. / s0. 3.5¢ FT. NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATOUTLETUS ) 8 SINGLE CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 i 00 BAIL .SO Ex. Occup. oimLEEDrs IAEs �:�en ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation I suranc cater ier and policy number are: Carrier .1 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 04l (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall 1with comply Ith thos ions. X �������" ` DiAgent �P rZ J -- Signature of pplicant - ❑ Owner ❑ Contractor An OSHA permit is required for excavations over 60" deep and demolition or construction of structures ovTer3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE FEE $ 162.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD ND 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. C By Date PERMITEXPIRESON - 2"=.2"=.- (Date) r3 ReceiptNo. 4(K X71X 180081 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r . .. s,Y 5�.a�,�►5y s. i �:r(V •e'. GT:i'fa a✓s`h�''.i'"�yr'�`rT •. s{,�'.�.�r�'�i��;ij�'•.v:..3.e�::-U7,f+�,., n:.�,�;'�,'!'�Ka+QCt';*k„w; ... -..„,. w.. INI G I COUNTY OF BUTTE -DEPARTMENT OF,DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICA`TIOP AND PERMIT ASSESSOR PARCEL NUMBER 011Lo310 _ 0-35- . ZONING _ BUILDING PERMIT OWNERT357-ZONE L.o /;1"4 893- yo7o So. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS -7C 6iv /11 0,%. C � U 9S92b QCr LS/ 5,0 V a I CONTRACTOR'S NAME TELEPHONE O �TR4f CO,J s a.) C r/ ®.-.) 6q 15 - 10 0/ ' COMPACTORS MAIUNG ADDRESS 3r Y�s, c VX441-`4- A7 C.r,Zf CA y <-T2 4� Fireplace CONSTRUCTION LENDER UNOdOWN Total Valuation $ _5'0 O Q LENDERS —UNG ADDRESS Filing Fee $ 20.00 Permit Fee $ `72 -- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee S ARCHITECT 054 ENGINEERS MAILING ADDRESS Penalty $ BNADINGADDRESS J Cy 7 PERMITFEE I S G�Z PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7,00 14 , LOT NO. SUBONsgN9 NAME PARCEL MAO I Solar or heat pump water heater 23,00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer I 15.00 TYPE OF WORK New O Addition ❑ Remodel ❑ Utilities O Installation O Other O Describe Work: &M R 00 e 0d A10 -1J •- 5f9de—r114 Mobile Home IS I GI W1 1 1 @20.00 PERMITFEE I S Contractor ELECTRICAL PERMIT I Filing Fee 1 20.00 Main ServiceOOOV OR LESS ( 200A OR LESS ) I 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code. for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST DWELLING OCCUP I ( ) I OP ADDNS 6 ACC BLDS 3.$C 'Fr"NEW CONST MULTI.OUTLET NON•RESIO ( BRANCH CIRCUITS ) I I @7.50 POWER SINGLE APPAOUTLET US gArus (A ) I I Ex. Occup. ( OUTLET OR FIXTURES ) I (ry I•00 �" SAL— Ex. Occup. oFIXED !a OR ( ) I 5.001 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Z ( — Contractor MECHANICAL PERMIT I Filing Fee I 20.00 Heating Cooling Hood I 6.50 Ventilation PERMITFEE S — Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars (S100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories In height. Mobile Home Installation Fee I $ Energy Inspection Fee $ rrvE / r� DCc — _C_ TOTAL FEE S --- _I I HA2 I D FEES I IMP i FLOOD I CDF PARCEL I PD i NO 155UE This permit is hereby issued under tree applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON - d)nn.l Receipt No. _ Wr1111 011': H :.ANAHV A':n.1'i.n0;4 'Nn L;L I' WNH0(1-APr't!r'ANT 042-340-035 PERMIT#98-0199 MINER, Loyal 784 Churchill Dr., Chico " Cont: Mike Richard Replace Windows/SF /`0 0? -0(005 r COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916)'538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 1 ZONING pp BUILDJNZIPERMIT OWNER LOYAL MINER TELEPHONE SO, FT, OCC. BUILDING VALUATION CONTR 3000 OD }j ry� OWNER'S MAIUN.�G_t/1DDPeAURCHILL DR. CHICO ���MEi144RICHARD CONTRACTOR'S t��G zI35 CONTRACTOR'S MAILING Aii{.s HEMMING LN. CHICO 95973 - CONSTRUCTION LENDER Fireplace LENDER'S MAJUNG ADDRESS ' Total Valuation $ 30M.M ' ARCHITECT OR ENGINEER LICENSE NO. - - Fee $ 20.00 -Filing Permit Fee $ 54.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS I ' Plan CheckingFee $ * BUILDING ADDRESS 784 CHURCHILL DR. Lf11J Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ 74.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat' pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK A New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M Describe Work: REPLACE WINDOWS I 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oa "s 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision? of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is igJull force and effect. / I License Class 01 Lic. No. C� TU 7 / OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will' maintain a certificate of consent to self -insure for workers' compensation, as.piovided for by section 3700 of the Labor Code, for the performance of the`work for which this permit is issued. i ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. s0. OR ADDNS. ( a ACC. Bins. 3.50FT. S NONEW N•RESICONDT. . MULTI.OANC CIUCTLETTS @7.50U POWER APPARATUS 8 SINGLE OUTLET CIS. 20 OUTLET OR FocruREs @ 1.00 Ex. Occup. BAL .so Ex. Occu . ouTLE T. REs o.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Pr I certify that in the performance of the work for which this permit is issued, I shall not employ any person in an manner so as to become subject to workers' compensation laws�of Calif? and agree that if I should become subject to the workers''competisatio`n ?visions of section 3700 of the Labor Code, I shall forthwith/cc '�'ly it 'se provisions. X�? Date=�t/<S _ Signature of(Appli"ant - ❑ Owner fQ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ' occ CONST. TYPE ' TOTAL KEE $ 74.00 HA2. D. FEES IMP FLOOD CDF pgpCEl " VD HD ,§siie This permit is hereby issued under the applicsble provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By _ ...... Date PERMIT EXPIRES ON Date Receipt No. 224987A /4.0U WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754�4_ PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 42-34-35 ZONING . SIRI BUILD PERMIT OWNER LOYAL MINER TELEPHONE SQ. FT. OCC. BUILDING VALUATION CONTR 3000.00 OWNERS MAIIBAQDRMHURCHILL DR. CHICO CONTRACTOR'S IYIIKE RICHARD TELEPHONE 894 2135 CONTRACTORS MAILING ADDRESS 112 HEMMING LN. CHICO 95973 CONSTRUCTION LENDER Fireplace LENDER'SMAILING ADDRESS ' Total Valuation $ 30oo nn ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 784 CHURCHILL DR. Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ 74.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: REPLACE WINDOWS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ull force and effect. / f License Class Lic. No. (p y0 7 7 3 OWNER -BUILDER DECLARATIONEx. I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any pe on in manner so as to become subject to workers' compensation la of o , and agree that if I should become subject to the worker ' om Se' n isions of section 3700 of the Labor Code, I shall fort it c ly It s provisions. �. X Date ��=_ Signet a of Appl' ant - ❑Owner A Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADDNS. ( s ACC. BLDS. 3.52FT. NEW CONST. MULTI -OUTLET NON-RESID. A C c @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 Q I.00 Occup.BAL @ .50 Ex. Occup. ouTLEEDrs AESIo.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 EE PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Defe ReceiptNo. 224987/$74.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL .- J, -93-3331 B 042-34-0-035 MINER, LOYAL !'784 CHURCHILL DR, CHICO CONVERT- PORCH TO SUNROOM/SF y • wac- �✓ls{��c�-I-i 6✓i �3 p. 3:1 3012--c I pof S,h��- lico o� v a !. Al ���D .� o . �� j OSS=• . JOB FINALED (n.w6 8ipnoturn V=OK O = Not OK ' - =NotReaReayApplicable MOBILE HOMES =Not Ready Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete • . 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Net. or/ PV ft./ /"LPG o 7. Well Clearance & Disconnect r 8 Utility Clearance t Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks Easements 2 Footings; Size-Spacing-Marrlage`f ine' 3.. Gas; MH Teat -Demand -Valve -Connector 4.' -Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector ' - - ' ' ' 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged ., 9. Exits; Insp.-Sketch , T 10. Cert. of Occupancy m MISCELLANEOUS Date/Initial DEC , COVERS, CARPORTS, GARAGES, (Plans)OK except #'s ZopMg Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joista-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posta-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 ! i Date/Initials POOLS (Plans) OK except #'a 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3.. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Biockouts-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 Teat 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/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'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. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'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 Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'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 Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Puri in' --roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm._WindowgAr Exiting Doors -Sill Hot. & Dimensions nitials 50. Ga(qWFJrWProtection Framing 51. Property ne Firewall & Openings 52. Ext. Doo a 3' -Check Garage -3rd Story, 2 Exits *j._ ; wiath-Headr -Rise-Run-Landing-Fire Protection 54r0woad-0,Apof Overhang -Attic Vents -Rafter Outriaaers. 55. _SidingW II 56. Stucco -Dri Sc d -Fd. Vents-Underfir. Access 57. GI ng Aa -Glass P t tion-Skylights-Piestic 58. S ar alis; Nailf is 59. sulati n 61ngs 60. Infiltration -Wad -Windows rf�f Ext. Steps -Door & Sidelight Protection -Landings ( /Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. ' In Garage; Above Floor -Meth. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Pia rs _ 0 Yes ❑ No tucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. V on Throughout House 0 ff Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT S 7 County Center Drive - Oro 'Ville, California 95965 - T APPLICATION AND PER - UI DIVISION (9, 1 - 541 PERMIT NO. 93-3331 ASSESSOR PARCEL NUMB ER 042-340-035 ZONING srl I/ BUILDING PERMIT OWNER LOYAL MINER TELEPHONE 893-4044 SQ. FT. OCC. BUILDING VALUATION 230 @ 3 8 740 OWNER'S MAILING ADDRESS 784 CHURCHILL DR CHICO 95926 CONTRACTOR'S NAME OWNER TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 108.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 70.20 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 784 CHURCHILL DR, CHICO PERMIT FEE $ 198.20 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)p Duplex ❑ Mobilehome ❑ Other 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 ❑ Installation ❑ Other IR Describe Work: ENCLOSE PORCH TO MAKE SUNROOM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS 1 200A OR LESS 23.00 Main Service ( 200A TO 1000A 1 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( &ACC. BLOS. 1 SO• 3.51 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 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. /(cense 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) ❑ 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. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS 1 @7.50 POWER APPARATUS 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 B20 @ 1.00 Ex. Occup.(OFIXED APPWS. OR UTLETS (RESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 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 ,2ertificate of Consent to Self -insure. e 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, judgms, costs, and expenses which may in any way accrue against said County in co P!_�anting of this permit. X Date /� % ' 19-7 I ature of Applicant Owner Q Contractor ❑ Agent n 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 $ c3 cDN�T�TpPE I/ N TOTAL FEE $ 198 HAZ- D. FE IMP FLOOD CDF PARCEL PD I 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 ey Date PERMIT EXPIRES ON 9 /Date! Receipt No. 148995 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT SMOKE DETECTOR INSTALLATION CERTIFICATE BUILDING OWNER M) yV. PERMIT r A ' BUILDING LOCATION 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 smokedetector be installed_ in: (1) Each sleeping robm, and at a point centrally located in the corridor or area giving access to each separate sleeping area. Where the ceiling height of a'f6bm open -'- to the hallway se%ving 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 storyand 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 $1,000 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 E 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) State, S 01,- 09K - Contractor/Owner Date License No. This completed certificate must be provided' to the building department prior to final COUNTYOF BUTTE - DEPARTMENT OF D�E�V LOPMENt C S - UILDING DIVISION J 7COUNTY CENTER DRIVE -OROVILLE,CALIFORNIA 9596 PHO E(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER P. No. 11r)� Proposed Building se Building Inspector Date s / :�Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. `-' 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... --'T .+ 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. 11) Fees of $ � Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees......................... 4)Sanitation iW3 Flood elevation letter (100 year flood) by California Engineer.. . and plot plan approval l:U�'�o Health Department . ............ 15. City of Chico plumbing permit. . ...... ......... ......................... 16. Plot plan and business licensed pproval 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 request Pre -inspection for .- required. .. to Building inspector (Date) 21. Contractor's license information: (No Name Style, Classification). -..7 :- .......... 22. Certificate of Workmans Compensation Insurance . .................... N...... . 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" ight 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. -P..lan checklist . ................................................... 33. 34. When you issue the permit, process as follows:� Telephone 191-3--!467and hold for pickul Other Parcel Creation Acreage Mail to owner. Mail to contractor. t office. Deliver with inspector. Applicant , Copy of Haz-Mat form sent Health Dept. I Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted ri t . pe mit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: PA Contractor, designer, owner, was advised of above required data,by _ phone _ mail Counter by _ Date Contractor, designer�jner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by (I L1! Date(o 1f Plans approved by Date 1 i -/g-C�Z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works I 4 ~ r� y TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance C 0, I:.II: I ISE ONLY Pha Plan Allached Fluor Han Att:ichcd Lti a ( :C T� roc l l 01 rur- 78�/ L%1l�i'C411 , I, 1 �'Ii f02 - 3-¢ ` 3S I—Owner Location AP# Plan, Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedwom mobile home. Other Fnel.Ie eXibrrele- D zo dtr6 4 - Hold final for: Final clearance O.K. for: NOTE: L-nvironn ntal Health S ecialist 8/92 /V4pz-� / 7, / 9 93 Date COUNTY OF BUTTE - Depaitment 11 of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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) E S 2. I (have/have not) signed an application for a building permit for the proposed work. 1* 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 Security Date /O r 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. ,�.�, ^' �'" vt�.��+;�•)Yfi�+"'�i'fi{'" 1 ...r.'4 :rcr..�liW:y�sr:..f�„¢�s�Ts BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Ln A.P. Number 049'3410. 435 Jurisdiction City Property Owner . Property Location/Address Subdivison Residential Development L-1 00,-, 14 vzD/fiQN Commercial/Industrial Building Department No. County CJ Lot No. T Sq. Footage z 3 No. of LivingIIHI 'A-dition (Group R) Units New 'D_Sq.ot Foage - Addition �(inclUding Exterior Roofed Areas) /61711,:5 Building Department Representative 4 °' Date (Floor Plans reviewed by School District Personnel) V_ District Identification No. School District certifies that Loyo-1 Aner (Applicant) 7g � ,� .'/1 R . 9�3 — LO hQ (Street Address) (Phone Number) Ctitoo S% (City) (State) (Zip Code) has complied with the requirements of Resolution No. -'j ,? 3 S 9 by payment of $ ^ � . + -� - -• ��' •�� - representing .Z 3� p g square feet. J % i� r. Ot �� rane /"lar School District Rye �1 Date /n(ta%tive ! IN /Paid by CheckiNumber -Remarks: _ Bank Number ' it / % % / j Paidby'Cash' If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to ' additional school.fees to fully mitigate its impact on the school district's schools. White (applicant), ,Yellow(building( department), Pink (school district) J.feeformwf'i (a/si) ., . A S -NT 42-34-35 3012-91B,E,M MINER, Loyal 784 Churchill Dr, Chico (bay window, wtr htr, hvac/sf) i tt . 7 J J�. • `oY 7� 1 ! ,1 OFFICE COPY Address 7 �y Cab► u , GL- - , i i I GAS IMeter By &" M�--N DateZ�Z IELECTRIC `- Meter By \ Date � I JOB FINALED (Date) 2\--.\ `3 _ Signature .d v J=OK O = NotPK • =No Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s a. 1. Zoning Requirements -Setbacks Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /'•L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance �. Date Card B-1 Date Card B71 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch ' 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 -rAjs1411c-4- ►" ed�M ��- plot Sd,J��ooc� 7 MISCELLANEOUSt' ._ Date DEC S, COVERS, CARPORTS, GARAGES, (Plans)Ok exce t #'s Z ning Requirements -Setbacks -Easements 01"Footings; Soils -Size -Depth -Spacing -Connectors -Steel �;9'�6esir5't'Tiders and/or Joists -Decking -Bracing -Stairs -Rails -1t, Vvuuu Beams-Rftrs.-Connectors Shthg.-Rfg. AM, Bracing onnections-Splice-Decal-Enclosures I tris 41,fE.mg; Sils-Anchors-Studs-Rftrs-Trusses o Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg o0 .; Steps -Doors --Landings L Date 8- ( Card B-1 (.r(, Date J/ -,2 S fZCard B-1 476 4' Date t/_jK j Card B-1 ,yJ,Q_ Date A/ —Z.O=j/Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK - O = Not OK • = Not Applicable RESIDENTIAL'(!Not Ready ' =� - Date 113�DERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope v 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 *b 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation r 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except it'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 ---- - 20. Test Tub & Shower. Second Floor -Tub Access ------- --------- ------ ----------- 21. Gas Pipe: Size & Anchors Date Card B71 DateCard B-1 ---------------------------- ------------------- ---- --------------- Date 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. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ----------- `---- --- ------------------------------------------------------------ ',27."2 Appliance Circuts in.Kitchen & Conductor Size/GFI ------------------------------------------------ 2 ------ '--'-------'----------------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size7! / ga. Cu or At 29. Range Circ. ! ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ 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 Card B-1 Date Card 8-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except 4's ------------- 34. ----A.--C.-Ducts Insulation & -Support- -------------------------------------- ---------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------- - -- - - - ------------------- -------------- 36. Condensate Drain & Overflow: Size & Grade -------------- __ Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- ---- - ------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------- ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 - -------------------------- ------------------------------------- ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except fr'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 r jingle & 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 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -------------------- _ _ 50. Garage. Fire, Protection Framing 51. Property Line Firewall^&.Openings 522 Ext,' Doors -One 3' -Check Garage -3rd Story, 2 Exits 53."_Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5;,,Siding-Nailing Veneer- ���" Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -1-- -- ---------== --.'57.-Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. -Insulation -Walls -Ceilings -------------- 60. Infiltration -Walls -Windows ---------------------- Date ---------------------Date _ _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 �. Date FINAL (Plans) OK exceptg's ^� 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ----------------------- - 63. ---------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection -------------------- 64. Bedroom Exiting ----------------- 65. G.F.1. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails --------------------------------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ..-----.....---- ------------- ---- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72._ Garage Fire Door; Swing -Landing -Closer i -------------------------- 73. A.C. Duct in Garage -Damper ------------------------------------------- -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection - ----- --------- ----------------------------------- - 7-,. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------------- ------------- ...-------------------------------- ---- ---- 78. Guard Rads & -Deck-Const ruct ion -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive IDYes ❑ No. Walks ❑ Yes ❑ No; Planters C1Yes ❑ No ------------------ ----------- 81. Stucco: Brown -Finish 82. A.C. Unit Disconnect Electrical. Plumbing ------ ------ --- ------------------ ------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ......----------------------------------- ------------------- i34.--W-ater Well: Disconnect, Electrical, Plumbing - ----------------------------------- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground -- - - -- - -- - - ----- ----- -- 86. Ventilation Throughout House .. ... ....... ..---------------- 87. Glass Protection - - ---------------------------------- 88. Corrections from Previous Inspections ----- - - ---- --------------------------- -- ------------- ----------- 89. Gas -Test -Me - ters Tagged: Gas -Electric 90. Water & Sewr Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates --------------- ----- - ---... _... _._..---- ------------------ - Date Card B-1 Date Card B-1 ----------------------------------------------- --- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 1`104' 19 '91 8:74 LLAKE`r' BRO-CHICOCHICO P.1 NOV 18 '91 14:31 SLAKEY'.BROTHERS P.1/1 PIPE SPECIAILIST 2467 NORTH AMERICAN WAY • ORANGE. CALIFORNIA 128$6 • PHONE 17141837.4783 .March 31, 1986 ; . To our. customers: Fe Fletcher Coating Company is Lhe Southwests leading coater of a -Leel Pipe, tubing & accessories for use in Cao & Water diotribution. Raving Pioneered many of the manor technical and application inno- vations in tbb coating industry, Fletcher Coating remains commit- ted to continuing it's leadership tradition. To keep abrea6t of ouatomora noodo tiro continually study and analyze handling, installation and corrosion proLecLiou mathod8. As a resu).t, Fletcher Boating Ouetomer,e bonerit from bettor, moro ctficient cor- riosion protection co!ati.nes, yAar aft.ar year. As of approximately April 10, 1986 we will be replacing $cntaljkote 202 with the new Scotchkote 205. Fletcher Coating Company is pleased to Announce the following nn. Scotdhknto 205 promotion progs•am: 1. Now product color ( L1uM-gresHn ) 2, Thicker coating ( highor mild ) 3. New packaging and shipping procedures. 4. Longer otorage p�eriod . 5. New tagged irtotr�1.1.A,tlon k field handling information cnolcood : r. each lift. 6. New pipe s Leitailing. 7, New 205 broohure with product & installation into. 8. 9ontahkote 205 Marketing & distribution program. 9, Plumbing & trade magasine promotional advertising. 10. Key distribution awareness. Scotchkote 202 is eompatible with Scotchkote 205, but it is advis- able to reduce & sell out your•ourrent Sootohkote 202 inventory. I Am confident thea our experience, combin6d with the marketing ' skills of our staff, will result in smart -looking, functionally - designed Scotohkote 205 promotion program. Thank you for your cooperation. if you have any questions, please give we a call. Sincerely. on Ramiro& Viae President of Mark®ting RRiardr enclohures S� CST �c c�t�-►� koofi�e. -3►� �o 0 n/ y0 t3�-l� l�s�G IDoOV •.. a}. n�� ww >Y�• F F ` 11a 1 . ? 077 .,• Irl. AA�Z V:' ; iIni i F sw pI, i. cl• }zts, � ,1 • ''�p2 �?�«k Vit. i .. `I >y i VI' wY , COUNTY OF BUTTE - DEPA TNUfENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' APPLICATFOWAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 42-34-35 ZONING r' BUILDING PERMIT OWNER Loyal A. Miner TELEP ONE ' 89�-4070 So. FT. OCC. BUILDING VALUATION 16 R �"-.:%816.00 9 M v 162.00 OWNER'S MAILING A.DDR ESS 784 Churchill Dr., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 978.00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 57.50 PLUMBING PERMIT Filing Fee 10.00 784 Churchill Dr., Chico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME _7`m AP Water piping 5.00 9 -no I Each qas water heater or vent 5.00 USE OF STRUCTURE SF U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Add Bay Window/H,,O Heater/New HVAC Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS10010.00 1AMP OR LESS Main service EA. AOO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 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 CONST. 1 DWELLING OCCUPM OR ADDNS. ACC. BLDGS. , �z2Sgft NEWC CONSTR. U TI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES 20®30! eALO 30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 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. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. V1I 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 10.00 Heating 2 6.00 L2.00 Cooling Ton 2 .00 2.00 Hood 3.00 Ventilation --- _-_ - Permit Fee $34.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, j m is costs, a expenses which may in any way accrue against said of the granting of this permit. QQ X t ��G r7/ Date ignature of Applicant - Owner ❑ Contractor ❑ Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 51.50 HA2. cuA PARK SCH FLD COF PAR ..- P i HD Isgys; V' This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above,*r which fees have been paid. DI C OF PUBLIC WORKS By. Q ?Date PERMIT EXPIRES Date Receipt No. 97933 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNT,y OF BUTTE BUIL1150PIDIVISION DEPARTME147-OF•DEVELOPMENT SERVICES 1469 Humboldt Road,. Chico, CA - (916) 891-2751 7 County Center0Yjve; :Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE A(N&aL ql-30/z. 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 con ct this office immediately. ; 6K P Vo u I A- // C 6A(ZX 1t1 -Ci - 4o n' v/�rrff2h,4 �1�1J P- � r7�r F Q /c ID I-)c/f /r%i Ktv lu/tiL 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. Date 2 / —/ Inspector C//1��,.: REV 10192 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 A, -&R . ""7.7 ER 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 contasi this office immediately. - 4- h /),nr c7Z'O�S Date / Z/; c',o7 Inspector REV 10/92 . T ' �..=. �+ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE NI) INFt2 I-) / _ -9I OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Plea'se 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. FN �rA� pl Pi�vP 4 i �- Z Inspector / �I an�,nl� i•s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 V\ e r 30 (Z -11 OWNER / / 041/cf PERMIT NO. 6-1 G `r �P'' �i ? G lit �' J" `% A routine inspection indicates that the following violations of Butte County Ordinances etost at the above address and should be corrected. Please notify this office when correction at work is completed. If you have any questions pertaining to this matter, or need additionalexplanation. please contact this office immediately., 1 \ '?r e) u td 2 �Q IS �cn �� S �. pot 4 ©� (..,jC,`c 'Q r ti -Q r` ' J r - Z � r1 0- , ti 3 S C "'� s !2j F C T f o � A PGul..� rl �CJr ��UiGI V1 C. �104'e _ 7rhrift#%1 G^A— Qac-,Peo / /ror t o1,l, taA1 oda nt r7h /JC o n 164 el u kl, o 10 r- LA, to Date 1-2-1 -j Z, Inspector REV 11/91 �l,V �t/°b1+S�.-Ji R'�L4�ft.�`t✓l��i�ii i�`. .u'[1i1'NOhY-.-.'"�Y'R'cT O ' COUNTY -OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 1 CORRECTION NOTICE r PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notifi.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. 2 le a'n -�- � ! -1 C c P C udw er 5rU QP — d Date Inspector REV 11/81 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chi.ro — Phone: 89.1-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 6, V,% t r -z®iZ-4/ OWNER PERMIT NO. A routine inspection ,indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when c/orrection of work is completed. If you have any question pertaining to this mattey{ or need additional explanation, please contact this office immediately. - El rc -i r- , , G(ofr. r pin - N Sp e /t1 CZE 2 5 U — ? C) b )I �o Go s rte', poi � A., F'y /s (so Rk-4&"..ems N,PceS_eC A . 'b FGe- VI 04 `W (r, —J L r ` f toS CT NQS O/�/rit Se e 4- r '�- ti ?!` O fJ, l� / 6? Q -`fess -r G l� iso rLZ - Date_1 /—¢ 0 (r/ Inspector z' - (p/ yLa—, COUNTY OF BUTTEp. + DEPARTMENT OF. PUBLIC WOf;KS 196 Memorial Way; Chico — Phone' 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone:'872-6307 CORRECTION NOTICE Il11� r,.Pr .3 Olt -r1/ OWNER PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office FwGn correction of work is completed. If you have any question pertaining to this ma r, or need additional explanation, please contact this office immediately. r .ham r �rer.iiiW rrrf0r�. �l LanQPr� �O(.tvi� �OrO�inlf Date �� Inspector_�� TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance _.` OwAer Location AP# Plan Approved for: Sewaqe Disposal Hold final for: Final clearance O.R. for:'. Clearance for bedroom mobile home. Other NOTE Sanitaria Water Supply Water Supply Water Supply M. _ "'y x. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROyyV'1LL`0( ALtFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT'A_PRUCATION DATA SHEET Permit No. OWNER L /% �f% L.-- � /t�'/ � /V r��� A. Proposed Building Use Building Inspector Date I At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ` DATE RECEIVED APPROVED I items have been submitted . . .............................. ` 2. tot plains in duplicate/triplicate, signed by preparer of plans ........ • t+ _ 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 ......... d.� . 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 'k instructions........................................................ �. 10. Fees of $ ........................ 1 11. Chico Urban Area fees paid •' ic Park fees paid .......................................... 3.1 ( // School District fees paid .............. — Z? d 14. Sanitation approval fromG'4 /f 7 Health Department 2 2- i. t. 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of ' (see City for other requirements) orf : 4 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) .R ! 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 AcknowledgmentrStatement ......... 25. Letter of signature authorization ............ ................... . 26.''` . �t 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor"' l Telephone and hold for pickup at office. Deliver w/inspector. t - Other {• Applican Date 4 Copy of Haz-Mat form sent Health Depi. 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). I� r: la+. 1. Index permit for above items No. 2. Additional items required: �• Contractor, designer,!owner, was advised of above required data by_phone----rnaiI—counter by—.date— y .dateContractor, Contra ctor,designer, owner, was advised of atiove required data by —phone _maII—counter by date Plans checked by Date Plarfs approved by Date �"q Sets of plans on hold in Copy—DPW File cabinety AP folder z COUNTY OF BUTTE —Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: _.. °Q. An "owner -builder" building permit has been applied for in your name and bearing your signature. b 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) f ' 2. I (have/have not) /�'O%,e . 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. J 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 3 .. Signed: Property Owner Social Securityber Date 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. t ri . BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) ' A.P. Number 117, 7 _ Building Department No. School District (5is z':�)` City D County L�l Jurisdiction Property Owner G,�'YAZ.11- A M &S"-., Project Location/Address 29 e,-,& 6,,6 C-& Z --L Z21-6 e:5 &O Subdivision Lot Number Residential Development: 5�,Sq.- Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Ex erior Roofed Areas) Building epartment Representative Date f (Floor. Plans reviewed by School District Personnel),; District Id No. School District certifies that • ( pplicant Name (Phone Number) (Street Address) 0, 14) (04 q �i4*1(o .(City) _ (St"ate) (Zip Code) A - - k% has complied with the requirements of Resolution No. 1 by the payment of $ representing 1j squ re f et. Gt,.t ool District Representative Date PAID BY CHECK NO. REMARKS: `ga" w nd,n it BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 'OWNERS �►. �. �' �liZ `' 3'i � 3S DE:ti_;L 4CC' RR:=JE.ii_ai Dt' yMT�' �3�J J3 RECT r s D;,71-: I TM�rr R-EQUIRED ?'O ---OR TO PrRPC_ rSSUANCr FROMDA'-A P5QUES= 3Y ?UN C.=.=.`tGTY"L:. N/ o= --M k4* t- C T✓ � .tGF'f' �✓ REQUE T7 3Y CORRECTION Y S NO LCCA =0N IN BUILDINGWtir.� •C:J.ANGL OC=S : WhMN AM.O E , PRCC aS AS FOU OWS : to owner Ma-il to contractor Ca and hold =or- pic:{up at he oL=ice. Del -`ver wit nest _ soec=_on. REt� =5 ?LAN (ME _= LE A=D: s 23.00 s"101".00 Addizionai =ees Not Required t"Iru W '_ '_ YI N N CBS aa3 C4 h N L� C I oee — -- —IF v �y v6Z/I J ->Z-712,-10) ' fyn�G 7 civil.. P I V� pF CAS\F kbt CHICO OFFICE - 1469 HUMBOLDT ROAD, CHICO 95928 TELEPHONE: 891-2751 LOYAL MINER 784 CHURCHILL DRIVE RE: Building Permit # 93-3331 CHICO CA 95926 Expiration Date :11-18-94 A.P. # 0�42l34.0=035 DEAR MR MINER: 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: $XyJ 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 CHTCO office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office ' - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 ra.� '6'utte oun BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: 19161 538-7541 FAX: 19161 538-2140 CHICO OFFICE - 1469 HUMBOLDT ROAD, CHICO 95928 TELEPHONE: 891-2751 LOYAL MINER 784 CHURCHILL DRIVE RE: Building Permit # 93-3331 CHICO CA 95926 Expiration Date :11-18-94 A.P. # 0�42l34.0=035 DEAR MR MINER: 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: $XyJ 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 CHTCO office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office ' - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 ra.� ESIDE TIAL J - 2449-90B 42-34-35 ' MINER, Loyal 784 Churchill Dr, Chico,- (skylights & reroof/sf-)3 J=OK O = Not OK -=Not Applicable Not Ready MOBILE HOMES ' = r Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils: Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Da;e DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftfs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connectons-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2 Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane[boa 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 a v V OK O=Not = Not Applicable RESIDENTIAL (Siegle ' = Not Ready &.Duplex) Date UNDERFLOOR (Plans) OK except #'s. _' Date FRAMING (Continued) 1. Zoning-Setbacks-Easements=Flood-Slope 45. Hangers-Post'Caps-Anchors-Connectors ' 2. Ftg.-, Main; Soils-Elec. Grnd.-/ • P' Ftg: Depth 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthrig.-Rfng. 3. Ftg., Garage; Soils -Steel -Elect Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches &Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 5 ; 7. Slab; Steel -Wrapped 52. Ext. Doors-One.3'-Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows ` 3 Date Card B-1 Date Card B-1 yI Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 '. :'• Date PLUMBING (Permit) OK except #'ss Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s r 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter .3 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchin & Conductor Size/GFI 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / gal40 or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: ' Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House s 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access &Platform if Furnance in Attic 87• Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1- Date Card B-1 Date Card B-1 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) v COUNTY OF BUTTE - DEPART.MENT, SOF PUBLIC WORKS T i PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ' APPLICATION AND, PERMIT ASSESSOR PARCEL NUMBER 42-34-35 ZONING ' SR -1 BUILDING PERMIT OWNER . Loyal Miner TELEPHONE 83702 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 784 Churchill Dr., CHico 95926 CONTRACTOR'S NAME Owner TELEPHONE a CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 16.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $9,9.79 PLUMBING PERMIT Filing Fee 10.00 -7 �7 Each Trap 2.00 GSolar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.006 TYPE OF WORK New ❑ Addition ❑ RemodeI ® Utilities ❑ Installation❑ Other ❑ Describe work: Sky Lights/reroof RE: B.P. #1925-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUR.E A New CONST 2/zQsgft R.MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050¢ e ALB 30 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. %� 1��=�`�`�-- Date / Signki`ure of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ . 7 HAz cuA PARK L A PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees D I R OF PUBLIC Bys ZO PE MIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS D to 1117- Vk Receipt No. 66497 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 1.�: '"L f'r +ori ►�"'nrY` L�.� +�' ' ��*�u,:�5. COUNTY OF BUTTE - DEPARTMENT100PUI681C WORKS - BUILDING DhVI'SION rk, * 7 COUNTY CENTER DRIVE - OROVILLE,1CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLIyG 4TI,ON,DATA SHEET / d Permit No.,/ OWNER G-Oy �7 A. P. No. 4/— 3< f Proposed Building Use & 6t/7-5; „Building Inspector Date l At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. All items have been submitted. Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer. of plans . . Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form ......................................... . Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings ............... Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... Fees of $ ........................ Chico Urban Area fees paid ....................................... Parkfees paid .................................................... School District fees paid .............. Sanitation approval from Health Department City of Chico plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-inspec.request to Building Inspector (Date), Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... When u issue the permit, process as follows: Mail owner. Mail to contractor. When and hold for pickup at office. Deliver w/inspector. Other 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 daia'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---nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone—ma Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder counter by date Date 71 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PAF�C EL NUMBER 3� ��O 3`J ZOy1N4 1, BUILDING PERMIT OWNER y. I /� n TELEPHONE /0.7� SO. FT. OCC. BUILDING VALUATION OWNER'S MAI ING ADOR SS C� a d Z -2V - 95"Y26 CONTRA O_R•? rtP i^ TELEPHONE CONTRACT(//01/R''SS/MAAILING(//ADDRESS Fireplace CONSTRUCTION LENDER- _ UNKNOWN Total Valuation $ Filing Fee $ _ -_-. - 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee. $ ra - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap J _2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION, NAME - PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other `7 SPECIFY Gas piping system 1 = 5 outlets 5.00 - Building sewer 5.00 - Mobile Home -S ] G 17M 10.00ea -TYOF WORK NewAddition[:] .Remodel Utilities ❑ 1 stallation❑ Other ❑ ❑ Describe work: - Permit Fee $ Contractor ---_ - ELECTRICAL PERMIT Filing Fee •"10.00 _ ,., Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): - -:. -. '�.' ❑ I am licensed under provisions of Chapt. 9, Div.. 3 of the Business and Professions Code and my license is in full force and effect. ' `• "' License No. """'"`-`--' Classification — - --- - �- �-'• � _ ❑ I, as the owner, or my employees with wages as their sole compen- -' sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, -as the owner, am exclusively contracting with licensed contract-. ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.! DWELLING OCCUP.EI\ OR ADONS. `ACC. BLDGS. 1 '/x¢sgft " NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRCUITS) - 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. - Ex. OCCup(OUTLETS OR FIXTURES 2ALO3t eALo 3o EX. OCCUp. OUTLETS IFIXED PRESID )REA./ 2.00 - ' Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation - permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, -judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE G TOTAL FEE $ HAz CUA PARK SCHL FLD PAR P D HD ISSUE This permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. - WHITE-D.P.W..-TELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DepartMent_of Public Works 7 County Center Drive;.Orovil,le, CA 95965 Phone: 916-538-7541 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) u k 2. I (have/have not) /�/f/!r/�'. 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 Address1. 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 ,. . �C Signed: Property Owner Social Security ber Date %- /, ry 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. RSI EN IAL -OUT- 3 I- (- - - --3_I D 42-34-35 .1925-90B - j Miner, Loyal 784 Churchill Dr, Chico (reroof & repair/sf ) Orl SNI J0B FINALE Signature Ott J=OK O = Not OK .. =Not Applicable MOBILE HOMES ' =Not Ready � Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Aequire ments-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 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Efec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boa 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 RESI DENTIAI- (; ' = Date UNDERFLOOR (Plans) OK except #'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-Blockouts-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. Gas Pipe; Size -Anchors 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.; Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'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 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'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. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga..Cu or AI-A.C. Wire Size / / ga. Cu'or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. i' 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'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 Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'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 & Bearinq lingle & Duplex) Date . FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors' 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions . 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -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 FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext.. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.: Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1- ._ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. /0 AS9E9SOR PARCEL NUMBER 42_ - ZONING _ BUILDING PERMIT OWNER TELEPHONE 893-4070 —rp_roof .SO. FT. OCC. BUILDING VALUATION Est 6,0Q0.0Q OWNER'S M ILING ADDRESS 7 0 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 6,500.00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ _ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 1 $ 15-00 Energy Plan Checking Fee ✓�- ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 87.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W iLl0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E] Describe work: Reroof/Repair _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr OR ADONS. ACC. BLDGS. 2h0sgft NEW CONSTR. 'MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr\ SINGLE OUTLET CIR. / Ex. OccupOUTLETS OR FIXTURES 2®806 9A0 LO30 FIXED APPLN5. Ex. Occup. OUTLETS RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not -employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 sal o ence of the granting of this permit. X Date ��� ��� 4Ig arure of Applicant — Owner, Contractor ❑ Agent ❑ rPA An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height, Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL AL E FEE $ $7.50 0 HAz CUA PARK i PAR HD ISSUE _ � This permit is Hereby issued under sions of the Butte County Code and/or work indicated abov for which fees DI C R0 PUBLIC By PERMIT EXPIRES, ate the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. j I� J 0 WHITE-O.P.W., YELLOW -ASSESSOR, PINK INSPECTOR. GOLDENROD -APPLICANT n .. n ,r ,lt!`:��• ;i.,,� tib' q�7r^�l..,+.Ew�+..1j�.-. t. Fr.,r:`< .' ti•.a:' :'t: :�. 4. � � v, ri' .r+-. ��"'. t ' �. ��; + .fr � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. j 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB BONING 5X BUILDING PERMIT OWNER T LEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' M%IS1 tAOORES CONTRACTOR'S TELEPHONE K 22 Oa CONTRACTOR'Sl MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee / $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ . Penalty $ BUILDING ADD Permit fee � $ qyZ� G PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTU _ SFN Duplex❑ Mobilehome❑ Other ri'�Q10 '•-SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 e TYPE OF WORK New ❑ Addition f emodel ❑Ut' I'ties -Installation❑ Other ❑ Describe work: ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 .. Main service 600V OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):_ ' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.tr OR ADONS. ( ACC. BLDGS. 2,20saft NEW CONSTR ULTLOUTLET NON-RESID BRANCH CIRCUITS 2.50 ea (POWER /POWER APPARATUS &) OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200000 e ALB 30C FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.� 2.00 Temporary service 10,00 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 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 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 Count of Butte to enter upon the above-mentioned property for inspection purposes. y also agree to save, indemnity and keep harmless the County of Butte against all liabilities .udgments, costs, and expenses which may in any way accrue against sai ounty� ence of the granting of this permit. X �'. , Date Si ' tore of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE � TOTAL FEE $ /f sOI HAZ CUA PARK SCHL FLD PAR PO HD ISSUE This permit is hereby issued under Bions of the -Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.' WNITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orbvil,le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION r. 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) �e_v,` 2. I (have/have not) zxl"a°, 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 (rt tq v -, i - - A04 woo-ka-S V r (W �S ig n ed Property Owner Social Security XuAer Date 6 — XJ — 9a 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION OWNER Proposed Building Use 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. A. No. J3 7 Building Inspector Date At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: Z1. 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 of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 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 Acknowledgment Statement. 25. Letter of signature authorization. 26. 27. When you issue the permit, process as follows: Mail t owner. Mail to contractor. X Telephonei l3g0 7 V and hold for pickup at office. Deliver w. /inspector. Other 7 Appli GENERAL INFORMATION Date11'4' ?� BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Oroville 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Parad i se . . . 747 Elliott Road Phone: 872-6307 Hours: 8:00 a.m. - 12:00 a.m. Oroville . . . 7 County Center Drive Phone: 538-7281 Hours: 8:00 a.m.: 10:00 a.m. Paradise . . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT —.7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date- ate The The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: By- By (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mal [—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma I1 coiner by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF,; --PUBLIC WORKS - BUILDING DIVISION A - rT�lSl 7 COUNTY CENTER DRIVE - OROVIL E�pG LIFORNIA 95965 - TELEPHONE: 916/538-7541 » PERMIT APPLICATION DATA SHEET Permit No. OWNER l `, ` t 7 AL M l� �--� A. . No. Z Proposed Building Use ��Ur 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 _Z1. 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. 1 27. When you issue the permit, process as follows: Mail t owner. Mail to contractor. Telephoneand hold for pickup at office. Deliver w. /inspector. Other //,4 9 Applicant Date er -Q Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date- ate The The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: By- By (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mal [—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma I1 coiner by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. Ilk 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �'%? APPLICATION AAD PERMIT �'" . ASSESSOR PARC NUMBER - ZONING - BUILDING PERMIT OWNE y TELEPHONE SQ. FT. OCC. BUILDING VALUATION r MU OWNER'S MARLING ADDRESS CONT " CTOR'S NAtAJEfJ / TELEPHONE 7 CONTRACTOR'S MAILING ADDRESS �j' ` Id � � Fireplace C'ONSTRUCT - LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 " - Each Trap 2.00 Solar Water Heater 20.00_...ZQ m Water piping 5.00 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 SFX Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 - Mobile Home S G W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: .4 f — v Permit Fee $ 347 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /( DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): / h I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professlons`Codd Code nd my license is in full force and effect. License No«��1 } 1� Classification =1 fl ❑ 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 CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS/ NEW CONSTR / POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50 Q FIXED APPLNS, OR EX. Occup. OUTLETS (RESID) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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 said County in consequence of the granting of this permit. % / ) X/� / d_?`r < f �� / Date f a Signature of Applicant - Owner ❑ Contractor ❑ Agent'Q_ 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 $ 0 4--- OCCUP. GROUP I TYPE OF CONST. PARCEL I PD 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. DIRE TR F PUBLIC WORKS // By i _ Date `�� PERMIT EXPIRES Date 'd-11 �y r''f> Receipt No. + - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 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 NOVICE 7 V �3 T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this officejimmediately. Inspector-- Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT /NO ASSESSOR PARC NUMBER _ ZONING BUILDING PERMIT OWNE Y TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S Mt/LING ADDRESS CONT CTOR'S NAME TELEPHONE CONTRACTOR'S M (LING ADDR SS ` ONSTRUC LENDER UNKNOWN Fireplace Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Filin Fee 10.00 PLUMBING PERMIT.9 Each Trap 2.00 Solar Water Heater 20.00 old Water piping 5.00 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� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other_y Describe work: — Permit Fee $ 30 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Mainservice 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.& 1 OR ADDNS. ( ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declAm under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profes od y license is in fupll for g��e ffect. License N Classification ,,) C_ J ❑ 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 NEWCONSTR ULTI.OUTLET 2.50 ea NON -RESID. BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS & NON-RESID, ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES gAL@300 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �[have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabties, judgments, costs, and expenses which may in any way accrue aga' i 's id County in c aa�e uence of the granting of this .permit. i' T ��`� c 3 ,Q� Date I ure of Applicant — Owner❑ Contractor ❑ Agent'Z_ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overtt3 stories iin'height. Mobile Home Installation Fee $ O TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD Ho 19SUE 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. DIR T F PUBLIC WORKS BY Date PERMIT EXPIRES Date Receipt No. 70 �d� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING D ISION 7 County Center Drive - Oroville, California 95965 -Telephone (916)/ 4 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT , �`© ASSESSOR PARCEL NUMBER 35 ZONING 901 -DING PERMIT OWNER Lo9AL w TELEPHONE - V10 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS % QQ CONTRACTOR'S NAME� o ��C C ` I � C L TELEPHONE CONTRACTORS MAILING ADDRESS 36 Wf-5r d/v CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS -7 q G 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Pf Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherx Describe Work: RF- ( 2 O F �GiL� i(ZI C 5 crut C f- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioon oa LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Gl0 Lic. No. 4S -JJ -4S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( s ACC. BLDS. SO 3.50R; rN,o R SIIDT ANCTI CUTCLET @7.50 POWER APPARATUS BSINGLE OUTLET CIR. EX. Occup. OUTLET OR FDRURS BAS p I.50 Ex. Occup. ouTLEEDTSA REESID.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 003_ � WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Cllr, I- Cl MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number "40H 4 it — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Q'A�r_�),I__L_____ Date �_-3�-- Signature of Applicant - ❑ caner ❑Contractor Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 3_ 00 HAZ. D. FES IMP I FLOOD I CDF PARCEL I PD HD 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. I� Dat3?7- // By tee PERMIT EXPIRES ON 3-�- /-,58 Dale Receipt No. ?_/()1/ O WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - `fitiis sot of pians and specrficatfons MUST'A _ kept on -the job at all times_and it is unlawful to - --' - makeany cha--Cy fE:—AI{`YlAaterials &Workmanship Shall 8ein, -nges •or ait�rations ori same without - - � Accordance with Recognized Good Practices and Witten permission #uu�.ftae.Departrr�en# o#_F 1�s _ _ -- -- -_._. -- • --pf.a quali _prescribed for the Specified use in the-- — - - - - ��' �2 ���f -- -- -- --Works, Coon of Butte. --- - - •---_ __ .— _ _ __ _-- _ �� � _ ty _ _ __ ._ .. _ _ _ Uniform Building, Plumbing & Mechanioel Codes and - -,A - G . 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F• - ,}+- : t.u... t •t' i•,-' f- -t i."�' '}�'�'}{.�s'�{...�.T�-'i'" '�•za..x r•f.,. ..Y•v • -� a---.^.. .,r-_.�.-� r a y.-.�__,._. -.}-.__.1.�---T--_._'..x.- - _ _, � � ..� '_. _:7-:.:.i ...i:..:��.:� . 1 _ : 1•,:.=.: P..;�- _ ,�:1____t��• _..k_��-��•_�.tic..'�E't1—_= -_,...-_,_-- 3" =.f- -i, —!- - — ;------=t { , -•;-- , , --_-- -j �-� --j-- �, ---! -- ,----- i----l-;--r-�---' -,-•- `-- - . _ ._ . -__- ----.._---- ---. —�-----;--;•- r � ---- --- i j I r r' "t�-t i BUTTE COUNTY- ^---_----- _ ---- - 0 V E - D - -- 960F LI A( r_- TO 3 k. _ — ---- - i - ---- - - - - \ - EI•jp 1�00� to �. - •• - - -LGN' -' - --' ----- — ww'e gqy- �... ,. to N 7Z 9 �rro. *4? yo y0 ,u APPROVED { Butte County Environmental Health21 � i 4 � V716 ALL STRUCTURES AND EWIPMEN EASEMENTS., OVERHANGS SHALL _;�LEAR O r. cF BACK OF FT. FROM THE SIVE AND $ FT. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE r,LEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. SAVE OVERHANG. • f tl NOTE:—All Materials & Workmanship Shall Be, in Accordance with Recognized Good Practices anis ; of a quaCty prescribed for the Specified ; use in the - Uniform Building, Plurn6ing & Mechanical Codes and ►hp N;4;onul. Electrical C:ocle. .0 Phis set of plans and specifications MUST be � kept on the job at all times and it is unlawful to make any changes or alterations on some without:.:.. ; •- written permission from the Deaartment of Put -ft. i s We►rks, County of Bu#e. J 3 BUTTE COUNTY WILDING DGPARTMENI j APPROVED f)�h .Z, s LU LL &x goo Roink v4 e w tycw —<Z 0 -1 - Kul &I )4cuj ext: —fa,,Dr L qfuj rooNoil— I BUTTF. COUNTY 3UILDING DEPART:M&Nv i APPROVPDI tkIC-1666-WAt ova No R 0-110446. Ne) Cooed C4 /44c) e. u. ta to &x goo Roink v4 e w tycw —<Z 0 -1 - Kul &I )4cuj ext: —fa,,Dr L qfuj rooNoil— I BUTTF. COUNTY 3UILDING DEPART:M&Nv i APPROVPDI Jed peapibat po=o doe j