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Home My WebLink About043-251-0040 43-251-4 Davi mmer 631 Oaklaw ico 14, Permit #1958-80B, close exis . porch & remoaie window & reloca try/SF) 43-251-4 - Pon Basseri & Jess Herman 631 Oak Lawn Ave., Chico Permit #4569-81B,E(inst.cover & enclose exis.deck/SF 43-251-04 92''1115E- LAFFINS, ,.Tom' 631.Oak Lawn Ave, Chico 2 elec sery/sf F3-251-004 01.-1502 AFFINS, TOM & GAYLE 631 OAK .LA WN- DR. CHIC /, CUNT: DANIEL HEAL 1 j��'"' RELOCATE GAS METER �r OIp-DI 043-251-004 02-0491 LAFFINS, TOM 631 % OAKLAWN, CHICO CONT: BAIRD ROOFING -y REROOF %4 11 043-251-004 - 02-0491 LAFFINS, TOM - 631 ''/2 OAKLAWN, CHICO CONT: BAIRD ROOFING REROOF _W *W jv COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING'DIVISION 7 CountyCenter Drive • Oroville; California 95965 • Telephone (530) 53877541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER a ZONING BUILDING PERMIT OWNER TELEPHONE �(� �� SQ. S�Q. FTT. OCC. BUILDING VALUATION . OWNERS MAILING DRESS/,.. ft �hT"r` r - ,f ( ( w 'P9�MLl �1S .0V t s oa CONTRACTOR'S NAME �' TELEPHONE t D CONTRA06Fis MAIUNCYSAD CHESS-- � �R A I ! ', �� t 1 1 n4 'f ! 1 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 16 14 • ARCHITECT OR ENGINEER LICENSE NO. Ellin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ..,/ Energy Plan Checking Fee $ ' $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF � Duplex ❑ Mobilehome ❑ Other SPECIFY r 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 ❑ Other ❑ 0 f �}h��QQ, Describe Work:-iY+ {A }' U0, �iJ —�� )50-1111 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ((�� /fq� t1��,�,� �" ISO � �."r*�l�a� ELECTRICAL PERMIT Fling Fee 20.00 i `��""'^.-'`-i" r' I OOR Main Service 200AoR'Ss' 23.00 '..A 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 hforce and effect. /� /�/ License Class �' 17 Lic. No. Q -OWNER -BUILDER DECLARATION � I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 ❑ 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 i 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� 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 I % '% - rf1A/� Main Service 200A TO t000A 46.00 NEW CONST. OW EwNG OCCUP. SO OR ADONS. s ACC. BLDS. 3.50FT. ' T. 1NpµgESID. muLTI.OUTLETuTS @7,50 POWERAPPARATUS 8 SINGLE OUTLET CIR. 20 @ ,.00 Ex. OCCU OUTLETOR SAL .50 FUCED APPUIS. OR XE0 NS OR.,s Ex. Occup. ourLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number a J `91Rf. (rhe above Section- ---d 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. (' Date �_ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSH LIDermit 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 r� CONST: TYPE (� _ TOTAL FEE $00�, HAZ. D. FE IMP FLOOD CDF PARCEL PO 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. BDate 3- 0 PERMIT EXPIRES ON 3 --?•03 Date Receipt No. -3c/N)S-(W WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Vv s COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER a. ZONING BUILDING PERMIT OWNER �j� In / TELEPHONE / SO. FT. OCC. BUILDING VALUATION ' o .OWNER'S MAUADDRES l 5d• �� CONTRALTO 'S NAME TELEPHON l �` ^ (J/� CONTRAC15W6 MAILIADD ESS 9�gle CONSTRUCTION LANISER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ (0161 0 '$ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS 41 TZa T4 IAM,) Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF )( Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: f — Gas piping system 1 - 5 outlets 15.0011 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S I �I,_ ISO � ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA 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 i full force and effect. /,, /� License Class Lic. No. cJ�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 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' co pensation insurance carrier and policy number are: Carrier J 4A/6' (/Ai 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 f rthwith comply with those provisions. X Date Signator f Applicant - ❑ Owner ❑ ontractor ❑ Agent An OSH ermit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46. 00 WEE200A NEW CONST. DWELLING OCCUP. S° CCU so OR ADONS. ( a ACC. BLDS. 3.50FT. NEW CONS .MULTI.OUTLET NON•RESID. CU 7.50 POWER APPARATUS & SINGLE OUTLET CIR. E7(, OCCU ourlFT OR FttTUREs @100 �L FIXED AR Ex. Occup. O.ao ,° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 i_ PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE15 $ Mobile Home Installation Fee $ Energy Inspection Fee $ c ( 3 TYPE TOTAL FEE $ 3q• 00 HA2 IMP I FLOOD I CDF PARCEL PO HD LSSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica above for which fees have been paid. P �^ By Date d PERMIT EXPIRES ON Date Receipt No. 3 OD WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ± 4 r , lio Jr .._., • .JCA i J i.)��-� = Jt j `" . ? � j �� ,ar { Vic, z fo ' F043-251-004 —1502STOM & GAYLE 31 OAK LAWN DR. CHICO CONT: DANIEL HEAL RELOCATE GAS METER N ,O OFFICE COPY ^ Address' ()C - L-aw n GAS�'ZO.®� Meter By Da ELECTRIC Meter By Date---- , COUNTY OF BUTTE - DEPARTMENT, OF DEV,ELOP� ENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville,'California 95965 • Telephone (530) 538-7541 ' PERMIT NO. (Rev. 12/96) '-APPLICATION AND PERMIT 0 l "/50 ASSESSOR PARCEL NUMBER 2 Irk . AV ZONING • - BUILDING PERMIT OWNER/�•, - �„r,,,.-. TELEPHONE jt SO, FT. OCC. BUILDING VALUATION I . OWNERS MAILING ADDRESS TELEPHONE N� 1 ONTRACTORS MAILING -S v Z1 CONSTRUCTION LENDER ,/ •"-_I LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ AR RECT,OA ENGINEEji''"- UCENSE�N0. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS I Plan Checking Fee $ BUILDINGADDRESS3� am r1..rt 6 Energy Plan Checking Fee $ �^ �- Hl 4� 0 $, PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL�MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE-`%!�•' ` SF /Duplex ❑ Mobilehome ❑ Other SPECIFY t, _4�� "`• Each Trap 7.00 Solar or heat pump water heater 23.00 $,Water piping 15.00 � Each gas water heater or vent15.:00" � y �? TYPE OF WORK 3 New ❑ Addition ❑ Remodel ❑ Utilities ID/ Installation ❑ Other ❑ ! Describe Work: ..� Gas piping stem 1 - 5 outlet's " 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 r Main Service CoA oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION i 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 �.- '21, 6,Lic. No. �� r � OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct•the project: % ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the e/Jperformance of the work.for which this permit is issued. have and will'malntain workers' compensation Insurance, as required by Section -3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co ap�/s�'�ati/g'�n insure ce c. far n polic number are: Carrier • L Ran�. • " Main Service zoos To 4000A 46.00 NEW CONST. DWELLMG OCCUP. OR ADONS. ( a ACC. S. s0 3.5¢FT. N"ONRESIOT MULTI.OUTLET 97.50' - 8 R A PSINGOUfIET CIR. OWELEPPARATUS Ex. Occup.OtlTLET OR FIXTURE 20 p L00 eAL @ ,5 FIXI Ex. Occup.,OUTLETS p� D,oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 + PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: $ Policy Number " GQ C_ SS —/6 " Q (The above sections need not be completed -if the permit is for work of a valuation of one hundred dollars ($100) or -less.)" !� r ❑ 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 f I should become subject to the w r ars' compensation provisions of section 3700 of the Labor Code, I shall f - rth ith comply with those provision X Z'Ja4A�� C/dOq,�Date �/ 4J _ Signature of Applicant - ❑ Owner f7;7Contractor ❑ Agervf An OSHA permit is required for excavations over 60" deep and demolition or constructionQ� of structures over 3 stories in height. Mobile Home.Installation Fee , $ Energy Inspection`.Fee ) , $ occ CONST. TYPE TOTAL FEE $ ,3 ...�� --w---- HAz D FEES IMP -.�-.- .� I FLOOD I CDF T .. PARCEL — PO '~^. HD ISSUE` �, This permit is hereby issued under of the Butte County Code and/or, indicated above for which fees have By 2' �� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 6 ate 7 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR' NK -INSPECTOR GOLDENROD -APPLICANT .��'�! •! •,i"�'�.�`3tr"a�" �'I�'��E19i�:_r' '_� 'F?F�?�1��•�_�_f_ '+R'`�'?� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector _ I REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Catforriia 95965 • Telephone (530) 538-7541�OPERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT -7150 , ASSESSOR PARCEL NUMBER r Z 57/ — ZONING BUILDING PERMIT OWNER TE H SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS C RA R'S NAME • Tr J 2 f�// �i� V O TORS MAIUNP ADD 8 �- CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ AR ENGfNEI f^ /�/� � l/.-/! LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6'5/ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF 0//Duplex ❑ Mobilehome O Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities Installation ❑ 00th ❑ Describe Work: -6 Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE S , ELECTRICAL PERMIT Fling Fee 20.00 OR LESS Main Service . 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 • fu1 for a and effect. �j License Class Lic. No. �� S / O OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' erformance of the work for which this permit is issued. p1ompensation, as provided for by section 3700 of the Labor Code, for the 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' ogrg gtiQn insyraQc ca oli number are: Carrier 0� �, (/� (� 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 w ars' compensation provisions of section 3700 of the Labor Code, I shall f Rh ith comply with th Be provisions. O X ate l Q —rvf 4 - Signature of Applicant - O Owner Contractor O Age An OSHA permit is required for excavations over 60" deep and demolition or constructionits of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( & ACC. BIDS. 3.50FT. 1NjDt}RESID MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 O t.50 Ex. Occup. �� p ,,� Ex. Occup..OUTLFIXETSReS D.) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAz. D. FEES IMP FLDOD CDF PARCEL PD HD ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By / v Q� Date PERMIT EXPIRES ON provisions to do work paid. r7 ,2 ate Receipt No, i, r WHITE-D.D.S.-B.D. CANARY -ASSESSOR'/ PINK -INSPECTOR GOLDENROD -APPLICANT I "�nR�b`^`;:.vW;,4ryiriy'.yF��r�+,•rF''Yj'`a"„"`.'!`•,j''eAC�"i•'1;,}ra+"rS.c;xry-.�•�}"'�M'*?".r" s _ - 92-111.5E- �: a �43-251-04 t LAFFINS, Tom.. 631 Oak,Lawn Ave, Chico' 2 elec sery/sf r: f � 3 OFFICE COPY Address 3 GAS Meter By ELECTRIC Date Meter By Date COUNTY'OF BUTTE - DEPARTMENT OF'PUBLIC WORKS PERMIT NO. 3 7 County Center Drlvei- Orov.11le,:California 95965 - Telephone: 916/538-7541 ! � - f e - APPLICATION! AND PERMIT 1r ASSESSOR PARCEL NUMB R k3-=251- '� t' ZO ZONINGS r l BUILDING PERMIT OWNER TOM LAMNS TELEPHONE ds 342-5814 ��, SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r 3 COTTAGE CIRCLE MW 95926 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS - 531 OAK LAWN AVE C�HICO 95926 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 i Each Trap 1 5.00 Solar or heat pump water he 20.00 LOT NO. SUBDIVISION NAME PARCEL.MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 91 Duplex❑ Mobilehome❑ Other I SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition RemodelUtilities Installation❑ !Other ❑ Describe work: MOVE MF"['RR R SWITT l'a'in TWC) I i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 0V OR SS Main service 200A OR LESS 2 . 18.50 37.M • Main service 200ATO1000A1 CONTRACTORS LICENSE LAW I I declare under penalty of perjury (check one):1 i ❑ 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 .� A'+ ® 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 _37.50 NEW CONST. I DWELLING OCCUP.9 3.6Q sq.ft. OR ADDNS. % ACC. BLOGS. NEW CONSTR UL7I.OUTLET. NO N.R ESID BRANCH CIRC ITS @ 5•00 /POWER APPARATUS 11 (SINGLE OUTLET CR. Occup( .20 76d ExOUTLETS OR FIXTURES I' FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.)EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I I declare under penalty of perjury (check one): I ❑ The permit is for $100.00 (valuation) or less. I ❑ 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� 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 becoa subject to the W. C. provisions of the Labor Code, you must forthwith complywith such provisions or this permit shall be deemed revoked. ; Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling k Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enterypon the above-mentioned property for inspection purposes. I also agree to save, indemnify an keep harmless the County of Butte against allAJ' ilities, judgme ts, costs�nd expenses which may In any way accrue galnsti said County in a sequ m e of the ranting of this permit. RX� ` �Date ' " Signature of Applicant — Owner ntractor ElAgentwork An OSHA �` permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.' Mobile Home Installation Fee S Ener Inspection Fee $ Energy p occ CONST TYPE TOTAL FEE $ 87.50 HAZ 1 DFEES I IMP I FLOOD CDF I PARCEL JTD I ISS This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. If;E,�j TO`f� OF PUBLIC WORKS By >t .... Date9- r 1 _ f Z PERMNT EXPIRES Date Receipt No. 1�%�8 WHITE-D.P.W.. YELLOW -ASSESSOR. PINx•I.SPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Cailforrila 95985 - Telephone: 918/538.7541 APPLICATION AND PERMIT PERMIT NO. AS9 E930R PARCEL. NUMB R 43-251-004 ZIONING AR 5 BUILDING PERMIT OWNER TOM LAFFINS TELEPHONE 342-5814 ,SQ. FT. OCG`, BUILDING VALUATION OWNER'S MAILING ADDRESS 3 COTTAGE CIRCLE CHICO 95926 CONTRACTOR'S NAME 014NER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 631 OAK LAGAN AVE CHICO 95926 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: _MOVE METER & SPLIT INTO JW _ Permit Fee $ Contractor -ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR 00A OR LESS 2 18.50 37.00 Main service 200A TO 1000A) 37.50 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. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. I 3.64 sq.ft. NON.RESID R. BRANCH CIRCTITS @ 5.00 POWER APPARATUS IN (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 - 15.00 PRE INSP 1 20.00 Permit Fee $ 87.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 t Ventilation I I 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 ente upon the above-mentioned property for inspection purposes. I also ee to save, indemnify an keep harmless the County of Butte against all ilities, I.udgme s, costs d expenses which may in any way accrue Inst s 'd County in se a of the ranting of this permit. Date — Signature of Applicant — Owner niractor ❑ Agent An OSHA permit is required for cavations over 5't)" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $ HAz DFEES IMP FLOOD CDF PARCEL PD HD V This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees E T OF PUBLIC By PE EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Datel/—I 9—lf-9 Receipt No.QQ$AR � WMITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ''fit • c �'T� ti�+�; ��aa:f:-.i+ c � a.- 3 l,".}Yp a"�' f .tu .r: - . � •, �i ,"r r to COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllet `Callfornla 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT ASSESSORIj�L'%7ER /� �D �/S o zoNl a BUILDING PERMIT OWNER TELEPHONE SQ. FT. DCC. BUILDING VALUATION OWNER'S MAILING AD R S C �� - CO T '9 TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR sS .1 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 C Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF4f Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORk New ❑ Addition ❑ Remodel ❑ UUttflitie Installation[] Other ❑ Describe work: W iz6y e; �� eL- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service GOOV OR LESS 200A OR LESS 18,50 Main service 200A TO IOOOAI T 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER 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.e,\ OR ADONS. 1 ACG. SLOGS. I 3.64sq.ft. NEw CONSTR ULT'.OUTLET NON-RESID BRANCH CIRCUIT S IRC ITS @ 5.00 APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 76 FIXED LINIS OR EX. DCCUp. P OUTLETS IRESID ) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 [ f7 P rmit 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 subjectpermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation 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 Date Si nature of Applicant - owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations ver 5'0" ee nd demolition or construct- ion of structures over 3 stories in height. %� Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE i, TOTAL FEE 71 $ I HAz DFEES IMP I FLOOD COF I 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. DIRECTOR OF PUBLIC WORKS . z > COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET S Permit No. A..P.— No. 3_2, Building Inspector ff4T Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of -plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) i 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 (const ucti appr al re wired prior to occupancy) 0. Pre -Inspection for required Pre-inspec. request to (� Building Inspecto ( e 1. Contractor's license Information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows:ai to owner. Mail to contractor. Telephone I and hold for pickup a ^-office. ' Deliver w/inspector. Other / � Copy of !-Idz-Mat form sent Health Dept. Fire Dept. _Air Polfution Date Copy of plans sent Health Dept. Fire Dept. Other Date . By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUT -,i - Deoar tmenc off °ub L is t;o rks 7 Councy'Cancer Drive, Oroville, C.% 95965 Phone: 9L6-5388_75„1 OWNER -BUILDER VERIFICATION �ccention 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 earl -est 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 mac -rials for construction of the proposed property provement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but.I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Wort. Sian 0 DOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. F-9 This verification must be completed and returned to our office before we are per- mitced to issue the permit. .w PRE -INSPECTION OWNER: DATE � ( l J � OCA ION (�' W (/ (�/ /(/ i� �"� 1 Ccs CONTRACTOR: ZONING_ PRE -INSPECTION PERMIT HISTORY: NONE AS FOLLOWS; ..1 TYPE OF OCCUPANCY FIELD INFORMATION BUILDING USAGE: TWb `9An!'-rAL NoinSds 'Orl 5Arkt PAKi�'LL TENNANT: [] OCCUPIED T[ HEATED -COOLED OTHER COMMENTS:_ HAS ELECTRIC HAS GAS ® HAS SANITATION FACILITIES PERSON CONTACTED '`bin c..R f 085 ACTION RECOMMENDED: X] ISSUE 0 HOLD FOR OTHER: MINEEFAIRM DATE jfjg,=ff Z t 1958-80B)IE -l-PERMIT NO. f fy/a 3/�/ • PERMIT EXPIRES -OWNER David Tammer CONTR. owner 43-251-4 LOCATION (A.P. 631 oaklawn, Chico Temp. Power Pole Called PG&E Temp. Elec. Serv.- Called PG&E Temp. Gas Serv. i. Called PG&E ; k JOB FINALED �. UfTDERFLOOR Permit No . 1. P1 ns 2. Set cks--Easements 3. Soil s-Footin s & Stemwall---/ P Fill Required--Steel--Block-outs--Elec.Ground 4 Piers --Fireplace Footing &.Steel 5. Plumb ing,Drain--Fall -Fittings --Wrapped in Concrete 42" test/./ 6. Gas Pi e--S�'ze & Test 7. Water Pi e --T st & Anchors --Regulator 8. Electrical-. 9. Plenums & Ducts- Clearanc.e--Material.&-Su port & Insulation 10. Girders--Sills--An or Bolts--Joists-'-Vents--Cripples 11. Si ri Job Card ALL OF ABOVE COMPLETED-4XXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETE SIGN JOB CARD, Signed:. Date: _ FRAMING Perm No. 1Plans 2. `ills --Proper riaterial and Anchors 3.PWa116--Studs-41ailing & Spacing & Bracing --Plates 4.t;�"Bearing Walls over Girders & Floor Nailin 5ra-ft=S�to� in Walls (rat proof) 0 --Furred Ceilings--Stairs--Chases--Tub , 7.C,4feader & Beam --Size & Bear �Hanger'9--Post Caps--Anchors--Connectors - Ceiling Joists, Rafter Ties, Purlins, 'Roof Bracing Trusses, Sheathing, Roof ing fireplace Ties or Type A Flue --Fireplace Throat s --Size & Romex Protection 12.� edroom Windows or Exiting, .Doors- -Sill E.St. & Dimensions -j—Ga-page-+4*e Protection Framing 44. rem—Separation Walls --1 hr. Fire --2 hr. Fire 45. -One 3' - Check Garage L6_S.ta 4uj--- lidth, Headroom, Rise, Run,' Landing --Fire Protection :.n Roof Overhang --Attic Vents --Rafter Outriggers Q _S4d4Tg--Nailing--Veneer; Drip Screed & Foundation Vents & Underfloor Access 20 ass Protection if required 21. .Sign Job Card_ ALL OF ABOVE COMPLETED/ / EXCEPT Signed: Date• ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD Signed: Date: PLIPMBING--Above Floor 1. Water Heater .ant.--Access--Combustion Ai.r',i 2. Water Pipe--Test&:Anchors--Nail Protection 3. Drain Pipe--Test--Fittings & Anchors --Nail rotection 4. Shower Pan--Test,First floor --Tub Acces 5. Test Tub & Shower, second floor --Tub Alc6ss 6. Gas Pipe --Size & Anchors Sian Job Card ALL OF ABOVE COMETED [ [ EXCEPT Permit No.. 42" Test Q - Signed• Date: ABOVE LISTED CORRECTIONS COMPLETED Date: ELECTRICIU,--Above Floor Permit No. 5.1/Equip. Ground made up w/mecti. rasteners ._ ianc� Circuits in Kitchen & Conductor Size 7.. e.eders--Wire size = ga. Cu or Al, Breaker Size. Q Amp. - - 1. . -Insulated Neutral, Yes [Q No Q R_ uaage Circuit ga. Cu or Al, Breaker Size Amp. --Oven Circuit ga. Cu or Al,' Breaker Size C7 Amp- --9--Seve2 -Riser Conductors & Ground MI6:—Bond-Gas-&-Water Pipes 3-1-Ua he-� closet Light --Shower Light 12. Sign Job Card '46 11 t L ALL OF -ABOVE COMPLETED EXCEPT S ked,• Date: ABOVE LISTED CORRECTIONS COMPLETED - %� Date:s// _.. .. _ MECHANICAL - 1. A.C. Ducts --Insulation & Support_-___ 2.' Vent Fan --Exhaust Above Insulation • -3. Condensate Drain & Overflow --Size & rada_ 4.-- Furnace--Vent--Access-Conb.Air--Re urn Air 5. Attic Access & Platform if Furna e in Atti 6. Sisn Job Card L OF ABOVE COIMPLETED f::�' EXCEPT Above Floor Permit No. Vent --115V Outlet Signed:_ Date: ABOVE LISTED CORRECTIONS COMPLETED Date: P -3- Y 1 fans 2 Entrance Steps �tector -' yce--Vents 5• Bedroom Exitir, �. F :COAL r & Sidelight Protection earances, Combustion Aii•,:Connecto . . & Bath Fixtures ectric Tr Ln & S te--Label Permit No; Jarage-Height & Mech.Piotecti -emirs & Rails t —9. place or Stove --Clearances Hearth 1 lectric Outlets at Wood Panel --Int. & Ext, & A,;pliances in Kitchen--Grounded_--Air Gap --Cooking Clearance c_rical Outlets & Receptacles at-Kitche'n Counter. Fire Door--Svring & Landing, Closer in Garage --Damper l - 15. tt�ter ter --Vents, Clearances, Combustion Air, P.R.V., Connector j�__ Garage -Height & Mech.Protection Fualls & Openings --Area Separation Walls ' ical Receotacles.in Garage G,F.I. Romex protect 1 Insulation--Foam--Loo'e,ed in Attic 1-7 Yes 1�. Ext, Moors & Landings �ils and Deck- Ccnstruction 2l cunda;u°n �s &.,Crati�l hole Door --Drainage &Wood -Earth Clearances -- Loo !el zinc. L or �% Yes �'2. Installed: Drive 1_% Yes L,� No; Walks� Yes L,� No; Planters or [Jing Wails / % / Yes % No ---Creating Drainage Problems %—% Yes %_7 No '^ '-'t--Disconr_ect, Clearances,_ Breaker & Conductor Size --115V Outlet 2 -4 - -rove Roof --Plumbing, Appliances, Fireplace --Clearance to Openir_gs `2 'e1. -D- sconne6t, Electrical Plumbing F'1 ectrical ,Trilm & G.F.I. �Receptacle 27. entiiation Throu?hout House ,. L�'lrl-•55 rSV LCI:Li:Jil - ' 29 orrections from Previous Inspections as --Meters Tagged -Gas & Electric _ re -r apply & Sewage Connected ..eras ompliance Certificate 33• ..ign Job Card ALL OF ABOVE CO:,TLETED / / EXCEPT ABOVE 'L -TS -E"\ COR4F.CTIO'- S CGHPLETED S igned : Date: SIGN JOB ARD. Signed: Date ratio FIREPLACE I Final Footings I Footinq I ELECTRICAL Fixtures Stucco C.aUN,TI- OF BUTTE — DEPARTMENT OF PUBLIC WORKS • Subpanels _,. BUILDING INSPECTION RECORD MECHANICAL Grd. Fault Prot. BUILDING BUILDING (Cont'd) PLUMBING Setback ,^- Firewall Soil Piping Forms Parapets 1st Floor Main Bldg.' Restroom Finish 2nd Floor Footing's Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents*Fixtures Drainage -Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for physically Appliances Carport handicapped Conformance of ex. Gas Piping & Test .Footings structure TemD. Gas ratio FIREPLACE I Final Footings I Footinq I ELECTRICAL Fixtures Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts ""' Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) r COUNTY OF BUTTE — DEPE,RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephone:.534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XE, .rs_. l a,,.v......otir Date 1 Signature of Permitee or Agent Receipt No. 37-:2-10 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date 1-7-3-2-S, ;iu�llding permit expires Date BUILDING Owner (}i ID 1_P4 fi J SQ. FT. OCC. BUILDING VALUAf ION Mailing Address C)6�CLAWA� Q* Ccs '69pih— 515 1 s,� Contractor Ow A) (5p, Mailing Address Fireplace Total Valuation Telephone No. Permit Fee .Qr7 [� Building Address 311 Qt4iCZ.AuJU an Checking Fee&/ ,Penalty ( po Permit Fee 2 • 602 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Cff( Repair drainage or vent piping 1.50 �3 _ Z51 �Lf A. P. No. `1 oning 8� Planning Water piping 1.50 Each gas water heater or vent 1.50 F& -/s SQ)4Uon I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Par 'ng Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 uilding sewer 5.00 Bldg. K.ns Recd Parcel A ,oval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ,,G7,0 s I rJL ELECTRICAL No. @ FEE L(%I A) DOW It RGZO(h-j A)r2 PERMIT FILING FEE $3.00 .(30 600V OR LESS 5 00 Main service 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. AOD'L 100 AMP 2.50 Main service OVER 6 O 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( OR ADDNS. ACCLBLrr(QCCUP. B) 20sgft /.410 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. (MULTI -OUTLET NON.RESID 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES / B L0; Ex. Occup. (OUTLETSP(RESID )FIXED APLNS.REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ � MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this VV permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ �0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XE, .rs_. l a,,.v......otir Date 1 Signature of Permitee or Agent Receipt No. 37-:2-10 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date 1-7-3-2-S, ;iu�llding permit expires Date SENDER: Complete items 1, 2, and 3. ., Add your address in the "RETURN TO" rpwo on reverse. 1. The wing service is requested (check one.) i4eShow to whom and date delivered............ —Q ❑ Show to whom, date and address of delivery...—a ❑ RESTRICTED DELIVERY . Show to whom and date delivered............ —4 ❑ RESTRICTED DELIVERY. Show to whom, date, and address of delivery.S— (CONSULT POSTMASTER FOR FEES) 2. ARTICLE ADDRESSED TO: Jess Herman 631 Oakkwn Chico, CA 95926 3. ARTICLE DESCRIPTION: REGISTERED NO. CERTIFIED NO.INSURED NO. 531532 I I (Always obtain signature of addressee or agent) I have received the article described above. SIGNATURE ClAddre (!Authorized apat �0VDMQIV9'F(V >b)AT POSTMARK 6. ADDRESS !Complete only if rpuastd) 6. UNABLE TOMELIVER BECAUSE: CLERKS INITIALS i 43-251-4 *GPOOZ184 II ---------------------- UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS Print your name, address, and ZIP Code in the space below. • Complete items 1, Z and 3 on the reverse. • Attach to front of article if space permits, otherwise affix to back of article. • Endorse article "Return Receipt Requested" adiecent to number. RETURN W. PENALTY FOR PRIVATE USE TO AVOID PAYMENT OF POSTAGE. W00 ounty of Butte ept. Of Public Works TO •7 County Center Drive OtOVille, California (Street or P.O. Bml:) Attn: Bldg Dept (City' State, and ZIP Code) �C r l _ •,fumbul ayew noA 1! 1! Iuasaid pue ld!a3ai S144 0AOS 'S -palsanbai sl 03lnjas le4l 1! pju3 ldiaoai wnlaj a4l 10 Z awl ul luawaslopua awes 041 Mid 'A1NO 33SS3HGOV � i 01 83A1130 W64841 u0 11 asJopua 'aassaippe a4l of Aluo paiaA!lap al3!110 041 luem n0A 11 'ry '031S3nD38 1,113338 N8n138 a134!e Io Ium1 asiopu3 'spua pawwn8 ' a41to sueaw Aq alo!Iie ail to 13eq a4l 01 1! 47040 Pue Ilk w101 'pies Idipm wnlai e i uo ssaippe pue awn inoA pue iagwnu 9ew•paggja3 a4l allim 1dlam uwnlaj a luem noA )I _'E 'a13111e 041 flew pue 'ldiani a4l ulela).PUe 4*1?P.'alep '813910 aqi 3o apls $0JPpe 841 to uopiod llal a4i uo gnls pawwn8 ayl' yaps 'pa hewlsod Idlaiai siil luem lou op noA 11 'Z 08ie43 ejlxa ou) 'iawe3 lemi inoA of 1! Pue4 ro mopulm a3lAias 03190Isod a le 013WO a4l luasaid pue 'pag3elle,idla3ai aqI Smeal'al3pie a4l to aPIS ayI y3lls 'payieugsod !,1!0301 sly! luem noA 11 'i ssaippe ail to uopidd llal aql uo ghls pawwn8 4u0j1 aas)'S331AN3S 1VNOI1dO 0313313S ANV 804 S3%8VH7 ONV '331 1IVW 031!11837 (9ewile i0 ssel3.M11) 30ViSOd 83A03 01 313118V 01 SdWVLS 3Otl1SOd 1711S r ' `r RECEIPT FOR CERTIFIED MAIL-30� (plus postage)' r[ SENT TO _. Z POSTMARK .Tess Herman M t N „^, OR DATE ..�. r,i.....r , n r.,.,,y, x ,tit r - it 1, STREET AND N0. C'', �€ t 631 06klawn Avenue • t': - -L 1/28/82 P.O., STATE AND'ZIP; CODE - • - ' f. OP ONAL SE VICES OR ADDITIONAL FEES. RETURN• t. Shows to whom and date delivered r h� RECEIPT = . 1 C With delivery to addressee only ............ 650 SERVICES.1 Shows to whom'and where delivered -35a If a ` .With delivery to addressee only O DELIVER TO ADDRESSEE ONLY ,.'. 50Q . 1( .SPECIAL DELIVERY (extra fee required) •.....-.::.........:.:.:....... PS orin Apr.1971 3800 "0 '"NO -INSURANCE "COVERAGE . PROVIDED= I ' - (see other side) NOT FOR INTERNATIONAL MAIL t , GPO: 1972 0 - 460-703 r CERTIFIED MAIL January 28, 1982 Jess HermanxE: Permits & Inspections 631 Oaklawn Avenue '(AP 43-251-4) Chico, CA 95926 Dear Mr. Herman; With reference to the above subject, on December 17; 1981', you applied for permits for a new room which was under construction.. At that time you were advised that sanitation approval from the Chico Health Department and a completed "Gomer -Builder Verification" forth given to you were required prior to issuance of the permit. Since both permits:and inspections are required by'State and,County laws, please submit the above-mentioned items so that the permit can be issued. As soon as the permit is issued, please request an inspection. Should you have any questions concerning this matter, please contact us. Yours very truly, Clay Castleberry Director of Public Works J.F. Glandes JFG:ds Chief Building Inspector cc: Building Inspector, Chico A . i f _ - File No. T.. --� BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information �) t Director DeP. Dir. •• Sec. Rd. & Br. Mtce. ' Shop & Yards i Bldg. Insp. Admin. D&C / Traffic , Const. Rd. Des. Br. Des. Sur. & Loc. TransP. R/W Mapping Land Dev. Ref. Disp. Drng. / S-1- Sub. & Pcl. Maps Permits Jess Herman 631 Oaklawn Avenue Chico, CA 95926 Dear AIr. Herman: January 6, 1982 RF: Permits & Inspections (AP 43-251-4) —: 5 With reference to the above subject, on December 17, 1981, you (applied for permits for a new room which was under construction. At that time you were advised that sanitation approval from Chico Health Department and a completed "Owner -Builder Verification" form given to you were required prior to issuance of the permit. Since both permits and inspection are required by State and County lzws, pleane submit the above-mentioned items so that the permit can be issued. As soon as the ,permit is issued, please request an inspection. Should you have any questions concerning this matter, please contact us. JFG:ds cc: Building Inspector, Chico Yours very truly, Clay Castleberry Director of 'Public tdorks J.F. Glander Chief Building Inspector .! r i t¢�' a Temp. Power Pole s Jaz � 1 Called PG&E Temp. Elec. Service # Called PG&E t Temp. Gas Service 1 Called PG&E JOB FINALED (D Signature .t " WFIJ�`� PERMIT NO.�F569-8 B E r 41 PERMIT EXPIRES__ L OWNER Don Basseri & Jess Herman f t CONTR. owner ' e ASSESSOR PARCEL 43-251-4 LOCATION 631 Oaklawn°'Ave. , Chic O _ f r h� r i# Temp. Power Pole s Jaz � 1 Called PG&E Temp. Elec. Service # Called PG&E t Temp. Gas Service 1 Called PG&E JOB FINALED (D Signature .t = OK 0 = -Not OK ti - Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready , Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) Oi. ;_,xcept N 1. Zoning Requirements -Setbacks -Easements _ 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.n,.tes 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Cafd-BI Date Card -BI Date Card -BI Date _ Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability_' 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date N V = OK p.. 0 - N61 OK Not Applicable Not Ready RESIDENTIAL (S4ngle and Duplex) = Date UND LOOK Plans OK except #'s Date FRAMING Continued Zo ing requirements -Setbacks -Easements 48. Property Line Firewall & Opening M*Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage 3rd story, 2 exits Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Ru -Landing-Fire Protection Porches & Decks; Soils -Steel= / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic encs -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped&lab- 52. Siding -Nailing -Veneer walls, Garage; Steel -B I ockouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. nts-Underflr. Access Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection kyIights-Plastic V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts Pipe; Size -Anchors -+9r-Water Pipe; Test -Anchors -Regulator -Service Test • Electric; Underground . Pjqeums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card Date Card -BI Date Card -BI Date 1 Card -BI Date Card -BI - Date Card -BI Date Card -BI ` Date r 4' Date FINAL (Plans) OK except #'a Card -BI Dat Card -BI Date Date PLUMBING. (Permit) OK except q's 56. Ext Steps -Door & Sidelight Protection -Landings oke Detector 14. Water Ht.; Vent -Access -Combustion Air .50 --furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection59yJ Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access _61-"Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors Stairs & Rails ireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date -64-"Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap- ooking Clearance Card -BI Date Card431 Date -66.--Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Pertr,it OK excpt` -67--Garage Fire Door; Swing -Landing -Closer • Duct in Garage -Damper 20. Fixture & Transformer Cle rance-Ins. Protection R-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles -Lights &Switches at Doors -7�b., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. off CoCon ctors-Stapled nn 14+ lec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up vi/Mech. Fasteners -Bond Gas &Water 72-"lnsulation-Foam-Looked in Attic E] Yes 25. 2 Appliance Circuits in kitchen & Conductor Size e -73 -Guard Rails &Deck Construction -Post Caps - _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At t7d. dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. tu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑ es ❑No lowin instld.: Drive P 9 ❑Yes ❑ No; Walks ❑Yes []No; Planters ❑Yes 11 No 28. Service -Riser Condu tors & Ground -Main Disconnect -7- eco; Brown -Finish 29. Equip. Clearances; nets-Motors-Mech. Equip. -Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- 30. Clothes Closet Ligh Shower Light .•-------- Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. zQ- wester Well; Disconnect, Electrical, Plumbing -@9. E�Cterior Elec. Trim; G.F.I. Receptacle -Underground -- Card B -I Date Card -BI Date 1 ntilation throughout House Card B -I Date Card -BI Date Glass Protection Date MECHANICAL (Permit) OK t orrections from Previous Inspections od rae Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Su porrtt Su (titer & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above In ulation =-la- 6. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overfl ; Size & Grade _ 34. Furnace -Vent; Access -Co b. Air -Return Air Vent -115V outlet 35. Attic Access & Platform i Furnace in Attic Card -BI Date rd -BI Date Card -61 -_ Date _- rd -BI Date Card -BI ate Card BI Date Card -BI Date rd -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & nchors 37. Walls; Studs -Nailing, S cing & Bracing -Plates -Sound _ 38._ Bearing Walls over Gir rs & Floor Nailing___ 39. Draft Stop in Walls (ra proof) 40. Fire Stops; Furred Ce lin s -Stairs -Chases -Tub _ 41._Header 42. 43. 44. & Beam -Size & Bearing Hangers -Post Caps Anchors -Connectors Cing. Joist-Rftr. T es -Purl in - Root Brac.-Truss-Shthng.-Rfng. Fireplace Ties or ype A Flue -Fireplace Throat 45. Attic ccess; S'z &_Romex Protection -Draft Stop -Ins. Baffles 46. __1c Bdrm. Windows _Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Pro coon Framing (NOTE: Anentry must be made each time you visit job site) '^' s COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 Vwhe orrection of work is completed. If you have any question pertaining to this m er, pr need additional explanation, please contact this of (ice immediately. ..... ,,.... .... _._ LJa IC COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE (�3/ BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Etter, or eedd additional explanation, please contact this office immediately. A 11 . ��IN�im w l ' -F, _ '� Il�i� LR" rrte'VM " r. Mf' Inspector Date a 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS e 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41 APPLICATION AND PERMIT �8�PE;T N0. _, ASS SS0 PARCEL NUMBER ✓% .y- ZONING Aflz BUILDING PERMI 0 11p, R •. S ` Gff TELEPHONE t J V' SQ. OCC. BUILDING VALUATION L \ V OWN R'M LI G ADDR S c� �d CONTRACTOR �-^A'S NAM L% ` TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO TRUCTION LENDER UNKNOWNO Total Valuation $ D Ov FilingFee 10•�� LENDER'S MAILING ADDRESS Permit Fee $ 8 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ S Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ,61-71 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 GSC Water piping OT NO. SUBDIVISIO NAME PARCEL MAP 4,'a Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation El Other Describe�work: r� GI ' 66,;Gam 41elnic P It Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 00 1AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 12.50 NEW CONST. // DWELLING OR ADDNS. 1 ACC. BLDG . UP.s $ ft ` I q U CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ElCCUp 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 CONSTR I-OUTLE 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS 6) 1 NON-RESID. SINGLE OUTLET CIR, r Ex. OOUTLETS OR FIXTURES 4.13 5000 (.FIXED APPLNS. OR Ex. OCCUp.UTLETS (RESID•) EA, / 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor 21W F 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 ❑ 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 S 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 'ndemnify and keep harmless the County of Butte against 'lities, Ju nts, costs, and expenses which may in any way accrue �agfainsaidCo , in consequence of the granting of this per it. Date "n 'ture of Applicant — Owner Contractor EJ 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I No ISSUE M/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI OROF LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date w V Receipt No. _7 j s 6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF 'PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: <f— ' 7zmo plo A.P. 4 Address: Tenant: Building Location: Type of Inspection L 1. Housing requested: j Ll 2. Financing 3. a -4 -. ---Other (specif; Present use of build Date of Inspection Inspector Change of Occupancy to A. Sanitation (Housing) 1. Water closet:. 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating, facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Copnecti.or to sewage disposal: , 12. Connection to water'supply: 13. Rubbish and garbage facilities: 14. Comments: _ B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces:' 6. Coma, ents• C. Electrical 1. Service and ground:_ 2. Receptacle;:: ' 3 Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas hearing vents: 4.. Comments: -- -- ----- - - - - ----- - ° t \ •-1. - ,Maintenance and .r.epair: .}2: Fire hazards::____ ,`�'`'�3.`I 'Safety hazards:*- 4. :Weat}!er prote'eti.on: 5. -.Tjuderfiloor and attic ventilation: F. Cocmerc;al Buildings .1. Rcof covering: 2. -'Distance to property lines: 3. TIysically handicapped: f, -4. R est-om floors, and :calls: _ 5.t Exits: hnprovenants:_ � 7. Zoning: 8. Comment:=' jr— G. FieId'Prob7.ems r V4-cIa-tiiTas ' 1'. -Problem c-~ -;iol3tic�ri+(give cct�pi et2 descripticr.�) 77. • •.,wh_!�t act il�ta/,e..n� g l.vt? �d[117y P �:-�.e 3iptioxll•—�--a n ^ 1L �cc�6 -_ � LsM — e_— u_ =i c . 3hat t c� . Lion recC?iinleiided: ' t %/ A. i'nforaatioo. only •- fi,.,,-. B. Hold for te:i (10) days, then wri::e letter. { Write. lottet. D. Other: