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043-260-019
43-26-19 David Stotts 1508 Bidwell Dr., lot 19,Chico Permit #1936-81B ,E,M(add family room & bath/SF),„ la 'r/lel 043-26-0-019 99-0410 B,EM STOTTS LIVING TRUST 1508 Bidwell Ave, Chico ( garage conv /w /0��0 043-2610-019 � 04-0977 CARRIERE, DENNIS 1508 BIDWELL DR, CHICO Cont: RICK CARPENTER RE -ROOF 19 TT - X x BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040977 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: 04/08/2004 APN: 043-260-019-000 the Business and Professions Code, and my license is in full force and effect. License Class : L- License Ndmber: $11775^ Site Address: 1508 BIDWELL DR CHI Date:O"t Contractor. —4t_ Map Index: Description: RE -ROOF W/COMP 26 SQ. . ( ) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the f p p Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CARRIERS DENNIS J &CATHERINE J to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 1350 W 12TH AVE 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 CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95926-2080 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 Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: CARRIERS DENNIS J &CATHERINE J such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: RICK CARPENTER ROOFING ❑ I am Exempt under Article 3 of the Business and Professions Code 5257 SOUTH LIBBY ROAD Date: Owner: PARADISE, CA 95969 (530) 872-5704 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 License #: 822775 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: �p►1� Total Square Ft: 0 S. F. Pony #: 1'7756c? -9 ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: �i��blb -f Applicant: WARNING: Failure to secure workers' compensation coverage is f unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCYThis pe it i ere i u d nd th pplica Ie rovisionc of the Butt- County ode an /or I hereby affirm that there is a construction lending agency for the Resol ion o do o d b is e h e been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY Date: 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 owner 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 substance of any official form or document of Butte County. I hereby authorize representatives of��Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 1JC,�CW)1�Lp� Signature:��&,o- /- Date: ❑ Owner lel Contractor ❑ Agent for Owner 0 Agent for Contractor 41 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. DATE: APN: _ oao ZONING: OWNER'S LAST NAME: ES FIRST NAME: O R' PHONE �> STREET ADDRESS: �Z� FAX: CITY, ZIP: 151!Z410 _ IJ / 24.{ E-MAIL: SITE ADDRESS: _4118 2I1dweA CITY, ZIP: NEAREST CROSS STREET: TRACT/LOT M APPLICANT NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: 'R,,,,_ P,jE,3� �70� e STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK:. DO ❑ 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: i Application Received b : Date. PP Y Receipt number: Amount Received: I j/ NOTES RESIDENTIAL r r r PERS..," ;043-26-0-019 99-0410 B, EM' _ STOTTS LIVING TRUST I 1508 Bidwell Ave, Chico t (garage conv/w/o permits) SPECIAL CONDITIONS CHECKED BY . SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) �0 Signature IN% 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. ro pvG� ,;pt y41-1 LY Date �' 7 / Inspector 4/ S S ezI REV 10/92 ' 7) PTR- ); A/e V -e. r o o d -e J = OK ;Q 0 = Not OK ete RESIDENTIAL - = t. Ready No , (; = Not Reaeady Date 46. Underfloor (Plans) OK except #'s 47. 1. Zoning -Setbacks -Easements -Flood -Slope Fireplace Ties or Type A Flue -Fireplace Throat Clearance 2. Ftg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth 50. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Garage Fire Protection Framing 4. Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 53. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 56. 6a. Hold Downs and Special Anchors Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 7. Slab, Steel -Wrapped 59. 8. Piers -Fireplace Ftg.-Steel Brace Interior/Exterior Wall Panels 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Insulation -Foam -Looked in Attic 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground Clearance Looked under Floor O Yes 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies m is t, Electrical -Plumbing 15. Access & Ventilation 16. Insulation gym, G.F.I. Receptacle -Underground enol tion Throughout House Date lass Protection Card B-1 Date Card B-1 Date 91. Card B-1 Date Card B-1 Date ater & Sewer Connected -C/O to Grade -HD Approval PLUMBING (Permit) OK except #'s nergy Compliance Certificate -Other Certificates 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. Fix & Transformer Clearance -Ins. Protection . 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 quip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light � rnoke Detector Date Date Card B-1 ` Date Card B-1 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. Furnace -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 (Permit) 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 jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 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 Ht. & 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 Interior/Exterior 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 F AL (Plans) OK except #'s eps- oor i elight Protection -Landings moke Detector 65 c,,...ace Ve-1 lea.a„ca-romb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 5a'es & Tub Access -Spa Elec. Trim & Subpanel, Breaker Sizes & Labels ove, earance-Hearth e s a ood Panel, Int. & Ext. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance acles at Kit. Counter ue oor; Swing- Landing -Closure 7 amper tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location ec acles in Garage (F.F.I.)-Romex Protection Insulation -Foam -Looked in Attic i s Deck onstruction-Post Caps n. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes No/Walks ] Yes 0 NWPlanters J Yes J No own -Finis m is t, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings e is nnect, Electrical, Plumbing 6 gym, G.F.I. Receptacle -Underground enol tion Throughout House lass Protection 90. Corrections from Previous Inspections 91. Gas st-Meters Tagged, Gas -Electric 92. ater & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 94. Address Posted Date ' Z Card B-1 vL/ Date Card B-1 Dat 9 g Card B -1j j Date Card B-1 Dat -T Card 13-1 Date Card B-1 Comments at Final: V= OK 0 = Not -OK - = Not Applicable- = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 3. 2. Soils; Special MH Support Sketch Electricity; MH Test -Crossovers -Breakers -Clearances 3. Sewer; Location -Test -Fall -C/O -Concrete 6. 4. Water; Location -Test -Easement Needed (Sketch) Water and Sewer Connected -C/O to Grade -HD Approval 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 9. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 - S 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Building Owner S4,04,y S Building Locacion / ENERGY INS TAL.L.ATION CERT:= IC,;T:. Building Permic # 79— 1110 DESCRZ_nION OF INSULA_ION ROOF Mate :al Brand Name Thickness (!-=has) The=al Resistance (R Value) Xi�,.""�—RIOR WALL Mate�_&I Brand Name Thickness (ia :hes X . �The--mal Resistance(R Value) A.� 5( CEILING Batt cz Blanket Type Brand Name Thickness (inch ' Ther -mal Resist Value) Loose Fill Type Brand Name . Y_in :m:m Thicknes1( es)_*_r Naber of Bags Wt. per ba�-��- lb. Area covered(ft. ) Theaaal Resistaace(R Value) 'LOOK, EL Bate--ial Thickness (inches) FLOOR, SLAB - Material Thickzess(iaches) Width(iaches) FOUNDATION WALL Material Thickness( inches) Bread Name Thermal Resistance(R Value)__ Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certiLy that the above insula tion was installed in the above building, is consistent wit -h• approved building department -plans--and attachments- -and• con- forms with requirements of Chapter 2-53 of State of California Energy Requiremen FIRM NAME/OWNER SEE CONTRACTOR'S LICENSE NO. SIG.TATURE OF r rA T _T -AEON APPLICATOR -- DATE I hereby certify the required features, devices, and equipment, ae shown on the approved Building Department plans and attachments have been installed and .conform to the appli- ance standards and Chapter 2-53 of the State of California Energy .equirements. 39 u/' r) A I BU=ING CONTRACTOR/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. ( FIRM HVAC FIRM NAME/OWNER (Please Print) // 49 C> l9 g DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPT'MBER 1988 (Rev. 12/96) V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT !�! io 'y/ a ASSESSOR PARCEL NUMBER 043-26-0-019 ZONING R-1 BUILDING PERMIT 777 OWNER STOTTS LIVING TIRUST TELEPHONE 891 —5107 SO. FT. OCC. BUILDING VALUATION I OWNERS MAILING ADDRESS 1508 BIDWELL DR, CHICO CA 95926 lei C_1. CONTRACTOR'S NAME TELEPHONE D O CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ UA ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING" AVE, CHICO Energy Plan Checking Fee $ 93 -00 $ PERMIT FEE $ IDT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF OXDuplex ❑ Mobilehome ❑ Other SPECIFY 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 X) Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE CONV/WO PERMITS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 6000 R LESS Main Service 200. 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 full force and effect.POWEPPARATUS License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w the following reason: L r 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 zooA To I000A 46.00 NEW CONST. DWE111NG OCCUP. OR ADDNS. ( a ACC. BLDs. SO 3.501T. NEW CONST. -OUTLET MULTI NON-RESID. CU @7.50 L. a SINGLE RAourLtz cIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ I. 0 Ex. Occup. ountrs .g%.1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3Z. PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ ^,© Policy Number (The above sections need not be completed if the permit is for work of a valuation Of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' co ensation provisions of section 3700 of the Labor Code, I shall with co p w' th se provisions. X Date Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46/00 cc 3 co T. Tr PE T T L FEE $ ' HAZ. r F IMP FLOOD be CDF P C PO HD 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' l_ Date '� 9 PERMIT EXPIRES O L4— 1 —2000 ate Receipt No. 9D "' oZ i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 -Telephone (530) 538-7541 PERMIT NO. (Rev. 12/06) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER L 3 ^ ` / O _ D / 7 L !O L ZONING _ I BUILDING PERMIT OWNER .� �AIoft 41/*J �Rv�� TELEPHONE _ g-510 SO. �, OCC. BUILDING VALUATION 7 • % �j OWNERS MAILING ADO S / li-v i , �✓.!C�- CONTRACTOR'SNAME b w 1,J&2- TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fire lace - LENDER'S MAILING ADDRESS Total Valuation $ (0 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee S BUILDING ADDRESS' 13-0 L% &/ well 19rfe. Energy Plan Checking Fee • $ Z 3 S C11I61�:> PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 Each Trap , 7.00 USEOFSTRUCTURE SF �uplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater vent. 15.00 TYPE OF WORK New ❑ Additior�Remodel O Utilities O Installation ❑ Other O Describe Work: to Gas piping systam't"-,5 outlets 15.00 Building sewer 15.00 Mobile Ho I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service *' on'ss 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 Lic. No. 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 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. O 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.) O 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with,those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for 9xcavations over 5'0" deep and demolition or construction of structures over 3 stories In eight. TO toaoA moi^ SST. as.00 NEW CONST. OWEWNCi OCCUP. SO GV ` we OR ADDNS. ( a ACC. BIDs. 3.50FT. C3 T. O.OUTLET 97,50 NON•RNEMI ERID. MU LT PSO;7 APPARATUS a SINGLE GurLEr as Ex. Occup. OUTLET OR FIXTURES eAZO @ @ .50 Ex. Occup. GUO�EDrs�6ID02, L5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 33� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 1 Z c7 PERMIT FE15 S -Mobile Home Installation Fee $ Energy Inspection Fee $ y� OCC TYPE TOTAL FEES 31 q ECONST. D FEES IMP I FLOOD COF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date To Receipt WHITE-D.D.S.-B.D. CANARY SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sigoap m Please complete and return this information at your earliest opportunity to avoid m i - - Baty ddW in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provideMhSmajor labor and materials for construction of the proposed property imp vement : YESA NO O 2. I HAVFKHAVE NOT O signed an application for a building permit for the proposed w611` 3. I have contacted with the following person (fi:m) to provide the proposed caonstcuction:' , NAME: ADDRE.S.S• .. COY. PHONE*CONT'RACTOR'S LICENSE NO. 4. I plan to, provide portions of this work, but I have hired the following person to coor+�o e; . supervise, and pr+dvide the major work: NAME: ADDRESS:'- PHONE: DDRESS: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to pr+0vida the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: / SOCIAL SECURXTY NUMBER:_ _ DATE: 2) 4a °l NOTE: This Owner -Builder Verycatlon is required by Section 19831 and 19832 of Aei California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself. you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract you should be aware of the following information for your benefit and protection: ♦ Ifyou employ or otherwise engage any persons other than your immediate family. and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as Contractors or subcontractors. then you may be an employer. ♦' If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social securitytaxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation. insurance. ' ♦ For, more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforin their work' personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor, is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Bwlding _ennits.are hot required to be signed by property owners unless they are performing their own work personally. 6foiinad,on about licensed contractprs may be obtained by contracting the Contractors State License Board in your eomunumity or at 1020 N Street, Sacramento, CA. 95814. Please completu:-the-"Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned J, X�1 C. Vi ira, C.B.O. , Building Inspection NOTE: This Owner -Bu llder.Injormatlon is required by Section 19830 of Ae Callfornla Xealdlt and Safety Code- OVER ode OVER e ':.:ill:.: 1•i;'r:=�'"r".^ �,��:�'�'. fy,i!ti.-.tl;��f'�""i'Ri'i�`d•;C�;kits'v'�-„'�t�..w�+�L.�dr-�+11� CT`�:7%�,;:3”;�%-:'�T:��l•"13�.;JY'r''•'*i�.i'�:"y�:x.�.:...3�'4rti:-r�'*w.. `COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 t PERMIT APPLICATION DATA SHEET OWNER: 5ia ) 715 � �% v%,v� TrlC.� ASSESSOR PARCEL NUMBER: Proposed Building Use: Building Inspector: n1 Date: At time of permit ap catio , I was advised the following data must be submitted prior to permit pfocees g d/or is9uanc`e: .*re►•.+�nw. By •�Date-Received ❑ 1. All items have been submitted .-------------------------------------------------------------------------------- ---- 2. Plot plans49sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- 115 Pagineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ Energy Design Compliance and supporting documentation. ---------------------------------------------------- t ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.--------------------------------------------------------- -------------------------------- ❑9.,Manufactured Home data and installation instructions including Tie Down Specifications.------------------ Fees of $-4772,01 -----------------------------------------------------------�dr� - eD►a c co n' � Impact fees as shown on the attached schedule. — ---- t ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- /❑ 1 loud elevation certificate. --------A-------------------------------------------------------------------------------- 4. Sanitation and plot plan approval( �L Health Department. ------------------------------------------- 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ❑ 22. Workers' Compensation carrier and policy number. ----------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- ❑24. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- 026. Letter of intent on building use. ----------------------------------------------. ❑27. Manufactured Home utility clearance. --------------------------------------- (Date) ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑X. ❑433 A,•❑Grant Deed, ❑ M.H. Title, 13 Check to H.C.D $ .--------------- 30. Other: 1G1'Yl alail kA�+ Cf17------- Wh ou iou issue the permit, process as follows d-lvlail to owner, ❑Mail to contractor. er lephone D �'l — S and hold for pickup at offieerO D 'ver with inspector. NApplicant: Date:v Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: ate: 1. Index permit application for the above items numbered: ❑ Plan Check List" 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑counter, by Date: Plans reviewed by: Date: Plans approved by:13i1d sial Date: 3 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: v Date: VPIl—, f`,,,,., - TI—f—+ fTlo..ol - . Q__.: --- n___ J*-- ^,- -. yJ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached tf Floor Plan AttachedS Sent to B. D. �/ Owner Location AP# Plan Approved for: Sewage Disposal 2!5Water Supply: Public X Private Well Clearance for--dvvelli Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 3—P`99 Date BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM J / (One form per Building) School District �' "" ` O ( Building Department No. A.P. Number 'y 2lyb Q� % Jurisdiction: 1� city County Property Owner Property Location/Address 15 8 & (Yui e -i l fiw. . C414 c o Subdivision Lot No. , ...............4dd ................................................................................ /'� Residential Development Sq. Footage 57 No of Living Mobile Home *Supplemental to (Group R) Units Installation Conversion Permit # n w� J r *(No foundation inspection): &�/� Commercial/Industrial F New Addition Building Department imoor mans reviewed by scnooi uistnct rersonneq District Identification No. I V ft School District certifies that (Street (City) has complied with the requirements of Resolution No representing �3 7Q square feet. School District Representative Paid by Check # Remarks: Sq. Footage (Including Exterior Roofed Areas) 3 9. 9� Date b(LLK' d �s `(Applicant) e9.S- of (Phone Numbed (State) IZip Code) 7 �O, by payment of $ AB 2926 $ FULL MITIGATION S Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a►, within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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) feeform.xis 110/98)dmm - •f' vv i- ✓,i -J., v.''. -,n -:.ate u . ., .. a Tti., � r..q _ . _ - COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 °+ SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE a , a►Q v_. p D,y c/ -fie sD �UILDING PERMIT FEES -- Balance Due ................ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ Revised Plan Checking Fee ....... $ JK2. SCHOOL DISTRICT FEES d—t (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ . #Units Amt. (sq. ft.) .. x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid 4,4t District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425100 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.0;0 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $20000 (paid at Building Division) 9. CSA 87 TRAFFIC FEE A $2500.00 (paid at Building Division) A.P. # q 3 DATE REC # 2_5s�tw DATE REC / g% W. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building pLmit. hese fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) Transmittal Sheet Owner's Name: SU S / V117 2 7r -U- 5 t A. P. #: D — / Permit #: Transmitted Documents: ❑ Approved Plans P -_,Approved Plans with remaining items on Permit Application Data Sheet. ❑ Plans to pickup for corrections and revisions. ❑ Building Division A.P. File. Please return to the Oroville office within three (3) business days. ❑ Other: I Process as Follows: Call 8rW -5)07 and hold for pickup at the ❑ Permit applicant has been called. Hold for pickup at the ❑ Deliver with next inspection. L. Office ❑ Chico Office CX . C -,P- s _ -.. 77 a:..r.•° u e ®un y L A N D O F NATURAL WEALTH AND BEAUTY Date: March 10, 1999 Permit Applicant: Stotts Living Trust 1508 Bidwell Drive Chico, CA 95926 Permit Number : 99=0410 With reference to the above subj [X] Plan Check List [ ] Red Marked Calculat' ns [ ] Red Marked Plans ( ] Other BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 /TELEPHONE: (530) 538-7541 / FAX: (530) 538-2140 Assessor Parcel #: 043-260-019 attached is: ' 0��p •l Action Required: [X] Comply with Ian Check List [ ] Resubmit Pla s with Revisions As Required [ ] Return All Ori final Materials and Revised Plans to the Building Department [ ] Other I Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Martha Whitney Date: March 10, 1999 Permit Applicant: Stotts Living Trust 1508 Bidwell Drive Chico, CA 95926 Permit Number : 99-0410 Assessor Parcel #: 043-260-019 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: Before plan check can be started please provide the following: 1. 3 sets of plans drawn to scale (1/4 inch per foot) of rec room and laundry room. 2. Provide a minimum of 10% of area of each room in window area. Shop location and size of all windows and doors. 3. Provide 2 sets of energy calculations. 4. Provide accurate plot plan. Show entire parcel and dimensions from all property lines. Plot plan submitted to Health Department is not adequate and not accurate. (3 plot plans required.) If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Friday. Martha Whitney • t 1936-81B,P,E,M PERMIT NO. PERMIT EXPIRES 4 A11�2 i OWNER David Stotts CONTR. owner ASSESSOR PARCEL 43-26-19 LOCATIONAA//�� 1508 Bidwell Dr., lot 19, Chico s 4 r. O a -qq bqqbmm Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG&E,e JO S NALED (Date) Signatur RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMkNCE Y ITH URRENT ENER CONSERVA ON REGULATIONS AT 150 8 � id(A)d �21 of. � � (location BU ILD ING PERMIT NO. t 93�0 " ji PSC lei A' -P. NO . THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: n .Slab Edge /7 Fdn. Walls 70 A .. ti Floors Walls Ceiling/Roof - Ducts Circulating Pipes • `APPROVED HEATER_ -`APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) 1v A CERT. & LABELED WDS.�� & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES &A I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS'SUBMITTED. Insulation Applicator Name�I�* �< � as print) Signature of F Insulation Applicator State Contractors Asendse`.,j_No. General Contractor/Owner Name A'V - y I ons Signature of -.'• (ple se rint) General Contractor Owner 0 -oh Date State Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) ' Date UND OR Plans OK except N's Date FRAMIN ontinued ning requirements -Setbacks -Easements 4 r y Line Firewall & Openings 121"Ftg., Main; Soils-Stegl-Elec. Grnd.- / /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits 19--PT97,113arage; Soils -Steel- / - /" Ftg. Depth - eadioom-Rise-Run-Landing-Fire Protection & Decks; Soils -Steel- / /" Ftg. Depth lyw� on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab 5t--eTUing-Nailing-Veneer 16. StemweHe;-6;irage; Steel-Blockouts-Wrapped-Slab 'S3--Slneee-Mesh-Drip Screed-Fdn. Vents-Underflr. Access te -Fireplace Ftg.-Steel lazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test ailing -Bolts zJ"t; d5'P tpE^Si z e -A n c hors est, First Floor -Tub Aeeess---- $@--Water Ripe -Test -Anchors -Regulator -Service Test 6 .F I: & Bath Fixtures & Tub Access round �+e�s & Ducts; Clearance -Material -Support -Ins. 7l frn; Size & Anchors `f.a__G,irdess--S lTs--Anchor Bolts -Joists -Vents -Cripples Card -BI Date4Z Card -BI Date --...197a, Card -BI Date I & Card -BI Date 14 4 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Date FIN A!�(Plans) OK except H's 5 . ,Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING(Permit) OK except q's moke Detector Vent -Access -Combustion Air LPipe; Test & Anchors -Nail Protection Ig -Garage; nts-Clearance-Comb. Air -Connector - Above Floor-Ducts-Mech. Protection 1 D.W.V.; Test-Fttngs & Anchors -Nail Protection DateCard-BI Date'�RTrFTSCi'& B om Exiting est, First Floor -Tub Aeeess---- Date Card -BI Date 6 .F I: & Bath Fixtures & Tub Access 1A T=s' T"~ &Shower, 2nd Floor -Tub Access 6 �c. Trim & Subp el; Breaker Sizes -L 7l frn; Size & Anchors ELE ICAL Permit OK except q's Stairs & Rails O-14 --...197a, F' lure & Transformer Clearance -Ins. Protection or Stove; Clearances -He th Comments at Fi al: c. Receptacles Spacing -Lights &Switches at Doors 6 lec. Outlets at Wood Panel; Int. & Ext. Card -BI DateCard-BI Date'�RTrFTSCi'& Appliance; Grnd.-Air Gap Cooking Clearance Card -BI Date Card -BI Date 86--EWec-Autlets & Receptacles at Kit. Counter E . g Fire Door; Swing -Landing -Closer Date ELE ICAL Permit OK except q's uct in Garage -Damper Card -BI Date l Card -BI Date F' lure & Transformer Clearance -Ins. Protection 69-YItT-FVents-Clearance-Comb. Air-Connector-P.R.V.- I arage; Above Floor-Mech. Protection Comments at Fi al: c. Receptacles Spacing -Lights &Switches at Doors alls; Studs -Nailing, Spacing & Bracing -Plates -Sound S e Boxes & No. of Conductors -Stapled 7 Plb., Elec. & Mech. Equip. Listed for Location ex Installed Close to Edge of Studs & C.J. tacles in Garage; (G.F.I.)-Romex Protec. _s_Eurred Ceilings -Stairs -Chases -Tub —4L,-I4e-ad Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water nsulation-Foam-Looked in Attic 11 L ircuits in Kitchen &Conductor Size Rarls & Deck Construction -Post Caps Subfeed Wire Size /t�.ga. u r AI-A.C. W re_Siz�(�ga. Cu or AI Fdn. Vents & Crawl Hole r- rainage &Wood -Earth Clearance - ed under Floor 2g--Renis-6 ice. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No Following insild.: Dri a Yes ELaKlalks ❑ Yes ❑(plT1-_' (NOTE: An entry must be made each time youvisit jobsite) Planters ❑Yes13<0 ser Conductors & Ground -Main Disconnect 7-6tuees-Brown-Finish quip. Clearances; Panels-Motors-Mech. Equip. n t; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet �t Light -Shower Light ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79-WULGT, U11; Disconnect, Electrical, Plumbing Card B -I Dat Card -BI Date 8&E_Xiffl rior Elec. Trim; G.F.I. Receptacle -Underground a 'ration throughout House Card Date Card -BI Date I Protection orrections from Previous Inspections Date MECHAN (Permit) OK except q's Meters Tagged; Gas -Electric 3 .C. Ducts; Insulation & Support er & Sewer Connected -C/O to Grade -HD Approval e.a exhaust above Insulation Energy Compliance Certificate -Other Certificates %Lf ills 39-Gee4e"9ete'Drain & Overflow; Size & Grade 34.- FvmTaCe Vent; Access -Comb. Air -Return Air Vent -115V outlet 3&4ie-Aeecss & Platform if Furnace in Attic Card -BI Date Z Card -BI Date Card -BI Date �� Card -BI Date =- Card -BI Dat Card -BI Date Card -BI Date l Card -BI Date Card -BI Date Card -BI Date Date FRAMI Plans) OK except q's Comments at Fi al: _ill ; Proper Material & Anchors alls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38—Beeri�s over Girders & Floor Nailing Walls (rat proof) _s_Eurred Ceilings -Stairs -Chases -Tub —4L,-I4e-ad r & Beam -Size & Bearing 4 a rs-Post Caps -Anchors -Connectors 4 Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq,-Rfng. _ ries or Type A Flue -Fire lace Throat ttic Access; S' _ o on -Draft Stop -Ins. Baffles doves or Exiting Do s-S'ill Hgt. & Dimensions Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J = ,OK 0 = Not OK =Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements-Setbacks=Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6.Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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. Health Department Approval 9. Exits; Insp.-Sketch 10, Cert. of Occupancy 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 _ r COUNTY OF BUTTE - DEPARTMENT O PUBLIC WORKS PE IT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT n ASSESSp PARCEL NUMBER 3-- ZO NG ILDING PERMIT OWNER J TELE ONE Si SQ. FT. OCC. BUILDING VATLUATION OWNE S MAILING AD O / �r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S L G ADD ESS Fireplace C R TION NDER % UNKNOWN Total Valuation $ 0 Filing Fee $ 10.00 LENDCR'S MAILING A DRESS To q n S Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $'] �/ r O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ p BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping p LOT NO. SUBDIVISION AME p �/ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF oo'Duplex❑ MobIIehome❑ Other SPECIFY Building sewer Lawn sprinkler system I 5.00 TYPE OF WORK New ❑ Addition lam" Remode ❑2tilitie❑ Installatio ❑ Other ❑ work:0✓� i�/%1 u�i li �i Permit,Fee $ Q 6 Contractor gj/AJDescribe ELECTRICAL PERMIT Filing Fee 10.00 011 OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING •d, OR ADDNS. % ACC. BLDG 22 sq ft�Q 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 �--/ T� 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 NON.CONSTR. BRANCH CIRCUITS 2.50 ea NONNEw .CONSTR. RESIO. (( SINGLE OUTLET CIRPOWER APPARATUS.&) e) so@zsc Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS, OR Ex. Occup. (oUTLETS (RESID.) EA:) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 'C) 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 Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation S-�-o C-) 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. I also agree to save, indemnify and keep harmless the County of Butte against all 'abilitiesJ , udgments, costs, and expenses which may in any way accrue ag in saido t o nce of the granting of this per XDate I Signature of Applicant — Owner Contractor ❑ Agent Elwork 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 $ it TOTAL PERMIT FEE $ v OCCUP. GROUP 2v-3 TYPE OF CONST. JP.RCELJ PD ;XJ ISSUE This permit is hereby issued under sions of the Butte County Code anc indicated above for which DIRECT OF PUBLIC By PE IT EXPIRES Date the applicable provi- /or resolutions to do fees have been paid. WORKS Date 6 ,/ —Q 6- L — Receipt No. SD WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the, envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and ma rials for construction of the proposed property improvement (yes or no) —iii/--. 2. I (have/have not) h R'ofw— 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. M I plan to provide portions of this work, but I have hired the following person t c dins s erviseand provide the major work: Name koff &?fA_.fo . — • Address j#42 W City Phone DOI. UU&a Contractors Licens%fNo..914AZI 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 Se unity number • 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 permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF F{1BLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,*CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER I'l/�/� �/ //S-/ --� A. P. No. y<Z Z�O��� Proposed Building Use�� Permit Fee Based Upon: Complete Contract Price l_ P Valuation Othe% ( xp ain) �- Building Inspector date At time of permit application, I wa_s�a>�vi=sed-W6 fol�l°owyng=data-must be submitted prior to permit processing and/or issuance: � DATE RECEIVED APPROVED /1.. --All items have been submitted. ; Plot plans in duplicateY4riplicate. 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. -Letter of signature authorization./� . . . <- Sanitation approval from � �rQ Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13,., Contractor's License Information (no., name style, classif.) . Owner -Builder Verification (Given to owner 0, 'ail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for RequiredPre-Inspec. request to . Building Inspector -(Date) 18. Other r When you issue the permit, process as follows: ai to wner. Mail to contractor. Telephone and hold for pickup at _office. Deliver w/inspector. Other Applicant.`pate r r Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of applicati , c'rcle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by �� Date 2 - Other: Copy—DPW u -y � 'f•1 "J ZI _.. Z all 411 ti 0o cc W -m w i -� Q7 q M 0 CD G lco O C:- ego c� CJD ' r 1 �• 1 Q r* cyl ly M O +.A . • . ' N ca 44 /17 +� ..� "�: •'-•4't �" ' � �1 }l. • 111 1/ _ ' Al co \ � ,�c•i�:r .� �t�<�'.;'.iz• t ry•y:� Y .�',• � N.}�•4�?,.+�„ .t,• "` .r r.t.0 l , a �• � ;kitia. \ l :M/tr'1•. �.' h•�4y�,r,� ;yam r�� t i'T. l,,r ,• ; . 1, ta. � n ••A >S t• i,4 }' - t- 1tN ;f'� � ,,,� 1 � ��//� / .�Lrrr � • L ,Yi '•'fes t/ 4 t t � ti .. ,if' •r x f YF - ti • ', I S.. ., ,r OD '- ♦ ate\ tK• •S. .i%:.!• ria• `' .I •� , , � ., � ' WIWI ..i.� �-wr..�jG.s.�..y ` A C F Lam.- , �• � • �' _ ; �.....� rr ♦a- -+•/f a St .,,.�,i r :.1,7f'tF (`.I s�1'j ! 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