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043-290-059
Fred Ciapponi 43-29-59 1620 Bidwell Ave., Chico contra Sunshine Pools, Chico Permit #4174-78 ,E(new private swimming pool) 7 043-290=059 PERMIT#95=2161 CIAPPOkFred 1620 Bidwell Ave., Chico G 'Cont; Butte Roofing Co. Reroof/SF / 043-290-059 BP04-0463 CIAPPONL Fred 1620 Bidwell Ave., Chico (�s New Shop tj -)--1O' �S --2A 44 NOTES RESIDENTIAL PERMIT NO. 043-290-059 BP04-0463 CIAPPONI, Fred 1620 Bidwell, Ave., Chico New Shop 44 at SPECIAL CONDITIONS• CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. ~ . SPECIAL INSPECTION ITEMS VERIFY USE PERM IT.CON'DITIONS SUB -STANDARD HOUSING LETTER t 5{ �I ty JOB FINALED (Date) 1 Signature ' 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)536-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040463 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: 03/26/2004 APN: 043-290-059-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1620 BIDWELL AVE CHI Date: Contractor: Map' Index: _�� �. -� _ GUiscription: SHOP ('i,'i20) -C' M111MCD_CI111 IICp,P1E['.I ARATlQN. - - _ I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CIAPPONI FRED & CAROL to its issuance, also requires the applicant for such permit to file a 1620 BIDWELL AVE signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95926 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: CIAPPONI FRED &CAROL pp Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 1620 BIDWELL AVE such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for 95926 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: -jp`z L04" Owner: -License M WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: GREGORY ARTHUR PEITZ is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier; Total. Square Ft: 1120 S.F. Policy#: Valuation: $26,880.00 Census Code: I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the 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. 2 y �/f �% 7 Date: n / / r�; Applicant: �J`/� 7 / -7 JJ�� / r WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 117 CONSTRUCTION LENDING AGENCY This ed the plicable provisions of the ButteWCounP and/or I hereby affirm that there is a construction lending agency for the the for which this is issued (Sec 3097 Civ.) Mereb Re oldi ov for Ohich fees have been paid. performance of work permit B ' Date: Name: 3 z6 o PERMIT E IRES ON: Address: Ito ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the 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: Lid lz C//l-_ 4 Signature: I / Date:Z —0 /� `-Owner 0 Contractor 0 Agent for Owner 0 Agent for Contractor J=OK 0 = Not OK . = NotReadyable PECKS, C_WERS, CARPORTS, GARAGES (Plans) OK except #'s o ' g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) " 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance R Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. 1. Zoning Requirements -Setbacks -Easements 3. 2. Footings; Size -Spacing -Marriage Line 4. 3. Gas; MH Test -Demand -Valve -Connector 5. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. 5. Drain; MH Test -Fall -Flex Connector 7. 6. Water; MH Test -Regulator -Connector 8. 7. Water and Sewer Connected -C/0 to Grade -HD Approval 9. B. Gas and Electricity. Tagged 10. 9. Tie Downs -Type -Installation Cert. 11. 10. Exits; Insp:-Sketch 12. 11. Cert. of Occupancy Date Card B-1 - Date Card B-1 Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected B. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B. 1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date / PECKS, C_WERS, CARPORTS, GARAGES (Plans) OK except #'s o ' g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors 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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 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 23. Fire Sprinkler; Test 70. Stairs & Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. , Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. _ 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 85. A.C. Unit Disconnect, Electrical -Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. 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 Date 41. Sills Proper Materials & Anchors Date 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing Comments at Final: 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 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. BP040463 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: 03/26/2004 APN: 043-290-059-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1620 BIDWELL AVE CHI Date: Contractor: Map Index: Description: SHOP (1,120) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CIAPPONI FRED & CAROL to its issuance, also requires the applicant for such permit to file a 1620 BIDWELL AVE signed statement that he or she is licensed pursuant to the provisions'of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95926 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: CIAPPONI FRED &CAROL owner of property who builds or improves thereon, and who does 1620 BIDWELL AVE such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95926 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, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of Business and Professions Code -the Z`z6'Of/Owner: r` Date: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: GREGORY ARTHUR PEITZ is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 1120 S.F. Policy #: Valuation: $26,880.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 2 6 f� y !✓) 7 / / Applicant: WARNING: Failure to secure workers' compensation coverage is !i � - - _ __- unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This er ereb sued provisions of the Butte Coun Cod and/or I hereby affirm that there is a construction lending agency for the Vthe�plicable Re oluti do k indi r Ohich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)Name: u' B ' Date: O Address: PERMIT E IRES ON: (Dbte) ❑ 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the 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: �/ is C/ l /tel /� n� / Signature: Date: Z 16 — D Owner 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 • (! t 4--D-zcov1 PERMIT NO. DATE: / 3 O y APN: i_ ©� i ZONING: A_ S NEAREST CROSS STREET: TRACT/LOT#: SITE ADDRESS: CITY, ZIP: q • 9. ' OWNER NAME: PHONE: STREET ADDRESS: �J FAX: 2 14v CITY, ZIP: ` G E-MAIL prl APPLICANT NAME: PHONE STREET ADDRESS: FAX, CITY, ZIP: E-MAIL CONTRACTOR NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: E-MAIL LICENSE NUMBER LICENSE TYPE. - YPEARCHITECT/ENGINEER ARCH ITECT/ENGIN EERNAME: PHONE STREET ADDRESS: FAX: CRY, ZIP: G d LICENSE NUMBER E-MAIL: DESCRIPTION OR SCOPE OF WORK: a51 ❑ 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 to prior the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: 'Y l� Date: 21/3104 Receipt number: ' Amount Received: ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER'. CI A' P Nentit 1 ASSESSOR PARCEL NUMBER 04-3-2e-70, '059 Proposed Building Use: Counter Technician: Date: .-? 31e)4 -- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 7 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings 13. Detached Accessory Building Form filled out by the owner 1 " 0 14. Hazardous Material Form } 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the'following items.) 17. Fire Sprinklers............................................................................................ 18. Agricultural Buffer cir and site plan apr from the Ag Commissioner Sent by �1Z 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown Qn the attached Schedule of Fees Due Sheet .............................. ' ❑ ( 22. City of Chico Plumbing permit........................................................................ pN 23. California Department of Forestry plan approval ❑ paid. Sent by: ..... I....... 24. Planning approval (A) Use:(>k(B)Parking: (C) Parcel Check: 3-) - 25. about ❑ 25. Contact Land Develo r p t _ Imp ovements, _ Drainage ......................... 26. NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... 30. Worker's Compensation Carrier and Policy Number.........................................4. 31. Owner -Builder Verification (_,/Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: r- When issued Telephone --34-.17 • b 44 n and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: -?--" / 3 - Oy 1. Index permit application for theems numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, O mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the ab -w d to byphone, ❑mail, ❑counter by Date: Plans reviewed by: M� Date: D Plans approved by: &= Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE Q Not Nan Atbchad + Hooa Nan Acuehed—�_ �✓ "#` Sent to B.D. — �'%v'%tom TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance c ��i��®/(// f�o� ��/�f,�e�L( liar r�y(3—a��•—l�s'� Owner location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public - Private Well Clearance for dwelling. Other �i 6v1 Ale / Z'c(111Yj6i,vr Hold final for: Final clearance O.K. for: NOTE: (7117 Environmental Health Specialist Date 8/96 O.B.-1 OWNER-BUELDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 9' . NO ❑ I HAVE E3 HAVE NOT 0signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: fi NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. 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: PHONE: CONTRACTOR'S LICENSE NO. 5JI 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: PROPERTYOWNER: DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER O.B.- I 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 yoursel4 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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 security taxes, 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 perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner guilder 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. re`) f Ivlic 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Owner-BuUderinformaion is required by Section 19830 of the Caqornia Health and Safety Code. OVER Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the propertyowner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: rxn e Phone: Mailing Address / 6 2 0 /?i"c/ w,C // C4 i o Site Address: S',: g -"A ,g - Assessor's Parcel Number: a 90 — o 9 Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL 1. LYFOR�NIATION: Is there a primary dwelling on the property? Yes O No ❑ 2. Is the structure already built, under construction, or under notice of code violation? Yes ❑ No 0- 3. Will items produced in this building be offered for sale? Yes ❑ No 9- 4. Will the public have access to this building? Yes ❑ No [-- 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No 9 ---- SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 0-� 3. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No 0 --- CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 3-- 11. Will this building be heated or cooled? Yes ❑ No 0- —'12. 12. Will this building have a water closet/toilet? Yes ❑ No [a-- 13. Will this building have a sink? . ' Yes ❑ No 0-- 14. Will this building have a water heater? Yes ❑ No ©- 15. What type of floor covering «ill the building have? R ti c 16. What type of «all covering will the building have? OVER 1 of 2 PROPOSED USE: (check only one box) I. ❑ Residential Storage Shed – I will be storing -�- /r —o— � , %�- in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. CR Private Garage – "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. 3. ❑ Residential Carport – A covered structure intended for parking of vehicles. Two or more sides must be entirely or)en. 4. ❑ Residential Occupancy – Structures meant to be occupied, as opposed to a storage shed, garage, or carport If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreation Room ❑ Game Room ❑ Study, ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen ❑ Music Room ❑ Family Room❑ Sun Room ElPrivate Office ❑'Workshop 1 [1Home Occupancy' ❑ Other – Use ms= 1. Desmbe type urwo,tshop r�D .k �,( C� 111-A, 54"E" • ` 01/' 2. bhnt be approved by the Butte Courcy Plauming Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with speck requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understated that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale: O«mer's Name: Please Print Fi, v s ,V 42 92 O Wz- Owner's Signature: Date: 2 of 2 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement MESS THAN 1 ACREI e Project Title: %- By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and:that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to 'the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: GREGORY A. PEITZ ARCHITECT 1907 MANGROVE, SUITE `°E", CHICO CA 95926 (916) 894-5719 PROJECT: ,g p I have reviewed. the truss submittal for the above project and all loading design criteria have been met. GregoryA. Peitz Architect f i S i --l•7•�•i .. r. ��...-�•v.w�r"",Y►�'].Y�`:i��-�•r1L^ -" �.... ''-. 4 � .+..-•- Mnr...�.�r•.r^-ww.�---++ .•---.-��.,.,-�.. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 T—ERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMB21 ✓� j� U ZONING i BUILDING P RMIT OWNER • /'� T OWNER'S MAI NG ADDRESS SQ. FT. OCC. UILDING VALUATION I - 01t CONI CTO R'S NAME TELEPHONE r CO TOR IUNG DRESS # J' CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS _. Fireplace Total Valuation $ Filing Fee $ Permit Fee $ 20.00 S11 db ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n PERMITFEE $ . w-+» err s. 4 , �.. ,•-.-{ f"` •�;. PLUMBING PERMIT Filing Fee 20.00 Eacii'Trap LOT NO. SUBDIVISION'S NAME PARCEL MAP I Solar Or heat pump water heater 23;00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other, SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK - New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other v Describe Work: -T / -- ��d� ~ Mobile Home S I GI W1 20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 ' • a OR LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. S /� 7 / /i7 \ License Class — Lic. No. t _ {i7 (/ Ll 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. ❑ 1l am exempt under Sec!. .3. - ±' ,;-Businessland Professions Code for,jhisv reason NEW CONST. DWELLING OCCUP. OR NS. ( 8 ACC. ) SO. 3.5Q FT. MULTI.OTLETLE T NEW C U CONST. NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER (a soirNGLE OUTLETTgR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 50 xED64L Ek. Occup. "(,OUTLETSPREs o �eA) 5.00 (Temporary Service 23.00 Mobile Home Fe7cilities 20.00 Wisc. Wiring ..23.00 �'"*: •�- - •. -� " "^ PERMITFEE s .Contractor- WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. C4 1 have and will maintain workers' compensation insurance, as required by Section / t 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' -compensation insurance carrier and po-cy number, -are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 'Ventilation .4 PERMITFEE $ ' Contractor Policy Number :7) — (The above sections eed nom t" be complete tf the permit is for work of a valuation n of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 1/L �r/y�-' Date SI nature o plica ❑ Owner ❑ Contractor Ag�r — An OSHA permit is required for excavations over 60" d°eep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE -1 TOTAL FEE $ rf U HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSU 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. J / ByA"/ Date ///9S PERMITEXPIRESON (Date) / j(.5 p<<' Receipt No. / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD.APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,..California 95965 - Telephone (916) 538-7541 RMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBEDU q /1 /VIw '�l VL ZONINCpS J•H, P ; BUILDING RMIT OWNER <7 ^ OCC. BUILDING VALUATION OWNERS mAiNob ADDRESS , /) CO CTOR'S NAME I TELEPHONE i CO T LUDRESS � Fireplace CONSTRUCTION LENDERNG UNIKNOWN Total Valuation $ Flling Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ S11 6b ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS :I Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 l Each Trap 7.00 LOT NO. SUBDNISIONS ME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE Each gas water heater or vent 15.00 SIX Duplex ❑ Mobilehome ❑ Other Gas piping system 1 - 5 outlets 15.00 SPECIFY Building sewer 15.00 TYPE OF WORK Mobile Home I S I GI W I @20.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other PERMITFEE Describe Work: Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION = NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.5¢ FT. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter NEW CONST.MULTI-OUTLET = NOWRESID. ( BRANCH CIRCUITS ) 97.50 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, ': ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. and my license is in full force and effect. �0 Ex. Occup. (OUTLET OR FIXTURES ) BAL 20 Q 1.00 so License Class -- Lic. No. CIU PLNS. OR EX. Occup. ( (RES ) OWNER -BUILDER DECLARATION OUTLETS D.) FA 5.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Temporary Service 23.00 Law for the following reason: € Mobile Home Facilities 20.00 ❑ I, as owner of the property, or my employees with wages as their sole compensation, Misc. Wiring will do the work, and the structure is not intended or offered for sale. 23.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. PERMITFEE $ ❑ 1 am exempt under Sec. Business and Professions Code for this Contractor reason WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 I hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 1 have and will maintain a certificate of consent to self -insure for workers' Cooling compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Hood 6.50 lk I have and will maintain workers' compensation insurance, as required by Section ! Ventilation 3700 of the Labor Code, for the performance of work for which this permit is issued. PERMITFEE $ My worker ' pe satin insurance Ca er and Policy number are: Carrier Contractor Policy Number — Mobile Home Installation Fee Is (The above sections need not be completed -if the permit is for work of a valuation Energy Inspection Fee Is of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall occ CONST. TYPE TOTAL FEE $ KrL4,. 110 not employ any person in any manner so as to become subject to workers' 1 compensation laws of California, and agree that if I should become subject to the HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU workers' compensation provisions of section 3700 of the Labor Code, I shall forth 'th comply with those provisions. This permit is hereby issued under the applicable provisions r of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. _ _ _ Age Si a ure of Appllca Owner ❑ ContractoAbe An OSHA permit is required for excavations over 5'0"and demolition or construction of structures over 3 stories in height. BY Date / IrT Receipt No.ge PERMITEXPIRESON WHITE-D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Date 0 al .,PERMIT NO. 4174-78B,'?,Ep-.,Vm4 PERMIT EXP4RES Fred Ciapponi �OWNER CONTR. Sunshine Pools, Chico '.LOCATION (A.P. 43-29-59 1620 Bidwell Ave., Chico Tem . Power Pole Called PG&E m p p. Elec. Serv. C_ Called PG&E T T amp- Gas Serv. C_ Called PG&E JOB JOB FINALED// (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT , % BUILDING Owner i.- ri ei f e-? l0_ 1, I SQ. FT. OCC. BUILDING VALUATION Mailing Address f ;;_j( ('`r 1� / (J $ =J_ EN , V V Telephone No. Contractor ti'N F 1 11 v7 `�'lln'S -A1 Mai Iin Address t �, Fireplace Total Valuation n Telephone No. Permit Fee Building Address Al2 I AJ C-1 Plan Checking Fee&/or Penalty Permit Fee [iU _ KHTfJ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 -9 tj V Each TraD 1.50 �,Jj 1 tom) Repair drainage or vent piping 1.50 .y F -� A. P. No. �� �) Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W! C.*' i� San_ itation lFireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 J, EQA Parking Plans w Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PIcnnrRec'd Parcel Approval' Plans Approval Lawn sprinkler system 2.00 NEW E]'• ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ i �,_ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e00v OR LESS 100 AMP OR LESS 5•Q� Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑�'' ~� Main service EA. ADD•L 100 AMP 2.50 1 ►' I �t ?,1 1 �h l Y� A 1 Irl -i1 OVER 600V Main service • 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWEL NG OR ADDNST ( ACCL BLDGS,CCUP. �) 22sq ft 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 st le of: y v-• '.►✓ PGa(.. S G4 C, N C= NEW CONSTR BRANCH TLET CIRCUITS) NON.RESID `BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWERAPPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES g 1� Ex. ccu FIXED APPLNS. OR O p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Z ri Classification C - '; 1 Misc. Wiring 6.25 / ,_9 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ C?_,) $ `t Ini 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 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. I I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ l,.�_ 7 -nand aumonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X ,;, ., Date Signature of Permitee or Agent Receipt No. 1 ) ' • -? r� 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 7"171PUBLIC WORKS By l— /L'��� Date 7. `i" 7% r -%— Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING , BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets I 1st Floor Main Bldg. Restroom Finish I 2nd Floor Footings Windows 3rd Floor !� Stemwall Siding I To out Slab Roof Sheathing Water Piping T-10-2 27 4C9g5 Piers Roofing j Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwall Insulation Heaters[/ -- Slab Carport Footings Prov. Prov. for physically handica ed Conformance of ex. structure Appliances f `� Gas PI in &Test –2 7� '% Temp. Gas Slab Final - a Sanitation Patio FIREPLACE Final % Footings Footing ELECTRICAL Masonry W Is Throat Rough eel ,W—ZA— '7d Final I Fixtures r sono tseam FIRE KRINKLIERS I Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECAANICAL ) Grd. Fault Prot. Scratch Heating Service Brown Cooling Finish Ducts IbAftseasAmd— 53 Interior Lath Ventilation Permanent Door Closer Final I Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME 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.) 'v COUNTY OF BUTTE — DEPARTMENT Olt- PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 / J APPLICATION AND PERMIT AA 1/. authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 711, Sign ture of PeQQrmitee�orr Q nt Receipt No. 1%J �U 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. DIRECTO/O )PUBLIC WORKS BVDate % — ?� Bu ing permit expires Date 7' 7-0'7 i BUILDING Owner10. SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address Telephone No. Contractor Su OD IS 'b t Mailing Address yft Fireplace Total Valuation BS ,Q lephone o :ZJ::J: CZ ` Permit Fee Building Address 'A I CL C21 I 441Z Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 D Each Trap 1.50 Repair drainage or vent piping 1.50 �^ A. P. No. A/d Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fde<W 4sai&ffn Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking r ParcelEach Plans Declaration I Parcel Map 60' R/W Impro ements additional outlet .30 Building sewer 5.00 Bldg. PIns RecdParcel ApprovoV I ans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 Main service. OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. /DWELING OR ADDNST % ACCLBLDGS.CCUP. 4) 20sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. �NSNJN� -pOOi. S Of e /V/110 NEW RESID, BRANCH CIRCUIT NEW CO ID ( BRANCH CIRCUITTLET S) 2.50ea NEW CONSTR. POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTIIRES 5 �:j FIXED APPLNS. OR Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 367 Z f Classification C _ 5 3 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. 1 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 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. MECHANICAL NW04 @ FEE 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 711, Sign ture of PeQQrmitee�orr Q nt Receipt No. 1%J �U 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. DIRECTO/O )PUBLIC WORKS BVDate % — ?� Bu ing permit expires Date 7' 7-0'7 i OWNER ( L4 Zoning Use Propos Permit fee based upon:, 1. 2. 3. PERMIT APPLICATION WORK SHEET Complete contract price. Partial contract price (explain). DPW Valuation (show): Permit No. A. P. No. Approved Not approved At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -------------------- 5. Fees of $ ------------------- Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 7. T e. 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. -7 --------------------------- 17. Pre -inspection request for _ -- 18. Imp ovements - plans required & DPW approval. ----------- e ---- - BY_�n Date ldg. Inspec During plan checking proce6s, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Dat 4. Plans approved by Dat en permit is issued, process as follows: Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup @ office. 5.• Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4•. Public Works - Date Notice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other APPROVED Butte Coupty E n v:i 7= ' � H ate Signatu 51 TF. PLAN 225-2V I., , 1.5EGTION A: I Environmental Heeiii, FEB 0,:5 2004 Chico, CA