HomeMy WebLinkAbout043-430-01943-43-19
Durkin & Drew
'1": LLazy Trail Dr., lot 49, Big Chico
CreekTn;—Ch ccoo
contr : Jerry P'rYoe,,"§Chico
Permit #693-82B,P,E,, T, 'e singTe
family) �D� L-
43-43-19
ROY
Contr: Yates •`�"�
PErmit#3707-87B(ad�de
43-43-19 s/9
Contr: �gle Electric v
P t#3732-87E(ele for spa)
043-430-019 PERMIT#94-2275
VANONI, ROY•& YVONNE
1466 LAZY TRAIL DR. CHICO
ADD SITTING RM & BOAT PORT
043-43-0-019 -98-1218
Russ Collar
FINALED 6/11 9
043-430-019
03-3386
VANONL ROY
1466.LAZY TRAIL DR, CHICCO
Cont: BAIRD ROOFING Al N 3`
RE ROOF `
B07-2145 043-430-019
MISCELLANEOUS Remodel
REMODEL BATHROOM APPROX 116
11466 LAZY TRAIL DR
VANONI FAMILY TRUST,
i
;C
Y's
�S
4�
i
;C
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
PROJECT INFORMATION
Site Address: 1466 LAZY TRAIL DR
Owner:
Permit No: B07-2145
APN: 043-430-019
VANONI FAMILY TRUST,
Issued Date: 10/16/2007 By TMP
Permit type: MISCELLANEOUS
1466 LAZY TRAIL DR
Subtype: Remodel
CHICO, CA 95926
Expiration Date: 10/15/2008
Description: REMODEL BATHROOM APPROX
(530) 345-3401
Occupancy: Zoning: ASR
Contractor
Applicant:
Square Footage:
JTF PROPERTIES INC dba DREAMMA
JTF PROPERTIES INC dba DF
Building Garage Remdl/Addn
3247 EAST STREET SUITE A
3247 EAST STREET SUITE A
116
ANDERSON, CA 96007
ANDERSON, CA 96007
Other Porch/Patio Total
(530)365-1710
(530)365-1710
116
FEE INFORMATION
DBMSC Remodel -Residential $379.93
Total Charged: $379.93 Fees Paid: $379.93
Balance Due: $0.00 Receipt No: B4998
LICENSED_ CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
JTF PROPERTIES INC dba DRE 880015 / B / 06/30/2008
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
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.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 10/16/2007
/Contractor's
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Signature Date
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 Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
000939 09/01/2007
State Fund 436-0 D
Number. Exp. ate:
Cartier: Policy Numb
Contractors License Law.).
(This section need not a completed if the permit is for one hundred dollars ($100) or less.)
❑ IAM EXEMPT under Section B. 8 P.C. for this reason:
❑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'X
10/16/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 10/16/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, in any way connected with
HUNDRED THOUSAND DOLLARS 5100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( )
the issuance of this permit. I hereby acknowledge that issuance of this pea rmit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
CONSTRUCTION LENDING AGENCY
- - - - - -
10/16/2007
ame of Permittee [SIGN] Print Date
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
ElOwner ❑ Contractor OR; Agent for Owner DAgent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.butt6county.net/dds
**PLEASE PRINT CLEARLY**
z
�-ee- 07_ ")o q'2 -
PERMIT
NO.�
BIN #
PROJECT LOCATION
AP# 2� �f
Property Address 14 b
i 1) _ Z I 6( a),1VE
city . I C -A 12) L0
WORKER'S COMPENSATION
Policy Number 3 to, COM
9 3q
Carriers
If hiring anyone other than lice se contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name.
n Address
DESCRjIPTION OR SCOPE OF WORK:
Eonj f— I
OWNER INFORMATION \ p
Last Name
'First
O L
Name
�-ecw
Mailing Address
T ' +' LDtD Laz-�Q i i
City Ch.
Address&24-7EAS
Zip
Staten
l•�
Zipq Sq z
Phone(S3
3q -3z4d1
Fax
E-mail
5_ Fa S W 31 )- 5 S
z
�-ee- 07_ ")o q'2 -
PERMIT
NO.�
BIN #
PROJECT LOCATION
AP# 2� �f
Property Address 14 b
i 1) _ Z I 6( a),1VE
city . I C -A 12) L0
WORKER'S COMPENSATION
Policy Number 3 to, COM
9 3q
Carriers
If hiring anyone other than lice se contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name.
n Address
DESCRjIPTION OR SCOPE OF WORK:
Eonj f— I
CONTRACTOR
Name AA
Nameff)'1'4r
Address
Address
City
ki
Address&24-7EAS
Zip
i ii
City
State C
E-mail
I Zi,%
Phone , 5
5_ Fa S W 31 )- 5 S
E-mail J bAv Q
+--QQ CO--
+me I I CO
Lic. #c
Class Je)
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�-ee- 07_ ")o q'2 -
PERMIT
NO.�
BIN #
PROJECT LOCATION
AP# 2� �f
Property Address 14 b
i 1) _ Z I 6( a),1VE
city . I C -A 12) L0
WORKER'S COMPENSATION
Policy Number 3 to, COM
9 3q
Carriers
If hiring anyone other than lice se contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name.
n Address
DESCRjIPTION OR SCOPE OF WORK:
Eonj f— I
ARCHITECT/ENGINEER
Name AA
-F- ( `
K
Address
Address
City
City
State
Zip
Phone
5e
Fax
E-mail
-mail
State License Number
z
�-ee- 07_ ")o q'2 -
PERMIT
NO.�
BIN #
PROJECT LOCATION
AP# 2� �f
Property Address 14 b
i 1) _ Z I 6( a),1VE
city . I C -A 12) L0
WORKER'S COMPENSATION
Policy Number 3 to, COM
9 3q
Carriers
If hiring anyone other than lice se contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name.
n Address
DESCRjIPTION OR SCOPE OF WORK:
Eonj f— I
APPLICANT INFORMATION
Name
`
-F- ( `
K
Type Const.
Address
0` s ��
30q-7
City
b b dn
StateCA
Zi n
ol
5e
3 bco _ I
Fa
-mail
z
�-ee- 07_ ")o q'2 -
PERMIT
NO.�
BIN #
PROJECT LOCATION
AP# 2� �f
Property Address 14 b
i 1) _ Z I 6( a),1VE
city . I C -A 12) L0
WORKER'S COMPENSATION
Policy Number 3 to, COM
9 3q
Carriers
If hiring anyone other than lice se contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name.
n Address
DESCRjIPTION OR SCOPE OF WORK:
Eonj f— I
ZoningsI--,j
Zonings
--,jFlood Zone SRA I Yes I No
cc.
Type Const.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
ZoningsI--,j
Zonings
--,jFlood Zone SRA I Yes I No
cc.
Type Const.
_7 Sr �� �`7 : -2 - q3
10/16/2007 04:41 -5303651551 DRElilr•IMAKER
Oct 16 07 02:34p
t@IIT'!I'rA`llr irniTN V
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•
24 HOUR (►14PB("l1ON 41:(530) 538.7636 (0ROw[L1.6) (530) 891-24,34A ( �!?)
' Oe d{A
Ga UPEICSA:(330) 458-534i FAasi (536) 10' -.-IS
wgBMTE: wv+w.biiic+s:::.:y. ediE
Site AddtelT:
1464 LAZY TRAIL Di1
APM
043-43"19
rat=tii iy-K:
mISCE..LAANEOUS
oiiv:j Pe:
R: C6A
3TB PROPERTIES INC dba DREAMMA
3M47 EAST STREET SUITE A
ANDERSON, CA 96001
(930)36-4.1710
Vapmet-*ap4 AAt1.42ReEi�df�D11®1
PAGE 02/02
P. 2
Owa«:
I PmMit NO: 807-2145
VANONI FAMILY TRUST.
-
1466 LAZY TRAIL OR
luuod Dors: ]dlitir 067. BY TA9P
CHICO. CA 954026
Ezpinuion Dam 10/15 00$
(M)345.3401
viceiipiuicy: Zoning: Aga°: !
-
5��*s Peerage:
App t:
JTR PROPiLRTMS lNC dba Di
Building 0RAV RaWAddn
032247 EAST 31 REe T .glliina i A
116
p T.e�n1a W d -A 96M7
AI�VG�7VnI >vvvr
Torg]
OP0 Tow
Glh� �OrMY�I'O�V
(MIA
t!6
e1ei�..awrdw�SaB'aiTTiivT -
.. , . . ,.
$379.93
LIC..ENBID:CQNTR ICTOR'$:I> c i ilii• • .
ContrecSot INnne) SIB1D ConOaa><o+1 Lioenee liD. l Cir�ls / 6',tzioo;
JTF PROPERTtEO INC Ciba M 44db': 1 9 1 OWW' M
THEREBY AGFIRM UNDER PENALTY OF PEMXY V%% 1 am Mm WQ unaai Ptv-�• Cs;;:.a e
Of"Bumims and Prommium 000..m m7 Iim=
a m au Itra. a•Ihal �.
x C 10/1612009
Cattlt aovDaft
�:YiA9li�,Tltl�r �PQ60�iCOSA.L C•:�� ��-�3'�ar-JR59l�d®..' '.
I MERIiBY AFFntef UMDER Pfi�itiR'vF'reP.iiin"i. :dC.:'mL'='"�1.i' _".1'10rifiaM:
• :> :. s �F44LctrATs OF CONVENT TO 3ELr4N9URE FOR
'��j 104410 n.n:.' :"'�• `°�" ,...-..- __.
6J WORMERS' COMPEMBATION. a* p0v;doafo by SGWM 1700 dam LOOMOM. t- the
❑1 RAW AND WILL MALWAIM WORrAks, I:W>-WeATIOW INSURANCE. as •.,.Ja faeued.
_ Bastian $►00 d
ft 1.00 Coda fat 1114 Pm%?om I00.o100 wO1N MI wr6ctl sw Pe A
Ml vk" Y Comparsawn ht0:uarto0 akfnw am polrol n1Bl6w bid:
1 RMSBY AFFIRM UNDO -A FP"TY Op pii3:Ut3Y tmf 1 efn emelt^-! A�rfi S 0 Uoan70
tr+for e e IatlaWn9 �� (800.7011.51, euaar s and PMOU10n0 CAM. -Aft dW of aaV 4 7.14
Iemum a Pam 00MM. otter, inia7iA, aardCJC+, 0; rti-.:.t ery Ct§r L Nn i�!4Q.
$0 rte or 06118a b IiaYOO
Cee raq fto t o amoikam mr au h owe tD ft W� mComm
pl;b+lelllto0+epalelan+atlaignawaarvL;-�-Le ICx,�r0;0>^+:- - fl6501On701
d O+ 10; d ito awma00 -d Pralel lions COa01 m that ne gram is WSW Ammama WRIOW
abtia %r Uta BIW200 0lapo- my t'lalpam{ d isswon 703{.B Gj m.j w.-�•• 0.^'�.-�[ c^�
an e7�it�m tB B 3v?I y_ xaq+d Ras Iaae otYn lilQ rt�nasd dOeeee l�f:
Flea. d-taano of Ca 1am-1w
I.,Q6 OVthdV OF SHE PROPERTY. OR My sAvL>7VEPe Wrr" WARFE A4 TTftJR BOLE
eompEuLmyft. WILL DO W WORK ANO TIf STRUCTURE IB NOT VlT""b oii
OFcctra r= za-.9 tt== 7040. Rvaimm ens pmeaN m Caft Thu Ca— UoOtne
is dOB! nal llPOtY M 4R ealYr d 0Y PtaDarO', 0110 ppta0 or i-DrOv� Utntrotl Ntd ta110 s0ee
va.dAtr,InrsGa>ar atM1' oNomhffaef{OMPIOM,WN9231alar&Stat
ata na fntanaa0 Ot ottvtva
for /MSO. a. nova . U.* tk"V a w4,".. W0 is sm "M DIY
deard Q.,4, iiw'.,Z.%0 Itm Iltebumm&®1M to M W on am I= OWYm
wjp tmnmf. deet.).
[i 1, AB OWNER WA
OF THE PROPERTY. AM ERCLUSNELY CONACNIk3 VATM LiMNSIO
L! cp..rtpAc1Q29 TO COMSMUCT THE PR -049T Ifi00 700x. Rims" a06 Plarm*w C4=
Thu Coft0INWO LJo Low 0D nal Wly b N 0"W at eY W pOrb WW bAM a ffaW
a,^,^,.. = tm a�'�7 fdr tr'9t 4 mntrmJs4ni t m me
c4ramwe Licome Law.).
Ca1Ha: 9" fund Pau Oy Myl�per•3ie�u60wia F„4,. pap;.'�'•w""'• r=7
TTT!a +•! Ir._ -- _ °°A.!0._ .:. P . pmsD;t m r01i9` m w O�IB'0 (i{OW w�eso-1— 5. !!PT utbm 6vtaiot _ B. m P.C. to uba+eaeorc
❑1 CERTIFY THAT IM THE PGRGORWWCr°_ 6':' 4::a W= P00 =%CM Me 8E=at�T !0
188URO: I etteN'tmt Mal env Paw M ov M—W 001.K to become 060}a IF so WorOen' .10/16l�OUT
�OmpdMeton leas d CWtNMLL -Maw" mom d i atmuw t,—. i it1 Qj i, X04' iP
'yarnFFslt�m
pm -Mm at Beteat aT00 W 7a L -ba Co". I rnae /anmaw ON" we"
O�m- a Sttanewe Oats
1 f 7W d 101 V2007 I lwroel ooruN Bmt t I,D.a rasa ad. ena eta aYt 1.w ma+ tleanYtiDn a muse. f sataa
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taateMuUlatn BlA.0 Bry and at1 wndhl" Of POML 100'aa to OWm4 V1a9mtM ens Iw1a
WA MINS: F&"M TD UCURE wORMEW CCmp&NBATIoN oriV-en "w UkiAW FUL bum COum. ha a am. 14074 Wa GMF' --rte Dam airy end em dahne and Ili' Pr p1RsanaI
p"9 WkLL WaiSCT AN gMg L yEFt TO CFOM1tlAL itOIALTiii ANO CNIL RM® OP TO ONr may, uW,4N WWe -d p WW dwrt� Maid by, a IWI!) Ore d, Or m 004 May ODNoaalee wsl
NUNDREO TN0119I1 M DOLLARS 114100,000). IM ADDITION TO THE COST OF GOiaeiiai+VOW, the teSuwm c a dve par'IA I �0v �' d e30 ge"r9 OMS "M tP.O
r: wr.ew.D MR!_iv�Fleil _aTge aP T? 4.aOQA COD& alTSAM" AND tea W eomar" 41 any 0:a0■4k s"OL a QWdWaaih 1 hweby Built-Is,eP OMftbiwa Of Bum=
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:.:�:: 01n and d triODeV'anW eDelWrt.
1 M"E.BY AFFWM UNDER PEte11LT' OF PERJURY VW elan is 0 WAVtldi I0nd1A0 200'*l fat
-- - - -
aro pbwmm dire_'kAar ..w•MP 't... Vcd tw Sr Uv. Mdo)
LenOeYOAQateOe City g to
Tip
Q'r�Rl6t 1 7 C.¢7PY000[ OR: OAW l far 0--1 IAGullt
LLJJ PILE COPA LS _
10/16/2007 04:41 5303651551 DREAMMAKER
3247 Fast Street; Ste. A.
A.ndersbn' C,A. 96007
Drea-in
ke 530-365-1710
Bath & Kitchen FAX: 530-365-155
g }( W 0 R L D W 113 13
Indoendently Owned and Operated Franchise
PAGE 01/02
To: I (p! Y , i`; •� pax:
From: 6r, 6Ca .G — pate: 7
rAWage: The largest and best.selection of
remodeling options -unmatched
{ CTr�ent by anyone.
-r•cz�• Traditional Kitchen &,Bath Remodeling
�fr<dential. '
` . I Cabirnetry Refacing
Informational
. a Tublinecs, Nall s;stea!'s and cei!irg ,
For Review and Approval panels
AND MORE...
Or Price Quote i
Ica
Yj
j 4r
q
iT 111e[e ale ally.l;loblerns with t�lis tiansinission, please call' 530-365-1710
Making four remodeling Dreams Connie True'*"
�13Tr�0 Department of Development Service
o .Building Division
° ° 7 County Center Drive
o - - - ° Oroville, CA 95965
(530) S38-7541(530) 538-2140 FAX -
O(J�•t �vvvw.buttecountY.net
FACSIMILE COVER SHEET
Date:
To: t�1
From:
Subject:
Number of pages (including this cover sheet):
Fax Number:
If you do not receive all of the pages, please calf (530) 538-7541 as soon as possible.
Special Instructions: ~
n Review and =respond accordingly.
n For your information only.
Sinc ely,
CONFIDENTIALITY NOTE: The information contained in this facsimile is confidential and may
also contain privileged information. The information is intended only for the use of the
individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby ;
notified that any use, dissemination, distribution, of copying of this communications is strictly
prohibited. If you have jreceived this facsimile,' in -error, please' notify'me immediately by
telephone, and return the original to me. Thank you.
DreamMaker Bath & Kitchen t
s
dba: JTF Properties Inc.
. ' . • *'
3247 East Street, Suite A
Anderson, CA 96007
Phone: (530) 365-1710
-�
Dream
Fax: (530) 365-1551 ..
l�/j Aker
Ca Lia #880015
Baths &:Kitchen
y BY WORLD WIDE"
[Independently Owned and O erated Franchis
October 1, 2007
,
Department of Developmental Services
Butte County
7 County Center Drive ,
Oroville, CA 95965
Re: Application for Permit to Remodel bathroom
Dear Sir or Madam:
Enclosed please find a completed application and floor plan from DreamMaker Bath & Kitchen, Anderson,
CA. We have been requested to remodel the bathroom of Yvonne and Roy Vanoni, 1466 Lazy Trial Drive,
Chico, CAQ 95926. 1 phoned the Oroville Permit Department and was advised that this Chico address
belongs to Butte County Permits not the City of Chico Permits.
Also enclosed please find our check for $379.93. The size of the bathroom is smaller than 250 sq. ft.
Please call me with any questions.' Thank you for your courtesy.
S•ncerely,
Jeffrey Bryant
General Manager
JB/emg
Encl: Permit Application, Floor Plan 5
L. - .
M a k n g y o4'u r r-e'mo d e l i n g d r e a m s c o rn"e t r u eTM'
Copyright 2001 Worldwide Refinishing Systems, Inc. t • ;
dba DreamMaker Bath & Kitchen by Worldwide TM SP-S61sgr
z
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31
^
NOTES
RESIDENTIAL
PERMIT NO.
0663 - `�310 - 0 1�
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
�5
1kJOB FINALED (Dat
Signature
CHECKED
BY
J=OK
0 = Not OK
. = NotReadyable
Gas; MH Test -Demand -Valve
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Water; MH Test
1.
Zoning Requirements -Setbacks -Easements
8.
2.
Soils; Special MH Support Sketch
Exits
3.
Sewer; Location -Test -Fall -C/O -Concrete
11.
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
r
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or / /" L "ft./ P LPG
7.
Well Clearance & Disconnect
e
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
e
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
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Blockino
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, 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- Enc losures-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
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
1.
Zoning -Setbacks -Easements -Flood -Slope
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Siding -Nailing Veneer
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
5.
Stemwalls, Main; Steel -Blockouts-Wrapped
Glazing Area -Glass Protection -Skylights -Plastic
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Shear Walls; Nailing -Bolts
6a.
Hold Downs and Special Anchors
Brace Interior/Exterior Wall Panels
7.
Slab, Steel -Wrapped
Insulation -Walls -Ceilings
8.
Piers -Fireplace Ftg.-Steel
Infiltration -Walls -Windows
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Card B-1 Date Card B-1
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Card B-1 Date Card B-1
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
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Elec. Outlets at Wood Panel, Int. & Ext.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
18.
Water Pipe; Test & Anchor -Nail Protection
Elec. Outlets & Receptacles at Kit. Counter
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
Garage Fire Door; Swing -Landing -Closure
20.
Shower Pan; Test, First Floor -Tub Access
A.C. Duct in Garage -Damper
21.
Test Tub & Shower, Second Floor -Tub Access
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
22.
Gas Pipe; Sixe & Anchors
Plb.; Elec. & Mech. Equip. Listed for Location
23.
Fire Sprinkler; Test
Elec. Receptacles in Garage (FF.I.)-Romex Protection
80.
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
83.
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
84.
26.
Size Boxes & No. of Conductors Stapled
85.
27.
Romex Installed Close to Edge of Studs & C.J.
86.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
87.
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
88.
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
89.
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
90.
32.
Service -Riser Conductors & Ground Main Disconnect
91.
33.
Equip. Clearances Panels-Motors-Mech. Equip.
92.
34.
Clothes Closet Light -Shower Light -Spa Light
93.
35.
Smoke Detector
94.
Energy Compliance Certificate -Other Certificates
Date
Address Posted
Card B-1 Date Card B-1
Date
Fire Sprinkler
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Date
36.
A.C. Ducts Insulation & Support
Date
37.
Vent Fan, Exhaust above insulation
Comments at Final:
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
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
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 (FF.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 ❑ Yes
_
83.
Following Instld./Drive Cl Yes O No/Walks ❑ Yes O No/Planters O Yes O 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:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541
(Rev. 12/96) APPLICATION ANDPERMIT
ASSESSOR PARCEL NUMBER V
ZONIN `
BUILDINGPERMIT
OWNER
nn) ON
TELEPHONEC•7
1-34 7yjb).
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING YDRESS ' —.f 0 /J
N/
LU
I n �� l
CONTRACTOR'S NAME - l } TELEPHONE
Ate
CONTRACTORS MAILING ADDBES
(y��
CONSTRUCTIO LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee $ 20.00
Permit Fee $ 7a:.bb
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS r % D
I
Energy Plan Checking Fee $
$
PERMIT FEE $ q.D.gb
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF IK Duplex ❑ Mobilehome ❑ Other
(� SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition O Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home LS I G 1 @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
O*OVMain Service 200A OR IESS 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 I rce and effect. �'n�
License Class � Lic. No. (9 31010()
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for the following reason:
O I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure -is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCC P. SO
OR ADONS. ( a ACC. BLDS. 3.5¢FT:
CONST
No RESID.' MULT
. I.0t1TLET QG 7,50
POWER APPARATUS
IR
8 SINGLE OUTLET Clq.
OCCU ounET OR FaTUR 920 @ 1:00
Ex. Occup. GuTELtrs RAID°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
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.
iK I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' tion . suranc carrier and policy number are:
Carrier ((�/jjTT
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fort with comply with those provisio
0-//�%
X Date T
Signa re of pplicant - ❑ ner Contractor O Agent
An OSHA mitis required for excav ins over 5'0" deep and demolition or construction
of structures tri in h ht
Receipt No. U
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
p. PEES IMP I FLOOD COF PARCEL Pb
HD
IS 4E
applicable provisions
of the Butte solutions to do work
indica boeen paid.
This permit is 3ODate
By
PERMIT EXPIRES ON l�
Dat
WHITE-D.D.S.-B.D. NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
R.
f
RESIDENTIAL
043-430-019 PERMIT#94-2275
I VANONI, ROY & YVONNE
1466 LAZY TRAIL DR., CHICO
ADD SITTING RM & BOAT PORT
Sccc -=�w�
I
..,...,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville,, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT !'�/- 20 7
ASSESSOR PARCEL NUMBER
443-430-019
ZONING
ASR
BUILDING PERMIT
OWNER V
ROY & �'{"% AAtO'VI
TELEPHONE
345-- 8182
SQ. FT. OCC. BUILDING VALUATION
MAILING ADDRESS
TRAIL1466 LAZY R CHICO 9 926
288 R 15,552
302 C 3,926
CONTRACTOR'S NAME l `
WKNOWN
TELEPHONE
{
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 19.478
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
247.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
134.55
Energy Plan Checking Fee $
23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
1
Penalty $
BUILDING ADDRESS
i TRAIL DR. CHICO
PERMIT FEE $
384.55
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex ElMobilehome EI Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition CaRemodel ElUtilities ❑ Installation ❑ Other CIPERMIT
Describe Work: SIT.iC'iNG ROOM & BOAT PORTI
FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service600V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW
T ( DWELLING 8,, ACC. )
3.5C FT.- 24.65
LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
MULTI -OUTLET
BRANCH CIRCUITS
@7.50CONTRACTORS
( POWERAPPARATUS )
8SINGLE OUTLET CIR.❑
rEx.Occup.
( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 50
FIXED APPLNS. ORLicense
( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
1 I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
40.6
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
1 certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
C untyLin consequence of the granting of this permit. 14,14
11 Xl �/f,r-/Ji(,ji.:� ��� ' /�Gc//w[� /� DateThis
Signature of Applicant - El Owner ❑ Contractor ❑ Agentof
An OSHA permit is required for excavations over 5"0" deep and demolition or
constrLiction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.
OCC
CONST. TYPE
TOTAL FEES 471.2(
HAZ•
�-j"�`--7gv
D. FEE
IMP
F100D
C� or
PARCEL PD
HD
ISSu
permit is hereby issued under the applicable provisions
the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
Bv,4.,. Date 1/
(� Lr
PERMIT EXPIRES ON 7�,�
�Detel
Receipt No. 167317
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�"SP2
O = Not OK
NotNot Applicable MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. -Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Teat -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" U ft.
/ /"Nat. or/ /'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2 Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements '--; .
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Railsl t
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors ! •
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors _
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
S. 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
/-
T3")
y
0
1.
I
1
V=OK
'O = Not OK
- = Not Applicable
= Not Ready
Date/Initials UNG
RESIDENTIAL (Single & Duplex)
^'r I r71 O!Ftg., Main; Soils-Elec. Grnd -/ P' Fig. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4.Ftg., Porches & Decks; Soils -Steel-/ /Fig. 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 -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nasi Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Install6d Close to Edge of Studs & C.J.
26. Equip. 40uadq,up w/Meth. Fastners-Bond Gas & Water
27. 2 App e e C is in i hen & Conductor Size/GFI
28. Subfee Wire Size / or AI-A.C. Wire Size / / ga.
Cu or Al
29. Rang irc / /be. du0AIOven Circ. / / ga. Cu or Al.
Insul e r ❑ Yes ❑ No
30. Service iser 1pnscto Ground -Main Disconnect
31. Equip. Clears es otors-Mach. Equip.
32. Clothes Closet iaht- how Liaht-SDa Liaht
33. Smoke Detector"
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
=36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING Plans OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -N 'I(ag, ftaftb & Br c ng -Plates -Sound
41. Bearin a ve dir or Floolhalling
42. Draft St pin ells (rat ro f
43. Fire Stops; Furred Ceilin s -C aces -Tub
44. Headers & Beam -Size & Illearina
Date/Initials FRAMING (Continued)
45. Hangers -Post Ceps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywoo oof Overhang -Attic Vents -Rafter Outriggers
(g.idin -Nailing- eneer
`5 . Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Ceilinas
60. Infiltration -Walls -Windows
Date/Initials jift Plana OK except #'s
1 xt._saps-Door & Sidelight Protection -Landings
6b.-'9_moke Detector
--63 rurnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
room Exiting
& Bath Fixtures & Tub Access -Spa
T68,yElec. Trim & Subpanel; Breaker Sizes & Labels
!!6�7. tairs & Rails
-&&- replace or Stove; Clearances -Hearth
_S9.-Elec. Outlets at Wood Panel; Int. & Ext.
t.Fixt. & Appliance; Grnd-Air Gap -Cooking Clearance
lec. Outlets & Receptacles at Kit. Counter
Garage Fire Door,'Swing-Landing-Closer
�.�.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
Plb. ec. & Mech. Equip. Listed for Location
1 . Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
.40 -Foam -Looked in Attic ❑ Yes
erd Rails & Deck Construction -Post Caps
Rfn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
C`( -f�ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
6••\+�� Planters ❑ Yes ❑ No
Brown -Finish
Unit; Disconnect, Electrical, Plumbi
183rd -Above Roof; Plbg: Appliance -Fireplace: Clearance to
Disconnect, Electrical,
r c. Trim; G.F.I. Receptacle -Underground
_ 116.-Ventilatiughout House
erections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comutents at Final:
Owner:
Permit No.
ENERGY CERT IFICATION --
^_1466 Lazy Trail, Chico, Ca_.
-� L.o(,A'.rioN
DESCRIPTIO14 OP .INSULATION
ROOF
Mat ! r 1. al__ ..,,
Tit:l.ckneas(incitea)
EXTERIOR WALL
R1ate:r.ie,t �i3/a'�T�
Titi.cEnese(incl►ee) 3 v
A.P. lio.
Brand Name
Thermal Resistance (R
Brand Name
Thermal Resistance(R Val.ue),_E�/j-_
E1.1,I'iG
Batt or Blanket Type FIBERGLASS BATT$ Brand Name SCHULLER
Thi.claness(incite 1ij� Thermal Resistance(R Value) R30_-.--_-
s) 9:z. _
Looe a F' i l l Type Brand Name
Mininnim Tit i.cknes@(Incites)_� Number of Baga Wt. per bagf 057__1I -
Area covered(ft. ) Thermal Resistance(R Val.ue)_____-__-
FLOOR , ELEVATED
Mater.lal_ _ --
'I'h i c knes s (inches) _
FLOOR, SI.,AB
1u►terlaI
Tit icknes s (inches)
WIdth(incites)
FOUNDKI.JON WALL
tial:eri.a1.^
Th.ic knesa(inches)
Brand Name
Thermal Resistance(R Value)--- -
Brand Name
Thermal Resistance(R Value)_._.___.•__.,_
Brand Name
Thermal Resistance(R Va1t.ie)_!____,_.
I Icerehy certify that the above insulation wag installed in the abuvo buil-ding
in c.onfoiniance with the Stat,a of Califorple Enerty Requirements.
l-(I_RKE: INSULATION CO.,
E- M tjAM/OW1jEIt
SY(:�IAf URE OF I.NSTALL.A N APPLICATOR
................ .-._.---- —
499150
STATE CONTRACTORS LICENSE NO.
October 12, 1994�i__`
DATE
I. i►c:rehy certify tate above insulation and all required items as shown on the
Bull.cling Department approved plans and attachinente have been installed as
rq!aiui.rr:d by the State of California Energy Requirements.
Ail equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
F'[RTI.. t1M1?/OtINER (Please print) STATE CONTRACTOR'S 1.]':(,EN�SCE�; N0.
:i [Gl1Ii1'C Fs OF (irNERAI. COTTI'RAC'.rOR OWNER DATE --
'.r19],S CE:RTUICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO F 114M,
IN3PECTION APPROVAL AND A COPY 011A.LL BE POSTED WITHIN THE BUILDING .
January 084
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE• CALIFORNIA 95965-3397
TELEPHONE: 19161 538-7541
_.. FAX: (916) 538-2140
CHICO OFFICE - 1469 HUMBOLDT RD, CHICO 95928
' TELEPHONE: 891-2751
ROY & YVONNE VANONI
1466 LAZY TRAIL DR RE: Building Permit # 94-2275
CHICO CA 95926 Expiration Date: 9-13-95
A.P. # 043-430-019
DEAR MR & MRS VANONI:
With reference to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
(X] Permit -work started,.but not completed. .Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration -date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned .to this office together with the fee
shown. Please return all copies of the application form.
[ ] No inspections have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should-'ou have any questions concerning
this matter, please contact the CHICO office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Michfael C. Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
I
COUNTY OF BUTTE ?
BI'JILDING DIVISION
DEPARTMENIr OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Croville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
L141vo,vl y-Zz'j
OWNER ` PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this, office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
I flour bAlv,01-v-6 4 / &06
2 v
i
N
'`
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT.SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
11.41' q-ll-zZ �5
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
�0 &cj� co0&f,rz �uw /voa/LS /t/�
(--lq -9 4
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
C/. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT `
ASSESSOR PARCEL NUMBER
043— 30-019
ZONING
ASR
BUILDING PERMIT
OWNER
VANONI
TELEPHONE
345-8182
SQ. FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
288 R 15 552
302 C 3 926
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 19.478
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $ 207.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
134.55
Energy Plan Checking Fee $ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 1466 LAZY TRAIL DR, CHICO
PERMIT FEE $ 384.55
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping 15,00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF IN Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W J!20_00
TYPE OF WORK
New ❑ Addition QxxRemodel ❑ Utilities ❑ Installation ElOther ❑
Describework: SITTING ROOM & BOAT PORT
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
ORSS
Main Service ( Bo"LE
200A R
OLESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
NEW OR ADONS.T ( DW & ACLLIC BLDS. ) 3.5c F°: 20.65
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS )
( & SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) an20 i @ I.00
50
Ex. Occu FIXED APPLNS.OR
p' ( OUTLETS IRESID.1 EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
�l I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $40-61
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against saidHAZ.
Cou in consequence of the ra ing of this perrhit.
X r Date
AN
Sign re of Applicant - Owner Cl Contractor ❑ Agent
AHA permit is required for excavations over 5"0" deep and demolition or
con r ction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
GCC
CONST. TYPE
TOTAL FEE $ 471.2(
D. EE
IMP
`—
FLOOD
I COF I PARCEL PD
HD U
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.
BYDate
PERMIT EXPIRES ON l
[Date)
Receipt No. 167317
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANTJ
M
.....-w,►:-^a...+.�,..�+n .. �.-•,H+.nr..- ..,. �.Yr`�-.Y'w�.:+n�,.-'+..r..,�++t-re••.r�-`:w 7..-.�ii+tir•�i�ti...�f�r�.� 1.-.�+rhi�'TM'Y+-,.r'•-u�r.�+r•s+w...y.��•`....'7,...,-� r.�lr..-R �1.: rr .�.,.r.r-r•.>....... ..
COUNTYOF BUTTE - DEPARTMENTOF DFEV.EL'OPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
A No. �U, j
Building Inspector Date
4q,
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ..................... .
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. 102obWlehome data and manufacturer's installation instructions, 2 sets. ...........
ees of $ y............
11. Impact fees as shown on attached schedule. �"'� /
California Department of Forestry plan approval/fees. ....................... .
3. Flood elevation letter (100 year flo ) by California Engineer . ................. .
Sanitation and plot plan approval � c.-52Health Department . ............
15. City of Chico plumbing permit . ..........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). Pre -Inspection requ�
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . .......................... jy
23. Owner -Builder Verification (Given to owner , Mail to owner ............ *;
24. Recorded copy of Agricultural Acknowledgement Statement . .................. a
25. Letter of signature authorization.........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ........................................... +
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
Whe ou issue the ermit rocess as follows: Mail lo owner. Mail to contractor.
Telephone and hold for.pidkup,at CW cc -C2 office. Deliver with inspector.
Other 16
Parcel Creation#�� 0g
Acreage Applicant` G�' Date ��
Copy of Haz-Mat form sent Health Dept. Fire Dept
Copy of plans sent Health Dept. Fire Dept.
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:
Air Pollution Date
Date
new item not checked above).
By
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail C nter by _ Date _
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
i
s�v7�
TO:
Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Plot Plan Atmched 4Fes
Poor Plm Attached
Scotto E.D. � / ' /
A4'64 !/ei'70/7/ ��yz, ie/ �/'� � �%1 �1I 43 -,¢s -d/0?
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other .,4 del /6'XOr
bozo War -74
Hold final for:
Final clearance O.K. for:
NOTE:
1 W�
8/92
/` /,
Date
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California -55965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER 00
`/So //.� /
v[/
ZONING C/Z
J��
BUILDING PERMIT
OWNER I %�+ A I ► \�!/�
V v,V N
TELEPHONE
SO. FT. OCC. BUILDING VALU 4TION
OWNER'SM UN DESS n �r ^
I � V✓L(/r/
Z Ci
o2,6
CONTA TO NAM �
TELEPHONE
CON R's MAILING ADDRESS
Fireplace
,
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S
&
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ R07, 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ L
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ g3. �D
Penalty
$
BUILDING ADDRESS / /Lqzv `/
ry [�
PERMIT FEE
$
/ G rO
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFY Duplex O Mobilehome Cl Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addifib Remodel O Utilities Cl stallation O Other O
Describe Work: �� N �� p
I
PERMIT FEE
$ �
Contractor
ELECTRICAL PERMIT
FiliAg Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO IOOGA )
'46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( & ACC. BLDS. )
So,
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI.OUTLET
NON-RESIO. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS )
( a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. SO
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certify that I have lead this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of,Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue agai st said
County in consequence of the granting of this permit. / / �j
X Date � r ! /
Signature of Applicant - ❑ Owner ❑ Contractor O Agent I I
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC co"'. rrPE TOTAL FEE $L '
HAZ• D. FEES IMP FLOOD I CDF PARCEL PD' n :.SUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
!Date/
Receipt No. /&73/7
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I/ X2�
..,.�,,�,��,:�'t.Li,,•yi �tP'�ti+��"i:="73s;gag`�'srx'�:�cr�i:�'R:����g1�r-'d�p�s;�s"'��^•'`.`,r�`�"v"'��r''+'"S'�3+�1"'d"3���c�h�'`"�`F•.•.,�v.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building) ,
School District a_,, GC Building Department No.
A.P. Numbery73 � Jurisdiction City . County
Property Owner 710MAINJI
Property Location/Address
Subdivison Lot No.
f -
Residential Development 0
No. of Living
MHI
Units
Commercial/dust I
c
0
New
iv
Sq. Footage
Addition—
0 Sq. Footage
Addition
(Group R)
(Including Exterior
Roofed Areas)
> Q
Building 5epartment Representative . Date
, r
(Floor Plans reviewed by School District Personnel)
District Identification No. A" _
C,kl (0 011 C ; School District certifies that
(Street Address)
(City)
�ww n
(Applicant)
'�)qs -9
(Phone Number)
(Zip Code)
has complied with the requirements of Resolution No. ��� ��-� by payment of $
representing 2 square feet, ❑ Check here if fee received represents "Full Mitigation".
Schoo istrict Representative Date
Paid by Check #
Bank Number
Paid by Cash
Remarks: uw4aA
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 (CEOA), this project may be subject to
additional school fees to fully mitigate its impact onAhe school district's schools.
White (applicant), Yellow (building'department), Pink (school';.dlstrict)•; r feeformmk, (a/ea)
`a
.ti
r,,-, .�,�_-
,, , .i
�"
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
a %
PERMIT NO.
ASSESSOR PARCEL NUMBER 043-430-019
ASR
BUILDING PERMIT
OWNER ROY T. VANONI
TET43-8182
SO. FT. OCC. BUILDING VALUATION
OWNERS MA1J b6MZY TRAIL DR. CHICO 95926
CONTRACTOR'�gJj�,:.N�;�Ap�����' ((�y��� }} ����
AVZ)� COIL l�
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee
$
c4 �e� e�tp �} n
BUILDINGADDRESS 1466 Lil1Lr1 nin w.
Energy Plan Checking Fee
$
CHICO
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 1P Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other a
Describe Work: GAS LINE TO MOVE METER
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$ 35.00
ELECTRICAL PERMIT
Fling Fee 20.00
R LESS
Main Service OA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
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.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONIS.( 8 ACC. BLDS.
s0
3.50FT_
NEW
NON-RESIO. MULTI.OUTLET
97,50
APPARATUS
8 SINGLE Otm.Er CIR.
Ex. OCCu OUTLET OR FIXTURES
20 @ 100
BAL @ .50
Ex. Occup. OFurrs'Ra OFRA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
�r 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' compensaqtion provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
{ �
X �,�f/' '� •: •_� Date �/1011/7-Y
Signature of Applicant Owner ❑ Contractor ❑ Agent '
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height. - ._ - _ -
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35• 00
HAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
in the Butte County Code and/or
indicated above for which fees have
C
By ► /....-�
PERMIT EXPIRES ONO ' 6
the applicable provisions
Resolutions to do work
been paid.
Date' i�
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
` 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PTR
yl►
(Rev. 12/96) APPLICATION AND PERMIT �f /
ASSESSOR PARCEL NUMBER 043-430-019
ZONINGASR
BUILDING PERMIT
OWNER ROY T. VANONI
TELEPHONE -8182
SO. FT. OCC. BUILDING VALUATION
OWNERS 111%�6R TAZY TRAIL DR. CHICO 95926
CONTRACTOR'k ff l§ COLLAR
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1466 LAZY TRIAIL DR.
Energy Plan Checking Fee
$
$
CHICO
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF J7 Duplex ❑ Mobilehome ❑ Other
SPECIFY_
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IM
Describe Work: GAS LINE. TO MOVE METER
Gas piping system t - 5 outlets
15.00 JU-
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$ 35.00
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zoOA 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.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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 IOooA
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
s0
3.5¢FT.
NoµREOSIOT' MULTI.OUTLEi
97.50
POWER APPARATUS
a sINOLF ourLtT cIR.
Ex. Occup. OUTLET OR FIXTURES
20
BAL @ I.50
Ex. Occup. DuTLEED'AAE�sID°PRa
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring23.00
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
Filing 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' pens tion provisions of section 3700 of the Labor Code, I shall
forth w' omply th those provisions.
X Date //9d
Signature of Applicant -;, Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES IMP
FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By i
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
(Da to)
Receipt No. g,
WHITE-D.D.S.-B.M. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
i . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBERQ y_ �® _��
J
=°NING
BUILDINGPERMIT
OWNER /`
ah d r7 I
TELEPHONE
3d 17r o)&
SO. FT. OCC. BUILDING VALUATION
OWNER'S AUU KESStjr
CONTRACTOIIlIR'9-tjl4ME
TELEPHONE
-
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER -
LICENSE NO.
Filing F@@
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS ,(
C.Ls
Energy Plan Checking Fee
$
nA
�� t�7 C gZrP
$
PERMIT FEE i
LOT NO.
SUBDNISIONS MIME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ �Remodel ❑ Utilities ❑ Installation O Other t
Describe Work:
r vL
Gas piping system 1 :5 outlets
15.00 j
Building sewer
15.00
Mobile Mobile Home IS I G1 W1
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service oon oa '.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.
DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code,for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO I000A
46.00
NEW CONST. DWELLING OCCUP. •
oa ADONs. ( a ACC. BLns.
SO
3.5¢FT;
NEW CONS qEs D. MULTI-OUTLETCUITS
07.50
POWER APATUS.
aSWGLE OVTLPARE. CIA.
Ex. Occup. OUTLET OR FORURES
20 @ 1.00OWNER-BUILDER
SAL @ .50
Ex. Occup. oFIUTLE�osA pD°R�
5.00
Temporary Service
23.00
Mobile Home Facilities I
20.00
Misc. Wiring
23.00
_ PERMIT FEE
_
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
f
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ' _ Date =
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE ��—
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
I COF
PARCEL PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
I
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date _
(Da to)
rReceiptNo.
WHITE•O.O.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
0
PERMIT NO. 3707-87B
PERMIT EXPIRES
OWNER ROY V NONI
CONTR. Yates Const
ASSESSOR PARCEL43-43-19
LOCATION j4e4 Lazy Trail Dr, Chico
.r
`r
1 .
fy •
i�
Temp. Pow
Called
Temp. Eleo,
Called
1
1
Temp. Gas
Called .I
JOB FINAL
Signatu
I
= OK
0 = Not OK
= Not Readyable MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; -Soifs-ize-De -Spacing-Connectors-Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
NZ Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beam s-Rftrs.-Con nec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
•
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L" ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Dat r -131 Date
2. Footings; Size -Spacing -Marriage Line
Card-
Dat d-81 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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
Card -B1 Date Card -81 Date
Card -B1
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
' = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor -Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -131
Date Card -B1 Date
Card -131
Date Card -B1 Date
Card -131
Date Card -61 Date
Card -B1
Date Card -81 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
66. Stairs & Rails
Card -131
Date Card -B1 Date
67. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
68. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen &Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive ❑ Yes 13 No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
80. Stucco; Brown -Finish
Card -131
Date Card -81 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -B1 Date
82. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
Card -61
Date Card -B1 Date
Card -B1
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -B1 Date
38. Sills, Proper Material & Anchors
Card -131
Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof).
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �p R I NO. �
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 l/
APPLICATION AND PERMIT
ASSESSOR P RL NU BAR
p''(
ZONING
BUILDING PERMIT
OWNER,
TELEPHONE
SQ. FT, OCC. BUILDING VALUIATION
OWNE MA I G ADDR SS
CONTRACTOR' E
t
Te<EPHONE
a(j
(lJ
CONTRACT S N1111LING ADD SS
Fireplace
CONSTRUCTION
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 3100
ARCHITECT OR ENGINEER
LICENSE NO.
i
Plan Checking Fee
a /
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
: T19. OtO
PLUMBING PERMIT
Filing Fee 110.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
t( 1, r'�' co , i
PAARR,CCEL MAP
PARCEL
�v
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New Addition ❑ Remodel E� Utilities ❑ insta lation ❑ Other ❑
Describe work: 41- �(,J l/t-f' &Z& i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declar 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. L9 ��—Classification g
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.N
OR ADDNS. l ACC. BLDGS. , /2dsgft
NEW CONSTR.ULTI-OUTLET 2.5Oea
NON•RESID .BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR. I
100 0
EX. OCCUp\/ OUTLETS OR FIXTURES 5ALO 30
Ex. OCCup. OUTLETS PFIXED APLNS R
(RESID. IE A.) 1 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
he permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
�
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County ' co equence of the granting of this permit.
X Date II -9-R7
����yyyy,,,,
Signature of Applicant Owner ❑ Conrracror� Agent ❑
An OSHA permit is re ” ed for excavations over 5' deep and demolition or Construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ .�
oC cu P.
CONST.TYPE
ISC1100LIrrIPA;C�1
PD 11 ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work ' I ated above for which
TOR OF PUBLIC
By rl,/2
PERMIT EXPIRES Date /&,Vd✓
the applicable provi-
resolutions to do
fees have been paid.
WORKS
D'a/teQ 1/0 (/8
O
Receipt NO. �2a� 2 ">WHITE-D.P.W.. YELLOW-ASe(7SOR, INR -INSPECTOR. GOLDENROD -APPLICANT
�: rti.� ti. i. T! - }.+ . y R d. r• ,a�+•7y �. St s.. io ..R 't+w 1
' COUNTY OF BUTTE - DEPARTMENT -.10F,, POB'LIC WORKS - BUILDING DIVISION„
7 COUNTY CENTER DRIVE - OROVILbE, ®A•L1RORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
�f Permit No.
OWNER SL` A. P. No.��
Proposed Building Use ���� ' � � Building' Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . —
2. Plot plans in duplicate/triplicate, signed by preparer of plans: _
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District ''Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorizati n.
OK,0. Sanitation approval from 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.)
—14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_.___..._15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for—,-----,- _ _ _._.__ _ Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
20. Plot plan approval from city of— _ •—_
21.
22. —
.
When you issue the permit, process as follows: Mail to owner, Mail to contractor-
%� Telephone ,.,,-:1-3/O and hold for pickup an* office, Deliver w/inspector.
/ Other
AppIican I Date ---- g— ^ 7
Copy of plans sent Health Dept.; Fire Dept., 0 her Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. �_-
2. Additional items required: —_—_
Contractor, designer, owner, was advised of above required data by—phone---mail —counter by date —
Contractor, designer, owner, was advised c? above required data by—phone _mail—counter by date
Plans checked by Date Plans approved by _Date -
Sets of plans on hold in File cabinet AP folder
Copy—DPW
�,u 0rnlc Ot9LL
7�Gc— Obev .ctA rr t�
n CONROY ncr�ac�
U I II
CONSTRUCTION
GENERAL BUILDING 8 ENGINEERING CONTRACTORS
�p�PC-1- COMMERCIAL
(� 3 RESIDENTIAL &
891-1204 REMODELING
Lic. #395520
Patrick Conroy
3044 A Monticello Lane Chico, California 95926
1
t •
TO:�� Building Department
FRO Environmental Health, Chico
SUBJECT: Sanitation Clearance
I Owner Locatfon AP#
l Cil /C 6
Plan[�; approved for: sewage disposal water supply
Holaj!final for: water supply
Fina}1 clearance Q A . .for: water supply
Clearance for bedroom mobile home. Other
Note***
8— ?�v�
Date
E
PERMIT NO. 693-82B,P,E',M
PERMIT EXPIRES
OWNER Durkin & Drew
CONTR. Jerry Price, Chico �J
'F
°- ASSESSOR PARCEL 43-43-19
LOCATION 1466 Lazy Trail Dr., lot 49, Big
Chico Creek #3, Chico
r.
r.:
i,
},q
ly
1'.
Temp. Powers �
Called PG&E
• r., a Elec. Service
Called PG&C. e) a
Temp. Gas Service �Z
4-
I Called PG&E
' JOB FINALED (Da w
Signature
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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)
14. 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 Card -BI Date
Card -BI
Date Card -BI' Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
_
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Ligfiting; 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 _ l
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 r
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
f r
e
I
i
c
V = OK _
0 = Not OK
- = Not Applicable
�k = Not Ready
• r
RESIDENTIAL (Single and Duplex)
Date UND OR Plans OK except #'s i
Date FRA 111JG Continued
ing requirements -Setbacks -Easements
4 .
P o erty Line Firewall & Openings
Ftg. in; Soils -Steel- - / Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
tg., o ge; Soils -Steel- / r /" Ftg. Depth
as; width -Headroom -Rite -Run -Landing -Fire Protection
orches & Decks; Soils -Steel- / /" Fig. Depth
ii -Plywood
o oof-overhang-Attic Vents -Rafter Outriggers
Ste walls, Main; Steel-Blockouts-Wrapped-Slab
iding- ailing -Veneer
Kit@_quualls, Garage; Steel-Blockouts-Wrapped-Sla
= rip Scr ed- dn. Vents-Underflr. Access
Ft feel
5b
lazing Area -Glass Protection -Skylights -Plastic
W.V.: F -Fit ' gs-T w, ew est
55riJhear-WITM,
Nailing -Bolts
e; ize-Anchors
Water Pipe; Test-Anchors-ge@WaLer-Ser a Test
�.
Xg-1. Electric; Underground
"-%�� Ducts; Clearance -Material -Support -Ins.
13.-G+rdera-9iils-Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -T Date
Card -BI Dat Card -BI Date
Date FIN
/ _ r
(Plans) OK except q's �lJl
Card -BI Dat Card -BI Date
Date PLUM (Permit) OK except p's
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
1 r_ .; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
1 er Pipe; Tes & An ors-Nai otection_-
6. D .V.; T4 -- tttge& Anc s 'Nail ct' n ' D
edroom Exiting
Shower Pan; Test, trst oor-Tub c s
G .I. & Bath Fixtures & Tub Access
18rFes,TOE� Shower, 2nd Floor -Tub Access
lec. Trim & Subpanel; Breaker Sizes -Labels
irs & Rails
fireplace or Stove; Clearances -Hearth
1tlilFas Pipe; Size & Anchors
-1047 -Flet.
Outlets at Wood Panel; Int. & Ext.
Card -BI Date rd -BI Date
•
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Datpj ard-BI Date
Elec. Outlets & Receptacles at Kit. Counter
Date L TRICAL Permit OK except p's
arage Fire Door; Swing -Landing -Closer `
'e8
1f Duct in Garage -Damper
J;fxture & Transformer Clearance -Ins. Protection
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
94�ecReceptacles Spacing -Lights &Switches at Doors
2(1yPtb.,
Elec. & Mech. Equip. Listed for Location
2 e Boxes & No. of Conductors -Stapled
EI c. Receptacles in Garage; (G.F.I.)-Romex Protec.
R ex Installed Close to Edge of Studs & C.J.
E p. Ground made up w/Mech. Fasteners -Bond Gas & Water
sulation-Foam-Looked in Attic es
15,. -Guard
Rails & Deck Construction -Post Caps
Ap fiance Circuits in Kitchen &Conductor Size \
-�4r-F*d ._Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
under Floor ❑ Yes
A1069 Cm- -1 or AI-A.C. Wire Size / ga. Cu Al
ange Circ. / / ga. Cu or-AI-Ovap r i� -ga-6u or At,
Insulated Neutral es ❑No
_.Looked
Following instld.: Driwe� ❑ No; Walks
Planters ❑Yes (�No
$� 8. ;e vice -Riser Conductors & Ground -Main Disconnect
ucco, Brown-Finish
Equf"p. Clearances; Panels-Motors-Mech. Equip.
7
.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
3 lothes Closet Light -Shower Light
.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
:tE:w
er Well; Disconnect, Electrical, Plumbing -
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date rd -BI Date
entilation throughout House I
Card B-IDate Card -BI Date
82.
Glass Protection
Date MEC -AIN CAL (Permit) OK except q's
83.
C ections from Previous Inspections
Ckr4bas
T st-Meters Tagged; Gas -Electric
Ducts; Insulation & Support
r & Sewer Connected -C/O to Grade -HD Apprdval _
._. _ e t'Fan; Exhaust above Insulation
ergy Compliance Certificate -Other Certificates
_ 3 o nsate Drain & Overflow; Size & Grade
Card -B
Card -BI
Card -BI
MR
Com
Date
D I Date
ate I Date
nsat Final:
-
114-
urnace-Vent; Access -Comb. Air -Return Air Ve 1 5V
35 Attic Access &Platform if Furnace in Attic �-
Card -BI �-Date and -BI Date
Card -BI Date Card -BI Date
Date FRAMI °Plans) OK except N's
3 _ills; Proper Material & Anchors
al , Studs -Nailing, Spacing & Bracing -Plates -Sound
_
34, -Tearing walls over Girders & Floor Nailing
�R Stop in Walls (rat proof)
A-46elFiry stops; Fu ed Ceili gs- -Chase Tu
der & B am- Bearing -
_ 4 �Ta
42. gers Post Caps nchors-Connectors fJL''tC
g. Joist- r. _ie-Purlin-Rooff 6�-Truss-Shthng.-Ring. _
Fireplace Ties or --IT pe lue-Fire lace Throat
A is cess Size & omex ction-Dra op -Ins. les
B . -ind s or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
f
1 COUNTY OF BUTTE
DEPARTMENT OF Pl!BLIC=aORKS-• --
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway an'd'Elliott Road, Paradise — Phone: 872-2961, Ext. 57
_ CO RECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question -pertaining to this
matter, or need additional explanation, please contact this office immediately.
I /r1 _
l
z
y
RESIDENTIAL .
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED � CONFORMANCE WITH CURRENT•.ENERGY CONSERVATION REGULATIONS
AT Low /9'} /5/G G L4z Y Te4iL- J ,� C 4 t z a
(location)
BUILDING PERMIT NO.
THE FOLLOWING HAVE BEEN. INSTALLED AS PER APPROVED PLANS2
(Check each item or write N/A" if'not applicable)
INSULATION;
Slab EdgeJj co
Fdn. Walls o
Floors
Walls \3
Ceiling/Roof
Ducts' yl&l
Circulating Pipes tis
APPROVED HEATER Yt5
APPROVED WTR.HTR. "iLS
GLAZ ING : \
Single Glazed o
Special (Insulated) i S
CERT. & LABELED WDS.
& SLIDING DRS. SLS
WEATHERSTRIPPED
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES 'ets
CERT. APPLIANCES
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 CER ICATE A� SUBMITTED.
Insulation Applicator Name
o�
Signature of n (PC7R
se print)
Insulation Applicator Rm4 a�� N
General Contractor/owner
Signature of
General--Contractor/Owner
State Contr tsG
License No. D
Name A. �-)� LL
lease print)
Date -7Z---
State Contractors
License No. 3 \\ \fin
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING .DEPARTMENT PRIOR}TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS gPR IT NO
7 Counly Center Drive - Oroville, California 95965 - Telephone 916/534-4 1
�ag,
APPLICATION AND PERMIT
A
ASS S R PAUEL NUMBER _
ZO ,TNG
BUILDING PERMIT
Ow�
r
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER' MAILING ADDRESS
O TRACTOR' ME
�r
f;V
TELEPHONE
V
CONTRACT 'S MAILING ADDRESS
-rr
Fireplace '` YI
VDd
CONSSEtUC TION LE R
S 59�0
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING AD
Permit Fee
$
ARCHITECT OR ENGINE
LICENSE NO.
Plan Checking Fee
$ I, oiD
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 3r�
BUILDING ADDRESS
PLUMBING PERMIT9
Filin Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
5,
LOT NO.
SUBDI VI ON NAME
�j ee 3
PARCEL MAP
go -7(,
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
TYPE OF WORK
New [Addition ❑_Remodel ❑ Ut'I'ties Installati n❑ Other ❑
Describe work: , bi e �� , _,T_e.
f LI _2�
11JJTT r-�71 /
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 1p.00
Main service 100 AMP OROR LESS��
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. DWEL G CC
OR ADDNS. ( ACC.
61. sq ft
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio s Co a �qd my license is in fu l orce and effect.
`�I
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -OUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS
NEW CONSTR. ( POWER APPARATUS 61
NON-RESID, SINGLE OUTLET CIR, 1
�@�sa
Ex. Occup OUTLETS OR FIXTURES BAL@100
Ex. Occup.(OUTLETSIXED P(RESID IKEA. 2.�0
Temporary service 10.00 01 00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ r
Contractor
MECHANICAL PERMIT
FiIIng Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
epermit is for $100.00 (valuation) or less. placed on file with the County of Butte Building Department
B--�have
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating '-
d
Coo lingDD
,
Hood
3.00
Ventilation
Permit Fee
$ ,
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
also agree to sa indemnify and keep harmless the County of Butte against
a liabiliti s, 'u g ents, costs, and expenses which may in any way accrue
said Co �ccd`hhsequence of the granting of this permit.
-� r�
agtrof
X Bate
Sip icant — Owner❑ Contractor {���/Agentwork
Anit s required for excavations over 5'0" deep and demolition or construct-
ios o er 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ ,
OCCUP. GROYP
R._3
TTP' DF CONST,
-FA
fV
PARCEL PD HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIREC OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -7--z-9
Receipt No.
WHITE-D.P.W., TELLO W -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER.
,,COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING -DIVISION
7,,COUN;TY, CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE -:'916/534-4541
PERMIT APPLICATION DATA SHEET// r
Permit No.A, A. P. No. I/A --V
--
Proposed Building Use
Permit Fee Based Upon
Building Inspector
Comblete Contract Price
plain)
DPW Valuation
Date
At time of permit application, I was advised/the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
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 authorizat'o .
-�10. Sanitation approval from _ •� Health Dept..
11:. Planning approval for (A) Use: (B) Parking:
Q2. Certificate of Workmen's Compensation Insurance. . . . . .��
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑,)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Insp17. Pre -Inspection for Required.•Building In request to
p Building Inspector
18. Other
When you issue the permit, process as follows: _
Telephone 9- y�fi� and hold for pic
Other
Applicant
Date)
Mail to owner. Mail to contractor.
up at office. Deliver w/inspector.
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 application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
Plans checked by
Plans approved b,
Other
Copy—DPW
Telephone Mail
Date
Other
TO: Building Department
FROM: Environmental Health, Chico
P .%.
,_z;
SUBJECT: Sanitation Clearance
eel
Owner I.ocationg APN
L
Plan approved for: sewage disposal water supply V�
Hold final for:
water supply
Final clearance O.K. for: water supply
Clearance for_bedroom mohile ome Other
Note***
Sanitarian
Date
,A
RETURN T0= - -- - ----- --
DEPARTMENT OF PUBLIC WORKS
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
#109146-Misc.(MC) FOR RESIDENTIAL DEVELOPMENT
f
Section 26-8.1 of the Butte County Code recruires this acknowledgement
be recorded prior to issuance
..
of a building
4 Permit.
The property described herein .is adjacent to land or included
within an area zoned for
agricultural purposes, and -residents of
this property may be,subject.to inconveniences,or discomfort
from dist
the use of agricultural chemicals, iricludior arising
not limited
to herbicides, pesticides, and fertilizers.;
and from the pursuit of
agricultural operations including, but not limited to cultivation,
Plowing. spraying, pruning, and harvesting which occasionally gen-
erate dust, smoke, noise, and odor.
Butte County has established
agricultural zones which have as a priority use for productive '
agricultural purposes,
d
and residents within said zones and on
adjacent property should be
prepared to acdept such inconvenience
or discomfort from normal,,necessary farm operations,
All that real property situate in the County of Butte, State
Of Cal ifornia,'described as followac
Lots'31 through 72, an shown on that'certain'Map entitled, "BIG
CHICO CREEK ESTATES,
UNIT NO. 3", which Map was reoorded in the
Office of the Recorder of the
County of Butte, State of California,
on May 28,.1981 in Book 80 of Maps;•at pages 76 and 77.
PROPERTY OWNERS
• Dof
52KUS PETRUS BROUWERS
1 3171.,
�-
A
CLAL
ARLENE ELLEN BROUWERS
iLot
52 �DVA<.IFY'MUCo,
.
&P 30 it 43 apron►
•
wII:LIAM.A. WARD - Lot 66 CLARK
/,, �/A�L CLERK-R[CORDERI /_ 1
CI� L-iSE�E-1
DARLENE
M. WARD - Lot 6
"
4
BIG CHICO CRM ESTATES
a general partnership
J
ROUGH INC.
BY:
•
DO :..` Durkin,President -
...
S y Durk , ecretary -
�
�
..moo..
BY; Mot//her & Me Inc. •' � '•'"" •�
_
BY: Drew Ente rinaA no. :;10
//Milliemm%S.
Present A. P. No. 43-29-102 (Port) iV•'
,A
fiATf 01 CAU
FMNIA _..... 1
• .l •r•e. v.. COUNTY -W Butte
ij o the undersigned
F o. • Nm.ry Pwbn. In &M Ow uk fuN p.,,..n, .`-•crud nwnnl n W 111nki n 1�
j N UfaFj ►n.rn I. nr I. a II! --------------- •r•Iid.nr, ..dSUS4 Durkin
2 0
I. rrr 10 a III ------ -••.Iwr a.—R UIL�v Inc
jj} Za u Ia Cww.li" IMI ...<.Nd It. rilhi, k.--1 .nd h— 1. nO 1. a IN p.,_ A. •.•(yl,d ..• ridyn
atoll a •.k cww.lyr.tow aww tion b•Ip .. -
= ss ? C CO
eek Est tes, a generei perinerebip
Ilv wlr.nhip IMI •..a.Nd IM rilhin wnwrrnl• w,d w1,r.F
. •do•d 1. wr IMI .,rah aotw.rl.,I ..•c.Nd dr wrn. w 11,dt
® wrw.r .nd IMI ..ah wn..,hy •ya.Nd W •rw. .
E WITNIU -w M W "A n
Mary W! Caaebeer I
N.wi. PrP•d w hinted) Ilhi, .r•. 4 -
STAN OF
' M
COUNTY 01.___alt t • •� w •=L-. _. •,�
.r.w1
a IId,24Ch-,., a �entember - 81 bol.._ the uoderaifened "r
yyK . . Nw.ry Public In wd TV Wd fl.ro wwNllr .ow«.d$._Drw 'f
m u IS3 7 bnorn 10 ,,. Ip 4 IM . — —.- .
_...I;I.nl,:szazxxaxxasalwcx
H � �'�z ' � (L�iJtixsisXii[7�xi�tEEExx� y
1.i3i. d. cwwulon IMI •.«.Nd nr rldrbl wlrwtrnl� a.—ether ye. IO� i
1.i `• W horn b .N 1. ►. Mo w•w oA..rcM.d I N rNhm
Qo O S i,• w..n.,,. m b•h.n a oW onwniwl. Wl •••w.Ilr, b..q t
O~ 8 3 Z ¢ •� bworn ro nr
I. be wr of IN www. a Bi��1l:e0
fg Z .,� 4 af Creek Fbtatea, a general partnership
` i p
IN wN.lahq Ihw •.w.Nd Ia rllldn wrwory..M .cLl..l
t 6` edwd to nr dw wd, awrw•rbw, ...Calc/ IN awo w o.d
Y wl.r. «e wtM N.N P.cr,wol,y o,.cU1o/ Ib. NwN. .
wnNfu h.r,d •wd.udr w.l � ,
.S iIyMIM• _ i /IIi
Mary R Gaebeer �.
�� —• wo.rtrPod.hwwp —� L
.l .. .. (Ibb w• fr.eaw rr.rr...I) �.
'51A11 Or CAl1Otl.N •-•..... .. .. .
! COUNTY O/ Butte
t e 1 •�
a_Seotember 181
? ,v_ alw. the undersigned
m 3 • Nw«r r uN In . d Iw ,.w fr.N w.wwll William S,
a 4 r w«w.d Drew
♦ W u bo 'I" P.•,Id.IrI•
•• Q;1;n, 'a .,�GRa1411�1—xxx—x—x—xx—x�—x..,x@xax�xxx
xutexrxZ„ ti �xxxxxyxxxxxxxlxa_Williaa_5IMI •w.N
x
— L . f. Y nwwl w In... r• w. 1. b. d. w.cwr
r11. ••.wNd .
j a 6 r, S { i •w b.IWI a w co w.ew ... d crw.,; b.'s .....
Sur b•ornlo..lobw.11a..I_ Big.ChlcO e
o Crack. o
Q°2G z `CrkE
I� .-a_generaipettnerahip "
f 8 IM
IN wn..rhlp PMI •.w.Nd Mlhl. w..lw.wU W wlnow4
i •dwd to IN 1M1 6-411cww•1)wl 0.0",w IN NtN w Galt
w sStt r wllw -4 ww wd, ww..Aio •.•c.l.d 1/r...... a�
® If wiffau h.wd OW &W IN, r R
Ma�11Cse.,mer
.... _ ... ww rt.o4 w P...,GCCC•777i -
Do of
)'
STATE Or CALWOlMIA p
couNTY or Butte }�
c ` September 25, 1981 beta.. ,» .nd.,.bmd. o "ov neu. M ;
( wid tuM, p, 11, -m- Hendrikus Petrus Brouwer& and Arlene,.
_£llen Brouwere, William A. Ward and Darlene M. Ward
►no.n �o w,. w b. ,A. p.--!!-- a . areMARY L CASEBE t
wb.aw.e ro Nr .ante wry wM w .a�o..wea.e �oCR
NOTARY PUBLIC
Bvtt� County
�f.fomi� i
WITNtSV wl1v1 as �.� ,.d. mlulon t�P='-i. 30, 19B�
Marf R. Casebeer
N.T. PrpW w PV WA d) RW ... M .WAW rrr ..M1
aeA als & Workmanship Shall `fie M
TSO
r.!
� _ �,cco,•dance with Recognised Good_ Practices an
sof a quc'lit'� R'escribed for the Speci lea use in the
jniform Builaing, Plumbing & Nlachanical Codes argd Z,LI
-ihe National Electrical Code.
1�
- to I I
11111 $Of 6flans and ecifications i IATbe
opt an +110 110 a all times and it is unlawful to
mej�a any change, or alterations on some without
wriffen pormissdggn from the Department of Public
VWWarlts, Cts/ sof Butte.
` NO
W
N/
PSE
3
N
I ,
ja#back of 5 ft. from the
�wty Ilnes and a setback
�-ft, from tho road
iterline shall be clear of
uctures or equipment except
e 2 ft. eave overhang.
0 = d-43;-3,--
�-. 3�v.bv�
I.'�1" 4� �IGr GuIC.d G�2�IG F�Ta7'�S St��/IS!O� 'BUTTE COUNTY
I�fZK-! N � PF—EW pt-�JELO�G �'Pe /�/lks�Y BUILDING DEPARTMENT
,.ice 5013b 3 -ZZ -52. ' APPROVED
_ P
Vd-. LPC/L c'
r)•
W.
COUNTY OF BUTTE - DEVAR7I41ENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
' PERMIT NO.
ASSESSOR PARCEL NUMBER _
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS '
it 1.,L ) -
Fireplace
,4
CONSTRUCTION L NDER
%.- ��
UNKNOWN
Total Valuation $
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERS
Lam/
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:•
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
penalty I declare under perjury
p y of p erjy (Check One):
❑. I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
' 1
License No. Classification
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. d
( DWELLING OCCUP.) +h2sgft
OR ACDNS. AGC. BLDGS.
NEW CONSTR. MULTI -OUTLET
NON.RESID BRA CH CRC ITS 2.50 ea
AIRATUS e
POWER APF
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES eALO30
FIXED PR
EX. Occup. OUTLETS (RESID.IEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
' iAelz : +.
Permit Fee $ 1` J
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize represetntatives of the County of
Butte to enter upon the above-mentioned property for ins'Pection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
\,, , -
X Date
Signature of Applicant — Owner ❑ ' Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
-
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPE
SCN OOL
FLOOD
PARCEL
I PD
I HQ _ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By t, --r. _ �.
---�
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date `. r .
'�
Receipt No. r '�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
7;
COUNTY OF BUTTE - DEOARTCIENT OF PUBLIC WORKS MIT 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541APPLICATfON'AND PERMITC_-1a7J
ASSSSS,S0_R PARCEL NUMBER
ZONING _
BUILDING PERMIT
OWN
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
O NAll
E 'S AI LINGµAI D''7DR ESS l
114f
CONTRACTOR'S NAME "-
LEPHONE
CONT A TOR'S MAILING ADDRESS
02
Fireplace
CONSTRUCTION L NDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR-ENGINEER/LICENSE
NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
/ L�Z
�O
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
}� USE OF STRUCTURE
SF 4 Duplex[-] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
�r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty
p y of perjury y (check one):
am licensed under provisions/of Chapt. 9, Div. 3 of the BUslnes$
and Profession Clod .afl _fT� license I$ In full force and effect.
License No. UUUX S aY Classification v
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.d) '/z2sgft
OR ADDNS. ACG. BLDGS.
NEW CONSTR. MULTI -OUTLET 2.50 ea
NO N.R ESID .BRA CH CIRC ITS
/POWER APPARATUS 6
(SINGLE OUTLET CIR.
/
EX. OCCUp(OUTLETS OR FIXTURES 20060t
DALO 30
Ex. Occup. OUTLETS FIXED P(RESID ORA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring15.00
L
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
Cooling
Hood
3.00
I Ventilation
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in,cons ce of the granting of this perm't.
X t-+-- Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCu P.
CONST.TYPE
JSCII00LJ
FLOOD
PARCEL
I PD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
P011161 T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date Z ��
41,70^
Receipt No. �`30 J
WHITE-D.P.W.. YELLOW-ASS!SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OFVUBLIC WORKS - BUILDING DIVISION
V
:COUNTY CENTER DRIVE - OROVIL-LgO:QALIFORNIA 95965- TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No. [/
OWNER �,�iS /»' A. P. No. J 3 'all
Proposed Building Use����^ Building Inspecto Date Z .�1
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. _
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid'' Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . .
f
Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from _ 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.)
_14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
...._15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to (Date)
17. Pre -Inspection for _ _. _ Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. _
20. Plot plan approval from city of
21.
22.
When you issue the pp/eermit, rocess as follows: Mail to owner, Mail to contractor_
Telephone .3Y� �� and hold for pickup at office, Deliver w/Inspector.
Other
ApplicantlLk�, Date
Copy of plans sent Health Dept.; Fire Dept., Other Date s
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_-nail counter by date
Contractor, designer, owner, was advised c? above required data by—phone _mail—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date