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HomeMy WebLinkAbout043-430-0222 ALSa - 43-, P Q &_16 06-0151 Ddikin &"Drew 043-430-022 MINTON Lazy Trail Dr., lot 52, 1440 LAZY TRAIL DR, CHI O Big Chico Cr.Est.#3, Chico h Cont: PF REILLY & CO contr- Jerry Price, Chico WINDOWS, SLIDING Permit #200,8-8lB#P1Ee ,44(new ind family) 9- ------------ 43-43-22 NEW QWNEE _ . _ . %���� igh S- 0 Lazy 1-ra-I.Ls Driv C lot 52 Contr:.Carefv*ee-PO.01 1-ce, Chico Permit#3625-81B,P,E(n pool) A) go mo. 43-43-22 DAVID MINTON �L 7/3�� 1440 Lazy Trail Dr, Chico' P p ermit#3.248-88B,E(new garage/stg) 43-43-22 459-91B,P,E MINTON, Dave 459- 9 1 B Chico 1440 Lazy Trail Dr, Chico f (repair fire damage/sf) -43-22 Permit#588-91B,M IA r I I (cony 9ty-__5"ve- 'a' 'tb� living) >r r-043-430-022 0 7 MINTON, DAVID 1440 LAZY TRAIL DR, CHI 0 E CONT: OWNER RE -ROOF "043-430-022 04-68918 MINTON, DAVID 1440 LAZY TRAIL DR, CHICO CONT: OWNER IMAL CHANGE ROOF, LINE -SO cr� �T�� i J �yysy FY Z- k AREA Butte County Department of Development Services • ems' >e N © T E S 7 County Center Drive, Oroville, CA 95965 (530)538-7601 vnvw.butteco�mtyneVdds o�R� RESIDENTIAL APN: ' Permit No. 043-430-022 06-0151 Owner _MINTON -- --- — - Site Address: 1440 LAZY TRAIL DR, CHICO � I 'Cont: PF REILLY & CO I Contractor. WINDOWS, SLIDING Drop&. ± Type of Permit: SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE - 0f W. SACrZArACWTIO AFF WEsTrnoaT ) OFF WrNILC (P-9hf DATE JOB FINALED: 23 —O(10 SIGNATURE: = OK MANUFACTURED HOMES M I S C E L L A N E 0 U S DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FalUC/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -CIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C KS -C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs .6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel -Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bdxes-Enclsrs-pnlboards4nsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing Alarms 13 Bonding, Diving board or Slide 41 °'� d Pool Drawing •=OK = Not OK _ RESIDENTIAL (Single & Duplex) DATE UNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped• 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1"t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IM E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insults & Support 14 Girders-Sills-Anchr Bolts-Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrtlw, Sz & Grade 16, Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c c` DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc ies or Type A Flue-Frplc Throat Clmc 26 c Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles drm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 S co Lath -Weep Screed-Fndtri Vnts-Undrflr Acc Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Ins ultn-Walls-Ceilings 39 Infiltration-Walls-Wndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ❑ CU or DAL AC Wire Sz ga D CU or DAL 48 Range Circ ga DCU or DAL Oven Circ ya D cu., ❑ AL Insulated Neutral El Yes F-1 No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 41 P mac, FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In rage; abv-flr-Ducts-Mech Prtctn edroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clrnc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls atKtchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 63 Insultn-Foam-Looked in Attic .84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters D Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 V n thru House Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec _ 96 Wtr & Sewer Cnnctd-C/0 to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted -99 Fire Sprinkler 23Ap U_,&5 .c �c o+' e` d 0. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060151 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 01/23/2006 APN: 043-430-022-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: I l lo�`1 Site Address: 1440 LAZY TRAIL DR CHI Date: LaA Contractor:` -4• - TZt`L—. Map Index: Description: CHANGE OUT 16 WINDOWS, 3 SLIDING OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the GLASS DOORS Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: MINTON DAVID & CHRISTINE ERLANDSON signed statement that he or she is licensed pursuant to the provisions of CP the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 1440 LAZY TRAIL DRIVE she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA violation of Section 7031.5 by any applicant for a permit subjects the 95926 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: P F REILLY & COMPANY INC provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one - year of completion, the owner -builder will 'have the burden of 3028 ESPLANADE proving that he or she did not build or improve for the purpose of SUITE F 95973 sale.). 530-898-0833 ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: P F REILLY & COMPANY INC ❑ 1 am Exempt under Article 3 of the Business and Professions Code 3028 ESPLANADE Date: Owner: SUITE F 95973 530-898-0833 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 License #: 711037 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier:S I—ATE CtODrli�• �rJS- 1`t.NO' Policy #: Total Square Ft: 0 S.F. ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: t l L 3 JO G -� Applicant: `227 X y/ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is here issued under the applicable provisions of the Butte County Code and/or Resolutions to vork indi ted above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) _ ( a V BY: Date: Name: PERMIT E PIRES 0 : Address: ate ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: 1✓t-.tCW/A,L-t `•—?,yyp- wuaNtJ Signature: Date: 9 12-3 ,O( ❑ Owner ❑ Contractor ❑ Agent for Owner IqAgent for Contractor B. C. Building Permit ui-7b-U4 pg i t i i t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds ' "PLEASE PRINT CLEARLY" APPLICANT SIGNATURE X For office use only: OWNER Last Name I Y I First Name M -T- 1 Address Address Zip I -I '-t (::' LA -Z-/ -TRA ark. City Zip State Zip C.14 2c CA. G5A 9 Phone sQp - O' Fax mail E-mail Class APPLICANT SIGNATURE X For office use only: CONTRACTOR Name I Y I P.F IZFZ�t" \ Address \ State Zip City Page State Zip Gi NzcC� State License Number CA Phone Fax sQp - O' 3 mail Lic. # Class -111Q APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name I Y I Address \ City y \ State Zip Phone Page Fair E-mail Date Approved: State License Number APPLICANT SIGNATURE X For office use only: APPLICANT NAME Name I Y I SRA I Yes Address Occ. .1 2)02-8"SiLOIJQDL SULcE F City Page State Zip Date Approved: Phone Fax sQp - O' 3 E-mail APPLICANT SIGNATURE X For office use only: Zoning ..< I Flood Zone I Y I SRA I Yes Io Occ. .1 Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. )0. �c ) BIN # LOCATION AP# '�U. C�a V �� . t (a . "j" Property Address TQAT(_ 2Tec- ityLAZY NT Cross Street W• �C.YI/a1 Ivr WORKER'S COMPENSATION Policy Number Carrier T — OCIMP.-t . If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Other) O -� LENDING AGENCY Name Address Description or Scope of Work: CAA4i04 rxx,f 16 czwt�td cv5. like Fr- /IV42 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received b : Amount: `:r _T y Bldg SRA Receiip't #: Sheriff i' / ✓`�� SMIP r Date:�- (� Other) O -� Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ; 6. Contractor's license information. (Number, Name Style, Classification). 7. Worker's Compensation Carrier and Policy Number. El 8. , Owner -Builder Verification (if required). 9. Letter of Signature authorization (if required). El 10. Recorded copy of Agricultural Acknowledgment Statement. 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 FROM s FAX NO. ( {, Jan. 04 2006 09:42AM P2 <, AGREEMENT PF REILLY NAMc:._.`!"f C3P�NE 1)•877-Nt:Wt.00K - (IIM WK 6 6 5 ADDRESS � v�Gt L� �t' � PHONE (HM WK Me Ma • MRs) 1028 Esplanade, Suite f, Chico, CA 95973 • CA l.ic & Y11037 CITY. S E_�iIP_• r% Z PHONE -� t�-e ✓l� :—�Q ��� Chico: (530) 898-0833 Fax (530) 898-1599 l o�oD� (HM WK Me MR MRs) Sf)n Hanford: (559) 585-1800 Santa Rosa: (707) 508-0333 EST. START DATE ?. f I__CST. COMPLETION DATE' .� TM (A K^ DA7ESAREAPPROXtMATE ONLY) 38a L R. - es 44 x 5 xr� ,� G�._+%<_= S'u vee �u s r ) 4� �g TZI x a y`� �.d� �— Z s • c �� ,p to ieV': © G t d . Lz/ .. rC �Y c �ILni� �1 t� l t/! c7�, C .Es �, Z S01 iL t' t/ X� �.a L7Y'LGt ref U.� �'J(,2aK (�t.J � D A — V -Cs 4_ ' y r ( v .ix_ iXD L&Q .� �► 3d�t x �� Z kz � t/g x(���ti 0i) CG^I t')Oz 5u� � h �.. .. 2 h Q� 7 The total amount specified thereunder is due upon completion of the projs t. Any payment not made within 15 days SUB TOTAL $' of completion shall be deemed to be in default and a late fee of 10% plus finance charges figured at 1.5°/a monthly which is an annual rate of 18% will be charged on the unpaid balance each month. The project is deemed completed upon verbal or written notice of an authorized representative of PF, Reilly. SALESTAX b $ This proposal may be withdrawn if not accepted within 7 days of the date shown above. All agreements, or under- CASHTOTAL C::> $ / standing must be set forth in writing in this proposal. This proposal is not valid or binding on either party until signed [ . and approved by the customer and an authorized representative of P.F. Reilly. This Contract represents the entire FN t {' '1 agreement between the parties. P.F. Reilly shall not be bound by any promises, representations or agreements not oOwN PAYM expressly incorporated herein, The company gives no warranties, express or implied, other than those warranties previously provided in connection with its services. BALANCE DUE d $ ALL CHECKS MUST BE MADE OUT TO P.F. REILLY CAUTION: DO NOT SIGN THIS PROPO UNTIL VE READ THE CONTENTS OFTHE REVERSE SIDE. ACCEPTANCE: ALL PRICES, SPECIFlC SAND ON I ARE SATISFACTORY AND HEREBY ACCEPTED. Authorization is given to P.F.Reilly, its et a an ees f r and access to a h the work commissioned` P. F. Reilly is not responsible for existing SUmg beyond their control. CUSTOMER'S SIGNATURE DATE_. DATE REGISTRATION 0-1 401 ��SUBmiTTED BY '✓ , —DATE ACCEPTED FOR P.F. REILLY 4 1 DATE Contractors arc required by law lobe licensed and regulated by the Contractor's State Liccnse Board, which ltas jurisdiction to investigate complaints against contractors if a complaint regarding a patent act of omission is filed within four years of the date of the alleged violation. A complaint regarding a patent act or omission pertaining to structural defects must be filed within 10 years of the date of the alleged violation. Arry questions concerning a contractor mly be referred to the registrar, Contractors State License Board, Post Office Boa. 26000, Sacramento, California 95826. You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this trnn.cArtion. See the accompanying Notice of Cancellation font[ for an ei-planation of this right. mine/9nnn iv n 9•10 r rnn NTA oono I r."hnnn l NOTES 5 RESIDENTIAL i ' PERMIT N0. 043-430-022 r _ . V64-0 I MINTON, DAVID 1440 LAZY TRAIL DR, CHICO CONT: OWNER CHANGE ROOF LINE ` f SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER i .. I 1 r N � � JOB FINALED (Date) I Signature 1' Uyn yy CHECKED BY J=OK 0 = Not OK Not . NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Elec.; Receptacles and Lighting, Distance-GFI 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/0 -Concrete Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ....r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. ing Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. roorts; Windows -Doors 8/Frmg.; Sills-Anchors-Studs-Rftrs-Trusses sL9. ding; NaiIino-Veneer-Stucco-Mesh 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Datz. Card B-1 • Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Siding -Nailing Veneer 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. 23. Fire Sprinkler; Test 71. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes O No 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 36. A.C. Ducts Insulation & Support Glass Protection 37. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 38. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Water & Sewer Connected -C/0 to Grade -HD Approval 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- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 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/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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 State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of riot more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under A ' e 3 of the Business and Professions Code J1, Date: f � 1 Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: l� I certify that in the performance of the work for which this permit is �\ issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall . forthwith comply with those provisions. Date: 5/, //U� Applicant WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP040898 Issued Date: 05/21/2004 APN: 043-430-022-000 Site Address: 1440 LAZY TRAIL DR CHI Map Index: Description: CHANGE ROOF LINE -REMOVE TOWER/RE-ROOF10 SQ. Owner: MINTON DAVID & CHRISTINE ERLANDSON CP 1440 LAZY TRAIL DRIVE CHICO, CA 95926 Applicant: MINTON DAVID & CHRISTINE ERLANDSON CP Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: -_7�a 7bl) �' / 15(l This permit Is here y issued under the applicable provisions of the Bntte Resolutio1 ca a for which fees have been paid. By: Date: - PERMIT EXPIRES s ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am th owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the subs n any official form or document of Butte County. I hereby authodz ep�resenttativ(e's of Butte }County to enter upon the above mentioned property for inspec pu ses. Print NaKI �`�'Vr `� Sig _._._..... ._... Date: `:5/1 � 9 ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor -v.e.' �r..w.wu--�`f�sr•1-r'a-uw-'�tisitYiF;,n,..,+�`caecwJ^'�^-`.'.,---t+r�l COUNTY OF BUTTE BUILDING DIVISION :4 DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 Ai 7 County Center Drive • Oroville, CA • (530) 538-7541 _a CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. t 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 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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 State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Arficle 3 of the Business and Professions Code c f� Date: 1 Owner: 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 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy IRI certify that in the performance of the work for which this permit is , issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP040898 Issued Date: 05/21/2004 APN: 043-430-022-000 Site Address: 1440 LAZY TRAIL DR CHI Map Index: Description: CHANGE ROOF LINE -REMOVE TOWER/RE-ROOF10 SQ. Owner: MINTON DAVID & CHRISTINE ERLANDSON CP 1440 LAZY TRAIL DRIVE CHICO, CA 95926 Applicant: MINTON DAVID & CHRISTINE ERLANDSON CP Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY This permit is here y issued under the applicable provisions of the Butte County CodR and/or I hereby affirm that there is a construction lending agency for the R. -solutio a e for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) !//i sated 2d1� Name: By:Date: PERMIT EXPIRES ON: 5 ZI G'5— Address: in,doi ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am thq owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the subs na<any official form or document of Butte County. 1 hereby authoriz epresentatives of Butte County to enter upon the above mentioned property for inspec pu ses. Print Na Sig Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor OT BUTTE COUNTY u 0�TTF0 DEPARTMENT OF DEVELOPMENT SERVICES C O BUILDING PERMIT APPLICATION ° 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891.2834 (CHICO) c OFFICE #: (530) 538-7541 PERMIT NO. BP I DATE: APN: c�rvirvu: OWNER'S LAST NAME: OWNER'S FIRST NAME: PHONE STREET ADDRESS: ' FAX: Jr��v l�,z. raL <01y-7835 CITY. ZIP: E-MAIL: SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACTILOT P. s2 A APPLICANT NAME: PHONE/ STREET ADDRESS: FAX: CITY, ZIP: E-MAIL' CONTRACTOR NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY. ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: G-�+A,.��E IQocF Lje - REN401vl- -Tower ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) X OSD�� EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: le Date: Receipt number: �? /�� // 70 C y0 D / Amount Received: i . ,,�...rt+�'�. •t:n{"`•"f17.'�'�Y�-'t ,,(sir.�.�K''�'i.i't,,`7r^�.-..:./�-„+yf.y;:rj.:,�uv«.:-,�>)-'%•.�`t►w,�.,�ai1.1��,{,�,•v.,.,,. --i�1•i�„ '/�;.-' �''.- r _ � �., i / COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 r "� PERMIT APPLICATION DATA SHEET �� 1 l j OWNER: �I�J'1"��-f ASSESSOR PARCEL NUMBER 0.4 3 4�0 • C�� Proposed -Building Use: P E - STP Lr C t `9� Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 12 [ ..1 Site plansh)or 4 ets, signed by the preparer of the plans. !" -2. Complete plans 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! O 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or frld plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers.....................................................................................:...... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: COK(B)Parking: (C) Parcel Check: S ) ) - C� ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑/ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification ( _�G/iven to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:..................I.......... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: G When issued Telephone 9 R 7 _ /i/lifl,�� and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: L / A"IUq 1. Index per miF pplicati n for t6 above items numbered: Plan Check Letter a 2. Additional items required Contractor, designer, n as advised of the above data by pone, ❑mail, ❑counter, by Date: ' �'"fl Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed V Date: Structural approved by: Date: Note transfer by: Yellow: Building Division O.B.- l OWNER -]BUILDER VERI]F'ICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. G)I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ❑ NO Q I HAVE 13 HAVE NOT signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: Cir. CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired•the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK NOTE. This Owner -Builder Ver (,cation is required by Section 19S3I and 19832 of the California Health and Safety Code. T his verification must be completed and returned to our office before we are permitted to issue the permit. QB._I I OWNER BUILDER INFORMATION Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you -plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an, employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees,- without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building perms erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely. N 1 C. Vi ira, C.B.O. er, Building Inspection NOTE. YAls Owner Builderinforrnation is required by Section 19830 of the Cal fornk Health mrd Safety Codes f N 0.0.4.0-/"'Cvd'W 35.- .0 1. E 72%o.. 0 - 32 AC. 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.netldds AP040897 PERMIT NO. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/02/2004 APN: 043-430-022-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1440 LAZY TRAIL DR CHI Date: Contractor: Map Index: Description: RE -ROOF 55 SQ COMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a MINTON DAVID & CHRISTINE ERLANDSON permit to construct, alter, improve, demolish, or repair any structure, prior Owner: to its issuance, also requires the applicant for such permit to file a CP signed statement that he or she is licensed pursuant to the provisions of 1440 LAZY TRAIL DRIVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95926 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who doeses pp MINTON DAVID & CHRISTINE ERLANDSON Applicant: such work himself or herself or through his or her own employees, CP provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I a' m! Exempt under Art* Code Date: 7 U Ownef! 1,3��=ssZons WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. n ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of ._ V Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: I �' �6" Carrier. Total Square Ft: 0 S. F. Policy #: ' I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: -0 tt� 2 Applica WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sc-- 3097 Civ.) Resolutions do work indicat ove for which fees have been paid. I I/f BY Date: V Name: PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to after the substance ny official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection p as 'f? - CJ Print Name:U �" ih/ %1+ Signature: _ // *L�i Date: 47Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP040897 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/02/2004 APN'' 043-430-022-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1440 LAZY TRAIL DR CHI Date: Contractor: Map Index: Description: RE -ROOF 55 SID COMP OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MINTON DAVID & CHRISTINE ERLANDSON to its issuance, also requires the applicant for such permit to file a CP signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 1440 LAZY TRAIL DRIVE 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95926 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their t sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: MINTON DAVID & CHRISTINE ERLANDSON such work himself or herself or through his or her own employees, CP provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under A ' 3 f the ess a essions Code Date: 7 � Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: C' I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Fe5etp� Date: b c— Roeet v6 Applica WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions do work indicat ove for which fees have been paid. 41- �i Name: BY Date: Y of r PERMIT EXPIRES ON: - Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanceny official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection p es. _ "- Print Name:Signature: � Date:\Iit7/r� Owner ❑ Contractor O Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMEN .mOF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 1 PERMIT NO. BP .o/�6 7'? "'? DATE: APN: &Y_ / � ZONING: A5 OWNER'S LAST NAME: • V L'V OV • OWNER'S FIRST NAME: ` �� PHONE 3 'K STREET ADDRESS: , LI Uc >Z-11 'iFAX. CITY, ZIP: CV' I� E-MAIL: SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACTILOT P APPLICANT NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E -MAIL - DESCRIPTION OR SCOPE OF WORK: 2 S ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS r Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number:? �cS� <� oaf Amount Received:�� . �G O.B.- I OWNER -BUILDER VERIE'ICATION Attention Property Owner:_ An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 6 I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES ❑ NOX I HAVE 13 HAVE NOTA(signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY. PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CI'T'Y. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NA ' ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYO �ea► � & DATE: b NOTE. This Owner -Builder Venfkation is required by Section 19831 and 19532 of the California Health and Safely Code. This veritwation mast be completed and returned to our office before we are permitted to issue the permit. OVER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7, County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: N in �_n ASSESSOR PARCEL NUMBER C? U Proposed Building Use: Counter Technician: Date: �- Items required in order to apply for a permit. All boxes MUbT be checked OR marked NA in order to apply. O 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Site plan and business license approval from the City of Biggs. ❑ 12. Letter of intent for non-residential buildings. ❑ 13. Detached Accessory Building Form filled out by the owner. ❑ 14. Hazardous Material Form. ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers ❑ 18. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office ❑ 19. Soils Report and/or Engineered Foundation required. ❑ 20. Erosion Control Plan Required. ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet. ❑ 22. City of Chico Plumbing permit. ❑ 23. California Department of Forestry plan approval ❑ paid. ❑ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _Drainage. ❑ 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 28. Pre -Inspection for required. ❑ 29. Contractor's license information. (Number, Name Style, Classification). ❑ 30. Worker's Compensation Carrier and Policy Number. ❑ 31. Owner -Builder Verification ( _ Given to owner, _ Mailed to owner). ❑ 32. Letter of Signature authorization. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ❑ 34. Manufactured home utility clearance. ❑ 35. Existing violations and/or expired permits. ❑ 36. Deed Restriction. ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner; ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: EXPIRATION OF APPLICATION Date: Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Original -Applicant COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION h County Center Drive, Oroville, CA 95965 Phone,(530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: f ! I I n 1Gil ASSESSOR PARCEL NUMBER Proposed Building Use: P of (/'.�7 �� Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. .-• ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Cl 2. Complete plans, 3 or 4 sets, signed by.the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other_ _ Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. �. p 22. City of Chico Plumbing permit........................................................................ „t> 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. b 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement. ....... tatement............. ❑ 34. Manufactured home utility clearance............................................................... ❑ "35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Dale: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Date: Plan Check Letter Date: Date: Date Date: AFFIDA VI T REQUESTING D UPLI CA TION OF PLANS (California Health and Safety Code Section 1985 1) The official copy of the building plans may not be duplicated without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner. I hereby request duplicate copies of the building plans on file with the Butte County Building Division for Permit Number - and the building known as ( µ 24 ( YAC -D CL*- Z c3 (ReddAce or Business Name) I am aware of the following three provisions of the Health and Safety Code as follows:. 1. -That the copy of the plans shall only be used for the maintenance, operation, and use of the building. ' 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. Current Building Owner: DA i c4 A4 Design Professional of Record: -t Signature of person requesting copies: Printed or typed name of person requesting copies: C►'i '5 �,.h e . �r (:a�sUyl - =, Date: 2� 2 I D 3 Address: 144 D LA. z9:.. `TXP Dr ; CIL, C-0 11 v Reason for requesting duplicated set of plans: - For Building Department Use : i• ❑ Owner Permission received - Date Sent. DakReceived ' ' ` `'• ❑ Professional Permission received - Date Sent. DateReceived Receipt Number. �J Li 0 X23- --0 March 1996 California Health and Safety Code 19851 Inspection of records; duplication of plans a. The official copy of the plans maintained by the building department of the city or county provided under Section 19850 shall be open for inspection only on the premises of the building department as a public record. The copy may not be duplicated in whole or in part except (1) with the written permission, which permission shall not be unreasonably withheld as specified in subdivision (f), of the certified, licensed or registered professional or his or her successor, if any, who signed the original documents and the written permission of the original or current owner of the building, or, if the building is part of a common interest development, with the written permission of the board of directors or governing body of the association established to manage the common interest development, or (2) by order of a proper court. b. Any building department of a city or county, which is requested to duplicate the official copy of the plans maintained by the building department, shall request written permission to do so from the certified, licensed, or registered professional, or his or her successor, if any, who signed the original documents and from (1) the original or current owner of the building or (2), directors or other governing body of the association established to manage the common interest development. C. The building department shall also furnish the form of an affidavit to be completed and signed by the person requesting to duplicate the official copy of the plans, which contains provisions stating all of the following: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also approximate cause of the damage. d. The request by the building department to a licensed, registered, or certified professional may be made by the building department sending a registered letter to the licensed, registered, or certified professional requesting his or her permission to duplicate the official copy of the plans and sending with the registered letter, a copy of the affidavit furnished by the building department which has been completed and signed by the person requesting to duplicate the official copy of the plans. The registered letters shall be sent by the building department to the most recent address of the licensed, registered, or certified professional available from the California State Board of Architectural Examiners. e. The governing body of the city or county may establish a fee to be paid by any person who requests the building department of the city or county to duplicate the official copy of any plans pursuant to this section, in an amount which it determines is reasonably necessary to cover the costs of the building department pursuant to this section. f. The certified, licensed, or registered professional's refusal to permit the duplication of the plans is unreasonable if, upon request from the building department, the professional does either of the following: 1. Fails to respond to the local building department within 30 days of receipt by the professional of the request. However, if the building department determines that professional is unavailable to respond within 30 days of receipt of the request due to serious illness, travel, or other extenuating circumstances, the time period shall be extended by the building department to allow the professional adequate time to respond, as determined to be, appropriate to the individual circumstance, but not to exceed 60 days. 2. Refuses to give his or her permission for the duplication of the plans after receiving the signed affidavit and registered letter specified in subdivisions (c) and (d). ` 19852 Fees; limitations The governing body of a county or city, including a charter city, may prescribe such fees as will pay the expenses incurred by the building department of such city or county in maintaining the official copy of the plans of buildings for which it has issued a building permit, but the fees shall not exceed the amount reasonably required by the building department in maintaining the official copy of the plans of the buildings for which it has issued a building permit. The fees shall be imposed pursuant to Section 66016 of the Government Code. 19853 Exclusion of banks, financial institutions or public utilities This chapter shall not apply to any building containing a bank, other financial institution, or public utility. • r � ly Y . { 2008- 1B,P,E, + ' PERMIT NO. PERMIT EXPIRES s. OWNER Durkin & Drew F CONTR. Jeny Price, Chico . ASSESSOR PARCEL 43-29-102 port. i LOCATION Lazy Trail Dr., lot 52, Big Chico Creek Est#� Chico Ik 1 1 i Temp. Power Pole Af Called PG&E � Alec. Service Called PG&E �c Temp. Gas Servi c 9 t Called PG&E- JOi F ED (Date) �t aa Signature l COUNTY OF BUTTE DEPARTMENT OFPUGLIC WORKS ---- 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541, Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOT/JIC�JE BUILDOG 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 immedi�tely. v COUNTY OF BUTTE DEPARTMENT'OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phon-a: 534-4541 - Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext, 57 f . C RRECTIION NOTICE 1 r 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. Ins ector,"/ �/- � 1�� Dat � e � v COUNTY OF BUTTE DEPARTT ENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 RRECTION 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. Inspector Date -2 •-- )3—e1 If V = OK 0 s Not'OKe Not Applicable = Not Ready 2U0FI. RESIDENTIAL (Single and Duplex) Date UNDE _LOOK Plans OK except #'s Date FRAMING (Continued) oni_qg,requirements-Setbacks-Easements er y ine firewall & Openings g., ain; Soils-Steel-Ele - / Z/" Ftg. Depth 49 --Ext. Doors -One 3' -Check Garage -3rd story, 2 exits , Garage; Soils -Steel- /L " Ftg. Depth 59. 6te- Broom -Rise -Run -Landing -Fire Protection t Porches & Decks; Soils -Steel- / /" Fig. Depth 54_-P4,t d orrRoof Overhang -Attic Vents -Rafter Outriggers to ails, Main; Steel-Blockouts-Wrapped-Slab rL 5 g- Veneer temwalls, Garage; Steel-Blockouts-Wrapped-Slab ucco Mesh- ip Screed -Fd . Vents-Underflr. Access ,er Fireplace Ftg.-Steel laz' rea Glass Pr id -Skylights-Plastic V.: Fall -Fittings -Test -2 way C/O -Sewer Ted e; Size -Anchors iT ing- o is ater Pipe; Test -Anchors -Regulator -Service Test ric; n erground nums ucts; Clearance -Material -Support -Ins. s -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dat Card -BI Date Card -BI Date,(,//( Card -BI Date % Date FINA (Plans) OK except rs Card -BI Dat Card -BI Date Date PLUMBING (Permit) OK except p's , , 14. Water Ht.; Vent -Access -Combustion Air E . Steps -Door & Sidelight Protection -Landings moke Detector 58. Furnace; Vents -Clearance -Comb. Aironnector �y In Garage; Above Floor-Ducts-Mech. Pro n 15. Water Pipe; Tes A ors=Nai rotection 16. D. V.; T & A ail Protection 5 room Exiting 1 hower Pan; TW, Firs oor-Tub ess 6 6p G.I. & Bath Fixtures & Tub Access dc. Trim & Subpanel; Breaker Sizes -Labels tgKs & Rails 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 6 lace or Stove; Clearances -Hearth ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI. Date V. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date EI . Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's Fire Door; Swing -Landing- oser lk"narage 6V A.C,. Duct in Garage -Damper / 20. Fixture & Transformer Clearance -Ins. Protection 6 tr. r,; Vents -Clearance -Co . In arage; Above Floor-Mech. Protection Ai - nnect-P.R.V.- ale—Elec. Receptacles Spacing -Lights &Switches at Doors 7E,41, ., Elec. & Mech. Equip. Listed for Location 2 e Boxes & No. of Conductors -Stapled le . Receptacles in Garage; (G.F.I.)-Ro rotec. ex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mech. Fasteners -Bond Gas & Water su[at .ion- Foam- Looked in Attic 3. a' ctio Post Cape' t51-2 Appliance Circuits in Kitchen & Conductor Size dn. Vents & Crawl Hole Do D ina e & Wood -Earth Clearance Lo ed -under Floor 26. u or AI-A.C. Wire Size ga. Cu or Al 27. Range Circ. /�, / ga. Cu or A Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes o 7 • ' Following instld rive es ❑ No; Walks E5Yes ❑ No; P 6-ters No 28. S rvice-Riser Conductors &.Ground -Main Disconnect Stu ; B - finish Equip. Clearances; Panels-Motors-Mech. Equip. 98 --Vents Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Shower Light sconnect, Electrical, Plumbing rior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date 7- /3�Q� Card -BI Date 8 ent_ tion through ut House Card B -I Date Card -BI Date /'82' ss Protection 4F_ Date MECHANICAL (Permit) OK except q's rre ion om Previou Inspe ions G -Meters Ta d; G -Ele c ),j3'T-I • A.C. Ducts; Insulation & Support ate Sewer Connected -C/O to Grade -HD Approval .----- 3R, -Vent Fan; Exhaust above Insulation ergy Comliance Certificate -Other Certificaes _ 3i Condencato OLa ..-& Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date, Car -BI Date Date rd -BI Date — Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA NG(Plans) OK except q's Comments at Final: i IIs; Proper Material & Anchors _ Is; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 3 Be ing Walls over Girders & Floor Nailing Ve'Gloft Stop in Walls (rat proof) ' ops; Furred Ceilin s -Stairs -Chases -Tub aring eAH�a ,s -Post Caps -Anchors -Connectors oist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn, 44. Fi ce place Ties or Type A Flue-FireplaThroa!7s05-��% / is ccess; Size & Romex Protection -Draft Stop -Ins. Baffle m. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) J OK 0 = Not OK �- = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS " . ., Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2: Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval B. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT LO '� �Z. 81` 6-c.� CQr. � LsT.a•-rLs (location) BUILDING PERMIT NO. ,Z Op$ '$1 A' P. NO. 413 ;29-/02 r) THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item -or write N/A if not applicable) INSULATION: Slab Edge )q& Fdn. Walls 140 Floors 1 Walls -\3 Ceiling/Roof 3 Ducts 4✓ Circulating Pipes_ APPROVED HEATER rte' APPROVED WTR.HTR. GLAZING: Single' Glared J�(o Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. t✓ WEATHERSTRIPPED DRS. Leo!! BACK DAMPERED FANS ✓ INTERMITTENT IGNITION DEVICES ✓ 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 KATE SUBMITTED. Insulation Applicator Name Lim C O' Signature of (p se print) Insulation, ApplicatorrL)M,/,--A k-tVA State Contract. o�sp Licensee No. General Contractor/Owne Name 0 Signature of (please print) General Contractor/Owner vl--� Date dp— I� $ 2 State Contractors License No. IM) 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. _/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C'hlifornial95965 - Telephone 916/534-41 a V 9 APPLICATION AND PERMIT ASSESS R3 PARCEL NUMBER IZONING •- 2 ^ BUILDING PER OWE) TELEPHONE SQ. FT. OCC. BUILDING VAL ATION O OOWNER'S MAILING ADEIRESS CONTjTMAME P/Jc T�)cFPHO E_�/O d�`0 67� (,SE/,� j CQ[J TV RACT 'S MAIJ„O/` A W e-�160, � /i�/jyD Fireplace -S 2 �DO, QV C(JO_fN/TSTRUCTION L /(J ` / /� � ' IPW6A - �S UNKNOWN Total Valuation $ 0 0 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS C �l GO Permit Fee $ , Otj ARCHITECT OR ENGIN R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r�S� BUILDING ADDRESS Li%._Z_. �i A((� ��(v�C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping _5700 LOT NO. rJZ SUBDIVISION NAME PARCEL MAP le;lcl CtHCo a - ? 7 Each qas water heater or vent 5.00 5.00 Gas piping system 1 - 5 outlets 5� 0d �-,� USE OF STRUCTURE SF L`S Duplex❑ Mobilehome❑ Other SPECIFY Building sewer ,0 ' Lawn sprinkler system 5.00 5' pct TYPE OF WORK New [P' ddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ �p� Q() Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR 00 AMP ORSLESS 5.00 6_0jq Main service EA. ADD'L 100 AMP 2.50 L• v NEW CONST. I DWELLING OC OR ADDNS. ACC. BLDGS,Wt2 2� S ft q CONTRACTORS LICENSE LAW penalty of perjury (Check one): I decP��under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y 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. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR. /POWER APPARATUS S1 NON-RESID, ISINGLE OUTLET CIR./icensed W @ 250 Ex. Occup(OUTLETS OR FIXTURES BA .0 Ex. Occup.(ou LETS PIXED P(RESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department 1111���� 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 490 $ vd (,,,Ak Coo ling j %rSd Hood 3.00 Ventilation Permit Fee S d Contractor 1 certify that I have read this application and state that the above information is correct. 1 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. to save, indemnify and keep harmless the County of Butte against als, j dg nts, costs, and expenses which may in any way accrue agC un i consequence of the granting of this per it. I \struc X Date Sip icant — Owner ❑ Contractor Q/Agent ❑ Amit is required for excavations over 5'0" deep and demolition or construct- ioes over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �� OCCOP CROUP TYPE OF CONST, IG y• PARCE PD Ingo This permit is hereby. issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date— Cg 111 Receipt No. _S_3 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT APPLICATTON,WORK SHEET Permit No. G OWNER A. P. No. -/ 2 Zoning use Prop-oled Approved I Not approved Permit fee based upon: .1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: d 3. 4. 5. 6. �7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. Date receive All items have been submitted. --------- ------ - Plot plans in du a/birp44te. Complete plana n dup icate/triplicate. - -------------- Complete engineered plans and calcs. -------------------- Feesof $ -------------------- Letter of signature authorizatioq =-------- _ �-- Sanitation approval. �7�- Planning approval for Workmen's Compensation Insurance Certificate. ----------- Contractors license information. ------------------------ Parcel declaration, recorded copy. ---------------------- Access declaration. ---------------- Aunt Minnie information. -------------- Deed of access, recorded copy. -------------------------- Deed of parcel creation, recorded copy. ----------------- Parcel map, recording; data.-------------- Pre-inspection request for' Improvements - plans required & DP'd approval. ----------- Other ------ --- - Ji. By Date Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items above and in addition the follow ng: 2. Applicant advised by Telephone Mail 3. Plans checked by 4. Plans approved by, Date Date i permit is issued, process gT tottows:. 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold. for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Env ir.Health - Date Plans Sent A. Sanitation B. Restaurant_ C. Other 4. Public Works - Date Notice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C: Other 6. Other Agencies - Date Plans Sent_, A. Fire Dept. B. Ot - � `�'o : �u�.:id•�.ng �:�pr�ri:m�nt, .,• "� From: :environmental F—epath Jubject» Sanitation ion Clearance Plan appro n d for: Hold .fnal. for: Sawage disposal �:��waiuer supply s "ll eara :00 .For bedroom mobil a '.some., Other Clearance :for add,-' ,bicn of Note Wa t t=.r suup 1 y W itd-r Supply ' RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # A. P. # LOA � A. GENERAL Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setbabkq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). .,90.' 'Human impact glass (Sec. 5406). _5.e'Required room sizes, ceiling heights'(Sec. 1407). 7 .F.C.I.'s in baths and exterior outlets (Sec. 210-8). ight fixtures, switches, receptacles, and exterior receptacles for maintenance of /mechanical equipment. -#. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. �� Garage firewall, door size, and -closer (Sec. 503(d)(4)). .9 re 1 - 3'0" exterior exit door (Sec. 3303d). �LZireplace location. Smoke detectors (Sec. 1413). D. STHUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MIW`ELLANEOUS ITEMS TO LOOK OUT FOR •/Y. CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). rick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706 & 4708). roper roof pitch for roof covering (Chapter 32). after ties or bearing ridge beam. .Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). PERMIT NO. 3248-88B,E PERMIT EXPIRES �. OWNER DAVID MINTON CONTR. owner 9.ASSESSOR PARCEL 43-43-22 LOCATION 1440 Lazy Trail Dr, Chico , Temp. Power P Called PG! Temp. Elec. Se Called PG! Temp. Gas Ser Called PG! JOB FINALED Signature COUNTY OF BUTTE s� DEPARTMENT OF PUBLIC WORKS .f� 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Oroville — Phone: 53�0-754,1 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspecti indicates that the following violations of County Ordinance exist at the ab a address and should be corrected. Please notify this office when correc ' in of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. as / r % Ad G�� u (i� scJl �%G.fr f / pl /SD 1 i I'. T - i rw, ii Inspector Date ` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 -..7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 `CORRECTION NOTICE �y- OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist -at the above -address and should be corrected. Please notify this office when coon ion of work is completed. If you have any question pertaining to this matte or need additional explanation, please contact this office immediately. ji Inspector Date s t • • • • • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i► 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE )- a i 1, 7"-",l ER ?- Fy. T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Uc)(- e e I i 0 :5 I H f a V .e Inspector �: U .55e H T�>, Date Cg— P,?- k COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-:275 4?'C' /L 7 County Center Drive..Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 3,2 �lf OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above addifess and should be corrected. Please notify this office. when corpic t ion of work is completed. If you have any question pertaininig.to this matte or need additional explanation, please contact this office immediately.' 3.1 Inspector Date— .9 .7 j COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 r 7 County Center Drive, Oroville — Phone: 53$-754'Y Jit 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE VNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or ne ditional explanation, please contact this office immediately. f dc- £or -f Inspector Date _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE :R Z y P -YSr PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, �r need additional explanation, please contact this office immediately. `�/!'0(1/1Gr A?.11146 9 Sfi/--'1- zJ` Inspector Date I R t COUNTY OF BUTTE �•} DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 53$-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE rr! " PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need .additional explanation, please contact this office immediately. Inspector Da ww-- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS I 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 A; 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE JNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correctio f work Is completed. If you have any question pertaining to this matter, or eed additional explanation, please contact this office immediately. n _ � pf = QK -i Not Rblicable RESIDENTIAL (Single and Duplex) ' - _• Not Rgady Date % UNDERFLOOR (PI12WOK excg*44's Date FR AAA G (Continued) J �Z�B�' � cif S ~r .4-- ., Ga ectric; Underground Card -B1 Card -B1 Date PLUMBING (PermifJ0 16. Water Ht. Vent-Acc 17. Water Pipe; Test & 18. D.W.V.; Test-Fttngs 19. Shower Pan; Tes i 20. Test Tub & Sho er, 21. Gas Pioe: Size An ts--64ere- /" Ftg. Depth Test -B1 O1 Date -B1 Date K except #'s -Combustion Air -Baffle An hors -Nail Protection Anchors -Nail Protection rst Floor -Tub Access 2nd Floor -Tub Access chors Card -B1 Date Card -B1 Date I Card -B1 Date Card -B1 Date Date ELECTRI (Permit) OK except #'s e & Tran n . le ceptacles Spacing -Lights & Switches at Doors z Boxes & No. of Conductors -Stapled 2 . oroafInstalled Close to Edoe of Studs & C.J. Gircuts in Kitchen & Conductor Size/G.F.I. Subfeed Wire Size /y / gar AI- . Ga-ef- h r AI. In�P(evtrel Ves--No_ B4 -Equip. Clearances Panels -Motors -Meeh. Equip. Card -B1 Date q'Card-B1 Date Card -B1 , Dat$�Ug-g'j Card -B1 Date Date MECHANICAL ( m ) OK except #'s 34. A.C. Ducts Ins_uTMisQ & Support 35. Vent Fan; Exhau !lAove insulation 36. Condensate gp6n & Overflow; Size & Grade 37. Furnace-Ve t; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAM (Plans) OK except #'s 39-t-ills,P-roper Material & Anchors aJl sStuds-Nailing, Spacing & Bracing—Plates-Se+wA � . eqrjng Walls over Girders & Floor Nailing r top ' alls (rat proof) CqRire' s Fuued-2eftgs t aces-Tubr Bader it Beam -Size & Bearing vs.-Mingers-cost caps-Ancnwas -onnepLprs Cing.'Joi tr. Ties- P inoo ra 74ess-Sh g.-RfrT. 4' • n e ccess; Size & Romex Protection -Draft Stopd�s. Baffles ns s xt. ors -One 3'-C Garage- exits / i i - eadrtSom i - ng otection ng Tti ent Rafier-�ers ' 'n-Nailin erteer s azing Area -GI Date FIN (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings r ,15 ranee -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 'Protection 164- BedFeewr-Smitipq 6 es -Spa i c m &, Breaks -La •/ �irs'�$ails as c.e.,��..e , crr,,.p• r�o------- -rth ec. Outlets at Wood Panel; Int. & Ext. Clearance 7. r 7 - ser 7 7 - - - I f & tion lec. Receptacles in Garage; (G. - ome o ec. s -Po s F r-Drainage&491bod-Earth s ollowing instld.; Drive ❑ No; Walks s ❑ No; Planters ❑ Yes o o2. okerb,"i lu @peftmgs. Elec. Trim; G.F.I. (NOTE: An entry must be made each time you visit job site) c io -E-3-0p,carrections from Previous Inpections r •c � I 9 . . Card-B1,gla) Dat ',3>_PS Card -B1 Date Card -B1 DatO Z,�9 Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) = OK 0 = Not pK = Not Readyiable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete -4. Water; Location -Test -Easement Needed (Sketch) ' 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Utility Clearance Card -61 Date Card -61 Date Card -61 Date Card -131 Date Date MOBILEHOME 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 I 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electric 9. Exits; Insp.-Sketch 10. Cert. of Occupancy A � 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.-Connec.-- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ♦ �. 7. Elec. - 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enc losures- Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -81 Date Card -B1 Date Card -81 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date A � 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.-Connec.-- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ♦ �. 7. Elec. - 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enc losures- Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -81 Date Card -B1 Date Card -81 Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICASION ANO PERMIT ASSESSOR PARCEL NUMBER -- - 2C � ZONING S PERMIT OWNER ( +A •'o '� TELEPHO SO. FT. OCC. BUILDING VALU TI N rr,, p� 7 V �1' © C> OWNER'S MAILING ADDRESS C v CONTRACTOR'S NO0AME 1J1. TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is I=QO Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee a Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee s% /S �7S PLUMBING PERMIT Filing Fee 10.00 CIO t Z V r„c� t' r IJ Each Trap 2.00 �O, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME / f•`r 2 PARCEL MAP (i Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE c SF ❑ Duplex❑ Mobilehome❑ Othery ��+�� vr�' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.0 Mobile Home S I G I W 0.00ea TYPE OF WORK New. Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: 3 b wr d 011_1 Ir Soap Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 100 AMP OR LESS 10.00 b Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 occu , 02 OR ADONS. ACC. BLDGS. f h¢Sgft NEW CONSTR. U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUpi3OUTLETS OR FIXTURES 2ALC 30 ALC 30C. FIXED APPLNS. OR 113" Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring 0 g 15.0 Permit Fee $ r 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. N lice 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. Contractor MECHANICAL PERMIT Filing Fee 10. ,90 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia Ilities, judgments, costs, and expenses which may in any way accrue a inst C sequence of the granting of this permit. X Date Signature of App (cont - Owner Contractor [IIAgent An OSHA permit is required for -c 'ons over 5'0" da d d oI' ion or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �, Occup. CONST.TYP! ISCHOOL11��01DI-PARcELI PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated bove for which D) ECTOR OF PUBLIC By PER E IRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /� -!� O�� Receipt No. I _0111R,15129 WNIT!-O.P.W., YELLOW-ASSESSOR,PINK-IN9P lCTOR, a L ! P T . ,.•fir..". '.-r--�,",* �� �`.,.r`T�rlr'j�,�� `:. �r4`►:-�,rlL-.a.-°::,..:�'+,-- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR �hL�jC41-LFO$,NIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET Jr� Permit No. OWNER �lc�v.►�.�>r1�0P. No. Proposed Building Use -Gg�-� C-+ S65mxe Building Inspector — Date 10 At time of permit application, I was advised the following data must be submitted prior to permit processing andJor 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 $ . , . . , , , , y0. Letter of signature authorizati n. . . . . . . . . -w hz� Sanitation approval from Health Dept. . . 0 6 - CO) 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . l 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. Mobi lehome Installation Data. . . . . . . . . . 17. Pre-Inspec. request to (Dote) Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22, CUA FEES RECEIPT # . When you issue the permit, process as follows: --/—\ Mai I to owner, —Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector`. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior o 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 i Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved byL Sets of plans on hold in File cabinet AP folder � P55 �Q Copy—DPW ,o/c, Date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ;�n Owner. Locati n A -P # Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroom mobile home. NOTE *** Sanitarian Water Supply Water Supply Other AQ -010 . Date COUNTY OF BUTTE -. Dephr.tm2,pt of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541- An 16-538-7541- An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) -�_j signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Security Nuhn er Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. :I laint Date FT( Other Date BUTTE COUNTY COMPLAINT FORM I"" a*14 Addre Compl A.P.# qct - LT 3 C Zoning C p Taken By VIOLATION TYPE BUILDING Q HEALTII Q PLANNING [� OTHER COMPLAINT: St ►"L( �T Gt �'C� C�l �� PERMIT HISTORY ON FILE Q NONE AS FOLLOWS : /i% uJ i �► l e- Fu W ; l v_L n a lJ POC)l1firl.qW 1 1// i o C9 FIELD INFORMATION TENANT: Name. t>R\jIb M`�J o^� _ Address Description of Violation F 22 't�- km AC, OTHER COMMENTS: Approx. Bldg./MH Size Approx. Bldg./MH Age (� Under Construction Built By/For-W( Present Owner Cf Previous Owner Occupied Has Power Inas-6 Q Has Sanitation Facilities Q Written Notice Given & Attached �j Person Contacted iZ�6-k (tit. G t-Sa-J Describe Action Taken: Ft k2FLoa12 a F 1Za0/-N (�66St GACZAG�, j2,00F r2o-UdS ACTION RECOMMENDED: Information only, file 10 Day Letter _-j( Letter Hold for Days Other BY: /„1.� .1-C, ,. ,,,.n DATE 2--P-1 - q j COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: . 1'S t . . `r CDF/BCFD DAILY INCIDENT LOS Day/Date from 68491 /2_ -to 8888 �Q/V--/2---�1 _ Page _of •1w►{# 4! I:a##4►{t#t##tam{t4tt4t4ff 4fr${#$4#t0#$tt###f#/t 41'r4#444####a###{$#$###41tt4*♦ Inc! Fire!_______ Name T e� � --- -- ---- SSSS -SSSS-- -- -- --- Tye -- - ---- -- --- Report tiaeZO Start time Control timeR.O.Sta4_Y� Location / 1�9C,✓���.57'____ __ Bath _�_- --- ---� ----- --------------_--------SSSS-- --- Ouse EnginessCDF___BCFD I_ Cob y�fficer -------------------------------SSSS-- - -SSSS -- Saved __Sq/Atk_I_WT--_Doz_--Crew AA AT HC --- ------------------------------SSSS-- --- --- --- Damage ------------------------------------ Other L -------------------------SSSS-- - ------------- - ----SSSS-- Land use _acre/'fypr 'dot I _ ----------SSSS----------SSSS-- --------------------- Owner/TenantMRA: - -----��-��--------------------------------------------SSSS-- - R.P._ c3 -7. F-.................................................. BI: -SSSS-- Misc.Info ---------------------------------------------------------------------- •444141�{,t{Y#t#{t{#{it ## ####a#a saat�a aaaa$a$$aatatt{ta a#a$aaaaaa#rat$$a{t#{t## lncl �L�ir� __Fire-- ----- Type- iJ� �--------------- Report tine !';-;� Start ime rc100 Contral tine R.O, ' --- #--' - -- SSSS - -- 1� d-----------Sta9 Location -SSSS-- Batt$ ------------------SSSS-- - - Cause it ��1�.P✓ ---------- -----Engines:CDF BCFD ;CoO_ Officer SavedSSSS- SO, c:C�_____Sq/Atk___b1T___DozCrewAA AT HC ------------------------- --- --- --- Daeage----'. ZM�p,rp.010�,l`4_ (,�''�-'�O---Other Eq-----SSSS-- ----------------------- La d use _ t _ Acre/Type___ Tot 1 ----------SSSS-- - - ---------------SSSS-- Owner/Tenant _ (,� -G--S - _____ _ _____61RA: T SSSS - -- ---- R. P. ---"'-----------� " 7-05 ------ BI: --- SSSS - - ----SSSS--------------------SSSS-- Misc,Info ♦s{ts#s{sa{{{#at{a$a{#aa4aaaaataaaaaaaaaaa�aeaaaaafaaaataasartfaaaaaaaaagaaaa$atataa{ F:reb Name-----_--------TYPe--�� � - ---. -- - --SSSS-- - --•- - - Report tiae()9_ St rt time ____--- Control tree_______R.O.��/S'�/1--_Staff ------ Location,fll --L _CIL=_ _ �1��L�---------------------------SSSS-- ------ Batts— Cause Enginas:CDF BCFD_t;Cobs � Officer SSSaved_Sq/Atk___WT_--Doz___Crea___AA___AT---HC--- Damage --------------------- L Other Eq ----------------- ---------------- and use -----Acre/Type Total SSSS- --------------- Acre/Type­ _ __ _ _____MRAs �/G_ Misc.Inf7-----------------------------------------------------BI.-SSSS-- ------------------ t{it1F{#t0{ta{a{ta$4taa*aa*dafa•a3ai ai4aaaaaasaaaaaa*¢3aaa44i as#aa4$aaaaaaa${tt{tat Inc#_ q�_ Fire#.Z'0 0 Namee_ T e r - `' - SSSS- YP _�1z �.0 _ __O Report time_ BtarViawo Control time i k­- R.O. 7 - Report Jy�J'T _gta� Location /(/ _-['L .�--=-SSSS----------------------------- -- # Cause --L -= ....... -nginessCDF BCFD -3- Officer __;Co ------ a----q---iTDozCreb-- A---AT---HC Damage_'h-__ _ Other E -- -- SSSS-- q --------SSSS-- ----- La d usae�•� ...... Acre/Type----SSSS-- ----------- Tot l_--- ----------- - Owner/Tenant _ -4_�� �Ct? �L+� _----- -------------QA• --��- r", r.P,---=-5-,-—-....------------------------------------------ Micc.Info _ _ _ i31 {44oaa4#4#t{#t###gam#a{testa$a{{aa$seas$t#tam#/a{aaa$aaa{aa$a•${a##4ffaraaasa${##${{a{$ Fired 91ame-Z�'-(1q�_ Gyp_____Type_� fY1 p v .Start time _ Report time``!2 _� SSSS-- m Cont p ' --- SSSS -- 77 Location---F2/.�.,� _1_s!I+Jr-7---��tisev-----R.O._ ---------------------------Batt! Cause --- ----------'�--------------------------gines:CDF__ BCFD ;Coif__ Officer - --- -- ----S- aved-_£q/Atk---UT- -Doz-Crew---AA---AT--_HC--- ------------------------------------ -- -11-- ------------ ------------------------------SSSS-- Other Eq___ ----- ---------------- Land use ___SSSS--____-- Acre/Type ----- Total ---- ------------------- r Misc.lnfo wner/Tena�n WRA:=- 0=J_ fi'----- -------------------------------------------------------------------- - -------------------SSSS-- ----- BI: ----------------------------------------------- rev,(7/16/86) O hC4> �, oer�• lf R6U NTIAL (43-43-22- CkYT51Dr, 588-91B,M j MINTON, Dave .. � 1440 Lazy Trail Dr, Chico ` (conv stg over gar to living) JOB FINALE ' Signature r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �:. 196 Memorial Way,. Chico — Phone: 891-2751 7 County Center Drive, Oroville = Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. /1 Como.. , L� L[ if . ✓f w hi �, �- (gym n O f f.��. i �a�i � c � �ro .+•+ � �o � a t/ o o cw_.t,� G n •-a ca D ^1t [°3 /Q f 5 1a1Pri -1ia 0 ea K C a It ej f --o ".aS(�nr4 f SL 3 2.py 9 IV— Date Z' Z� 9� Inspector 40 ��. �s g IV— Date Z' Z� 9� Inspector 40 ��. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Owvi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-63(7 CORRECTION NOTICE At)Ty j OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Ng Qee,,'i,3�, Date Z— ? 7 -,q 1 Inspector v=Ok O=Not OK = Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Reauirements-Setbacks-Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card 13-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ T' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s `7 -tet; �13' 1 1�,'t Vater HtrAVent Access -Combustion Air -Baffle Water rme: Test & Anchor -Nail Protection W. D.W.V.; Test -Fittings & Anchor -Nail Protection r an; Test, First Floor -Tub Access 2~jb� Tub & Shower, Second Floor -Tub Access Size & Anchors Date Card B-1 e,- , Date Card B-1 Date Card B-1 GG Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection X. Elec. Receptacles Spacing -Lights & Switches at Doors 24! Size Boxes & No. of Conductors -Stapled ex Installed Close to Edge of Studs & C.J. 26 Fcplip. Ground made up w/Mech. Fastners-Bond Gas & Water 2pliance Circuts in Kitchen & Conductor Size/GFI 28.-R"feed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 3177gervice-Riser Conductors & Ground -Main Disconnect 31-Egatp. Clearances Panels-Motors-Mech. Equip. 32-L'lofhes Closet Light -Shower Light -Spa Light 33,4moke Detector Date :1,01 Card B-1 G(„ Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s ;'Insulation & Support 35. Ve n; Exhaust above insulation 36. jeor0mate Drain & Overflow; Size & Grade Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Dates Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39,,Sils, Proper Material & Anchors 49^alls Studs -Nailing, Spacing & Bracing -Plates -Sound 41/Bearing Walls over Girders & Floor Nailing 42,*'Draft Stop in Walls (rat proof) 4g� 're Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors ,46**ZIng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 4q7 replace Ties or Type A Flue -Fireplace Throat clearance 44, -Mc Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49--Bdrm. Windows or Exitina Doors -Sill Hat. & Dimensions 5P -'Garage Fire Protection Framing PI -Property Line Firewall & Openings 5?/Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54-aywood on Roof Overhang -Attic Vents -Rafter Outriggers 55 -Suing -Nailing Veneer 56:-6Wcco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5.--'G-lazing Area -Glass Protection -Skylights -Plastic. 58, -Shear Walls; Nailing -Bolts 5 nsuW1`on-WaIeC ilin 6 . Infiltr ion-Wa -Windows Date �� a,C,1 Card B-1 G(; Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL Plans OK except #'s . Ext. Steps -Door & Sidelight Protection -Landings 62-171oke Detector W`1`6rnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64-0edroom Exiting G.F.I. & Bath Fixtures & TubAccess-Spa . Elec. Trim & Subpanel; aker Sizeg)& Labels airs & Rails Fireplace o ve ar nce Hearth 6*9:-Etee. Outlets at Wood Panel; Int. & Ext. 7e-K,rt+ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7T."Elec. Outlets & Receptacles at Kit. Counter W^Garage Fire Door; Swing -Landing -Closer 73r -A -C. Duct in Garage -Damper 7*'VVM Ht .; Vents -Clearance -Com Air-Connector-P.R.V. 1 rage; Above Floor- Protection b., Elec. & e -ch. E i Listed for Locaho 6-Z4ec. Receptacles in Garage; (G.F.I.)-Romex Protection 73. Insulation -Foam -Looked in Attic 0 Yes la-Quard Rails & Deck Construction -Post Caps . 49:-frth. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Off Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No . Stucco; Brown -Finish 2. . Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ST. -Water Well; Disconnect, Electrical, Plumbing 86.-E+eterior Elec. Trim; G.F.I. Receptacle -Underground Be Ventilation Throughout House Gla Protection aeg6rrections from Previous Inspections k-,J,K-J'/ . Gas Test -Meters Tagged; Gas -Electric rKjp� 0.. Water & Sewer Connected -C/O to Grade -HD Approval 94, -Energy Compliance Certificate -Other Certificates Date :g, J&, qkZ. Card B-1 Date Card B-1 Datey-2-ft Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. F - 7,I o yrCenter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 43-43-22 ZONING ASR BUILDING PERMIT OWNER Dave Minton TELEPHONE 895-8897 SQ. FT. OCC, BUILDING VALUATION 472 1 0 4.720 OWNER'S MAILING ADDRESS qms P(6- bE1� 1440 Lazy Trail Dr., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 1.00 LENDER'S MAILING ADDRESS Permit Fee $ aMMC50.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee$ 4 Energy g Plan Checking Fee $ 15.000 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty 9-9 BUILDING ADDRESS 1440 Lazy Trail Dr., Chico Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 52 SUBDIVISION NAME PARCEL MAP 18t 60, Water piping 5.00 .63 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other convert gar S ECI Gas piping system 1 - 5 outlets 5.00D 4,� Building sewer 5.00 b Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: c;apir stor to Same room and hath Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professions Code and my license Is In full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- ation, will do the work,and the structure is not intended or offered or 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.ad\ OR ADDNS. l ACC. BLOGS. / , /20Sgft NEW CONSTR. U TI.OUTLET NON.RES.BRANCH CIRC ITS 2.50 ea POWER APPARATUS 0 SINGLE OUTLET CIR. EX. Occup( OR FIXTURES \ OAL0ALo 30 90 FIXED APLNS. Ex. Occup. OUTLETSP(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 1Yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. shall not employ any person in any manner so as to become subject <tl the W. C. laws of California. otice o Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 6.00 Cooling g Hood 3.00 Ventilation permit Fee $ 16.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I als agree to save, indemnify and keep harmless the County of Butte againstAz. a Iia ments, costs, and expenses which may in any way accrue ag st s o y In quence of the granting of this permit. �. Date Signature of Applicant Own Contractor 1:1 Agent EJ An OSHA permit is required for exca at'ons over 5'0" deep and demolition or construct- ion Of structures over 3 stories in haigReceipt Mobile Home Installation Fee $ Energy Inspection Fee $ 0.00 J;C CONST TYPE TOT L FEE $ CUA PARK — — SCH FLD Nk cDF PAR PD 1 HD Issu , This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. �OFLIC WORKS By DIRECDate (� Q PER EXPIRES Date —/ kf FG No. 83614 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT � 1 5 • COUNTY. OF BUTTE - DEPARTMENT 9F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE„CALIFORNIA 95965 - TELEPHONE: 916/538-7541 1 C., PERMIT APPLICATION DATA SHEET Permit No. OWNER `��� /�i /NH/�a,44 IEbEpr A. P. No. ����� z Proposed Building Use//� i Building Inspector Date f At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ..................................... ... . w---© Energy Design Compliance and supporting documentation .- 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation inions. ............................................... 1. Chico Urban Areafees paid ....................................... Park fees paid .............. c-(S�choo�l 'District fees paid .............. 14 Sanitation approval from — 5, � Q Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0). f .. . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you 'ssue the permit, cess as follows: —Mai I tol�ow er. Mail to contractor. elephone and hold for pic pat �,-. Toffice. Deliver w/inspector. Other C� Appl ican Date r f Copy of Hdz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitte or tQN9Q mit i ance: (Circle new item not checked above)* 1. Index permit for above items No 2. Additional items required: Contractor, designer, wner, as advised of above required data by.JLphone__jnaiI—counter by W. date 3- 6'91 Contractor, designer, o�ie�as advised of above required data by-L4hone—ma II—counter by-,&&- date 2-12-91 Plans checked by W Date _3L2-__9L_Plans approved by 1�9ADate 3- 1-191 Sets of plans on hold in File cabinet AP folder Copy -DPW TO B, Ina Department FROM: Environmental'Health SUBJECT: Sanitation Clearance `^ `^AP # Owner Location Pian Approved for: Hold final for: Final clearance-O.K. for: Sewaqe Disposal Clearance for bedroom mobile home. Other F'. [4k Water Supply Water Supply Water Supply Ve1..o Da e Sanitaria 5/89r RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) - - P .._. _. OWNER --. - - # ------ - - - _ ... _ •ilii lNt �Yl- � - _-- g.� �, - ... �- A.P. &.—Permit- .. =`f-3 2Z GENERAL --- !-1. Zoning requirements: (sideyards and number of permitted living units). Valuation. F -s w�L6r�G 3. Plans signed by designer. Energy Design and Compliance. 5(66) fIOLI" -7 Existing violations on property. 6. Items on data sheet. PLOT PLAN = Ur. Complete parcel size and dimensions. c2: Setbacks, sideyards, easements, etc. 3`. Other buildings or structures. G4: Grading, fills, drainage: - - —5: Flood hazard. - ,6: Special conditions on.creation map or compliance document. 7-. FAU & FAS road setback. FLOOR PLAN 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. -;1205):.f d td . Required windows for second exit (Sec. 1204). - .. 4.. Skylights (Chapter 34 & Sec. 5207). 5. Human impact glass (Sec. 5406). j3a�lvtoum Required room sizes, ceiling heights (Sec. 1207) GFCIs in baths, garage, and exterior outlets.,.( -Article 210-8). Light fixtures, switches,- receptacles, andexterior receptacles for maintenance -. of mechanical.equipment. .Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. tW. Garage firewall, door size, and closer (Sec. 503(d)(3)). -1-1. 1 - 3`0" exterior exit door (Sec. 3304(e)). C2 Fireplace and wood stove location, alcoves, and clearance. 3-: Smoke detectors (Sec. 1210). STRUCTURAL DETAILS NP`1. Foundation plan complete enough to construct building. �f '2. Floor construction details complete enough to construct building. 3. Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. 5. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR C1\. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). 3. Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) 4. Exterior plaster — weep screeds (Sec-. 4706). 5. Proper roof pitch for roof covering (Chapter 32). 6. Roof covering type — (fire hazard).. 7. Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. 9. Adequate bracing. Living area over garage — complete 1—hour separation required on garage side including supporting walls and posts, etc. 11. Two exits on three—story dwellings (Sec. 3303 & see Mezannines — 1716). 12. Attic access and ventilation (Sec. 3205). _4-3—.- Underfloor access and ventilation (Sec. 2516)..: 4� Combustion air for fuel burning appliances.. 15. Noise requirements on duplexes. _-1-6: Adobe soils — special foundation design. �7. Retaining walls requiring design. ` 1 nusual shape, size, or split level house requiring lateral design. Y 1 -9 --Flashing at all exterior openings. ,� Nta�cm o► b COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 2. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not) �/ signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan. to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work " Signed: Property Owner Social Security r --....-...- Date `3 �l—C ) L NOTE: This Owner -Builder Verification is sent ,to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. L Ar .rr.Ar •.. ".i,(y'C'1^'^.-^ •nnlP.�+�`�`" ° ':t A%`�.aa,•r.i i. y, ��. ;­, . ;_AUTTE COUNTY SCHOOLS DEVELOPMENT ;FEE CERTIFICATION FORM (One Form per Building) A. P. Number,! "�% X 4 -Building Depal. rtment No. School District �'ij/ � City [:J county Jurisdiction Property Owner�� (� Project Location/Address N �,� T;e, Z, 4---;) le— g Z� Subdivision Lot Number Residential Development: S12q. Footage # of Living MHI Addition (Group R Units Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas) Date (Floor Plans reviewed by School Dis-trict Personnel) District.Id No. �- School District certifies that / rL41K . 177-Y-1 () 71p _dQ ant Name) (Phone Number (Street Addresg)Or- �U (City)' (State) Zip Code) has complied with the requirements of Resolution No. by the ayment of "$ representing %a square feet. L,c c 9 School District Representative ate I PAID BY CHECK NO. / BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 (� V M 1,`J toQ DATE 3-6-11 1�I4b Lazy I -V -NL CH[Co, CA g S9' 2CP RE: Sia e�6� �e� Cb1.� �l�s l6 IJ A.P. With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. -'ees-ofd payable to Butte County Treasurer. 'FD1z wLOurCT•, Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including'�b2M -7 TO '6E StroNIF.b Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. J/ Sanitation approval from Butte County Health Department at: i/196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 6<(_- L) n S - Ccr�f�r.)G7-�Al:iD-C 26-�GY�� F-2om STAiewm 1 ►Jib rvArzP',&E Should you have any_ questions concerning the above, please contact g,,ceV_1SMA 'U)ILOIK.lo of this office. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE Ngrr Dave Minton 1440 Lazy Trail Dr. RE: storage area conversion Chico, CA 95926 A.P. # 43-43-22 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Ca.lcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / / We need the following information: Permit application signed and completed where indicated with all copies returned. X_ Fees -o _$-- payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in ' Complete plans and calcs in by registered engineer or architect. � Energy design including Form 7 to be 4ignad Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. )Sanitation approval from Butte County Health Department at: 777 _� 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / / OTHER Spe attached. is Should you have any questions concerning the above, please contact Barbara Wilding of this office. between 3-5 p.m. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector 43-43-22 1. Insufficient light and ventilation in game 000m (426 sq. ft. requires 42.6 sq. ft. '� ,�f window aeea with 21.3 sq. ft. openable. Please indicate additional glazing (with header sizes if openings will.be wider). 2. Xzrify bathroom headroom to be 7' at lowest projection per NBC 1207(a). 3. Occupancy separation is required between habitable space (including stairway) and garage. Provide 5/8" type x gypboard on walls and ceiling of garage, stairway, and supporting members; with self-closing, solid core door from stairway into garage. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PA CEL NUM BEj2� �� [/�/ ZONI' �'^ BUILDING PERMIT OWNER V LEPHONE S0. FT. C. BUILDING VALUATION OWNER'S IL N ADDR 0� 72K4 S /4, 0A CON R!�„ TOR'S NA1�1E (//C/ALI.NG /MM lAAI� ELE HON - CONTRACTOR'SRA ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $(r) ,O ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE. SFE] Duplex❑.Mobilehome❑ Other C©t**V SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Rem'odel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �yt/ S!� -�� ��/%�� 9M �j!}T�j- 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 I declare under penalty of perjury (check one): F] I. am licensed under provisions of Chapt. 9, DIV. 3 of the Business and Professions -Code and my license is in full. force and effect. License No. Classification. I, as the owner, . or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. , /20sgft NEW CONST R.MULTI-OUTLET NON.RESID BRANCHH CCIRCRC ITS .2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 20050t eAL93o FIXED AP❑ Ex. DCCUp- OUT LETS PRESID )LNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin g 15.00 Permit Fee - $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must.forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating & Q Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner E] Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE .$ 6 r 7 HAL. CUA PARK sCHL FAD CDF PAR PD I HO• IssuE. This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No.,��, �� WHITE-D.P.W.. 7ELLOW-A9eC�30K, PINK -INSPECTOR. GOLDENROD -APPLICANT A '",111L 111L fDd8-91B M (conv stg ov' er ga_ livine) C )WNER Dave Minton )WNER'S MAILING ADDRESS 1440 Lazy Trail Dr .ONTRACTOR•q ueur NT OF PUBLIC WORKS nrr 95965 - Telephone: 916/538-7541 1' PERMIT MIN. LEPHONE SO. FT. CONSTRUCTION LENDER None UNK LENDER S MAILING ADDRESS ARCHITECT OR ENGINEER _ CHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUBDIVISION NAM PERMIT NO. BUILDING PERMIT OCC. ` BUILDING -VALUATION Fireplace 10-6 Total Valuation $ t Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Each qas water heater or vent USE OF STRUCTURE Gas piping system 1 _-5 outlets SF 11 Duplex[] Mobilehome❑ Other_ convert ee Building sewer sECI Y Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Permit Fee Describe work: Contractor $ 10.00 -$ 50.50 $ 25.25 $ 15.00 $ $ 7 Filing Fee 10.00 2.00 20.00 kOO T $ ELECTRICAL PERMIT Filing Fee . 10.00 LES00V OFT S Main service 100 AMP 10.00 CONTRACTORS LICENSE LAW Main service EA. ADD'L 100 AMP 2.50 1 declare under penaltyof perjury P 1 y (check one): NEW CONST. /DWELLING oCCUP.y\ Y21LS ft OR ADDNS. ( ACC, BLDGS. / q El I am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professions Code and my license NOW.RESID CON TR BRANCH CIRCLET TITS 2.50 ea APPARATUS is in full force and effect. icense No. (POWER _ SINGLE OUTLET CIR. e� Classification. Ex. Oceup(OUTLETS OR FIXTURES 200Sot as the owner, or my employees with wages as their sole compen- ation, will do the work,and the FIXED APPLNS. OR eALA 30 EX. OCCUp. OUTLETS (RESID.) EA.) 2.Go structure is not intended or offered sale. (Sec. 7044) /<M.' Temporary serviceor 10.00 , as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I am exempt under Sec. —___, Business and Professions Code Misc. Wiring 15.00 for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor ' I declare under penalty of perjury (check one): ❑ The is MECHANICAL PERMIT FiIingFee 10.00 permit for $100.00 (valuation) or less. j ❑ I have placed on file with the County of Butte Building Department Heating 6.00 a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. hall not employ any person in any �,-A` Cooling manner so as to become subject the W. C. laws of California. Hood 3.00 otpplicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, Ventilation you must forthwith comply with such Provisions or this permit shall be deemed revoked. Permit Fee $ 16.00 Contractor I certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws to Mobile Home Installation Fee $ relating building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned Energy Inspection Fee property for inspection purposes. I also a ree to save, indemnify and keep harmless the County of Butte against a Iia ( EOCCCONSTfpecti$30'00 TOTAL FEE $ 75 ments, costs, and expenses which may in any way accrue ag st s o y In quence of the CUA I PARK SCHL FLD COF PARj;146. I HD. ISSUE granting of this permit. I Date This permit is hereby issued unaer the applicable signature of Applicant _ Own Contractor ❑ Agent ❑ provi- sions of the Butte County. Code and/or resolutions to do indicated An OSHA permit is required for exca at/ons over 5'0" deep and demolition or construct. ion of structures over 3 stories in heig . work above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. 83614 WHITE-D.P.W., TELL -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT By PERMIT EXPIRES Date Date ♦! I ' i — - --...... ._.�..�. � �: a..csr.-.sk�..T..�.c=+3c'.e.�e :iLs4s�:.._.PvT.:.-i.�: a•r .r..ai.,,. , _ ._ . - ``- � VVI �•.. A 2 .meq 6 V"- 7QTE:— 'M teriiis x• W6rkma ger r cordsnce with :l4n�o ;n iz,-1 Goo ' Fra �� ,d .cified use14 y 4�� a�Giialiry prescrili for't� Uniform Building, Plumbing �Jlechanical• Codes ; u. and i�e �4at[om%,I-Elocirical-C. _ 52 11nia,s�t of Otans end sp6ci MUS], eplt on the jib cit tl tunes d if, owfvl to 2 bny change. car c A*ratio sante without Ivrit on Dert4ssio• from A* Depart of pt *& Vo s, C*6nty Butte, A setback of. 5 ft. �`�he 3 property lines al�cl a�ck of Soft. from the roa -` centerline shall be cle r1` _ 111 structures or equipment except _ G. For a 2 ft. eave overlian . r. '�-- TPAK c(ecu, 0 CW eCse mc'mks I QLAN l9Q LAV TKAI L� , --- \ .. tz. = 50.00' 1 L = 73.04 • - N p�� 19 1411 - • I (NICD CKEEK _- I��. �LA� OT52 G - EyTATES . `5U2-oV1510N 201 pUizYYJ�I AND omw MVELOPEK6 22.81 GNlCO, CA. job# 8013 5- a�5�8 i St�E� -Tv coia;�ct 7V Sewt� D V-� CAA AP* 43 - i — Zq �- o �� --- - rev, e orofection and a Tvi Utz- i I WAtts TYP 1'2-1 R1T(- SPACE i 5 r�.9 L E GOIV11�°/�IN►� W Coca '-� FL -004 TYP C2X 12 C`J� T.M e l2 "a.0 :J 2o' -s PRS MAA_ 1/-1:'j7'1USTAL 3/4V T!t-, 101yL0nn1 Di�Ec s r -,As w -411 y- trr72 per. ,BELaw STY rcj o NusnNig .Fle-U- f4001f INS' Ll IP. LIS1rk)6 Max. Rise Min. Run R'un meac.4vai tca tO 1O�. 3%8" max. lav�lli�r�ss, 11a�c�r��ils, head cteaAamce ice` U(W 330&1 , �p. Nc-s-rz e 1VILL- 14YWS L � r - ` I 12 DV - s-Nt, 1 f�R NOT AL-LoW6D �A ;PEa L171-1 ps P �f 113 ZOOM A EA 2° S1FOLP 2oFs opErv,%aLC M /N Uy vM NyftX4DVN+ 7'0' i +�-- 9G'o o C\ v p Q' � �c:re I c�� �er� ►.mac l ro"Tioc P`n 2JO-76 3P119 -5y E N Max. Rise Min. Run R'un meac.4vai tca tO 1O�. 3%8" max. lav�lli�r�ss, 11a�c�r��ils, head cteaAamce ice` U(W 330&1 , �p. Nc-s-rz e 1VILL- 14YWS L � r - ` I 12 DV - s-Nt, 1 f�R NOT AL-LoW6D �A ;PEa L171-1 ps P �f 113 ZOOM A EA 2° S1FOLP 2oFs opErv,%aLC M /N Uy vM NyftX4DVN+ 7'0' i +�-- 9G'o o C\ v p Q' � �c:re I c�� �er� ►.mac l ro"Tioc P`n 2JO-76 3P119 -5y E 1 Point System Summary: Climate Zone 11 P -2R l7AVC M /N7 A/ AvjatT{na Due BUILDING DATA(o Conditioned Floor Area S-©- Number of Stories A_ Sla sed Floor k all applicable Unit Type condition(s): [,eSingle Family Detached (SFD) [ J Addition Alone [ j Single Family Attached (SFA) [ j Existing Building [ ] Multi -Family (MF) [\JITAisting-Plus-Addition & Shading (Shade Closed) % Glass Sc a. North 'I S(-c-)CY — CUP to LMUD WCOW) SCORECARD 1,07 /,/6 x � _ c. South 4,2b .12 x � = d. West �, 415 3 x Measures e. Skylight D x .66 = Point Scores L' Ceiling Insulation / It or R -.gal -1391 U-r.tw [0.0301 Z. Wall Insulation I / or (,) R-vame [ 111 U-VWUC 10.0981 3. Raised Floor Insulation / c1 or d (� R -fabs 1191 U -value loam 4. Stab Edge Insulation or _ S. Infiltration R --me 101 Standard F2 factor 10.171 0.2 6. Glass Heat Loss 010 vi le t�; S�-3 f- �' 416 -f �-0— TAM IdoolaleI Uwame [0.65) S Told calm 1161 Sm 1-6 7. Shading (Shade Open) % Glass Sc ME % Glass a. North b x -7-7 = U b. East 1,0 x -7 7 c. South +,2b 4, 7 2 x ' 7 7 = 3 b 3 3,29 f2- 6 3+ 2_ d. West 4,1 U 4,53 x . -7-7 = . 4 3. Ii) e. Skylight O x -7-7 & Shading (Shade Closed) 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? (Y / N ) Interior Mass/CFA Exterior watt Mau o.r12- x /, o = SE or HSPF Duct Efracicacy 10.781 (0.7ZI6.61 Eff. % Glass O Q.. 7 6 w'76 . L 210 [i D %2 Effective SE or HSPF (03613.151 12: Cooling System x = Zonal Control? ( Y / N) SEER 1931 Duct Efrtcicnry 10.741 Effective SEER (7.031 13. Water Heating O Type ISGl dz I.1 Pam Revised Muds 1988 IQ % Glass Sc a. North U x 1 b b _ b. East 1,07 /,/6 x � _ c. South 4,2b .12 x � = d. West �, 415 3 x .66 = e. Skylight D x .66 = 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? (Y / N ) Interior Mass/CFA Exterior watt Mau o.r12- x /, o = SE or HSPF Duct Efracicacy 10.781 (0.7ZI6.61 Eff. % Glass O Q.. 7 6 w'76 . L 210 [i D %2 Effective SE or HSPF (03613.151 12: Cooling System x = Zonal Control? ( Y / N) SEER 1931 Duct Efrtcicnry 10.741 Effective SEER (7.031 13. Water Heating O Type ISGl dz I.1 Pam Revised Muds 1988 IQ f-2. -/,Z2 t-1 O -a llD d sum 7-10 3 O CD U Point Tot l=-�/��4�' Cgr6ficate of Compliance: Residential (Page 1 of 2) CF -111 UVC M /V7 -VV "ect rick Date l -f40 LA Y TPA /i tie CHIGo �,A Project Address - - Rl [ H L/E L 6 S0AJ % 2— 9 4 1 1 Documentation Author Tekphooe 7) /lyT _S -/2:M /l Compliance Method (Package. Point System or Cumpttter) Cumate Zone GENERAL INFORMATION Total Conditioned Floor Area:. 0 ft2 Building Permit r Cbedted By / Data Edomanent Agency Use only Building Type: ✓ Single Family • Hotel/Motd . (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) l/ Existing -Plus -Addition Front Entry Orientation: No East � South / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: Slabsed F! r (circle one or both) Infiltration Control: Stand lght (circle one) BUELDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic. to garae typical. etc.) Wall.._.......... �_ 7'Yl!? Wall.... Roof ............ Roof ............. Floor _............ TO 6 ALI 6 E Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Arca Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single. double) (roller blind. etc.) (shadescreert, etc.) (yes/no) (metal/wood) Front_. () 2,f v e l ees M17 Front. ( J Left...... Rear..... ( J Rear.._. Right.... Right.... Skylight....... Skylight....... 0 THERMAL MASS Type/Covering Area Thickness (slab/expos(A, tile. -etc.) (SI) (inches) Locition/Dcscription (kitchen. bath. etc.) 2 Certificate of Compliance: Residential (Page 2 of 2) CF -1R PMjectTIW Date HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) krM A c e 72 RQ -A GX IO�, 17, 000 Wi II tnhtS � r ZZhV— S-1✓ Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Name: TUWFum: Address: Telephone: Lie. N: 3 —/i --ell (signature) (date) Documentation Author Name: Titic/Frm; Address: ' Telephone: k*7 9 4 4 11 (signature) ('duc) Form Revived March 19a Building Owner Name: /)A ve . PI I"tmK TulelFum: Address: / y 9 L? %ver /V A v- T o - 1 (signature) (date) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) .'}�,`-'L'"{4R"!�f"'�:;.:.i�t�-t:�`r�•.,,vr�la..'�j.tit^. iti��d�4;�i":;�'1L'wi�,�.s'��'�1?y'n�'�"=ri";Y5-"r?+rigF"!.��[xi'�;- �r'�y,fvt,(Y>a��.c+���c?`k�w4,�":l:'^�i�tx:.�..i;5j��;�. ;.-.. .ti.,.,, � - .. � .. � '( i • .. - F' � t .� _. ,.�`..Lr?o:.R`R:'""`� .-F. "':abSf.��.A{:..;�+-..-..x!nS'il-r►7rrri.•�;.;r;�s;,;};m.. � , ;:.,s .'ti.... <�� .�+f!!� ' � ,`+rr.'i¢�.,ey'r}w7�•� 4 COUNTY -,OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.., �,5' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 i 1 \--9 � / APPLICATION AND PERMIT -�Y9 ASSESSOR PARCEL NUMBER 43-4"3-22 ZONING ► ASR BUILDING PERMIT ' OWNER David R. Minton TELEPHONEf a 895-8897 SO. FT. OCC. BUILDING VALUATION est. 2! 800 OWNER'S MAILING ADDRESS 1440 Trait Trail Dr., Chico 95926 CONTRACTOR'S NAME None TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace "A"T 110 CONSTRUCTION LENDER None UNKNOWN Total Valuation Is 3, FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy ecg $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1440 Lazy Trail Dr., Chico Permit fee $ 54.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 3 1 2.00 6.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Big Chico Creek Estates PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SFhd Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ OtheRK] Describe work: repair fire datftage _ Penult Fee $ 36.00 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 of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes$ and Professions Code and my license is in full force and effect. cense 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 Pfor 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.81) OR ACDNS. ACC. BLDGS. / yz¢sq ft NEW CONSTR. U TI.OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES .AL@SO 200930 Ex. Occup. OUTLETS FIXED P(RESID )REA.J 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.()() Permit Fee $ 25.00 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 I Consent to Self -Insure. shall not employ any person in any manner so as to become subject o the W. C. laws of California. /Ice NApplicant: 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai aid`6 un in consequence of the granting of this permit. 11 1This X -' Date C ,.. ' Signa ure of A plicant — Owner Co tractor ❑ Agent. An OSHA permit is required for excov tions over 5'0" deep and demolition or construct -D ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ X1 5.50 HAZ. I CUA I PARK I SCHL I FLD I CDF PAR PD I HD. ISSUE, permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicatedL/'abov/ for which fees have been paid. 4i.1E, R OF` PUB C WORKS I By6';1Date PE I�AIT EXPIRES Date 7 % i Receipt No. 83380 -$115.50 WHITE-D.P.W., YELLOW-ASDESSOK. PINK -INSPECTOR, GOLDENROD -APPLICANT l,. _ COUNTY Of BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE t � 8- OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordin ces exist at the above address and should be corrected. Please notify this office when correc'b of work is completed. If you have any questions pertaining to this matter, or need additional explan A please contact this office immediately. i i iE Date �� 2 — / �_ Inspector U. REV 11/91 -`� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE MIw-N- 8,9--iI 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 wort[ is completed. If you have any questions pertaining to this matter, or nee d•additionalexplanation, please contact this office immediately. 1- miry. 1' cL(-A\ZAWcX- �,J KrtI(;FIr AT VfOO\1). To FQ1A u,1r IcTeyni F2AM 1NS,�Fct ,anf• r Date -2,_ �(� 2 Inspector ,C7 REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ A i APPLICATION AND PERMIT PERMIT NO. ASSESSOR`PARCEL NUMBER 43-43-22 ZONING A5R BUILDING PERMIT OWNER - David R. Minton TeLEPHONE 895-8897 SQ. FT. OCC. BUILDING VALUATION est. 2,800 OWNER'S MAILING ADDRESS 1440 Lazt Trail Dr., Chico 95926 CONTRACTOR'S NAMETELEPHONE None CONTRACTOR'S MAILING ADDRESS Fireplace i "A" 1,000 CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 3,8UO FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .50 ARCHITECT OR ENGINEER None LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1440 Lazy Trail Dr., Chico Permit fee $ 54.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 31 2.00 6.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Big Chico Creek Estates PARCEL MAP Water piping , 5.00 5,00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF)p Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 5.00 Mobile Home S I G I W0.00 ea TYPE OF WORK New ❑ Addition [:1 Remodel ❑ Utilities ❑ Installation❑ Othe1Kk] Describe work: repair fire damage Permit Fee $ 36.00 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 I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.m) OR ADDNS. ACC. BLDGS. , /20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS .2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES SAL@30 20@500 EX. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f 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. N ice to the If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga aidlun in consequence of the granting of this permit. Date �` !� Signa ure of A plicont — Owner ontractor 1:1 Agent An OSHA permit is required For excav tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ EHAZ. CONST TYPE TOTAL FEE $ I CUA PARK I SCHL I FLD C=J I HD, I ISSUE; This permit is hereby issued unoer the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated bov for which fees have been paid. PUB IC WORKS R 00 BY Date 2 PE IT EXPIRES to Receipt No. 83380 —$115.50 WHITE-D.P.W., YELLOW -AS SE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT bF'PUBLIC WORKS - BUILDING DIVISION ' y 7 COUNTY CENTER DRIVE - OROVILLE, CAL FI ORI`rA 95965 - TELEPHONE: 916/538-7541 PERMIT. APPLICATION DATA SHEET Permit No. Al OWNER V //0 r M) A P o. 3 Proposed Building Use—�� ���� �ng Inspector Date —2 At time of rmit 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 engirieered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... t 26. 27. ;z When yo issue the permit, process as follows: Mail t owner. Mail to contractor. Telephone and hold for pickup at 01 Z office. Deliver w/inspector. Other Applica Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following 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_—jnail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works s 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. / 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not),, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owne Security umbe _ Date NOTE: This Owner -Builder Verification is_sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. . This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSES SO PARCEL NUMBER 3 - ZON BUILDING PERMIT OWNER �, I TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1�i C1 OWNER'S MAILING -, AIL�ADDRESS JA CONTRACTlO.� 'S NAME TELEPHONE CONTRACT 'S MAILING ADDRESS -- Fireplace CONSTRUCTION LENDER 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 ADDRESSPermit 1 rya �,,.� fee $ I PLUMBING PERMIT Filing Fee 10.00 Each Trap 31 2.00 C, 67 O Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ?U�& C 1�1 Ice [-.i Esk L4�1 PARCEL MAP Water piping * 5.00 , 010 Each qas water heater or vent 5.00 y, OV \�,{ USE OF STRUCTURE SF�1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 `Ce0 Building sewer 5.00 15" Mobile Home S I G I W 10.00 ea TYPE OF WORK , New❑ Addition[]Remod/1el❑Utilities_❑ InsWiation❑ Othey�� Describe work: Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.0 0 fit Main service 100V OR LESS10010.00 1AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BusineSS and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLINGoCCUP.ai) OR AODNS. ACC. BLDGS. / , h2sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL030 ALoao Ex. Occup. OUTLETS P(FIXED RESID )NS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . MiscWiring 15.00 Permit Fee $ r' Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 i Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature,of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE / i^ TOTAL FEE $ HAL. I CUA PARK SCHL I FLD I CDF I PAR PD i Ho. IssuE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. ��� � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r PRE -INSPECTION OWNER: Ay F- f" / I`1 70 w DATE - 3 LOCATION :...I 4 -y -o L A Z y TR a 1 L �P. CSI I A. P .. # ,..... y� 3 = .� f3 ._ . ........... . .. . CONTRACTOR: ZONING PRE -INSPECTION FOR: DATE TO INSPECTOR / `t -------------------------------------------------------------------- PERMIT HISTORY: NONE �'( AS FOLLOWS: Q O(0S - R f y)e Lj 3(as-�� ��ol TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: V -11 ,o tj f 32Lp TENNANT : ,-bA v g mf N T O 0 I�0 OCCUPIED E a HAS ELECTRIC V►a HAS GASj D HAS SANITATION FACILITIES [� HEATED -COOLED PERSON CONTACTED `D A V M T a ,}1 OTHER COMMENTS: �,j A ATTS T c co 0 V rcA--� 'P-_^I_v S TO R -Y 78 6 iA M rc . &&o M, G2 G-rHEIz- a ACTION RECOMMENDED: ISSUE Q HOLD FOR OTHER: BY 1 DATE 3625-81B,P,E PERMIT NO. K PERMIT EXPIRESV� OWNER Pete Brovers CONTR. Carefree Pool Serv., Chico ASSESSOR PARCEL 43-29=102 port. LOCATION _ 1440 Laza Trail Dr., lot 52, Big Chico Cr.Est.#3, Chico l p° l n U. y c 11 � p; ,I i Temp. Power Pole Called PG&E 1 Temp. Elec. Service T Called PG&E was Service Cal led PG&E JOB FINALED (Date) /v t. Signature �' J=OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements-Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except It's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch)' 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L "ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date, Card -BI Date _ POOLS( tans) OK except q's j/Set acks—Easements 2. Footings; Size—Spacing—Marriage Lineoil ;"Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex ConnectorE Structure; Steel—Connections—Thickness—Dead Men—Lining EI .; Receptacles and Lighting; Distances—GFI Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector N h Ele ., Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval U cq le ., Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity TaggedIec.; VBoxes—Enclosures—Panel Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy epartment Approval in 31 umb; Cir. Test—Water Supply Test t Card B -I Date Card -BI Date Card -BI Date Card -B —� Date Card B -I Date Card -BI Date Card -BI Dat Card -BI Date 7 ,0. IIS; f ,y,��• .� J = OK 0 = Not OK - = Not Applicable RESIDENTIAL ,(Sing.le and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce try's Date FRAMING (Continued) 1. Zoning requirements-Setbacjks-Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 FINAL (Plans) OK except M's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic F] Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. _Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date _ _ Card -BI Date Card -BI DateCard-BI Date FRAMING(Plans) OK except N's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. Walls; Studs -Nailing, Spacing & Braoing-Plates-Sound Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing __41. 42. 43. 44. _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46._Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICkTION AND PERMIT ASSESSOR PARCEL NUMB R — ev- 7�Z 2� ZO ING BUILDING PERMIT JV OWNETELEP oNE SQ. FT. OCC. BUILDING VALUATION 0 0 OWNER'S MAILING ADDRESS CON)�"CTOR'SNAA4E �1-11,671- ITELEPHONE CONTRACTOR'S M L%' ADDRESS OQ i ! C i CO Fireplace CONSTRUCTION LENDER NKNOWN Total Valuation $ V Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AF�•ITECT OR ENGINEER `'� LICENSE NO. Plan Checking Fee d Penalty $• ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ p BUILDING ADORE 5 ��� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 G �Co Water piping 57 p LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or ven 5,00 0 Gas piping system 1 - 5 outlets USE OF STRUCTU EBuilding % 00 SF ❑ Duplex❑ V,Mobilehome❑ Other r 50,1"q SPECIFY sewer Lawn sprinkler system 5.00 TYPE OF WORK NewAddition Remodel❑ UtilitiesD Installation❑ Other ❑ Describe work: lil'�1c� if/ C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 000V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.01) 2�sgft OR ADDNS. 1 ACC. BLDGS. _ 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 Professions Code and //and my license is in full force and effect: License No.20 Oe[ N Classification S� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS S1 NON-RESID. (SINGLE OUTLET CIR. / EX. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR EX. Occup. TLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring T _P_50tZ,,5-0 _ Permit Fee $ 0 Contractor G/t 1, 1944 MECHANICAL PERMIT FiIingFee 10.00 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. NoticPto Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai aid County ' consequence of the granting of this permit. X Date0�3—� Signature of Applicant — Owner ❑ Contractor ffl--Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I HD 99uE This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do work indicated above for which fees have been paid. TT DIR TOR OF UBLIC WORKS By -Da PERMIT EXPIRES Date Receipt No. .S� 5 Receipt WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Ir +P•'lr+lw�<.......�..'�j:,--.�,.::r:--'�7"[t-P+a';is�.::^;�.F',-lF=.z.=.r. ,.'aw•n3.ww..::.« ...�„�.,r,�- '�. ., ti . .. . .. f COUNTY OF BUTTE -DEPARTMENT O14N .F.PUBLIC,WORKS - BUILDING DIVISION 7 COUNTY CENTER DRI_V,� - 33 UL Lf X CALIFORNIA�95965 - TELEPHONE:1916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �'f- /-� Dr/� A. P. No./1-1,1> 11" Proposed Building Use /. �? Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector ��%'(��� Datel'i'�� At time of permit application, I was acfZi­sedjthe 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 authorization. .. Sanitation approval from C-412—e-10C-412—e-10Health Dept. . . q-2-3 -8/ 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. Mobi lehome Installation Data. . . . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building In request to P q Building Inspector 18. Other Date) When you issue the permit, process as follows: Mail to owner.Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant2g=t:�e=z Date 3-f Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuanafe: (For required items not checked above at time of application, circle item.) i 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date - � '- Other: Copy—DPW To: Building Department From Environmental Health Subject: Sanitation Clearance •2 �mt,S Lai �2- �Qtc Qxce L`{3- er Locat On' —164cB - LXt-Y o-. Plan approved for Mold final for Final clearance O.K. for: sewage disposal water supply _ . Clearan, ce for . bedroom mobile home. 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