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HomeMy WebLinkAbout043-480-0110 �3 TANGLEWOOD 610 Victorian Park Dr.Xv2, Chico Permit#1165-85B,P,E,M(new-single family) FRREROOF -480-011 04-2559 AFT, CLAYTON VICTORIAN PARK DRN, CHICO t: RRR ROOFING t E I'. r 4 l f ( I f r I ` 1 I: k. b 1 I 1 1 I f 0 �3 TANGLEWOOD 610 Victorian Park Dr.Xv2, Chico Permit#1165-85B,P,E,M(new-single family) FRREROOF -480-011 04-2559 AFT, CLAYTON VICTORIAN PARK DRN, CHICO t: RRR ROOFING t E I'. r 4 l f ( I f r I ` 1 I: k. b 1 I _ _ w BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042569 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: 09/01/2004 APN: 043-480-011-000 the Business and Professions Code, and my license is in full force and effect. License Class: a License Number: 73 S_J Site Address: 610 VICTORIAN PARK DR CHI Date: 9 LOZI Contractor. e412 AJF1rNI— Map Index: Description: RE -ROOF 23 SQ p 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: KRAFT CLAYTON A & NATHA J to its issuance, also requires the applicant for such permit to file a 610 VICTORIAN PARK DR signed statement that he or she is licensed pursuant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 commencing with Section , 7000) of Division 3 of the Business and Professions Code) or that he or 95926-7777 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions • Applicant: RRR ROOFING 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, 716 HAZEL STREET provided that such improvements are not intended or offered for CHICO, CA 95928 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-345-9646 proving that he or she did not build or improve for the purpose of sale.). r ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor• RRR ROOFING 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.). 716 HAZEL STREET ❑ 1 am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95928 530-345-9646 Date: Owner: License M 717351 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: I �S issued. Engineer: I I have and will maintain workers' compensation insurance, as I 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:c�ly!EiL/ �'t� �i�'� Total Square Ft: 0 S. F. Policy#: 3=-) Valuation: $0.00 Census Code: ElI certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / " /0q Date: / Applicant: 7-//1) 1e;?1,5 f— LtaCJL 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. / 28 l 13'?. Sa e fJ o1 CONSTRUCTION LENDING AGENCY This permit is hereby issued under the arca ble provisions of the Butte County Coda a, never 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 to do ork indicated above ich fees have been paid. g� G Name: ate: �Q By: Date:--f- PERMIT EXPIRES ON: Date Address: 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 substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to uponthe above mentioned property for inspection purposes. enter _ Print Name: Signature:./' �f o' / Date: ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS ..24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 ■ CHICO: (536) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name W30-4—cot3 'Address ' City Get.` State Cpl- I ZiPC !S-6 cXQ FE-m=ail. Fax State CONTRACTOR . Name �`T La n*ff—t I Address . 8 City State ZIpC'i`.ftaa Phone_ ld-1to. Fax 3 15 (cLL E-mail Lic. # t Clasii .APPLICANT NAME ARCHITECT/ENGINEER Name City C,+l Address Zip �4a City Fax State Zip Phone Fax E-mail State Uwnse Number .APPLICANT NAME Zoning Address W raJ City C,+l State CAIV Zip �4a Phone �— _34�110 Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes INo Oc c. Type Const. Subdivision Name.' Map Book Pae Lot # Planner Date Approved: A•ir.w w.ww � uvr-re rune bUtSMITTAL REQUIR MENTS K:WORMSIBUILDING F0RMS\BIdgApp1SubRgmts.d c Page 1 of 2 PERMIT NO. BP BIN # LOCATION AN 04-3• �-8� • o t Property Address .Y . t A p 0 tr—rlJe�80 Pare, be-. 17rass-1-1reat WORKER'S COMPENSATION Policy Number 4�5 Zvi X77y Carder �c �� t� � a t;.�l✓ � C� � i�� Ifhhing anyone ocher than license contractors, a ceruncate of worker's compensaBon must be shown of Me Hme of permlf Issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage a 3 5ci. 13 Structure Bu tt 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 Received by: 41 Receipt it Date: Aa 1 l 6 4,- Amount:. 137. 5 Bldg SRA Sheriff SMIP Other REV 4-30-04 +awy.r ' Temp. Power F Called PG&E At 165-85B,P3PE,M PERMIT N0. Temp. Elec. Service !} PERMIT EXPIRES. 4 n TANGLEWOOD OWNER +, Temp. Gas Service CONTR. Tanglewood ff 43-27-23 & 43-29-122 & 117 Called PG&E ASSESSOR PARCEL LOCATION 610 Victorian Park Dr, lot ,Chic +awy.r ' Temp. Power F Called PG&E Temp. Elec. Service Called PG&E +, Temp. Gas Service ' Called PG&E JOB FINALED (Date) 7A?l Signature `r t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7.County Center Drive, Oroville — Phone: 534-4541 ' Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office 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 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891=2751 • ` 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office 2en correction of work is completed. If you have any question pertaining to this tte�r, or need additional explanaease contact this office immediately. AA4 Inspector Date 5 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89122751 f ai 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 - �CORRECTION NOTICE Y PERMIT NO. A routine inspection indicates that the following violations of County Ordinance ex.ist 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 matt r, or need additional explanation, please contact this office immediately. clj- //,Is s- 'Iolku 1 _ 00 s Inspector Date 'sf COUNTY OF BUTTE C' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1.4 a v OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at th above address and should be corrected. Please notify this office when c ection of work is completed. If you have any question pertaining to this matt , or need additional explanation, please contact this office immediately. I n L&j "'M d 'A ", Inspector Date 71E. 7�:Zll \ul J = OK O = Not OL •. Not Applicable Not Ready RESIDENTIAL (Single and Duplex) Date UND FLOOR Plans OK exce t#'s Date FRAMING Continued Z ning req uirements-Setba -Easements . Property Line Firewall & Openings Main; Soils -Steel -EI rnd.- / /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits Dt"Ftg., Garage; Soils -Steel- I Ftg. Depth -60 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. F g., Porches & Decks; Soils -Steel- / /" Ftg. Depth / Plywood on Roof Overhang -Attic Vents -Rafter Outriggers t mwalls, Main; Steel-Blockouts-Wrapped-Slab j` 52. Sid ing-Nailing-Veneer--� temwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Sjucco Mesh -Drip Scree fdn. Vents-Underflr. Access - e g. -Steel lazing Area -Glass otection-Skylights-Plastic W.V.: Fall-Fittings-Tes -2 way C/O- r Test Shear W IIs; Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; T t -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 O L Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date I Card -BI Date Date FYCAL (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s %Ext. Steps -Door & Sidelight Protection -Landings moke Detector ater Ht.; -Aces - 0 ion Air Furnace; Vents -Clearance -Comb. Air -Connector - An Garage; Above Floor-Ducts-Mech. Protection 1 ater ipe; Test & chors-Nail Protection 16 jD V.; T -Ft 30 & Anchors ail Protectio _yrBedroom Exiting S owe n; T First Floor -T . G.F.I. & Bath Fixtures & Tub Access Zoe e ub 8�lwwep-2ndF_Leor-Tdb'fttee� !1 V. Elec. Trim & Subpanel; Breaker Sizes -Labels tairs & Rails / 1 as Pipe; Size & Anchors Fireplace or Stove; Clearances -Hearth . Elec. Outlets at Wood Panel; Int..& Ext. Card -BI Date Card -BI Date Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date/6-03 Card -BI Date Elec. Outlets & Receptacles at Kit. Counter Date ELE TRICAL Permit OK except #'s Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper xture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air -Connector P.R.V Jn Garage; Above Floor-Mech. Protection 241- Elec. Receptacles Spacing -Lights &Switches at Doors Plb., Elec. &Mech. Equip. Listed for Location ize Boxes & No. of Conductors -Stapled Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 • InsulationFoam-Looked in Attic E3 Yes tkKGuard Rails &Deck Construct ion -Post Caps 25/rAppliance Circuits in Kitchen &Conductor Size ed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al , !rdn. Vents &Crawl Hole Door -Drainage & Wood -Earth C1 rance Looked under Floor ❑ Yes 2 ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, 1!2 lated Neutral []Yes ❑No 75. Following instld.: Dri es ❑ No; Walks ' es ❑ No; Planters Dyes o . Svice-Riser Conductors & Ground -Main Disconnect tucco; Brown -Finish quip. Clearances; Panels-Motors-Mech. Equip. .C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size-11SIV.Outlet tololothes Closet Light -Shower Light Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance••"to Opngs. Well; Disconnect, Electrical, Plumbing $bVenti ,Water xterior Elec. Trim; G.F.I. Receptacle -Underground Card B -1 c to Datej A Card -BI Date lation throughout House Card B -I Date Card -BI Date Glass Protection Date ICAL (Permit) OK except #'s . Corrections from Previous Inspections 84. G t -Meters Tagged; Gas -Electric AC. Ducts; Insulation & Support ter & Sewer Connected -C/O to Grade -HD pproval ent Fan; Exhaust above Insulation g Energy Compliance Certificate -Other Certificates, Condensate Drain & Overflow; Size & Grade QR,Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date %- (o- Card -BI Date Card -BI ` Date y/�j . L Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date F ING(Plans) OK except #'s ills; Proper Material & Anchors alls; Studs -Nailing, Spacing & ra Plates -Sound Bearing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Lie"Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thnq_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles kf!13drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 400tarage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) J = OK 0 = Not OK fr K `6 - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready -� Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -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 2. Footings; Size -Spacing -Marriage Line Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date ne:_� +d _ Permit No. ENERGY CERTIF ICAT ION Lot#22-M, Waterford Sub -Division LOCATION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches) 3 5/8" CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Fiberglass Minimum Thickness(Inches) 14" Area covered(ft.2) 1.250 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material_ Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) a?7 �3 �y3-a9- /aa iii A.P. No. Brand Name Thermal Resistance (R Value) Brand. Name Owens-Corning Thermal Resistance(R Value) R13 Brand Name Thermal Resistance(R Value) Brand Name Owens-Corning 'Number of Bags 25 Wt. per bag 35 lb. Thermal Resistance(R Value) R30 Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. LOERKE INSULATION CO. #432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. January 7, 1986 SI TURF OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. —rhA161CMA b 5ws133 7 FIRM NAME/OWNE (Please print) STATE CONTRACTOR'S LICENSE NO. OF GENERAL CONTRACTOR OWNER /--7-r4 DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. AS E SOR PARCEL UMBER — p — 4— 43 - a9 -'919 � l% ZONI G _ BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION ©0 n OW R(�t Q CONTRACTO •q (aSNA E woo d TELEPHONE e C N R OR'S MAILING ADDRESS Fireplace AI l CO TRUCTION LENDER UNKNOWN Total Valuation $9-90 FilingFee $ 10•�O LEND R'S MAILING ADDRESS' • Permit Fee $ �() ARCH TECT OR E INEER ` 1 LICENSE NO. Fee PPlla�na $ - lChecking -"� r $ /S1100 ARCHITECT OR ENG NEER' MA LING ADDRE�,:s , Permit fee V $ BUILDING ADDR 5S 1 'PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 le. 00 Solar Water Heater 20.00 I Water piping 5.00 LOT NO. SUBDIVISION Mjy, PARCEL MAP Each qas water heater or vent 5,00 D ' Gas piping system 1 - 5 outlets 5.00 Q� USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other " SPECIFY Building sewer 5.00 Q Mobile Home • S G W 10-00ea TYPE OF WORK NewAddition emodel❑ Utilities❑ Installation El Other ❑ Des�riTbe work: t /� 8'L Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 LESS 10.00 0AMP 110,60 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELLING 0 A OR ADDNS. ( ACC. BLDGS.S�q 21/20sgft CONTRACTORS LICENSE LAW 1 declar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession ode and my 'license is in full f 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 NO R. BRANCH CIRCTITS 2.50 ea NEW CONSTR.POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. 20@50t Ex. Occup(o TLETs DR FIXTURES BAL930t FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA,1 2.00 Temporary service 10.00 /d, pQ Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. ❑ 1 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 FiIingFee 10.00 Heating 3 7 Cooling 37 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 relatingEpic- to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County•of Buttq ag inst all liabili 'es, judgments, costq, and expenses which may in any w y a crue agai t s i County in consequ c of the granting of this permit. %� Date , Signature of Applicant — 0 r ❑ Contractor ❑ Agent An OSHA permit is required for excavations ove 5' " d p nd demolition or con tract- ion of structures over 3 stories in heights�.// Mobile Home Installation Fee $ r O J0.© TOTAL RMIT F E $ !'r / o�P�caouP T(PF CONST. PARCEL P IS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /pI Date�''1)y �O-1'. �s l$tf70 S. Receipt No. n � WNITE-D.P.W.• YELLOW -ASSESSOR, PINK-INSPECTq, O O - Qy A T COUNTY OF BUTTE - DEPARTMENT ,OF PUBLIC WORKS - BUILDING DIVISION ►I 7 COUNTY CENTER DRIVE - OROVILLE,�CAL'IFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET ti Permit No - OWNER Proposed Building Use_ Permit Fee Based Upon: Complete Contract Price Other (Explain) A. P. No. DPW Valuation . Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/Or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 21. Plot plans in duplicate./triplicate. Complete plans in dWI'icate/ r'plicate. Sjo"., na}tS�;G 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 $ Letter of signature authorization. _ Q..Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 2: Certificate of Workmen's Compensation Insurance. — 1 Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Inspec. request td (Date) . 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. - 19. Other When you issue the permit, process as follows:Mailto�'""owner. Mail to contractor. K Telephone q9 - ��Qa I and hold for pickup at office. Deliver w. /inspector. Other / Appl ican Copy of plans sent Health Dept., Fire Dept., Other \ Date During the plan checking process, the following data must be submitted prior to permit issuance.. (For required items not checked above at time of application, circle .item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Desne , Ow er) was advised of above required data by Telephone f Mail Other By Date Plans checkel e Date oe Plans approved by Date Other: G(4 9r// moc Copy—DPW - TO: " Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance �Qv��✓d ��j�� �Q ���Z���� 0! /9�2 Owner Locati/on/ AP / Plann approved for: sewage disposaly water supply Hold final for: water supply Final clearance for: water supply BOO;K. Clearance for J bedrooms home. Other .g Note*** Sanitarian Date TO: ' Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Locati/on/ AP / Plann approved for: sewage disposal water supply Hold final for: water supply Final clearance aO�:K, for: water supply Clearance for J bedrooms home. Other Note*** Sanitarian Date FOR RESIDENTIAL DEVELOPMENT p:rtr,;tL RC. f;F.J` A Section 26-8.1 of the Butte County .Code requires this acknowledgement � •.�:?�j` -•' 5e recorded prior to issuance of a building perm. T The property described herein is adjacent to land or included. .4 thin an area: zoned for agricua:.::rc;. ;,nty:.:,ea.. and i'_sidents of this ' C'!`'. ~ ELE..tt property may, be subject to into,,;.: �t�.,.:es Qr discomfort arising from j CLE''.'- C-!'1'-.. J. 3. ,i: ii she use of agrict:Ltn.:al chemicals, including, but not limited to herbicides, pes�t,ei es�EE :!-_t:,- fertilizers; and from the pursuit of agricultural operations including,, but not limited �o'cu.l-tYvation, plowing, spraying; pruning; and harvesting' which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for prr,ductive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, iecessary farm operations. All that real property.situate in the County of Butte, State of California, described is follows: Lots 1 through 26,_inclusive, as shown on that certain Map entitled, 'WATERFORD SUBDIVISION NO. 1", which Map was filed in the Office of the Recorder of the County of Butte, State of California, on March 7, 1984 in Book dor:.CO,,"?AFrJ WITH jitiGINAL DOCUMENT )ate 95 of Maps, at Pages 5 through 10. Wff BZOU A� LIMITED PARTNERSHIP By: SHASTAN OONPANy, INC.., (_"04ERAL PARTNER ay a ext , esi t• - ;ts:re c,' j On this the day c� 19 , before SS. me, the undersigned Notary Public, personally appeared :r,in.ty of ) STATE OF CALIFORNIA IV_ COUNTY OF as. O^ _ efore line, the undersigned, a Notary Public in and f r said State, personally appearedI t O me on 'the -basis 'known to me to be the President, and ;isfactoty evidence. a ,know ' to me t be the cretary of subscribed t0 CL �ktf'1'�1 that t�.'the corporation that executed the within nstrument and known ;ein contained. 3 :to me to be the persons who executed the within Instrument on end, and official Beal. cbehalf of said corporation, said corporation being known to >ro4 r to be the general partner a O P' F I C I A L 8 A (, E - _ SHARON a. HorArr Q the limited partnership that executed the within instrument, nNOTARY PUUX — � OOM acknowledged to me that such partner and that such partner ip COMM OF rim executed the same. Consrt, Ex 'any Public f; .1p 0 12. 1995 . ,WITNESS my hand and official seal) co 0 0 tmensrnstotsmmrvssnnaaeasstnisaeeamasssc Signature Name (Typed or Printed) (This area for official notarial seal) ,--.—-- 4Fv4(DTi :—AII Materials & Workm nship Sh II Be i .Accordance with Recognizeg�®qd Prac ces an JAZZ of a quality prescribed for.q�cified se in t Uniform Building, Plum#bi&. echaniCa S- M • "If "g 7 and the National Electric S Pact A1.-4eTGA4CK- 0OT" ® go, mW- EME SETWIL Is,Q. W10DOW 6) AIC U91T A07 SC -15h A setback of 'Sd+ fr m the N property lines an setbackco , of 50ft. from the r ad centerline shall b ear of structures or equipment e 1 for a 2 ft. eave overhang, It c•D 1, TF _ kept K'e c wI is + FLAN 'MI IQ pians and specificati ikM iob at all times and it is n .iJwfu chAn cj�r alter •i ns on sa permission from the Department s my of Butte. U D.W. A See last lan on file for buil I0 -8 TN�14 Pa e,?-l1No ; 4 HAWK- N t^�'it!q?�'.5:{::.�i34�ci;:£i�3i�:tTito:r�>r".:L;;w:•►1�,n'c:Jf,C.y;. .....AF �-�'..':b+^...:�t��.td'g-`-x BUILDING DEPARTMENT ,D I I F LA 1 Fay: AP nOVED llilllll►I � WA -F LIS FO K D 1%E`; u Lr�- I V II C) � Jct # 2SS1107 4-5-45t c-H[,:co, C^, Sc" 2o' e,?-l1No ; 4 HAWK- N t^�'it!q?�'.5:{::.�i34�ci;:£i�3i�:tTito:r�>r".:L;;w:•►1�,n'c:Jf,C.y;. .....AF �-�'..':b+^...:�t��.td'g-`-x rtl �,a I}Gr!:, gid?n,,mA-;0j/ IIA- )nr, ZMit�5, 4 4J�i 9r4� ni se- bsii1;5;.;Z`'fit .O? i�:r�ll"��il> �`i�.S'f�l iz I.r I-bo� JwNirfbah! S pnid-rmI� ,Oni�ii�fii m;r ,rlt✓ -OLOJ 10h.t-clB srkt bn �r�i ?t:I.J.��t frTCt:f•]:?!=�i- iJf'6 c'rtr,! � i' �' "tri I ri illi: - "l�' f.:� .t'^•`:.l'.1..i ,^ .' i 3!tt,'"r7 'n:, '.ia:�ftl iC Jf' .,T!i �GCt9�} �rfr na:ali r;T;;�, imT:'y tl� :1�1, • f 4c, ()flibliud !vt oii# rro f! f *`>' Ji f Q ! i t baG 2;,rlii r} 7*J �iii�t�'.-t:# i�f�tte atitil`�t�'S•�i tt!9tfl41UP9 lv zolut7�a :t , tjnt;f 29Y0 cwso .1�