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043-690-020
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1968 WEBB AVE Owner: APN: 043-690-020 BOSCH SANDRA L ETAL, Permit type: MISCELLANEOUS 1968 WEBB AVE Subtype: Ag Exempt CHICO, CA 95928 Description: 2 STORY AG BLDG TO SERVICE 0 (530) 891-0221 BOSCH SANDRA L ETAL, 1968 WEBB AVE CHICO, CA 95928 (530)891-0221 FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $115.98 PW DRAINAGE $14.93 LICENSED CONTRACTOR'S RACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 10/18/2007 Contractor's Signature Date - WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: FI 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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 Number: Exp. Date: (This section need not be competed if the permit is or one a hundred dollars ($100)—Or—le—ss XI 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 1:N d/T%/i A4 10/18/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Permit No: B07-2014 Issued Date: 10/18/2007 By KCG Expiration Date: 10/17/2008 Occupancy: U-3 Zoning: SRI Square Footage: Building Garage Remdl/Addn Other Porch/Patio Total Total Charged: $206.61 Fees Paid: $206.61 Balance Due: $0.00 Receipt No: B5022 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) 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]; Please check one of the following: rt 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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: i Owners Signature 10/18/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prope owner��r a�j�uthoriz d to act on the property owner's behalf. .sem.,:;,-" .� . irk: / f1Sc' At 10/18/2007 rO Owner ❑Contractor OR. Agent for Owner Agent for Contractor FILE COPY 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 AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials -�:f AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials 513 AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 1968 WEBB AVE Permit No: B07-2014 APN: 043-690-020 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: SR1 Description: 2 STORY AG BLDG TO SERVICE ORCHAR 0 Required Setbacks: Applicant: BOSCH SANDRA L ETAL, Front: Side: 20' Rear: 20' 1968 WEBB AVE Type of Construction: CHICOCA95928 (530) 891-0221 Type of Siding: Other Owner: BOSCH SANDRA L ETAL, Est. Const. Cost: $ 0.00 1968 WEBB AVE CHICO, CA 95928 Roof Covering: Compostion (530) 891-0221 Floor Type: Wood I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. /0-18-07 Signature of owner: Date: 09/25/2007 FILE COPY Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-2014 Location: 1968 WEBB AVE Parcel Number: 043-690-020 Owner Name: BOSCH SANDRA L ETAL, Description: 2 STORY AG BLDG TO SERVICE ORCHARD 8X12 BOTH FLOORS Date: 09/25/2007 Phone: (530) 891-0221 Signature of Property Owner: Date: 09/25/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-2014 Date: 09/25/2007 Location: 1968 WEBB AVE By: TMP Parcel Number: 043-690-020 Sub Type: A2 Exempt Owner Name: BOSCH SANDRA L ETAL, Phone: (530) 891-0221 Description: 2 STORY AG BLDG TO SERVICE ORCHARD 8X12 BOTH FLOORS By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: FILE Date: 09/25/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. 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 contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLAN40 PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. ( ER NO) 2. I (HAVE/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. res 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 Description: 2 STORY AG BLDG TO SERVICE ORCHARD 8X12 BOTH FLOORS Reference Number: B07-2014 Applicant Name: BOSCH SANDRA L ETAL, Owner's Name: BOSCH SAND L ETAL, AP # : 043-690-020 Signature of Property Owner: Date: — D Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-2014 Chico Area Recreation District, 545 Vallombrosa, 2007 Location: 1968 WEBB AVE ❑ Parcel Number: 043-690-020 Tyempt /:(530) ParadiseParks & Recreation, 6626 Skyway,/Para( Owner Name: BOSCH SANDRA L ETAL, 891-0221 Description: 2 STORY AG BLDG TO SERVICE ORCHARD 8X12 BOTH FL The above permit application has the following Clearances required prior to /((530)li533-0740 ce. indicated below regarding specific requirements pertaining to your permit appl Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895- 11 ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, ❑ ❑ Durham Park & Recreation District, 9447 Midwa ❑ ❑ Feather River Recreaction & Park District, 12 0 ❑ ❑ ParadiseParks & Recreation, 6626 Skyway,/Para( ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Please contact each department /V, Ch' 6 CA 95926 - (530) 895-4711 )P,'Durham CA 95938 - (530) 345-1921 Myers Street, Oroville CA 95966 - (530) 533-2011 iise CA 95969 - (530) 872-6393 Biggs Unified School District, 300 B Sfreet, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, l 1f;3 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School Distri (,/4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 42Z agnolia, Gridley CA 95948 - (530) 846-4723 Marysville School Distrj�t, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementarh, chool District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Union Oroville H�211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Ung ed/School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 // OTHER Recorde copy of Agricultural Acknowledgment Statement- See Attached Instructions City o iggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Yth er: er: Other: of Property Owner: FILE Date: 09/25/2007 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION. OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE RE_OUIRED AT TIME OF APPLICATION Website: w. rw.buttecounty.net/dds "PLEASE PRINT CLEARLY** OWNER INFORMATION Last NameFirst o.5 al Name S' D Mailing Address IQro ? W45813 4UE City C#/ e a State CA Zip 5 � Phone 5- �_ $1l_aZ2 � Fax E-mail E-mail APPLICANT INFORMATION CONTRACTOR Name City O Address Zip 9u� 7 City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name^.----� City O Address Zip 9u� 7 City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name - � r 0 Address wz� /3 City O State (—?, Zip 9u� 7 Phone g9l- 02_ Z _ J Fax E-mail APPLICANT SIGNATURE X PERMIT NO. �G7_ PROJECT LOCATION Al Property Address /?,V/9 City of -r, e0 &4, BIN # WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 6z- slleb Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office u nl . Zoning .- Flood Zone SRA I Yes No Occ. Type Const. 1 E ®N - -- - - - -... . - ........ ;...._�.- - - . -. . .. _. .. ;- . • WE'8$ AVE - cc SEPTIC TANKS Oc =�"'`•' ' `-�--- 3 WELL� . O ;'PLANNING DIVISION - BUILDING P N A PROVAL. ±' 2 i I_ Use: Date: l( l'1 p Parking: Lands ping: 175'ots,er �_-- ,f — PROPER7`f LINF. Signatur9: AG BUILD)NG . _ I0a.FtZ ' ...... -- - ................. - ......................... .._ .._ .. -- -- - .. Assessor's Parcel Number © u 0 — © ® 0 — E E. ® stele: 1., Ovni ®P.Name _ . D rfi / G'ai2Po/Lo Al Address! Phone No. /91 8 -weBp: XOF aL/�fO. 2 `75F.a . She Loc.--" Phone 6-30 FOR OFFICE U8F ONLY Zc�ai�ag: �nP- I Geni~i-al Plan Desia: Size, Acres 4.0a" PROMDE FOR ALL - ADJACENT PARCELS .SIZE (AC)-- ZONING: AC).ZONING: .GEN PLAN: USES: NOTES Butte County Department of Development Services ur naEa 7 County Center Drive, Oroville, CA 95965 (530) 538.7601 www.buttecountyne.UOOs RESIDENTIAL APN: Permit No. �y p Owner: V T✓'��pVy�+/ Ll/V —1107 Site Address: Contractor: Type of Permit: ' 965 CONDITIONS SRA FLOOD CERTIFICATE EQUWkD FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE. DATE JOB FINALED: J SIGNATURE: CHECKED BY i I Butte County Department of Development Services ur naEa 7 County Center Drive, Oroville, CA 95965 (530) 538.7601 www.buttecountyne.UOOs RESIDENTIAL APN: Permit No. �y p Owner: V T✓'��pVy�+/ Ll/V —1107 Site Address: Contractor: Type of Permit: ' 965 CONDITIONS SRA FLOOD CERTIFICATE EQUWkD FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE. DATE JOB FINALED: J SIGNATURE: CHECKED BY ASBESTOS DECLARATION "Leak Duct Testing" is Required For: Residential and Non Residential HVAC Change -outs and any of the following components: • Air Handler or Furnace • Outdoor Condensing Units (split systems) • Heating or Cooling Coil • Furnace Heat Exchanger • Adding or Replacing 40 linear feet of ductwork in an unconditioned space Unless the existing ductwork is made with or insulated with asbestos Address: /°6'F 6)e_LA -W14,1 e- r -eco I state under penalty of perjury that the above listed address has ducting that is either made with or insulated with asbestos, therefore my project would be exempt from the California Energy Code requirements for leak duct testing. Print Name: SfWc Aix+(, am Y A.r A; fe- He-tI,ha -s ,pc- () Owner () Owners Agent " Contractor () Contractors Agent (Cr�' ck One) Name: Date: 5 -/ z - a 6 (Si ture) For Department Use Only: Permit M K:1TomXLeak Duct Testing Asbestos Dedaration.doc +=OK 0 Not OK MANUFACTURED HOMES MISCELLANEOUS DATE Lj PERMANENT FOUNDATION 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 SzFt Lngth 7 Bickng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 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 LabeUlnsignia Numbers Serial Numbers DATE ID E C K S'C O V E R S'C A R P 0 R T S'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing . Stairs-Guard/Handrails 4 Wood -Awn; Posts-Beams-Rftrs-CnnctrsShthg, Frmg-Brcng 5 Alum Awn; Columns-CnnctntSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing-VeneerStucco-Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Ltirig; 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 Boxes-En6lsrs-00lboards4nsultn 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 v ` o'er o`er o� o`er Ole - Poor Drawing - =OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE UNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg DRth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalis Main; Steel-Blockouts-Wrapped 6 Stemwalis Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntttn 16 Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Wails Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred CeilingsStairs-Chasers-Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting DoorsSill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One X -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 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass PrtctnSkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc-Ins 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 Qa ❑CU or ❑AL AC Wire Sz 03 ❑ CU or ❑ AL 48 Range Clic ga ❑ CU or ❑ AL Oven Circ pa ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector ° 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr'Nall Prtctn 56 Shwr Pan; Test, First flr-Tub Acc . 57 Test Tub & Shwr, 2nd fir - Tub Acc 58 Gas Pipe; Sz & Anchrs " 59 Fire Sprinkler; Test 60 Yard Gas Piping MECHANICAL 61 AC Ducts Insuitn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clmc-Comb, Alr-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom 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 Clrnc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clrnc-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 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drn e & Wood -Earth 86 Clrnc Drnge Planters [1 Yes ❑ No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn,thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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. �t -1 License Class : -2-VJJ�� License Number: Date:5_ Z -l� Contractor: Y(� I� RTI if.) 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 (8500).): ❑ 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 Article 3 of the Business and Professions Code Date: 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: Policy #: 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 Califomia, 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: Z V� Applicant WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an emplo o 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. BP061109 Issued Date: 05/12/2006 APN: 043-690-020-000 Site Address: 1968 WEBB AVE CHI Map Index: Description: new furnace Owner: BOSCH SANDRA L ETAL JT 1968 WEBB AVE CHICO, CA 95928 Applicant: AIR RITE HEATING AND AIR CONDITIONING 4335 CO RD DD ORLAND, CA. 95963 530-865-8422 Contractor: AIR RITE HEATING AND AIR CONDITIONING 4335 CO RD DD ORLAND, CA. 95963 530-865-8422 License #: 842877 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY This permit is reby is I hereby affirm that there is a construction lending agency for the Resolution o do work performance of the work for which this permit is issued (Sec 3097 Civ.) PERMIT EXPIRES s,l provisions of the Butte County Code and/or fees have been paid. Date: Address: 1 (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have -read this application, that the above information Is correct, and that I am the ow or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the subsi 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 pur ses. Print Name: �� � (CVU Signatur \ - -- Date: ❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. G. Building Permit 01 -1b -U4 pg 1 BUTTE COUNTY DEPARTMENTfPF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATIO140 AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 'OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Name k C7E_ irst N e Address t?V City c,�t(O State rA Zip _ 2? Phone �c� _ C:) 2Z Fax E-mail 4(O4L/ CONTRACTOR ARCHITECT/ENGINEER Name k C7E_ Address 3 S �p0A DD Address H3 `P—DA-0 Stats „ City Staten (fig Zip �,�( -3 Phone _ s- Fax (105-_ 4(O4L/ E-mail Lic. L�Z Z-7 Class 7-v APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address 3 S �p0A DD Address Stats „ City Phone l!� State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name S `„ Property Ad res 1 & e e Address 3 S �p0A DD City D r Stats „ ZiP/3� G _b� f Phone l!� Fax vos C E-mail ,f APPLICANT SIGNATURE ���� Ipw For office use only: Zoning Property Ad res 1 & e e Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP o6 //D BIN # PROJECT LOCATION A ©C/3=G�D__e22c0 Property Ad res 1 & e e Ci Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ 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 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. Received by: Amount: Bldg SRA Receipt #: 1/30 Date: ��'� � 6 1. 1 U���er Total REV 8-12-05 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 manual, (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. Building Permit Application Without Required Clearances Form ❑ 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. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer , or MCO. ❑ 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 �881-71 t, PERMIT NUMBER - B P E 813-71 PERMIT EXPIRES 7 owNER Ziba H. Simpson �CONTR: owner "LOCATION (A.P. 42-20-20 4 1900 Webb Ave., Chico . i ` COUNTY OF BUTTE ' • Department of Public Works BUILDING INSP1CTI0�1 RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing d% Plmg. Topout tr--" Rough Elec.'— Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING ' Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95%5 \1PHONE: 533-1,230, Ext. 259 -. _ ;�• - . AP,P.LICA.TION AND ELECTRICAL PERMIT Permittee Ow0e, Mailinit Ad rens' 4/et'.' S 4� %L+ 7'.J / � �� ✓ :%-ontractor Mailing Address BLDG. Address DESCRIPTION OF WORK NEW F-1 ADDITION F-1 METER SERVICE OTHERS: Remarks: USE OF STRUCTURE Single 11-11 rVUd Family ® Duplex E] Dwelling Q OTHERS: Remarks: P3_91E�" �,PERMIT FILING FEE No. Fee $2.00 C> Supplementary Filing Fee 1.00 Main Service d �! Sub -panel '1 ss�� (more Each 1•�o.I Range, Dryer or Water Heater Each L00 Oven, Cook -Top or Space Heater Each :..50 - Light Fixtures First 20 .20 Each Additional .10 Rece tacles„ Switches & Fixture Oudets First 20.20 Each Additional . 10 Hood, Exhaust Fan or F.A. Fuca Motor Each .50 Evap, Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pum Water Pum Misc. Wiring TOTAL FEE CONTRACTORS LICENSE LAW s A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: _ I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof.............................................................................._......................................................................................................._............................................._.._.. License No. Classification .............................................. ..and certify that the aforesaid license is in full force and effecL B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} Q I am • the owner of the above property and I will contract to have. all of the above work performed by licensed contractors, (Sec. 7044). Fh—o�j" I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Q Basis, if any, foLother statutory exemption WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation..I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.-' property for inspection purposes. DIRECTOR OF PUBLICS WORKS X. ✓��� Date ...... I......................................................................................................... SIGNATURE OF PERMITTEE OR AGENT//) r Q B .. Date ....^�_�! 3 t�.a y.,...........:.............................................,......... Receipt No. .................................................................... , r 7 r' �rr ) f I'l { � "u, w 10 I u i a j 1900 e Permittee Owner Mailing Address - Contractor Mailing Address BLDG. Address COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive•'- Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT A. P. No. - Fire Zone Zoning Sanitation Planning Plans Fees 6 I W.C. e R/W Encroachment ICI I NEW 0 ADDITION EJ REPAIRS El OTHER El' F O U N D A T 10 N I 131 Others -r MATERIAL EXTERIOR Single Multi Width at Top USE OF STRUCTURE Family []'Duplex 0 Dwelling E] Others Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE O S jI ISPAN Girders' r O joists - 1st Floor Joists - 2nd Floor Fireplace ,t Joists -Ceiling La Total Valuation Exterior Studs P 0 Cl dj Permit Fee Interior Studs A40* Plan Checking Fee &/or Penalty Roof Rafters1, Total Permit Fee! �O a� Bearing Walls 0 CONTRACTORS LICENSE LAW r A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ . License No . .............. Classification..........................................,,,,, and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all .of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do' not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis,. if any, for other statutory exemption..................................................•........ WORKMEN'S COMPENSATION INSURANCE I am, aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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. �X Date SIGNATURE OF PERMITTEE OR AGENT i ReceiptNo........................................................................................................ i� This BUILDING BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date .................... Permit Expires Date ...................... r. t,;�,,,.�� . ti�� ��� �� �,�v �e�� -�� �- , I LM PERMIT No. 5198-79B,P,E , PERMIT EXPIRES OWNER Sandy Bosch CONTR. owner 42-20-20 LOCATION (A.P. ) 1900 Webb Ave., Chico w yf' v � J Y [5 x Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINALED_ (Date) Setback (1 Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings' Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel T RS mean MECHANICA Grd1.,Bault Prot. v Scratch it Service COUNTY, OF BUTTE — DEPARTMENT OF PUBLIC WORKS - Temp. Pole BUILDING INSPECTION RECORD 1 Ducts Underground B ILD G BUILDING (Cont'd) Ventilation PLUMBING I Firewall Soil Piping. Final Parapets 1st Floor • Restroom Finish 2nd Floor Windows 3rd Floor - Siding To out Roof Sheathing Water Pi in Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically A liances handica ed Conformance of ex. Gas Piping &Test structure Temp. Gas Final Sanitation FIREPLACE Final A11C Footing T RS mean MECHANICA Grd1.,Bault Prot. v Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS i (NOTE: An entry must be made on this form each time you visit the job site.) RE wj 569-19 PERMIT N0. 192-80B,E PERMIT EXPIRES OWNER Sandy•Bosch CONTR. owner 42-20-20 LOCATION (A.P. ) 1900 Webb Ave., Chico Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB f / FINALED (Signature) mesn COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS v; BUILDING INSPECTION RECORD s rot. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor ' Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport po Footings Prov, for physically handica edy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS M tors FramingTest W e Htr. Stucco I Final anels mesn MECHANICAL rot. Scratch Heating Ice IN Brown Cooling Tem . of Finish Ducts Unde Interior Lath Ventilation Perm'bvdnt Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1 EHOME INSTALLATION - - • - - - - - - - - - - - Support Elec'. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH C RRENT ENERGY CONSERVATION REGULATIONS AT ii e D (location) 4 BUILDING PERMIT NO. s/��'- 7/%3 �� A. P. NO. /y2 zo THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge c/ Fdn. Walls Floors Walls Ceiling/Roof Ducts A /9 Circulating Pipes APPROVED HEATER Al,,O APPROVED WTR.HTR.4_ GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. / & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS_�Yp INTERMITTENT IGNITION DEVICES_ CERT. APPLIANCES 1& 4 L I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name 19110?1y e!�z/1,AeIW / 59� Siypi �psC�L,/ Signature of QQ (please print) Insulation Applicator_��jG�/i% State ContracCors ` License No. General Contractor/Owner' Name-�h3��% ,�OSGly� /V/a r 0 v D Signature of (please print) / / General Contractor/Owner✓�G��- A��/ 0 Date /,,9 —.3/—F.3 ��Ay,ct State Contractors icense No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION W ITH IN+,THE DWELLING. FREESTANiDLNG FIREPLACE AND STOVE CLEARANCES Method to reduce the 36" minimum clearance fram:`combustible I - wall required by Uniform jiechan*ical Code for unlisted-oi And solid fuel heating appliances. ! i • I ' 1 NOTE Put protective material\sohat th walls beyond sides and above top of stove there is 36" minimum clearance from tible material to the stove, r 71 6J 0,2 4 CO Zr Cjj uo r i 41, Cj Q A/'ra C - M i11 imam i ! ti �o - t r:.� _ x clearance f to , qj4 `; permitted Protective Material Protective Typical P otective Materials for Material Reducing 3 " clearance x Clearance j4ick stos millboard ut 1" 18"•no -combustible fu ring_ g steel on 4" 1" airspace os millboard (noac )18"Gypsum wallboardge steel spaced 12"S d ck brick spaced out 18" En.largement '7/1/78 y O .ATTN: Jim Fruit 11/23/81 JIM: Sandy received renewal notices from us re the above two permits. She says everything is done but didn't realize there hadn't been a final inspection. Told her if you could come out on one inspection and final,,she would not have to renew the permits; otherwise, renewals would be needed. She would like you to call - 891-0221 - before you go out. D e ne /r u2t2e�o�ed Ute+ C�it� �ZCiG LLi / ►2 f013. �L Entrance Steps MSmoke Detector FINAL; Door & Sidelight Protection Permit No. S> Furnace & Water Heater --Vents, Clearances,'Combustion Aire Bedroom Exit & Glass Protection s gig! G.F.I. & Bath Fixtures 6.Z Electric Trim & Sub Panel tairs & Rails Firerlace or Stove 9. Electric Outlets at Wood Panel ---;Int. & Ext. -I-er'. Fixtures & Appliances in KitchPr__Grounded--Air Gap l� Electrical Outlets & Receptacles at Kitchen Counter 1 Fire Door to Garage & Swing -1'37.7 Proper Type A.C. Duct in Garage-•-Damper.if Required 14 - Furnace & Water Heater (if in Garage) off Floor & Vents & P R.V. Firewall & All Openings in Firewall --Area Separation Walls �.. 'Electrical Receptacles in Garage (G.F.I. where required)Romex protect s-/. Type Insulation --Attic & Underfloor -4= Steps at Ext. Doors & Landings . Where required a-9-.-- Guard Rails and Deck Construction -R6-. Foundation Vents & Crawl hole Door --G' ade & Wood -Earth Clearances A.C. Unit --Disconnect, Clearances. Breaker & Conductor Size V Vents Above Roof --Plumbing, Appliances, Fireplace -2-3>, Water Well --Disconnect, Electrical, Plumbing -44-v Exterior Electrical Trim & G.F.I. Receptacle �� Required Ventilation Throughout House 26. Corrections from Previous Inspections Gas:_:Test--F;sten._ Ta;�*k&d--Gas.. & Electric Q_Q�!/Energy Compliance Certificate Sign Job Card ALL OF ABOVE COMPLETED ❑ EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD_ Signed: Date: i_.zA_g6 e . 4 UNDERFLOOR _ 'Permit No. 1. Setback --Easement 2. Footings & Stemwall--Steel. - 1 & 2 story--Block-outs--Elect.Grour_d 3. Piers --Fireplace Footing & Steel 4. Plumbing--Drain--Fall-Fittings--iin Concrete 42" test 5. Water Pipe --Test & Anchors 6. Electrical _7. A.C. .Ducts--Clearance--Proper Material & Supports B. Girders--Sills--Anchor Bolts--Joists--Vents 9. Sign Job Card x All OR ABOVE COMPLETED EXCE:z)T Signed: Date: ABOVE LISTED CORRECTIONS COT-TI,EIED SIGN JOB CARD Signed: Date*: 01 r.7 COUNTY OF BUTTE r..; .'j DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211 ; Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 ' Skyway and Elliott Road, Paradise — Phone 877-3435 7 CORRECTION NOTICE 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. FRAMING a Permit No. e=7 `gills --Proper Material and Ancholls' 2,j�.,Jt,uds--Nailed & Spaced Properly 3. races Where Required 4. aearing1l'a-Ills over Girders & Floor Nailing '5.3 raft Stop in Walls (rat proof) Q -f Fire Stop at Furred Ceilings & Stair -Stringer 7-- eader Size & C.J. Size 8,,/Joist Hangersv'Where Reqj)��-- , ea'171�- Rafter TiKS-11,,Pullh Roof Bracin Ti-tiss?r, 10. Gat 11.L"4ttic Access --Size & Romex Protection 12. V_,E:xt.'Door or Reg, Hgt. & Size Wiridow--Bedroom Fire Protection Framing 14-.--7reg --S-eta T-ation 'Vfalls--1 hr. Fire -2 hr. Fire 15./ Ext. Doors --One 3' - Check Garage if Required --Veneer to Nies rip Screed & Foundation 'Vents on if required 22. Sign Job Card IX2 -7 ALL OF ABOVE COMPLETED EXCEPT /. W -W Signed: Date. ABOV,LTSTED CORRECTIONS COMPLETED SIGN-- j OB CARD Sip -red: Date.•: O/e/t,51� 0 PLUMBING --Above Floor Permit No.� ater--Vent Inst. properly--Access--Combustion- Air ' 2.late Pipe --Test & Anchors 3 rain Pipe--Test--Fittings & Anchors 42" ED _ Shower Pan --Test, first floo b & Shower, second floor --Tub Access 6. Gas Pipe --Size & Anchors z� vw 7. Sign Job Card All OF ABOVE COMPLETED ED EXCEPT Signed: Date-* ABOVE LISTED CORRECTIONS COMPLETED Date: ELECTRICAL --Above Floor Permit No. 1. "2'learance & Insulation Protection at Flush Light Fixtures 2.t,ZK1Qc. Receptacles Spaced Pro erly--Lights & Switches at Doors 3. t ize Boxes & No. of Conductors—Stapled 4. LAmex Instal led Close to Edge of Studs & C.J. 5.1, quip. Ground made up w/Mech. Fasteners pp�ai ace Circuits in Kitchen & Conductor Size 4,__9-4- eeeders--proper size ce-=Riser Conductors & Ground was & Water Pipes ±4-.--G4es-Closet Light --Shower Light 11. Sign Job Card ALL OF ABOVE COMPLETED EXCEIT S gne;d: Date: /7 ABOVE LISTED CORRECTIONS COMPLETED Date: -_ MECHANIC:?L---Above Floor Permit No. 1. A.C. Duc--Ir_sulati n & Support as required 2. Vent Fan-"*kxhaust A ove Insulaticn 3. Condensate Drr\in &Overflow --Size & Grade 4.1,,' Furnace—Vent i s . Properly--Access--Comb. Air --Return Air Vent 5. Attic Access & P tform if Furnace in Attic 6. Sign Job Card ALL OF ABOVE C MPLETE 0 EXCEIT Sned : Date: ABOVE LISTED CCRRECTICN,S OMPLETED Date: • ji COUNTY OF'BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Cbunt C(?nter Drive -- • OFoviIIo California 95965 < y Telephone: 534-4541 /��, ►/� APPLICATION AND PERMIT a Owner SAID y &Se P Mailing Address f 40 (A)&%U A/Lsr Contractor Mailing Address BUILDING SQ. FT. 7 OCC. I BUILDING A UATION If 9 e No. Fireplace elephone No. Total Valuation Building Address 1q0 C) wL� g "C' Clkic o A. P. No. 92'.– 2 0 — Z0 Zoning & Planning F s I W. V-1Saa"aU Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im r Plans 'Declaration P p ovements Bldg, Plan Recd Parc I A roval Plans Approval V NEW ❑ ADDITION g UTILITIES ❑ OTHER ❑ Mirmow c.A etuc Oz F acv gbm Foo !?Pv Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification Plan Checking FetAZ enalty ermit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet uilding sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. OWE L CUP. Y ACC. B NEWCONSTR. NnN-RrSID. (MULTI -OUTLET BRANCH CIRCUITS EX. OCCUp{OUTLETS OR FIXTURE EX. QCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring 1 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. rM I t'If th t' th f f th k W FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ FEE $3.00 ?j• 00 5.00 2.50 25.00 1.00 20sgft .40 ?.50ea 0 3AL 100 2.00 10.00 15.00 6.25 $ I,ceo @ FEE $3.00 cer y a In a per ormance o e -or for wh(ch th(s Ventilation VNpermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 1 1 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / p X �.1 Date ! / V`0 � Signature ofPPermiteeee or Agent ` Receipt No. J � J (0� White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ /1/ (40 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date B ing permit expires Date % ` / %2Z ,COUNTY OF BUTTE =''DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive. Or6ville, California 95965 Telephone: 534-4541�/qf� APPLICATION AND PERMIT BUILDING Owner S ho U4 Rosc6F SQ. FT. OCC. BUILDING VALUATION Mai l Ing Address Z gd,( I b Teone No. C t+(o leph-o Contractor Mai I Ing Address Telephone No. Building Address A. P. No. ! 2,—?_0"LV ,'Zoning & Planni F s S on FireDept. FireZone Use Permit EQA I Par Ing Parcel Parcel Ma 60' R/W I Im rovemt Plans Declaration p p Bldg. Plans Recd Parc!J�/Approyal Plans`Approval NEW ❑ ADDITION Vf UTILITIES ❑ OTHER ❑ Single Family (ir Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Fireplace t=05 Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service Boov OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER Boov 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( D OCCUP. 7i OR ADDNS. \ ACC S. NEW CONSTR. �MULTI.OUTL T NON -REST D, BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS 6 NON-RESID, SINGLE OUTLET CIR. Ex. OCcuptOUTLETS OR FIXTIIRE; EX. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring License No. Classification —. I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. *have placed on file with the County of Butte a certificate of Cooling P0&) orkmen's Compensation Insurance. $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE 10e ral @ FEE $3.00 101D 5.00 2.50 25.00 1.00 ?2sgft ?105 2.50ea 0 @ 250 SAL @ 1 ! 2.00 10.00 15.00 6.25 LXI certify that In the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 7A X Date ` / / Signature of Permitee or Agent Receipt No. 24 l / White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE1$119 111 This rmit is hereby issued under the applicable provisions of the ut County Code and/or resolutions to do work indicated ve f r which fees have been paid. IRC R OF P LIC WORKS Date Building permit expires bate�� %SO