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Home My WebLink About047-060-0330 a 47-06-33 .1 1.09 -/OB, P, NISSLEY, Meta 15345 Cana Pine Creek Rd, C6ntr: Holiday Pools (new' 'swi'mminp, pool -047-060-033 467B,P,E;,M,' y V CLARK & NISSLE 15345 ' CANA'PINE CREE I K RD.', CHICO` CONT; RKO BUILDER ADD BDRM & BATH & REMODEL/SF-.,- 014-7 '� 1� p -Cflj DATE PUBLIC INFORMATION -OFFICER TIME 538-6953 ESTIM TED DAMA E BY DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 1995 C/i Name Reporting Party Plve- Address/Location C4AA+— Telephone Number -716— -3 'Y,?-- 21ce 7'�— City county 4 Type of Damage C 5 (Note: Emergencies Refer ;o bi 1) Building Descrigtion Commercial/Usage Residential Type and# Units Currently Occupied/Use Abandoned/Vacant Electric Any electrical submerged Yes No QN( 10FEL R-- Obvious damage (failure, downed wires, arcing) Gas Natural/Propane Obvious problems (odor, leaks, leaks, propane tank floating/submerged) On Off Structure On/Off Foundation Q --Flooding above/below floor Obvious,leaning, tilting Severe Damage/Collapse Debris Hazard Sanitation Plumbing working g --Running water Well Flooded Obvious Sewage., Problems Chemic I/Fuel Wet, flooded, lost chemicals Type pesticide, fertilizer,, other chemicals Amount Fuel tanks (above or below ground) Obvious hazards Agriculture Loss Crop Damage 2;'Cetr� 6e7T7-E-/ce, Livestock Lost Building Damage Roads ( ublic) Road Name bvious Damage/Hazards Location/Land marks Traversable (Sedan, 4 wheel) Involved Utilities (downed wires) Levees Public [ I Private [ I Waterway Name Location of damage/problem Obvious hazards Nearest Landmarks Ove rf low/f ree board Covies: OES Agriculture Health Fire Building Sheriff RI ENTIAL 047-060-033 94-0467B,P,E,M CLARK & NISSLEY 15345 CANA PINE CREEK RD., CHICO CONT; RKO BUILDER ADD BDRM,& BATH & REMObEL/SF V=OK i 0 Not OK Not Applicable Not Ready MOBILE HOMES Date/initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L'It. / P'Nat. or/ P'Uft.1 /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval S. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cart. of Occupancy MISCELLANEOUS Date/initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements-Setbacks-Easoments Z Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Ralls 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfd.-Bracing 5. Alum. Awn.; Columns-Connections-Splice-Docal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps-Doors-Landing6 Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI & Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water *Supply Test V = OK 0 = Not OK Not Applicabkp Not Ready RESIDENTIAL (Single & Duplex) Date/initials UNDgAFLOOR (Plans) OK except #'s VAFZing-SetbaCks-Easements-Flood-Slope Vtg., Main; Soils-Elec. Grnd.�-/hoO'Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Docks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 68-ljold Downs and Special Anchors 7 b: Steel -Wrapped $/P!p rs-Fi replace Ftg.-Steel Vb.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test-Anchor-Reguidtor-Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation I F 4 1 . Insulation Date/initials UMBING (Permit) OK except #'s Htr.; Vent -Access -Combustion Air -Baffle ,3 -7 -Water Pipe; Test & Anchor -Nall Protection M.-D.W.V.; Test -Fittings & Anchor-Naii Protection A, :;Jtrn�j�r Pan: Test, First Floor -Tub Access �ast Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELEVRICAL (Permit) OK except #'a 2;r ,,,Fixture & Transformer Clearance -ins. Protection 1h. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts In Kitchen & Conductor Size/GFI *__T8- Subfeed Wire Size Vor AI-A.C. Wire Size ge. Cu or Al 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. E�uip. Clearances Panel s-Motors-Mech. Equip. 32. glothes Closet Light -Shower Light -Spa Light 34/Smoke Detector Date/initials MF,6HANICAL (Permit) OK except It's 34'. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet 38. Attic Access & Platform if Furnance In Attic Date/initials FRAMING (Plans) OK except #'s 39(,Slls, Proper Material & Anchors 46^aiis Studs -Nailing, Spacing & Bracing -Plates -Sound 41.,Bearing Walls over Girders & Floor Nailing 4*,/Draft Stop in Walls (rat proof) A fire Stops; Furred Ceilings -Stairs -Chases -Tub 44' Headers & Beam -Size & Bearing Date/initials / FRAMING (Continued) , 4& �!ngers-Post Caps -Anchors -Connectors 4&tIng. Joist-Rftr. ties- Purl lri�roof Brac-Trues-Shthng.-Rfng. L-4r.-Mreplace Ties or Type A Flue -Fireplace Throat clearance 4VA-ttic Access; Size & Romex Protection- Draft Stop -ins. Baffles 4PAdrm. Windows or Exiting Doors -Sill Hot. & Dimensions 50-113bTage Fire Protection Framing 5jeProperty Line Firewall & Openings 51,-f-xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 5%Afairs; Width -Head room-Rise-Run-Landi ng -Fire Protection 5 yw on Roof Overhang -Attic Vents -Rafter Outriggers 5Wng-Nalling Veneer Al�kW"_A gg��tucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access 57. GIMing Area -Glass Protection -Skylights -Plastic .58.16ear Walls; Nailina-Bolts 60. Infiltration -Walls -Windows .DatdAnitials FIt(AL (Plans) OK except #*a Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector , Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 165. G.F.I. & Bath Fixtures & Tub Access -Spa 66. - Elec. Trim & Subpanel; Breaker Sizes & Labels i� Stairs & Rails 60' Fireplace or Stove; Clearances -Hearth W.'Elec. Outlets at Wood Panel; Int. & Ext. 79/Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7.1-1 Elec. Outlets & Receptacles at Kit. Counter 7e Garage Fire Door, Swing -Landing -Closer Ze A.C. Duct in Garage -Damper --74--Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 7y, Plb., Elec. & Mach. Equip. Listed for Location 7�. Elec. Receptacles In Garage; (G.F.I.)-Romex Protection 7.7"Insulation-Foam-Looked In Attic 11 Yes ,� �.uard Rails & Dock Construction- Post Caps �*'Fdn. Vents & Crawl Hole Door-Drainag & Wood -Earth � Clearance Looked under Floor Yes -8&-ftliowl nstld.; Drive 13 Yes 13 No; Walks 13 Yes 13 No; I �16- PjaDW 0 Yes 0 No m - ?I 2�ucc,. �Brw Finish 42-f"C-Unit; Disconnect, Electrical, Plumbing 83,W'ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 4. We Well; Disconnect, Electrical, Plumbing 8§/Exterior Elec. Trim; G.F.I. Receptacle -Underground 86.,Ventilation Throughout House Protection is . -1tweactions from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Comrnents at Mv: C. 0 COUNTY OF BUTTE - DEPARTMk.NT OFDEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovi.11e, California 95965 - Telephone (916) 538-75419 _, PERMIT NO, APPLICATION AND PERMIT V-6 � ASSESSOR PARCEL NUMBER ZONING A40 BUILDING PERMIT OWNIER BOB CLARK & META NISSLEY TELEPHONE 342-1220 SQ. FT. OCC. BUILDING VALUATION Loll 470 R 25,380 OWNEWS MAILING ADDRESS 19165 CANA PINE CREEK RD, CHICO 95926 EST. 25,000 CONTRACTOR*S NAME RKO BUILDERS TELEPHONE 1891-1067 CON�ACTOR'S MAILING ADDRESS STANSRURY (T, C14W.0 95Q?R Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 50.380 UENDIEWS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 414.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 269.40 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 15345 CANA PINE CREEK RD, CHICO PERMIT FEE $ 26.90 PLUMBING PERMIT Filing Fee 1 20.00 Each Trap 6 7-00 42.00 Solar or heat pump water heater 23.00 - Water piping 15.00 15.00 LOT NO. SUBDIVISION'SNAME PARCEL MAP Each gas water heater or vent 15.00 19_00 USE OF STRUCTURE SF NX Duplex 0 Mobilehome 0 Other SPECIFY - Gas piping system 1 5 outlets 15.00 15.00 Building sewer - 15.00 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New 0 Addition aXRemodel 0 Utilities ID Installation El Other 0 DescribeWork: 470 SQ FT ADDITION, BEDROOM & BATH, I PERMIT FEE $ 122.00 Contractor 1, ELECTRICAL PERMIT Filing Fee 20.00 REMODEL KITCHEN, BATHROOK, NEW STAIRS TO BASEMENT, Main Service ( "' '" "' I ' 200A OR LESS 1 23.00 I I Main Service 200A TO IOOOA 46.00 NEW W/H AND HEATING & COOLINOG. NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC.BLDS. so 3.5C FT. CONTRACTORS LICENSE LAW 1� Xec re under penalty of perjury (check one) am a , censed under provisions of Chapter 9, Division 3 of the Business and rofessions Code and m yjicense is in fu 11 forc7gd effect. LicenseNo. 603�_35 I Classification 1, as the owner, or my employees with wages as their sole compensation, will -i -o- the work, and the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (See 7044) 1 am exempt under Sec. Business and Professions Code forthis reason NEW ONST. MULTI -OUTLET NON-RCESID. BRANCH CIRCUITS @7.50 POWER APPARATUS ( & SINGLE OUTLET.CIR. Ex. Occup. OUTLET OR FIXTURES 20 1.00 BAL. .50 FIXED APPLISIS. OR Ex. Occup. 0 UTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.Oq 00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Q This permit is for $ 100.00 (valuation) or less. Q I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. CI I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating o ,pLIT SySTEM 15.00 Cooling 4T 25.00 Hood 6.50 6,50 Ventilation - 9n 14 - 5n PERMIT FEE $ 71.00 Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to entei upon the above mentioned property for inspection purposes. I also agr , i nif an eep he e the County of Butte against all liabilitOs U S, d a se Ic ay in any way accrue against said Count 0 Lie e the n - g i ermit. X Date Si4rnature of Applicant - El Owner ;rcontractor El Agent An OSHA permit is required for" excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. I Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 occ CONST. TYPE ITOTALFE $ 1.008.90 F�EESIMP FJOOI�,e�PAWIIL' This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above fo�whic fees have been __4 y 0 -3 PERMIT EXPIRES ON (Datei provisions to do work paid. --3 Date' ReceiptNo. 156078-372.40// / 5_6 3/3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF PEVELOPMENT SERVICES 1469 Humboldt Roa(r,-Chico, CA - (916) 8-91-12751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE LAAk 1 7 -/- OWNER I I PERMIT NO A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1) 04100,dq- /1J9-A,4r-1'/V ' z f A Date —70'W—Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA -. (916) 891-2751 7 County Center 6rive, Oroville, CA - (916)'538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE C–LAAM 5,5�, OWNER PERMIT NO. A routine inspecti;n indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completp(d',rlf you have any questions pe�, aining to this matter, or need additional explanation, plejXntfoyjVt� o diatelQ 12 '51 Tr r Lj) /V ( -'� 0 /" — 1-4 5 "'1'4 rl ""— C11AU / -K -n- L -110V L,17"--, Date I ' Inspector REV 10/92 SMOKE DETECTOR INSTALLATION CERTIFICATE BUILDING OWNER PERMIT #-q4 - 646-7 BUILDING LOCATION When the valuation of an addition, alteration or repair to a Group R Occupancy(dwelling units, hotels and apartment houses,) exceeds $1,000 and a permit is required, or when one or more sleeping rooms are added or created in existing Group R Occupancies, smoke detectors shall be installed in accordance with the 1991 Uniform Building Code, section 1210 (a). In general, section 1210 (a) specifies that in new construction a smoke detector be installed in: (1) Each sleeping room, and at a point centrally located in the c&ridor or area giving access to each separate sleeping area. Where the ceiling height of a room open to the hallway serving the bedrooms exceeds that of the hallway by twenty-four (24) inches or more, smoke detectors shall be installed in the hallway and in the adjacent room. (2) In each story and in basements, and on each level containing a sleeping area. Such detector(s) shall receive their primary power from the building wiring and be equipped with a battery backup. When the valuation of an addition, alteration or repair to a residence exceeds $1000 and a permit is required, smoke detectors shall be installed in each existing sleepihg room, and centrally located within each sleeping area if one is not currently installed. Such detectors may be solely battery operated. A repair, alteration or addition applies to a deck addition, wood stove installation, re -roof, vinyl or aluminum siding, and remodel or additional square footage, to an existing residence. Declaration I hereby certify that the above smoke detector (s) were installed in the building at the above location in conformance with the 1991 Uniform Building Code, section 1210 (a). 7--p. C Building Contractor/Owner (Please Print) State Contractors License No. Vkffl Y*.,- - t6�"� ignature bf Contracto'r/Owner Da This completed certificate must be provided to the building department prior to final. 1�e5 3 Mumbcr &nJ Succl 7-� C� 'y -counry Subdi4iji6n LaWwnbcg Descr' tioh of Inst Hation ..a ROOF BrandName ww"Mcss (inches) M=nal Resistance -(K-Vaiu�) CEILING B FIBERGLASS UtOf Bbnket Type Br=d Name �CERTAIRTEE* D Thickness (.inchc.$)* toosr Fill TYPC INSULSAFE III 7bermal R enstartceIR-Valpe) �rard N2mr_' CERTAINr' Contr3ctces minim= installed w6ght/fe ib Mirdmum LW Mmuracturceskstalled weight persquare fo.otto acheive Th=W Rcsis=cc (R-�Falur-) EVERIOR WALL ETRERr.T,A1-R.9* WdZeis (inch") 7 BizadName CERTAIM AW 'rhcrrnaIRjcsiSt3nCi-' (R-vaa4c) RAISED FLOOR m2taill FIBERGLASS BrindNarne*. CERTAINTEED Wkkncss cimcks) . Thermal Resistance (R-Viluc) SLAB FLOOR Werial BrandNarne Thicimess (iin C WldL.h (inches) Thermal RcsismnC.r-'(R-vA!ur) FOUNDATION WALL* -FIBERG.1,ASS BrandNamc CERTAINIFFn Thickncss in'chcs) Thermal RcsisL3.ncc*(R�V;)Juc) ----------- Qedarat* ..Ion I hcrtby cc rti ry ft the above iftswati - on -was irutallcd in die buil.ding at the 3bovc location in cont . ormancc with thccunrnt Building F'-ncrV EfficicncyStandards for new residcn6al buildings coft-xincd intitic2 of the Califon a Admir6tritivc Code. Ger4ju Lonvac ice (UUj&.j) NUM A Vial SHASTA INSULATION .27294-1 ub�Ca. 111A. "nL-UL�UCj) sip wd tide DWA COUNTYOF BUTTE - DEPARTMENTOFbEVELO.PM ENT SEFVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE,CNLIPb'Rfi��'95965 -TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER /4/— A. P. No. O�7 Proposed Building Use 7,�� ry llee&i :7c Building Inspector Date 2LA(l q(/ L7 At time of or p lication, I was advised the following data must be submitted. prior to permit processing and/or issuance: DATE RECENED By �W�j. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . ...................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check) . .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ........... Feesof $ . ............ 1. Impact fees as shown on attached schedule. Is - �RR . ............ California Department of Forestry plan approval/fees .......................... Flo d elevation letter (100 year flood� by California Engineer ................... San�itation and plot plan approval 4:2LA ( (_ o _ Health Department . ............ Vv City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Developmentabout (A) Improvements (B) Drainage ............ 19. Driveway permit (construction approval required prior to occupancy) .... ..... ; . . 20. Pre -inspection for l6reInspeciJi. request required. to Building Inspedor Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22, Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgemeni Statement . .................. 25. Letter of signature authorization .......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road . ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ............... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. .34. When 16 issue the permit, process as follows: Mail to owner. t4ail to-gontractor. !�>"Telephone 9j 1 - �&47 and hold for ��ickup at C)A(-co &e. eliver with inspector. Other /777' Parcel Creation 57 �� Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. - Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone mail ounter by Date Contractor, designer, owner, was advised of above required data by _ phone mai ounter by Date 4 g I -A Ig Plans checked by Date P1Xq approved by hi A Date Sets of plans on hold in 'Fifd`caI5ih-6f AP folder Copy Department of Public Works f - TO: Building Department I FROM: Environmental Health SUBJECT: Sanitation Clearance F.11-AISE. ONLY Hol I'Ln Atuchcd Floor Han Atuched se,11 (, 11-1). --2 -1"7- -4133 Owner Location AP#. Plan Approved for: Sewage Disposal Water SLIpply: PLiblic Private Well Clearance for bedroom mobile home. Other -A� 6,w tn., zr� Hold final for: Final clearance O.K. for: NOTE: 8/92 #01eh --3; 1,�Y4 Datj BUTTE COUNTY SGS661-S IMPACT FEE CERTIFICATION FORM (One Form Per. BuiKing) School District Building Department No. A.P.Number Jurisdiction City County Property Owner Property Location/Address Subdivison Lot No. Residential Development No. of Living MHl Units Sq. Footage 0_ Ac fift—ion (Group R) ," trioor rians reVIeWeU DY ocnoui uistrict rersonnei) District 1�entification No. 01n) 00 W 0 4 School Distri I ct certifies that h Ore L (Applicant) 9�, I J 14 1 (Street Address) (Phone Number) 0 (CRY) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. School District Representative Paid by Check Number /V Bank Number Paid by Cash R�marks: a d -3 , /,; 7/y Date Z / If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project i's being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building departm ent), PinK(school district)- feeformmkl (4/92) #4@ 15 " 0.0. - ADPF-r�� OVER (E) TANK N - G oll, r -n F L (E) SEPTIC TANK TO BE: ABANC)ONED fi flo. 02 EXP. 3-3 OF C P,\-\� FARTIAL FLAN @ TAN< DR. SAO N155LEY/CLARK REMODEL DATE:12-25-14 15545 CANA FINE CREEK CHICO, CA 5K NO. cIOOO NICHOLS MELBUR5 4 R055ETTO AIA 2 CHICO, CALIFORNIA (Iql(o) 511-1-710 (0" SLAB ON ORAI�)E OVER (E) SEPTIC TAN< N1#4 @ la" O.C. BOT I -all PEA ORAVEL BAC,KFILL @ c10% RELATIVE COMPAOTION (E)SEPTIO TANK TO 9�koF I SS1,01V BE ABANDONEP BREAK OUT BOTTOM N - G o4l Lp 24 rn .3 31- u Ci 5.0.0 OVER (E) TAN< DR. SAO N155LEY/CLARK REMODEL DATE:12-25-14 15545 CANA FINE CREEK CHICO, CA 5K NO. clOOO NI CHOL5 MELBURO 4 R0551ETTO AIA CHICO, CALIFORNIA (cllb) 5cll-1-710 f ADDITIONS To RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE COMPLIANCE Owner Climate Zone Permit # Floor Area 12n 0 The following data showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zones 11 and 16* Component <=100 sqf� 101-4997 500-099 >=1000 sqft Ceiling R-19 R-38 R-38 R-38 Ins. Wal 1 Ins. R-13 R-13 R-13 R-19, 21 F loor Ins. R-13 —f --i 9 R-19 R-19 Slab Edge NR 'NR, R-7 NR, R-7 NR, R-7 Ins. Glass (U) .75 .65, .60 .65, .60 Max. Glass 50 sq.ft. 16% + 16% + 16% Removed� Removed Shading NR -.v;-6 6' .66 .66 Coeff(S&N) Shading NR 66 E!0_�, .40, .66 .40, .66 Coeff(W&E) Thermal NR 5% Raised 5% Raised 5% Raised Mass 20% Slab 20% Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas AFUE 78% AFUE 78% AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 split Sys. Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling SEER 10.0 SEER 10.0 SEER 10.0, SEER 10.0 split Sys. Cooling SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased # Allowed w/ -Allowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation calculation. One entry/column = req both zones, 2nd entry = req zone 16. 76A.-� 0� C� j !jf, '__ F>,-- FA SPECIAL FEATURES/REHA)� 4445SZ-_!�' �AC2�7V&_ us. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors., c . ertified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 40,LUMENS/WATT DESIGN COMPLIANCE STATEMENT: e ldi sign eet e requirements of Title 24, r f t C ifo e Regulations. (Jan 93) NATURE OF BUILDING DESIGNER 0 APPLI RE 10E TIAL "--41-06-33 1109'90B,P,E NISSLEY, Meta 15345 Cana Pine Creek Rd, Chico Contr: Holiday Pools (new swimming pool/sf) JOB FINALE Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 Cobnty Center Drive, Oroville — Phone: 538-7541 747,E I I i ott Road, Parad i se — Phone: 872,6307 CORRECTIONNOTICE POE �R TlTi--N �1 OWNE 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 correcti 51606f work is completed. If you have any question pertaining to this matter, (?r naUArtldiiionlal le';xplghation, please contact this office immediately. Date Inspector V OK 0 Not OK Not Applicable Not Ready MOBILE-HOMESk Date MOBILE HOME UTILITIES (Plans) OK except Vs 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: I /"U'ft. / P'Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas: MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except Ns 1. Zoning Requirements -Setbacks- Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; Griders and/or Joists- Dec ki ng-Braci ng-Sta i rs- Rails 4. Wood Awn.; Posts-Beams-Rftrs..-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn,; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-koofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Cajd B-1 Date Card B-1 Date POOLIf (Plans) _0K exceot srs , re re; ('MElec.; Receptacles and Lighting, Distances-GFI 5. efec.; Pool Lighting; 15 volts-GFI &�Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. 5�c.; Bonding; Metal w/5' -Circulating Equip. -Heater 80,tlec,+ GroLjnding; Equip. w/5'Circulating Equip. -Pool Lqhtq. to Main in Conduit Test -Water Supply Test - 441" Date L4-3o�qb Card B-1 U�m . Date 50 Card B-1 Date C_-/�-�-CardB-1 0&-vJ Date Card B-1 1�1_ __ V Ac� 'J OK 0 Not OK Not Applicable Not Ready RESIDENTIAL(Si"gle Date UNDERFLOOR (Plans) OK except #'s 1. Zo n i ng -Setbacks- Ease ments- Flood _Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Sternwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor- Reg u lator-Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Cond ucto rs-Sta pled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al 29. Range Circ. / /ga. Cu or Al -Oven Circ. ga. Cu or Al. Insulated Neutral 1:1 Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Pane I s- Motors- Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date --Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. F6rnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing & Duplox) Date FRAMING (Continued) i I 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties -Pu rl in -root Brat-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise- Run- Land ing- Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip $creed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skyl ig hts- Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection- Land i ngs 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clea rances- Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 13 Yes 80. Following instId.; Drive 0 Yes IJ No; Walks 0 Yes 13 No; Planters 0 Yes CI No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle- Unde rg round 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W ORKS PERMIT NO. 7 County Center Drive - Oroville, Cali rnia 95965 - Telephone: 916/538-7541 tog LW APPLICA1110N.AND PERMIT A Z,,z ASSESSVR PARCEI_ NUMBER 47-6-33 ZONING A-40 BUILDING PERMIT OWNER M SADL09A TELEPHONE 342-2672 SQ.FT. OCC. BUILDING VALUATION Pool 15,000.00 0 W N E gi�� L S S Cana Pine Creek Rd-, Chico 959Z6 C . 11 T A ? TON"S NAM L Hold A 1341-89 TELEPHONE 9 c TO�I.a _0' CONTRA S T�AR_?.G ADDRESS 1170 F.Ast Lagspn Airp Chi rn SQ96 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER*S MAILING ADDRESS Permit Fee $ 110.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 135.50 PLUMBING PERMIT FilingFee 10.00 15345 Cana Pine Creek, Chico Each Trap 1 2.00 Solar or heat pump water heater 20-00 LOT NO. UBDIVISION NAME 1 PARCEL MAR 1 Water piping 1 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:R DuplexF� Mobilehome F-1 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 11 i�0.00 ea TYPE OF WORK NewPQ AdditionE] R emode I [I UtilitiesD Installation[] OtherEl Describe work: Swimming Pool 20 x 40 Master #504-88 I I Permit Fee $15-00 Contractor ELECTRICAL PERMIT Fi I i ng Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW Id la e under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines and Professions Code and my license is in full force and effect. License No. Classification C_ S-3 0 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.-, Business and Professions Code for this reason NEW CONST DWELLING OCCU1.& .11 A..NS. ACC.BLCGS. 2'/2Csqft NEW CONSTR. MULTI -OUTLET 'ITS NON,RESID, N TS C U' CH CE!� 2.50 ea 7RA 7ER TPF�R TUS.&) (SINGLE OUTLET CIR . Ex. Occup(OUTLETS OR FIXTURES 0@50c 1.2ALO 300 FIXED APPLNS. OR I Ex. OUTLETS (RESID.) EA.1 2.00 -Occup. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Pool Elec, 15-00 15.00 Permit Fee $25.no Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. F-] I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to th.e.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in nse e granting of this permit X 1=3)0�. Date 3 /C//,) Signat f Applicant 9 - El r �n) C nitractor La Agent I/ An 06.1permit is required for excavads over 5'0'' deep and demolition or construct- ion of str u ctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 175.51' CUA 1_�ARK I SCHL I FLD I PAR PD HO S�SU�E T.h 1 s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BV PERMI/,4041RES Date the applicable provi- resolutions to do have been paid. WORKS D a t e Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE DEPARTMENT4017 PUBLIC WORKS )BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI�J5�,;&J&01`11lIIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICAT)OWDAN SHEET Permit No. OWNER_/V,-�F4 MSSLV-1- A. P. N o. )-12- G-31 Building Inspector L/-^ J -J Proposed Building Use Date At t7e�ofermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 . All items have been submitted . ............. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. WVYou issue the permit, process as follows: Mail to o wrier. —Mail to contractor. Telephone 3v3- w�and hold for pickup at . (,,Y/�O_office. —Deliver w/inspector. Other Applicant Date Copy of plans sent — Health Dept., —Fire Dept�-.- — Other k / , Date V The following data must be submitted prior to permit issuance: (Circle new item not checked above).,A 1. Index permit for above items No. 2. Additional items required: — Contractor, designer, owner, was advised of above required data by—phone--jnai I —counter by..date Contractor, designer, owner, was advised of above required data by—phone —mai I —counter by—da"t—e Date Plans approved 2� Plans checked by, by dz'-�4 - Date Z�,-Zj:�Z Sets of plans on hold in File cabinet _AP folder Copy—DPW TO: Building Department' FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance L-3 Ownbr Location AP# Plann approved for; sewage disposal ---�Water supply Hold final for: water supply Final clearance O;K.-for: water supply Clearance for bedroom mobile home. Other Note*** c< COUNTY OF BUTTE - j4-.F_eA I �TMENT OF PUBLIC WORKS PERMIT NO. 95965 - Telephone: 916/538-7541 Oroville, California 7 County Center Drive APPLICATION AND PERMIT ASSESSO PARCEL. NUMBER ZQN;; BUILDING PERMIT S 5 IL 0 WN q,8- TW�PHONE E72 -F SO.FT. OCC. BUILDING VALUATION ZKO (0 C) ER'S � MAILING AD S b7lo, 144 Lh I. 1f17 S.S 2.t-72- I Pool OWN "I"fT /A P, --- J -2-12--i __ ITE CONTRACTOR'S NAME -V H Lil R&Y A � 31_EPHO.E main service EA. ADO'L 100 AMP ACT R'3 MAIL.ING. ACOREIS 91 69 Fireplace NEW CONST. DWELLING OCCUP.&) O;WA22��2. ( ACC* 1L.Gr- CONSTRUICTION LENDER Total Valuation I s Filing Fee S 10.00 LEND R'S MAILING ADDRESS ARCHITECT OR ENGINEER 1L.I1_ENSE NO. Permit Fee 0, �-o Plan Checking Fee $ Energy Plan Checking Fee $ ARCH TECT OR ENGINEER'S MAILING ADDRESS BUILD ING ADDRESS Penalty I s Permit fee I's PLUMBING PERMIT FilingFee 10.00 41 Each Trap 2.00 2.00 Solar or heat pump water heater 20-00 Water piping 5.00 LOT N SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 for sale. (Sec. 7044) USE OF STRUCTURE SFC5�--Duplex7 Mobilehomeo Other SPECI Fy Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 _J_S I G I W I 10.00eai Home 15. 0 TYPE OF WORK New S Addition Remodel[:] Utilities Installation[] Other Describe work: "y C. -4 AmrcA we-ebill -Mobile i Permit Fee /,5- �t-_ Contractor Filing 10.00 ELECTRICAL PERMIT Fee 800V OR LESS 1 1000 main service 100 AMP OR LESS main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.&) O;WA22��2. ( ACC* 1L.Gr- In Csq it I d lare under penalty of perjury �check one): N C.N.T, _U" I—L, 1 1. 1 S) NON-RESID. BRANCH CIRCUIT 12.50 ea I arr. licensed under provisions of Chapt. 9, Div. 3 of the Business POWER APPARATUS &) SINGLE OUTLET CIR. and Professions Code and my license is in full force and effect. 5312)9*9 Classification Ex. OCCUP(OUTLETS OR FIXTURES - , A'P�PLNS. OR SALO LOCE License No. — �IAEL, I �.O Ex. Occup. OUTLETS IRESIC-) EA.) T I= 2.00 I, as the owner, or my employees with wages as their sole compen- 10.00 sation, will do the work,and the structure is not intended or offered i Ce -Temporary service for sale. (Sec. 7044) C i I't S Mobile Home Facilities 15.00 El I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring LWIr 15. 0 ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code Permit Fee $ for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FilingFee 10.00 I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. Heating I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -insure. I shall not employ any person in any manner so as to become subject Hood 3:00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statemen t. should you become subject — Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply witn such Contractor provisions or this permit shall be deemed revoked. Mobile Home Installation 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 Energy Inspection Fee to building construction, and hereby authorize representatives of the County ot for inspection purposes. occ CONST TYPE FEE S Butte to enter upon the above-mentioned property TOTAL� EL I also agree. to save, indemnify and keep harmless the County of Butte against HAZ CUA PARK SCHL FLO 7a PAR HO ISSUE all liabilities, judgments, costs, _ s' which may in any way accrue J'PO I I I nnd,,n,,es against said County iin coUequeoi I t e g ianting of this permit g T� This permit is nereoy issued unaer the applicable prov, X Date __ y 0 si�ns ot the Butte County Code and/or resolutions to d, work indicated above for which fees have been paic nl,.. 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