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HomeMy WebLinkAbout047-070-0710 -070-071 01-2 4 77� I I C CHER,ROBERT PEA H�R rINAI 3107 HWY 99, CHICO DEMO HOUSE o47-070-071 02-26p— PEACHER, NICKIE AINAL 3107 HWY. 99, CHICO DEMO HOUSE r-JOHNSON,'Reynold C.,Co. 4-9 H.VENT-�9-66P '"-66P 120-66 ap ne p. 200 yds. south of Butte -Tehama li-a 300 yds. southwest of 99F, (new sin .1 % gle family)- I 0 VA NOTES PERMIT NO. RESIDENTIAL 01-2118 047-070-071 0 1 211" PEACHER, ROBERT 3 H �_ 107 FlWy 99� CH'Co D 0 H= OUS� H EMO HOUSIS SPECIAL CONDITIONS C ECK I H BY ED SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature L/ OK 0 = NotOK - = NotApplicable * = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils-Size-Depth-Spacing-Conneclors-SteeI I . Zoning Requirements -Setbacks- Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures 3. Sewer; Location -Test -Fall -C/0 -Concrete 7. 4. Water; Location -Test- Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ I" L 'ft. P Nat. or / /"L"ft./ PLPG Ext.; Steps- Doors- Landings 7. Well Clearance & Discorinect 5. 8. Utility Clearance 6. Elec.; Enclosures; Conduit Entries-Terminals-Lisled 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Date Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool LghIg. Boxes- Enclosure s- Panelboards- Ins. to Main in Conduit Card B-1 Date Card B-1 Date Health Department Approval Card B-1 Date Card B -I Date MOBILE HOME INSTALLATION (Plans) OK except Ws 1. Zoning Require ments- Setbacks- Easements 2. Footings; Size -Spacing- Marriage Line 3. Gas; MH Test- Demand -Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test- Regul ator-Connector 7. Water and Sewer Connected -C/O to Gracle-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cerl. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1 . Zoning Requirements -Setbacks- Easements 2. Footings; Soils-Size-Depth-Spacing-Conneclors-SteeI 3. Decks; Girders and/or Joists- Decki ng- Braci ng-Stai rs- Rails 4. Wood Awn.; Posts -Beams- Rft rs. -Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps- Doors- Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except WS 1. Setbacks - Easeme nis 2. Soils; Compaclion-Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Dislance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Lisled 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool LghIg. Boxes- Enclosure s- Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1 . Zon i ng -Setbacks- Ease me nts- Flood -S lope Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Sternwalls, Main; Steel- Blockouts-Wrapped Garage Fire Protection Framing 6. Sternwalls, Garage; S feel- Blockouts- Wrapped Properly Line Firewall & Openings 6a. Hold Downs and Special Anchors Exi. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom- Rise -Ru n- Landing- Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall- Filting-Test-2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 11. Water Pipe; Test-Ancho rs- Reg ulator-Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support- Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Venis-Crippies____ Ins ulation-Walls-Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date Ext. Steps -Door & Sidelight Protection -Landings PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. &Appliance; Ground -Air Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter ELECTRICAL (Permit) OK except #'s 74. 23. Fixture & Transformer Clearance -Ins. Protection 75. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 76. 25. Size Boxes & No. of Conductors Stapled 77. 26. Romex Installed Close to Edge of Studs & C.J. 78. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 79. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 80. 29. Subteed Wire Size / ga. Cu or A]-A.C. Wire Size / / ga Cu or A] 81. 30. Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral 1:1 Yes Q No 31. Service -Riser Conductors & Ground Main Disconnect 82. 32. Equip. Clearances Panels- M olors- M ech. Equip. 83. 33. Clothes Closet Light -Shower Light -Spa Light 84. 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Plaffarm-if-Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sits Proper Materials & Anchors - 41. Walls Studs -Nailing Spacing & Braces- Plates -So und 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Properly Line Firewall & Openings 53. Exi. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom- Rise -Ru n- Landing- Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Ins ulation-Walls-Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor- D ucts- Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. &Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P.R. V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. 1 nsulation- Foam- Looked in Attic 80. Guard Rails & Deck Construction- Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following InstId./Drive Q Yes :) No/Walks :1 Yes Q No/Planters Yes :1 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical- Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Oroville, California 95965 - Telephone (530) 538-75 (Rev. 12/96) APPLICATION AND PERMIT 't) / .,_2 1 [TIT NO. ASSESSOR PARCEL NUMBER 047-070-071 ZONING A 160. BUILDINGPERMIT OWNER ROBERT PEACHER TELEPHONE_ 343 9171 SO. FT. OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS 3107 HWY 99,'CHICO 95973 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOWS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDF59fO7 HWY 99, CHICO Energy Plan Checking Fee $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Trap 7.00 USEOFSTRUCTURE SF M Duplex [3 Mobilehome 13 Other SPECIFY —Each Solar or heat pump water heater 23.00 Water piping 15.00 — Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 11 Remodel 11 Utilities 13 Installation 0 Other IR Describe Work: DEMO HOUSE Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @?20.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20-00 a00V OR LESS Main Service .A O..SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. 426944 A OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers, compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation i urance carrier and policy number are: 2EL t-4 10 o,r Carrier SEML Policy Number _ ')-7L60Qrn5?.!6— On (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply, rovisions. X Date S/13/01 Signature of Applicant - 0 Owner 0 Contra ent An OSHA permit is required for excavati over 60" deep and molition or construction of structures over 3 stories in heipaht lw_� Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADONS. & ACC. BLDS. 3.50FT. -0 NEW CO C@7.50 =LTHI -=C. —NON-RESRID.r PO'WE.RAPPARATUS '. OUTLET CIR Ex. Occup. OUTLET OR FD=RES @ 1.00 20 0 O.FIXED APPLNS 0" Ex. Occup., EA. 5.00 - Temporary Service 23.00 0 00 Home Facilities 20.00 —Mobile Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ 35.00 �.A cD�� PD I HD This permit is reby issued under the applicable 0 a a 0 a a c e Buff Lin 0 a and/o esolutions 0 a a a S indi ed ov o 1110 Efe, a been S S ha S h Eis By Da PERMIT EXPIRES ON U (441V provisions to do w rk paid ReceiptNo. WHITE-D.D.S.-B.D. ASSESSOR INK -INSPECTOR ,OOLDENROD-APPLICANT I I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLh, CALEFORNIA 95965 -TELEPHONE (530) 538-7541 PE"IT "PLICA TION DA TA SHEET OWNER: ASSESSOR PARCEL NUMBER: 4/ 7 —,o 7,0 - e�) 71 Proposed Building Use:,01110�d Building Inspector: /1Z Af Date: . R -I'— _ipL —7 � e�, f At time of permit appffiation, I wai—advilsed the foRowing data must be submitted prior to permit irocessing and/or issuance: Date Received By - - -- - 111. All items have been submitted, 02. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------ El 3. Complete plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet sig -'nature on plans. All engineering must be shown on plans - -------- 0 5. Engineered buss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation - ---------------------------------------------------- El 7. Statement of Intent. for Non -Heated and A/C Buildings - --------------------------------------------------------- 118. Hazardous Material Form - ------------------------------------------------------------------------------------------ 09. Manufactured Home data and installation instructions including Tie Down Specifications ------------ ------- 0 10. Fees of $ ------------------------------------------------------------------------------------- El 11. impact fee� as shown on the attached schedule - -------------------------------------------------- * --------------- El 12. California Department of Forestry plan approval/fees - ---------------------- - --- ------ ------------- F elevation certificate - --------------------------------------------- t .S =ation and plot plan approval Health Departme -At 0 15. City of Chico plumbing permit - ---------------------------------------------------------- - --------------------- El 16. Plot plan and business license approval from the City of Biggs - ---------------------------------------------- 0 17. Planning approval for (A) Use: (B) Parking: -------------------------- 0 18. Contact Land Development about 11 improvements, 0 Drainage, 0 Legal Parcel - ----------------------- El 19. Encroachment Permit for driveway (construction approval prior to occupancy) - ---------------------------- 020. Pre -inspection for required. Request to Building hispector on , (Date) E121 actor's license information. (Number, Name Style, Classification) - ------------------------------------- q ers' Compensation carrier and policy number - ----------------------------------------------------------- ;02 er-Bader Verification (Given to owner El, Mailed to owner 0) - -------------------------------------- 0 Letter of signature authorization - -------------------------------------------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement - -------------------------------------------------- 9 E126. Letter of intent on building use - ------------------------------------------------------------------------------------ E127. Manufactured Home utility clearance - ---------------------------------------------------------------------------- E128. Existing violations and/or expired permits - ---------------------------------------------------------------------- 1129. 0433 A, 0Grant Deed, C1 M.H. Title, 0 Check to H.C.D $ - --------------- 030. Other: Whpr�you issue the permit, process as follows 0 Mail to owner, E]Mpil to contractor. 12ftelephone-2#3 9/2� and hold for pickup at CW e-- office. Deliver with inspector. Applicant: 7JL— Date: �z 71ol Copy of Haz-Mat form sent 0 Health Department, ii Fire Department, 0 Air Pollution Date: BV: Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: BV: 1. Index permit application for the above items numbered: 11 Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mad, 0 Building Division counter, by Date: Cont�actor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Da—te: - Sets of plans on hold *in ii Plan Cabinet, ii A.P. folder. Note transfer by: Date: VAI- ('—, - _. - - — Demolition Permits Asbestos Notification Statement Date— AH647-.6190-67( Pursuant to section 19827.5 of the California Health and Safety Code, all d ! emolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit*may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this dem ition project. Sigfiature of Applicant 2/19/91 Robert R.• Peacher 3107 Hwy 99 Chico, CA 95973-9303 Hand Deliver 8/20/01 County of Butte Department of Development Services Building Division #7 County Center Drive Oroville, CA 95965 530.538.7541 RE: Demo Permit for 047-070-071 To Whom It May Concern: I will be reusing the well and septic. Sincerely, Robert R. Peacher Owner Robe- A General Engineering Contractor License No: 426944 8/28/01 County of Butte #7 County Center Drive Oroville, CA 95965 RE: Authorization of Signature To Whom It May Concern: Thomas H Williams has permission to sign for the following people and co mpames: Robert and Nickie Peacfier Robert R. Peache'r,'Inc. Heavy Iron Equipment Co., Inc. If there are any further questions please call. Sincerely, Nickie L. Peacher CFO 6 3107 Hwy 99, Chico, CA . 95973-9303' TEL 530-343-9171 FAx530-343*-7565 rrpeacher@sunset.net 047-070 071 02-2630 PEACHER, NICIKIE 3107 HWY. 90, CHIC'O DEMO HOUSE 6 �„��led WYE 4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Ciroville, California 95965 4, Telephone (530) 538-7541 QR IT NO. (Rev. 12/96) APPLICATION AND PERMIT 33 ASSESSOR PARCEL NUMBER 047-070-071 ZONING BUILDINGPERMIT OWNER NICKIE PEACHER TELEPHONE SO. Fr. Occ. BUILDING VALUATION OWNERS MAILING ADDRESS 3107 RW 9% CHICO 95973 CONTRACTOR'S NAME T OMER LEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee s 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3107 144Y 99M rl;TCD Energy Plan Checking Fee $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME 1 PARCEL MAP 1 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF 11, Duplex 0 Mobilehome 0 Other SPECIFY Solar or heat pump water heater 23.00 piping 15.00 —Water Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation Cl Otherb Describe Work: DEM MUSE Gas piping sy2tem I - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI WF 920.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.0' Av 00 R' :ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 he4y affirm under penalty of perjury that I am exempt from the Contractors License Lawlor the following reason: I 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this ason _ WORKERS' COMPENSATION DECLARATION PIR(aud:ly affirm under penalty of perjury one of the following declarations: frihave 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0/1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers- compensation provisions of section 3700 of the Labor Code, I shall forthwith. comply 'with those provisions. i U / e 9. -1 ^ .()Z. X I __ ../.ate V/ �, b /_'I'd �LV_A Signature of Applicant - [I Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO iOOOA 46.00 NEW CONST DW ��ING OCCUR so. OR ADONS. C. S. 3.50FT. NEVY CONSr__ ( MULTI -O.- NON-RESID. 97.50 OWE.RAP= U ( PSIN. . C SIF t Ex. Occu OUTLET OR FIXTURES 20 @ 1.010 BAL @ .50 ..MED APP - OR. Ex. Occup. C.= .) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTALFEE$ 35.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL I PD This permit is hereby issued under the applicable provisions �of the Butte County Code and/or Resolutions to do work indicated abo Is for which fees have been paid. �By Dateqolo-o- P MIT XP O� DO - 0:3 PERMIT XPIRES 9 I k �O -(D.ate) _41 ReceiptNo. WHITE-D.D.S.-B.D.- CANARY-ASSIESSOR PINK -INSPECTOR GOLDEN ROD-APPLICj�NT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7541 P�J&T NO. (Rev. 12/96) APPLICATION AND PERMIT 0%20 6 - ASSESSOR PARCEL NUMBER 047-070-071 ZONING BUILDINGPERMIT OWNER NICKIE PEACHER TELEPHONE SQ. Fr. Occ. BUILDING VALUATION OWNERS MAILING ADDRESS 3107 HWY 99, CHICO 95973 CONTRACTORS NAME OWNER LEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filina Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1107 HWY 99M MICO Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF IX Duplex 0 Mobilehome 0 Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 11 Addition 0 Remodel 0 Utilities 13 Installation 0 Other YJ Describe Work: DEMO HOUSE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @?20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20-00 Main Service "�',A' D.R 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I here affirm u rider penalty of perjury that I am exempt from the Contractors License w or th - follow in g reason: L,/ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this ason WORKERS' COMPENSATION DECLARATION I y ' ,#Vby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the co erformance of the work for which this permit is issued. p r r 0 1 have and will maintain workers' compensation insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permitisissued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number /hie above sections need not be completed if the permit is for work of a valuation on e hundred dollars ($100) or less.) 10cfertify that in the performance of the work for which this permit is iSSuedJ shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation rov . s . s of section 3700 of the Labor Code, I shall w -r Er- r rthwith comply �yith e provisiops. thwith coml X J Date Signat re of Applicant - El Owner 0 Contractor 0 Agent "41 of pplic, An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DW:UJNGffUP. so. OR ADONS. . S. 3.5itFr. CONST. MULT'_OUTL ID L@7.50 _=R OWE.RAP= U ( PSIN. 0 CS1 R. ) Ex. Occu . ( OUTLET OR F%TURES ) 20 @ 1.00 BAL @ .50 Ex. Occup. IRM .) E 5.00 O.FIXED APP . OR., Temporary Service 23.00 Mobile Home Facilities 20.00 — Misc. Wiring 23.00 I PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35. 00 HAZ. D. FEES IMP I FLOOD COF I PARCEL I FID I HD rE - This permit is hereby issued under the applicable provisions pf the Butte County Code and/or Resolutions to do work indicaled ab __4e for which fees have been paid. By Dateq-,x- 0)/ PERMIT XPIRN4�0) I (Da te) ReceiptNo.. WHITE-D.D.S.-B.D. CANARY-ASIESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification -to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not app�icab�A to this de'moli n project. 7 , Ut IYM�L Signature of/Applicant 2/19/91