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047-100-177
i 047.=100-177,# 93-839E ' SCHILL,`John 1 14693 -'Hamilton Nord Cana Hwy, Chico (sf/elec serv) CONTR: Chico Elec 047-10-0=177 98-1545 PE (MH) SCHILL, John 14693 Hamilton Nord Cana'Hwy,,Chic (util, MH) Floe-- EC loe- -EC 0 a o GAS L PC k 30 SUPPORT..STR �� o COMPACTION TEST d '047-100-177 #98-1952 l SCHILL, JOHN -14693 HAMILTON NORD CANA HWY CHICO EXECUTIVE HOMES IDEMO S/F� 047-10-0-177 98-1547 B� SCHILL, John r�. 14693 Hamilton'N'' ~' (fire -sprinkler Cana ,Hwy, Chic / � l0^' 98=.1`545)`Fox Co sp 047=10-07177 98=1546 MHI.". SCHILL, --John " 7 �. 14693 Hamilton Nord Cana'Hwy, Chi, (MHI/98-1545)^SkycrestZ�G cj M r -- O y7_ /OTO- l %? v "RT A.P. # e1,2l!7-1&'U - 7 7 OWNER PERMIT # (��,F .MH UTIL. CLEARANCE DATE INSPECTOR,C�G ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE. OTHER PIPE SIZE LOAD TYPE SIZE LENGTH YES NO YES NO -,ZOO/ �� � (� ✓ MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE ." OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: ' PERMIT NO::- Owners: M Name: r4l Owners: Address: �; /"y�fG', .. ..— ,-i . _. J� .Gf� 6a--7 'Z115( ! Xe . i Mobilehome fL D Year of 71 Manufacturer /�° < 7 till Ct U Gl Manufacture: Serial number / Insignia or or V.I.N. �' HUD number: Official approving, installation- / Date: 7117119 If the mobilehome is moved or relocated, the mobilehome Installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow Installer, Pink -Bldg., Gold -Assessor CONTRACTORS VERIFICATION I certify that I have installed the Central Pier Anchoring System as per the installation instructions. I have made.. no modifications to the anchoring system or the building structure. Company Name: Executive Homes Contractors Lic# : 640583 Date: nature: i COUNTY OF BUTTE BUILDING DIVISION rt DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER "�. �M PERMIT NO. A routine inspectionindicates that the following violations of butte county Ordinances exist at the above address and shouldbe corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �L `a ':• COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES "e 411 Main Street • Chico, CA • (530) 891-2751 r. 7 County Center Drive • Oroville, CA • (530) 538-7541 .moi f, 1 CORRECTION NOTICE OWNER PERMIT NO. +` A routine inspection indicates that the following violations of butte county Ordinances exist at the r` above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. VZ p` t _ F„ r 1 5.; P COUNTY OF BUTTE BUILDING DIVISION a" DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 4'. 7 County Center Drive • Oroville, CA • (530) 538-7541 •kms h= CORRECTION NOTICE OWNER PERMIT NO. i•" A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please contact this office immediately. Date Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P MIT NO. (Rev. 12/96) APPLICATION AND PERMIT �— �� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER .1014N qC.14TT-T TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME EXECTITTYP HOWR TELEPHONE 8- 91 -18- 9 2 CONTRACTORS MAILING ADDRESS - CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOITc4rbv141�y YsHAMILTON NORD CANA HRY, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeXq Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1K Other ❑ Describe Work: _MHIa5/ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 —Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service p A OR LESS 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 'cf full force and effect. 2 License Class 1 Lic. No. ®�_�� OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 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: ❑ 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. ❑ 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 worker ' compensation insurance carrier and po'cy number as Carrier P I— � r1� -i 1 C— Policy Number t ) `Z Q a _ � .L (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. X �`��_�� Ae�'`1 "� k Signature of Applicant - ❑ Owner Contractorent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zoOA TO 100 -OA 46.00 NEW CONST. DW ELJNG OCCUP. SG OR ADDNS. ( a ACC. BLDS. 3.5¢FT. MUUTLET 97,50 =saE°s,nT. LTI-O aps rWELRLE PP6PA Ic a. OCCU OUTLET OR FIXTURES a20 @ 1.00 Ex. Occup. oUTEtF°TSAIRR=.D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi= $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE HAZ. D. FEES IMP OD cOF EL PD HD U This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON :::L� applicable provisions Resolutions to do work been aid. Date Data Receipt No. ��d WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT II Y /,(Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER I ZONING BUILDINGPERMIT OWNER NE SO. FT. OCC. BUILDING VALUATION OWNER'S allNG ADDRESS n l iapt A Co R'S NAME . NE CO R9 NO ADD CONSTRUCTION L9NDER LENDER'S MAILING ADDRESS Fireplace Total Valuation b ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ ARCNRECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ (,e> BUILDING + I I II Energy Plan Checking Fee $ 0E I a PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllehome XOther BPEsr Each Trap 7.00 Solar or heat um _water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ullfts ❑ Installation ❑ Other ❑ Describe Work: �L Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W (j?20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "w ON Z'. 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 II rce and effect License Class Lic. No. ���XXX ����1lll ���../// 9 0�� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 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: ❑ 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 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carriernil policy number are: Carrier ,Q� 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.) ❑ 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 comp those provisionscomp those provisions. X Date a Signature of Applican ❑ wner ❑ Contractor ❑ Agent An OSHA permit is reqdlfor excavations over 60' deep and demolition or construction of structures over 3 stories in h ght Main Service 0A TO 48. NEW CONST. OWELLMq so ELLM.+ CCUU P. O OR ADONS. + AM. BLDS. 3.5RL NON-RESIO.' BRANCH CIRCLNTS MULTFOUnEr (07,50 POWEA APPARATvs + SINGLE OUnJ:T d0. OPV per OR FO(TUREB Bw ®L:� OR Ex. Occu LmEra1 URE8 D.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heatin Coolin Hood 8.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee I S / U Energy Inspection Fee is occ CONST. TYPE TOTAL FEE; HAZ I D. FEES IMP FLOOD I CDF J PARCEL PO I Ho I ISSUE This permit Is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date fo Receipt No.>?�v 412 f� WHITE-D.D.S.-B.D. CANARY -ASSESSOR/ PINK -INSPECTOR GOLDENROD -APPLICANT WWFS'4. i:''vvr rp ra+W; y ..x ,, f,.hAd=.k 4P',tot'f0 OW* Ov9' + •'1�� '+l' COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: SCh t `, ASSESSOR PARCEL ER: 4% (; Q Proposed Building Use: Building Inspector: Date: At time of permit application, I was advised the following data must be su mitted prior to perniA processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6: Energy Design Compliance and supporting documentation.---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------- ------------------------------------- � Material Form. ------------------------------------------------------------------------------------------ PManufactured 1Home data and installation instructions ' --------- ------- E6. Fees of $ Y�'i.2 �, OP ----------------------------------------- ----------------------------------------- Erfl. Impact fees as -shown on the attached schedule.-3'--6�-�-- ----------i aA-?���� ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. ❑ 14: Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------- O 16: Plot`plan and business license approval from the City of Biggs. ---------------------- ❑ IT' Planning approval for (A) Use: (B) Parking: -- ❑ 18' -Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 1120. -------------------- ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. --------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. ------------------ ----------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------- ❑ 2 Letter of intent on building use. -------------- Manufactured Home utility clearance. ------- 028. Existing violations and/or expired permits. - WKOZ)tlher: \433 A, ClGrant Deed, C3M.H. Title, El Check to H.C.D $ El When you issue th t,�}ro s as follows ❑ Mail to owner, ❑1 ❑Telephone ` 4 L La" and hold for pickup at 1. to tractor. office. ❑ Deliver with inspector. (Date) Applicant.0 �-- (t-� -Q-lCDate: -T Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: �U /1 X-7 ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building ivision counter, by D te: Plans reviewed by: Date: Plans approved by: Date: — Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Yellow Copy - Department of Development Services, Building Division. a 7 BUTTE COUNTY PARKS DEVELOPMENT FSS CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor' Parcel Number(s) Q�z 7 1_7 7 Property Owner _T( Lr�_ Project Location/Address1-41(pg_3— a.►��, /� - / /y�1 / Subdivision j+ Lot Numbers) i Residential Development: (check one) New Development _Alteration/Addition l./ Mobilehome(s) _Non -Residential to Residential Total Number.of Dwelling Units Comment: 87 � sentative. Date Chico Area Recreation and Park District( TApplicant Name) I q 4--- (Street Address) certifies that C)) (�q Ll (Phone Number) r_J CcAnCA has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for'' dwelling units @ $1,189 for total payment of $ ,��,F17. W CARD Re'presentativ Date PAID BY CHECK NO. - ""° REMARKS: x .i (QS 12er + /J uile (2 . BANK NO. PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. 7 park. fee ( form revised 11/90) BUTTE COUNTY PARKS DEVELOPMMM-FEE'CERTIFICATION FORK CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number (s) ,moo Property Owner( Project Location/Address rt �) Subdivision s A Lot Number(s) r f Residential Development: (check one) New Development _Alteration/Addition (,,,�/Mobilehome(s) _Non -Residential to Residential Total Number'of Dwelling Units Comment: kled161 { to n I !.11* t- Bu Flfdi-ng Deparime i t,1 epresentative . Date Chico Area Recreation and Park District (CARD) certifies that (`Applicant Name), (Phone Number) pr(s (Street Address) C4,F_F( 7`_�'�11\ (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for'' dwelling units @ $1,189 for total payment of $ ` CARD Representatives Date PAID BY CHECK NO. REMARKS ,74, p, - d � le -, (- sa b 'I -r ,-) J ' �* �7 ✓'i s J . � � r � ! mac}• BANK N0. 1>\ PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. '' 1�",,,i''.-.+wr+^N`,�..r.qyn"�"''�*'�y�c�"'�",_'"�-a:;�.y1L��!S+�"',�y;��rsFu!a,•.w�.•'k�"k.•,.�,�t'�..f. '. BUTTE COUNTY SCHOOLS IMPACT FEE'CERTIFICATION FORM (One form per Buildings , r. \School District lk It-' Building Department No. A'.P. Number — ( 00"' 1 Jurisdiction: City County R Property Owner �i (` L Property Location/Address Subdivision Residential Development Commercial/Industrial Department Representative D New Addition r (Group-w- �x � Sq. Footage (Including Exterior Rotfed Areas) Date u-ioor rians reviewea dy scnooi uistnct rersonnel) District Identification No. O' .1 Odin 4 A School District certifies that N— (Applicant)11 / (.Stret Address) I „ e� (Phone Number) (City) has complied with the requirements of Resolution No. y representing 1 square feet. School Di ate) 4 (Zip Code) by payment of $ B 2926 $ IFULL 11IITIGATION $ Dat;J f Paid by Check # ' i Remarks: Imob � I,[ � nrn�� 13R Fe a §-E n v- Notice: You may protest the imposition of the fees identified above by Aybmitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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 is 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 department), Pink (school district) feeform.xls (2/97)dmm 4 _ A i . 04 -100-177 '93-839E ' SCHILL, John ' 14693 Hamilton Nord Cana Hwy, Chico (sf/elecsery) CONTR: Chico Elec r. • M1 1 M1 - s i r . 5 . 3 N) -- 1. Y •- t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Oroville, CaliSo-i(niil 95965 - Telephone: 916/538-7541 w Y 2 { "C APPLICATION AND PERMIT �J ASSESSOR PARCEL NUMBER 047-100-177 ZONING A-40 BUILDING PERMIT OWNER Schi11 3d TELEPHONE 894-7s3o SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI ING ADDRESS ` 14693 ilton Nord Cana Hwy., Chico 95926 CONTRACTOR'S NAME Chico Electric TELEPHONE 891-1933 CONTRACTOR'S MAILING ADDRESS 36 W. Eaton Rd., Chico 95926 Fireplace CONSTRUCTION LENDER— UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $'. ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 14693 Nnmilton Nord CAria Hwy., Chico PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFIG Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1r 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Electric Service Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 1 18.50 18, 50C/>t O CONTRACTORS LICENSE LAW I declare under penalty of perjury p v p J y (Check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fullforce and effect. License No. Classification C.. 14� El 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) F1 I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A1 37.50 NEW CONST. ( DWELLING OCCUP.d\ OR ADD NS. ACC, BLDGS. 3.64sq.ft. / NEW CONSTR ULTI.OUTLET @ 5.00 NON-RESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 6 FIXED APPLNS. OR EX. OCCUp. OUTLETS (REST D,)EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 -15.00 15.00 Permit Fee : 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury '(check one): ❑ The permit is for $100.00 (valuation) or less. [&A'have placed on file with the County of Butte Building Department `i�' a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte tolenter upon t e above-mentioned property for inspection purposes. I also agree to save,) i ndefnnify and keep harmless the County of Butte against all liabilities, judgment costs, and expenses which may in any way accrue agains s i C un i c sequence of the granting of this p rmit. X Date �- Signature of Applicant — Owner ❑ Contractor [Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE$48.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD Is This permit is hereby issued under the applicable provi- sions of the utte County C9,de and/or resolutions to do Work Inde at abo e'�fovr (ch fees have been paid. I EOfi`Q# PUBLIC WORKS By 46te Iia PERMIT EXPIRES Date S` Receipt No. 13601% WHITE-D.P.W„ YELLOW-As3E33OR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DER)4R.TMwENT OF PUBLICR P RMIT I 7 County Center Drive - Oroville, Ca(ifi6rnia 95965 - Telephone: 91 /5 -7 41 APPLICATION AND PERMIT 11*1 ASSESSOR PARCEL NUMBER 047-100-177 ZONING A-40 BUILDING PERMIT OWNER Schill a TELEPHONE 894-7530 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI ING ADDRESS 14693 Hamilton Nord Cana Hwy., Chico 95926 CONTRACTOR'S NAME Chico Electric TELEPHONE 891-1933 CONTRACTOR'S MAILING ADDRESS 36 W. Eaton Rd., Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ na Hwy., Chico PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: Electric Service Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOORLESS 18.501 18.50 CONTRACTORS LICENSE LAW penalty I declare under perjury P Y of P I y (Check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professio s C de and my license is in full force and effect. License No.Classification G lit I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. / DWELLING OCCUP.&) OR ADDNS. \ ACC. BLDGS. // 3.64sQ.ft.NEW CONSTRU TI.OUTLET NON•RESID BRANCH CIRCUITS @ 5.00 (POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 EX. OCCU FIXED APPLNS. OR P• OUTLETS (REST D.) EA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 15.00 Permit Fee $ 48-90 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Vhave placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subjectHood to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling 6.50 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 construeVOb 'ereby authorize representatives of the Countyot pon above-mentioned property for inspection purposes. Butte&be 1 alssavey and keep harmless the County of Butte against all lJudgmts, and expenses which may in any way accrue againun uence of the granting ofthis p rmit. X D to Signature of Applicant — Owner❑ Contractor Agent ❑ An OSHAwork permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 48.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSA This permit is hereby issued under the sions of the Butte County Co a and/or ind' at abo fo ich fees I E 0 PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WRKS to s� Receipt No. 136017 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 4 S _ 1 7. RESIDENTI L "SSCHILL, 047-10-0-177 John 98-1545 PE (MH) 14693 Hamilton Nord Cana Hwy, Chico. (util, MH) 'V277ljc� PERMIT NO. ' �MrtO 'PERMIT EXPIRESC�S OWNER rCONTR. I }ASSESSOR PARCEL 1 , LOCATION i r r MD CHECKED SRA BY FLOOD CERTIFICATE REQ. SPE( VER -1 OFFICE COPY Address Temp. Power PaI r _ GAS , Meter B Called PG& Dat 4�, I � ELE� C 1 a Meter By 1 ,Temp. Elec. Ser ivicrcr v y - �— i t Called PG& ELECTRIC Meter By Dateq� Temp. Gas Se �IG. Called PG&E JOB FINALED (Date) Signature . Ai r �- V OK O = Not OK NotApplicable -' MOBILE HOMES Date MOBILE HOME UTILITIES(Plans) OK except #'s 1 ning Requirements - Setbacks - Easements 2. oils; Special MH Support Sketch /Sewer; Location-Test-Fall-C/ID-Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing YVater, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors Gas; Location -Test -Wrap,/ ft. / /Nat:-WW 7. Electric ell Clearance & Disconnect JI.Atlity Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILEMOME INSTALLATION(Plans) OK except #'s ning F gquirements Setbacks Easements n , SizeSpacing Marriage Line a �I IH Test-DemandVaK-Copnector �ity; MH Test-Cros rs-Breatels.eleaau4ees-- VV.—Drain; MH Test -Fall -Flex Connector te*V a -r; MH Test -Regulator -Connector ter and Sewer C ted -C/O to Grade -HD Approval as d EI Sty Tagged ie D pe -Installation Cert. 1 xi , nsp.Sketch CIPCert of Occupancy 12. Permanent Foundation Only: License Decal Date -. Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ��rL �✓t? 4 2rga2 �7Z MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except S's 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / p Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /` Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ /` Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, 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. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-MaterialSupport-Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except ft 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size B es & No. of Conductors Stapled 26. Romex I stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral p Yes Q No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 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 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 Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glaang Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -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 ft 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-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 & Recepticales 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. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -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 Instld./Drive [] Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing K. 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 Throught 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 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: feu (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 _PERMIT NO. APPLICATIONAND�PERMIT �� /5 `1,5 - ASSESSOR PARCEL NUMBER 047-10-0-177 ZONING A-40 BUILDING PERMIT OWNER TONN TELEPHONE 4-7530 SQ, Fr, OCC. BUILDING VALUATION . OWNER5 MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE 1891-6992 CONTRACTORS MAILING ADDRESS CONSTR 'TION LENDER Fireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ xxxxuh Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE y SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑X Installation ❑ - Other ❑ Describe Work: MHU TO REPLACE DEMO SF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 60.00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZOOAORLESS 23.00 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 DECLARA O I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. ❑ 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 worker ' mpensation insurance carrier and policy nuber are: Carrier Policy NumberMobile (The above sections need not be completed'd the permit is or work of a valuation of one hundred dollars ($100) or less.) ❑ 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. XC o �C Date ^ 9 ' _ Sign re of Applicant - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 60' de p and demolition or construction of structures over 3 stories in height. Main Service ZOOM TO 46.00 NEW CONST. DWELLING OCCUP. CCU OR ADDNS. 8 ACC. BUSS. SO 3.50 Fr NON-REBIDNEW MULTI -OUTLET. CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES SAL p .2 I 0 Ex. Occup. ounErs AEsID.°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE ,,--166.00 HAZ. I D. FE IMP FLOOD CDF PARC PD HD U This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. 719Y Defe Receipt No. 244473/63.00/'g _d •©TrTF © 5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER,}-� 1 I w y� ,{/ :MU /• ZOw� BUILDING PERMIT OWNER - © I - TEUiPHONE� SO, FT, OCC. BUILDING VALUATION OWN 9 MMU ADDRESS 1` 1 CO R'S NAME L ELEPfgNE CO R9 MAILING s CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ Permit Fee $ ARCHITECT OR ENGwEWS MAILING ADDRESS Plan Checkin Fee $ suILDwGADDREss l 4 ` . Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. sUBOIv191oN9NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllehome )( Other B�cw Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each aas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UdGtles K Installation ❑ Other ❑ Describe Work: i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 1 Mobile Home S G 020.00 , PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service a+'a.. LESS 23.00 A- j 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 full for and effect U License Class c. No. Q u ©� O NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 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: ❑ 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. ❑ 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' compensatiorb Insurance carrier andpolic�y, n%}�(tuber are: Carrier utP,Q,Y 1[�� Ua C� & LV Policy Number U�1 ����� (The above sections need not be completed If the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 fg,twith comp ss provisions. X Date —alindicated Signature of Applica ❑Owner ❑ C tractor ❑Agent An OSHA permit is re it for excavations over 60• deep and demolition or construction of structures over 3 sto in Neigh Main Service 200A TO TSA 48.00 NEW CONST. OwaLNG Occup. 3.5Q OR ADDNS. +• BLDs• NOWRESID.NEW MULTI OURET 97.50 P.0 PARAnss + AP a Ex. Occu • O1 T °R R� 2001.00 TLER FWTU BAt. .so APP Ex. Occu . oDLmETs o.°REL 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 8.50 Ventilation PERMIT FEU: S Mobile Home Installation Fee $ Energy Inspection Fee $ TOTALFEES EOCCj00NSjTj.TYPE PEES IMP n000 COF PARCEL PO HO ISSUE This permit is hereby Issued under of the Butte County Code and/or above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Ta Receipt No. WHITE-D.D.S.• .nCANARY-ASESSOR PI •INSPECTOR GOLDENROD -APPLICANT TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY L - Plot Plan Attached Floor Plan Attached Sent to B.10 / -�p �M&n W - -, -� Owner Location AP# Plan Approved for,:: Sewage Disposal >� Water Supply: Public Private Well �-- Clearance fore elling. Other Hold final for: Final clearance O.K NOTE: oQ for: Eg6ir6nmental Health Specialist �� c%'V 1 Date ���K"'t �'"°��t'7�f'VaF-,• �•..�'-•T'f„-'.�g"�a�{.Y'W�f�"1'gE'�j'`�`�''�d'"�'r,1,�e �'�,�.•-...W'^ ►•,Y ''g4ra�f`�u.'ir.Y�iSS;Y�^`t'f-''�'�ib+, �� ;iv-�'; COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: .rC,� l ` ASSESSOR PARC ER: O Proposed Building Use: M Building Inspecto . Date: At time of permit application, I was advised the following data must be submitted prior to permit 10roceding and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 116. Energy Design Compliance and supporting documentation. ------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. --------------------------------- -10 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- <�Wo- Fees of $ 105 ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- 'W 13 . loo elevation certificatpproval&k . ------------------------------------------------------------------------------------------ 4. Sanitation and plot plan (�3ealth Department. --------------------------------- ---------- 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ---------------- -- El 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- 111.9. ---------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- Letter of signature authorization. =:------------------------------------------------------------------------------ Recorded copy of Agricultural Acknowledgment tatement. -------------------------------------------------- 26. Letter of intent on building use. - =- = �'-S-fv 'be--ak72,d /,c - ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue thp t, rocess as follows C3 Mail to owner, ail to ntractor. ❑Telephone `� R and hold for pickup at �l office. ❑ Deliver with inspector. ate: —1 ^ 1 L 1-q gN Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ' Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ er: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: d Date: Z/ A7 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COPYof rsr ��1��� A Recorded ..; :.... ua26,;�u9i'1 9$l.;iclli�. i °det4fA36486 >C� .............. with orlgirtal-........ . . And when recorded mail to: Butte COUNTY RECORDER Building Division f , 47 County Center Drive Oroville, Ca. 95965 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT .,.� FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, •pesticides, and fertilizers;. and from the pursuit of agricultural operations including, butAnot limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte. State of California, described as follows: —Thi Vlor+ \eaS+ -70 U--) V)sl%s 9 &S Vyva 3."k- VN-, l - • P oq-1-100-L"1-7 AT. 0 2('NO.(12-90) NN01501 31 itness Acknowledgment) TATE OF CALIFORNIA COUNTY§F. L -L. On personally appeared 61v1.c 2j' O k- s ex'k \ O Yl 22 Nbrrti-'_ a,vice_ l Loe-S�-) PROPERTY OWNERS: / . x -X0kv� ✓vSCk-t t wi h¢sse� ta.1: j{�rt ScIN►1\ J TICOR TITLE INSURANCE — ) SS. re me, the undersigned, a Notary Public in and for said State, personally known to me to be the person whose name is subscribed to the within instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the suksyrlbing WitnesstlI��reto, said subscribing Witness being by me duly sworn, deposes and says: That this witness resides in i 6-n . r% f-� and that said witness was present and saw- ,1A_(, &in, . IM • . r 1 personally known to said witness to be the same person(s) described in and whose name(s) is/are subscribed to the within and annexed instrument as a party thereto, and acknowledged to said affiant that he/she/they executed the same In his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument, and that affiant subscribed his/her name to he within Instrument as a Witness. WITNESS my hand and officials I. Signature 111A - 41,�� WENDY M. AUER N Comm. A 1178319 r�n� NOTARY PUBLIC CALIFORNIA V+l Butte County My Comm. Expiras April 3,1002 `� (This area for official notarial seal) _personally scribed to the acity(ics), and rson(s) acted, j� - a9qd ton 00. isniollo YAUO,'i -31103 �i8-/sYa- RESIDENTIAL 047-10-0-177 98-1547 B SCHILL, John PEF 14693 Hamilton Nord Cana Hw y, Chicc 4 (fire sprinkler/98-1545) Fox Co spr-i-1 P61, ' OWNER CONTR. CIS _ t Sq S CM 4U) ASSESSOR PARCEL LOCATION CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole — Called PG&E— Temp. Elec. Service _ Called PG&E — Temp. Gas Service Called PG&E JOB FIN ALED (Date) Signature V=C4(+ice-' O = Not OK Not A '=Not Readyble MOBILE HOMES - Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location Test-Fall-CiO-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / fVft. /. /Nat. or/ /"L°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date_ MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH TestDemand-Valve•Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 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-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors . Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frrng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding;. Nailing-VeneerStucco-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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-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 _ OK 0 = Not No OK RESIDENTIAL (Single & Duplex) - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s FRAMING (Continued) 1. ZoningSetbacks-Easments-Flood-Slope 46. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Gmd.-/ /' Ftg. Depth 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ p Ftg. Depth 48. 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Garage Fire Protection Framing 8. Piers -Fireplace Ftg.-Steel 52. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. 12. Electric Underground 13. Pienums & Ducts; Clearance-MatedalSupport-Ins. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 14. Girders -Sills -Anchor Bolts-Joistsa/ents-Crippies 56. 15. Access & Ventilation 16. Insulation Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 60. Brace Interior / Exterior Wall Panels 17. Water Htr.; Vent -Access -Combustion Air Baffle 61. 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Infiltration Walls -Windows 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Date 22. Gas Pipe; Size & Anchors Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 63. 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors Smoke Detector 25. Size Bogies & No. of Conductors Stapled 65. 26. Romex I stalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Bedroom Exiting 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 67. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral Q Yes Q No Elec. Trim & Subpanel, Breaker Sizes & Labels 31. Service -Riser Conductors & Ground -Main Disxwnect 69. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light Fireplace or Stove. Clearance -Hearth 34. Smoke Detector 71. Elec. Outlets at Wood Panel, Int. & Ext. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support Garage Fire Door; Swing -Landing -Closure 36. Vent Fan, Exhaust above insulation 75. 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Wtr: Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 39. Attic Access & Platform if Furnace in Attic 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #s 81. 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters Q Yes Q No 42. Bearing Walls over Girders & Floor Nailing 83. 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs A.C. Unit Disconnect, Electrical -Plumbing 45. Headers & Beams -Size & Bearing 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 Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -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. Insulation -;Halls -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-Conector- In Garage; Above Floor-Ducts-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 & Recepticales 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 -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters Q Yes Q 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 Throught 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 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: k_,, 1 '••'-- COUNTY OP'BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION '�. 7 Counfy Centeir Drive • Oroville, California 95965 • Telephone (530) 538-75� 1 P RMIT NO. (Rev. 12/96) APPLICATION AND -PERMIT ey-15'7 ASSESSOR PARCEL NUMBER 047-10-0-177 ZONING BUILDING PERMIT OWNER JOHN SCHII 1, 1EE9 oN SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS CONTRACTOR'S NAMETELEPHONE f»x �DAOV 33 2 7-; e) CONTRACTORS MA 1NO AD SS 9 J 441"e-o?obi<« 9S'966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 72.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 46.80 RE BUILDf4N3s HAMILTON NORD CANA, CHICO Energy Plan Checking Fee $ $ PERMIT FEE S 138.80 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome OX Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesInstallation ❑ Other IN Describe Work: F/i(t�S'��Q/it/!(Lc•� !�{/Ajr,�IQ.ij,�/�C 10, Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service zo.A OR IESs 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.PSINGLE License Class C—/ (o Lic. No..3o.S36,S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 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: ❑ 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. ❑ 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 insurance carrier and policy number are: Carrier .07*7V-/C1u•V01, Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50FT, '. Ralo MULTI -OUTLET @7,50 a OUTLET CMR.OWER APPARATUS 20 �''� Ex. Occup.OUTLET OR FIXTURES e„L @ .50 Ex. Occup. oFIxLI�EED�AR= OR EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number gAM2 1.3 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 forthw" comply wi ose provisions. Q X Date % /'i� 9a Signature of Ap Ic - ner Contractor ❑ AgenC An OSHA permit is require for excavations over 5'0" deep and demolition or construction of structures over 3 storie in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 138. HAZ. D. FEES IMP FLOOD COP PARCEL PD HD SSUE 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. By Date V PERMIT EX SON 1 pate) bu Receipt No. aL Y WHITE-D.D.S.-B.D. CANARY -ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT ��&�''�"ic'ytq;� ►Ar'�" r7%',vt�.'^^''ts�t•r��l ,.r��"�'si:'���_' '��A.���'ii�`. �,�k+�;�3�"��,�rLC.Y^.j►''�'!'d"''�M�.. -; "a'}�t' _,r.r:,� . �`Cs-O:CINTY OF BUTTDEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY" CENTER DRIVE - OROVILLE, CALIFORNIA 95965 = TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: I ASSESSOR PARCEL ER: C) 1 Proposed Building Use: Building Inspector: Date: 4114 W At time of permit applic 'on, I w advised the following data must be submitted prior to permit rocs sing and/or issuance: Date Received By "01. All iiems have been submitted --------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 0 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- 118. ------------------------------------------------------- ❑8. Hazardous Material Form. ------------------------------------------------------------------------------------------ El9.. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ UP& Fees of $ 0'42. ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees--------- ------------------------------------------------- ;. ❑ 13. Flood elevation certificate. ------- h ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- - ° ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------- ----------------------------- 0 1.7. Planning approval for (A) Use' (B) Parking: -------------------------- ,1. ❑ 18: Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -------------- ~-:� ---- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------- k---- 020. Pre, inspection for required Request to Building Inspector on - (Date) 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number.----------------------------------------------------------- , '❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use.----------------------------------------------------------------------------------- J 027. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. -----------------------------------------------------------------'---- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ - .--------------- 030. -------------- ❑30. other: ------- Wh you issue a permit, cess as follows El Mail to owner, ❑Mail tro ntractor. ;Telephone o (' V� / and hold for pickup at ll �" office. ❑ Deliver with inspector. \' Applicanii �� T__) eC�ate: Ll ^ 1 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire.Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: " "4 Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Div' ion counter, by Date Plans reviewed by: Date: Plans approved by: Date: ` Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy -.Department of Development Services, Building Division. f% Co John Schill 14693 Hamilton Nord Cana Hwy. i '/0, TAN% OP - Chico, Ca AP# 047-100-177 i its 1000 t �� 1 vp � rr i� Q 4----- 5'o D ' '� ao 1.:22' X1951 6 r S�pT/.C- I . d Lee0Y -- - - - - aft Date lure 7L Q 00 N m a 10 N OD M M In a tLvat6.� ihlM .�/asA,LLS �/�C� / CPVG n�r(a�l�vour AtctwE'. �/�E�P�dw/ d1/ -419"P7' i #rr& r,YticrEs G ".JitL iu�jaw'I✓AaN NllL fLwrO 1 1q.., dAp"pt r Jrtt //lio►vGl.a 6rArJP VA,L V& 220 V V-"rVqdve YAt✓6 Cnwr n►[ rat l 70.aa..arrre- i a/oOj Cbµvat aN NaM� PROJICi rim/LL �OIwc I, ADDRSSS /qa 9,3 '44fW/L =W / l"D ! 9'�(/i►� /yi(/y CitY L►,yilD CA. TIM PIPING PLAN and DETAILS FOX COMPANY 3996 Olive Highway Oroviiler California 95966 (916) 533-2730 . I.IC, NO, 3013611i ,c«C . ,X: Am • �sw.rr,✓� -L PA! cW J✓/'AL !laws/ w.✓P 1�y1 aur�ot A.t�+wM. soe &.4A, 1_.!btl.wa :r . ,c T LAIC VAL16 JDA A r w! N- 7yc / N.�q.elenl`srx SYfTIM OCCUPANCY DRAWN OATS 98 10• NO. F.5 /-8 OF 1. FIRE SPRINKLER INSTALLATION AND SUPPLY SYSTEM SHALL COMPLY WITH NFPA-13D. 2. TANK FLOAT SWITCH MUST BESET TO MAINTAIN GALLONS MINIMUM USEABLE WATER STORAGE IN TANK. 3. PROVIDE AN ALARM TO SOUND WHEN USEABLE WATER STORAGE IN TANK FALLS BELOW 34// GALLONS. 4. THE FIRE SPRINKLER SUPPLY PUMP PRESSURE SWITCH SHALL BESET TO ACTIVATE THE PUMP AT 5. PROVIDE ADEQUATE PROTECTION AGAINST FREEZING FOR SYSTEM COMPONENTS OUTSIDE OR IN UNCONDITIONED SPACE. . -6. THE FIRE SPRINKLER SYSTEM SHALL BE TESTED FOR LEAKEAGE AT NORMAL OPERATING PRESSURE. 7. THE C-16 CONTRACTOR IS REQUIRED TO PERFORM AN OPERATIONAL TEST OF THE SYSTEM AND CERTIFY IN WRITING TO BUTTE COUNTY BUILDING DIVISION THAT THE SUPPLY SYSTEM OPERATED PROPERLY. 8. SEE PLANS AND SPECIFICATIONS FOR OTHER REQUIREMENTS. i FOX Company 3995 olive Highway, Oroville CA 95966 916-533.27301916-533-1825 FAQ Lic. #305365 C-109 C=162 C-2% C-36, C-43 Water Source Pump and Holding Tank ` 1. Booster Pump 2. Pressure Switch I Pump Control / Low Water Control 4. Holding Tank nL"M ���TTF CO . �aZ v -0" 3eH33U o. _ Close -Coupled �lf=Priming APPLICATIONS Specifically designed for the ;- fallowing uses: , -.Lawn Sprinkling --�.,R:•. • Irrigation • Air Conditioning Systems • Heat Pumps �'- • WaterTransfer SPECIFICATIONS Fre a"c1s: to 116 27 feet • Reprime capabilities: to 25r suction lift • Pipe connections: MODEL SUCTION DISCHARGE XSH07 �,�• XSHIO XSH15 1 W XSH2O 2' XSH30 *'Temperature: 160° F. (710 C) maximum. • Rotation: right band is; clockwise when viewed from - motor end. Motor. • NEMA Standard, Open Drip Proof • 60Hz, 3500 RPM • Stainless Steel Shaft Single Phase: 3/.-2 HP, 115/230 V; 3 HP, 230 V only. Built-in overload with Automatic Reset. • Capacitor Type • Three Phase: 2 and 3 HP, 230/460 V. Overload protection must be provided in starter unit. Starter and Heaters (3) must be ordered separately. FEATURES Self -Priming Design: Water is retained in the casing while the pump dispels air. Once primed, this pump stays primed. Impeller: 20% glass filled thermo- plastic (Noryt') on'/. -2 HP Models. Bronze impeller on 3 HP Models. Enclosed design for high efficiencies. Threaded directly on motor shaft. Casings: Cast iron construction. 4 bolt, back pull out design. Tapped openings provided for vacuum gauge and casing drain. Pumps LUC XSH Mechanical Seal: Carbon/ ceramic faces. BUNA elastomers, 300 Series stainless steel metal parts. Exclusive casing design prevents the seal from running dry. Motor: Designed for continuous operation. All ratings are within the working limits of the motor. Corrosion -resistant Coating: Electro -coat paint process applier inside and out, and baked on. SELF -PRIMING Water rec,rcutates out curing re -prim" Arrows snow flu.. operation arty water After all au 'Air is e[nausteo from 11 ueen elinaustee I. suction tine Inru suction line ciscnargt: woe 0 1991 Go Pumps. Uc. Effective A: - (� GOULDS PUMPS. INC. SE+ECA FALLS NEW Y0Qr :314Z _ MODEL XSH10 METERS FEET SIZE 1112 X 11/2 12 35- .11 30 10 9 25 8 D Q w 7 20- 61 O H 15 51 41 10 31 5 0 4 13 12 16 20 24 28 32 36 40 44 48 52 56 60 GPM L I I , ' 0 2 4 6 8 10 12 m3/h 01985 Goulds Pumps. Inc. ICAPACITY Effective January 15. 1985 JUNE, 1980 Supersedes pa$e P3 PUMPTROL® PRESSURE SWITCHES Dated 3/76 TYPE FSG '• MORE ABOUT THE PUMPTROL PRESSURE SWITCH WITH FORM M4 LOM/ PRESSURE CUT-OFF. The Class 9013 type FSG Form M4 switch includes all the features of the standard type FSG Pumptrol pressure switch. In addition, the Form M4 low pressure cut-off feature aids in preserving the life of the pump. When pressure in the system drops to approximately 10 P.S.I. below the set cut -in point for any reason. such as a low water condition, the switch will open to turn off the PUMP.* When the condition has been relieved. the manual lever is United to the start position and, if pressure is restored while holding there, the switch resumes normal operation. The Form M4 manual lever also has an off position for com- plete pump shutdown. IMPORTANT: The cut -in point must not be set lower than 19 P.S.L. consequently. the cut-out point on rising pressure must not be lower than 30 P.S.I. Electrical Ratings — See preceding page. NOTE: Form M4 is not available on FYG types -_ /-G C _ 1 *Example: Switch set 20-40, low water cut-out = 10 a rox. T"O' FSG. Form Gs m4 tshoww + Ceffew fm of ppm �, am PP Low Pressure Gut o" MWitC&WM) Switch set 30-50, lows water cut-out = 26 approx Switch set 40-60. low water cut-uut = z(i appt,)a FOR PRICES AND ORDERING INFORMATION SEE PRECEDING PAGES SWING RADIUS IS 225 N. Type F8:.2.Fopm W UNDERWRITERS LABORATORIES LISTED D.ouaaencorrontn 2.78 71 i 2.05 _ _ 1.39 a' 52 35— DY81twr41nfu r.. Wf:N`r.• Mechanicallyaotivated switch designed to directly control pumps and activate pump control panels, alarms, solenoids, and relays. ua. tr,m. N.. sasrsot a s.I"Ia c...re Applications SJE PumpMaster* pump/control switch provides automatic control of pumps in water and sewage applications: Because this switch is not sensitive to rotation or turbulence, it can be tisetl in both calm and turbulent applicntinns. The WE PumpMastet° can also be used as a pilot duty control switch to reliably monitor liquid levels in sewage and water applications. Contact WE regarding specific intrinsically safe applications. Cables flexible 16 gauge, 2 conductor SJOW A (UL), SJOW (CSA), water-resistant, neoprene (CPE) Floats 3.05 inch diameter x 3.56 inch long (7.75 cm x 9.07 cm), impact resistant, non -corrosive, PVC plastic for use in liquids up to 140°F (6(rC). Pump switch ilectricalt Voltage MHz, Maximum pomp La&ed Rota Recommended Singls P6ue Running Current Amps Pomp HP 120 VAC 13 amps 93 amps 1*7 • , or lest 230 VAC 13 mnfw 83 amps 1 UP or less OTWU4 ra VL So In&MVial e0000l sgvipenwt Control ssvlriteh llectridait Mnslmum rairmnu 13 Amp, Lower Limit: 12 VAC / 30 milliamps Notes This switch must be used with pumps that provide integral thermal overload protection. 0,S.JE 273/ Features • Heavy-duty contacts • UL Listed for use in water and sewage • CSA Certified • Two-year limited warranty Pump switch: • Controls pumps up to 1/2 HP at 120 V and 1 HP at 230 V • Adjustable pumping range of 7 to 36 inches Central Awltahs a Provide.4 pilot duty action with on-off differential as low as 3.5 inches above or below horizontal Options This switch is available: • in standard cable lengths of 10, 15, 20, or 30 feet Pump switchs • for pump down or pump up applications • with a 120 V or 230 V piggy -back plug • without a plug for direct wiring in 120 V or 230 V applications • with standard mounting strap Control swittht (order without plug option) • for normally open or normally closed applications • with two mounting options (mounting strap or cable weight) Pump Down / Normally Open / OFF position contacts open IV \SIT•. • ..1... !. t. steb'•c I. •�:: . •,n� �,:.�t�u. ,,,�,;,�,;. k. Pump Vp / Normally open / ON position contacts closed on/off v67 5 H �i ` RESIDENTIAL F"IRE SPRINKLER SYSTEM DESIGN BY FOX COMPANY C:-16 LIC. # 305365 PER REQUIREMENTS OF NFPA -- - --- -------------------------------------------- 13D, 1996 EDITION EXECUTIVE HOMES SC:HILL HOME 3042 ESPLANADE 14693 HAM.-NORD-LANA HWY. CHICO CA. 95973 C:HICO PLAN 1 -NODE, 7/14/98 WATER, SOURCE IS WELL &< HOLDING TANK WATER PRESSURE IN HOLDING TANK 45 DEDUCT PRESSURE LOSS FROM SOURCE TO SPRINKLER. CONTROL VALVE MAIN SECTION EQUIV.FT. 1" PIPE = 30 FT. 1 GATE VALVE = 1 FT. 2 CHECK VALVE = 8 FT. 2 ELBOWS = 14 FT. 0 COUPLINGS = 0 FT. 1 TEES (RUN) = 1 FT. 0 TEES (BRANCH) = 0 FT. TOTALS = 54 FT. X .034 - 1.84 43.16 DEDUCT HEAD LOSS FOR ELEVATION ( 12 FT. X 0.434 ) - 5.21 37.96 DEDUCT PRESSURE LOSS FOR• 'IPING FROM CONTROL VALVE TO FARTHEST SPRINKLER PIPE SECTION ONE EQUIV.FT. ' -- ----------- --------- 1" PIPE = 65 FT. 5 ELBOWS = 35 FT. 0 COUPLINGS = 0 FT. 4 TEES (RUN) = 4 FT. 3 TEES (BRANCH) = 15 FT. TOTALS = 119 FT. X. .034 - 4.05 33.91 BRAND OF HEADS = OMEGA #R -1M G.P.M. - P.S.I. CONVERSION FORMULA: K FACTOR OF HEADS USED = 3.9 (G.P.M./ K FACTOR)2 = P.S.I. EQUIVALENT FEET CALCULATED @ 1 HEAD 1 HEAD = 14 G.F.M. FLOW ( 14 G.F.M. EA.) FRICTION LOSS 'C' FACTOR = 150 MINIMUM PRESSURE REDID. FOR SPRINKLER HEAD(S) = 12.89 P.S.I. DOMESTIC LOAD OF 5 G.P.M. 1 IN. PIPE = 30 FT. @ 19 G.P.M. 1 5 + 14 ] = 1.791 P.S.I. TOTAL PRESSURE REDID. = 14.68 P.S.I. PRESSURE AVAILABLE IN SYSTEM = 33.91 P.S.I. RESIDENTIAL FIRE SPRINKLER SYSTEM DESIGN BY FOX COMPANY C:-16 LIC. # 305365 PER REQUIREMENTS OF NFPA 13D, 1996 EDITION EXECUTIVE HOMES SC:H I LL HOME 3042 ESPLANADE 14693 HAM.-NORD-LANA HWY. CH I CO CA. 95973 C:H I C:0 FLAN 2 -NODE 7/14/98 WATER SOURCE IS WELL & HOLDING TANK WATER PRESSURE IN HOLDING TANK DEDUCT PRESSURE LOSS FROM SOURCE TO SPRINKLER CONTROL VALVE MAIN SECTION EQUIV.FT. 1'' F'IF'E = 30 FT'. 1 GATE VALVE_ = 1 FT. 2 CHECK VALVE = 8 FT. 2 ELBOWS = 14 FT. 0 COUPLINGS = 0 FT. 1 TEES (RUN) = 1 FT. 0 TEES (BRANCH) = 0 FT. TOTALS = 54 FT. X .092 - 4.97 DEDUCT HEAD LOSS FOR ELEVATION ( 12 FT. X 0.434 ) DEDUCT PRESSURE LUSS FON', PIPING FROM CONTROL VALVE TO FARTHEST SPRINKLER PIPE SECTION ONE EQUIV.FT. 1" PIPE = 65 FT. 5 ELBOWS - 35 FT. 0 COUPLINGS = 0 FT. 4 TEES (RUN) - 4 FT. 3 TEES (BRANCH) = 15. FT. TOTALS = 119 FT. X .092 - 5.21 -10.95 45 40.03 34.82 23.88 BRAND OF HEADS = OMEGA #R -1M G.P.M. - P.S.I. CONVERSION FORMULA: K, FACTOR OF HEADS USED = 3.9 (G. P. M. F:: FACTOR)2 = P.S.I. EQUIVALENT FEEL- CALCULATED @ 2 HEAD 2 HEAD- 24 G.P.M. FLOW ( 12 G. F•. M. EA.) FRICTION LOSS 'Cl FACTOR = 150 MINIMUM PRESSURE REQ'D. FOR SPRINKLER HEAD(S) _ 9.47 F.S.T. DOMESTIC LOAD OF 5 G.P.M. 1 IN. PIPE = 30 FT. C 29 G.P.M. 1 5 + 24 3 = 3.918 P.S.I. TOTAL PRESSURE REQ'D. = 13.39 P.S.I. PRESSURE AVAILABLE IN SYSTEM = 23.88 -F•.S.I. i u TSH E 'L1MUT. ED EDAYT6`N J 1 y leoraon in Me OPE OPT. OPT. WDW. WDW wow. MIRROR d.: FlR I1 LQUNIER. �. I 1 � BEDROOM . 0M "MASTER g 2°x9 -to" BATH BEDROOM LIVING ROOM .15'-O" X 12'-10' OPT. 13gTFIFtOtyM GOQRS z DOOR < OPTIONAL i 26 5' WALK -IN - CLOSET SHELF W/POST FOYER _ DINING AREA 147_6"X9'-10" L O. BEDROOM 11'-6"X9'-10" Your local Fleetwood Homes Retailer is: EXECLMVE HOMES' 3042 Esplanade Chico, CA 95973 -' If your local retailer is not indicated, 'PIr ,. _ / call Fleetwood Homes toll free at C' �(� 1-800-688-1745 FLEETWOOD® Fleetwood Enterprises, Inc., a Fortune 500 Company (HYSEEFIE) (HP:WR:BR 10/97 DDB :: ;;,. .;.. •±;;ia4T ;i^= =�F; ••-•�,.-, T..r�►.�v:^+.-'7i: ^'7T'1 w�T^:S 1arr :i^':�!+':: .—,.. -«-.. , ,:.�y`�,�'. ."'%�'«irs^d"•.�.1"`.+ lk 047.-100-177 #98-195.2 ' SCHILL, JOHN' 14693\HAMILTON NORD CANA HWY CHICO EXECUTI�E HOMES DEMO S/ l t ! I 1 [� 14 COUNTY OF BUTTE.- DEPARTMENT -,OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville; California 95965 • Telephone (530) 538-754 MIT NO. (Rev. 12/96) APPLICATION AND PERMIT �1� ASSESSORPARCEL NUMBER047 100-177 7 ZONING BUILDING PERMIT OWNER SCHIL+L��, TELEPHONE 894-7530 SO. FT. OCC. BUILDING VALUATION � y� y�J�pO�HyyN AVE.���r(�� .OW �JNVOPiRESACRANEM VBCHICO E15M. 00 .CONTRACTOR'S NAME FIB=IY8 H01`fF,S TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $nin ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee G (� $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14693 WILTON NORD CAVA Ififf . Energy Plan Checking Fee $ $ CM00 PERMIT FEE $ K LOT NO. SUBDIVISIONS NAME PARCEL MAP. PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 70 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other Q Describe Work -.PEM SIR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LESS Main Service zo.A OR LESS 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, .in ull force and effect. - and my license i f License Class Lic. No. _ L J 05. Z , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 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: ❑ 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. 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 workec!:.5ompensation insurance carrier and policy number are` Carrier 1 'r^- { `,� r.. Policy Number t ) - I aL.t "> Al (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. f� ` C. c C --Date r� ! �,' 1 � CI Sr Signature of Applicant - ❑ Owner ❑ Contractor diAgent� An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. of Main. Service TO lOooA 46.00So NEW CONST. DWELLMIG OCCUP. SO W:o OR ADDNS. a ACC. sin S. 3.5¢FT; NNON-REOSD ' MU LTI-OUTLET 97,50 PowER APPARA US a sINGLE ounFr CIR. 20 Ex. Occup. OUTLET OR FIXTURES BAL@'.50 Ex. Occup. O DS REES,6.LINSOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Co olin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have �yO ,,�.- By ^.Y/ Al_ f C_. a� x, i) - PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ' Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SiRV,ICyES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541,-%-, ,5T No. (Rev.12/96) APPLICATION AND PERMIT `�� v`(J ASSESSOR PARCEL NUMBER 047-100-177 ZONING BUILDING PERMIT OWNER SCHILL, JOHN TELEPHONE 894-7530 SO, FT. OCC. BUILDING VALUATION GWN326t2uWPREgACRAMENTO AVE. CHICO EST VAL 1500.00 CONTRACTOR'S NAME EXECUTIVE HOMES TELEPHONE 891-6992 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14693 HAMILTON NORD CANA HWY. Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT (ling F6e 20.00 USEOFSTRUCTURE SF 10 Duplex ❑ Mobilehome ❑ Other sKCIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work:T),Pmn r,,/,p Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 1 ELECTRICAL PERMIT Filing Fee 20.00 OR Main Service 200A800V OR LESS 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 i 'q full,force and effect-,�c� License Class Lic. No. L\ 'OWNER-BUILDMIDECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. Ihave 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 worke I ompensation insurance carrier d poli number are• Carrier `, � �1-- i [�1r— I� A MA 0 Policy Number i c�krl_) L.i'zk - 9!!!N (The above sections need not be completed if the permk is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. X 'LL)icA.—Dto "A C1 �C Signature of Applicant - ❑ Owner ❑ Contractor I4gent 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. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.50FT; T. NOµRESID. MULTI -OUTLET 97,50 POWER APPARATUS a SINGLE DunET cIR. zop ,.00 Ex. Occup. OUTLET OR F URES BAL @ .w Ex. Occup. OFIX. APP� D °R. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 FEES IMP I FLOOD I COF PARCEL PO HD ISSUE 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. /^�D�/�L�yii�, o By �(/ Date PERMIT EXPIRES ON Date ReceiptNo. �b� WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER //jj//�� �7 r ZONING BUILDING PERMIT OWNER SGh i 1 rD r^ n .J�— J�- I�� r94N -/��.� SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING pEgg (o fir" 'Ol^^ W • �/ItCQ CONTRACTOR'S NAME , / \ I Z_ `�--� I N�� pR CONTRACTORS MAILING ADDRESS y/_�) 15EX) -0 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ 35 ,Oo ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 /� _ [� &mc n _ N r CO ` e Plan Checking Fee $ N�— $ PERMIT FEE = rj S.tOC7 LOT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other sPEc�v Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ LMOb s ❑ IInnsEallation ❑ Other ❑ p Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 mobile Home S G W Q20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service s'oa1 oa LE..' 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 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 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: ❑ 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. ❑ 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 insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed it the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS• ( & ACC. BLDs. 3.50Fr. NOWRESID ONST' MULTI -OUTLET . H CIRCUITS 07,50 POWER APPARATts 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FUTTUREs 2*0 -00 114L O 1.530 LNSI Ex. Occup. GLmDrs�EaID°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ SS; D FEES IMP I FLOOD I COF PARCEL Po HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to ReceiptNo. 2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT