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047-320-023
47-32,-23 F4213 JEANETTE HOLT 47-32-23 Gene Johnson fer Rd$ ChicoTI- 30�,SlS Keefer Rd.,app.i mi.E.of Hwy 99, -86A(Agricult�lBld EXem lot 2, Watson Sub, Chico use horse t hay. storage) P Permit It6025-77B,P,E,M(new sing a $f family) 047-320-023 - 94-0.53E4r; BAY, DAN 4213 KEEFER RD. , CHICOY' 9 y UPGRADE ELE SER/SF 047-320-023 PERMIT07-1007 ' BAY, Dan i 4213 Keefer Rd., Chico Cont: Holiday Pools New Pri Swimming PoolF� I047-320-023 99-1784 j I' BAY, Dan 4213 Keefer Road, Chico' Contr: Butte Roofing ` Re Roof I' E i I I i.. i - Co" --Z- - PERMIT NO. 0025-?7B,P,E,M s' PERMIT EXPIRES OWNER Gene Johnson `CONTR, pwner LOCATION (A.P. 47-32-23 SIS Keefer Rd.,app.k mi.E.of Hwy 99,1ot 2, T Watson Sub, Chico a Temp. Power Pole Called PG&E Temp. lec. Serv. ,Z 7� J ,ailed PG&E T mp. Gas Serv. Called PG&E JOB FINA LED 0 -- (Date) (Signature) Setback Forms Main Foy Ste h Sla 9 � OUNTY OF BUTTE — DEPART4ENT OF. PUBLIC WORKS • BUILDING INSPECTION RECORD '`' • ` 1* Water Piping Sewer Gas Piping MOBILEHOME INSTALy�ATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage . Gas Piping DATE REMARKS OR CORRECTIONS ' i 77 Vzzo e s ' Foa%N� S f��/ �'.I/� /®2 c��-i�,v% �,2 " /� /cam, �.vy r�i y�f•�c��, fzo T-vf� 00 /--30-7 u /0 • r ♦ v �i eTWn e r mu e his e c he �a/ ezls-o IsIr A/4/ 4;Gad 0 & 7 r,,v)S4 XV c"WC � I v Ss-le Ole �U� �� % 7a� C� Abx0a0ft jaw; k PRSET H, COMPANY his& LICENSED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date ��' /,/7 19 r'\ r — THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: 61 Street Lot Number / Tract No. EXTERIORWALLS f/ Manufacturer n� Thickness/Type �R Valuef CEILINGS Batts.: Manufacturer r� Thickness R Value �J Blown: Manufacturer (l f! Thickness �� 4-- No. Bags A Wt./Bag Sq. Ft. Covered --- � � % � R Value 1 Y FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer T c es ype R Value 2 GENE CONTR C R �� LICENSE NUMBER_7��y7� BY TIjTLE �./G�f DATE )-Z /� J INSU'L-ATION C TRACTOR !� % S O .i ! L 1 J) LICENSE NUMBER-. 1 \ fi-y, / , DATE BY•.� �t /!I`.� �} /t "(TITLE r i�') iL-�.,iei SAVE ENERGY INSULATE! (DATE) / ACCEPTED HERSETH COMPANY (Authorized Representativel TO: FRUM RE Building.Department Environmental Health Sewage and/or Water Clearance r� �lQ,���?m MINER LOCATION Hasbeen approved for: F / GE DISPOSAL: n fir AP NJF3LR Sanitarian Da to - L. COUNTY OFrBUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drivg - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT uuu _,ze cepresentau ves ul tHE I.,UUIILy UI CSURe W enter upon the above-mentioned proplerty for inspection purposes. X 4ge Date -7 -7 % ignatu/re of Perm't or Agent Receipt No./ 70 2-`7`2 CZ-- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 7F PUBLIC WORKS Beilding permit expires Date BUILDING Owner�/ SQ. FT. OCC. BUILDING VALUATION ® 400 Mailing Address 1 elephone No. Fireplace A O / Contractor Total Valuation 7O i' Mailing Address Permit Fee i CIO Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ '00 / % Z Building Address ss��� I�E % PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 fO!i lllot/w f47 Each Trap 1,50 5`00 Repair drainage or vent piping 1.50 fvi Zonthcj Verificafion Only Water piping 1.50 s"0 Each gas water heater or vent 1.50 A. P. JNo. ZI 7_.7Z_— -Z- Za Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es S ion Fire Dept. FireZo Use Permit Building sewer 5.00 EQA Parking Declaration Parcel M p 60' R/W Improvements Lawn sprinkler system 2.00 Bld . Plans Recd I Par pproval Plon pproval Permit Fee $ , NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEEPERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 60_ Main service 1100 AMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDG &) 2¢sgft J40,00 NEWCONSTR MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: //%� � e H� I'd h 5&4'1 C70h 5r eU Ex. Occup(OUTLETS OR FIXTURES)@ 0109 OR Ex. QCCU FIXED APPLNS.D.) EA) 2.00 Occup. (RESI Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification �� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S j "a 00 $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of �( Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Zoo Heating®i/ra Cooling p %, O7,S 6 Ventilation -061 6,00 ��j� Hood 2.00 . 00 Permit Fee $ 2Jv $ I,? ,:5z 1 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 L CW- E TOT FEE PERMIT AL $ (, uuu _,ze cepresentau ves ul tHE I.,UUIILy UI CSURe W enter upon the above-mentioned proplerty for inspection purposes. X 4ge Date -7 -7 % ignatu/re of Perm't or Agent Receipt No./ 70 2-`7`2 CZ-- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 7F PUBLIC WORKS Beilding permit expires Date 'RESIDENTIAL PLAN CHECKING GUIDE /J (S.F., DUVLgX, & MISC. ONLY) :�' G� Bldg. OWNER _- A . P . A. GENERAI Zoning requirements (sideyards.and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setback$, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN Permit # Complete to scal'e plan with dimensions. 2. Required windows for light and ventilation (Sec. 1405). �/ / Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per State law).c Human impact glass (Sec. 5406). /x.c" iRequired room sizes, ceiling heights (Sec. 1407). !- G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit -door (Sec. 3303d). Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Filoo1 construction details complete enough to construct building. 7Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. . Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). �? Brick or stone veneer (Chapter 30). Exterior plaster -.weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. / Living area over garage - complete 1 -hour separation walls and posts, etc. ., �'. Two (2) exits on -three-story dwellings (Sec. 3302).' building. (State law). required including supporting COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT �NO. YS, Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING ®! - — O — D;t— 0 S,. � PHONE NO. OWM146s'/IAC - 4 7` �,144LX_47T V -S_ J'06 OWNE 'S ADDRESS 4 U /7t C/7 CZ A% Z 3 LOC�A�,T`�J"ON OF BUILDING `C a F /A2o0ri USE OF BUILDING Aix vs S-W� SIZE OF STRUCTURE1453- X w - SQ. FT. TYPE OF CONSTRU TION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING JAJ a),q (/U_X'610 ROOF COVERING FLOOR TYPE % li;.T i ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: , .01 -/FRONT- 1 S -!5b. SIDES REAR - AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date �o o?� �� Signature of Owner b l� Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. Director of Public Works By Date 10-1-3 -,P L White - DPW, Yellow - Assessor, Pink - 8.1., Goldenrod - Applicant !"Ply 047-320-02'3 47-32 0-02 3 '99-1784 r Road, Chico Roofing [I 0 BAY, Dan' 199-1784 4 Ke f 213 Kee e efer Rp'ad, Cl)ico Contr: Butte R' R 00 00fing Re Roof C, ,f, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 P IT NO. (Rev. 12/96) APPLICATIONAND PERMIT gjl"' ' ASSESSOR PARCEL NUMBER O " ' '/�O —. D n 2 ��' Vey( r�/J ZONING p' F%. BUILDING PERMIT OWNS �t HOfN�E SO. FT. OCC. BUILDING VALUATION OWNERS MAIL! ADDR Sff i C, LlG CO CTOR'S NAME / © . TELEPHONE a CO, _I FACTORS ADDRESS4�4 n� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS \ J Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING DRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ Gym PERMIT FEE $ LOT NO. SUBDIVISION'S NAME / PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF'%,Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat Pum water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK * New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 19P" ;,7C 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 _n ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATIONNEW 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 rce and effect. L� • � -7 /n / j� 1 License Class Lic. No. /( ko 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. N ❑ 1 am exempt under Sec. Business and Rroessions Code for this reason Main Service( 200A TO 1000A 46.00 CONST. DWELLING OCCUP. OR ADDNS. ( d ACC. BUDS. sD 3.50FT. NEW NON-RONST ANOI U C� 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zo @ 1.00 SAL@ .s0 FIXEDS (REST. OR Ex. Occu ouTLETs RESID. E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. Ob 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' czlmpensation/� surance carrier nd policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number N • Ztl (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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f , with Corn 'ly with those provisions. -- 1 / X _ _ Date!m Signature of Applicant - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70V HAZ. D. FEES IMP FLOOD CDF PARCEL PD 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. ' ) �/ Q BW✓L4pate /J/ ! y / PERMIT EXPIRES ON Date Receipt No. 4 147ok;T7 21747,00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR P - NSPECTOR G&DENROD-APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ;PYIT NO (Rev.12/96) APPLICATION AND PERMIT qT'9-,— ASSESSOR PARCEL NUMBER ® p� ZONING PI BUILDING PERMIT OWNE / T L )NE •� �r SQ. FT. OCC. BUILDING VALUATION OWNER's MAIUN ADDRES t CO CTOR'S ME I TELEPHONE ' C RACTOR'S (LING ADDRESS t 1 � CONSTRUCTION It "DEA , / Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20..00 Permit Fee $ � ARCHITECT OR ENGINEERS MAILING DRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ t PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ 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 ❑model ❑ Utilities ❑ Installation ❑ Other la/7Building Describe Work: f 2PERMIT Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home S G W 920.00 FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa mss 23.00 L 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 ull force and effect.POWER �4% /1�► License Class Lic. No. i 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service ( zooA To ,000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLD.. SO 3.5¢FT_ NEW MULCTI.00UTCET NON -R SID. �a 7.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup, OUTLET OR FIXTURES zo p ,. BAL oo. Q .50 PPLNSI Ex. Occup. ouiELers RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 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' cgrnpensation jos ce carrier icy number are: Carrier A.�.�i C' ` MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling - Hood 6.50 Ventilation PERMIT FEE $ 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 f ith comqlywith those provisions. X_ Date _o?�oA�, Sig ature of Applicant - ❑ Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or constructionA�L of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD 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. �% By &4*te PERMIT EXPIRES ON U� Date Receipt No. WHITE-D.D.S.-B. D. CANARY-ASSESSO S ECT R G LD NROD•APPLICANT 1 �l..t ��1�}.:.W`r1i•. .e.: Y„��•.;, '`\u,_../; � M a/:`:l ro"�a �tY: Scyk+,` ,�vsit'�•,�^, �..t,'..,' 047-320-023 94-0153E BAY, DAN 4213 KEEFER RD.., CHICO UPGRADE ELE SER/SF OFFICE COPY Address k ; l e 9 GAS 'Meter By` a e ELECTRIC ,,Meter By Date V,1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. ., APPLICATION AND PERMIT ` tots gP21ftCELNI�M�ER Z SRR BUILDING PERMIT MAT BAY TELEPHONE SQ. FT. OCC. BUILDING VALUATION 03 3S WMEVEI D, CMCO 95928 CONTRACTOR'S NAME UMOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4213 KEEPER RD, C !CIO PERMIT FEE $ - _ - PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE V SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ElAddition ❑ Remodel ❑ Utilities 9 Installation ElOther 1:1Contractor Describe Work: UPGRADE SERVICE TO 200 AMP PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( III OR LESS) 23.00 • 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCC P. 'so. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI- OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason POW EF. APPARATUS ) & SINGLE OUTLET CIN. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.50 Ex. Occu FIXED APPLNS. OR p' (OTLETS (RESID.) EA. 5.00 U ) Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PREINSPE TIOK 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Cl This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. )8CI shall not employ any person in any manner so as to become subject to the Worker's Co ¢ensation laws of California. Notice tulApplicant: If after making this statement, should you become subject to the Worker's 6mpensation provisions of the Labor Code, you must forthwith comply with such provis ns or this permit will be revoked. PERMIT FEE $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 corriply to all Butte County Ordinances and California State Laws relating to building construction, d hereby authorize representatives of the County of Butte to enter upon the bo entioned property for inspection purposes. 1 also agree to sa a Indemnify and keep harmless the County of Butte against all liabilities, judgme s costs, and'expenses which may in any way accrue against said County in conse nce of the granting of this permit. ,/'� X - .+'� Date Signature of Applicant - ❑ Owner El Contractor 1:1 Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. $ Mobile Home Installation Fee 71 $ Energy Inspection Fee ocC CONST. TYPE TOTAL FEE $ 66.00 HAZ- D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby P y 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 !C l f ✓�'WV'�' � Date 117 e�h7 PERMIT EXPIRES ON � 12 Y/ If /Date! Receipt No. 153692' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r� J' • / V/ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, CaUfornia 95965 - Telephone (916) 538-7541 PERMIT NO. -- - APPLICATION AND PERMIT ��' E53, ASSESSOR PARCEL NUMBER 047-320-023 ZONING SR1 BUILDING PERMIT OWNER DAN BAY TELEPHONE - 899-0294 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4213 KEEFER RD, CHICO 95928 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4213 KEEFER RD, CHCIO PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE y SF 6 Duplex ❑ Mobilehome ElOther SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W ` 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 13 Installation CJOther IJ Describe Work: UPGRADE SERVICE TO 200 AMP PERMIT FEE $ Cont ractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( eOOV OR LESS ) 2GOA OR LESS 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do V�I,the work, and the structure is not intended or offered for sale. (Sec 7044) , as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON.RESID. ( BRANCH CIRCUITS ) 7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIN. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 0 Ex. Occu FIXED APPLNS. OR p' (OUTLETS (RESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PREINSPECTION 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ,/-I Certificate of Consent to Self -insure. 4561 shall not employ any person in any manner so as to become subject to the Worker's (, Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California State Laws relating to building construction, d hereby authorize representatives of the County of Butte to enter upon the abov entioned property for inspection purposes. 1 also agree to sae Indemnify and keep harmless the County of Butte against all liabilities, judgme costs, and expenses which may in any way accrue against said County in conse nce of the granting of this permit. Date / �/ �A " 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. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD 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. '/ q By Date. It2 PERMITEXPIRESON 2 t ate) Receipt No. 153692/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ""�"""y�,{`"'T'+►r.,17-�`"""'Y'.'...'".y,.'"."",y,".,,,�.',''Y^�F�';�{` -.�r',T„�,s'^i-•.r.r+�v"x-.�tirt,�.�r�.�....--..-e....rT...u-----.;,...-..-..-'^v-w..�., rA -COUNTYOFBUTTE - DEPARTMENTOFDE,LPMENTSERVICES - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICAT..�ON DATA SHEET OWNER J1 AA 1\3 A- A. P. No. 7-3Z - oz Proposed Building Use G Building Inspector Z2� Date I IMI of V At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . .....................:................. . 2. Plot plans# 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. ' 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings. ... , ................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .................. 1 ...................... 11. Impact fees as shown on attached schedule. ....... P . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (con stry�tion approval required prior to occupancy). .. .. .. . r� Prean,edion nsqua 20. Pre -inspection for C P [� _ required. . to Building Insp.r_ (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . ........................ . 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road..... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. When ou issue thrmit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at C AA i c o office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. y 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works <x RESIDENTIAL b , 047-320-023 PERMIT#97-1007 4 PERN 'BAY, Dan---- 4213 an- 4213 Keefer Rd., Chico PERK Cont-:. Holiday Pools--_ New Pri Swimming Pool OWNL., - CONTR. t ASSESSOR PARCEL LOCATION i Temp. Power Pole I Called PG&E_ Temp. Elec. Service Called PG&E i Temp. Gas Service i Called PG&E JOB FINALED (Date)t, 0 a {I Signature 1 V=OK _ 0 = Not OK NotReadyble 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 -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp4Concrete 6. Gas; Location -Test -Wrap; / /1-1L / /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 Test DemarKWahe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. 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, CAR!bR GARAGES (Plans) OK except #'s I. Zoning Requirements -Setbacks -Easements 2. Footings; SoR"ize-Deptti-Spacing-Connectorr,Sted 3. Decks; Orders -and/or Joists-Decking-BrackvStairs-Rails 4. Wood Awn.; Posts-Beams4fts.-Connectora Shthg.- tg.-Bracing S. Alum. Awn.; Cdumns-ConnectionsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. FmV-; Sits AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Br~Wall.Panels Date Card B-1 ' Date Card B-1 Date Card B-1 Date Card B-1 Date POO lans OK except #'s dks-Easements Is; Compaction -Structure Stability . ,Pod Structure; Steel -Connections -Thickness Dead Men -Linin _lac - eceptaces and Lighting, Distance-GFI i1TIec•; Pool Lighting; 15 Volts-GFI -6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7.tlec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pod LBhtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cit Test -Water Supply Test 11. Light Niche Date &- '' 'Card B-1 Date Card B-1 Data eS . Z S',V�9 Card 8 Date Card B-1 sA& = OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / /" 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-Blockoutsan/rapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way CYO -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 -Material -Support -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 #s 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 Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & "Nater 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or M-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga CU or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. 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 #'s 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 #'s 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. Zire 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. Glazing 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 #'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-Mech. 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 Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 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: x F COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. q`�_ , d©� � (Rev. 12/96) APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER 047-320-023 ZONING SR1 BUILDING PERMIT OWNER DAN BAY TELEPHONE 899-0294 SQ. FT. OCC. BUILDING VALUATION CONT 19,000. OWNER'S MAILING ADDRESS 4213 KEEFER RD., CHICO CA 95926 CONTRACTOR'S NAME HOLIDAY POOLS TELEPHONE ' 894-8170 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 198.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4213 KFURE RD., CHICO Energy Plan Checking Fee $ $ `ll PERMIT FEE 3 241.00 LOT NO. SUBDIVISIONS NAME PAWL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SWIMING POOL SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New CXXAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: C R RT N 496— 4 —i�T�� t�,--,�-59� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zuon oa 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 in full force and effect. License Class C = �_ 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. ADDNS. ( a sLos. SO 3.5¢FT: NE CONSOR LT. NON -RES DT MULTI.OUTLET TS @7,50 hPOWER APPARATUS SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zo p ,.°° BAL @ .w LN Ex. Occup. DEIt°rs" gIp,DEq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL ELECTRIC 30-00 PERMIT FEE $ 50.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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' com ensation insurance carr' and policy number are: Carrier %�/2:� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 12 79 (The above sections need not be completed if t e 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 then workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date s --- Signat of Applicant - Own Contractor ❑ A t HA permit is r d for avations over 5'0" deep and d molition or construction of structures over ories i fight. Mobile Home Installation Fee is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 326.0 HAZ. D. F IMP FLOOD CDF PARCEL PD Ho ISS ue 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 /` ate J PERMIT EXPIRES ON Dale Receipt NO. WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7..,,' COI TY OF BUTTE DEPARTMENT OF DEi ELOPMENT SERVICES - BUILDING DIVISION i 7•COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 A• ' E"IT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: 30.0 " 023 Proposed Building Building Inspector: • Date: S- /15 - 19 -?- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By 111. All items have been submitted ------------------------------------------------- ------------------------------------- ❑2. 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, wiwet signature on plans. All engineering must be shown on plans. -------- 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance az}d supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non�Heated and A/C Buildings. --------------------------------------------------------- a ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- '❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13 . ood elevation certificate. ---------------------------------------------------------------------------------------- 6 . 4. 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. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------=------ l ❑ 19. Encroachment Permit for driveway construction approval prior to occupancy) ❑20. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). --------------------- 1122. ---- =-------------------❑22. Workers' Compensation carrier and policy number. ----------------------- ------------------------------------ ❑23.Owner-Budder Verification (Given to owner ❑, Mailed to owner 0) - - ------------------------------------ ❑24. Letter of signature authorization. -------------------------------------------------=-----=------------------------ 025. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. ------------------------------------------------- ❑26. Letter of intent on building use. --------------------------- ------------------------------------------------------- ❑27. Manufactured Home utility clearance.------------------------------------=------------------------------------- ❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------- -�rR, ti ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the percmit, roj�ss as follows ❑ Mail to owner, ❑ ail to contractor. Telephone �Q y' O 1 y and hold for pickup at (� office. El Deliver ith inspector. Applicant:L Date: X) Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, 13 Air, R uti D By: Copy of plans sent 11 Health Department, ❑ Fire Department, ❑ Other / j ate: 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, o Builduig Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D ' ion counter, by Date: Plans reviewed by: Date: Plans approved by: :' Date: ,,5 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. y ` E.H. USE ONLY Plot Plan AttS ached / s I Floor Plan Attached Sent to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance I8 r!Z/3 k x1/7-,3ao- DZ 3 Owner U ation AP# / Plan Approved for: Sewage Disposal Water Supply: Public Private Well ✓ Clearance for dwelling. (Other _ = -e Hold final for: Final clearance O.K. for: (VOTE: Environments th Sp cialist 8/96 z(3 Date It Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT , - 100-7 ASSESSORP ARCELNUMSER BUILDING PERMIT OWNERTELEPHONE X99-�` SO. FT. OCC. BUILDING VALUATION , OU OWNERS MAILING R S �J / COMRACTOR'S TELEPHONE ' CONTRACTORS VMIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ U ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ . d0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ , O LOT NO. SUBDNSIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome� Other sPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 N Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 0Installation ❑ Other Describ ork: — SCS _1 Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home IS I G I W @20.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 600VOR LESS Main Service zoOA 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 in full force and effect. License Class 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 Main Service TO , 46.00 WEE200A NEW CONST. ITNEWNG OCCUP. U OR ADONS. ( 6 ACC. BLOS. SO 3.50FT. 'NoRESID MULTI•° Rf 97.50 PowER APPARATUS 8 SINGLE OtlTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 ' tiAL p .so Ex. Occu . OFIxLI A DORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ o 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 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 Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood. 6.50 Ventilation RMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE h TOTAL FEE $ V HAz. o. FEES ,MP I FLOOD I CDF PARCEL POI HD 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 _ (Date) Receipt No. 22 IfQb WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT rsr BACHMAN June 10, 1997 ASSOCIATES COUNTY OF BUTTE Department of Building 7 County Center Drive Oroville, CA 95965 , RE: HOLIDAY POOLS 4213 Keefer Road Chico, CA ATTN: George Kellog # Dear George: I have directed Jim Dougherty of Holiday Pools to use 3 - #4 rebars in the bond beam, and run the alternate bars to the bond beam, for the subject pool. I have additionally directed Mr. Dougherty to thoroughly wet the existing soil prior to placement of the gunite. If I can be of further assistance in this matter, please do not hesitate to let me know. Very truly yours, C. W. 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