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047-330-027
Parry Wittsell 47-33-27 NIS Keefer In., app. 1 mi. E. of Hwy 99 lot #3, -Chico Permit #1383-76N,P,E,M (new single family) ' 47-33-27 Yr t - a SAM NISSAN 9/� Contr: R G Electric. { Perml #3515-85P,E,M.(install ele ser SF t i 47 :664-89B, P, E NISSAN, .Sam t y'a. 4186 KeeferRd,. Chico: ContR: Holiday,Pools T (new swimming. -pool), �'}} 047; 33-0-027 93=1 z /8 BPEM— NISSAN, SAMIR &.KATHLEEN - $, 4186 'KEEFER M, CHICO LADDITION & REMODEL/SF a, Ir ' a a �-1 1 I �__"' �`V i_ _ � � M M �� �. �■ c4,-,-1U,cA 100,-x 79dn t3S.', L) 12 047-33-0-0-27 --9,3'-1278 -BPEM-- NISSAN, SAMIR & KATHLEEN 4186 KEEFER RD, CHICO ADDITION & REMODEL/SF 7 F F I 0 CE Ctop�� Address_ 1. Address PAS' Meter Date ELECTRIC Meter By Date_ rc 0 -21.93 Z, I Do is Aeo,7,r Pecoopz, 44"(o J0111 FINALRD Signature V= OK O=Not OK, e Not Applicable Not Ready MOBILE HOMES = Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Locetion-Test-Fall-C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete { 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /'L"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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. Exits; Insp.-Sketch 10. Cert. of Occupancy �•v ` V �v tiv v J � MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-ft.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-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-Pane lboards-Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=QK > O=Not OK' - = Not Applicable Not Ready RESIDENTIAL ' = Date/Initials UNDVIrCDOR (Plans) OK except #'s Al"Zoning-Setbacks-Easements-Flood-Slope ai ; Soils- leo, Grnd -/ P' Ftg. Depth . tg., e; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth g., Porches & Decks; Soils -Steel-/ /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 -Fire a Ftg.-Steel Z' Q7 9. D. . .; Fall -Fitting -T - Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground v 13. Pie s & Ducts; Clearance -Material- pport-Ins. 1 irders-Sills-Anchor Bolts-Joi ants -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 1 a r Pipe; !PLff& Anchor -Neil Protection 18 .V.; T40fFittings & Anchor -Nail Protection Ve V11LJ509 Shower Pan; Test, First Floor -Tub Access 2 . Test Tub & Shower, Second Floor -Tub Access --rrGas Pipp; Size & Anchors Dat /initials ELECTRICAL Permit) OK except V. c ure & Tran --former Clearance -Ins. Protection *. E1er- Receptacles Spacing -Lights & Switches at Doors U Siz&,Boxes & No. of Conductors -Stapled 2&-R69ex Installed Close to Edge of Studs & C.J. b-Sqertp. Ground made up w/Meth. Fastners-Bond Gas & Water .--2 _Z pliance Circuts in Kitchen & Conductor Size/GFI ubfeed Wire Size / / ga. Cu r AI-A.C. Wire Size/ / ga. Cu or Al `2"ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - Q -Service -Riser Conductors & Ground -Main Disconnect quip. Clearances Panels -Motors -Mach. Equip. 3 Clpjhes Closet Light -Shower Light -Spa Light 3Oe'§moke Detector Date/Initials EC ICAL Permit OK except #'s is Insulation & Support . V Fan; Exhaust above insulation n �8- nden�rain & Overflow; Size & Grade _ 5'j *1 F�nce-Vent; Access -Comb. Air -Return Air Vent -115 outlet -,3$"-Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s SilsfProper Material & Anchors i9��tuds-Nailing, Spacing & Bracing -Plates -Sound ring Walls over Girders & Floor Nailing 4.2"Dratt Stop in Walls (rat proof) W Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44 eaders & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) .4. an Post Caps -Anchors -Connectors 4 . ng. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. -47-Fireple>;e Ties or Type A Flue -Fireplace Throat clearance 48-`ttlr�cess; Size & Romex Protection -Draft Stop -Ins. Baffles 4".dr . Windows or Exiting Doors -Sill Hgt. & Dimensions 5 arage Fire Protection Framing —ST. -Property Line Firewall & Openings —ft^Eo!600rs-One 3' -Check Garage -3rd Story, 2 Exits ac. alai cern-rleaaroom-Rise-Run-Landing-Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers GrSidipg=flailing Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. grazing Area -Glass Is -Windows Date/Initials FINAL (PJerfa) OK except #'s 6LKt• q -Door & Sidelight Protection -Landings 6&.815cke Detector 8 .ca Vents -Clearance -Comb. Air -Connector - I arage; Above Floor -Ducts -Mach. Protection 6"edr Exiting 6 . & Bah urea & Tub 8 . Tr ' & S anal; Breafer Sizes &<abeis 6 . Sta & R -' 6 70 7L 7 Ogg -Counter wmg- an ng -Closer 7 7 ctoF4LR.V. In raraaw 75 7A_ Plb Elec & Mwrh Equip i lated for I ocation Flo refl5cApta Oet-�Rorne*ftoteetton nsulation- Foam- Looked in Attic es _ 7 7 . dn. Vents & Crawl Hole Door -Drainage & Earth Clea a Looked under Flo OtAll5illowing instld.; DrLvveE_�Xas ❑ No; Walks ❑ Yes o; Planters ❑ Yes t2Tlo jZ -i I -C ro Finish 8 U it; Disconnect, EI rical, Plumbing 8 nts Above Roof; P g: A - O ings 8 5,6PWell; Disconnect,�1cal, Plumbing 85`€xter r Elec. Trim; G.PTlieceptacle-Underground 8 e tion Throughout House 817—Glassffirotection 88-4W-rrections fr9m Previous Inspections 89. Gas eters Tagged; Gas -Ela c er & Sewer Conn ected-C O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Comments at Flnal: g Insulation Certificate 1 Number and Street City .County Subdivision Lot Number Description of Installation ROOF Material Thickness (inches) CEILING Brand Name Thermal Resistance (R -Value) Bau or Blanket Type Fiberglass Brand Name Certainteed Thicknessinches. (R- ) LooseFdiType )Ultratherm / Brand Na= rtainteed Coruractar's minimum installed weight/Q lb Minimum thickness –.L— inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) . EXTERIOR WALL Material Fiberglass Thickness (inches) RAISED FLOOR Material Fiberglass Thidmess (inches) SLAB FLOOR Material Thickness (inches) Width ('inches) FOUNDATION WALL Material . Fiberglass Thickness (inches) Declaration Brand Name Certainteed Thermal Resistance (R -Value) Brand Name Certainteed Thermal Resistance (R -Value) 75 Brand Name Thermal Resistance (R -Value) Brand Name Certainteed–. Thermal Resistance (R -Value) .I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new msidential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) License Number S iptature and rule Date . Hawkins.Industriesnc./Shasta Insul. 650722 h ` Installer ) _ Mme Number Siptaaaeatdritk Daii M CQUNTY OF BUTTE - BUILDING DIVISION a DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (91.6) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A -routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please,,notify this office when correction of work `is completed. If you have any questions pertaining�to this matter, or need additional explanation, please contact is office immediately. vd e VQ 2 , G- r,,.,, �,� i✓R,s Ft f/6s r � L /L • e l7 C ;)n n ell Date 2Z 1 W6 Inspector REV 10/92 COUNTY OF BUTTE i 14" BUILDING -DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 11469 Humboldt Road, Chico, CA - (916) 891-2751 7 Canty Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE QINOI�t PERMIT NO. Arcuffmimpecdonirnbcatm that the following violations of Butte County Ordinances exist at the abaafi a and should be corrected. Please notify this office when correction of work i:cu>oLfftge LEyauuhunieanyquestionspertainingtothismatter,orneedadditionalexplanation, Pie cmfar.4arm office immediately. (1vv oQ (/vv�L v N Date� Inspector iiLlllofB2 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 rpa CORRECTION NOTICE X//S59-OV OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction'of'work is completed. If you have any questions pertaining to this matter, or need additional explanation, pI ase contact this office immediately. le C L)(2 (L ( '04V CIxC S -r.3re_fi h coos 7- :3 W F I F Y Date L/ Inspector REV 11/81 COUNTY QF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Hurn oldoad, Chico, -CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 Elliott Road, Paradise, CA - (916) 872-6307 //77 CORRECTION NOTICE PERMIT NO. ;$ ion indicates that the following violations of Butte County Ordinances exist at ss and should be corrected. Please notify this office when correction of work Labovddress ou have any questions pertaining to this matter, or need additional explanation, his office immediately. . 7 .:� r 6 41 . I ,Ll 1 V V1n Al V Date L/ Inspector REV 11/81 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO 7 County Center Drive - Oroville„California 95965 - Telephone: 91 .`53 -75 1 APPLICATION AND PERMIT PERMIT --7N� OO.®. I O11 ASSESSOR PARCEL NUMBER 047-330-027 ZONING SR -1 BUILDING PERMIT OWNER Samir & Kathleen Nissan TELEPHONE 891-3652 SQ. FT. OCC. BUILDING VALUATION 934 R 50 436.00 OWNER'S MAILING ADDRESS 4186 Keefer Rd., Chico 95926 165 C 2,145.00 CONTRACTOR'S NAME Unknown TELEPHONE Est. 3 000.00 L CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 55 581.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $399.50 ARCH�I�TECT OR ENGINEER at LICENSE NO. C13843 Plan Checking Fee $199.75 Energy Plan Checking Fee $ 20.00 ARCHITECT OReENGINEER'S MAILING ADDRESS 1037 Park Ave. Chico Penalty $ BUILDING ADDRESS Permit fee $634.25 PLUMBING PERMIT Filing Fee 15.00 4186 Keefer Rd.. Chico Each Trap 7 5.00 35.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each qas water heater or vent 1 7.00 7.00 USE OF STRUCTURE SF EX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 1 15.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Add 112 sq. ft. to 1st Floor and Add 2nd Story to Same 822 sq. ft. and Add to Existing Permit Fee $84.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Covered Deck New Sk lites 1st StoryRemodel Bed- 600V OR LESS Main service 200AORLESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW room t0 Great I declare under penalty ur p y of perjury l y (check one): Room ❑ 1 am licensed under provisions of Chapt. 9, Div. 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 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) F1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING 0CCUP.B OR ADONS. ( ACC. BLDGS. X 3.64sq.ft. 32.70 NEW CONSTR ULTI.OUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURESAL CCZ 4F; 20 76d Ex. Occup. OUT ETS P(RESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $44.70 Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of -Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 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. MECHANICAL PERMIT Filing Fee 15.00 Heating i . 0 Cooling 3 Ton 21 Ton 2 9.00 18.00 Hood 6.50 Ventilation Permit Fee $51.00 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 to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County 'n consequence of the granting of this permit. X �i� Date �7Q 1 fOi I� 1 signature of Applicant - OwnerK 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 Ener Inspection Fee $ Energy P 40.00 DCC CONST TYPE TOTAL FEE $856.95 HAz 1 0FEES I IMP I FLODD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees have been AA!XBLIC WORKS By f D to PERMIT EXPIRES Date provi- to do paid. .2.cQ % 141219 - gc�• Receipt No. �� �o WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL•'!CANT G.H. USE 0NLY Plot ITui Attach,[ l Floor ITm Attached t✓--., s�,t to ri.u. - s;nq3 .1 TO: Building Department' FROM: Environmental Health SUBJECT: Sanitation 'Clearance Owner Lo tion AP#t /Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE Environmental Health Specialist 8/92 Date `�-..-."i�.p�33'^.-'.•�-ti-^•n.yY`l-r`n.-:�-----�....e�..�7e�'iy�f"'�'4m+.-.-r^��-�+.•C"Y'1�;,.-rt�.ACvS�:'"Or�,�^. .�'7r'rJ`^n �"rt'"'�`4r.3nr*�-�`^`r""!f°"`E,%'�Y�'�!'�..rA... .,r.�.Y,.•.���r.._ COUNTY OF BUTTE - DEPARTME.N�G.F,EVELOPMENT SERVIC S - B ILDING DIVISION v 7 COUNTY CENTER DRIVE - OROVILLE ifALIFORNIA95965 - TELEP 16) 538-7541 PERMIT APPLICATION DATA SHEET J/ -_ OWNER i / S A/ A. P. No.. Q 3( %- 336 -CJz -7 Proposed Building Use O Building Inspector Date _ 6-16 413 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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 . ...................... A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ................... . 8. Jngineered truss details and layout in duplicate (required prior to plan check). 7`-`�� ^� obilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ......................................... ........ 11. Impact fees as shown on attached schedule. /Fu!eM , , , , , , , , ,, , , , , , ,,, �o 12. California Department of Forestry plan approval/fees. ....................... . 3. Flood elevation letter (100 year flood) y California Engineer. . . 1 . Sanitation and plot plan approval C,411rd Health Department . ............1 — 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 (construction approval required prior to occupancy). .. .. .. . 1111spection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 4 2:. Certificate of Workmans Compensation Insurance . ........................:: 323. Owner -Builder Verification (Given to owner , Mail to owner _). ........ . 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 improments completed and (B) Parcel meets•zoning area and frontage requirements.' ...... ......... . 31. Existing violations/expired permits. �� .............. 32. Plan check list. ..... ,............................... ............... 33. 34. When you issue the permit, process as follows: Mail to wner. Mail to contractor. / Telephone /-.3�sg. and hold for pickup at �---office. Deliver with inspector. Other i Parcel Creation Acreage Applicant Q 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 issuanc Cir a new item not checked above). 1. Index permit•for above items No. 2. Additional items required: Contractor, e e , owner, was advised of above required data by on it Counter to Contractor, esi;j5' a ,owner, was advised of above required data by phone _ mail Cou er by at Plans checked by Date Plans droved by Datet Sets of plans on hold in- &dt-0646, - WPPblde�_ Copy - Department of Public Works BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District /CD Building Department No. A.P. Number Q y % 334 -0z7 Jurisdiction City County Property Owner Property Location/Address Subdivison Residential Development Commercial/Industrial 0 No. of Living MHI Units 0 New Building Department Representative Lot No. / Sq. Footage 9:3y dition (Group R) =- Sq. Footage Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) Date District Identification No. (?A/616 % School District certifies that (Applicant) 411 (Street Address) (City) has complied with the requirements of Resolution No representing 9 �� square feet. School District Representative (State) (Phone Number) (Zip C �15-c� by payment of $ Paid by Check Number Remarks: Bank Number Paid by Cash Date 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) feeformmkl (4/92) COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property -Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I shave not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4: I plan to provide' portions..of this work, .but ' I .have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone. Contractors License No'. 5. I will provide some of the work but I have contracted (hired) the following persons to provide.the work indicated Name Address Phone Type of Work Signed: Property Owner Social Security 46mber Date 62 Z/ 1� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. -Sri, I y l%ssa n k� efe, CSI pe A d dP n ct q 101A. I -e- -,VS -� v qc .O�Er Ulrea�\/ .. .. �U _ � l.a.�t d'1 ed . S �r �.Cfi�1►�a, �--C-�'lG1n� �.S_ Lt; . /�f�'� - IJ14� use. 3 7'-c�Yt Jas UM O� 4,nJ�� ..Sect•,-rcI ��ocr a. s ___f -� _ �, eAUm�.... _...._.. - - q.3 �emvc��i,�q ��dPnctq _ 100Y 6raml� ��4n v q� Ogle✓ usp 3 firms-, aas u�;i� r .47-33-27 664-89B,LL NISSAN, Sam 4186 Keefer Rd, Chico t ContR: Holiday. Pools (new swimming pool) I PI _ FINALED: PEhMrr exrines- — OWNER CONTR. ASSESSOR PARCEL • f LOCATION r Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature .iN 'w�^Y'Y�T►iiit�v.�.��'.�l Ml�„�9a�i.���� • �y� .r 1A � COUNTY OF BUTTE $ s DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 c 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNED PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,/ need additional explanation, please contact this office immediately. i be r uca.' i I -e � ' in T �.. P�u•V-�P / Sr; C1 -/iii -e.2.' `1 ih�il tJ.b�✓iit Sw Inspector 11171 Date COUNTY OF BUTTE , ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road.,Paradise— Phone: 872-6307 CORRECTION NOTICE &/l 5o.—!2�! OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is corn-pleted. If you have any question pertaining to this matter, or need additional- explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 198 Memorial Way, Chico — Phone: 891.2751 7 County Center Drive, Oroville — Phone: 538-7541 767 Elliott Road, Paradise— Phone: 8728307 CORRECTION NOTICE �YVtJEl3 PFRINIT AIl1 A routine inspection Indicates that the following violations of County Ordinance I eye the above address and should be corrected. Please notify this office rrection of work is completed. If you have any question pertaining to this or need additional explanation, please contact this office Immediately. /V � -Al "i Fd "A ..' i .x -5 Inspector 4 Date 41/1 = OK 0 = Not OK "•' °~ { MOBILE HOMES MISCELLANEOUS = Not Readyable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete. Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector '6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -61 - Date Card -B1 Date Card -131 Date i Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date P L (Plans) OK except #'s SA, backs -Easements ils; Compaction -Structure Stability ool Structure; Steel-Connections-Ttiickness- pec. Receptacles and Lighting, Distances-GFI c.; Pool,Lighting; 15 volts-GFI 6. ec.; loores; Conduit Entries -Terminals -Listed . EI - Metal w/5' -Circulating Equip. -Heater ;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. oxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. ealth Department Approval 16. Plumb.; Cir. Test -Water Supply Test I Card -131 Date fW7 Card -81 Date Card -131 SkDate Card -131 Date - L� = UK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date U 2. Fig., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 3. Fig., Garage; Soils -Steel-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel - Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -81 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date I Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Liaht-SDa Liaht Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -Bt Date Card -131 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In ir-Connector-P.R.V:In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive -0 Yes 0 No; Walks O Yes 0 No; Planters 0 Yes 0 No Si. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) -qp-T, f.���. _ ..�F .w......n•.�.n sa.. ti. ,tia :. i•`• . •. ... .. _ � `� ..- -� _"gisl i'141\M1K'Y.,Y��.�'�.•lFV'J4►ii�.Jjti4���Y.r�i�J�tiM.v+.J-� `nr•`•• ��•• f r i 1 2. 19 -� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �/ PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER S n.,v+ iV S•ealJ TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS Q -i" I nv N L CONTRACTOR•SNAME r R- C, r="+�� �-�. TELEPHONE - asag CONTRACTOR'S MAILING ADDRESS / .Q'_7r t,c ei,t �� Fireplace CONSTRUCTION LENDER J ATotal UNKNOWN Valuation Is Filing Fee $ 10.00 LENDER'S MA ILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER IVO — LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fe Energy ecg e $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS$ /,. I 1 1 1 Z !� � / /1 Ear I�. 1 Permit fee !$ PLUMBING PERMIT Filing Fee 10.00 Q , /r ~� `� `^� ��� Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each pas water heater or vent 5,00 USE OF STRUCTURE SF Z, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets f 5.00 5,00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea " TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 4y Ac' Permit Fee $ / '; 60 Contractor ELECTRICAL PERMIT Filing Fee 10.00 `t Main service 100 1 OR LEAMP ORSLESS 10.00 D.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): © I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ?�� License No.//'71,#Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.e ) New , h¢sgft CONsrR.(A ULT" OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS °1 (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 0050t - eALoao 2AL@30 FIXED ALNS EX. Occup. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 S,,00 Permit Fee $ 3-71,50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a- I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. MECHANICAL PERMIT FiIingFee 10.00 Heating 04 ocx> 1 T 6,t� U Cooling % (7,00 Hood 3.00 Ventilation Permit Fee $ , 60 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs,•and expenses which may in any way accrue against said County -in consequence of the granting of this permit. /� �11� f� 2 r 8-,� 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 strLctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Q Occup. CON5T.TYP1 I JFL.O.JP.RC1LJ P11 17SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -OF PUBLIC WORKS �� By.A r �S,kel 7 �s�- Date A -1,2` 6 t - ." / PERMIT EXPIRES Date 'y R -i Receipt No. . --v. WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE r)WNFR A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matr, or need additional explanation, please contact this office immediately. (� r Inspector_ Date_ T �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICADON AND PERMIT PERMIT 0. ASSESSOR PARCEL NUMBER_ 3 '?- ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERg MAILING ADDRESS •� -� .5 � N Cktw • CONTRA T R•S NAME t co TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION ENDER IN ILLING UNKNOWNTotal Valuation Is Filing Fee $ 10.00 LENDER'S MAI ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 0— LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DRESS RA Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX_Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 10D Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other[E] Describe work: :pl s4 d �t ♦ �.�+%�a� /io- A S�t,,;C.e Permit Fee $ , �p Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 oI Main service EA. ADD'L 100 AMP 2.50 S� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Rri am licensed under provisions of Chapt. 9; Div. 3 of the Business and Professions Code and my license is in. full force and effect. ��� � Classification License No.?L 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.n , /20sgft CD. AUC New CONSTR. TBI OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu eAL930 p OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETS (RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 ,S DO e Permit Fee $ 3740 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. MECHANICAL PERMIT Filing Fee 10.00 Heating 0 D00 T ,L)0 Cooling (7,Qp Hood 3.00 Ventilation Permit Fee $ O 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 to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti s, dgments, costs and expenses which may in any way accrue agai s 'd ?ntpn conse nce of the granting of this permit. Date �2_�� 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�stlories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 71, 50 OCCUP. CONST.TYPE1. 1. I'L .D PARCEL PD 1 No I ISSUE This permit is hereby issued under sions of the Butte Count Code and/or work indicated above for which DIR CT F PUBLIC BY X PERMIT EXPIRES Date 12-0- the applicable provi- resolutions to do fees have been paid. WORKS h Date/2—Q_ Receipt No. ' oC� � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - 6EPARTM5NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT aEaralT o. ' ASS S PA C NU B ZON BUILDING PERMI OW` PH E� FT. OCC. BUILDING VALUA O OWN R'S ING A D ESS ,^ yn (LIP 4—Y ,LO L GO RA� IR•S�AME T,E L�PHONEf CO11 [.I jRgC Tf�bR'S M // Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. I SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT ` SF ❑ Duplex ❑ Mobi lehome ❑ Other / S 1 &/PE Y Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New 1K Addition ❑ Re del UtilitiQs ElIn/stall io ❑ Other ❑ Describe work:,CIA 9^ � Z _ , 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LESS10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (Check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full forces d effect. O AQ C License No. c�_ Classification '�Gc `� ❑ 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (OR ADDNS, ACC. SLOGS. DWELLING OCCUP.0i , /20sgft NEW CONST - I.OUTLET i NON-RESID .BRANCH CIRC I S 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. EX. OCCUp(OUTLE73 OR FIXTURES eAL030 zALO 30 EX. Occup. OUED P TLETS (RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n Phe permit is for $100.00 (valuation) or less. /Ihave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' bilities, judgments, costs, and expenses which may in any way accrue agai said Cou in c q nce of the granting of this permit. Xh 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/inn height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ CONST,TYPEJ ISCHOOLIFLOOI)IPIICILe, l ND S E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date1^' /-I- e,9 Receipt No.— �" 1 WNITC-D.P.W.. YELLOW -ASSESSOR. INK -IN 9P CC TOR, GOLDENROD -APPLICANT �., . „ .... �:.�-_.w .•.Fj vs».r...s��lr+�.. ..Y� �,�i.: y . ^�P- cr'y.i'l '� .5c+`Q��'�(''-.''�^rC` it,- :., , :.>-A ` !. COUNTY OF BUTTE - DEPARTMENT OF -PUBLIC WORKS - BUILDING DIVISION io 7 COUNTY CENTER DRIVE - OROVILL-E; CAIIFOkMA'95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIONDATA SHEET �-- Permit No. OWNER o_y�/1 I'S 90 VA A. P. No. Proposed Building Use I -I - Building Inspector Date 7zems application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing.. permit ..... ....... ..................:...... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred . , , , . Pre-Insperequest to p q •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, rocess as follows: Mai o owner. Mail to contractor. Tele hone - and hold for c p pickup at office. Deliver w/inspector. Other AppIicant�_� 1, ���f ? Date , 5 �i Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by_phone_mail_counte by date Plans checked by Date Plans approved by Date—3: n.. Sets of plans on hold in File cabinet _AP folder - Copy—DPW F, TO Buildinv.Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Hold final for: Final clearance O.K. for: Clearance for _ bedroom mobile home. Other Water Supply Water Supply Water Supply Sanitarian x Date I I PEAMIT NO. 1383 !76,B,P,E,M PERMIT EXPIRES OWNER Tarry Wittspl I 'CONTR. owner .LOCATION (A.P. 47-33-27 pm. NIS Keefer Lane,.app. 1 mi. E. of Hwy 99E, lot #3, Chico fi P ti Temp. Power Pole Called PG&E Temp. Elec. Serv, Called PG&E -7 (P Terni/pGas Serv. Called PG&E JOB Z's -Z FINALED (Date) (Sig tu re-) I a' Wittsell Construction General Contractor - Lic. No. 316434 KEEFER ROAD, CHICO, CA 93926 (916) 343-4501 Q � i 00% 0 �..�.�* ._ i� r � ,- .J � i � �. .0 "rT • Inter -Depart • emorandum •C UN • TO: e FROM SUBJECT: OAT E: 4 az -ol- �Q4 .. TO: Building Department FROM: environmental Health RE: Sewage and/or 'water Clearance OWIQER LOCATIOrq A .P ; Has been approved for: 5 "iIJAGE DISPOSAL IJATER SUP. -PLY i c� Sanitaria n az� Date S95-775 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. EXTERIOR WALLS C� ✓7��/� - Manufacturer Thickness/Type /L R Value CEILINGS Batts: Lr R Value /17, Blown: Manufacturer Thickness No. -Bags- Wt./Bag Sq. Ft. Covered R Value FLOORS , Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R V Width of Insulation inches OUN'DATION WALLS Manufacturer Thickness/Type, ,R Value GENERAL CSO7NTRACTORg!r'rct �IlZ LICENSE No. EYle- V—. (J I TITLE-1kwn * (,— — DATE JO -, INSULAT N CONTRA CTaR: HAWKINS INSULATION CO. LICENSE No. 215-925 TITLE DATE COUNTY OF BUTTE -, DEPARIWENT OF PUBLIC WORKS,, BUILDING INSPECTION RECORD UILDING BUILDING (Cont'd), PLUMBING Setback Firewall %� " �/` °� oil Piping Forms Parapets 1st Floo �- Main Bldg. Restroom Finish 2nd Floor Footings Windows ^-2-1- (.o 3rd Floor Stemwall Siding To ou Slab Roof Sheathing 10 Water t 1 1 Piers Roofing ewer Garage Fdn. Vents Fixtures Footings +- Garacie Vents Water Htr. Stemwall Prov. for physically Heaters Slab - handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final GO Footings Footing - E ECTRI L Masonry Walls Throat - -Rough i Reinf. Steel Final -CJ -`?i �-"! '44, Fixtures Bond BUO FIRE SPRINKLERS Motors Framing* �b Test Water Htr. Stucco Final Subpanels 7i7 --7-(, Mesh MECHANIC Grd. Fault Prot. z® Scratch . Heatin2 Service Z Brown �- Cooling Temp. Pole Finish -Ducts Underground .Interior Lath Ventilation Permanent Door Closer Final '% Final Q - Z- -� DATE REMARKS OP%CORRECTIO V 'r!��i, I h time you . / ` As owner and contractor of the house at Rt. 1, Box 451-W Keefer Rd. I guarantee the fireplace to be up to code. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville,`"'Calitomia 95965 Tei'eppgnO�'A4-4541 / APPLICATION AND PERMIT auulur1" reNrebentGtives of the County of Butte to enter upon the above-mentio propert for inspection purposes. Date )7 $ig lure of Permitee or Agent Receipt No. / ck4 /2y (O (�) 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 OF PUBLIC WORKS Building permit expires Date BUILDING Owner 2` CGU SO. FT. OCC. BUILDING VALUATION Mailing Address < v o Tele ho1r a No. �.0 b Fireplace Contractor Al E Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee 0U -- Building Address LS%��/2 PLUMBING No. @ FEE PERMIT FILING FEE $3.00. 00 /So Ar d_:� Each Trap 1.50 ,. 06 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Sa on FireD pt. Fire Zone Use Permit Building sewer 5.00 EOA Parkin Declaration Parce.�Map 60' R/W Improve ents Lawn sprinkler system 2.00 Bld Ions Recd raRye Approval Plans pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 3, (' Main service 100 AMP OR01V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100 OVER OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLIN LD 20 sq tt OR ADDNS. ACC. BG NEW CONSTR. MULTI -O LE NON.RESID. ( BRANCH CIRCUITS) 2.50ea ' NEW CONSTR. 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: Ex. Occup(OUTLETS OR FIXTURES) 560A C2T1 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RES! D.)EA) 2.00 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 $ C $ 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. ❑ WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. X�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 Heating J �� Cooling Ventilation Hood 2.00 Permit Fee $17, 5-0 $/ I L::�'� 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 029 97 TOTAL PERMIT FEE auulur1" reNrebentGtives of the County of Butte to enter upon the above-mentio propert for inspection purposes. Date )7 $ig lure of Permitee or Agent Receipt No. / ck4 /2y (O (�) 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 OF PUBLIC WORKS Building permit expires Date