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Home My WebLink About047-460-01147-46-11 .BILL .DAVIS N/S Keefer Rd, app i mi E Hwy 99E,Chico 1 Contr: Roy West, Paradise ' Permit#1617-82B w c & shop) r � x/61 47-46-11 Contr: Appollo Indiistries- Inc, Magalia Permit#2865-83P(solar wtr htr/Sp)Q�`�Q�' 47-46-11 Contr: Carefree Pool Ser, Chico 'moi Permit#3310-83B,P,E(new pri pool)�I� 047-46-0-011 99-0201 B DAVIS, William 4282 Keefer Road, Chico (roof/SF) eorg Roofing 11 I . . I 1� 13 F, P I ERMIT NO. ;161a -82B' PERMIT EXPIRES OWNER - RTLL-'DAVTS CONTR. Roy Wast, Paradise ASSESSOR PARCEL 47-46-11 LOCATION NIS Keefer R mi E Hwy 99E, Q --hico Ld, Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature. �^ �. ., ,.. :, ., • � �� -, , .. .. .. • .4 J = OK O = Not OK Ne:;0ppli!a le = Not Ready J RESIDENTIAL (Single and Duplex) Date' UNDERFLOOR Plans OK except N's Date FRAMING Continued ; oning requirements -Setbacks -Easements' 48. Property Line Firewall & Openings 4 Pig in; Soils-Stegl-Elec. Grnd.- / ; /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage-3rQ story, 2 exits tg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width-Headroom-Rise-Run-Ltanding-Fire Protection 4,-Ftg' Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Ove.hang-Attic Vents -Rafter Outriggers 5 emwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer temwalls, Garage; Steel-BIockouts'Wrapped-Slab 53. Stucco Mesh -Drip $ereed-Fdn. Vents-Underflr. Access 3. -Qi=* -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic B-BiN-V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts -9"Gas-P'Ipe; Size -Anchors +&.-Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12- Rleaums & Ducts; Clearance -Material -Support -Ins. 13r-@rhters-Sills-Anch r Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date /Card -BI Date Date , FINAL (Plans) OK except k's 56.' Ext. Steps -Door &Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access' 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe; Size & Anchors 62. Stairs & Rails ___19. 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. 72. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑ Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive [:]Yes E] No; Walks ❑ Yes []No; Planters ❑Yes 0 N 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I -- Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86, Water & Sewer Connected -C/0 to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Card -BI Date _- _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: 36. Sills; Proper Material & Anchors OAJA, rpt V- 37. 38. 39. 40. Walls; Studs -Nailing, Spacing & Bracing-Plates-Sound£� Bearing Walls over Girders & Floor Nailing__ _Y Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _� _ r X07 0y�2 J.l. __44. 41. 42. 43. Header & Beam -Size & Bearing_ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Plin_ur-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat NO 3 Ic o Bea 45.Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles 46. Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) r-. I/ = OK 0 Not OK - = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) Qi, except k 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size-Depth-Spacing-Conne.-tors 3. Sewer; Location -Test -Fall -C/0 -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.-Shthg.-Rfg. -3racing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.os,.tes 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except k's y 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel-Connettions-Th,ckness-Dead Men -Lining - 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date III ve— u e 0n , LAND :0 T "NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 a WILLIAM (Bill) CHEFF Deputy Director. • Ovmer: Bi 1. Davis . -07 1"r RE: Building Permit No. .Expires r >ri-r'i� C� r�969 _ (A. P. No. _ f_ 'With reference to the above subject, our records -indicate that .your Building Permit will expire on the above date., Building permits are valid for one year and should construction bestarted but not completed by the expiration date of the permit,,the permit ;shall be renewed for'l/2 the original Building Permit Fee (plus a $10.00 "Filing. Fee") The renewal permit.will extend the Building Permit for an additional year from the original expiration date. Should you_nbt renew your permit in•a timely manner, it cannot be renewed and all work must cease .until a new building permit is issued. If your construction is completed or should.you have any question concerning this matter, please contact the Cl"At;o. office. For your convenience, we are enclosing_a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Thank you in advance for your prompt attention concerning this matter. Yours very truly, Clay Castleberry Director of Public Works JFG:ds, cc: Building Inspector, o Enclosures: Permit Application Owner -Builder Information Owner -Builder Verification Chico— 196 Memorial Way - 891-2751. F; Glauder I Chief Building Inspector Paradise - 747 Elliott Rd - 872-2961., Ext. 57 COUNTY OF BUTTE - DEPARTMENT OF..PUBLI,C WORKS PERMIT NO. `.. 7 County Center Drive - Orovil;e, California 95965 - Telephone 916/534-4541 _ �t APPLICATION AND PERMIT T ASSESSOR PARCELN BER f _ // ZO N 11 BUIL I PERMIT OWN TELEP ONE SQ. FT. OCC.1 BUILDING VAL TION R*S OWIyF MAILING DDRESS`/ qT'V'/\�_1C CTOR S NAME TELEPHONE 77 7-4/397 ¢ONTRA TOR'S MAILING ADDRESS -11 + - r� -� 6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ Filing Fee Q $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER. ,V LICENSE No. IARCHITECT Plan Checking Fee $ r to Penalty $ OR ENGINEER'S MAILING ADDRESS Permit fee $ I BUILDI DORES PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP / Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCK' UR �IL.JC_J_ C &j� SF ❑ Duplex❑ Mobilehome❑ Other =� PECI FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New M ---/Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor - ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.51 OR ADDNS. ACC. BLDGS. _TITS 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 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. Classification fI, 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 CO ID R. BRANCH TLC 2.50 ea NEw CONSTR (POWER APPARATUS Q) NON SINGLE OUTLET CIR, 50@250 Ex . OCCUp OUTLETS OR FIXTURES BAL�1 IXED APPLNS. OR Ex. OCcup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S 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 con uction, and hereby authorize representatives of the County of Butte to a upon he above-mentioned property for inspection purposes. I also a ee to sa inc� b harmless the County of Butte against all liab lit en( ts, and expenses which may in any way accrue against ty quencetof he granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent 0� 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 $ TOTAL PERMIT FEE $ OCCUP, GROUP X4_( TYPE g� CONS V—A V PARCEL PD N ISSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE T EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date6—LIZ 2- f �2�� Receipt No. �5Q_�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS'- BUILDING DIVISION CCOLINTY CENTER DRIVE -! OROVI-LLE, CALIFORNIA 95965 - TELEPHONE: 916/5344541 PERMIT APPLICAT,I`ON DATA SHEET Permit No. OWNER A. P. No. �7,1-16- 1� Proposed Building Use Permit Fee Based Upon: Comp a Contract Price DPW Valuation 0th r Vin) p - Building Inspectorf Date At time of permit applicatior, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have be --n submitted. . . . . . . . . . 2. Plot plans in dup. icate/triplicate. . . . . . . . . . . 3. Complete plans-ir. duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forns No. 7 Statement of Inten-. for Non -Heated and AC Buildings. 8.,,,Fees of $ . . . . . . . . Letter of signature authorizatio 6 �Z 0 Sanitation approval from Health Dept. 7��J 1. lanning approva for (A) Use: (B) Parking: rtificate of Workmen's Compensation Insurance. . . . . . C ntractor's License Information (no., name style, classif.) nerider Verification (Given to owner0, Mail to own �. � 2� Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. •Pre-Inspec. request to 17- Pre -Inspection fo Required- Building Inspector (Date) 18. Other .44 When you issue the pErmit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for ickup at office. Deliver w/inspector. , Other_ 1Pt-T°' .-' SOS' �E�i (oZ73 041C-1ALM! - , PW40/967/ -4 Applicant--f'/ate Copy�of planNsent/Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above t ' e f a plication, circle item-) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer,(OwnE Plans checked jhy Plans approvedk, Other: Copy—DPW advised of above required data by Telephone By Date Date I Other Date To: Build-5.ng Department Health .Subj(Ct: SBnItat-Ion Olemmqnae Plan,a-D rowd for: I p Seivage disposal vt�ter an;gpl'.7 11old final for.: water 81!DP1,7 Final. clearance O.K. for: wa.ter 00 earance for bed -room mobile bome. Othar ---- 4' earance for addition of Note Date y . COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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 (have/have 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 S igned : Property Owner Social Securityn ber Date �S r/ 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 permitted to issue the permit. ' �'`. ., +1'.-!M,+a 9�'TY.�.:.1"�, �.rYv �r:tc'$�... .'�.. er }ti. 'vr. �:. , .� � 'a'... 5�_..�`, _h-;"+'e„�:✓.. .. ii..y"'�.;3^�'�, � - ti d ♦.. 047-46=0-011 99-0201 B DAVIS, Wiliam} 4282 Reefer Rodd; Chico (reroof/SF) GeoRoofing rge COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville,`California 95965 - Telephone (916) 538-7541- ,PERMIT NO. (Rev. 12/96) APPLICA iftAND PERMIT ` , ASSESSORPARCELNUMBER w /�'1`^ {/•i/�yJ� 7]TELEPHONE 20NIN0 BUILDING PERMIT OWNER )It Davis William 345-1809 SO. FT, OCC. BUILDING VALUATION 3300 COMP 1980.00 OWNER'S MAILING ADDRESS 4282 Keefer Rd Chico CA 95926 CONTRACTOR'S NAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 6810 Lincoln Blvd, Oroviii CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $19?JUIOU ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee , $ 43.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 481tsi Reefer Rd, Chico, CA 95926 Energy Plan Checking Fee $ $ PERMIT FEE $ 63.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF,p 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 ❑ Remodel ❑ Utilities ❑ Installation f] Other ❑ Describe Work: Composition Shingles � Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service z�oonoaEss 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 i full force an effect. 452266 License Class C-391 C-14 LIC. NO. OWNER=BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contra tors 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 license contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason I Main Service z To 46.00 OOU000A NEW CONST. DWELLING OCCUP. EL OR ADDNS. ( a ACC. BLD S. SO 3.5¢Fr. NEW ESIDT MULTI.OUTLETIll.-. CIRCUITS @7.50 PS OWER APPARATU aSINGLEOUTLETCIS. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 BAL. @ .so Ex. Occup. D Et TS q _TAPPLNSS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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. D• 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 worke(s c�rp LnOV "a I"��pce carQerlCc�pllllc Ja _riot Carrier V 1 Policy Number WCi U-')JMobile (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 fort with com ly with those provisions. .N ,!' ! �_ Date / / � X/ /� 24 �' — ff -- Signature ofA pplicant - ❑ 6w -her:' ❑ ntractor Agent'" An OSHA/p1rm/it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 63.00 HA2. I D. FEES IMP I FLOOD CDF I PARCEL I PO HD ISSUE This permit is hereby issued under in the Butte County Code and/or indicated above for which fees have � By tc / PERMIT EX IRES ON 1 the applicable provisions Resolutions to do work been paid. Date 1.2 � pais Receipt No. PIk WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754,1�� o� �y NO. (Rev. 12/96) APPLICATION�AND PERMIT `�4 / ,- ASSESSOR PARCEL NUMBER/l r / /� /'\ (�1 ZONING BUILDING PERMIT OWNER XXX Davis, William TELEPHONE 345-1809 13300 SQ. FT. OCC. BUILDING VALUATION comp 1980.00 OWNERS MAILING ADDRESS 4282 Keefer Rd, Chico, CA 95926 CONTRACTOR'S NAME George Roofing TELEPHONE ' 533-6393 CONTRACTORS MAILING ADDRESS 6810 Lincoln Blvd, Orovile, CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 43.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ �y per tLLiSL`� eefer Rd, Chico, CA 95926 Energy Plan Checking Fee $ $ PERMIT FEE $ 63.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFS] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation E1 Other ❑ Describe Work: Composition Shingles Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oA mss 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. 452266 License Class C— 3 9 , C-1 4 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 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLos. SO 3.5QFT; ►NO CONS MU JJLCTI-CIRC TS @7.50 POWER APPARATUS a SINGLE Our. CIR. Ex. Occup. ouTLET OR FIXTURES BAL @ 1-5000 Ex. Occup. o Elt°TsAPPIFIXLN6.) F 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 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$ 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' cQTr�pensation insu ance carrier and policy number are: Carrier Villanova c/o American Patriot MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number WCI 0537019 (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 fortith comply wyn those provikions. X0&__ Date atur pplicant - er ntractor i� Agent An OSH it is required for excavations over 5'0" d ep and demolition or construction of structures over 3 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 6 3.0 0 HAZ. D. FEES IMP FLOOD CDf PARCEL Po HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EX IRES ON 2 �Z'0C7 D provisions to do work paid. ;7,1 ` " J to �stories Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I. PERMIT NO. 3310-83B R E PERMIT EXPIRES OWNER BILL DAVIS CONTR. CakPfrAP PnnlR r, Chico ASSESSOR PARCEL 4746-11 LOCATION__ NIS Keefer Rd, 4/10 mi E Hwy 99 v 4 d j I t Temp. Power Pole q Called PG&E Temp. Elec. Service Called PG&E _ Temp. Gas Service Cal led PG&E JOB FINALED (D Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 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.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date _ Date Card -BI Date _ POOL (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test-Demand—Valve—Connector FIG tbacks—Easements Soils; Compaction—Structure Stability ool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearanceslec.; _ Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector lec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector ec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected -6/0 to Grade—HD Approval Tec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval dumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date C d -B Date /Q- Q.Sj Card -BI Date 7 _ Card B-1 Date Card BI Date Card4l A, I Date Card -BI Date J = OK y 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK exce tit's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _ 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage: Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date _ Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air Date FINAL (Plans) OK except ft's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels -` - 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location - 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. -_ 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes -_ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Guard Rails & Deck Construction -Post Caps - 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral `Yes 0 N 75, Following instld.: Drive ❑ Yes []No: Walks ❑ Yes ❑ No; Planters ❑Yes ❑No _ 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing Card B -I _--Date -__ -_Card-BI -- Date _ _- 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrn,it) OK except q's A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _-______31. 32. 33. - Vent Fan; Exhaust above Insulation Condensate Drain _& Overflow; Size & Grade .____34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date_- _Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date _ FRAMING(Plans) OK except H's 36. Sills; Proper Material & Anchors 37. Walls; Studs_ -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: �� A _ 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Slop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions___ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) ,�. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891227511 , 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 ORRECTION NOTICE �3 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,jDdrrectlon of work is completed. If you have any question pertaining to this m er, r eed additional explanation, please contact this office Immediately. /i►--7�� --i � � � i n �rn it _ �% Inspector % Date ��l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville; CaUforn.ia 9,5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOVARCEL NUMBER - ZONING BUILDING PERMIT OWNER W77 • TELEPHONE ,SQA FT. OCC, BUILDING VALUATIONJ OWN 'S ILIN ADD E S• CO ACTOR'S NAME TELEPHONE 4 oa CONTRACTOR'S !:��LlNq ADDRESS Q G' Fireplace ONS RUCTI N N ER iP JVNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC CT R ENGINEER LICENSE NO. Plan Checking Fe �' $ Penalty $ ARCHITECT OR NGINER•S M (LING ADDRESS Permit fee $ BUILDING ADDR Sys/ s f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUC E SF ❑ Duplex❑ Mobilehome❑ Other�o�U/ S ECI FY Building sewer 5.00 Mobile Home is G W 10.00e TYPE OF WORK Newer Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — Permit Fee $ ,s Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLOGS. / 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): O 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. 3�0��-S. 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON -RES'., CIRCUITS) NEW CONSTR POWER APPARATUS &') NON-RESID, SINGLE OUTLET CIR. / Ex. Occu P�OUTLETS OR FIXTURES 20Q50Q BAL®30 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring// 15.00 Permit Fee $ �pV Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �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 Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 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 agai aid Count onsequence of the granting of this permit. ` cS),�6_�2 X - 6 D to Signature of Applicant — Owner ❑ Contractor d 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 $ TOTAL PERMIT FEE $ occUP. GROUP I TYPE OF CONST.ARCFLJ PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF P BLIC P By. L PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date i r Receipt No.Z?7 Q WHITE -D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT I COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroVille, Catifornia 95965 - Telephone 916/534-4541, , APPLICATION AND PERMIT PERMIT NO. r ASSESSOR PARCEL NUMBER 4/ 2-14 0 ZONING BUILDING PERMIT OWNER � � . a✓ /tet � � �~ /•-7 1 / j `. TELEPHONE / �`Y � t �f� li S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING.ADDRESS ,L�_ I [1,v,U<-'__)-Aa (ai,n CONTRACTOR'S NAME - )l��.• �T�PI'1 L ) TELEPHONE CONTRACTOR'S MAILING ADDRESS / -' /i19/9 SIilrl o o cip A/1�4/-1�Ci — Fireplace CONSTRUCTION LENDER ` UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ -ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 �1j�J , / _ Jt� +�1 KGFrcF�' Q� �S (�i�(aX �� A,f- ~�'' Each Trap 2.00 Solar Water Heater 20.00 gyp' Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF,❑h ' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other XXL Describe -work: — -, -4 f,��-.� Q_ �� -'�"r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 - Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADONS. ACC. BLOGS. 1 2/20sgit 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_m license is in full force and effect. • � � � < `� A t' License No. Classification-SI°�� ❑ 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 CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &'` NON.RESID. ( SINGLE OUTLET CIR. / 20®50a Ex. Occup(o OR FIXTURES BAL030 IXEDTs PR Ex. OCCUp- OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): .S I- 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 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 in consequence/of the granting of this permit. ��t� X p` �1 ✓'Ir /�L�"�%a`?t Date �_� ' Signature of Applicant — Owner ❑ Contractor R1 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD ISSUE; 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. DIRECTOFt OF PUBLIC WORKS By. Date 2- 3 X PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPAR ENT OF PUBLIC WORKS PERMIT NO. �7 County Center Drive - Orolille, Catifo�n _595 - Telephone 916/534-4541 APPLICATION AN PERMIT ASSESSOR PARC L NUMBER - s 6,_ ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC, BUILDING VA ATIO OWNE MA LIN D RESS CON A OR'S NA E B TELEPHONE CONTRAC O 'S MAILING DDR SS Sm"allwC _ Fireplace CON TRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING AD RESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Ilk PLUMBING PERMIT FiIingFee 10.00 _ Z Each Trap 2.00 Solar Water Heater 20.00 ctttco Water piping 5.00 LOT NO. SUBD vISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF,)SrDuplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G TW 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ly Describe work: 90L.,!1e. LA L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 c 1 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.& OR AODNS. C ACC. BLDGS. Z1h2sgit 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 Profession Code and n license is in full force and effect. License No. - Classification S'014 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUT LET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &j NON-RESID. SINGLE OUTLET CIR. / Ex. Occu z0®s0a OR FIXTURES BAL®30 P�ou XFIXED A Ex. OCCUp. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 IN 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 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, an expenses which may in any way accrue agsaid County in consequence the granting of this permit. X'7 2 �j� �_2 Date Ll�. Signature of Applicant — Owner ❑ Contractor V 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �I� Receipt No. 06� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT a--,- ;t181 -I8 WORKS - BUILDING DIV-ISION 7 COUNTY CERJTER DRIVE-'OROVILLE? CALIFORNIA 95965 - TELEPHONE: 916/534-4541 / PERMIT APPLICATION DATA SHEET D Permit No. `T ��/ OWNER �A Ii /��(/Y/) A. P. No. 7-46 `ONI Proposed Building UsePermit Fee Fee Based Upon: C''omplete Contract Price DPW Valuation Other (Expla' )/ Building Inspector /f �� Date _a> At time of permit application. I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . 2. Plot plans in dupl Cate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , , , , 9. Letter of signature authorization.' . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: _C?L TSS Certificate of Workmen's Compensation Insurance. `—'13. Contractor's License Information (no., name style, classif.) V -14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . d 17. Pre -Inspection for RequiredPre-Inspec. request to (Dote . Building Inspector -'' 18. Other When you issue the pernit, process as follows: Mail to owner. Mail to contractor. YTelephoneR"73 71�'7'� and hold for pickup at• -office. Deliver w/inspector. Other Applicant to C -Z1-63 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by Date . Plans approved by Date Other: Copy—DPW Date �aJ �w.d .._-.. .�, .. .