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047-460-016
47-46-16 A. RYAN } (Rire Damage Report) 47-46-16 A.R. RYAN/��` NIS Keefer Rd, 6/10 mi E 1�Hwy *9.Chico ermit#2649.,84B,_E(.rep.ai.r._,-f-ire damage -, rewi a!/Private garage) -47-46 , ART & GRACE RYAN SR. It 22 Gibeon Ln., -Chico Cont: Chico Plbg Permit .#384-89P,M(install��l""furnace & gas line./SF) 47-46-162-5821 PING, Chu Cheng-, 22 Gideon Ln;' Chico., (covered porch/sf) 808-20q�. - 047-�fnD• OICo ;.2 Gideon Ly). a i(o (Gcnnni�d) ahu Qhtng ping R,e-Roof A b&) ®t�{ra�'�ir. pa�Cb,chnnry eo • uJoa�� �� U R o47 -y A 4DENTIAL 92-582B 47-46-16 PING, Chu Cheng 22 Gideon Ln, Chic-0 (cove ed rch/.sf) JOB FINALE Signature J=OK 0.= Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s c 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer: Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, VERS, CARPORTS, GARAGES, (Plans)OK except #'s L.?rnigg Requirements -Setbacks -Easements otings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric g; Sils-Anchors-Studs-Rftrs-Trusses L l 1,W9. Siding; Nailing -Veneer -Stucco -Mesh I t 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings DateSdCL; ? Card B-1 IZ Date/ Card B-1 /C/ Dat3�y9 91 _ Card B-1 JCS Date44-(q-qg Card 8-1(/(3 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, 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 -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK -=Not Applicable Not Ready RESIDENTIAL (; ' = Date -UNDERFLOOR' (Pfarir) OKexcept'H's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/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 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle -------------- ------------ ------------------ 17. Water Pipe: Test & Anchor -Nail Protection ------- --------------------------------------- 18. D.W.V.;-Test-Fittings & Anchor -Nail Protection ---------------- ---------------- 19. Shower Pan; Test. First Floor -Tub Access --------------- -------------------------- 20. Test Tub & Shower, Second Floor -Tub Access ----- --------------------------------------- =- 21. Gas Pipe: Size & Anchors --------- -------------------------------------------------- Date----------Card B_1-- ------- Date ----- -----Card-B-1----------- Date ° Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti'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. Fastners-Bond Gas & Water - - - -------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ----------------------- ------- ---'------------- --------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ----------------- --------------------------------------- 29. Range Circ. / I ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes No ------- ------------------------------------------------------------- 30. - Service -Riser -Conductors -& -Ground-Main--- Disconnect --------------------------------------------------------- -------------31.-Equip.-Clearances Panel s- Equip 32.-Clothes Closet Light -Shower Light -Spa Light ---------------------------------------------------------------------- 33. Smoke Detector -------------------------------------- ------ - - -------------------------------- Date Card B-1 Date Card B-1 ----------------- -- ----------------- ---- - ----------------- ------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------ ------------------------------- --------- 35. Vent Fan Exhaust above insulation ----------- ------ ------- 36. ------36. Condensate Drain & Overflow: Size & Grade ---------------------------------------------------- - - 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------------------------------------------ -------------- 38. --------------------------------- 38. Attic -Access-&- Platform ii Furnance in Attic ---------------------------------- ------------------------------------------ Date Card B-1 ------------------------------------- Date -------------- ------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. 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. Headers & Beam -Size & Bearing 'iingle & Duplex) Date FRAMING (Continued) _ 4'5. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 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 -Ceilings ------------------- 60. Infiltration -Walls -Windows ' ------ -------------------- -------Date Card B-1 Date Card B-1 Date - Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ------ ---------------- 64. Bedroom Exiting ------------------------ --- 65. 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 -------------------------- ---------- - 9 --- 72. Garage Fire Door; Swing Landin Closer --------------------------------- -- p - 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-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 Protection 77. Insulation -Foam -Looked in Attic Yes ------------------------------- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive 0 Yes CI No: Walks O Yes ❑ No; ---------- Planters -----Yes------❑ No----- ---- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings _ _ 84. Water Well: Disconnect, Electrical, Plumbing ---------------- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -------------- ----.1------------------ ------------ 87. Glass Protection ------------------------------- ----- 88. Corrections from Previous Inspections -------------------------------- Gas-Test-Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates - --- - - ----- --------------- -- ---- Date Card B-1 Date Card B-1 ------------------------------------- --- -- _Date _____________ Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 Comments at Final: / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Cellfornle 95985 - Telephone; 918/538.7541 APPLICATION AND PERMIT PERMIT NO. _*&J9130R 047-460-016 BUILDING PERMIT WN Chu Chen Ping TELEPHONE 873-4719 S0. FT. OCC. BUILDING VALU 1 C 6,123.00 OWNER'S A ING AD REDS —l� ET— I CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total valuation 1 $ 6,123.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 75.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 127.50 PLUMBING PERMIT Filing Fee 15.00 22 Gideon Lane, Chico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 rI USE OF STRUCTURE SF[N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Porch Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO t000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 01 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.N) 3.64 sq.ft. OR ADONIS. C ACC. BLDGS. / NEW WC ON MULTI -OUTLET NON•R ESID BRANCH CIRCU ITS @ 5.00 POWER APPARATUS tr1 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS 20 76 p OUTLETS OR FIXTURES FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — 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. 21/1 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation pennit 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 liabilities, judgments, costs, and expenses which may in any way accrueHAz against saj dun in consequence of the granting of this permit. X Date c3 k a of Applicant — Owner ❑ Contractor ❑ AgentEr An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ DFEES IMP FLOOD DF ARCE P VDI Iss I This permit is hereby issued under the applicable provi- sions sions of the Butte Co my Code and/or resolutions to do wor cafe b for wh h fees have been paid. R PU LIC WORKS B Date 81 P MIT EXPI. S Date Receipt No. 109918 WNITC-D.P.W., YELLOW-A33Q330 R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE M14pA I . �' V���VQFPICcWTRKS = BUILDING DIVISION U S 7 COU14TY CENTER DRIVE - ORQViLLE, C.65��- TELEPHONE: 916/538-7541 PERMITtA`PPLIG�k i : HEET Permit No. OWNER r_8• 1 C4:KG �Q46 A. P. No.. Proposed Building Use-MQG-i4 Building Inspector fDate At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issualce: DATE RECEIV D APPROVED 1 fl items have been submi ed. ........ 2. Plot plans in duplicat tri lic , 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intert for Non -Heated and AC Buildings ............... 8. Engineered truss deiails and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... I 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... 13. School District fees paid .............. 14 Sanitati approval from /,GOT Health DepartmentG/`f/C FG 1 City of Chico plunbing permit............ .......................... 16. Plot plan and business license approval from City of (see City for other requirements) .[ 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-inspe°•request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .,.. 22. Certificate of Wor-(mans Compensation Insurance .................. 23. Owner -Builder Verification (Given to•owner ❑, Mail to owner ❑) ..... 4 -Recorded copy of Agricultural Acknowledgment Statement ......... r � 25. etter of signature authorization ................................... . 27. When ygt7issue the pewit, process as follows: Mail tto/owner. Mail to contractor. �if Telephone end hold for pickup at office. Deliver w/inspector. Other Applicant f Date 3 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 pri 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, desig r, owner as advised of above required data by phone_lnall_counter by date Contractor, designer, was advised of above required d by_phone_mall_c unter by date s checked by Date lans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 2a q7 2,3 C INC2 1 �4 q TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Y ?7Y6 - Owner Location AP4 Plan Approved for: Sewaqe Disposal Hold final for: Final clearance O.K. for: Clearance for bedroom mobile home. Other NOTE Water Supply Water Supply Water Supply Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUM R ZONING BUILDING PERMIT OWNER _ ) TELE'PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILINGADDRESS CO A TORS N M TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD AD KESS � Q 2—Al Permlt fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME P4RCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 015.00 ng TYPE OF WORK New Additionl Remodel❑ Utilities[] Installation[] Other[] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F1 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.,Jo. 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 OCCUP.y\ 3.6Q sq.ft. NEW CONST. / DWELLING OR ADONS. ACC. SLOGS. II 1 NEW CONSTR ULTI-OUTLET NON•RES,D BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr SINGLE OUTLET CIR. 20 L- 76d EX. Occup(OUTLETS OR FIXTURES AL- FIXED APNS Ex. Occup. OUTLETS (RESID )KEA./ 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IVirin g 15.00 E Permit Fee $ — 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. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte 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. X Date Signature of Applicant – Owner An g PP ❑ Contractor ❑ Agent ❑ ion oOfsHA structures tis over requird esor e 14 xcavations ions over 5'l1" deep and demolition or construct- t. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ , HAz 1 0FEES I IMP FLOOD I CDF PA c L I PC5HD ISSUE This permit is hereby issued under the applicable provi- i sions of the Butte County Code and/or resolutions to do i work indicated above for which fees have been aid. DIRECTOR OF PUBLIC WORKS p By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COU`1TY OF BUTTE - Deoarcmenc of Public � or'.cs 7 Councy Cancer Drive, Oroville, CA 95965 Phone: 9L6-339-7541 OWNER -BUILDER VERIFTCATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return chis information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit vi.l1 be issued until this verification is received. C. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) y ' z I (have/have not) kAWE MT signed an aoolicacion 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 cont=acted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Prooerty Owner Social Security Number _ Date e3 % � %y JOTL: 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 of-fice be=ore we are per- mitced to issue the permit. A rehack of s tt. from the WOW This set of plans and specifications MUST M centerline shall be clear of -..--.-..--ou.t-written-p.e.rmis.sion-fr.on.i.tb-e-.D-epa-im4�r!t of ------- - ------ &.4 Public Works, County of Butte. NOTE. --An Materiels & Workmanship shall --ga, Goad Prcefices and - ----- Uniform' Building, Plumbing & MechantpW CgAw_anj oil A�Ql Otl LN ...... ._C96 COUNTY UILDNG-DIEPARTF AENT ............ . "� � .� � �...+L.�:Y :-�-i _'T'ts+'.-t`.�'i-..'�"•w' ... � .ice .t....,�. � �.. - WB!� "njy , 76 �tv- i u 4��k `S r• '` ii ice'. t 77 �" y : • iS C•X . `? '�• J k.�` � �Yi ... PTS �'� hl ..• � W *• AN •' r• ! . "� � .� � �...+L.�:Y :-�-i _'T'ts+'.-t`.�'i-..'�"•w' ... � .ice .t....,�. � �.. - WB!� "njy , 76 �tv- i u 4��k t> R1, io of 1 W9 ------------- DF -1,2 OW P-AFW. MAI;? 1x88 DIF TM FOP COLIF Pik I Jr zv t> R1, io of 1 W9 ------------- DF -1,2 OW P-AFW. MAI;? 1x88 DIF TM FOP COLIF Pik I )Vokm 614w! vv t RC SOC illi � I ���I� iI ........ . ... LU 4, J - BUTTE t®; Wy, ' i ! i I U DING Dgl IL Pi 0 ED I . i..f i + !....1..,,1,1 1,��1 ;I ! vv t RC SOC illi � I ���I� iI ........ . ... LU 4, J - BUTTE t®; Wy, ' i ! i I U DING Dgl IL Pi 0 ED 1 ... t il!,; ;iii;. j ' !I !i�l !jli;!Ij 1 j i j i� i i��(� i �' I( I�` l i l f i j l j j i i ! f , i i { ! I i i • � � � � � � � � ' I i I j i I �� i f� i i i -j l i i I! l i l j j' i 1 ... t .`. �: i .. I_...i i. i � i j 1 i ( I 0' I lVORP' S/ W i i ( I 0' I lVORP' S/ %.-4I W ,v I l l� j{ i I�� I. I I I� I I ►N j j i I VIII j i i ���I��llj I I�II.I;! 1 I i 1 j i I i i i %.-4I 1 ! .- •� y� oFst� � i I i ! I i i ; -- --- --I — ; -'`.4x8-vvr�a_ ! ! .. ! - --• I ! . I ► r i i i i i I I I ,�.µ .� i CIC HIT I_ I i i i I I .'• � Ili; , I j I ! 1111 i Il � Ijl i !_II.IIIiI± tillllj��!li{jl I. I , iw ,v 1 ! .- •� y� oFst� � i I i ! I i i ; -- --- --I — ; -'`.4x8-vvr�a_ ! ! .. ! - --• I ! . I ► r i i i i i I I I ,�.µ .� i CIC HIT I_ I i i i I I .'• � Ili; , I j I ! 1111 i Il � Ijl i !_II.IIIiI± tillllj��!li{jl I. I , --rewire, 4 COUNTY OF BUTTE - QEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilld, Califor'nia 95965 - Telephone 916/534-4541 'fl APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 4 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. - BUILDING VALUATION OWNER'S le -or or . / LIG ADDRESS ��r *Y- _ C nl,//,- , / CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS `- Fireplace CONSTRUCTION LENDER AY17'4' S UNKNOWN Total Valuation is .C�fJIJ. /JU Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee /V/4 $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 1_/ 01 00 BUILDING ADDRESS /� ✓%S,�Cf� �S f' / Sit i"�r% �� zz AV f,01 PLUMBING PERMIT Filing Fee 10.00 t/ Each Trap 2.00 Solar Water Heater 20.00 % �.(�� • r, 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 ❑ Duplex ❑ Mobi lehome ❑ Other T / v, 1 r41,W 06I SPECI FYI Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition [I Remodel[]. Utilities[] Installation❑ Other©- Describe work: �rt��lGri�/�'�%/..�lG�if — ? j / �• /N �Y� Permit Fee $ 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. DWELLINGrOCCU.P.&1 OR ADDNS. ACC. BLDGS:�i' 2/20sgft 1f[J 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. y License No. Classification I, as the owner, or my employees with wages as their sole compen- I 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-RESID BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. Ex. Occu Ts OR FIXTURES 20@50a Occup(OUTLETS BAL®30 Ex. QCCUp. OUTLETS PR (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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. a 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 shal I 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 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. !� XrZ'�Date /� l' Signature of Applicant — Y Owner,Q 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 $ — TOTAL PERMIT FEE $ le 11' �(X) OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 9SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which __-_—ODIRECTOR OF PUBLIC ;��/% By `�C�/ PERMIT EXPIRES --",Date / the applicable provi- resolutions to do fees have been paid. WORKS y r, Date( �� ^ ..- %����'�' Receipt No. WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE �y 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 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 f work is completed. If you have any question pertaining to this matter, ordadditional explanation, please contact this office immediately. Inspector/A�!/ /� Date�,ACJ J r 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 T 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 wh 'n correction of work is completed. If you have any question pertaining to this mter, or, need additional explanation, please contact this office immediately. 'Alt. Inspector /� , Date 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 1Kr"rX5-'-1 161 7- � C/> 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, or need additional explanation, please contact this office immediately. P4 11� Ir WR f � / G1/HCl Insoecto�� Date 6 /D COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCELNI�MBER ZONING /J''/ 6 <� BUILDING PERMIT OWNER TELEPHONE a Y,?- O ,SQA FT. OCC, BUILDING VALUATION 00, o OWNE ' MAILING ADD S C NTRACTO 'S NAME TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 U ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARC ITECT OR ENGINEER'S MAILING ADDRESS ' Permit fee $ Q Oo BUILDI_G, DORss SAV/ cJ PLUMBING PERMIT Filing Fee 10.00 I 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 SF ❑ Duplex ❑ Mobi lehome ❑ TU Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other Describe work: G G — Permit Fee $ ontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING CC P. OR ADDNS. ACC. BLD 1 2Z0sq ft 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. y License No. Classification LTI, 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 NEWCONSTRMULTI-OUTLET 2.50 ea NON .RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occu 20e50a P�o Ts OR FIXTURES BAL®so FIXED Ex. Occup. OUT OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 026—.00 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 $ 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 QMn consequence of the granting of this permit X zar Z�{ "-�S Date V Signature of Applicant — OwnerX 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 $ TOTAL PERMIT FEE $ s - OCCUP. GROUP I TYPE of CONST. 1 PARCEL I PD ND 1550E This permit is hereby issued under cions of the Butte County Code and/or work indicated above for which IR TOR OF PUBLIC By PERMIT EXPIR the applicable provi- resolutions to do fees have been paid. WORKS Date .�_ Receipt No. .'r�� — WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -P FC -18 (1/80) n ORIGIN LOCATION DORDER NUMBERrl REG. R.U. INCIDENT NO. START MO. DATE Y COUNTY FIRE NUMBER FIRE NAME. SEC. TOWNSHIPgN RANGE ®E 2 �3 El 0 MILES DIRECTIOJEFROM ❑IN NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., 3 DAMAGE (Nearest 100 1 ETC. 5 TIMBER &/OR YOUNG GROWTH 0111e-0 - • �= Fr/I O . • I LIN CIDENT TYPEIR E] FALSE ALARM , E3 TOP GO TO 10 DRESPONSIBILITY(AT ORIGIN) 4A DIRECT PRAT, RESP.(•D.P.R•) 4 STATUTORY Ref. ✓ STATE ZONE RESPONSIBILITY to ❑ WILDLAND BURNED OR THREATENED i 0� SCHEDULE A D.P.R.{� STATE oUNPROTECTED IDISTRICT 4oD OTHER AGENCY D.P.R. ' •CITY LOCAL'ZONE COUNTY O"SCHEDULE A D.P.R. FlU.S.F.S. 0❑ OTHER AGENCY D.P.R. (Unincorp) ❑ B.L.M. FEDERAL ZONEB.LA" 0 Lj FEDERAL( except Milite V N.P.S. o®� SCHEDULE A D.P.R. `� ( I OTHER FEDERAL ❑ MISC./OTHERVZONE- _ • V [:] OTHER 5 CAUSE(STARTS INOOoOR00NLY) ❑ Did not start in 1 2 5 oro❑ SMOKING [gEQUIPMENT [:].LIGHTNING ❑DEBRIS ❑ PLAY V;/FIRE' ❑ CAMPFIRE _ ❑ ARSON ❑ OTHER/MISC. e7NLA6 ND USE(^^2STARTS IN OOOOROONLY) ❑ Did not start n(') 5 oro ❑ FOREST INDUSTRY DOMESTIC, v ❑ RECREATION; ❑ RANCH -FARM ❑OTHER INDUSTRY-COMRCL. ❑ DUMP • ❑WILDLAND ❑ ROAD + ❑ NON-WILDLAND ❑ UTILITY, RAILROAD ❑OTHER ❑ UTILITY, ELECTRIC - DAMAGE (00 5 OROONLY) 7 ❑ NO DAMAGE IN 0000 8 Number of Veh/DWIg 3 DAMAGE (Nearest 100 1 2&/or48> 5 TIMBER &/OR YOUNG GROWTH ................. , BRUSH WILDLAND VEGETATION (Other than T & Y G) GRASS W.P.R.S,.. (Ex -BOR) - AGRICULTURAL PROD (Other than T&YG) r , CDF TOTAL DWELLINGS b/OR CONTENTS 1 TOTAL OTHER STRUCTURES 3/OR CONTENTS S ��Q VEHICLES & CONTENTS OTHER TOTAL 8A At.;Kt, UI- VtUt i A I IUN tiUKNtL) DIRECT AGENCY PROTECTION ACRES BURNED GO TO O 10 ' CDF 8C A .25 ACRE OR LESS B 26-9 ACRES - C 10-99 ACRES D 100-299 ACRES E 300-999 ACRES EIF 1000-4999 ACRES DG 5000 ACRES OR MORE VEG. TYPE ACRES BURNED 1 5 TIMBER STATE WOOD LAND U.S.F.S. , BRUSH B.I.A. GRASS W.P.R.S,.. (Ex -BOR) - AGRIC. PROD. r FED. CDF TOTAL OTHER 8D _J STATUT. RESPON. 10 ACRES BURNED OF STATE _ U.S.F.S. , B.L.M. B.I.A. W.P.R.S,.. (Ex -BOR) - OTHER r FED. OTHER 1 TOTAL Q9UN ARRIVAL ❑ 1 VEGETATION FIRE ❑ OTHER, GO TO 10 SIZE DISTANCE (Origin to head) ACRES FEET WEATHER (ESTIMATE AT SCENE) WIND .+ I DIRECTION FROM TEMPERATURE M.P.H. I I OF I R OVER PLEASE CDF 7540-130-0118 m sa cp 0 I C7 --Iv Coca al(Ve tel/Cs4c7 c t .� �L �lJ/��� CY/ fi � o C/ 9 Xz VI; �� 4` ..,, .:..-F—.c�c�.,...... ..... _. .- <:: _,..:. -.._� .,. . r .a?+r Y -.aa"'-. s..�e .'�„T=y,r;•-w9.cs�Mt�t Ina, S r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovillegZalifopnia 95965 - Telephone: 916/538-7541 _ C, APPLICATION AND- PERMIT :_5<20 O ASSES R'JARCEL NUMBER —�- ZONING. BUILDING PERMIT ^� I, ' ,�/ v rG t E a •+� TELEPHONE 7 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS as /0�ov Al I � �C CONTRACTOR'S �^E TELEPHONE , CONTRACTOR'S MAILING ADORE, ;1 J rp/Sj� (o Fireplace 1L CONSTRUCTION LENDER] _ I 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 (� �� beo.✓ Each Trap 2.00 G cJ 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 SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK + New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationOther ❑ Describe worik: A- ,v F A,-#& a. j U 1' wa e +e. 4 7 G S 4, ,v P Permit Fee $ 15.0-0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 I Main service DDov OR LESS 100 OROR LESS 10.00 Y Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): F -1I 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d\ , OR ADDNS. ACC. BLDGS. lI �20sq ft NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup\/ OUTLETS OR FIXTURES eA 030 Ex. Occup. our OUTLETS PLNS R (RESID IE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. a 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 5-0) a—a-0 -Tm 6 0.- Cooling Hood 3.00 Ventilation permit Fee - $ -Q 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 again=saidnty in consequence of the granting of this permit. / LL' \ 'Date Signature of Applicant — Owner ❑' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPC JSC1I0OLJ FLOOD PARCEL PO NO ISSU Th This permit is hereby issued under sions of the Butte County Code and/or work indlcafe�d above for which I REC�I00 F PUBL�IC�WORKS ti % iW Byer _ %lat 'PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. X� J/,?,g _ w Receipt No. ✓ r% 7 rj WRITE-O.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: 538-7541 - y 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICEP'4,a A) 3?q— k 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 completed. If you have any question pertaining to this i matter, or need additional explanation, please contact this office immediately. e ' f c — G"' C7 - _ r s� Inspector 'u S5 P� . Date "� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 - 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER4 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 5k Ile 67)Inspector Y / Date • rz.. >_ r'S.,•..,�`v'+�-.•.:C'ky'^�...,t'`'i '"l'T'P�F.+,.t`.:�rt+-%..., ".•.f- �' '^k �e�7`dr—•a: '++"'r�Y +,' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 h CORRECTION NOTICE Z gq - 8'9 OWNE 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 matt r; or need additional explanation, please contact this office immediately. % W/� �N �i�i iMIIIIMY Ar W) MA M r Inspector 14: r 1 1. F Date ° JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR _PARC L NUMBER �� ZONING BUILDING PER NER .1. TELEPHONE S0. FT. OCC. BUILDI G VAL TION OWNER'S gILING ADDRESS a- i' e O il/ kAl C o 7517 P G ' frhle-a r.' S �u/N -4/ /�-/ TELE PHO 7 �11y Sri � _ CONTRACTOR'S MAILING ADORE 9 -?-59r -d ' ` a 2; Y Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian 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. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other _SPE_ CIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: E < `•v a W cL u!—A/AG.e_ 11'.v CIE- Permit Fee $ /5, P-'0 Contractor ELECTRICAL PERMIT Filin Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 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. Classification I� 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. DWELLING occuP.a OR ADONS. ACC. SLOGS. , /2dsgft NEW CONSTR U TI.OUTLET 2.50 ea NO N.RESID .BRA CH IRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. e2 Ex. Occup�OUTLETS OR FIXTURES ALO 30 ls Ex. OCCUp. OUTLETS ((RESID ) FIXED APPLNS. REA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 1M Cooling g Hood 3.00 Ventilation Perrnl4 Fee $ • r7 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 again said County in consequence of the granting of this permit. X `l/L-4�—� Date �3 —�� Signature of Applicant — Owner [}Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPEJ SCHOOL I FLOOD PARCEL I PD I NO S9 E This permit is hereby issued under sions of the Butte County Code and/or work i 'cat d above for which RE F PUB By PERVIT EXPIRES Data the applicable provi- resolutions to do fees have been paid. I ORKS at Receipt No. -3 X �" r✓` WHITE-D.P.W.. YELLOW-Aee E330R, PINK -INSPECTOR. GOLDENROD -APPLICANT :til`t�.y v.V �,.^r)'Y�•.. '��'�'�.� _ .J,_K {.y:�r � v—r.�rY':^.,.Y.....�f'aY—.Y ,A�Zi��#'1' '�'.it i`#M'� 4:1: �./\�.ij,Y, �.L .�ICy,(. 'zw. rc�, ��' 'eJYt�„J .-.•ii jf' �} iV�r�•�...ti� L .v ,. .. COUNTY OF BUTTE - DEPARTMENT"OF. P0BLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 .Cs 14 i. .' . PERMIT APPLICATION DATA SHEET n Permit No. tV OWNERZ%4�::L JCC • A. P. No. Proposed Building Use t ceBuilding Inspector ��( Date 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 sutmitted..................................... 2. Plot plans in duplicate/;riplicate, signed by preparer of plans........ 3. Complete plans in dupl cate/triplicate, signed by preparer of plans .. 4. Complete engineered p ans and calcs, with wet signature on plans . . 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Von -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 ......... t........ 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 requir=ments) 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-Inspec. request to p q . • Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verificaticn (Given to owner ❑, Mail to owner _ � • • ...... _— 24.-Recorded copy of Agricultural Acknowledgment Statement ............ . Letter of signature authorization ..................................... 25. 26. When y .0 issue the permit, process as follows: Mail to owner. Mail to con)ractor.- Telephone RZq-- 9�•_73 and hold for pickup at C- 1, doffice. Deliver w/inspector. Other Applicant — — �7��,• � 1/ It � Date Copy of plans sent HeF-lth Dept., Fire Dept., Other Date The following data must be sLbmitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above itens No. 2. Additional items required: Contractor, designer owner was advised of above required data by—phone AG'ail counter b date Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 0-44- A f'0000llf�� A . 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 �t the -_proposed' oroperty;_improvement (yes.,or no) 2. 1 (have/have not) h&,;e_ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name ?o L D 1 Qi m-L!� Address 22,. S-" ./Vn -cl A L., e City 0 A) C A Phone R94 - 93 -713 Contractors License No. I plan.to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 6 ,*,n e Ck s a 4 ,n " e Address City Phone Contractors License No. 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 Number Date ` a 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- mittednto issues the permit. A,L brat eP- Ki�av� Sr -: �7- y6 - /�v a//y/d9 3�u-