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047-480-002
A.P.. JACK HAGEN 600' off s1s Keefer Rd. app. z mi. east Hicks Ln., Chico 047-480-002 PERMIT#96- CONTR: James Avenell, Chico CROTTY, Dan I p Permit 409-73B �� -7/alp/Z3 . 40 Jac -O -Lyn, Chico g �l/ (new single family) Add & Conv Cov to Living/SF 47D2, .1 E. Jack Hagen 047-480-002 PERMIT#97-0591 S/S Keefer Rd.,app. k'mi,E.of Hicks �] 40 Jac, DanFTAZL� Rd. , Chico �� V 40 Jac -O -Lyn, Chico contra Bel -Air on r., Chic"o A� Cont: Ben's Electric�/� �� Permit #4722-76B,)(add family room / `1 Ele Ser For Well/SF ! deck & storage/SF 047-480-002 04-0 2 47- LENAHAN, MICHAEL INALE® contr : Wittsell Co7t VCh+o 40 JAC-O-LYNWAY, CHI Permit #3268-80B,P,E(additiov' , CONT: OWNER - - - -- REROOF 47-48-2 ra JACK HAGEN ya 047-480-002 06-0807 W/S Jan_T.,„ r.Tat. app 1/10 mi S Keefer LENAHAN, MICHAEL Rd, lot 502, Chico 40 JAC-O-LYN WAY, CHICO�" Contr: Al Vxal, Chico CONT: OWNERl �� _ �Y� �� Permit #2871281B(add family rm &open FIREPLACE \\47-48-2 Contr: McClelland� ,A/C, Chico Permit #3213-81M(it,st.fan o�flI I&, condenser/SF) 0 440,8- 2 Contr: J & J Electric, Chico Permit#2519-81E1e/2871-81) 47-48-2 Cont -f: Bob's Plumbing, Chico .00"R-81P(plbg/2871-81)SF 47-48*;�j Contr: Apollo Ind Inc. (/' Permit#3438-83P(solar water heater/SF) 47-48-2 Contr: Crawford Roofing Permit#1769-88B(reroof/SF) .2�'q! :4r 047-480-002 04-2309 LENAHAN, NATALIE d 40 JAGOLYN, CHICO Cont: VIKING POOLS '^I NEW POOL MSTR#521-0�I � lS/ - LENHAN, MICHAEL 40 JAC-O-LYN WY, CHICO Cont: CHICO ELEC RELOCATE ELEC SERVICE Butte County Department of Development Services. e� >c RRra N O T E S 7 County Center Drive, Oroville, CA 95965 �S (530)538-7601- vnvw.0uttecountynetidds oux< 1 i=bbm MGI S ( &( j) -(L.c-b RESIDENTIAL 40 APN:� �lJ v Permit No. Owner. / v `' Q Site Address: I O . JAr- — D — G I �+ w /T y (ACD Contractor. Type of Permit- • ZE 0 C.EA2Alkic6 / I T3 EPe-A eE SPECIAL CONDITIONS CHECKED BY SRA ` FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE / 2 J,- S OFF f<EEFEK 1 I �} DATE JOB FINALED: ` ` (_ O SIGNATURE: N = OK u..r nK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FAUC10-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -CIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs O Foundation O 14 Exits 15 Cert of Occupancys` 16 HUD LabeUlnsignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-DpthSpacing-CnnctrsSteeI 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cn n ctrs-S hthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls a m` ° 4- , o' o` DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w15' Crclfig Eqp-Pool lghtg Bokes-EncisrsLpnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 _ Lt Niche 12 Enclsr, Fencing Alarms 13 Bonding, Diving board or Slide Pool Drawing OK Not OK _ RESIDENTIAL (Single & Duplex) DATE 1UNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec. Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub. Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping ers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test o'* o i-1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 Girders -Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrtlw, Sz & Grade 16, Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic \41 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F 1 N AL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & Side Lt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Ar-cSpa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault plc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Sta . uard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions rplc m-64ev&, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits T7 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3- drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loan 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters DYes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Pimb-Appinc-Frplc-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnc% Elec, Plmb 40 Fxtr & Tmsfrmr Clrnc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Gmdng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga Q CU or El AL . 98 Address Posted AC Wire Sz ga ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or ❑ AL 'Oven Circ ❑CU ga orQAL Insulated Neutral E]Yes DNo oma' e`er oma• o 49 Service-Riser-Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnrs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector lx BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP060807 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 B. C. Building Permit 01-16-04 pg 1 LICENSED CONTRACTORS 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 Issued Date: 04/10/2006 APN: 047-480-002-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 40 JAC-O-LYN WAY CHI Date: Contractor: Map Index: Description: install zero clearance fireplace OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LENAHAN, MICHAEL. to its issuance, also requires the applicant for such permit to file a 40 JAC-O-LYN WAY signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95973 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Applicant: LENAHAN, MICHAEL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 40 JAC-O-LYN WAY such work himself or herself or through his or her own employees, CHICO, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95973 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' tate License Law.). ❑ I aj Ex mpt under Arti f t Business and Professi ns Code `i l4 Pn Date: (D Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect::. is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: otal Square Ft: 0 S. F. Valuation: $0.00 Policy#: Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to .become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' comp nsati n provisions of Section 37 0 of the Labor Code, I shall fort th co ply with those provisions. /fit ' Date: 1. V� Applicant: Lak( V WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit's-fiereby is d and r the pplicable provisions of the Butte County Code and/or 6s /which I hereby affirm that there is a construction lending agency for the Resoluti to do wor indicated ove f fees have been paid. 474-161 0 v performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: --/a.--0 7 Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Sa ty Code, which regulate the s orage, handling and use of hazardous materials.. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicabkA to the scheduled con ruction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above i ormation is correct, and that I am the owner or the dull horized agent of th wrier. I a ee to comply with all county ands to laws relating to bui ing construction. I ackn ledge it is unlawful to alter the substance of any o ci fo// rm or docume t f Butte Coun ereby authorize re ntatives of Butte Cou ty to enter upon the above mentioned property for inspection purposes. Print auln86V Signature: Date: Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (5')0)538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION "PLEASE PRINT CLEARLY" OWNER asoame r Address `�l J ke— C) lJ ! 71 0 City w(� State ZipO�SC%�?' Phonec 2_—Bgo I ` Fax E-mail t it I APPLI CONTRACTOR Name Vii K)G Address Address City City Y�j t State Zip Phone Raj Phone , +�2_gl T 6 Fax E-mail E-mail Lic. # Class it I APPLI ARCHITECT/ENGINEER Name Flood Zone Address Address City City Y�j t State Zip Phone Raj Phone , +�2_gl T 6 Fax E-mail E-mail State License Number it I APPLI ANT NAME Name Flood Zone Cross Street Address N City Y�j t Occ. Stat Zip Raj Phone , +�2_gl T 6 Page Fax zi E-mail Date Approved: 1// __ — f] PPLICANT S AT RE X For office use only: Zoning Property Address Yo ✓�-a-6YnI Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPo6D667 BIN # LOCATION AP# l�— —` u v �OR— 000 OH Property Address Yo ✓�-a-6YnI City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS L K:TORMSMILDING F0RMS\BldgApp1SubRgmts.doc Page 1 of 2 Received by: lJ" rI Receipt #: 0{ Date Amount: /'f / D Bldg VL1 Irl Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. . 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ ' 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 ' NOTES ' RESIDENTIAL PERMIT NO.04 -480-002 _ I LENAHAN, NATALIE 40 JACOLYN, CHICO Cont: VIKING POOLS NEW POOL MSTR#521-01 04-2309 11 SPECIAL CONDITIONS 11 CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER II i 2- D - s C)c" � JOB FINALED (Date) �Ay ' Signature _ J =10K 0 = Not OK' . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Date 3. Card B-1 Date Card B-1 Date 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 1. Zoning Requirements -Setbacks -Easements 10. Roof; Shthg-Roofing 2. Footings; Size -Spacing -Marriage Line 12. Braced Wall Panels 3. Blocking Date Card B-1 Date Card B-1 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Dat Dat ,9 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLWlans) OK except #'s backs -Easements Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. VVEIV-, Qtp-.,Pool Lighting; 15 Volts-GFI Enclosures; Conduit Entries -Terminals -Listed lec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Hpalfh Department Approval igo'Plumb.; Cir. Test -Water Supply Te 11. ' t Niche ji6oEnclosure; Fenci g -Alarms Dat Dat ,9 Card B-1 Date Card B-1 Card B-1 _ Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'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-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. 16. Insulation 63. Infiltration -Walls -Windows Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. 23. Fire Sprinkler; Test 71. Fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral U Yes O No 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 85. 35. Smoke Detector 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 95. Card B-1 Date Card B-1 Date 96. Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors Card B-1 Date Card B-1 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. 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 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks ❑ Yes O No/Planters O Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 JOROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.butttcounty.net\dds PERMIT NO. BP042309 LICENSED CONTRACTORS 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 Issued Date: 09/13/2004 APN• 047-480-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: !� `5 License Number: 1 7— Site Address: 40 JAC-O-LYN WAY CHI i Date: I� Contractor: VI,C_%NG A0ee 5 Cil/tit/ Map Index: Description: NEW POOL FIBERGLASS/ MASTER # 01-521 OWNER43UILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LENAHAN, MICHAEL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 40 JAC-O-LYN WAY signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95973 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant: LENAHAN, MICHAEL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.): ❑ I, as owner of the' property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. VIKING POOLS OF CHICO INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 283 ❑ 1 am Exempt under Article 3 of the Business and Professions Code WILLIAMS, CA 95987 (530) 473-5319 Date: Owner: - License M 823708 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 / rchitect: is issued. Engineer: 131 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: S < �/^"� Total Square Ft: 0 S.F. Policy#: ! 3 D 0- /U 7. Valuation: $0.00 Census Code: ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: --------- '``--WARNING: WARNING:Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor sf p Coq Lf "IF .¢47• code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This perm is hereby issued under the applicable provisions of -K6 81Jtte'Cn6nty ,684 ?nd/or I hereby affirm that there is a construction lending agency for the Resoluti4 to do work indicated above for which fees have been paid. 1. performance of the work for which this permit is issued (Sec 3097 Civ.) y., Q. 13 • LI - BY'` Date: Name: C7. PER6T)XFIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, Viand 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. s �l Print Name: `Al C G � L`"��'� Signature: qy Date: I /�1 A<' ❑ Owner r onlraclor 13 Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042309 LICENSED CONTRACTORS 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 Issued Date: 09/13/2004 APN: 047480-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: ,5f' Z 37a Sr- Site Address: 40 JAC-O-LYN WAY CHI Date: 9 c Contractor: I/lC_/i"G P0065 Cr//G11 Map Index: Description: NEW POOL FIBERGLASS/ MASTER # 01-521 p OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: LENAHAN MICHAEL permit to construct, alter, improve, demolish, or repair any structure, prior , to its issuance, also requires the applicant for such permit to file a 40 JAC-O-LYN WAY signed statement that he or she is licensed pursuant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 commencing with Section , 7000) of Division 3 of the Business and Professions Code) or that he or 95973 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant•' LENAHAN, MICHAEL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. VIKING POOLS OF CHICO INC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). P O BOX 283 ❑ I am Exempt under Article 3 of the Business and Professions Code WILLIAMS, CA 95987 (530) 473-5319 Date: Owner: License M 823708 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 Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: S ,,4 —,-6- Total Square Ft: 0 S. F. Policy#: 1 D GQ/ !U? Valuation: $0.00 Census Code: ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: t� /����%�G Applicant: e / WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor -+O q *-f— code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This perp is hereby issued under the applicable provisions of the Butte County Coda ?nrtlor I hereby affirm that there is a construction lending agency for the Resolutio to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Q. 13,0+ iW Name: By: Date: PER IT XPIRES ON: C7. Address: Date O I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. � Print Name: C'l CUwT� Signature: q� Date: / A- ❑ Owner ontractor ❑ Agent for Owner ❑ Agent for Contractor OT BUTTE BUTTE COUNTY PERMIT 0 o DEPARTMENT OF DEVELOPMENT SERVICES NO. 0 o BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS Q`YJ2351� 0, t 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 BP o o OFFICE #: (530) 538-7541 CQv IN A FEE WILL BE REQUIRED AT TIME OF APPLICATION BIN # "PLEASE PRINT CLEARLY" OWNER Last Nameirst G A=NN iN �✓r Name Al.7 / Address 410 JA 6 0 ' G City G N ICU _Y/✓ State CA Zip . Phone 8 94 Fax E-mail CONTRACTOR Name Ming Pools O�- ChiCO Address�}3$5 Aawlei h Cour+ -#8 City Ch i C-0 State Ca. I ZiPg59 73 Phone 345- L f or7 c) Fax 3 415 _ 1-7 O 4 E-mail Lic. #82.37081 Class&53 APPLICANT NAME ARCHITECT/ENGINEER Name -Dong !d PoinJcx- e_r Address Zip 9501 e7 3 City Fax 3 LI "' 10 State Zip Phone Type Const. Fax E-mail Map Book State License Number 2442 APPLICANT NAME Name TU _ L'1 n 1 ' 1 �'O hl CL h Address 3 5 A � City C'K'• e.0 staid CA Zip 9501 e7 3 Phone 3"63 _ L40-79 � Fax 3 LI "' 10 E-mail APPLICANT SIGNATURE X For office use only: AP# 01 _yga-002- Zoning _ Flood Zone X SRA es No Occ. Type Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: UVtK FUK 5UBMITTAL REQUIREMENTS LOCATION AP# 01 _yga-002- Property Address Wr%AC. O L n/ City G N/G 0 Cross Street Ic ECFC2 to WORKER'S COMPENSATION Policy Number 7/3-02 00 / / 0 % (o' CarrierCon*a ch7m S+Q & Li ct n 5e, $oq rd - If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address Description or Scope o Work: Sq. Footage 3 cy Z ❑ Structure Built without Permits �/ofa�u ❑ Proposed Change of Occupancy (Note previous use): pOO EXPIRATION OF APPLICATION Applications for which a pen -nit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Received by: Amount' -`7 C 2 /. y�1dg SRA Receipt M g 6S (? R Sheriff (!K#% 61v 'g- SMIP Date: Other ¢ /. �2 � O L� 6 Total • � -•,r;. ^r-rr.;,,>.�.-+.a �.+.. r�.�^t.rX-'�r-�r-;P*+�i-u^--ti:.++w.t+'*�-rrrnh,�.s-v�_...;�e+ca-xcrsr.+..,..s^'-,w-,. �.,a. .ti7L...a,c++s'i. t.� "'�'r-,�. � �x"'Y�, - f_ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 'A 0 (/t �r✓( ASSESSOR PARCEL NUMBER Q `"lr2- )l '?'6-6 6 -L Proposed Building Use: IVew PbcL 1 I s4 r- 01-S 21) Counter Technician: J Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. d 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.' 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required.................................................................:...... ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 023. California Department of Forpspy plan approval ❑ paid. Sent by: ............. V 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: l 0 Dgny ❑ 25. Contact Land Development about _ Improvements, _ Drainage ................. Y26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization ......................................:.................. .......... . ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... t ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephon - 0 f. and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ��- ��-�-- Date: �jc, `( 1. Index permi application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owneas dvised of the ve data by, 4 phone, ❑ mail, ❑ coun e, by, Date:,gp,�� Plans reviewed by: Date: 1 (' u "1 Plans approved by: Date : �H Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division 'IN /; TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Piot Plea Anachad Floor Plan Anached IW9 Sart to B.D. Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: C•,C� �ein�C�, l ,�ii�S Environmental Health Specialist 8/96 7`�----� Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP042446 LICENSED CONTRACTORS 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 Issued Date: 08/19/2004 APN: 047-480-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: G'ID License Number: X15 Y3 Y� Site Address: 40 JAC-O-LYN WAY CHI Date: �' 0 `/ Contractor: 614 i c o �Ce a�+> c, Map Index: Description: RELOCATING ELECTRIC SERVICE p . OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: LENAHAN, MICHAEL to its issuance, also requires the applicant for such permit to file a 40 JAC-O-LYN WAY signed statement that he or she is licensed pursuant to the provisions of CHICO CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95973 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant: LENAHAN, MICHAEL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. CHICO ELECTRIC not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 36 WEST EATON ROAD ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95973 (530) 891-1933 Date: Owner: License #: 454345 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 Architect: is issued. Engineer: I have and will maintain workers' compensation insurance, as r uired by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: '�7 ^j Uel �r�S Carrier:—'Va ylq Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: 272- 2- f) w 1 (- 5 -TZ '0 Census Code: ElI certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: ©� WAR Failure to secure workers' compensation coverage is unla I, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. / � � C/Jl K�YC G a +CONSTRUCTION LENDING AGENCY This permit is hereby issued under the ap ' . le provisions of the Butte County Cody anrVor I hereby affirm that there is a construction lending agency for the Resolu ' ns to d ork indicateq abov or w ' h fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) _ /'JL! Name: ByZd~/ Date: L/J- PERMIT EXPIRES ON: q�s- U < Date Address: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. ��� Print Name:4-/iy\%1 C7 7 at�y-SO Signature: l5 fly Date: / ❑ Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. 0//- "-� 4, B. C. Building Permit 01-23-04 Pg 2 DATE: `xY / APN: .. /% U ZONING: NEAREST CRbSS ST ET: �__e� J _ TRACT/LOT#: SITE ADDRESS - CITY, ZIP: (f li It C Jr OWNER NAME-7r LEKICkkan PHONE: 'Re _err STREET ADDRESS: Cs~ FA^tmX CITY, ZIP: E-MAIL: APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE STREET ADDRESS: L -� ��� X 4 FAX: CITY, ZIP: E-MAIL: LICENSE NUMBER: NSE TYPE: ARCHITECT/ENGINEER NAME: c to RHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: New 20a ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: 1 Date: Receipt number:11 66te,, 6,,-; � Amount Received: ��.� ���/gam B. C. Building Permit 01-23-04 Pg 2 BUTTE COUNTY DEPARTMENT OF DEVEL43PMENT SERVICES BUILDING PEERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds ©`f— O7?Z PERMIT NO. BP040772 LICENSED CONTRACTORS 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 Issued Date.' 03/19/2004 APN'' 047-480-002-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number. Site Address: 40 JAC-O-LYN WAY CHI Date: Contractor. Map Index: Description: TEAR OFF & RE -ROOF RESIDENCE & DET. p OWNER-BUILDERDECLARATION I hereby affirm under penaltyenaltyoffperjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 GARAGE Businessfd Professions Code: 'Any city or county which requires a permit tamtgnstrurrt, alter, improve, demolish, or repair any structure, prior to its issuance; also requires the applicant for such permit to file -a' OWner:, LENAHAN, MICHAEL " '` ` signed statert)enf that'he or she is licensed, pursuant to the provisions of. theContractor's State License Law (Chapter 9 commencindw' ith'Section . 40` JACO=LYN WAY t 7000), of Division 3 of thin -Business and Professions Code) or that he or ; t :CHICO CA she• is exempt therefrom ,and the basis for the alleged. exemption. Any 959%3 ' violation. df Section 7631.5 by any applicant* for a perirtit'subjects the appk6anf VOL civil penalty of not more than five hundred d6liars',($500););,': 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 (Sec. 7044, Business and Professions Code: T'he. Coniraciors''State'License owner. of property who builds or improves.theregn, and, who does Applicant: LENAHAN, MICHAEL such Work himself or herself or; through his or her own employees, 40 JAC-O-LYN WAY provided that such improvements are not intended or offered for said. If however, the building or improvements are sold within one CHICO, CA year of completion, the owner -builder will have the burden of 95973 proving that he or she..did_not build or improve for the purpose of sale.). 0.,,".I,,,,as .,owger., ,of „the,,, property,,,_am_ exclysivgjy.,contfactng„Wjth: licensed contractors to construct the project (Sec. 7044, Business �� 7 and Professions Code. The Contractors' State License Law does not.apply to an owner of property who builds or improves thereon, and who contracts.for•such projects with a tractor(s) licensed Contractor: 'State License w.). pursuant to the Contractor13of.the. ❑ I am Exempt u der Articlesiss and P .es ons C Dater LL_L—` Owner: WORKERS' COMPENS ON DECLARATION:, „.' ' I hereby affirm under penalty of perjury one of the following declarations:. License #: 1 ❑ fhave 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. 13I` have and will ' iriairiiafn workers` compensati.,on"irisurarice,' as Architect:..... . . required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this.bermit is 'issued. My workers' compensation insurance carrier and policy number are: Carrier. Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: ( Policy#: ,: <<; • I certdy that in the performance of the work for which this permit is issue,... issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of. California, and agree that if I should become subject- to .the .workers' r i l 7 f compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I Date: Applicant. WARNING: Failure to secure workers' compensation `coverage -is unlawful,. and shall subject an employer to criminal penalties and one - hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section'3706'of the'Labor code, interest, and attorney's fees. r CONSTRUCTION LENDING AGENCY '::. I hereby affirm that there is a construction lending agency for the This permis hereby issue oder the applicable provisions of the Butte County Code and/or Resolutj o work i i ted ove for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By. Date: - Address: PERMIT EXPIRES ON: Date O ' f hereb� cel i ihaf"ihi "use of this "facilii 'SKall com "I' ;✓ i Sections 25505, 25533, and 25534 of the CaliforniaHealth and Safety Code, which regulate the storage, Y fY• Y P Y Y 9 9 handling and use of. hazardous materials. ❑ Notification in accordance with' Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forins. I hereby certify that t have read this application, that the above information is correct, and that I am the owner or the duly authorized ag�¢t'of the owner. 1 a� a to mply with all county and state laws relating to building construction, I acknowledge itis unlawful to alter the substance of any official form or a rent of Butte C ty. I by authorise represent%a%tives,/o]f Butte County to enter upon the abo a mentioned property for inspection purposes. ✓ Print Name:� 1 �..Jt ►Tie L E • Signature: Date:._ Owner , 0 Contractor 0 Agent for Owner ❑ Agent for Contractor L BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE it: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP040772 LICENSED CONTRACTORS 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 Issued Date: 03/19/2004 APN: 047-480-002-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 40 JAC-O-LYN WAY CHI Date: Contractor: Map Index: Description: TEAR OFF & RE -ROOF RESIDENCE & DET. p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 GARAGE Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior. • - - . r 1 a r: _s }� ; t'" 1 to its issuance', -;also requires the applicant for such permit to 11164 OWner: LENAHAN, MICHAEL signed'statement that'he or she is licensed, pursuant to -ft provisions of. the Contractor's State:License Law (Chapter 9 commencing with'Section "• :. «" t r 40` JAG=O=LYN WAY I 7000),6f Division 3 of tfie`Business and Professions Code) or that he pr ; �.,'V i ;CHICO, CA she:is'exempt therefrom'dnd the basis,for.the alleged. exemption. Any. _ •• `� •_ , ,,;•, ; ,w �, .,-.; I violation, of Section 7031.5 by any applicant fora permit subjects the a licant.t&civilenalt of not more than five hundred dollars' $500 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 (Sec. 7044, Business and Professions Y..,,..,Co`de'Ttie�Contractois' State'License Law does not'aPP�y`toan.. ,,,.,.,,..„,..,.�,�.....,.,...,..�..�,._.......r.-...a,..,.,...�a•....,,..,.,.„...,..-...,.•.,,-....�... �..,....-,,..�,..,..,,,. owner; of. property who builds or improves, thereon, and.who does Applicant: LENAHAN, MICHAEL such work himself or herseli;or; through his or her own employees, 40 JAC-O-LYN WAY provided that such improvements are not intehded_ or offered for sale. If however, the building or improvements are sold within one CHICO, CA 'year of completion, the owner -builder will have the burden of 95973 ':proving that he or she..did-not build or improve for. the purpose of sale.). 0. „I„ as-.owner,,of, the,,property,,,am excysi_vezv„contracting„with, licensed contractors to construct the project (Sec. 7044, Business .,:,. and Professions Code._ The Contractors' State License Law does pot.apply to an owner of property who builds or improves thereon, tractor(s) licensed and ,who contracts, for. such projectZ�n�ess Contractor: ... „ .. ..,pursuant to the Contractors' State Li O J am Exempt under Article 3 of the•P es ons G 'CiOwner: WORKERS';COM PENS _. N'DECLARATION , , I hereby. affirm under penally of perjury one of the following declarations: License # ❑ '•, I,have and: will, maintain a certificate of consent to self -insure for' workers': compensation, as provided for by.Section 3700, of,the LaborCode, for the performance of the work for which this permit is issued. . D- I have arid 'will''inaintain'workeis''compensation.insurance as �.. Architect. ,.,,..._......,,..._..�..„...�-•,�..,.:,......u...... ��,..-...,,.� ..,,............... required by Section 3700 the Labor Code, -for the performance,of Engineer: the. work for which this permit is •issued.. My workers';compensation ' insurance carrier and policy number are: _ Carver: ,. Total Square Ft: 0 S. F. Valuation: $0.00 Policy#: _.. -.;...::,.:,;__, I certify that in the performarice of the work for which this permit is issued, I shall -not;gmploy, any person, in any manner.so as. to Census Code: become subject.to the workers': compensation laws of, California, and agree:that if I should become subject -,to,, workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comppy with thoseprovisions, Dater f Applicant: WARNING Failure to 'secure workers' compensation coverage is unlawful,land shall subject an employer to criminal penalties and one •••-•-�^„-••�--•- •r •- •- -` hundred •: thpusand-'dollars ($100,000),• in . addition 'to the 'cost of compensation, damages as provided for in Section -3706 of the Labor code, interest, and attorney's fees. - CONSTRUCT, -01,, LENDING AGENCY : _:.. This pprrn' ?s hereby issuecHinder.the aoDlicable provisions of the Butte Countv Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this is issued (Sec 3097 Civ.) Resoluf o work i i ted ove for which fees have been paid. - permit Name: By Date: Address: PERMIT EXPIRES ON: Date O” " I hereby `certifythk't use�of this'fecility"shell comply,w thRSections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ,.. • • ., , ,; ; ;r,.. ❑ Notification in accordance with' Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above'iriformation is correct, and that I am the owner or the duly authorized agp�et'of the owner. I a e to mply with all county and state laws relating to building construction;, I ,acknowledge it is unlawful to alter the substance of any official form or etriiment of Butte C ty. I eby authorize representatives of Butte County to enter upon the abo e'mentioned property for inspection purposes.=: ' '• Print Namea Signature:" 1 Date' w :; Owner r' ” O • Contractor O Agent for Owner O Agent for Contractor e,;' �z BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891.2834 (CHICO) OFFICE #: (530) 538-7541 I q APN: � V NEAREST CROSS STREET: �J SITE ADDRESS: CITY, ZIP: OWNER NAME: STREET ADDRESS 4n 3 CITY ZIP APPLICANT NAME: STREET ADDRESS: L.c CITY. ZIP:. CONTRACTOR NAME: ARCHITECT/ENGINEER NAME: DESCRIPTION OR SCOPE OF WORK:—��P,11R_ ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) D V PERMIT NO. 61, 0�72,1 Z '�)-314 s,' i A'Kac P"F'-F"03- EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new appli,cation, plans and fees will be rarmwired. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Receipt number: 31 yo�� /W Date: 3" f ( " / Amount Received: '% Ks-, W B. C. Building Permit 01-23-04 pg 2 O.B.- I 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 personally plan to provide :th major labor and materials for construction of the proposed ��roperty mvement : YES NO O P P I HAVE HAVE NOT signed m application for a building permit for thero osed work. P P 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY.. PHONE: CONTRACTOR'S 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: NAM9: ADDRESS: CITY.. PHONE: CONTRACTOR'S LICENSE NO.. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: DATE: C3 NOTE. This Owner -Builder Yetzftc &n is required by Section 19831 and 19832 of the California Health and Safety Code. This verrfication must be completed and returned to our ojlke before we are permuted to issue the permit, OVER OWNER BUILDER INFORMATION Dear Property Owner. O.B.-I An application for a building permit has been submitted in your name listing yomrself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a pm:mit Building penults are not required to lie signed by property owners unless they are Personally perf=ft their own work. If your work is being performed by someone other than you>rselt you may protect yourself from possible liability if that person applies for the proper peroit in his or her name. C.onfractors are regnh-ed by law to be licensed and bonded by the. State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own worly with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: f If you employ or otherwise engage any persons other than your immodiate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding federal social =unity taxes, wozkers CDMPensatioa insmraace, disability insurance costs. and ummmplo)wmt compensation contributions. ♦ 'There may be uncial risks for you if yon do not cagy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific infxmi3don about youAr obligations under Federal Law, contract the Iutemal Revenue Service (and, if you wish, the U.S. Small Business tion). For more specific information about your obligations under Stabs Law, contact the Deparbnen3 of Benefit Payments and the Division of Industrial Accidents. If tie strmctum is intended for sale, property owners who are not licensed contractors are allowed bo perform their work personally or through their own employees, wfflw a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building Permk erronwu* impb* that the property owner is Providing his or her own labor and material personally. Building permits are not regmimd to be signed by property owners unless they are pm* ming their own work personally. Inflaanadionabout licensed cootractm maybe obtained by contracting the Conftactors State License Board in your community or at 1020 N Street; Sam mesio, CA. 95914. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be, issued until the verification is returned ly, VaN M 1 C. V• Ara, CB.O. Building inspection NOTE: This Owner-Bur7derWormadon is required by Secdon 19830 ofBte Caiilbrnla Se&h and Safety Code OVER SITE PLAN REVIEW APPLICATION Date: 0010� AP# 0'4 % — q to " 00 .2 - Permit Number (if applicable) Bin Number O -J 14 s APPLICANT INFORMATION Owners Name: Owners Address: 4-10 Telephone No.. Situs Address: c1'/ A. - Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Mobile Home pp Residential Accessory p0a., Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family. Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial - F -1 Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): Parcel Size: Cu C© Cf9 ❑ Single Family Remodel ❑ Commercial Remodef ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ `i/A 11 DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 0 Site Plan Stamped Approved By Date 0/10 0 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) Expansive Soils (Test for expansive soils and if verified proper foundation design required) pc" SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: A • Flood Panel No.: 06007COM0 D Index Date: 00 ❑ Sacramento River Reclamation District (Approval must be obtained from the alifornia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: — ?j Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 I Applicable Development Fees: Standard Fees Amount Formula ❑ Fire , ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------------------------------ Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check'with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. I t Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed'Creation:❑ No ❑ Yes Comments: ❑ - Parcel Deemed to be legal ❑ Yes ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger . . ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded'prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 N Subdivision Map/Parcel Map: Map Date of Recording: 53/KO Lot: S402' ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: 7 iD0 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. El 0 Page 4of5 n F-1 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. C:\Larrys\BuiWing Permit Site Plan Reviewl.doc Page 5 of 5 7� ria 2 � � /5''aa- O�QPRTME►T OA, %e�T7" , / p 0 p 0 0 o C 0 0 c�UN�y A�eLlC WOR,�S Department of Public Works J. Michael Crump, LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement tLESS THAN 1 ACRE1 Project Description: pOoG GONE ' -p4 `/ ,C� 3 Project Location and/or Parcel Number: _ 0 zi 7 - y�0 co By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and'that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: race- s is F l 6C" r r G . Date: _ �//0 L/ Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/12/04 74 P5119-80B,E PERMIT NO. �j PERMIT EXPIRES 1 ® OWNER E. J. Hagen CONTR. David A. Brandt, Chico ASSESSOR PARCEL47-48=1 LOCATION S/S keefer Rd., @ Jac-o-lyn Dr., Chico Temp. Power Pole Called PG&E Temp. Elec. Servii Called PG& Temp. Gas Servicc Called PG&E. V 'QO JOB FINALED (Date) Signature J OK, j 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready .. , Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements-Setbabks-Easements Date DECKS, COVERS, CAR PORTS, •ETC .'fPlansl OK except #'s 1. Zoning Requirements -Setbacks --Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 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.-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 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK Air 0 = Not OK - = Not Applicable * = Not Ready I RESIDENTIAL (Single and Duplex)' 849 Date UNDERFLOOR P OK except #'s Date FRAMING (Continued) 1.' ing requirements -Setbacks -Easements 48. Property Line Firewall & Openings /Z-FTJ.-Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Ftg., Garage; Soils -Steel- / /'t . Dept 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection T. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. ier 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. 12. Electric; Underground 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-BlclgroyDate 2, rd -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's Ight Protec ton -Lan Ings 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. - - s-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection59. xiting 17. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access E0. G.F.I. & B ccess e s 19. Gas Pipe; Size & Anchors I s ----- 63. Fire - ea - �dL FIPr (1, tlote at u--.y:-�--ei- Card-BI Date Card -BI Date 65,�ARA"6cud+� rance Card -BI Date Card -BI Date 66 n er Date ELECTRICAL Permit OK except q's 6 tr - loser 68. 20. Fixture & Transformer Clearance -Ins, Protection 69. Vtr.H - ctor- n ar g ove loor-Mech. Protection F 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb. a for Location 22. Size Boxes & No. of Conductors -Stapled 1. 7 Elec. Receptacles in Garage; (G.F.I.)-Rom x Protec. ' 23. Romex Installed Close to Edge of Studs & C.J. 72• I sul - tc ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water Guar 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Ve carol Hnl � ��� -Drainage &Wood -Earth Clearance Loo ed under Floor ❑ Yes - 26. Subfeed Wire Size / / 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 ❑No 75. Fo .: rive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77.-Isc e - n I 30. Clothes Closet Light -Shower Light 78, ove g.ce- - earance to pugs. 7 .81. I ac e -Underground Card B -I Date Card -BI Date n t ro e Card B -I Date Card -BI Date 82 Date MECHANICAL (Permit) OK except ff's 83. _ Ions ons 84. s d• 31. A.C. Ducts; Insulation & Support 85. Wa r 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 88,erg Certifi atP-Oth r c *i+t""s _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - -,. Card -BI Date rd -BI Date Card-BIDate _ 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 N's Comments at Final: 36. Proper Material & Anchors 37. _Sills; _ Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. _Walls; Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex 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 you visit jobsite) COUNTY OF BUTTE" DEPAATMEAfOF PUBLIC WORKS' " 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUIL OR PROPERTY ADDRESS 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 corr ion of work is completed. If you have any question pertaining to this matter,/6Veed additional eWranation, please contact this office immediately. Inspector Date i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and ,Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDA6 OR PROPERTY ADDRESS 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 ork 's completed. If you have any question pertaining to this matter, or need it al la on, please contact this offic immed' ely. r -a r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 ECTION NOTICE BUILDRi 6 OR PROPERTY ADDRESS 1routine inspection indicates that the following violations of County Ordinance exis�¢t��� at the above address and should be corrected. Please notify this office whe correction of work is completed. If you have any quest.on pertaining to this matte ,�� need additional explanat7* n, pleas contact s office immediately. // — ,� _. County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr.; Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE b.......:-',,....................................., t........J .... 3uilding or Property Address 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 immediatel y . ..................` . ........`...,G!11ii`7�. «,pr .....:........:...... .................................... ..........................F............ ...... a .. ............. ...... ...�..••••••••/•.y�..'A^..t..; •...1.lyi�� T.... s �... ....:�1................. .... .... ....... ...:......................... ....... ... .......................... ' .. .. c Date. ............... r:. Inspector ......................... Do Not Remove This Tog (400-41 County of Butte DEPARTMENT OF.PUBLIC WORKS 695 Oleander Ave., Chicd.-...-L'S43-421 1, Ext. 70 .7 County Center Dr,;"O ' roV.' i1l.e— 534-4541 Skyway and Elliott .Rd.:.,'Parad se — 877-3435 CORRECTION:. NOTICE lr� O'V .......... ........ I ... ... ... ..... .. . ......... .. .. ... 5.i ...... wing,or Property Adifress A routine inspection - indicates thk:.,the., following violations of .,Co*un'ty Ordinance exist" atthe above address and should be corrected.- Ple, a-se'notify this office when correctiorr' of - work is- co.mpleted. If ',you have any question pertaining to this "Matter, or need additional explanation, please contact this office immediately. ... .... ....... . ....... ......... . . ................ ............ . . .................... ............................................................. ............ .......... ............................... ............ j,.W;7 . ................................... ............................................. ...................... ..... .... ..... . . .................. ............... ................ I ................................... ...... ................. ...................................../ .............. .... ........ . .......... Dat'.0 spector .... ........... . .. .............................. Do Not Remove. This Tog I / (400-4) — i' COUNTY OF BUTTE - DMPAR HENT OF PUBLIC WORK PER T NO ,t7 County Center Drive - Oroville, California 95965'- Telephone 916/53 4541 � / �o i• t APPLICATION ANUTERMIT - /r v ASSESS R PAF.CEL UMBER .= ZONING - BUILDING P ld, or OWNER �/ TELEPHONE SO. FT. OCC. BUI,L/JDING VALU ION / ' OWNER'S MAILING ADDRESS G' GO 2� CONTRACTOR'S AM / _ "VFA TELEPHONE ✓ CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ �j �V '�— LENDER'S MAILING _ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 16,00 SUI&�PIJ,IG ADDRESS _ G_ �G PLUMBING PERMIT Filing Fee 3.00 Jr Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE /•O� SF ❑ Duplex❑ Mobilehome❑Other ����� SPECI F Building sewer Lawn sprinkler system 2.00 � TYPE OF WORK New 2- Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee /01 00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 CONST.NEW DWELLING C OR ADDNS(20sgft 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. ,+��I/ �/ yj.. License No. r), VIZ T2- Classification Gen° 6�C/ ❑ 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) ElI, 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 CIRC ITS NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@� BAL@10¢ FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ , Zi7 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. EErl 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. z. ❑ 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 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor Itcertify 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 Coun in ^sequence of the granting of X this permit. npperm��it. >` Date (X�X�° �9�D Signal re 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.a Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ /' OCCUP, GROUP r. TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF ' UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �' apo Date 0 )_ Receipt No. /71 2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �A•—c� �. 'i.JQB •INALED (Date) �-9��X i Signature 1 %.•.•.:, PERMIT 2871-81B PERMIT 110. PERMIT EXPIRES OWNER JACK HAGEN CONTR. Al Vial, Chico ASSESSOR PARCEL 47-4.8-2 LOCATION W/S Jac -O -Lyn Way, 1/10 mi S of Keefer Rd, lot 502, Chico T . f6 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called P,G&E �A•—c� �. 'i.JQB •INALED (Date) �-9��X i Signature J = OK -0-= Not OK - = Not Applicable - Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements t DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s ` 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 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) Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s ` 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 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.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ` �Y 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 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI' Date POOLS (Plans) OK except N's 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 -Connections -Thickness -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- Enc losures- Pane I 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 -I Date Card -BI Date.. Card -BI Date Card -BI Date 0 V = OK *. 0 a N%'OK` • - 4 Xot,Agoliaable * t' N4,Ready REWDEATIA'L (Single and Duplex) Date �rI UNDE OOR Plans OK exce t#'s Date FRAMING (Continued) Z, o •ng requirements-Setba ks-l5%seatents 48P-Pr_2p*y t M-rirewall & Openings tg., Main; Soils -S d.- / /" Ftg. Depth xt. Doors -One T -Check Garage -3rd story, 2 exits •_3._FFgr-fierage; Soils -Steel- / /" Ftg. Depth airs;-f�4ee"A ng-FRe-PratE>?fiiin 4kr g., Porches & Decks; Soils -Steel- / /" Ftg. Depth of Overhang -Attic Vents -Rafter Outriggers �r`2 temwalls, Main; Steel -B lockouts -Wrapped -Slab i N�iJ+rf�-�ene�r 6. eel-Blockouts-Wrapped-Slab f3_-&Fecco.Uesh_Drip Screed-Fdn. Vents-Underflr. Access -Fireplace Ftg.-Steel azing Area -Glass Protection -Skylights -Plastic r D.W.V.:F`" -T - ewer est 56_44eeF-Wails; Nailing -Bolts 9. G ipe; Size -An ors ater Pipe; -A s-Ret�lalerPSewiee Test 11. Electric; Underground �2 lenums & Ducts; Clear&Rc6-Mat ial-Su rt -Ins. ' Gir s -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Dat - Card -BI Date Card -BI Date/ _ y Card-BIDate Card -BI Date Card -BI Date Card -BI Da / Card -BI Date Z Date FINA ns) OK except q's Card -BI Dat f__ Card -BI Date O Date PLUMBING (Permit) OK except p's er HL; Vent -Access -Combustion Air '5. WqAer Pipe; Test & A hors -Nail P ction . Ext. Steps -Door & Sidelight Protection -Landings -6Y"1Jmo49-QWector 54 v_-. Wents-Clearance-Comb. Air -Connector - In$erege+-Above Floor-Ducts-Mech. Protection '.i� .W.V.; T -F s & atl do 59. Oftoonr•Exiting ower n; Test, First Floor -Tub AccesstOr.Fixtures & Tub Access 18. e'1" s 7uB & Shower, 2nd Floor -Tub Access .ifs/6to-OEler Trim & Subpanel; Breaker SizeOE0€11s 19. -Gaspe; Size & Anchors tairs & Rails Oti fireplace or Stove; CI c �f Iec.Outletsoo T Exf`__--- Card -BI Date _ / Card -BI Date ppliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 8�'Ei�C-OTRiEts & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's"6ve+-nGarage-Damper or; Swing -Landing -Closer 'Vents re ransformer Clearance -Ins. Protection .Receptacles Spacing -Lights &Switches at Doors -Clearance -Comb. Air-Connector-P.R.V.- r. tr.; Floor-Mech. Protection 6 Irr Ib., Elec. &Mech. Equip. Listed for Location ize Boxes & No. of Conductors -Stapled e , (G.F.I.)-Romex Protec. o ex Installed Close to Edge of Studs & C.J. 7 nsu ion-Feem-Lo tj�E . Ground made up w/Mech. Fasteners-Bon&,&.-s-&rWe+er uard Rails &Deck Construction -Post Caps iance ircuits in Kitchen & Conductor Size .11-r—Fdn. Vents & Crawl HoleDrainage & Wood -Earth Clearance Looked under Floor _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size //,y ga. Cu ` 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No owing instld.: DriveYes o; Walks s E)No; Planters ❑Yes 2&---9er7tCe—RTMrr Conductors & Ground -Main Disconnect 7 inish 22,_F�quip. Clearances; Panels-Motors-Mech. Equip. Uni Ir r r,o iz -11 et ents Above Roof; - pplianee it t Light -Shower Light 7 ect, Electrical, Plum ing 8 rior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date ��7�/ Card -BI Date entilation throughout House Card B -I , Date Card -BI Date 82__l5,lasfProtection DateMECH ICAL (Permit) OK except N's _ as-6vrrU ions from Previous Inspections ers Tagged; Gas -Electric W r & Sewer Connected -G,/0 rade-HD prova A.C. Ducts; Ins d+�ilen-& S44xOt _ 32a--V•en1-PRW-_"exhaust above Insulation in & Overflow; Size & Grade Energy Compliance Certificate -Other Certificates% _ 34. „ nate-Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. ��^^^ ° Platform if Furnace in Attic Card -BI Date Z Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Comment at Final: Date FRAM Plans) OK except q's Zeol—Sills; Proper Material & Anchors s Ly -ni pacing ting -P&", _t_ _ 3 _earing Walls over Girders & Floor Nailing top in Walls (rat pro ' Fir Sto s; rred $�C s -.Tab• & Beam-SiFe & Bearin _eader _ a gers-P�.6aps g. Joist-Ritr c. -Freres-S _ .- Fireplace Ties o Flu Fireplace Throat ize & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions otection Framing (NOTE: Anentry must be made each time you visit job site) THIS IS f0 CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULAY1ONS. CALIFORNIA AdIINISTRATIVE CODE. TITLE YS, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: \ Keefe.r Rd. _ Chi co Street LotNumber- City Remodel EXTERIOR MALLS Manufacturer J M Thickness/Type 3 R Value_ 1 1 CEILINGS n Batts: Manufacturer J M Thickness 6 1,2 R value 19 Blown: Manufacturer Thickness No. Bags Mt./Bag Sq. Ft. Covered R value FLOORS Manufacturer Thickness/Type R value Manufacturer Thickness/Type R Value Manufacturer Thickness/Type R value GENERAL CONT T_0 `"! L- - U I AL, •Jy-�/��� �Cy-� LICENSE NUMBER �1 � BT !- ��1. ^ TITLE /) W ngr DATE 1'2,-11j 1j INSULATIO RACTO T ION LICENSE NUMBER BY TITLE Vice Pres. DATE - 10-12-81 RESIDENTIAL , \\1 ENERGY CONSERVATION STANDARDS N CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT KEEFER RD. '/ (location) I BUILDING PERMIT NO. p��%/� y/ A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Al A Floors_ /Q Walls 3 Ceiling/Roof a Ducts Circulating Pipes) APPROVED HEATERA APPROVED WATER HEATER GLAZING: Single Glazed AA Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS._ BACK DAMPERED FANS INTERMITTENT IGNITION ftVICES CERT. APPPLIANCES /VA - I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name NICHOLSON INSULATION INC. (please print) Signature of . Insulation Applicator General Contractor/Owner Name Signature of General Contractor/Owner A UAL /(plea V� JIGL{.0 %,Vlll.l License No. f-UUL se print) ors ) q51 Date State Contractors License No. d_7l E'_) THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED -IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. m V CERiIFICATE' OF E 2, E ?141 CONFORMANCE /HE UNDERSIGNED MANUFAC TURER., HEREB Y CERTIFIES that the products identified below and on attached sheets Nos. are marked with the collective mark of the American Institute of Timber Construction (AITC) and are manufactured in accordance with the manufacturing and fabricating provisions of Chapter 25 'of the Uniform building for glued lamllpated timber. as modified by ICBO Research Report No. 1146 and that such manufacture has been at our plant iri . Cottage Grove„ Oregon , which plant has a quality control system approved by the Inspection Bureau of the American Institute of Timber Construction and inspected periodically by such Bureau. The undersigned manufacturer further certifies that the work has been done in accordance with the applicable job specifications. JOB NAME: KELLER LUMBER COMPANY JOB LOCATION:_ REDDING, CALIFORNIA CUSTOMER'S ORDER NO. __-(^�5 DATE_4/11/81 MFGR'S ORDER NO. 1124-7855 SIGNA TITLE C SUIPERV I SOR WEYERHAEUSER COMPANY �`..'..Y-. �..._ COMPANY LAMmATEb LUMBER PRnnUCTS ADDRESS CO`TrAGE GLOVE, OREGON DATE G A/TC HEREBY CERT/F/ES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said code and report(s), that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of the undersigned, said company is capable of complying with applicable manufacturing and testing provisions of said code and. report(s) in respect of products manufactured at said plant. Conformance with the said code and report(-.) in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's certificate hereunder being that the said company is qualified to produce a product meeting the said code and report(s) and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCE AITC Certificate No. E 17504 Signed for ERICAN INSTITUTE OF TIMBER CONSTRUCTION '� Paul R. Beattie Jack Minneci xecutive Vice President irector, Inspection Bureau Q 1980 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION COUNTY OF BUTTE DEPARTMENT OF PUBLIC WQRKS 196 Memorial Way, Chico — Phone: 891.-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE / CIAI BUILDING R PROPERTY ADDRESS 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. -77 ylD�/> /l� �/C 'rI/S�•.�NFC 7 �/.�JnIf�P ' / .' d C. � ✓l %f .+' i•�: �� �Iv i � , / �� i city G! �1f� Ci�C/�� / //�• `fi/� :L f i�, �j , f i'a,ec/.VEC >' ✓''— �/�GU I elf �' � � i �i! / ! ti(// �. S' ,rC t115iW- LZ Inspector Date COUNTY OF BUTTE i` DEPARTMENT OF PUBLIC WORKS br �- 196 Memorial Way, Chico:- Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 %JG,hatter or need additional explanation, 'please contact this office immediately. 7,d r IA" /'/o r 1--7 / r z G.l�/LE • / (.J/ 14 0",/ ill 1 i o /l/ZGvf1d lljlw;71n. /� / cG�/JUf_ I'VOIi ?k I/ Inspector Xe2llel Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chieo — Phohe: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE - z F71 - BUILDING OR PROPERTY ADDRESS 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. ®/4 7�s 1,A ®moi` -rte 6 Inspector/ �� /�=( �,//% Date"��3 �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 -r 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING R PROPERTY ADDRESS' 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. Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico,- P�dns: 891'2751 ' 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 'CORRECTION NOTICE �— BUILDING OR PROPERTY ADDRESS 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 i�mpteted. tf-you-have any question pertaining to this matter, or neediodTf nal explanation, 'please contact this office immediately. 04 Inspector �T�v f Date I COUNTY OF BUTTE -DEPARTMENT-OF PUBLIC WORK 7 County Center Drive - Oroville, California 95965 - Telephone 916 -4541 APPLICATION AND PERMIT PERMIT 0. -►. SSESSOR P $SEL N B RZO INGZIaS,p3 F-- BUILDING PERMIT OWNER . r // I / . e/C/ rOV TELEPHONE SO. FT. OCC. BUILDING VALUATION 7-76 r a OWNER'S MAILING ADDRESS J6& oo CONTRA TOR'S NjkVE TELEPHONE IA. CONT A TOR'S M_!6lkING ADDRE 5 C Fireplace NCa 000100 CONSTRUCTIONLENDER UNKNOWN Total Valuation $ „Z p Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .60 ARCHITECT OR ENGINEER AQ2dr LICENSE NO. Plan Checking Fee $ � 00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINy np RE55� - C_DI (,tJ f1 PLUMBING PERMIT Filin Fee 9 10.00 / G Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUED VISION NAME i�. ` rJ PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 , / TYPE OF WORK New Additional Remodel[] UtilitiesQ Installation❑ Other ❑ Describe work: Aw a ,oi ,E eUL Eo Kr Permit Fee $ Contractor ' ELECTRICAL PERMIT Filing Fee 10.00 If f 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.51) OR ADDNS, ACC, BLDGS. 20 sq CONTRACTORS LICENSE LAW I de la nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in ful-Lforce 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 CONSTR (.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTFL (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR, 50 1 zsa Ex. Occup OUTLETS OR FIXTURES BAL01 LNS Ex. Occup. (.0 TLETS FIXFDP(RESID )KEA. 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): he 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 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 asequence of the granting of this permit. X�- Date_ Signature of Appl' ant — Owner ❑ Contractor ❑ Agent An OSHA permi is required for excavati ns over 5'0" deep and demolition or construct- ion of structures over 3 stories in height Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PI -INSPECTOR. GOLDENROD -APPLICANT Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0 O PUP. GROUP TYPE OF CONST. PAR UE _� V^�- v v This permit is hereby issued under the apollc ro ri sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. // DIRE OVF BLIC WORKS By i�t Date , e -10-A PERMIT EXPIRES Date JV` - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,Califorhia 95965 - Telephone 916/534-45 � !�?, APPLICATION AND PERMIT ASSESSO PARCEL NUMB R _ ' ZONING UILDING PERMIT OWNEA / G TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MKILING ADDRESS/ C RVTO AM TELEPHO E ✓ s CONT AC O 'S AILI G ADDRESS of ^ c;, Fireplace CONSTTRUC TION7 LENDER UNKNOWN Total Valuation is 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 $ BUILDIN A D SS Q PLUMBING PERMIT FIII Fee 10.00 n9 Each Trap 2.00 Repair drainage or vent piping 5.00 I� Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remode�l ❑ Utilities �[Installation ❑ 0 er Describe work: ��G1 z `� Aoj 921 -,FJ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. AOD•L 100 AMP 2.50 F NEW CONST. ( DWELLIN •d� OR ADDNS. ACC. BLD 20 sq it V CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ® 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod and my license is in full force and effect. License No. S Classification (4-10 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRMULTI-OUT ET 2,50 ea N0N.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &I NON .RES I D. SINGLE OUTLET CIR. Jr Ex. OCCUp OUTLETS OR FIXTURES s �� IxeD APPLNS. OR Ex. Occup.(ovTLETS (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 $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili ' ' dgments, costs, and expenses which may in any way accrue against a' C in consequence of the granting of this permit. _ `� _ X y�p, Date Signature of ont — Owner$S. Contractor X Agenr ❑ An OSHA permit is required for excovations over 5'0" deep and demolition or construct -IR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TOR OF PUBLIC ;7 By PERMIT EXPI e the applicable provi- resolutions to do fees have been paid. WORKS Date -� , Receipt No. QJ J _� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California'9s965 - Telephone 916/534-4io�/� —�l APPLICATION AND PERMIT ASSESSOR PARCEL UMBER ` _ — ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S LING ADDRESS S O TRAC O 'S- E e T LEPHONE COIJTRPCTOR'S AILING DESS Fireplace CONSTRUCTION LENDER NKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADETRESS Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT FiIIng 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 STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition [� R model Utilities ❑ InstallationD Other Describe work: - � X Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA- ADD'L too AMP 2.50 NEW CONST. (DWELLING OCCUP.DI) OR ADDNS. ACC. BLDGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions de and my license is in full � force and effect. License No. Classification L��� ❑ 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. -OUTLET 2.50 ea NO ESID BRANCH CIRC TS NEW CONSTR. (POWER APPARATUS S NON-RESID. (SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES_ BAL@1 EXIXED APPLNS. OR . DCCUp.�OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. ❑ 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 PermL�^tom $ S' C661Factor w cif�l I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. allso I abigliees� judgments c sts,nandeexpenseless the s which may in anyy way of Butte against accrue against d County in c sequence of the granting of this perri i X� Date a �U Signa ure of Applicant — Owner ❑ Contractor ❑ Agen� An OSHA permit is required for excavations over 5'0" deep and demolition or construct -OR ion of structures oveerr 33ssttoories in.height. Mobile Homelinstallation Fee !) $ Miff TOTAL PERMIT FEE $ occuyPrr o E lit 1 oRiC7 ern PARCEL PD ND SSUE This permit is �liereb��ssued under sif hBtte County Code and/or 4w,5rrPIK,'nd1c:atLed'bove for which OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date��Z��(���/I� �'� V Receipt No. ✓J7 72 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Via of V Z O, O-VOWW"O'lao 60 14�,eb 0 .� COUNTY OF BUTTE - DEPARITMENT OF PUBLIC WORKS PERM T NO. 7 County Center Drive - Oroville, Calitorria•95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZO G "''-3 BUILDING PERMIT OWNER TEL PHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING NODRESS IkQi C,"TRACTOR'S N ITELEPHONE �. CONT AC -TO 'S MAILING A DR-• 5 JiUJ14 V-1 rpnAnr) _ C_ .I I CONST UCTI N LENDER UNKNOWN Pirenlare Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER wya LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL IN ADDRESS ( PLUMBING PERMIT Filing Fee 10.00 Each Trap i 2.00 Repair drainage or vent piping 5.00 l Water piping �Q LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets --/ USE OF STRUCTURE SF I� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 4P:0::0 TYPE OF WORK New ❑ Additio Remodel ❑ Utilities ❑ Install •on❑ Other Fr Describe work: I` Permit Fee $ /7, I? Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS1005.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.y) OR ADDNS. \ ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and license is in full force and effect. y License No. Classification G 3 G ❑ 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 '_OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS h1 NON-RESID. (SINGLE OUTLET CIS. I 50 ® zs¢ Ex. OCCUp OUTLETS OR FIXTURES B IXEDE 2 Ex. Occup.( OUTLTS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig 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. R—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 construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 sal Count In on quence of the granting of thisper'it.c / G r X Date [ �iC.J ( 8 1 Signature of Applicant — OwnerContractor ❑ 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 $ OCCu P. GROUP I TYPE OF CONST. F PARCEL PDf__WF_J_79= This permit is hereby issued under sfons of the Butte County Code and/or wor ndic ted oye for which I CTOR OF PUBLIC / PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ^' 9 2s-�j Date % Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 9 4R7PERMIT NO. ' 4722Z'3 JB,E- PERMIT EXPIRES ,y OWNER E. Jack Hagen • i, CONTR. Bel -Air Contractfts , Chico LOCATION (A.P. 47-38-1 SIS Keefer Rd.,app. k.mi.E.of Hicks Rd., Chico `7 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Mesh Scratch Brown Finish Interior Lath Door Closer . Y DA TE Final FIRE SPRINKLEF Test Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS_ Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you vislt the job site.) t GO 9tG COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) PLUMBING' Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd`Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping Temp. Gas & Test Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Mesh Scratch Brown Finish Interior Lath Door Closer . Y DA TE Final FIRE SPRINKLEF Test Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS_ Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (NOTE: An entry must be made on this form each time you vislt the job site.) t GO 9tG COUNTY 0'F BU1T`TE DEPAARTaMENT OF PUBLIC WORKS • 7 County Center Drive — Uroville, California 95965 Tele Qhone� X34-4541 �`�/[ l/ `(f/✓7 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the a ve-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. ,1q15— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OWPUBLIC WORKS BY uilding permit expires Date �� ZJ '�% BUILDING OwnSQ. Al FT. OCC. BUILDING VALUATION �i D 00 • oto Mai I i ng Addressq.&-4 � • O O Telephone No. L46 q D-oc O Fireplace Contractor r Y Li p, Total Valuation �8 6 Mailing Address Permit Fee e Plan Checking Fee &/or Penalty Telephone� o•. � Permit Fee $ Dv d l Building Address S -,°G e ll� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ro Y- .i L 7 C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N �/���yy3 -- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s 9�atT'ft ron I FireDept. I FireZone Use Permit Building sewer 5.00 EQA IParking Parcel Plans D laration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. PlanA.s Recd Parcel Appr val Plans proval Permit Fee $ $ NEW ❑ ADDITION 5Z UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 p Z .0 A Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 Single Family 4V Duplex ❑ Mobil Home ❑ Others ❑ MV Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING 0& q ft OR ADDNS. ACC, BLOGS.7&04' ) 2�S NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEWCONSTR. (POWER APPARATUS & NON .RESID, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name FYI�Ipp ���f 2Ca N�1�Z7�Q-ice Ex. Occup(OUTLETS OR FIXTURES)50 0256 100 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License Classification__ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 0704O $,10 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. �>` I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em P to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ b 3c authorize representatives of the County of Butte to enter upon the a ve-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. ,1q15— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OWPUBLIC WORKS BY uilding permit expires Date �� ZJ '�% RESIDENTIAL 1047-480-002 PERMIT#96-1655 I CROTTY, Dan 140 Jac -O -Lyn, Chico Add & Conv Cov to Living/SF JOB FINALED Signature V=OK 0 = Not OK R=No`taaldyb�e - MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / / Uft. / /Nat. or/ NL"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/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-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 J=OK 1. O.= Mot OK =Not Applicable Not Ready RESIDENTIAL'(Single & Duplex) = Date UNDERFLOOR (Plans) OK except tt's i 1fZoning-Setbacks-Easements-Flood-Slope �tg_ Maim'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4Ftg_ Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. ; Steel -Wrapped Vg(ers-Fireplace Ftg.-Steel a 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 ,'f Card B-1 Date Card B-1 Date Card _0- 1 Date Card B-1 Date PLU ING (Permit) OK except a's 6. Water r.: Vent -A cess -Combustion Air -Baffle 1 pe: T st&Anchor-Nail Protection ------------------ ------------------------------------------ - - 1 D.W.V.: Tett-Flittings & Anchor -Nail Protection -- - ----------- 119._ ShoweK2;.FTest. First Floor- u cccess ---------20.-Test--&-Shower, Tub & - - Shower, Second - Floor -Tub Access ------------------------------------------ ----- -- - - - - - - - 21. Gas Pipe: Size & Anchors --------------------------- - - --------------------------- ---- ----Date-- ---- Date �"2J'q'2 Car B-1 Date Card B_1 Date J55rd B-1 Date Card B-1 Date EJACTRICAL (Permit) OK except a's 22. F' ure & Transformer Clearance -Ins. Protection --------------- -- -- ----------------- ---- -- - ------------------ - Receptacles Spacing _Lights & Switches at Doors --------------- ------- p --------- 24. a Boxes & No. of Conductors -Stapled 25' Romex Installed Close to Edge of Studs & C.J. - - 2 Equip. Ground made up w/Mech. Fastners- --------------- iP! lance Circuts in Kitchen & Conductor Size/GFI -:.. - -----..................................... . 28. Shbfeed Wire Size ga. Cu or AI-A.C. Wire Size • ga. Cu or At `--- --- n�9e C+ga Cu or AI -Oven Circ. ga. Cu or Al. - t'- 4rrsWaled Neutral ❑ Yes ❑ No -------- ------------------------------------------------ ............... .. 30. Service -Riser Conductors & Ground -Main Disconnect - ---------- - - ------ . ---__.... ---......._.. 31. u p_Clearances Panels-Motors-Mech. Equip. ---- - --- ---------- ------------------ I—— ._. ....... ....... .. 32. hes Closet Light -Shower Light -Spa Light --- - - -- -- --- ------ --- ------ ................. Smoke Detector Date y_2 L'(� Card B:1 Date Card B-1 ................... -----........ ....... ... ... .. Date Card B-1 Date Card B-1 Date MECHA AL,(Permit) OK except a's 3 _ .0 cls Insulation & Support ------ -... . 3 . ent Fan. Exhaust above insulation -------------- .............. -- ......_... ............... ... ...... 3 ori a sale .Dram & Overflow: Sze .& Grade .......... ...................... ....... . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet /3')i\ttic Access & Platform if Furnance in Attic -------------- ------- - --/ . ... ._. ... . ....... . --- ......... .. Date [4_ _ Card 1 Date Card B-1 Date C d B-1 l Date Card B-1 Date S Isrop Material & Anchors 4 I Stu -Nailing. Spacing & Pla s -Sound w 1 ring Walls over Girders & Floor Naftin ................................ 42. raft Stop in Walls (rat proof) ------ ----- _.._..... ._... ._... 4 Fi Stops: Furred Ceilings -Stairs ha -Tub -------------- _ _. ..... 4i Headers & Beam -Size & Baarrg Date AMING (Continued) � H�ange -Post Caps -Anchors -Connectors - 46.-CIng. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. pe A Flue -Fireplace Throat clearance ttic Access; S . & Romex Protectio - raft Sto s. Baffles ------------- 49. Bdrm. Wi-ndows or Exiting Doors ill Hgt. & imensions -------- --- e Fire+P^t ----------- 5 - - ---------- P erty Line Firewall & Openings 5 . Ext. Door - k Garage -3rd Story, 2 Exits - -------- ------------------=---- - tairs; Width -H -Rise-Run-Landing-Fire Protection ---------------------- ------- 5 od on Roof Overhang -Attic Vents -Rafter Outriggers -------------------f�d 7on Veneer ------------Xs. ----- ----- - sh-Drip ents- nderflr. Access ----------------- Area-GI rotection- ig isPias is --alls; Nailing -Bolts on -Walls -Ceilings ion_Wa"(�i,� Windows--------.�- \- ___-S.___--_-_--__ C Date r2` -Card B-1 g Date - Card B-1 ..---------- ---------- ------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a'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. --- ------------------------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 ...... .._ .............------------------------ ---------- 72. Garage Fire Door: Swing -Landing -Closer - - 73. A.C. Duct in Garage -Damper - -------------- - ------- 74. ----- --------------74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------------------------- 75. -------------------------75. Plb.. Elec. & Mech. Equip. Listed for Location. 76. Elec. Receptacles in Garage. (G.F.I.)-Romex Protection . - --------------------------- 7, ------------------- -7,. 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 ❑ Yes - --------------- 80. Following instld.!. Drive ❑ Yes ❑ No. Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ---- ------------------------------------------- 81. Stucco: Brown -Finish .. ... . ..... ................_.._...------------------ ---- -------- ------- 62 A C. Unit: Disconnect. Electrical, Plumbing .. ... ... ... ... ..... ---------------------------------- 83. Vents Above Roof: PIbg.-Appliance-Fireplace. -CI earance to Openings . ------------.------------------------------- 84 Water Well: Disconnect. Electrical. Plumbing ---- - --------------------------- ---------- ----- 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground 86 Ventilation Throughout House -- ----------------------------------- 87 Glass Protection --- ------------------------------ 88. Corrections trom Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric .._...._..----------------------------------- 90Water & Sewer Connected -C/O to Grade -HD Approval . .. ... --- --- .------------------------------------------ 91. Energy Compliance Certificate -Other Certificates . ... . .. . . . ..... ..... _ -- -- - - ---------------------- Date Card B-1Date 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 DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE MIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING. -t,' ZZ BUILDING PERMIT OWNER DAN CRC)TTY TELEPHONE 895 -8467 -- SO. FT. OCC. BUILDING VALUATION 1082 R 6501 41 44,362 OWNERS MAILING ADDRESS 9";7 nnMAT.n DR, CHICO 95973 48 R 2,592 CONTRACTOR'S NAME =K91 UNKNQWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 46.954 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 395.00 ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ 256.75 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEEA'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 40 — — CHICO PERMITFEE $ 694.75 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF X] Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition Remodel EX Utilities ❑ Installation ❑ Other ❑ Describe Work: CONVERT COV TO LIVING Mobile Home I S I G W 1 920.00 PERMITFEE g 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a00V OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lie. No. OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) So. 39.55 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) @ Ioo BAL .SO Ex. Occup. (OUTLETS APPL8 D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: -❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shallT 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 with co ly with hose provisions. lof X`_ Date _� ` Z��—_ Signatur of Applicant- Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. PC //�3 Mobile Home Installation Fee $ Energy Inspection Fee Is 46.00 OCC CONST. TYPE TAL FEE $ 835.30 HA2. D. FE '101 FL C P HD This permit is hereby issued under the the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. o90 p7o—sT �� d WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,COUNTY OF BUTTE - DEPARTIVIENTOF DE ,w 7 COUNTY CENTER DRIVE - OROVI 6011Z14V Proposed Building Use PERMIT APPLI Airj cR Kk ry OP ENT SERVICES - BUILDING DIVISION 95965 - TELEPHONE (916) 538-7541 V A DATA S H E ET „x A. P. No. q7- y(q0 - Ua Z Inspector Date 24111,16 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ,ry,.� DATE RECENED)► B��Y/�s1 1. All items have been submitted. `C! T J 2. Plot plans, 3/4 sets, signed by preparer of plans. ..:........................" 3. Complete plans, 3/4 sets, signed by oreparerof plans....................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . Hazar ous Material Form . ............................................ nergy De ign Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. -Engineered truss details and layout in duplicate (required prior to plan check). .._ 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $6 - .... ` mpact fees 'as shown on attached schedule. s _�Vcalifornia Department of Forestry plan appro4 ees. °P Z f S` �Flood elevation letter 1 ! ' ' � . . 13. (00 year floo Cahfor eer...../..�:�.......... . 14. Sanitation and plot plan approval l �,s f Health Department: 15. City of Chico plumbing permit .; r_1 ....... . .t!....` , . • , , 16. Plot plan and business license approval fr&m,City of Biggs/Gridley. ......-i ..... 17. Planning approval for (A) Use: `. F - . y(B) Parking: 18. Contact Land Development about (A)ddil rovements (B)`Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy) .:.. .. .. . 20. Pre -inspection for required. -- . o s n;�e ng Inspeon ctor (Date) 21. Contractor's license information. No., Name Style, Classification). r �- 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner . 24. Recorded copy of Agricultural Acknowledgement Statement............] , •';. 25. Letter of signature authorization. ....... r ............. 4..d. •..a.=. -� 26. Copy of recorded deed of parcel creation and 60 right of way toa'pubk rroa&-. 27. Letter of intent on building use. ............. ".......................+ :.'` 28. Mobilehome utility clearance . ............................... 29. Documentation of legal access. ....... • •� 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ................ 31. Existing violations/expired permits. .. .... .......................... , - 32. Plan check list. �................ 33. 34 , When ou issue the per it, prpcess as follows: Mail to owner.• _ Mail to contractor. Telephone g S E`%767and hold for u s office. De hih with inspector. Other Parcel Creation Acreage Applicant Date 7 ?� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution 6ate. Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. Akeb -ro60,40S sn/ e,✓ (R 2. Additional items required: Contractor, designer, owner, was advised of above required data by vO?,ne mail Counter by _ Date 9i6 f"Ir Contractor, designer, owner, was advised of above required data by _ one mail Coufiter by _ Date Plans checked by nate_ Plans approved by -Date Sets of plans on ho(d?iG�1SS�14ileb�inet - . ` AP folder Copy - Department of Public Works E.H. USE.ONLY Plot Plan Ann Floor Plan Anachad ' Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �a cno 1 2�-��c- ®-L It 1'7- h'y-oZ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom Other U 5 Hold final for: Final clearance O.K. for: NOTE: Environmental He2G Specialist Date ,� 8/92 ��Y.'.A'""r ei"r+�^.'-rcn�r ��Cvi""r �,..,�a..,y..+r ... �.t.'.+n—��•-�'^�wK..;a� .yr1 .i•� .._.`n � �rr-�•;..w „f,.l- .�-�.,.�.,�,._ ,•.��_. ""ir CN rib UNI �/ D BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District �� Gi�'�-lei, Building Department No. A.P. Number a Y'5 ' 00L Jurisdiction: City County; Property Owner R o f'T'vf Property Location/Address 410 o&.- L ck sYS. Clwl UJ Subdivison Lot No. Residential Development / No. of Living MHI Addition Sq. Footage (Group R) Units ,-• Commercial/Industrial 0 Sq, Footage New Addition (Including Exterior Roofed Areas) X -7 - Building Dept ent Representative Date 14 (Floor Plans reviewed by School District Personnel) District Identification No. int 1 School District certifies that } (C116) (�A((pp�licant) (Street Address)64-o' (Phone Number) ...4/: r'1 1 P A il,� C/e;0 7 (City) has complied with the requirements of Resolution No. r,:presentingn square feet. School (Stale) (Zip Code) 5-1q19V. by payment of $ (N�� AB 2926 $ FULL MITIGATION $ -71 Zz Date Paid by Check # Remarks: r Svv 5 Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feetormmkt. (11/94)dmm COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION.AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER q2 I N O b O 2 ZONING BUILDING PERMIT OWNER�� CAO'"E` rVifX57 8 SO. FT. OCC. BUILDING VALUATION a 2 ' LN 36 'L OWNERS MAILING ADDRESS �^Q�,4 D ,2 �� LO n _ j !�/'J / a A/J/l/ Vtj /J i i� y g � 2 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation $ q& zt5 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 5' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z5%. Energy Plan Checking Fee $ -,3 ARCHITECT OR ENGINEERS KWUNG ADDRESS Penalty $ BUILDINGADDRESS , fO G�` v PERMITFEE S 677,76' PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 �5- USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel R, Utilities ❑ Installation ❑ Other ❑ Describe Work: Cv� c> rty LI t/) VJ 9 Mobile Home IS I GI W1 @20.00 PERMITFEE S 397 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Servicee06V OR LESS ( 200 OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following. declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - [01 wrier ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR OR ( 8 ACC. BLAS. ) SD. 3.5Q FT. CNS. NEW CONST. / MULTI.OUTLET NON•RESID. \ BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1-00 BAL Q .SO Ex. Occup. I FIXED (AEws D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 ! g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 835,30 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON I applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT APPROVED Butte County Environmental ealth ° Lys _________ __ ______---- 0 O 2 Sign ure IIN 5� _ Zoo �o . 00 50 � y�5 zd `. '•' W • ` � } n3� N C16h,(5 OIL � 35' 3s RPPRo xr .) •D s• i i ;;;ENGINEEREDr WOOD. SYSTEMS.,AL Certificate M7 rmance THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked witha .collective mark of American Wood Systems (AWS) were manufactured in accordance with the specifications indicated below. ANSI Standard A190.1-1992, for Structural Glued Laminated Timber O 0 Proof 10a,_lcd and Jr)lf1t:_; Wool):_, Job Name Job Location CHICO" , Cn r ��.. Customer's Order No. '� �..'. Dale nJ �•9"�.1i Mfg 's Order No 57"4 rluv 19X&11, IhD- za9^1P S-70 syr xr� �z_ Y SignatureAr . w{% 1 '� �' Pc'ct�..l..c•tor. TiUc -' •' Company6�1.).l�Zii2t i.L,.; incl. Address Vaughn, Oregon 'I- Date`�� -AM4 IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above- named manufacturer which carries a collective'mark of American Wood Systems (AWS)_is subject to regular audit by American Wood Systems, such audit consisting of the inspection :with' reasonable frequency of the manufacturing process; with adequate sampling to verify the quality of. glulam construction and the adequacy of glue bond. W 00D L F` •t"oi00. STEAL' ••i 500 b , y. 0,0 Thomas G. Williamson Z. Executive Vice President 4g811I N AMERICAN WOOD SYSTEMS'— A RELATED CORPORATION OF APA Insulation Certificate BUILDING OWNER: BUILDING PERMIT #: Bt,1ILpING sLOCATIM: - y Description of Installation ROOF _ Material -.Brand,-blame Thickness (inches) d Thermal Res ce (R -Value) 3 CEILING Batt or Blanket Type Brand Narire Thickness (inches) Thermal Resistance (R -Value) ti Loose Fill Type ; Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches ' Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR �WALL l Material �r� Brand Name Thickness (inches) ? _ "?,74rmal Resistance. (R -Value) RAISED FLOOR Material Thickness (inches) SLAB FLOOR_ Material ` Thickness*es) Width (inches) FOUNDATION WALL r,f • `i$rand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Deciaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. SC lol� ke�-, r-O.C. 5,nj, Ca neral Qact License Number ignature and Title Dace Sub-Concramor (Insulation Installer) License Number Signature and Title Dace THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 Installation Certificate: Residential CF -6R BUILDING OWNER: BUILDING PERMIT #: BUILDING LOCATION: + J An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency'and type of the appliance installed must be equivalent or better than the appliance specified.on the Certificate of ' Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming: overall . responsibility for the appliance installation. I, the undersigned; verify that the equipment listed in the category above my signature is. the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certtfled Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efficiency Type and Piping Before Over- Equipment heat pump, etc.) Model Number (AFUE, etc.) Location ` R -Value Sizing (Stuh) Capacity (Btuh) CEC Certffled Cooling Equip. - Compressor Unit' Actual Distribution Duct or Type (air cond., Manuf: Make & Efficiency Type and Piping heat pump, etc.) Model Number (SEER). Location R -Value --------------- The building design heat loss and design heat jail,j;ate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two -of the eteria used for equipment sizing and selection. Signature Date HVAC Subontractor (Co. Name) or General Contractortor Owner WATER HEATING SYSTEMS _ Energy External Water Heating CEC Carttfled Rated' Tank - Factor or, Tank System Type Manuf. Make & Input (kW Capacity Recovery Standby' Insulation (storage gas, etc.) Model Number or'Btuh), (gallons) Efficiency Loa$ (%) R -Value For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input'>75.000 Btwbr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Cartified Faucets and Showerheads, pursuant to Title 24, Part 6, Subchapter 2, Section 111. Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY'1993 �,.�. , COUNTY OF BUTTE t BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916).891-2751 7 County Center Drive,-OeovilW, CA - (916) 538-754.1 747 Elliott Road, Paradise, CA - (916),872-6307 CORRECTION NOTICE OWNER RMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above addr ss and should be corrected. Please notify this office when correction of work is completed. IIyou have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. pan, Date �— ��� Inspector REV 10192 )Ir 1 I COUNTY OF BUTTE r :BUILDING DIVISION 1 i DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Orovtlle; CA" (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNFR t PERMIT NO. A routine inspection ' dicates that the following violations of Butte County Ordinances exist at the above addres nd should be corrected. Please notify this office when correction of work is completed. ou have any questions pertaining to this matter, or need additional explanation, please co ct,,this office immediately. m crc Date �"' 2 Inspector REV 10/92 OROVILLE, CALIFORNIA GENERAL CLAIM Wittsell Construction, Inc, CLAIMANT:- ;` Rt. 1, Box 451W ADDRESS: CITY & STATE: Chico, CA. 95926 IMPORTANT: February 25, 1981 SEE INSTRUCTIONS DATE OF CLAIM: _ ON REVERSE SIDE Af SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) —AM, OUN1' - (Owner - Jack Hagen - decided_ not to build. Contractor_ requesting i a refund. Bldg -Permit #32.68-80B',P,E - Receipe4394.03 -AP 47-48-1) { Building permit fee paid ----------- $177.00 i p P------_-- Retain p checkee — Amount of refund due ------------ o-------------- $118.00 i Plumbing permit fee paid $ 7.00 Retain filing fee ------------------ j 3,00 --------------------------- Amount of refund due $::4.00 , Electrical permit fee paid --------- $ 23.20 Retain riling ee------------------ 3. —7 --� Amount of refund due --------------------------- 20.20 ---_LO. TOTAL REFUND DUE -------------------------------$142.20 $14.2'.2_0_ j TOTAL $14.2;.20- t I, the undersigned, declare under penalty of perjury that the services or articles cla' ha b performed or delivered. and that this claim is true and correct as stated. ll ( .............. Dated this ` day of ..� Ga .:....... , 19L at,0Y� ,l� l (. ..... Calif. C..... ..: r .. �r�. /..-...{f�....... ...... . .......... . Si nature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriations or Specific Board Approval❑ (Checkone) for the same. ' 25th Feb. 81 Oroville Datedthis .................................... day, of ............................. 19......, at .............................. , Calif. .................................... ...................................... I.......... Department Head or Authorized D,puty - — Dept. EYp---- -- _—._. Code............................................ Code................. ................................ PAYABLF FROM............................................................................................ FUND --- --- -- DO NOT 'NR+TE BELOW THIS LINE - AUD? T OR'S USE ONLY -- _.—_---- ---- VENDOR DEPT CODE I & SUF3. PROD. SUB I CLAIM OBJ. N0. INVOiCEINVOICE I GROSS I DISC. AMOUNTENCUM8. NO. i DATE i SUB -DIST. I t, N COUNTY OF BUTTE - DEPART NT OF PUBLIC WORKS PE RMI NOm�I 7 County Center Drive - Oroville, Californ35965 - Telephone 916/534-4541V APPLICATION AND PERMIT _A CCCCJJJJ ASSES OR EL NUMBER '7_ g_ ZONI BUILDING PERMI OWNS TELEPHONE SQ. FT. OCC. BUILDING VALUATION Z Qp• PCO OWNER'S MAILING ADDRESS Z0. 00 CO T ACTOR'S NAME iT7'SEul it1 ST,�?fiC7�04J, /Ali . TELEPHON 89S- �r1� /��,s/' �T (� V O0 a eP / . o CO�A / OR'$ -MAILING -ADS D/RES$ ��/� C4 �S_y' V/nV/ "'GU•N(CjKNOWN CONSTRUCTION LLJE/`N\/ ECTR11� Fireplace .70. 00 Total Valuation 060 LENDER'S MAILING ADDRESS Permit Fee $ / 0 p ARCHITECT OR ENGI ER LICENSE NO. Plan Checking Fee $ O(' Penalty $ ARCHITECT OR EN INEER'S MAILING ADDRESS Permit fee $ 00 BUILDING DORES N S ORE �� L� ��� �, PLUMBING PERMIT FiiingFee 3.00 #Ick- Each Trap / 2.00 2tC0 Repair drainage or vent piping o 2.00 A `t Water piping p LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ,--/ SF L7 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition R- Remodel ❑l Uttii lities ❑ Installation Other ❑ Describe work: /7���L �"� � lJCC S%t% Permit Fee $ ,OO Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I DWELLING^v OR ADDNS. ACC. BLDG. ky 20sgft 24 CONTRACTORS LICENSE LAW I de la nder 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. y License No.S1F'�d G Classification 4;e,. — (3-1 ❑ 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.OU LET 2,50 ea NON.RESID. BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETSOR FIXTURES 50L� BAL�Ios FIXED APPLNS. OR \ Ex. Occup.(OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 2.00 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 s ounty in consequence of the granting of this permit. X .1— � Date l� _2S— Cy Q i nature f A licant — Owner g pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ ��f� TOTAL PERMIT FEE $ 2io I/ , Com/ Oc UP. GROUP E` Z �C���CCC.... TYPE of CONST. - IPARCELAl 1 PD HD S9D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC P By PE EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date 7– ?_,E_-, Receipt No. L C-31 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT v Recorded at the request of GRANT DEED (JOINrTMANCY) I343 w[648 RECORDED AT THE RREOULST Cf surt-F rot INTY TTME CO: ;`!ytr t Far value received %I,PF M..'_rS =d BATT'. Evr:AFLS, his wife 3 \ �i GRAM tc E. JACK. F;G-F i and �:�• I56.BZ HF.G_2:, his wife i m JOINT TENANTS all that real property situate in the i Colony of Butte State of Califomia, desrnbed as follows: P AICE1. 0.`:T : The SoudleaSL giarLer of the. S-tnti:cast quarter of Sectio.t 2:; the Snathwest.r::arter, of t:te Snc LitwC;t q::artrr or s,ctioa 22; t::c Nortli;vcst quarter of the \•trti:xe9L . gt:artr.r Of S::ctin.l 27; Ute t•trthraSt quarter, Lhe East nal: of tile. \ortrtcest quarter; Ute X:,rti;cnst'g:nrtrr of lite Soatl:west qca:ter r.d the Vorthmis.t gt:artcr of t c S"L:thcast. quarter of Sectio.t 2f*.; the C:tst baif of ti:c Snut,east quarte:, the S•nuthwesL gt:arLrr of tile. Souti,east quarter aarl al l that part of tile- saut::e: sL quarter of the souG,trat gvarler of Sectin.l 2: 1.:i:v; Easterly of the. Beater of the i::cks ite.ad, tis sa:d r•:a,i existed oa .la tc 2.^., 1^. -,7 - Thr.:, rtln;csL qt:arter of Lite Southr:esi q::artr:r of S.•r.t;nl 2", rxcrotial ti:aL ;art therm( of 0e critter of U.c pt::,Sic roast a:, said road esistw: o.1 •It.ae 2.. T::r. Suuthrmst qu.,rtcr of lite Southwest quarter a.id all tihat�lIrt Of Lite So:;Vteast q::artcr of ti.e Socthwest gcarLer of Seeti-.t ^-F, tlwt lies westerly of the cc -.ter of the Mcks road. as said road"existed ua Ju,.lc 23, .1957, At! in Tctv.ts!:in 23 :b>rGl, Maaje 1 East, M. D. 3-L M. PABCEI. TWO: T,te ri;nl to cater upna the In icaet!iatciy hcrciobcla: dcseriilyd i and to cnnstruct thereon a,l earthe.i dam for the collection a:td of raters, dad to maintain aed repair the said riam; dad to e.•Ilect aid imn4u,id natr:s s;.o: Cie Gtlltming describer' property situate in the County of Cutte. S?ate of C:•lifor..ia: 3c9i.tniaj at a point oa the East liars of the Snutht,est q::arter of the Snutheas.L t ouarter of Section 21, Township 23 \a:t':, ;::,.tJr : F-ast, ::. D, C.G U. disLa.lt' alr_v-said line North U° I1' 3J" P:vst 235.2feet fron Lite sna.;!cast enr.t4: of scid Sr.cL:t- west gainer of the Southeast q:::: ter of Src,.:o:i 21; thence .nrlh 19' 22' :a)' :frac 273 W feet: theaccXrr:h :J' a U- g:;t, „f,;.b3 :cc:; more or less, tr, a- a.� c C CO. j Mc1 Return b at /—�•.c.�— •ui�. vest o•c E. Jack B en OI:FICIAL RECORDS Of: f)UTTE COUNTY, CAUFC. NIA 734 Clubhouse Drive Aptos, California€yutloLN 7N' Ls ma-pb o 60iY `.C' .......,r.....r..-....._. ;`!ytr t Far value received %I,PF M..'_rS =d BATT'. Evr:AFLS, his wife 3 \ �i GRAM tc E. JACK. F;G-F i and �:�• I56.BZ HF.G_2:, his wife i m JOINT TENANTS all that real property situate in the i Colony of Butte State of Califomia, desrnbed as follows: P AICE1. 0.`:T : The SoudleaSL giarLer of the. S-tnti:cast quarter of Sectio.t 2:; the Snathwest.r::arter, of t:te Snc LitwC;t q::artrr or s,ctioa 22; t::c Nortli;vcst quarter of the \•trti:xe9L . gt:artr.r Of S::ctin.l 27; Ute t•trthraSt quarter, Lhe East nal: of tile. \ortrtcest quarter; Ute X:,rti;cnst'g:nrtrr of lite Soatl:west qca:ter r.d the Vorthmis.t gt:artcr of t c S"L:thcast. quarter of Sectio.t 2f*.; the C:tst baif of ti:c Snut,east quarte:, the S•nuthwesL gt:arLrr of tile. Souti,east quarter aarl al l that part of tile- saut::e: sL quarter of the souG,trat gvarler of Sectin.l 2: 1.:i:v; Easterly of the. Beater of the i::cks ite.ad, tis sa:d r•:a,i existed oa .la tc 2.^., 1^. -,7 - Thr.:, rtln;csL qt:arter of Lite Southr:esi q::artr:r of S.•r.t;nl 2", rxcrotial ti:aL ;art therm( of 0e critter of U.c pt::,Sic roast a:, said road esistw: o.1 •It.ae 2.. T::r. Suuthrmst qu.,rtcr of lite Southwest quarter a.id all tihat�lIrt Of Lite So:;Vteast q::artcr of ti.e Socthwest gcarLer of Seeti-.t ^-F, tlwt lies westerly of the cc -.ter of the Mcks road. as said road"existed ua Ju,.lc 23, .1957, At! in Tctv.ts!:in 23 :b>rGl, Maaje 1 East, M. D. 3-L M. PABCEI. TWO: T,te ri;nl to cater upna the In icaet!iatciy hcrciobcla: dcseriilyd i and to cnnstruct thereon a,l earthe.i dam for the collection a:td of raters, dad to maintain aed repair the said riam; dad to e.•Ilect aid imn4u,id natr:s s;.o: Cie Gtlltming describer' property situate in the County of Cutte. S?ate of C:•lifor..ia: 3c9i.tniaj at a point oa the East liars of the Snutht,est q::arter of the Snutheas.L t ouarter of Section 21, Township 23 \a:t':, ;::,.tJr : F-ast, ::. D, C.G U. disLa.lt' alr_v-said line North U° I1' 3J" P:vst 235.2feet fron Lite sna.;!cast enr.t4: of scid Sr.cL:t- west gainer of the Southeast q:::: ter of Src,.:o:i 21; thence .nrlh 19' 22' :a)' :frac 273 W feet: theaccXrr:h :J' a U- g:;t, „f,;.b3 :cc:; more or less, tr, a- a.� c C CO. j t of L!:e af°reSaid G'ISL line n! Lite Snu Cn;c,: r,�a rte.- of :i:e Snt :::cast Q:; ecr !y of :CCLin,l 21. Sai6 last iniat i,ei:lj !!::tZl... \ni:h 0° 11' S1 u`st •.•.• fret iron he rniCt of thf-Iar. ai,r:., sGi(i East. liac, $nbs. J° 11' :'l l" ' Easi feet to the Pial of ife•-ii .),fi aq•" t a.: • ara:r.1C :•) f•:CL n�,•ii: 'nr ii: r• .:•..3L'::r•tioa a.x! r_a:dti:na.1CC ri t,�' n.:(Er.r].nC:A �. 1C aOCl till` !C,i Cr.i •i••.�(!f: dr>It : 1'a rCrE ^ Cai:::unia, t'.1c c,:•1tc: i:I•: of :.itic!I ras?..:.1:t S d,aCri:).--,t c:S i:ol-ma::GfX'CIX:� . aL a ,,i.1t is CIQ in::::: .::NJ •,. C: c'a!:erP..lzC.tia;er: SnUtin:eS[ Q:::: rtcr n: L:!e s••1: tl:vast j ^_? ' Q:wr:er of S•-CLiV.t 21• ,!iStaIt 3Lna,! Sat(i 1` ;c Snub, :'.° 30" L:c.; :vet •.?'. ` SOL't!:C:Ist Lcl t'•:c f' of SaiG $nC Cl::cSL,ry::,:r (0: O: t:le -uLLLheaSL q;,z;rteC a: secti.,.: 3 y. iret: :CI fj t!:e,ice North ° W* Fast 1 L•t. 5 feet; t:.c.:cr :.•,r[i,,44, ^;' Last ?'. L'._ C•Irtit ^rjo �• ISL i ::•!Ai feet; to C'1Cr :�^rli� ° �, st it J. Fi :•:2 L, Li:C :CC Ya rl.. �.' va' . East 11G•i).1 feet;-L::r.1co ,cis: !, 1f° :''Ii', t .:1-(:i)'f'la't..:V 1'@ O[ less W a iu.ir.L nl: U10% Snt:tiucstcrly. Lucadaiy Of Zile a.cel aF la.n: ,:escriLcci Zi' nvc• said La)i_lt Lei.:; distant \••rth "/° ^2' 31" IticSt ..3.23 feet fr.--i Lhe'!h)int of ;le';: •a.1i.:j tlie rC01. 75, r k p n, .L { 3.q a� ie4a'o-er4F9: Lffi IW aal Ed -ares + Gath)eep. sdirrtds fiovenber 19Dcted _cbR._: - - ' STATE OF CAIIF'ORMA ' j C , of . Santa Cruz 19LI lielore ma 41'a '.ni P.S:+iE'pE.t ---• a tlotoxy r N Public in and for sold Counts and State. Persanalli aPPenced _ t FtALPw_Wj lA rS_ ) R MWT E-2;.rE'r_�XS-- kw.rn to we to be the !)menn a rbme na ne S a3'g.--subscribed to the ,iti i rume .instnt and acknorled9ed to me that the. a:ecuted the - ofeCIAi SEN •� W. IL YEAZELL i "'� _S__t•n r,er,e.•-..•cer:u-- / oA�oort- blit tdi eomnisston e1�t+as---�_:�. rn•.^ s...>.,.:Ti.j .� - � ' o5...-, •... s 15237 �+ �,, ! an -st..l-i".^''w.--n;,:fv'•Y.,o,e,�:,r.;ti-,r�J�_r,�„1.:,,�-.�;�,,� �"� ;,y,�r'��2 ^ri...� 4i.-'r�,fl-.+rJ�.�,�n.-�.,�.;;,��i'� ���;.%�i :i ..1 �� � -7 �U � ` e - /d f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V 7 County Center Drive - Oroville, Calilornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ,PERMIT NO, ASSESSOR PARCEL NUMBER y-/- ';` - �" ZONING BUILDING PERMIT OWNER �.sttate of L. John }jaizen TELEPHONE '42 501 SQ. FT. OCC, BUILDING VALUATION n t 1 r_. \_ Jt1 ` r; • OWNER'S MAILING ADDRESS +0 Jac-OLvn ..air Chico CONTRACTOR'SNAMETELEPHONE :rawford Roofing., Co Paradise 8?"( 2139 - CONTRACTOR'S MAILING ADDRESS PO Box 1117 Paradise Calif 9 969 Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee C $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ J) ARCHITECT OR ENGINEER .one LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �p 40 Jac-0-1Yn .',ayr Ghico Permit fee $ .- .r 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 Lil Dupl1❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Rehoof (Shakes)( -Pear wrf) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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): Q 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. � �] J �J C 39 1.6114/ Classification License No. 167147 F] 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y) '/zQsgft OR AODNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRA CH CIRC ITS POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES .20@030 zAL@ 30 EX. Occup. OUTLETS FIXED P(RESID ILNS RE 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. pq I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any, manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 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 Co ip conse_g'ence of the granting of this permit. // 6 June 88 X Date Sig re of Applicant — Owner ElContractor 95"" 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.TrPE Isc,,00L I FLOOD PARCEL I PD I No I 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. DIRECTOR OF PUBLIC WORKS By. : / r , : h- .-! t ; Date L r� PERMIT EXPIRES Date I ^/ Receipt No. /1 ,' i' WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. 1 7 County Center Drive - Oroville. Califorrl.%95965 - Telephone: 916/538-7541 APPLICATIN AND PERMIT ASSESSOR AR. EL r C3FR' ZOWING BUILDING PERMIT OWNER{}`''. v ',,'state ef. John Ha en - TELEPHONE 342 O1 SO. FT. Dec. BUILDING VALUATION �+ t�RESS yp,4 1� OWNMAILING 0 Jac -OL n vda Chico 19 CONTRACTOR'S NAME rawford Roofing Co Paradise TELEPHONE 877 2139 CONTRACTOR'S MAILING ADDRESS 0 Box 1117 Paradise Calif 95969 Fireplace CONSTR,rU,C-TION LENDER None'S UNKNOWN Total Valuation I $ O O Filing Fee $ 10.00 LENDER/MAILING ADDRESS Permit Fee $ FEL Sp ARCHITECT OR ENGINEER None LICENSE NO. I Pian Checking Fee $ Ener Plan Checking Fee gy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 0 Jac -0-1 n 'Way Uhico Permit fee $ PLUMBfNG 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer .5.00 Mobile Home T's—FG-51— G WTYPE TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ReRoof (Shakes) (TPnr_nff) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV 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): p Y hk ( ) p y j ® 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. 167117 Classification C 39 ❑ 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.ai , OR ACDNS. ACC. BLDGS. / �z2sgft NEW CONST R.U CIRCUITS2,50 ea NO ESID .BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. I EX. OCcup(OUTLETS OR FIXTURES 20950t DAL030 FIXED APLNS. Ex. OCCUp- OUTLETS P(RESID )REA.) 2.00 Temporary service ' 10.00 Mobile Home Facilities 15.00 . MiscWiring 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. © I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s ' Co ty ' consequenc of the granting of this permit. X Date 6 June $$' Si nature 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 $ m TOTAL PERMIT FEE $ ^cSV occu P. CONST,TYPrJ ISCIIOOLIFLOODIPARCELI PD ND 139uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No.(D WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT '\ 047-480-002 PERMIT#97-0591 CROTTY, Dan y 40 Jac -O -Lyn, Chico Cont: Ben's Electric Q Ele Ser For Well/SF _96~�1� _Q,QQ `I E COPY OFF Y J' • Address GAS Meter By ELECTRIC.,/ / Meter By Date COUNTY OF BUTTE- DEPARTMENT OF#EVEI;OPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 5387541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT . 9% ' Q„� ASSESSOR PARCEL NUMBER 47-48-02 ZONING SRI 'BUILDING PERMIT OWNER DAN CROTrY TELEPHONE 895-8467 S0. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 257 DONALD DR CONTRACTOR'S NAME BEN'S ELECTRIC TELEPHONE 892-7358 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 40 JAC-0-LIN Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF n 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 ❑ Other ❑ Describe Work: ELECTRIC FOR WELL, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Is I GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service . OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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.6 License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. *! I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING LDs. so OR ADDNS. ( 8 ACC. BLDS. 3.5Q FT. NON•RESIDT ANLCI CIR CEI @7.50 APPARATUS PSINGOWERLE OUTLET CSR. zu @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .SO XD APP Ex. Occup. OUTELETS I. ISIS o.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to 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 rthwith cc ply wthose, provisions. X l.�`'� Date Jf t 7 Signature of Applicant 10 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE J. TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PO HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 1 B� Date l is f Y IV f Z PERMIT EXPIRES ON Dale Receipt No. 209998 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DE?:IELC>,MEJVT SERVICES -BUILDING DI ON 7 County Center Drive - Oroville, Californ'r'& 959&3 - Telephone (916) 538 41PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 41t? t7 - 0� ASSESSOR PARCEL NUMBER 47-48-02 ZONING SR3 UILDING PERMIT OWNER DAN CROTTY TELEPHONE 895-8467 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 997 TIONALD DR CONTRACTOR'S NAME TELEPHONE ' 892-7358 t , CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 40 JAC-0—LYN Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF A 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 ❑ Other ❑ Describe Work: ELECTRIC FOR WELL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo00°nOR ESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. So OR ADDNS. ( & ACC. BUDS. 3.5QFT; NEW rNON-RESIDT SCI Oc, ,TS @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 �'•0° Ex. Occup.OUTLET ORFDcruREs SAL .SO UNS Ex. Occup. ouT TS RES D.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall v\ 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 �rthwith comply w' those provisions. n"^,^, `` X —tVV` Date 5�C� Signature of Applicant ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ ' I HAZ. 1 O. FEES IMP I FLOOD I CDF PARCEL PD HD IssuE This permit is hereby issued under the applicable provisions of the Butte County Coe and/or Resolutions to do work indicated above for Ich fees have been paid. By Date `Y PERMIT EXPIRES ON �� Date Receipt No. WHITE-D.D.S.- . CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4 j el COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Ca ' rnia 95965 - Telephone 916/534-4541 APPLICATIO AND -PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Lf —7 C�rS _0-2, - ZONING BUILDING PERMIT OWNER //�/ % TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAMEI r 1?1�73 TELEPHONE 2&73 CONTRACTOR'S MAILING ADDRESS /(f?,/u 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 „} 07f 1146 P PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 Solar Water Heater 20.00 J 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 1 A SF1❑ Duplex❑ ❑ MobilehomeOther SPECIFY Building sewer 5.00 Mobile Home ISI GW __10.00e TYPE OF WORK * New ❑ Addition ❑ Remodel ❑ Utilities ElInstallat`on❑ Other �7 Describe work: �� Permit Fee $ .;Gi 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.g OR ADDNS. ACC. BLDGS. 21h2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 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. 4�6,-5 �-1 Classification S610K ❑ 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.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &') NON-RESID. SINGLE OUTLET CIR, / OR FIXTURES eALe3o Ex. Occu / zAL@30 P\o FIXED FIXED APPLNS. OR `` A 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 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. Q' 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 Countyy in consequence of the granting of this permit.. f�-� X K /dil,}1.0+ We_ � `U7n4^ Date JL -61 I Signature of Applicant — Owner ❑ Contractor 2' 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 $ .09 �.� TOTAL PERMIT FEE $�'j� OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under the applicable to do sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFPUBLICWORKS ( / l By `,�..,. rt Date//1--J1--4 PERMIT EXPIRES Date /�� �� /3 Receipt No. !� � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAf'�TI01'�IVT OF PUBLIC WORKS ' PERMIT NO. 7 County Center Drive - Oroville, Ca-` orr'a 95965 -Telephone 916/534-4541 f ti APPLICATI D PERMIT be% ASSESSOR PARCEL NU BER O2-, ZONING BUILDING PERMIT OWNER 1 � TELEPHONE S0. FT. OCC. BUILDING VAL AT N OWNER'S MAILIING-AIDDRESS CONT CTOR'S NAM 17 TELEPHONE C TRACTOR'S MA I G �S � " Fireplace ONSTRUCTION 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 AD Ess g 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 STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ED W 10.00 e ir TYPE OF WORK New ❑ Addition ❑ em del ❑ Utilities ❑Ziallat. n ❑ Other Describe work: -�/I Permit Fee $ p 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. BLDGS. 1 2/20sq 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 my license is in full force and effect. r License No. I"13�o'sS% Classification SOHO t' ❑ 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) El 1, 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-RESID, \SINGLE OUTLET CIR, z0es0a Ex. Occup(OUTLETS OR FIXTURES BAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID,) EAJ 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. dl 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 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 xpenses which may in any way accrue ag said County in conse uence the granting of this permit. X ��_/_ 17� Date e2_ 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 $ TOTAL PERMIT FEE $ 30 OCCUP, GROUP I TYPE OF CONST. PARCEL I =D SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE ,R OF P LIC s� BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date C Receipt No. 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE a DEPARTMENT OF PUB!1IC 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 -k-� 3MIT 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 matt of need additional explanation, please contact this office immediately. Inspecton�� w/ Date U- -- d'r)Z- � �-CJ . '' C�-eek -� ad.1� ���e-� �-m�: ay���� �°� per` `�' � �- cu� � � baa G����-� � � I ,....,,_...�,...�,�.�:a--....��w..,yy. r�v+•yv'• _-,�otw;inr-,w.. .,���`\ro.�'•6'`R.'.�'tr'.�t`.,J .r. -.r".: r+ pvw .,)�- p`3e�G� "• :�.�'+' Vi f COUNTY OF BUTTE — D ;PARTMENT OF PUBLIC WORKS 7 County Center Drive — Oriville, ealifornia 95965 Telepk; ne: 530-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ I FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 4.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation 'Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures P 10 4 Receps., switches & fix outlets —bal210 CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS Date COUNTY OF BUTTE — DERARTMENT OF PUBLIC WORKS 7 County Center Driv1' — Oroville, California 95965 Telephone; 5134-4541 APPLICATION AND PERMIT 02 71�1__- J. c/ authorize representatives of the county of butte to enter upon the above-mentioned roperty for inspection purposes. X 21 Date Sigy re of Permitee or gent Receipt No. Ile V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE T - R OF PUBLIC WORKS By Date 'O A?i Building per,i expires Dae _..... _......... .__ BUILDING Owner I SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address eo PLUMBING No. @ FEE PERMIT FILING FEE $2.00 � Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 t 1 .r "1-^ �`-� A. P. No T p'� / Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W . S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements provementsOr Lawns nkler system 2.00 q .'Or d If Parcel Approval Plans Approval Permit Fee $ Q'- $ (� EW ADDITIO UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 6j��Main service incl. 1 meter -od.�,[d �, 7 ja�LSub-panel Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater1.00 Light fixtures 20 ba. Ilio Receps., switches & fix outlets ii 01 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busi ess & Professi n Code under >e name style of: - 1, Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 / Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 herebyU TOTAL PERMIT FEE $ ®' authorize representatives of the county of butte to enter upon the above-mentioned roperty for inspection purposes. X 21 Date Sigy re of Permitee or gent Receipt No. Ile V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE T - R OF PUBLIC WORKS By Date 'O A?i Building per,i expires Dae _..... _......... .__ a r tiaa. � � �, ;;� ,.. . �_ ? v �� , � v. + � _ � o. . a � *, ` ♦;:• - 4 ..� -rte � •� � \ 1 ��� ._ •�� ,' � � �� � a `. 1. . i� '', 4 i' ,. ,. � . t .• � • r� l� � tt ! � �g� ." � i , ��.�.,t •'� / • �� �1. Iii r � 1 ��� "� .:c . � �•t .- �� � � � �1 i PERMIT NUMBER — B 409-73B P E 3 PERMIT EXPIRES cQ— as -74 ,jOWNER Jack Hagen CONTR:. James Avenell, Chico' }Y LOCATION (A.P. 47-25-71 600' off s1s Keefer Rd. app.,1 east Hicks Ln., Chico.�� " a in 7 t i r i i Zoning Foundationac Rgh. Plumbing Z—/ % Rein. Steel Framing Wtr. Htr. Firewall ELECTRIC Tempotuy,_ Final — ` —:2:-5 DATE COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Setback Forms Piers & Girders 3`/ -% Firepla4vv yy Bond Beam Lath & Plaster Gas Piping & Test Found. Vents Plmg. Topout 9-7.S Rough Elec. �^ 19 Furnace Kitchen Vent Garage Vents Sanitation & Water GAS BUILDING Temporary Cert. of Occup. Final Final 11- Uhl REMARKS OR CORRECTIONS MAN—M hQ " - � - � � � � it � .•- „� r j JhXj 16A)�.L ECE41-1e,4 c•A GeneraalBuilding Contractor ��,riy�t and,�aiLdijyg of ��s�� P �- �19d 345-0157 AePc►a-Jc.( 4AC4u vT ;. 1OF4. Lis I/A w , Aec—A. .70 2 20 141" LAV A.).OR • S I1w' , S4 4- 4LI 4,j -44®G 7,-7 , �.IT e .. `�'� � yr, z - • . , %.. � Kms, • PGAr T �► - rrs r� Nt is , a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO73 7 County Center Drive - Oroville, California 95965 Telephone: .534-4541 APPLICATION AND PERMIT Owner Mailing Address Contractor MailingAddress z� �' ' Gd Building Ad dress ,4�—All S-7 A. P. No. ' p� S^ °� % Zoning Fire Zone Fire Dept. anitation Planning PlansFees R/W Encroachment NEW ADDITION ❑ OTHER ❑ USE OF STRUCTURE . Single Family 9 Duplex ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styl of: License No. 2.6' Classification L3 - ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. .I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the ab e -mentioned property for inspection purposes. _Z I . I 4_",'0'Ae Date — - Signature of P/e�rmit�eefor Agent { R eipt No. /�✓ T r (1 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace I I(7 ' Total Valuation No. @ FEE Permit Fee $3.00 PI an Checking Fee &/or Penalty Permit Fee $ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures bal (al 10 Receps., switches & fix outlets 20 25 Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ tate Fee for $trprg Motion rarn $0.07/$1000 Evaluation $ nate Fee for n n gMot TOTAL PERMIT FEE $/ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS ByDate- Z- 7-7--7 a Building Permit Expires Date 2--'2-2 -7 x COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Driye • — ©roville, California 95965 • Telephong: 5AJbtR56CfZDM 534-4541- APPLICATION 34-4541APPLICATION AND PERMIT 676 authorize representatives of the County.of Butte to enter upon the above-mentioned property for inspection purposes. X Date —/7:1 Signature of�Ppermiteeor Agent aReceipt No. (J [ %D V e->— _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte Co Code and/or resolutions to do work indicated above for w ich es have n paid. C 0 OF PUBLIC WORKS BY DateZ _13— 7,3 -- -Permit Expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address S v ` PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap Lt 1.50 Repair drainage or vent piping 1.50 Water pipin 1.50 Eac gas water heater r vent 1.50 A. P. No. — -� Zoning Gas piping 'ping em - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees � W. G. R/W Encroachment Lawn sprinkler system 2.00 W ADDITIO ❑ OTHER ❑ Permit Fee r $ , ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 — Main service incl. 1 meter W IF Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets +ffea CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No Classification ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. F,;�f have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Fee $ $ I certify that I have read tlhis 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 jjPermit ion In strumentat oor n''f�f s am $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ authorize representatives of the County.of Butte to enter upon the above-mentioned property for inspection purposes. X Date —/7:1 Signature of�Ppermiteeor Agent aReceipt No. (J [ %D V e->— _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte Co Code and/or resolutions to do work indicated above for w ich es have n paid. C 0 OF PUBLIC WORKS BY DateZ _13— 7,3 -- -Permit Expires Date . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —• Oroville, California 95965 Telephone: -OPIDMM 534.-4.54.1 APPLICATION AND PERMIT G9�3 authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection ses. X Date_/101"P ignoture of Permitee or Agent Receipt No. �d White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS oe BY q 4<-, / ( Date ` Building Permit lexpires Date BUILDING Owner °C SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation Mailing Address— ' Permit Fee Plan Checking Fee &/orPenalty Permit Fee $ $ Building Address � PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 CEach C2 loe Trap 1.50 a Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.— �-� Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. I Sanitation Planning Building sewer 5.00 Plans Fees W. G. R/W Encroachment Lawn sprinkler system 2.00 NEW © ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ® Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures .2002 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & rof ssion Cod under the ame style of: C —M Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring 41 License N Classificatio -!�z ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Work n's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating ®0` O G,� — Cooling Ventilation 0 Permit Fee $ �. $ OC., I certifythat I have read this application and state that the above pp information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby tate Fee far String Motion $0.07/$1000 Evaluation n;te Fentfor S n grom $ TOTAL PERMIT FEE $ authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection ses. X Date_/101"P ignoture of Permitee or Agent Receipt No. �d White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS oe BY q 4<-, / ( Date ` Building Permit lexpires Date 10 w �,/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS X 7 County Center Drive, — proville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT durnorize representatives of the County of butte to enter upon the Reec e -mentioned property for inspectio urposes. Datez/-/ -753 Signature o ermitee or Agent iptNo. White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions•of the Butte Coun ode and/ solutions to do work indicated above fo7zlllDlz� s haavv �b paid. ?'ii O�PUBLIC WORKS BY���L G Date Building permit expires Date'_ �• _ .z.! BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor Total Valuation �^ Mailing Address /— `—' Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 ach Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. r7 I Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ AD ION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 e. Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 12 or less) (more an 12) Si le Family Duplex ❑ Mobil Home ❑ Others ❑ Range Cook to 0 0 e 1.00 Wate ea er or Space Heater 1.00 Li.gllk fixtures bal 01 /49 R as., sw hes & fi lets CONTRACTORS LICENSE LAWHoo I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: k, x. Flan F.A. Furn. Motor 1.00 d 6 vap.cooler gar, is W. 1.00 Air conditioner or eat pum Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 i � License No._17, r''LS Classification �� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ `/ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ durnorize representatives of the County of butte to enter upon the Reec e -mentioned property for inspectio urposes. Datez/-/ -753 Signature o ermitee or Agent iptNo. White-D.P.W. — Yellow -Assessor — ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions•of the Butte Coun ode and/ solutions to do work indicated above fo7zlllDlz� s haavv �b paid. ?'ii O�PUBLIC WORKS BY���L G Date Building permit expires Date'_ �• _ .z.!