HomeMy WebLinkAbout047-530-00271
47-53-2
47-53-2 IKE SCHNEIDER
G ER & BRIGETTE THIEMER
'hi t 0 �225 Shorthorn Drive, Chico
IpAII&I's S thorn Dr, app 250'W Garner Rdt Permit#44-84A(Agricultural Building Ex
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ot 2, Chi
F . C j Co emption permit7ha7 �st a g e_�,-
ontr: C.j,
..e Cons t,. Chico
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�q _P_
,',/,m3it #96�-83B,P, single family)
7_ F
47 53-2
Contr: J Wh4t"
Per # I e,,Const,
2965-83P(gas wt'
r.h,tr/968-83)'SF
47-53-2
Permit#714-84B,E(install nonbearing wall
/SF)
047-530-002 94-0128B,P
FLEMINE, JEFF & SUSIE 26
CONT: AKS CONSTRUCTION
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4225 SHORT HORN DR., CHICO
NEW SWIMMING POOL
041-530-002 PERMIT#97-0797
FLEMING, Jeff & Susie
4225 Shorthorn Dr., Chico
Cont: Mark W. Wilson
L, roomA Remodel/SF
-7 -�'Z
047'5W-002' 'PERMIT#98-0161
KNAUS, Bernie
4225 Shorthorn Dr., Chico
Add5b Ftg to Lvngrm/SF '
FIN,4 t_� I - 15 - q'R -
12
RESIDENTIAL
SkR
j 047-530-002
KNAUS, Bernie PERMIT#98-0161
PERMIT NO. 4225 Shorthorn Dr.,'Chico
AddS�*Ftg to L,ng-rm/SF
PERMIT EXPIR,
OWNER
CONTR.
ASSESSOR PARCEL
�,LOCATION
14
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED
Date)
Signature
V
A -i '' .,
V OK
0 Not OR
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'a
:
1 . Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Locadon-Test-Fall-CiO-Concrete
4. Wateir; Location-Imt-Easement Needed (Sketch)
5. Electricity; Locabon-Clearances-Gmd-/ /Amp��te
6. Gas; Location��sWiap; / /tit
/ /Nat. or/ /LtL/ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
9. Siding; NailingAAeneer-Shxco-Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements- Setbacks Easements
Date
2. Footings; Sim -Spacing -Marriage Line
Date
3. Gas; MH TesH)emarKlVaKe-Connector
4. Electricity; MH Test-Crosso%ers-Breakers-Clearances
5. Drain; MH Test-FalWlex Connector
6. Water; MH Test-Regulator-CGnnector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. E)dts; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
0
Date
Card B- 1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, POVERS, CARPORTS, GARAGES (Plans) OK except #'s
1 . Zoning Requirements -Setbacks -Easements
2. Footings; Sods-SizL-Dep#i-Spacirig-Conr*ctDrs-SteeI
3. Decks; Girders and/or Joists-DecWng-Bracing-Stairs-Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Conneciors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Conriectons-Splice-Decal-Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-ShWs-Rttm-Trusses
9. Siding; NailingAAeneer-Shxco-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps-Door"ndings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance -GA
5. Elec.; Pool Lighting; 15 Volts-GF1
6. Elec.; Enclosures; Conduit Entries-Terminals-Usted
7. Elec.; Bonding; Metal wffl-Circuta&g Equip. -Heater
S. Elec.: Grounding; Equip. w/6 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards4ns. to Main in Conduit
9. Health Department Approval
10. Plumb.: Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
v' = OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Singje & Duplex)
Date YNDER OR (Plans) OK except ft
- I I . 0 !,::�wg-setbacks-Easments-Flood-Slope
'jJtU(%'O -),'.Ftg., main; Soils-Elec.Gmd.-//Z-fFtg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth
5. Sternwalls, Main;, Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-StL61
9. D.W.V; FalWitfing-Test-2 Way Cl"ewer Test
10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test-Anchars-Regulatc)r-Service Test
12. Electric Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Cdppies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #_*-*�
17. Water Htr.; Vent-Access-CombuOdfi Air Baffle
18. Water Pipe; Test & Ancho
pRO Protection
19. D.W.V; Test Fittin
,gwC-Anchor-Nail Protection
20. ShowerEoRlfest, First Floor -Tub Access
21. jpKU-b & Shower, Second Floor -Tub Access
�2�Gas Pipe; Sixe & Anchors
Date Card B-1 Date Card B-1
Date,, Card B-1 Date Card B-1
Date,'�� _,---ELECTRICAL (Permit) OK except #�s
/ \ 2-1-Sixtbre & Transformer Clearance -ins. Protection
24. Elw-Receptacles Spacin-q-Uqhts & Switches at Doors
K,,- /2_5,8izFBoxes & No. of Conductors Stapled
[py-26. Romex Installed Close to Edge of Studs & C.J.
�--_�und made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFII
--e �.WWire Size/ / ga. Cu or A�A.C. Wire Size / /ga Cu or A]
r4Q_Qemje'eim. / / ga Cu or Al -Oven Circ. ga Cu or AJ
Insulated Neutral (] Yes 0 No
_%U-eeI`Vrc_eRiser Conductors & Ground -Main Disconect
��.�arances Panels-Motors-Mech. Epuip.
j��Ioset Ught-Shower Ught-Spa Light
PT-)Bmoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card 13-1
Date MECHANICAL (Permit) OK _exlEept #Is
36. Vent Fan, Exhaust a�O�sulation
37. Condensate D��Overflow, Size & Grade
38. Fuman-ysrr(Access-Comb. Air-Retum Air Vent 115 outlet
39. AftAi5cess & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date /FRAMING (Plam) OK except #Is
4of-'Sift-Proper Materials & Anchors
��Studs-N iling Spacing & Braces -Plates -Sound
��g Walls over Girders & Floor Nailing
431"'Draft Stop in Walls (rat prool)
J�,�ire Stops, Furred Ceilings -Stairs -Chasers -Tubs
�&.- Headers & Beams -Size & Bearing
Date _,J;RAMING (Continued)
4fe�Cling"36oist-RI'tr. Ties-Pudin-roff Brac.-Truss-Shfing.-Rfng.
p Joe Ties or 1�pe A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
fiQr-TJErm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50 -Ta -rage Fire Protection Framing
52771r6perty Line Firewall & Openings
is-EREMoors-One 3 -Check Garage 3rd Story, 2 Exits
dth-Headroom-Rise-Run4-anding-Fire Protection
on Roof Overhang-Atfic Vents -Rafter Outriggers
54I_-,9idin_q-NaiIina Veneer
49-6hiew Mesh -Drip Screed -Fd. Vents-Underfir. Access
!ff8--61!W Area-Giass Proteclion-Skylights-Plastic
r56..d5&ar_WaIIs: Nailing -Bolts
-6&.-Brave Interior / Exterior Wall Panels
I
1X9T.-Iffmion-Walls-Ceilings
62. Infiltration -Walls -Windows
Date Card B-1 UTO'Q 4 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ks
68. EM Sidelight Protection -Landings
ft,-ffmoke Detector
-AS,+mTmce,-Vents-etdarance-Comb. Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
b6_aed-o-Exftg
_A7_G.944_BaI1LEixtures & Tub Access -Spa
net, Breaker Sizes & Labels
-69. StallS &-R-airs-
70. Fireplace or Stove. Clearance -Hearth
- &��i;i; irwaaaTanel, Int. & Ext.
--rz-. KIT. FIRE 6 AppMrice-Ground.-Air Gap -Cooking Clearance
23-E&M. Outlets & Recepticales at Kit. Counter
ZL-CiafegeftelDourSvAng-Landing-Closure
.44-4VWIIW.'VgMM:Clearance-Comb. Air Connector -PRY
In Garage; Above Floor-Mech. Protection
Equip. Listed for Location
78. EI_-Rga9Pffc7e--s-iWGarage (G.Fl.)-Romex Protection
-_791,�sulation+oam-Looked in Attic
68. Bus d7a-irs-&-ffe-c-Monstruction-Post Caps
.B+ --F �.�ra �ole Door Drainage & Wood -Earth
Clea%pee'C�olked under Floor . P Yes
&-f5i �ng ns �/6rive 0 Yes OWo/Walks 0 YesKo/Planters 0 Yes 0 No
M-SUc_c_oE_rownFi Ki sh
84,*-e-bY*6meenReet, Electrical -Plumbing
Zfi--Yerrts-AbBVFT?5of. Plbg-Appliance-Fireplace-Clearance to Openings
A&-VAM"*L- I+Innect Electrical, Plumbing
Elec. Tirim, G.Fl. Receptacle -Underground
W,1e_nfiIA§gp-Throught House
8§.-ITa-ss Protection
9A -PreviousInspections
94 f---T-e$Me
Tagged, Gas-Eleciric
5nnected-C/0 to Grade -HD Approval
&�ergy Compli�nce'jqertificateOther Certificates
4 r. P114) -
1) -7 If X -V
Date Card B-1 '-- Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville., Califo.rnia 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT - qr-nz 6,1 1/
ASSESSOR PARCEL NUMBER
041 - S30
ZONING
isrc_ /
BUILDING PERMIT
6��v
OWNER
c
TlgqT
_727q
SC). FT. OCC. BUILDING VALUATION
_1�4pr
OWNER'S MAILING AD?ESS
q '27- �Imr&fn 73
3 0,2!Y .00
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDEW! MAILING ADDRESS
Fireplace
Total Valuation Al)
ARCHITECT OR ENGINEER
LICENSE NU.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEEWS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
(A 9 597 3
Energy Plan Checking Fee $
PERMIT FEE
LOTNO..�
I SWION'S��E
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SFA Duplex 0 Mobilehome 0 Other
— SPECIFY
Each Trap 7.00
Solar or heat pump water heater 2 3. 0]0
Water piping 15.00
00
Each gas water heater or vent 15.00
TYPE OF WORK
New 0 Addition Remodel E3 Utilities 0 Installation 0 Other 0
DescribeWork: b? 5_4,5,;�T <nAtizo i�a AMip
—Gas piping system I - 5 outlets 15 .00
Building sewer 15.00
Mobile Home W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20-00
Main Service *.'.',v, 0. RR ' ss s' 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing �iith 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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 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:
0 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.
0 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 Nith those provisions.
X -- --=ate
,%�re of 'g-p-plicant 1Q.75�ner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DW
,E�NG.00CUP. so
OR ADDNS. LOS. 3.50FT.
NEW CONST.
NON-RESID. ","JH' c,R,,,,TS @7.50,
OWER APPARATU
( PSIN.,E OUTE T CSI R. )
Ex. Occu . ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL Q .50
—Ex. Occup. ETS (RLE'S16.) 21 )
OUFITXLED AM 'S 0' 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONST. TYPE
t
K TOTALFEE,
HAZ. . FEES MP
FL20K 0
PAR�L
This permit —is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated 4above for 4which /
ees h e been paid.
By e :Zllqkg
Ui. Z�
PERMIT EXPIRES ON
ReceiptNo.
WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
FEB— 3-98 TUE 9:10 Env Health—Chico 5308956512
(Aev 12196)
P. 01
COUNTY OF BUTTE- DEPAATMENT OF OEVELOPMENT SERVICES - 13UILDING DIVISION
7 County Center Drive - Oroville, Califormia 95965 - Telephone (916) 538-7541
APPI I-CATIbN AND PERMIT
I """a I VWILUlr4%Ar" If
Al)
Jay on VJA_�:_
USEOFSTRUCTURE
SF 0 Duplex 0 Wablishorns, 0 Other
TYPE OF WORK
Now 0 Addition 0 Remodal 0 U1111116" 0 Installation 0 Other 0
Describe Work:
ILICENSIED CONTRACTOR'G DECLARATION
I hereby affirm under penalty Of perjury that I am licensed under provisions of Chapter
0 1�comrnsnclng tkh Section 7000) of Division 3 of the Business and Prof"31one Code.
and my license Is In full force and fffecL
License Clam Lie. No. IffE-C-LARATION
OWNER- UILDER
I hereby affirm urldw penalty of parjury that I am ow"Pt froln the CQAtr4cl0r6 License
Law for the following r64404:
(3 1. asownerof th4ptop". otm,y employees with wagesasthelr soft compensation,
will do the wak and the structure is not Intended or offered for sale.
13 1. as owner of the property. am exclusively contracting with kensed contractors
to construct the ptojecL
0 1 am exempt under Sm. Business and Professions Code for this
reason
WORKERS' COMPENSATION Der-LARATFO-H
I hereby afgrrn under, penalty of parlury one of the following declarations!
0 1 h&vs and will maintain a certificate of consent to sell-insufs for workers'
compensation. as provided 1W by section 3700 of the Labor Code. lot the
performance of the work for which this permit is Issued.
1 have and will maintain w9ekers'compansation Insurance, as required by Section
3700 aftho Labor Code. for be performance of work f9rwhich this pormill to Issued.
k4y wwksW compensation insurance carrier and policy numbw atv:
Carrier
Policy Number
(Ths, above section$ need not be completed 0 the pitinit Is for W01111 of a valuation
of one hundred dollars (111100) of 14".)
0 1 certify that in the performance of the work (as which this parinit Is Issued. I shag
not employ any piefson in any manner so as to become subject to wor%ets*
compsn@400n laws of California, and agree that 0 1 should become subject to the
workers* compensation provisions of section 3700 of the Labor Code. I &hall
forthwith comply with those provisions.
X Oate — —
Siin—aturs, of Applicant a a Owner (3 Contractor Q Agent
An OSwA pwmills required for excavations ovm.TO* deep anddernalltion orconstfuctlon
of structures over 3 stories In height./
Receipt No - _
W"Iff-0 0 S. -
PERMIT 1'.
SO. FT. I OCC. I BUILDING V.ALUATION
Fireplace 1 1150-0
Total Valuation
Filina Fee 010C
Permit Fast
CN.. rlh�lrinft
Energy Plan Checking Fee
W5 Vft
46.00
New d5ar-
04 ADOW.
PERMIT WE
3.50"
PLuMBING PERMIT
Filing Fee
Each Trap
7.00
Solar or heat pump water h6dof
23.00
Water PVnQ
I a. io-
Each gas water heeler Or vent
13.00
Gas piping systami I - 5 outlets
13.00
Building www
15.00
wbife 0
Q20.00
PFRMIT PEE
ELECTRICAL PERMIT
1 7-1965-'
main Service ( ft'"'041,908,97
23.00
.00
20-00
Wn Service
2-4 TO IOWA
46.00
New d5ar-
04 ADOW.
3.50"
NM G0001.
LTJ.�
Ex. Occup.
POWIM APPAPATU,
a Bosco OLMU .
auft" OR nrn*EX
Is 0.00
X.
E OCCUP.
1099 A"%10- 00
ounm
5.00
Temporary Service
23.00
klobile Home Facilities
20-00
Ivisc. Wiring
23.00
PERMIT f
1 7-1965-'
00
Hood
Ventilation
------------
PERMIT rFki s ------
Mobile Home Installation Fee 'S
Energy nspection Fee 1111406-11 ,
6�6 Ice"""ITOTALIFEE117—ZI.
I I "I 10. ago I r I &goo I W I PARG& 1 00 T7F__Z!_
Thi3 permit is hW*by Issued under the applicable PfOvilllcr`3
of the Butte County Coda 4ndlar Resolution@ to do work
indicated above for which fees have been paid.
By Date
PERMIT ExPIFIES ON
COUNTY OFBUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES - BUiLDING DIVISION
. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICA TION DA TA SHEET
OWNER: K rai A5, ROM I e- ASSESSOR PARCb NUMBER: Z,
Proposed Building Use: Building Ins. —.15 Date: 2 J;,a
At time of permit application,1 was advised the f6flowing data must be submitted prior to permit processing and/or issuance:
"Sf Date Received By
El 1. All iiemsbiave been submitted --------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------
F-1 3. Complete plans, 3/4 sets, signed by the preparer of plans - ---------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
I
0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
06. Energy Design Compliance and supporting documentation - -------------------------------------------
117. Statement of Intent. for Non -Heated and A/C Buildings - ------------------------------------------------
El 8. Hazardous Material Form.
El 9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
El10. ee's-of $ --------------------------------------------- ------------- -------------------
a et fees as shown on the attached schedule. 5_e_A� -------- ur-> ------
California Department of Forestry plan approval/fees. ---------------------------
of
1113 P106T-Clevation certificate - -------------- %:Z ------------------------------------------------------------------------
�� `S,� tation and plot plan approval Health Department - -------------------------------------------
Ell 5. City of Chico plumbing permit - -----------------------------------------------------------------------------------
,' El 16. Plot plan and business license approval from the City of Biggs.
El 17. Planning approval for (A) Use: (B) Parking:
0 18. Contact Land Development about 13 Improvements, El Drainage, 0 Legal Parcel.
El 1. 9. Encroachment Permit for driveway (construction approval prior to occupancy). ---.
E120. Pre -inspection for
required Request to Building Inspector on
El 2 1. Contractor's license information. (Number, Name Style, Classification) - ---------------------- -------------
El 22. Workers' Compensation carrier and policy number - -----------------------------------------------------------
023. Owner -Builder Verification (Given to owner El, Mailed to owner 0) - --------------------------------------
1124. Letter of signature authorization - --------------------------------------------------------------------------------
El 2 5. Recorded copy of Agricultural Acknowledgment Statement - --------------------------------------------------
026. Letter of intent on building use - -----------------------------------------------------------------------------------
E127. Manufactured Home utility clearance - ----------------------------------------------------------------------------
028. Existing violations and/or expired permits - ----------------------------------------------------------------------
029. E1433 A, OGrant Deed, 0 M.H. Title, 0 Check to H.C.D $ - ---------------
E130. Other: -------
(Date)
;h�e 0�u ]issue the errmt process as follows C3 Mail to owner, 0 "ailsto contractor.
T "Y' py) y _9 0 0 -w ?
elephone Z3111 and hold for pickup at o ce. EM-;hver with inspector.
343-SLA(40 Applicant: Dale: -Z-2-9?
Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 0 Air Pollution Date: By:
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: By:
1. Index permit application for the above items numbered: 11 Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by 13 phone, 0 mail, 0 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, o Buildi Di i i n counter, by Date:
g IV sy
Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Diukikion counter, by Dape: _.Z
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
BUTTE COUNTY iCHO"OLS IMPACT FEE PERTIFICATION FORM
(One form
pbr Building)
School bistrict
Building Department
No.
Ci
A.P. Number Jurisdiction: ty
1,7-4
County
PropertyOwner J-Onj)r��
Property Location/Address
Subdivision
No.
'Lot
Residential Development
Sq. Footage
No of Living
Mobile Home
Addition
(Group R)
Units
Installation
Commercial/Industrial.
Sq. Footage
New
Addition
(Including Exterior
Roofed Areas)
f KQM
Building Department Representative
Date
District Identification No.
it-ioor vians reviewea oy bcnooi uistrict versonnei)
School District certifies that
(Applicant)
(City)
has complied with the requirements of Resolution No.
representing square feet.
iool Districi'Representativ6
'Paid by Check #
(State)
(Zip Code)
by payment of $
�B
U 11=11 .1 $
LL M
ULL MITIGATION $
Date
ou Remarks:
'62�n 15
OF
Notice: You may protest the imposition of the fees identified abo4e by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
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 depai7tment), Pink (school district) feeform.As (2/97)dmm
1,
Attention Property Owner:
,'An "owner-buildee' 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 win
be issued until this verification is received.
1. 1 personally Wan to vrovide the major labor and materials for construction of the
proposed property improvement: YESK/1
2. 1 HAVEJk<J ELAVE NOT[ ]signed
proposed work.
3. 1 have contiac ed with the following
construction:
NO f 1.
an application for a building permit for the
person (firm) to provide the proposed
NAMIE:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOWS LICENSE NO.
5. 1 will provide some of the work but I have contracted (hired) the following persons to
provide the"work indicated:
NAMM ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER: ZffaN/e e/\/,q(jE
SOCIAL SEcuRrry NUMEBER:.
DATE: / —'2 1? - Te
NOTE: This owner -Builder Ver-irication is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Mav 1995 2.26
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. 71ey are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate fiunily, 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.
0 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 security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 Ilere may be financial risks for you if you do not carry out these obligations, and these risks'are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit. erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street. Sacramento. CA. 95814.
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.
Sincerely.
Michael C. Vicira, C.B.O.
Manager. Building Inspection
NOTE: This Oxvner-Builder Information is required by Section 19830 of the Califomia Health and Safety Code.
Mav 1995
COUNTY OF BUTTE -DEPARTMENT OFDEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICA TION DA TA SHEET
OWNER: �na(Af4Remie_ AssEssoRPARcELNLjb-mER:_b(4D—
Proposed Building Use: _ a4Ye1ZL_154s-%,, Building Inspector: Q JS Date: 2 J"A
At time of permit application, I was advised the foffowing data must be submitted prior to permit processing and/or issuance:
C3 1. All items have been submitted --------------------------------------------------------------------------------------- Date Received By
02. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans - -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - --------
-0 5. Engineered buss details and layout in duplicate (required prior to plan review) No faxes! ------------------
1:16. Energy Design Compliance and supporting documentation - ----------------------------------------------------
El 7. Statement of Intent, for Non -Heated and A/C Buildings - ---------------------------------------------------------
0 8. Hazardous Material Form - ------------------ ------------------------------------------------------------------------
Cl 9. Manufactured Home data and installation instructions including Tie Down Specifications --------------------
0 19 7�s of S
-------------------- ----------------------------------------
,_,I,
arl. act fees as shown on the attached schedule. 5a k-64 --------------------------
. �Califociia Department of Forestry plan approval/fees.
I 3.,Ele6g-elevation certificate - -------------- cZ7 -----------------------------------------------
Pf4000 Sanitation and plot plan approval Health Department - -------------------
C3 15. City of Chico plumbing permit - ------------------------------------
0 16. Plot plan and business license approval from the City of Biggs.
C3 17. Planning approval for (A) Use: (B) Parking:
El 18. Contact Land Development about 0 Emprovements, 0 Drainage, El Legal Parcel.
0 1. 9. Encroachment Permit for driveway (construction approval prior to occupancy). --
El 20. Pre -inspection for
required. Request to Building Inspector on
0 2 1. Contractor's license information. (Number, Name Style, Classification) - --------------------
0 22. Workers' Compensation carrier and policy number - --------------------------------------------
023. Owner -Builder Verification (Given to owner 11, Mailed to owner 0) - ----------------------
024. Letter of signature authorization - -----------------------------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement - ----------------------------------
026. Letter of intent on budding use - -------------------------------------------------------------------
027. Manufactured Home utility clearance - ------------------------------------------------------------
028. Existing violations and/or expired permits - ------------------------------------------------------
029. 0433 A, OGrant Deed, 0 M.H. Title, El Check to H.C.D $
030. Other: -------
Wh u issu ermit process as follows 0 Mail to owner 0Mpi to contractor.
is'
Pic
Ppelephone Py, -G �8 0 and hold for kup at'C_KbtZ o ce. ver with inspector.
Z54 C
-3q3-SLA440 r)l
ficant: 6? Date:
Copy of Haz-Mat form sent 13 Health Department, 0 Fire Department, 13 Air Pollution Date: By:
Copy of plans sent 0 Health Department, 13 Fire Department, 13 Other: Date: BV:
(Date)
Z-2-9?
1. Index permit application for the above items numbered: 0 Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by C3 phone, 13 mail, 0 Building Division counter, by _ Date:
Contractor, designer, owner, was advised of the above required data by 13 phone, 13 mail, 0 Building Division counter, by _ Date:
Contractor, designer, owner, was advised of the above required data by 13 phone, 13 mail, C3 Building Division counter, by _ Date:
Contractor, designer, owner, was advised of the above required data by c3 phone, 0 mail, 13 Building Division counter, by _ Date:
Plans reviewed by: Date: - Plans approved by: Date:
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT N
ASSESSOR PARCELNUMSER
ZONINO
BUILDINGPERMIT
OWNER
TELl"ONE
SO. Fr. OCC. BUILDING VALUATION
OWNER'S MkILINCII ADORM
CONTRACTOR's NAME
CONTRACTOR'S MAILING ADOMS
CONSTRUCTION LENCEIR
Fireplace
--
UENDER*S MAIL010 ADORM
Total Valuatlon 5 -q S7_4
7
ARCHITECT OR EMNEER
LICENSE NO.
Filing Fee
20.00
Permit Fee
-7t-
ARCHITECT OR ENMEEIRS MAILING ADOMS9
Plan Checkina Fee
46
SULDINGADORESS
Energy Plan Checking Fee
PERMIT FEE
LOT NO.
SUSONISIONs mum
PAMEL MAP
PLUMBING PERMIT
Filing Fee 20.Oc
Each Trap
7.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehorne 13 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Instslation 0 Other 0
Describe Work:
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G
Q20.00 —
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
'5
Main Service LL'Esso
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing �fith 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:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
13 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:
0 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.
0 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.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions Of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Oats
Signature of Applicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over V0* deep and demolition or construction
of structures over 3 stories In height
Main Service 200A TO 1000A 46.00
NEW CONST. DW:&10 OCCUR SOL <15
OR ADONS.
NEW 0
Z 0 N. RCEOS70S T =11LT 1= C@7.50
O=AP=US
PS
E 0 C'.
Ex. Occup. ounzir OR FOCTLIFIES
O.FIXEO APP OR
Ex. Occup. EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 8.50
Ventilation
PERMIT FEIE S
Mobile Home Installation Fee $
—
Energy Inspection Fee
occ
CONST. rVPe
ITOTAL FEE $ 7- 75'
HAZ.
0. FEES I IMP
I FLOOD
I Cop
I pAACEL
po
No
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid. Z4
Date -9/ V-7
9SS Z ct S71<
ReceiptNo. ZZ4
WHirE-0.0.3--8-0- CANARY-ASIE3SOA PINK -INSPECTOR GOLDEN ROO-APPL ICAN r
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA,r (916) 891-2751
7 County Center Drive, Croville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
ER
P- /'
PERMIT
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
pleas—e�contact this office immediately.
Date ��Clnspector
REV 10/92
T-NZ-RGV TNSTALLATION CTR777ICATT-
Building Owne: Building Permit #
Building Locacion
DESCRI-PTION OF IMULA7-ION
ROOF
Material
Thiz- mess(4achesol,
"IOR WALL
material
Thickness (:Lnzhes) --277'
Cr.IL=G '
Batt cr Blanket Type
Thir-kness(inches.)
Loose -.-Lll Type
H4?14=— Thicknesl (Inches)
Ax -ea: covered(ft.
FLOOR, ELZ7A=
Material
Thickness(inahes)
FLOOR, SLAB
Material
Thickness (inches)
Width(inches)
Brand Name
L�
The=al Resistance (R Valu�e)—
Brand N=e tk
The --mal Resistance(R Value) -A/,.— I
Brand Name
. The --=I Resistance(R Value)
Brand Rame .
N=ber of Bags�_ Wt. per bag ___..Xb.
The --=3. Resistauce(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
FOUNDAZION WALL
Material Brand Name
Thickness(inches) Thermal Resistance(R Value)
I herebT cc ---i!7 that the above insulation was installed in the above buil,
-is consistent with- approved building department -plans--and attachments- -and* 8��iF
f orms with requirements of Chapter 2 ;.-53 of State of Calif ornia Energy Requiremen
FIRM N0E/OWNZR
S=Z CONTRACTOR'S LICENSE NO.
SIGNATURE OF AT A=ON AIMLICATOEL DA=
I hereby certify The required features, devices, and equipment, az shown on the approvet
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy equirements.
�ZK t F -
"BUILDING CONTRACTOR/ W�N(Please Print)
(fFIRM NATME)
511GRATUR. OF BUILDING CONTRACTOR/OWNER
HVAC FIRM NAME/OWNER (Please Print)
SIGNATURE OF HVAC CONTRACTOR/OWNER
STATE CONTRACTOR'S LICENSE NO.
C�- 2 -Te
TE
STATE CONTRACTOR'S LICENSE NO.
DATE
THIS CERTIFICATE �IUST BE ON FILE WITH THE BUILDINC DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE PCSTED WITHIN THE BUILDING.
1 ORR
E.H. USE ONLY
Plot Plan Anmiwd t-�
FIw Plan AMwW Le"
S.It.B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
57, A
Clearance for bedroom mobile home. Other L<.,11,
0 f4er
Hold final for:
Final clearance O.K. for:
NOTE:
En�ironmental Health Specialist
8/92
'Date
COUNTY OF BUTTE
Oroville, California
GENERAL CLAIM
CLAIMANT: JEFF & SUSAN FLEMING
ADDRESS: 4225 SHORTHORN DRIVE
CITY & STATE: CHICO, CA 95973
DATE OF CLAIM:- 7/7/97 IMPORTANT. -
SEE INSTRUCTIONS
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE
OATt' DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT
OWNER DECIDED NOT TO BUILD. (A.P. #047-530-002, B.P. #97-0797,
RECEIPT #210199 DATED 4/17/97 & RECEIPT #221935 DATED 5/21/97,
11 1 OWNER: JEFF & SUSAN FLEMING.) I 1 11
11 1 TOTAL AMOUNT PAID ..................................... $1,416.41 1 1 11
1, the undersigned. declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true
and correct as stated.
4 f J . 19
Dated this day o at Calif.
Signat�6 of Claimant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or f d or delivered and
that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) f
Dated this — 7TH day of JULY 19_92, at OROVILLE Calif.
P �ized Deputy
Dept. Code 440-002 Exp. Code 4210500 PAYABLE FR�M CONSTRUCTION PERMITS FUND
Dept. Code Exp. Code PAYABLE FROM FUND
Dept Code Exp. Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.
RETAIN REFUND PROCESSING FEE ................ $25;00
RETAIN BUILDING PERMIT FILING FEE ........... $20.00
RETAIN PLUMBING PERMIT FILING FEE ........... $20.U0
RETAIN ELECTRICAL PERMIT FILING FEE ......... $20.00
RETAIN MECHANICAL PERMIT FILING FEE ......... $20.00
RF.TATN ENERCY PLAN CHECKTNG FFF .... ........ 123.00
RETAIN PLAN CHECKING FEE ................... $368.88
RETATU SR A PT AN CI1PCxTNa T;TR $in - nn
TOTAL AMOUNT TO BE RETAINED ......................... $ 539.88
TOTAL AMOUNT TO BE REFUNDED ................................. TOTAL
876. 1
53
1, the undersigned. declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true
and correct as stated.
4 f J . 19
Dated this day o at Calif.
Signat�6 of Claimant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or f d or delivered and
that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) f
Dated this — 7TH day of JULY 19_92, at OROVILLE Calif.
P �ized Deputy
Dept. Code 440-002 Exp. Code 4210500 PAYABLE FR�M CONSTRUCTION PERMITS FUND
Dept. Code Exp. Code PAYABLE FROM FUND
Dept Code Exp. Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT.
FOR BUILDING DIVISION USE.
A�r
Receipt Information:
Number: 101 qq 0 1;1/ 9 S
Date. 411 -7 Iq 4:J24 I q -7
Issued To: L
Amount:
low V/
Fees Retained:
/-Processin . g Fee:
Bldg Filing Fee:
vl'Plbg Filing Fee:
Filing Fee:
/,Mech Filing Fee:
V//Energy- P/C Fee:
V""'Plan Check Fee:
Inspection Fe* ef
v1SRA Fee: P�c
Total Amount Retained
TOTAL REFUND DUE
$— 045,
$ 1�10-
0
$- go.
6-�)
PO.
do
$
$ ��O
- d -D
$ D 3 �
-C�D
(,2,
<6- q
$
$ 3,
$ 53q...ff ..
$ 9 ?10 15 �s -
CLAIMANT'S NAME
MAILING ADDRESS
ASSESSOR PARCEL #
RECEIPT NUMBER(S)
REFUND CLAIM APPLICATION
Ch)tm C/+ q -5-q73
'2,,
OL17- 5-30- 00,a
Request a refund of fees paid on the above receipt number(s) for the following reasons:
hecj;led -10 0 ba -MU -117 <--!n-�re- Oro le c4- - ii4�i jQ"s --in bu,'W ry
an
N
Please refund any applicable fees in the following categories: (Check those categories
Which you wish to have refunded.)
Building Permit Fees Sheriff Fees
SRA Fees (CDF Fire Planning) Urban Area Fees
Disposition of Plans:
( ) Plans returned to me at counter
Please mail plans to me at above address.
( ) Please dispose of plans.
SIGNATURE
DATE
PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM
FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM.
COU NTY OF BUTTE - DEPARTM ENT OF DEVELOPM ENT S ERVICES - BUILD I NG DIVIS ION
7 County Center Drive - Oroville, Califor.nia 95965 - Telephone (916) 538-75419 )PERUT NO.
(Rev. 1 �/96) APPLICATION AND PERMIT -97
/F
ASSESSOR PARCEL NUMBER
47-53-02
ZONING
SRI
BUILDINGPERMIT
OWNER
JEFF & SUSTE. FLEMING
TELEPHONE
893-2757'
SO. FT. OCC. B5LDING VALLIATIAN
OWNERS MAILING ADDRESS
4295 SHORTHORN, CHIC0 95973
1306 R 70,524
446 coy 5,798
CONTRACTORS NAME
MARK W_ WILSON
TELEPHONE
342-3'393
FST s, non
92 936
CONTRACTORS MAILING ADDRESS
8 PT01AT, CT, CHTCO
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace A 900
Total Valuation $ Rl 7 1;R
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $ 567-90
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 3-8.88
BUILDING ADDRESS
Energy Plan Checking Fee $ 23-00
PERMIT FEE $ 9 Q -Aq
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex 0 Mobilehome 0 Other SPECIFY
Each Trap 7 7.00 Z. C) nn
Solar or heat"pump water heater 23.00
Water piping 15.00
_1500
Each gas water heater or vent 15.00
QQ
- TYPE OF WORK -
New 0 Addition F,3 Remodel 0 LMlities 0 Installation 0 Other 0
Describe Work: gFJ)RnnM ]REMODEL R.R-
__15 -
Gas piping system I - 5 outlets 15.00 1 q rV)
Building sewer 15.00
Mobile Home S I G I W
PERMIT FEE S ..29.00
ELECTRICAL PERMIT I Filing Feel 20-00
( a.00V O.R LESS
Main Service � A 0 LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing �/ith Section 7000) of Division 3 of the Business and Professions Code',
and my license is full force and effect.
License Class Lic. No. qqq gqg
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP so
OR ADDNS_ & ACC. BLDS. 3.50,.- 47.53
NEW CONST.
NON-RESID. ,u LT'- 0 u
, r,, (9�7.50
&PONI.M APNIRATUS
; . _E
Lr C'R.)
Ex. Occu OUTLET OR FDITURES "00
EAL @ .50
UFITXLE D A P LNS OR. 5.60
Ex. Occup. ETS (P.,6.) E
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
I
PERMIT FEE $ 67.53
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 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
Heating 30.00
Cooling – 40.00
Hood 6.50 6.50
Ventilation 9.00
PERMIT FEt S 105.50
Policy Number
he above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
10cfertify 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 it I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
UJ Date
Signature of Applicant - 0 Owner 0 Contractor 0 AgdeF
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 $ 46. 0C
-r,=T. TYPE
V. TOTAL FEE $ 1,327.41
CDF
PARCEL
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 Date
PERMIT EXPIRES ON
I (Da te)
ReceiptNo. 210199 471,55/ 2:2 Jq36-
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
�V
_A
Ir
'COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - UR&ILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541.
PERMIT APPLICATION DATA SHEET
J(2,4 hgAhlro 5 P. No. oz
OWNER A. 1� 7 -,5 cc
Proposed Building Use Building Inspector C_ Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED By
1 All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ...........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation ...................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check).
M Mobilehome nufacturer's installation instructions, 2 sets . ...........
0""ehl
sOf $ a6 .................................
Impact fees as shown on attached schedule. ....... 5_-Af-q-� tj 13
Cali ia Department of Forestry plan approval Sol.
0 1, 7
od elevation letter (100 year flood a &1'f 2rGng i n eer ...................
Sanitation and plot plan approval Health Department.
C itv of C
—45. City of Chico plumbing permit . ....................................
— 16. Plot plan and business license approval from City of Biggs/Gridley . .............
— 17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy). 15r�! ��s�oA
20. Pre -inspection for - required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner ........ *
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road ......
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance ...........................................
29. Documentation of legal access . ..................... ; ..................
30. Doc�fentation of 50% subdivision developed or (A) Road improvements completed
an (B) Parcel m rrr�jts. a and nt % requi.rements . ...............
CA
Existing violations rexpiLred p .....................
_V11Plan check list. �� ..........
33.
34.
Whepn y ue the rmit cess as follows: Mail to owDer'.
,P Iss
3'2
Mail to contractor.
Telephone and hold for pickup at
office. Deliver with
inspector.
Other f86fq- 510-cloij!.
Parcel Creation
Applicant
DateAcreage
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dept. _ Fireyept. -,,- Other
Date
By_
The following data must be submitted pri
ked above).
1. Index permit for above items No.
2. Additional items required: ljws
Contractor,�owner, was advised of above required data by'Al phone
mail --Counter by
Date
061101rt:ontractDor designer, owner, was advised of above required data by �V phone
mail Counter by
Date
Plans check6dby Date o- i
_J_n� Plans approved by
Date
Se0of plans on hold in .3 File cabinet AP folder
Copy - Department of Public Works
COUNTY OF* BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
SCHEDULE OF FEES DUE
OWNER JO,
PROPOSED BUILDING USE
/1. BUILDING PERMIT FEES
-- Balance Due ................ $
Additional Fees Due ........... $
Additional Fees Due ........... . $
Revised Plan Checking Fee ....... $
Ll 2. SCHOOL DISTRICT FEES 6�1-1 440
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ........ . x $360.00 = $
Units
Commercial (sq. ft.) ... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
#Units Amt.
Commercial (sq.ft.) . . x =$
Sq.Ft. Amt.
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
SRA FIRE INSPECTION AND PLAN 0HECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion #
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A. P. #_
DATE
REC # DATE REC
At time of permit application, I was advi the above fees are required to be paid prior to issuance of the
m be cha I
building permit. These fees _ay during the plan checking process.
APPLICANT DATE
Original -Owner Copy -Building Div. (Rev. 12/96)
17
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District. Building Department No.
4
Jurisdict' n: County
A.P. Number 10
City
Property Owner J e fi-,J�M^ "� 5
Property Location/Address
Subdivision Lot No.
Residential Development
4
No Living Mobile Home I i edaitijon
Units Installation
Commercial/Industrial
New Addition
(Floor Plans reviewed by School District Personnel) .
District Identification No.
School District certifies that
I
4-7�,,z -)
(Street Address)
(city)", . � I
has complied with the requirements of Resolution No.
i
\�epresenting square feet.�.
School
Sq. Footage /3 C)
I ; (Group R)
. -t
FP'
Sq. Footage
(Including Exterior
7 Roof, d Areas)
D
F 611k I �
(Applicant)
J
e7
(Phone Number)
(State) (Zip Code)
by payment of $
29i6 $
IFULL MITIGATION $
Date
kl�
Paid by Check. # Remarks:
Nodice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(e), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees in any court action.
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 (CEOA),
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) feeformAs (2/97)dmm
RESIDENTIAL PLAN CHECKING GUIDE
SINGLE FANM:Y, 'IJUPLEX AND NIISCELLANEOUS ONLY
OWNER: BUILDINGPERNfITNUMBER: ?7-,o
PLAN CBECKER: 19(13 Sows A- P. NUMBER: ()q7- 530-002
GENERAL:
Zoning requirements: (side yards and number of permitted living units).
3-�
Valuation.
Plans signed by designer.
Proper description of work on application.
Existing violations on property.
Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.).
Recorded notice of violation.
PLOT PLAN:
Complete parcel size and dimensions.
Setbacks, side yards, easements, etc.
4.
Other buildings or structures.
J.&adind, fills,and/or drainage'
KFlood
hazard.
Special conditions on creation map (Noise, S.R.A., Fire Sprinklers;�,Witer`Tdndef, Tre6s,'etb).
F.A.U. & F.A.S. road setback.
Building or utilities across lot lines (Record form).
ELOOR PLAN:
Jl`�
Complete to scale plan with dimensions.
2""
Required windows for light and ventilation (Section 1203).
Required windows for second exit (Section 310.4).
Skylights (Section 2409 & 2603.7).
k"
Glazing in Hazardous Locations (Section 2406).
A-
Required room sizes, ceiling heights (Section 310.6).
91.1
G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 2 10).
e
Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment.
,91."
Location of water heaters, heating and cooling equipment, other electrical or gas equipment.
LO'
Garage firewall, door size and closer (Section 302.4).
Y'r
Minimum of one 3'0" exterior door (Section 1004.6).
IZ
Fireplace and wood stove location, alcoves and clearance.
Smoke detectors (Section 310.9. 1).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS: I'.,,
Conventional Construction Alauwa_14� �a �uildin s�Section 2326.5.4).
Standard bracing or engineered design (Section 2326.11.3).
81.,
Clerestory requiring balloon framing and/or engineering.
A!"
Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
k'*"
Floor construction details complete enough to construct building.
.7�1'
Elevations and wall construction details complete enough to construct building.
8.
Roof construction details complete enough to construct building.
9.
Rafter ties or bearing ridge beam.
W
Fireplace construction details and calc. if necessary.
K
Garage door and/or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
I,<
Special Inspection requirements.
K.
Header size.
6CSheetrock
nailing inspection required?
July 1996 3.2
MSCELLANEOUS ITEMS TO LOOK OUT FOR:
A" Stairway details: landings, rise and run, head clearance, handrails (Section 1006).
Guardrail details (Section 509).
Brick or stone veneer (Section 1403).
Exterior plaster - weep screeds (Section 2506).
Prope'r'roof pitch for roof covering (Section 150 1).
Roof covering type - (fire hazard).
Foam insulation - protection.
36" halls and stairways.
Living area over garage - complete I -hour separation required on garage side including supporting walls and posfs.
Two exits on three - story dwellings (Section 1003).
Pr Underfloor access and ventilation (Section 2317.7).
A. Attic access and ventilation (Section 1505).
Is— Combustion air for fuel burning appliances - L.P. G. requirements.
19.1 Noise requirements on duplexes.
Energy design.
Flashing at all exterior openings.
C.D.F. responsible area requirements.
Lift\( T E� ST9_14C-1,49AL C AL L4&4aA#-nV,,.,S 7.6 '/Z
wa
July 1996 3.3
E.H. USE ONLY
Mt Plan AftcW
Flwr Phn AWwW*
Smito&D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
OwnerJ Location AP#
Plan Approved for: Sewage Disposal X Water Supply: Public Private Well
Clearance for 'I bedroom nwWle home. Other
Hold final for: Kenocur �W -<IZ5AfJV? i:I(Mlifl
Final clearance O.K. for: V
NOTE:
................ .. . M 2- 0/�;
Z-1 L
Environmental Health Specialist /Date
R/Ql)
I
i
CHICO UNIFIED SCHOOL DISTRICT
.116� EAST SEVENTH STREET
CHICO, CALIFORNIA 959�8
(916)891-3006
.C.U.S.D. SCHOOL DEVELOPMENT REFUND AGREEMENT
Terms and Conditions for obtaining a SCHOOL DEVELOPMENT REFUND
pursuant to C. U. S. D. Resolution. No. 14-5f2 -9 (!�2
I am requesting a SCHOOL DEVELOPMENT REFUND for fees paid on Assessor
Parcel No. V — represented by C.U.S.D. ID No. 91M�)�7S
for one of the following reasons:
I will not. be building ai r-es+deTrt+a.1-_u4,i-1-t- on this parcel and
I have cancelled my building permit.
Credit for demolition of an existing residence.(copy of'
permit & County Appraisal Report Attached)
Other
Development fee paid $ 11493"
Less administrative' fee
Total refund
; �� 4 -tl)l . I 'If 'n 6 /
Applicane signature
($2.50 per residential unit)
71/2-b
Date
25 1 F Lp rn 61
Printed Namel
�423,�� !�kn,4,AArn T_)r
/3 -(37:5 k2
Address Phone No.
Citj/zip
7,19 17
6, _Z(
school District RepXesentative Date.
.White -applicant, pink -building department, yellow -school district
REFUND.APP
B.S. 43 .(2/91)
School District
A.P. Number'
Property Owner
117--3000 Cvc,]>
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per BuIldIng)
C Zf (2-
V Building Department No.
Jurisdiction: city County
14&'I�r�, It !� -,
Property Location/Ad dress
ez� ch -1,
Subdivision Lot No.
Residential Development F-1 rt7l
afLiving Mobile Home d ition
Mitio
Units Installation
Commercial/industrial
New Additfion'
Sq. Footage
Sq. Footage
For L
—�L
(Group R)
-s (Including Exterior
Rooted Areas)
(Floor Plans reviewed bylSchool DistricT Personnel) 7
District Identification NO. �2
h
C�A School ;Diitrict k*fies,t at
(Applican t)
gcl?5 ,
(Street Address) Oil (Phone Number)
(City) df (8tite) (Zip Code)
has complied with fthe requireme\n Zlutio'\nN�o. by payment of $
representing \�\,square feet.
LTION $
Vo
School Distr—ict rwp�resgntitive
Paid by Check #
Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees In any court action.
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 (CEGA),
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) feeform.As (2/97)dmm
IRE rIDENTIAL
047-530-002 94-0128B,P,E
-FLEMINE, JEFF & SUSIE
CONT: AS CONSTRUCTION
4225 SHORT HORN DR., CHICO
NEW SWIMMING POOL
'JOB FINALED (bat
Signature
'a
V = OK
0=Not0K,
= Not Applicable
= Not Ready MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
& Gas; Location -Test -Wrap: / P'L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
S. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test-Domand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test-Fall-Fle� Connector
6. Water; MH Test -Regulator -Connector
.7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Inap.-Sketch
10. Cart. of Occupancy
N
MISCELLANEOUS
Date/initial DECK& COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Sol Is-Size-Depth-Spacing-Connecto rs-Steel
3. Decks; Griders and/or Joists-Docking-Bracing-Stairs-Ralls
4. Wood Awn.; Posts-Boams-Rftm.-Connectors
Shthg.-ft.-Bracing
S. Alum. Awn.; Columns-Connections-Splice-Docal-Enclosums
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftro-Trusses
9. Siding; Nailing -Veneer -Stucco -Mash
10. Roof; Shthg-Roofing
11. Ext.; Steps-Doors-Landing6
Date/Initials POOLS-011ans) OK except #'a
. ejOadi-Easements
"o1b; Compaction-Structurestallflity
4,15-ool structure; nnections-Thickness
Dead Men-Linin>C-190
0—c- —Receptacles and Lighting, Distances-GFI
"._Z-_"P_0oI Lighting; 15 volts-GFI
Se7lleSerhclosures; Conduit Entries -Terminals -Listed
�.-, Bonding; Metal w/5 -Circulating Equip. -Heater
W."Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Roxes-rnclo-gilres-Panelboards-Ins. to Main In Conduit
Health Department Approval
xe�rm Cir. Test -Water Supply Test
h�� cat'--_ ,.. ZA"Se!Y Azeig,
&-gnr� & 4g&4_e_ 0 V
H?_11- 06 0
is. P&,Qq c4rv_�
V = 0�
t OK
�-Z't Applicable
Not Ready RESIDENTIAL (Single & Duplex)
I
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ i" 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
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; Slze�-Anchors - yard gas piping: size -test
11. Water Pipe; Test-Anchor-Reguidtor-Service Test
12. Electric; Underground
13. Pienums & Ducts; Clea rance-Material-Su pport- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nall Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in:Kitchen & Conductor Size/GFl
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral -0 Yes 0 No
30. Service -Riser Conductors & Ground -Main - Disconnect
31. Equip. Clearances Panel s-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'a
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/initials FRAMING (Plans) OK except #'a
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing- Plates -Sou nd
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
I
Date/initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Cellings
60. Infiltration -Walls -Windows
Date/initials FINAL (Plans) OK except #'a
61. Ext. Steps -Door & Sidelight Protection-LandIngs
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducta-Moch. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66.. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69.. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mkh. Protection .
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles In Garage; (G.F.I.)-Romex Protection
-77. Insulation -Foam -Looked in Attic 0 yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainag & Wood -Earth
Clearance Looked under Floor -Yes
80. Following Instid.; Drive E3 Yes 13 No; Walks 13 Yes 13 No;
Planters 13 Yes 13 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Abo�e Roof; Plbg.-Appllance-Fireplace.-Clearance to
Openings o
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle-Underg round
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Cerfificate-Other Certificates
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVIS16k
DEPARTMENT OF DEVEtOPMENT SERVICES
- ' t: ':.. 1-
1469 Humboldt Road, Chico, CA--. (916) 891-2751
7 County Center Drive, Oroville, CA - (916),538-7541
- 747 Elliott Road, Paradise, CA - (916) 872-6307 .
CORRECTION, NOTICE
z
jyn,&Iyu
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. PleSse notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contac this of i immediately.
Date 7
_Z9�� Inspector _CZ
REV 10192 t I I
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califopia 96965 - Telephone (916) 538-7541 PE�MIT NO.
APPLICA qc�- ofaj
TION AND PERMIT
ASSESSOR PARCEL NUMBER 047-530-002
ZONIN - SR -1
BUILDING PERMIT
OWNER
JEFF & SUSIE-FLEMINE
TELEPHONE
893-2757
SQ. FT. OCC. Bull r
OWNEWS MAILING ADDRESS
4225 SHORT HORN DR CHICO 95926
CONT 27,000.00
CONTRACTOR'S NAME AKS CONSTRUCTION
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
WILIJAMS, CA T.Tc#5R9n-)i
Fireplace
1
CONSTRUCTION LENDER
UNI(NOWN
Total Valuation $ 27.000.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 271-50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 17r, 0
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 4225 SHORT HORN DR
PERMIT FEE
$ 46,9_00
CHICO, CA 95926
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00 1 c; on -
Each gas water heater or vent
1'5.00
USE OF STRUCTURE
_P
SF 0 Duplex 0 Mobilehome 0 Other 00� SPECIry
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G 1 W
@20.00
TYPE OF WORK
New X Addition 0 Remodel Q Utilities 1:1 Installation El Other 0
DescribeWork:
PERMIT FEE
$ 3 00
Cont'ractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service "'Iss I
200A OR LESS 1
23.00
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. a ACC.BLDS.
so.
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
Q 1, as the owner, or my employees with wages as their sole compensation, will do
/(he work, and the structure is not intended or offered for sale. (Sec 7044)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
Q I am exempt under Sec. Business and Professions Code
forthis reason
NEW.CONST. MULTI -OUTLET
NO RESID. BRANCH CI CUITS
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR. I
Ex. Occup. OUTLET OR FIXTURES )
20 1.00
BAL. .50
R
Ex. Occup. A )
0==.)OE
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
POOL ELEC
-
1 30.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
Q This permit is for $100.00 (valuation) or less.
Q I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
-vertificate of Consent to Self -insure.
ishall not employ any person in any manner so as to become subject to the Worker'.
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$ 50.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
-
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei 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
C o u- n t'.1% - n conseq e e of the gcanting of this permit.
X Date
Signatu e of ApplicAnt - SY'Owt) 1:1 Contractor 0 gent V
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
C
—
CONST. TYPE I
TOTA L FEE $ 553900P
��D. FE
IMP
I FLOOD I CDF
PARCEL
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECTOR OF PUBLIC
By d<�Aj��Datgp
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
WORKS
�2
ReceiptNo. 153686
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN RO D -APPLICANT
PAPI
COl!WTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7COUNTYCENTER DRIVE - OROVILLE,CALIFORNIA95965- TELEPHONE (916)538-7,r4l
PERMIT APPLICATION DATASHEET
OWNER , )Q-�l
Proposed BiTildi�g_ Use
A. P. No. () Lt'
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/;r issuance:
DATE RECENED BY
1 . All items have been submitted . .... ....................
2. Plot plans, 3/4 sets, signed by preparer of plans . .......... : ...............
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature'on plans . .............
5. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Fees of $ . .........................................
11. Impact fees as shown on attached schedule . ................................
12. California Department of Forestry plan approval/fees.-,,
1 Flood elevation letter (100 year floodl by California Engineer ....................
S anitation and plot plan appri CXA C c- -0' Health Department . ............
4!� City of Chico plumbing permit . .........................................
16. Plot plan and business license approvalfrom. City of Biggs/Gridley . ............
17. Planning approval for (A) Use: 1�_ , (B) Parking: - . ........
18. Contact Land Developmentabout (A) Improvements (B)-5rainage ............
19. Driveway permit (construction approval required prior to occupancy). . . . gn�!��o; r6�6eW-
20. Pre -inspection for required. - - to Building lnspector�__(Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans.Compensa'tioninsurance . ..........................
23. Owner -Builder Verification (Given to owner-, Mail to owner ) ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................ ................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road . ..... ------
-27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... ; ..................
-30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (13)� Parcel meets zoning area and frontage requirements . ...........
31. Existing violations/expired permits . ........................... 5.3.0,
32. Plan check list . .................................... 01/.? .............
33.
-34.
Wh you issue the permit, process as follows: Mail to oWne . - Mail to contractor.
Telephone 2 752 and hold for pickup at _rA �,-,D office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _::I -Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other Date By_
The following data must be submitted pripMo permit is . suance: (Circle new item not'checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by phone mail Counter by Date
Contractor, designer, owner, was advised of above required data by phone mail Count by Date
Plans checked by Date L -,?A-44 Plans approved by Date
4X<-�ets of plans on hold in 'W-- File cabinet AP folder
Copy - Department of Public Works
F.H. USE ONLY
Plot ITai Auach,d
1:1 r Han Auudwd
'2 s.it , 13.1). o
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
2-zS— c(34'14 cr —AJ Q 7
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: PLiblic Private Well
Clearance for bedroom mobile home. Other
�'.f $A,
f
Hold final for:
Final clearanc!a O.K. for:
NOTE
J�
t,14A,
Environmental Health Specialist
8/92
Date
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Orovillel- California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATIONANO PERMIT
ASSESSOR PARCEL NUMOtH
0-1/ 7 - 5'-3 0 - 0o �;k BUILDING PERMIT
OWNER - �AAJI m e�_
TELEPHONE SQ. FT. OCC. BUILDING-VAL_
-ON D .1 -_me_ e IS - 2 7.67 UATION
OWNER'S MA
�_J C_
Ski 0 C-+-' 0 r ,J At k%J C_ cv�v. g��,7z 6
AM
CONTRACTO;VE ke < TELEPHONE
CONTRACTOR'S MAILING ADDRESS
44-5
600v ORR LsESS
L a
200A 0 L s
Main Service
200A TO I OOOA
NEW CONST.
�_A!O
OWELLN
�&A �U_P
j)
02 ;R 0 N S
_.
C CG BOLCDCS
CONST.
MULTFoUTLET
CONSTRUCTION LENDER
BRANCH CIRCUITS I
_PF -A
UNKNOWN
Total Valual ion
SINGLE OUTLET CIR. I
LIENDER'S MAILING ADDRESS
OUTLET OR FIXTURES
Ex. Occup.
_Tfling —Fe.
2 Ent,
Temporary Service
Mobile Home Facilities
Misc. Wiring
$
20.00
ARCHITECT OR ENGI NEER
LICENSE NO.
Permit Fee
$
�2 0
Plan Checking Fee
$
7& -so
ARCHITECT OR ENGINEEFIS MAILING ADDRESS
Energy Plan Checking Fee
$
allILDING ADDRESS
Penalty
PERMIT
$
0 r -k 0
FEE
$
4�
PLUM
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO. SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
1
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
15.00
SF Q Duplex 0 Mobilehome 0
Other 1910 l(
Building sewer
15.00
SPECIFY
Mobile Home S I G I W
@20.00
TYPE OF WORK
New 9, Addition CI Remodel 0 Utilities Q Installation Q Other 0
DescribeWork: Contractor
F ELE(
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
1, as the ow�e_r, or—my employees with wages as their sole compensation, will o
the work, and the structure is not intended or offered for sale. (Sec 7044)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
Q I am exempt under Sec.
forthis reason Business and Professions Code
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
CI This permit is for $ 100.00 (valuation) or less.
EI I have placed on file with the County of Butte Dept. of Development Services,
Building' Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, You must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE I $
Main Service
600v ORR LsESS
200A 0 L s
Main Service
200A TO I OOOA
NEW CONST.
�_A!O
OWELLN
�&A �U_P
j)
02 ;R 0 N S
_.
C CG BOLCDCS
CONST.
MULTFoUTLET
.NEW
NON-RESID.
BRANCH CIRCUITS I
_PF -A
WEB PPARATUS
SINGLE OUTLET CIR. I
Ex. Occup.
OUTLET OR FIXTURES
Ex. Occup.
Temporary Service
Mobile Home Facilities
Misc. Wiring
PERMIT FEE $
Contractor
ng Fee 20.00
23.00
46.00
so
3.SC FT.'
@7.50
Filing Fee 20.00
Heati rig
C
Cooling
LHood
6.50
Ventilation PERMIT FEE 1 $
I Contractor
I certify that I have read this application and state thatthe above information is correct. Mobile Home Installation Fee $
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to Energy Inspection Fee $
enter upon the above mentioned property for inspection purposes. OCC CONST. TYPE
I also agree to save, indemnify and keep harmless the County of Butte against all TOTAL FEE $
liabilities, judgments, costs, and expenses which may in any way accrue against said HAZ. 0. FEES IMP FLOOD COF PARCEL Po HO
County in consequence of the granting of this permit.
X Date This permit is hereby issued under the applicable provisions
Signature of Applicant - 0 Owner Q Contractor 0 Agent of the Butte County Code and/or Resolutions to do work
An OSHA permit is required for excavations over 5"0" deep and demolition or indicated above for which fees have been paid.
construction of structures over 3 stories in height. I DIRECTOR OF PUBLIC WORKS
Receipt No. J c:z-*z / -
WHITE-D.D.. .-B.D. CANARY -ASSESSOR - PINK -INSPECTOR GOLOENROD-APPLICANT
By
PERMIT EXPIRES ON
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - 6roville, California 95965 - Telephone 916/534-4541
I —
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
4�z ell—I
0 -J-
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO.
ZONINCL
OWNER
PHONE NO.
OWN ER'S ADDRESS
1. V005—
LObATION OF BUILDING
U _'S�E OF BUUIING
�z C z�
55A�Ia_ ell,
SIZE OF STRUCTUAE / /
C9 7210 FT.
1?, -SQ.
TYPE OF CONSTRUCTION'
WOODFRAME_ I— CONCRETE— OTHER (Specify)
TYPZ,OF SIDING
ROOFCOVERING
A // Izea 7
LODR TYPE
tSTiK4ATED COST OF CONSTRUCTION
0 C__>
$ — / 1-0 C) —
AG Buildings shall comply With the building front, side, and rear yard requirements of the applicable County
Ordinances as follo S:f01'rVVk*1,
?.
I FRONT41Z. ^jC S IDES REAR_
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floorareashall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of'the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date Signature of Owneer,
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. O?J__4!�R Director of Public Works
By Dat
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
714-84B,E
F�,�RMIT NO.
PERMIT EXPIRES 0
OWNER GUNTHER THIENER
CONTR. owner
ASSESSOR PARCEL 47-53-2
LOCATION 4225 Shorthorn Dr, Chico
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINA1:Eve(Date)
Signature—
� = OK '
0 = Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Da te
MOBILEHOME UTILITIES (Plans) OK except Ws
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except Vs
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requ irements-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
6. Gas; Location -Test -Wrap: /"L"fl./ Nat. or/ /"L"ft./ P, LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports: Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -B I
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbac ks- Easements
2. Footings; Size -Spacing -Marriage Line'
2. Soils; Compact i on -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure: Stee I -Connect i ons- T h ickness-Deaj Men-Cnn
4. Electricity; MH Te s t -C rossovers- Brea kers-C I earances
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/O to Grade -HO 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 -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -Bl Date
C3
OK
0 =Not OK
Not Applicable
Not Ready RESIDENTIA,L (Single and Duplex)
Date UNDERFLOOR (Plans) OK except#'s
1. Zon" requ irements-Setbac ks- Easements
2. Ftg., 04iR; Soils-Steel-Elec. Grnd.- / /'' Ftg. Dept
3. Ftg., Gapdge; Soils -Steel- / /" Ftg. Depth
4. Ftg.,,?�orches & Decks; Soils -Steel- Ftg. Depth
5. Ster?Kvalls, main; Steel-Blockouts-Wrapped-Slab
6. Ste4w-alls, Garage; Steel-Blockouts-Wrapped-Slab
____7. Piers-Fir-ftlace Ftg.-Steel
8. D.W.V.: F/1 -Fittings -Test -2 way C/0 -Sewer Test -
9. Gas Pir16; Size -Anchors
10. Water P),W; Test-Anchors-Regu lator-Sery ice Test
11. Electric; Aderground
12. Plenums ucts; C learance-Materi a I -Support- Ins.
13. Girders -,gills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
56.
Date Card -BI Date
Card -BI
Smoke Detect
Date Card -BI Date
Date
PLUMBING (Permit)_.QK except #'s
Bedroom Exit �_19
14.
15.
-Water Ht.: Velft- Access -Combust ion Air
Water Pipe; Te & Anchors -Nail Protection
A��
Elec. Trirn7&_ea6Wwa4I BFB@'IeF 6488 Labels
D.W.V.; Test-Ftings & Anchors -Nail Protection
____16.
17.
Shower Pan; Teti, First Floor -Tub Access
64.
18.
Test Tub &. SAwer, 2nd Floor -Tub Access
__19.
66.
Gas Pipe; *e & Anchors
67.
Garage Fire�?oor; Swing -Land ing-C loser
68.
Card -611
Guard Railk,& Deck Construct ion -Post Caps
Date Card -61 Date
Card -BI
74.
Date Card -BI Date
�u or AI-A.C. Wire Size ga. Cu or Al
Date FRAMING (Continued)
,-49 - lawps,&y L ina-154rewall & Openings
49. @mh Bee 9 A e 9' Check Garage -3rd story, 2 exits
5Qv Sted'sp Width "ea&oom-R i se -Run- Land i ng -F ire ProtE
5+.-I����rhang- Attic Vents -Rafter Outriggo
b2. bicIing=11RTMffT--Meer
05. 6kneee-meeh p Screed-Fdn. Vents-UnderfIr. Access
Date
Card -Bi
Card -BI Date
I Date
Protect ion-Skyl ights-P last ic
-Bolts
0!�� - 041, C- /2-
1 Card -BI Date
card -BI Date
Card -BI Date
Date FINAL (Plans) OK 3!�cept #'s
56.
Ext. Steps-Dclor & Sidelight Protection -Landings
57.
Smoke Detect
58.
Furnace; Ve -Clearance-Comb. Air Connector -
In Garage; Ab ve Floor-Ducts-Mech. Protection
59.
Bedroom Exit �_19
60.
C, F I & R -t[4 J?. Tub Access
A��
Elec. Trirn7&_ea6Wwa4I BFB@'IeF 6488 Labels
62.
Stairs & Raiow
63.
Fireplace 4,stove; Clearances -Hearth
64.
Elec. Outlet,,,7at Wood Panel; Int. & Ext.
65.
Kit. Fixt. 4 Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlet*& Receptacles at Kit. Counter
67.
Garage Fire�?oor; Swing -Land ing-C loser
68.
A.C. Duct in arag -Damner
1,ate ELECTRICAL (Permit) OK except # s
RS Pnar." rnl0%nr.P rprtqf'r�tn�JQLUaa,.JQe"Otcfte.-
ea ance- ns. ro ion
69.
Wtr. Htr.; ve%ts-ciearance-Comb. Air-Connector-P.R.V.-
&�_iec. Rece4laee-s Spacing -Lights & Sw�at Doors
Date FRAMING(Plans) OK except #'s
r rs
I Ilai _&1jr _Pl�
__8 Q Q;a A R 1 , A 9,e 6rirders & Floor Nailing
3�. �Draft Stop in Walls (rat proof)
4 1 ngs-Stairs-Chases-Tub
-4+--"evftr g
4Z__kLaQqa4&-Ro&l,-�chor9-C o nnectors
4 1 ies-Purlin- Roof Brac.-Truss-Shthnq.-Rfng.
111 or Type A Flue -Fireplace Throat
4'!r'� cc �es ize &-Rom-ex- Protect i on-Dra It Stop -Ins. Baffles
Doors -Sill Hg1. & Dimensions
4F. 6ai ave-F*rV-PrCMt ion Framing
In Garage; A-66ve Floor-Mech. Protection
Z2e*Size_Boxes & No. of Qaadd`c_tors-StapLa4-o1
&-�
Etef-& MeaL_ZwAe_6w4a��tion
a-111-mex Installed Close to Edge of Studs & C.J.
9
71.
Elec. Recep<�Jes in Garage; (G.F.I.)-Romex Protec.
&4,-tquip. pro v4d made up w/Nlgab;,fasteners-Boa4.Ges-&-"er
72.
1 nsu lat i on-,5;6am- Looked in Attic [:J Yes
AnP'*An,- -G��hen & Conductor Size
73.
Guard Railk,& Deck Construct ion -Post Caps
74.
Fc1n. Vents & awl Hole Door -Drainage & Wood -Earth Clearance
P" r,
�u or AI-A.C. Wire Size ga. Cu or Al
ooked
L unqer oor E) Yes
Al -Oven Circ. ga. Cu or Al,
Insulated Neutral '7Yes L3 No
75.
Following i)Kkld.: Drive [I Yes [J No; Walks ED Yes [I No;
Planters KYes EJJ No
& Ground -Main Disconnect
76.
Stucco; Brok-Finish
2&_-94uip._r_1aaL&aaas_Eane Is -Motors -Mec h. Equip.
77.
A.C. Unit; Di52onnect-CIrnces-Brkr. & Cond. Size -115V Outlet
30.--6+0U4Q&-QLQ=_Light-Shower Light
78.
Vents AbovE(Roof: Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; 0'r9connect, Electrical, Plumbing
Card B -I -131 Date
Card
80.
Exterior Elec./rim; G.F.I. Receptacle -Underground
81.
Ventilation th&Ughout House
Card B -I Date Card -BI Date
82.
Glass Protection, -I'
83.
Corrections fro( Previous Inspections
Date MECHANICAL it) OK except #'s
P >I-..
84.
Gas Test-MeteNTagged; Gas -Electric
11, A.CD�st Insulation & Support
85.
Water & Sewer ZSrinected -C/O to Grade -HD Approval
E hau
32. YV�en�, Fan Exhaust above Insulation
33. 6on'tiensat in & Overt low; Size & Grade
34. Furnace-Ven�t; ccess-Comb. Air -Return Air Vent -115V outlet
s
35. Attic Acc>esPlatform if Furnace in Attic
Card -BI Date -C-ard-BI Date
Card -BI Date -_ Ca -rd -B I Date
RS Pnar." rnl0%nr.P rprtqf'r�tn�JQLUaa,.JQe"Otcfte.-
Card-Bogr Date Card -BI Date
Card -Bi-- Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except #'s
r rs
I Ilai _&1jr _Pl�
__8 Q Q;a A R 1 , A 9,e 6rirders & Floor Nailing
3�. �Draft Stop in Walls (rat proof)
4 1 ngs-Stairs-Chases-Tub
-4+--"evftr g
4Z__kLaQqa4&-Ro&l,-�chor9-C o nnectors
4 1 ies-Purlin- Roof Brac.-Truss-Shthnq.-Rfng.
111 or Type A Flue -Fireplace Throat
4'!r'� cc �es ize &-Rom-ex- Protect i on-Dra It Stop -Ins. Baffles
Doors -Sill Hg1. & Dimensions
4F. 6ai ave-F*rV-PrCMt ion Framing
Zi
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION'AND PERMIT
PERMIT NO.
ASSESSqR PARCEL NUMBER
,47-6-3-2,
ZONING
1
BUILDING PERMIT
OWNE
E EPHON
h -T
SQ. FT. OCC. BUILDING VAL_tY�ION
-4-'
OWNEFr'S Al INg ESS
0A d
D = 2_*1
CONTRACTOR'S NAME
T E L I- P H 0 9E
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNI��
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 4=
ARCHITECT OR ENGINEER
No" P_
LICENSE NO.
I
Plan Checking Fee
$ IWI
Penalty
-
$
ARCHITECT OR ENGINEER's MAILING ADDRESS
Permit fee
$
20ML
BUILDING ADDRESS
4 =,!S- S6 A�;6,r V,,, Dr
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
I
ARCEL MAP
I
Each Clas water heater or vent
5.00
Gas piping system I - 5 outlets
5.00
USE OF STRUCTURE
Sl`ga��DuplexM MobilehomeF] Other SPECIFY
Building sewer
5.00
Mobile Home S I G I W
TYPE OF WORK
New M Addition[] .,Remodel[:] Utilities installationD Other [B'
Describe 13 `lP__NT I V\, Q - Wa
k/ Q ci— 15Y
Permit Fee
contractor
ELECTRICAL PERMIT
FilingFee 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 OCCU
OR AODNS. ACC.BLDGS.
21/4sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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)
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 CONSTFIJ MULTI.OUTLET 2.50 ea
_N ..RES,., BRANCH CIRCUITS)
NEW.CONSTR. (POWER APPARATUS.&')
NON RESID. SINGLE OUTLET CIR
Ex. OCCUP(OLITLETS OR FIXTURES 1.20050t
AL030t
FIXED APPLNS OR
Ex._Occup. OUTLETS (RESI'D.) EA.) 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):
M The permit is for $100.00 (valuation) or less.
E] 1. have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certifi . cate
of Consent to Self-Invure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FilingFee 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 al save, intdemicnify and keep harmless the County of Butte against
Id J
a I I SI i0a ?�,, Iiii =�fi eee - 10 S, c7sts and expenses which may in any way accrue
_"y,, Ju g 4 rm'
agains !S51:�o nt i con �&enee of the granting of this pe
Date
ture of A 'Car/-/`o4.r)4 / Contractor E] Agent
An OS permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
3
P OF CONST.
1
I V
F
JP:7ELJ
P
I ;�fI7
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PIUB
Y.
PPWM IT'EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
Date 3-711- IXY
�3 — 1-0 - 4P,5— ,
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
I
PE RMIT NO.
.968-83B,PaElm
PERMIT EXPIRES
OWNER GUNTHER & BRIGETTE
THIEMER
CONTR. C.J. White Const X
Chico
ASSESSOR PARCE 47-53-2
LOCA�ION S/S Shorthorn Dr. app
250'W Garner
Rd, lot 2, Chico
x�
Temp. Power Pole
C 11 d PG&E
te—m-Elec. Service
Called PG&E.
Temp. Gas Service
CalledPG&E
JOB FINALED (Date)
Signature
V ='OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
IMOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils,; Special MH Suppor-t-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 -R ftrs.-Con nec.-Shthg.-R fg.-Brac i ng
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Colum ns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiork-Test-Wrap: / /"L"ft./ /"Nat.or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -B]
Date Card -BI D�te
Card -BI
Date Card -Bl_ Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
Card -BI
Date
Date Card -81 Date
POOLS (Plans) OK except #'s
1. Zoning Requ i rements-Setbacks- Easements
1, Setbacks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact i on -Structure Stability
3. Gas; MH Test-Dernand-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/O 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 Lghig.
Boxes- Enc I osures- 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 -BI
Date Card -BI Date
Card B-1 Date Card -Bi Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
OK
0 Nbt OK
ot,*�ipl icable
4. A '5jj1-qady
RESIDENTIAL (Sipgle and Duplex),
/ C
Datt -
UNDERFLOOR (P-jW<OK except#'s
Date FRAMING (Continuld)
(-Z-411
i.-rbning requiremeqts-Setb&-ke-IR" 94 � �r� V K M
n i ng s
Z_J4T., Main; SlWiTs-,S&oe-EIeqjernd.- ZEl" Ftg. Depth-
Doors -One X -Check Garage -3rd story, 2 exits
&1.-'Ftg., Garage; Szi+s--4a6f- //J'/" Ftg. Depth
_��rs; Width-�ieadroom-R ise-Run-LaU0iog-F ire Protgction
tg., Porches & Decks; Soils -Steel- Ftg. Depth
0*1.1 Plywood oof Overhang-quisud*155-t's
kE:1� :>Rafter4Raf-riggers
Wr-_B lockou t s -(_W r
IF:: tiding -Nailing -Veneer
(__"_4fP_1!�temwaIIs,
Gara'qe; Stftfr-BlockAw�rf—W-11,1194�
--0rrp4ereTd--Tdn. vents-Underfir. Access
.5A. Gl9eiHo '.Fee G lass-P-ro-t-e-ct -io-n--Sky I ights-P last ic
CS�-V_>.V.: Fafl--Fit4agt-TAW�2 wj(,�0k1xewaPr9-sj,$
W55. sh", Wd
P'P Sipe A 1940 .
ervice, es
Or
�Alectric: Underground n;4 7-4 b/c A/
19 Btleis, 62el"Uh.9-�' ��-
1.8 A46 MTT--7e-nT =-IppTes
Card -BI Date 27, 4_17-n Card -Bl' Date
Card- Date Card -BI Date
Card-t3l Date Card -BI Date
Card -BI
Date4*0,' Card -Bl j� Datef-_17,_j,
Date FINAL (Plans) OK except #'s
Card -61 AQ Datej1_e1_k3 Card -BI Date
Date
PLUMBING (Permit) OK except #'s
��Ex -Steps-Door & Sidelight Protect i on -Land i ngs
4< Smoke Detector
bustion Air
Furnace; Vents -C I eara nce-C omb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. ._.V.: Test- ttngs & Anchors -Nail Protection
-Z��.�Bedroom Exiting
Shower Pan; Test, First F loor-Tub Access
60. G.F.I. & Bath Fixtures & Tub Access
il&'�-�Iec. Trim & Subpanel; Breaker Sizes -Labels
tairs & Rails
;�-.rest Tub & Shower, 2nd Floor -Tub Access
Sz
as Pipe; Size & Anchors
j&S' Fireplace or Stove; Clearances -Hearth
fo,15Tec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
jPf-Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card
Date Card -BI Date
Ji@--ETLTc. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Perrr.it) OK except #'s
*7 -Garage Fire Door; Swing -Landing. -,C loser
15���Damper - -
Transformer Clearance -ins. Protection
49-'74tr. Htr.; Vents-Clearance-domb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Receptacles spacing -Lights & Switches at Doors
&@'-Plb., Elec. & Mech. Equip. Listed for Location
Size Boxes & No. of Conductors -Stapled
po`Eiec. Receptacles in Garage; (G.F.I.)-Romex Protec.
tla--�Romex Installed Close to Edge of Studs & C.J.
CK' Eauip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72. 1 nsu lat ion- Foam- Looked in Attic E] Yes
17el-Guard Rails & Deck Construct ion -Post Caps
05-2 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size r
- 0 / ga_G"-a6AI-A.C. Wire Size ga. Cu or A[
-A�. � Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor 0 Yes
27. Range Circ. ga. 67 -or -Al -Oven Circ. ga. Cu or Al,
Insulated Neutral [Z-'fe's No
L
Service -Riser Conductors & Ground -Main Disconnect
t&.--F-ollowing instid.: Drive *�'�es - iD,No; Walks L4 -Yee E] No;
Planters E]Yes FAKo'
j I22we+3-*Ietery---MUCh. Equip.
C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
I
'K. Clothes Closet Light -Shower Light )". ff
is Above Roof; �2g. -Appliance;;Eirepl.-to Opngs.
Card B- 0- - -�� Card -BI Date
- v - _j
_.�arance
§etl-nect, Electoc �P I u k6l-n g
40-'S"x-terior Elec. Trim; G.F.I. Receptacle -Underground
--77milation throughout House
@+.
Card
Date Card -BI Date
-
W?�`GI.ss Protection
Date
MEF �LANICAL (Permit) OK except #'s
�rrections from Previous Inspections
@4,!-G�sj�Plt-Meter, Tagg - 9�s-Elecjprc
25
A.C. Ducts: insulation & Support
&5.- W�)� & Sewer Connected -C/0 k -19 -rade -HD A7pM9l
I haust above Insulation
Condensate Drain & Overilow; Size & Grade
Fq�_�nergy Compliance Certificate -Other Certificates
�l
4 Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
iV'Altic Access & Platform if Furnace in Attic
?' Date,/ Card -BI Date
Date Card -BI Date
Card -BI Card -BI jC) Date
Card -81 Date 4:7_4?_LZ Card -BI Date
Card -Bl Date
A D a I e Card -Bl
Date
FRA_WNG(Plans) OK except R's
1167 Sills; Proper Material & Anchors
Comments at Final:
69r.- Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
,T57-`5Z2r?mq_Wa44�r Girders & Floor Nailing
in rat roof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
61—Header & Beam -Size & Bearing
ectors
00 _Tru�s shthn fnq.
$�Vlng. Joist -RI. Ir. T iy pe- r a c. -
F
_i�p ce T 21kFireplace Throat
4 F la i!s or ue
06"�A It i c A c cess:_ S i z e R5mex roleclion-Draft Stop -Ins. Baffles
Bdrm. windows —orExi-t-i-n- _'__ —
g Doors -Sill Hgt. & Dimensions
VGarage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY.CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Garner Ln..' Chico
(location)
BUILDING PERMIT NO.'?(vg-g39 eE.M�. A.* P. NO. 4 2
it I
THE FOLLOWING HAVE BEEN INSTALLED AS PER'APP ROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge jMg-2,1,-Z
Fdn. Walls QIA
Floors tj�8
Walls R13 '
Ceiling/Roof R�O
Ducts
Circulating P ip e s
APPROVED HEATER ve-5
APPROVED WTR.HTR.'�4e-s
GLAZING:
Single. Glazed _ A)IA
Special (Insulated) IqAl! GLASm(,
CERT. &,LABELED WDS.
& SLIDING DRS,
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS ve-:5
INTERKITTENT IGNITION bEVICES �Lg'5
CERT. APPLIANCES.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIRE14ENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
InEulation Applicator Name Loerke Ingulation On.
Signature of int)
Insulation Applicator
State Contractors
License No. 432518
General Cont.rac tor/O-,mer Name C 7T W AA -e CoA -m TR tLc T i o ou
Signature of (please print)
General Contractor/Owner (?vp alojup Date
State Contractord
License No. ?%,20D -
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.
I
WA L t.
Iky WA L L
Tifpe
ce.
Dr w. A L L
V e
PT
T"�(\Lk roof or,; I sk.((,Zs
P I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 82.1-2751
7 County Center Drive, Orovi I I e — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
71�t r f /Z
0
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
r' io
afatter�b�rneed additional explanation, please contact this office immediately.
ve /Z dz-rn 7-
010,
Inspect Date
COUNTY OF BUTYE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Pa'radise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicate� that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when 6'rection of work is completed. If you have any question pertaining to this
m t
:a r, or need additional explanation, please contact thIs office immediately.
�- �11-01
Inspector
Date.
C (exe�,-wk%Ve
W WALL
PA. y W A L L
T re
%fpe
9.
_Ci
I�A%�Cj
(2-
ts, old
r 5-�qj W�l A L L
I., Tvpe)(
IAPC
Thr,tt- roo-P
0
COUNTY OF BUTTIE
DEPARTMENT OF PUBLIC WORKS
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
att or need additional explanation, 'please contact this office immediately.
�Mt
Ai tz-", �- I - 'r
(?g -r Xmc 0 I-e-klyl-
eAZf- 146Uoe cilzi5z- egoe
Inspector Date At
te-/ 7;�r � , ,
County of Butte
DEPARTMENT OF PUBLIC %OhKS -
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541 '
Skyway and Elliott -Rd., Paradise — 877-3435
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 matter, or ne6d
additional explanation, please contact this office
immediately.
........................................................................................................................
Date.............................. Inspector ..........................................................
Do Not Remove This Tog
(400-4)
COUNTY OF BUTTE.
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
le, * /14
.;w 7 County Center Drive, Orovi Ile — Phone: 534-4541
Skywa y 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. PI ' ease notify this office
when correction of work is completed. If you have any question pertaining to this
mat)br, or need additional explanation, please contact this,office immediately.
10�� 4-f
:�z
� Ilu, 40/1
A7
-41
K-LiZZ,
ele
e' -f rc ly,
Inspector Date /1" z
5
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1 Memorial Way, Chico — Phone: 891-27�1/'-'�
96
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY A15DRESS
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.
e, 71'
A-1 f V
A) Z
f
dr
r
Ir
Inspector Date
COUNTY OF BUTTE
6
DEPARTMENT OF PUBLIC WORKS
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 I
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.
/I
io�
�4- A Ot/'
'Cob
Inspector Date/, —2
COUNTY OF BU-fTE
DEPARTMENT OF PUBLIC WOR�S
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road" Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
,f ,;,e
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. It you have any question.pertainin 1 4- 1 —
g 0 fi—s
matter, or need additional explanation, please contact this office immediately.
A
e
4Z- Z 7- f,?
5'
4d
9a
15 1�,_
f --Zi- fr3 el -W -C /51�,c OA- .1,V 4,44,70 U,00"
-rr,,/c 6,rw,---,r4r -
Abee-KV,Z-1 OW4
Inspector/ --Date
COUNTY OF BUnE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891-2751
7 County Center Drive, Oroville - Phone: 534-4541
Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
m t
a 7 r, or need additional explanation, please contact this office immediately.
A
'j
"A' 7,
/"j
<
0 'We /"' XFf.- alr— Ar- j-1--Ziallohrr-1 /-,-- 7-/ e, -7,k -7
Inspector Date 2z�,
COUNTY OF BUTTE - DF-PARTMENT OF PUBLIC WORKS
Ar
7 County Center Drive - Oroville, Cilifo7nia 95965 - Telephone 916/534-4541
APPLICATION AND FERMIT
RMIT /N/.
S/, y
Aeo-)
ASSESSOR P L. V,61W E R
Z 053, NA
BUILDING PERMIT
OwG0 ah
ITEL.I.CNE
Jig,
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
COZTAT S M, ITELEPHO
LB Q��
1)
CONI-RACTOR'S MAIC114 ADDRESS
C� t) 11- $At/
G-1
Fireplace
CPTRUCTION L ER&
UNKNOWN
Total Valuation $
7-4
Filing Fee
$ 10.00
LENDER'S'� ADDRESS
,a_
Permit Fee
$ _10
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADD 1 5 4pp,
PLUMBING PERMIT
FilingFee 10.00
f
`/V P
Each Trap
2.00 ZLOD 0
Solar Water Heater
20.00
1!!�141co
Water piping
5.00 S�y 0
LOT NO.
SUBDIVIS
ydp,�
P ARCEL MA�
Each Clas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00 _, i � ", 1, 0
USE OF STRUCTURE
SF9?"*'DuplexF� MobilehomeR Other— - --- SPECIFY
Building sewer
5.00 ��,On
Mobile Home JSJGJWJ
T - POO e
_
TYPE OF WORK
New Ell' Addition ED Remodel[] UtilitiesEj InstallationEl Other 0
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 611V OR LESS
100 AMP OR LESS
10.00 /0-00
Main service EA. ADD -L 100 AMP
2.50
NE W CONST. OW UP.&)
OR ADDNS. AC
21/20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check on6):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
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)
El 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.CONSTF;L( MUL.TI.OUTLET
NON RESID. , BRANC H CIRCUITS) 2.50 ea
NEW CONSTR. I POWER APPARATUS &
NON-RESID. I SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 1.20 @ 50C
AL0300
OCCUP. FIXED APPLNS OR
Ex. OUTLETS (RESI.D.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.0
FPermit
—V -71—
Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-Invure.
F� I shal I 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 iMm T2;I *Tj_J
I A11510
Cooling
C)
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 Cou t in consequence of the granting of this permit.
X Date �n ff-- k__�F
Signature of ApOO.nt — Owner [I ContractorEl Agent �]
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
.?-,3
t
I TYPE OF CONST.
i -T
1 P711)1
6�,T
ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D1JR::R OF P LIC
By.
PERMIT EXPIRES Date
thE� applicable provi-
resolutions to do
fees have . been paid.
WORKS
Datp
Receipt NO.
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD- APPLICANT
OWNER
COUNTY OF BUTTE DEPAR
TMItNtbft PUBEIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,CA.LIFORN4A95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
(�;OAIMEIP - 777//
Permit No.
A.P.No.
V. -
Proposed Building Use—
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Building lnspectorw.� Other -(Explain) Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and /or issuance: DATE RECEIVED APPROVED
1 . All items have been submitted . . . . . . . . . . . .
2. Plot plans in duplicate/triplicate . . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calc�s ... . . . . . . . .
5. Plans with Energy Design Compliance Statement . . . . . .
6. State Energy Forms No. Zil * .
7 Statement of Intent for Non -Heated and AC Buildings. .
8. Fees of. $ . . . ... . . . .
.9. Letter of signature authorization . . . . . . . . . .
Sanita*tion approval from Health Dept.
Ut11 . Planning approval for (A) Uge: — (B) Parking:—
)42. Certificate of Workmen's Co i.-pensation Insurance . . . . . .. V-_
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[l Mail to owner El
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data . . . . . . . . . . . .
17.- Pre -Inspection for 4 Pre-Inspec. request to
— R I a- Building Inspector —(Date)
Other )?15&,e7.)F-1D lq6 A -e
When ou issue the permit, process as follows: —Mail to owner. —Mail to contractor.
Telephone �343 -ZG3� , and,' Qld for pickup at _�Zel office. —Deliver w/inspec'tor.
Other
Applicant
Date tl- f
Copy of plans 4nt
—Health Dept., —Fire Dept., Other Date
During the plan checking procdss, the following data must be submitted prior to permit issuance;
(For required item! s not checked above at time f application, circle item.)
1. Index permit for above Items No. W a-- -w-
2. Additional items required: X:�- v
(Contractor, Designer, Owner) was adv'ised of above required data by —Telephone —Mail —Other
Plans . checked by
Plans aDDroved b,
Other:
. By Date
Copy—DPW
BUTTE COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
196 MEMORIAL WAY SEWAGE DISPOSAL PERMIT 7 COUNTY CENTER DRIVE
CHICO; CALIFORNIA 95926 747 ELLIOTT ROAD OROVILLE, CALIFORNIA 95965
PARADISE, CALIFORNIA 95969 Phone: 534-4281
Phone: 891-2727 Phone: 872-2961, Ext. 58
Date Issued d4l,-L/
EXPIRES ONE YEARkROM DAtE OF ISSUANCE
Permit Issued to j: �, 1/1 -
To construct a sewage disposal system for: zztq-!�--
Located at:
SEPTIC TANK SYSTEM REQUIREMENTS
Septic Tank
(Inside Measurements) Leaching Field
Length,: . . . . . ft. Total Length:. ft.
Width: . . . . . . L/ . . . . ft. Trench width: inches,
V
Liquid depth: . . . I . . . . . ft. Minimum No. of I.ines
Liquid capacity: .?ffz,-b gals'. Rock under tile . . . inches
Special conditions:
U
Additional leaching field will be required if experience shows it to be necessary. No part of the system.may
be located within 50 feet of the -center line of any County Road.
NOTE: Satisfactory inspection by the Health Department is required before backfilling or putting
the system into use. Occupancy of a new building is not permitted until the system is approved.
Permit Fee'$ Zd—' Penalty Fee 9 T �l ee 8
Building.Sewer Fee 8 Issued By:
Sanitarian
Receipt No.
S31-27SR
Return�to DFW AGRICULTURAL ST�TEMENT OF ACKNOWLEDGEMENT OFAC�AL RECORDt,
C0Jj%1'Ty_-Q4',!F-
FOR RESIDENTIAL DEVELOPMENT e,,,JT T E
ment
Section 26-8.1of the Butte County Code requires this acknowledget
be recorded prior to issuance of'a building permit. APR 3 01 N
ELEANOR M ' B F - C K E R
R
The property.described herein -is adjacent to land or included CLERK - RECORDER L
within'an area zoned for agricultural'purposes, and residents"of F E
this property may be subject to inconveniences or discomfort arising -t$3-12S95
-from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real^property situate in the County of Butte, State of California,
described as follows:
S&-,_g - 467
M / 0/ ICC�
V0, feeo,)^dea�
1/7 .6 oxee 0/ #6 L'1641CIler OrAe_ 0,00411 0/
a// �Tov? all -
0 J 0 1�00gfS 011-171
Date:_���'
19
State of On thisIthe day of
SS. before me, the undersigned Notary Public, personally
County of a 7-ner appeared TH(CmEf�
W, IIINDIR
NOTARY PUBLIC
Butte County
State of California
Ay Commission Expires Dec. 16, 1983
Present A.P. NO. 4,
known to me to be, the person(s) whose name(s)
subscribed to the within instrument and acknowledged
that 1��XX executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary Public
RESIDENTIAL.'PLAN CHECKING GUIDE
(S.F., DUPLEX,_& MIS.C. ONLY)
Bldg. Permit #
e7p A. P. #
A. GENUAL
Zoning requirements (sideyards and parking).
Valuation.
Signature by R.C.E. or Architect (if required).
B." PLOT PLAN
Complete parcel size and dimensions. 4 V"-.'
Setba&ks, side�ards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
It - zu SS I_0V%a S
C. FLOOR PLAN v
Complete to scale plan with dimensions.
-:,'e.24 Required windows for light and ventilation (Sec. 1405). 4rrf
Required windows for second exit (Sec. 1404).
I wable glazing for energy requirements (20% max. per State law). 'A"00 V:
uman impact glass (Sec. 5406).
e ed room sizes, ceiling heights (Sec. 1407).
F.C.I.'s-in baths and exterior outlets (Sec. 210-8).
Li t fixtures, switches, receptacles, and exterior receptacles for maintenance of
chanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
ment, and plumbing 'fixtures.
ar erfirewall, door size, and closer (Sec.;503(d)(4)).
3'0" exterior exit door (Sec. 3303d).
replace location.
I.. Smoke detectors (Sec. -1413).
:'STRUU;TURAL DETAILS
� I
Ir____F_oundation plan complete enough to construct buildin'g'.
F ction details complete enough to construct buildin
__Joor constru 9.
Elevations and wall construction details complete enough to construct buildlin.
15� Roof construction details complete enough to construct building.
F replace construction details and calcs if over one-story in height.
i
fficient data,and details to satisfy energy insulation requirements (State law).
�E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
1. ' CCX plywood on -exposed locations and*overhangs.
,21*'_ qtairway details (Sec. 3305).
�K' guardrail details (Sec. 1716).
11rick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec,. 4706 & 4708).
�-roper roof pitch for roof covering (Chapter 32).
�after ties or bearing iidge beam.
g?8 Garage door or porch header sizes.
.-4dequate bracing.
�iving ar6a over garage,- complete 1 -hour 'separation ri-equired including supporting
walls and postsi etc.
Two M -exits on three-story dwellings (Sec. 3302).
I .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION ANDIFERMIT
PERMIY NQ.
ASSESSOR PARCEL NUMBER
VZ—t,r_ -2
ZONING
rp, , /
BUILDING PERMIT V
OWNER
WELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONrC S Z7 EPHONE
, 'r % ;;I
CONTRACTOR'S MAILI G A R
a '0.74E Z; Z
Fireplace
CO
,JOFTRU -TION LENDER UNKNOWN
/ JA , / le " - Pc - Z,^w oc, e,
Total Valuation $
Filing Fee
$ 10.00
LENDER"S MAILING ADDRESS
Permit Fee
$
AR. ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING OMJiDRESS
PLUMBING- PERMIT
Fi ling Fee 10.00
Each Trap
2.00 -
Solar Water Heater
20.00
/7// �--Q
Water piping
5.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
Each qas water heater or venZ/r, 5.00 . 0
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF 9-- <uplexF1 MobilehomeF] Other '
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
TYPE OF WORK
New F1 Addition El Remode I [:] Utilities [I InstallationD, Other �--C_ontractor
Describe work: 4V_19C72 If ZY-JE-4 2'1�_
" A ,5p,6
Permit Fee
$
ELECTRICAL PERMIT
Fi'l i ng Fee 10.00
Main service 600V OR LE
100 AMP ORSLSESS
10.00
Main service EA. Ar)o'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADONS. ACC.BLDGS.
21/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
XI am licensed under provisions of Chapt. 9, Div. 3 of the 1:5 ness
u5l
and Professions Code and my license is in full force and effect.
License No. 33(aloa- Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
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 coN5TR(MUL.Ti-OUTLET
NON.RESID, BRANCH CIRCUITS) 2.50 ea
NEW.CONSTR. (POWER APPARATUS.&')
NON RESID. SINGLE OUTLET CIR
20@50C
Ex. Occup(ouTLETS OR FIXTURES BAL@ 300!
FIXED APPLNS OR
Ex. Occup. OUTL _ TS (RESI'D.) EA.) 2.00
F
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.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certifi Cate
of Consent to Self-Ingure.
0 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
0
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.
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
against,said County in conwquence of the granting of this permit.
(1 Date
X CM_D C&..a �3
Signature of AppliWnt — OwnerEl Contractor K Agent El
An OSHA permit is required for excavations over 5'6" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP. GROUP
I TYPE OF CONST.
IPARCELI
PD
This permit is hereby issued under
sions of the Butte County Code and/or
work indicate above for which
I d5,qR o,,FF PUBLIC
By
PERMIT EXPIBEI,,Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date,*—& -
:f-7,
6,!�
Receipt No. 6111�
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
4
4 = -5-15 ' --;� /' --� /
2.17. 0/
Environmental Health
FEB - 21998
Chico, Calitomia
016CD
TO
IV
CNE: 1)
co�!'-A\j
r
sj�"" �djure
. I i I '-, I -, --. \ 1!
I
NO. I PESPRIPTJON IPATE
DATE Iq 8��
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