HomeMy WebLinkAbout047-530-0060
NOR
- Irl -f .111,149 1- 1- 1 .
5 3 0
47-53-6
WHITE�CCLOSKEY 47-53-06 92-P7
ROGERS, Timothy. & Patr
NIS Shorthor �Dr, app 300'W Simmental Dr
,,, ft
I �cj:a
lot 6, Chic 4280 Shortho'rn�dr Ch"ico'
i, - Ag Exemption Permit
k�,erMitYM904., 83B P_:',��. ; Mvne�.Y, st n.gl
horses, equipment', ctor
47-53-6F� 4
Per .*--O�2541-83P(plbg/1904-83)SFeP
47-53-06 92-1107B,E''
ROGERS, Timothy-& Patricia
4280 Shorthorn Dr, Chico
pool'& deck/sf
P
LO CV2
I
I
GAS
Meter EL�
.ELECTR
Meter 17
Temp. Power Pole
,Called PG&E
Temp. Elec. S ervice
Called PG&E
Temp. Gas S ervi ce
CalledPG&E
JOB FINALED (Date)
Signature
Date
PERMIT NO. 1§04--83B,P,E,H
PERMIT EXPIRES' *W
OWNER WHITE & McCLOSMEY
CONTR. owner
ASSESSOR PARCEL 47-53-6
LOCATION NIS Shorthorn Dr, app 300'W Simmental
Drive, lot 6, Chico
"Q.iOFFI Coir,
CE�
k.4g��
Addres
GAS,.�
Meter B�k Bate�
iELECT.RIC
.,�LECTRI
t t
OFFICE COPY
I If
V,
Address
-
I
GAS
Meter EL�
.ELECTR
Meter 17
Temp. Power Pole
,Called PG&E
Temp. Elec. S ervice
Called PG&E
Temp. Gas S ervi ce
CalledPG&E
JOB FINALED (Date)
Signature
Date
H I
V = OK
0 = Not OK
- = Not Applicable
MOBILEHOMES
= Not Ready
MISCELLANEOUS
Da te
MOBILEHOME UTILITIES (Plans) OK except #'s
1 . Zoning equirements-Setbacks-Easements
Da te
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requ i rements-Setbac ks- 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.-Shihg.-R fg.- Bradi ng
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: / /"L."ft./ /" Nat. or/ L"ft./ P, LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card- B I Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requ i rements-Setbacks- Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbac ks- Easements
2. Soils: Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH.Test- C rossovers- Brea kers- C I eara nces
4. Elec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 volts-GFI
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-Heaier
8. Gas and Electricity Tagged
8. Elec.; Grounding:. Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes- Enc losures- Pane I board -s- Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Te st
Card B -I
Date Card -BI Date
Card -131
Date Card -Bl Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -131 Date
V 0� 41L
0 ='Not OK
- � Pot Applicable
�r =-* NotfReady RESIDENTIAL (Single and Duplex)
Date
UND��LOOR (Plans) OK except #*s
Date FRAMING (Continued)
cJolo�Zoning requirements-Setbacks-Ea�2TeV/:��,4X-
,,. t
44F P EW -1 y t! F 11 & OpEnings
Main; Soils-Steel-Ele Ftg. Depth'
40 -'Ext. Doors -One 3'-Chei:1114-0fffiffFi�,�its
.rg Garage; Ftg. Depth
om-R ise-Run-Landi ng -F ire Protection
C�21"�?-,,Porches & Decks; Soils-StLel- AV / Ftg. Depth
V,-111-ywood on RoQbP&MThang- At t i 4Xxiat-s- Rat Wz-Qutr i gg ers
.9;7�_(Vl;�ItWwal
9,W-mwalls, Main; Steel-Blc&Ku-ts-Wrapped-Slab
Is, Garage; 40ftFI-BJV*0Tits-WFfiWed
ME idi i Venee
-;9, Stme-q?
6Q -Fdn. Vents-UnderfIr. Access
Z_
�oei e F i I
f,s- irep ace Ftg.-Steel
XV.: w4,-71/80AA&Crffar_
P
5*.(575�zing Area -Glass Protect ion -Sky I ights-P last ic
55. Glqea Walls, Neiling-Bolts
as Pipe; Size jp�,� S -4L -r,
(LRW.a1ar,0ipe; Td&e,<AnaUer1-R9"Iat
qiwp= nder�fr_6_u-n�k_
Q,
Card -BI Card -BI Date
Card -BI Dat24Z=,r r J Card -BI Dat,e
Card -BI Date Card -61 Dat�
Card -B
Date Card -61 Date
Date F
_" (Plans) OK except #'s
Cardt2f C2 Date P,,e,
Date Card -BI 57
Date
P,4MWNG (PermJJt OK_pxcept rs
j���eps-Door & Sidelight Protect ion- Land i ngs
_,Iit��mcike Detector
ter Ht.; -Comb,
s
W6--F-urrkei�-vents-citaperfrc-e-G-m6 -A� inector-
In 0—ge, —VU, n
. _-ITKI
'(Q!rWater Pipe An�pors-Nail C4<tion
_91� VA, Protection
5ge-El-edroom Exiting
Floor-TubA1aee5T-
%p*'_F.I. & Bath Fixtures & Td�ess
1#--9Vjub & �Jhower, 2 d Fle r.�ess
.2!Itg. TrAw*fSu4erf1eI; Breakel"Sizes
(JIF 9fi&__
01
@P Reil. 81 Rd- 4 �k
6T,4?40L?%dpae or Stove; Cleapffces-HeAtf�–
,V ��ec. Outlets at Wood Panel; Int. & Ext.
Card -Bi-
Date Date
�ixt. & Appliance; Grnd.-Air W -Cooking Clearance
Card -BI
Date Card -BI Date
dp!:E�1. Outlets & Receptacles at Kit. unter
Date
R AL 'Permit) OK except #'s
(INI"'Garage Fire Door;
A
xt T
2L�, urle ra,sl1m.- Gleafemee-w��Iion
(5&:%7Wtr. Htr.; le-rc,01 !A-ff--Conr*CTor-P.Z.Vv-,-
§J� C I
In Garage; AboyXF-Wor- ech,�ction
lec. Receptac IeVt�2- 7ight�! & F -4 -8tors
_,witchm-
22--e11-e Boxes & No._o7`ConductoL%-6t1�-Ied
70.71*Plb., Elec. I&' ech. Equip. Listed for Location
iJ,- S
0VIi-RomqX Installed Close to Edge of Studs & C.J.
Receptacles 9-43!Tr-age; (G �er
)�U, round made up w/Mech. Fasteners
71.-1 -ns L11 at i on- Room- Lookedrn Attic J�J�es
C, , * & Conducto.
wj,,f2JppIiance ircuits in.Kitchen
ion-Pos
Z6�`Subfeecl Wire Size I FA �gaQ— AI-A.C. Wire Size 4/4-.2)ga. Cu omjAA
d n. e I Doo in oo arth 04aomwirt—
Looked under Floor
211. -Re we -&i e. ' ' 4@ :;ti ei Al -Oven Circ. ga. Cu or At,
DNo
:Sp- �an Disconnect
7&-ftTro-wing instld.: Drive Q Yes Walks 0 Yes
Planters E)Yes 1416 --
SJwXo, BrOwn-PTITMIT
20-Eq-uip. Clearances; Pane I s-Motors-Mec h. Equip.
Ce��A.�.Unit; DlZczZ5�-I;;R -B�rkt.-C�Col�dSize-115VdavOer'
Above Roof; Plbg,�Appliance-Firepi.-Clearance to Opngs.
Eard 137
ate -4-J? Card -BI Date
?&.--V_at_er Well; Dis*mYrec-t, Electaaal,,�IC4%li4nT
4J0,-ExteriQ&,E4ec- Trim; G.kL_9,@"ptacIe-Und9aj*etrFd_
8A,-V'e-ntilation throughout House
C_�ard -1
Date Card -61 Date
Date MECHANICAL (Permit) OK except #'s
_P�_c_ts: Insulation &-6uprort
Vent Fan; Exhaust above Insulation
Corrections from Previous Inspections,p-
�210eters Tagged; Gas-Electr-id
Sewer GoapeCled-C/OA&i��h-HD Approval
Energy Compliance Certificate -Other Certificates
33. 6--e-de sale Q ain & Overflow: Size & Grade
�5ard-Bl
Card -BI
34-_1Fvm"tS1-=n , Access -Comb. Air -Return Air Vent -115V outlet
3§,-,A+tk-,Ari�PIatform if Furnace in Attic
Da - t'e _ Card -61 Date
Date Card -BI Date
Card-p,!!!� Date, Card -BI Date
Caj��Bl ��,e 2 ard-BI Date
X.4- !!7
Carc�-Bl Date Card -B I Date
Date
FRAMLbIG(Plans) OK except #'s
Comments at Final:
,116r."Sills; Proper M t R I & AALhar.&-
ita 1
i1a, 1, a., -Spac iQg_&-BraaAoq-PbRtqs`-.QWuad
3&�'g�aring Walls over Girders & Floor Nailing----.--
65?"'Dratt Stop in Walls (rat proof)
7— ZZ -by 7 Agii
t.1 Stops; asesCMLI,�
(gq-1Tfader .& Beam -size & Bearing
42.X Hangers- Post Caps -Anchors -Connectors
g. J o i %L,1Tl`t r i s F61-lka'c. 1�-S np. - li im-_
A-T-� ?_
4 FiMpIRM .1 at
p
S e & Rom e� �ection-Dra p
4�L�5. Wi`nd0_ws_or_Exi__t_1ng Doors -Sill rrg7--& Dimensions
age Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
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 49,ZsO Short Horn
(location)
BUILDING PERMIT NO._ -A. P. NO.
THE FOLLOWINkC." HAVE BEEN INSTALLED AS PhIR APPROVED PLANS:
(Check each item or write N/A. if not applicable)
INSULATION:
Slab Edge n/a
Fdn. Walls- n/a
Floors n/a
Walls r- ET
Ceiling/Roof R-30
Ducts n/a
Circulating Pipes__nZa
APPROVED HEATER n/a
APPROVED WATER HEATER nZa
GLAZING:
Single Glazed n/a
Special (Instdated) n/A
CERT. & LABELED WDS.
& SLIDING DRS. n/;;
WEATHERSTRIPPED DRS. n /.q
BACK DAMPERED FANS n/.q
INTERMITTENT IGNITION DEVICES n/,
CERT. APPPLIANCES n /.q
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE C014PLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name— NICHOLOON IN-SUT-ATTON, TNC-
(please print) -
Signature of
Insulation Applicator
General Con*tr
Signature of
General Cont
I
State Contractors
License No.
THIS CERTIF'J:CATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
46 Memorial Way, Chico — Phone: 897�2751 - 0
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicateg 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.
K'-16 7, /r/ 6
f-Xf a /'j
Inspector Date 4
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
166 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-454 1
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTIO14 NOTICE
OWNER PERMIT NO
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immedlately.
� / / /U it') GIf "- A- / �44 / 0
0/
2- C
A10111'n-
-'C/
may 7
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If I'S
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lnspectu���
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
19C- Mbmorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 634 -4.541 -
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
t-.,4 V�, S /70., � & .
J,
T NO.
A routine Inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Inspector- AJQ 0 Date
(I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone:,534-4541
Skyway and Ell'iott Road, Paradise — Phone: 872-2961, 'Ext. 57
CORRECTION NOTICE
A�6
BUILDING OR PROPERTY ADDRESS
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
1,1A
41
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(-42
koov ele, e 6 iie
4 40L'( --
Inspector Date —If- 3�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344641
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
W21
Ef
f LA;,
Inspector Date—
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS av
196 Memorial Way, Chico — Phone: $91-2751
7 County Center Dri ve, Orovi I I e — Phone: 534-4�41
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
atter, or need additional explanation, please contact this office Immediately.
oil( -I'm .11 -
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P"
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Inspector Date— 0-9
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 /01 -7//
7 County Center Drive, Oroville — Phone: 534-4�411
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
Ffn r, or need additional explanation, please contact this office Immediately.
/" , , , F rz:..r 7' /,/ "/ 6<.l e-- z;e_ 11 A" Z�- S -
Al
13 A
Inspector Date
7
a/
COUNTY OF BUTTE
y DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Ph6ne: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
'00 Y_ P'>
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
C" "Ir
1 1,13; C'
VIr,01' 7- 7a,3 ZO
e4
-inspector �Z'/ Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
;96 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
S116'e
UVVINCri z PERMIT Ni
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!�* r, or need additional explanation, please contact this office immediately.
000,
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V
Date 57-0—r-.3
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Ca6fornia,V5965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT.No
ASSES;7
,�VRC NUMBE
Z 0
BUILDING PERMIT
OWNER,,�
TELEPHONE
SQ.FT. OCC. BUILDING VALUA-rION
OWNER'S M"AIL A Cf ESS
Mv ez-11--1 4!
C) a
CONrTRACTO'R'S NAME TELEPHONE
dr
5t�
0 0
—CON'TRACTOR'S MAILING ADDRESS
Fireplace
ao 0 0
CO RUCTI N LENDER
111-r-
UNKNOWN
Total Valuati�gf,
on
9 0
Filing Fee
$ 10.00
LENDER'S MAIUNG A1?DRESS_
Alo;/w &�
Permit Fee
$ 7Z5,—,0 c)
ARCHITECT OR ENGINEER
LItENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITEFT F®R ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADD
PLUMBING PERMIT
FilingFee 10.00
Each Trap
.91 2.00 16,, C70
Water Heater
20-00
--Solar
Water piping
5.00 , �7—, ig 0
DIVISION NAME
_/,7z
IPARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFLJ--_�DuplexF� MobilehomeR Other ' SPECIFY
Building sewer
5-00
Mobile Home ISI GJW-J
10-00es
TYPE OF WORK
Newer/'Addition [] Remodelo UtilitiesO instailationEl OtherR
Describe work:
Permit Fee
$ 76, C)
Contractor
ELECTRICAL PEkMIT
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.
S. ( DWELLIL� C
OR ADDN ACC. B 21/-(tsq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and e ffect.
License No. Classification
2 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.c0N5TP_(MULTI-VU`TLET S.)
NON RESID, BRANCH CIRCUIT 2.50 ea
NEW C 0 N S T R. ( POWER APPAR ATUS
NON RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20@50C
FIXED APPLNS. OR __,BAL@300
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
—A�Al &
Permit Fee $ 4E(,7,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100-00 (valuation) or less.
Ei I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-Invure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating 6,110 * -Ali,,
71
�/_ —
Cooling 7
Hood
3.00
VeRU484eyr I-ek6efe'r A/Voc/
Z_
[
Permit Fee
$
Contractor
—
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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 Count ue ce of the granting of this
!g pe mit
R M qLi n cons,p
X - K�M� Date 7f-3 h 3
Signature of Applicant — Owner M tcontractor El Agent F� f
in SHA permit is required for excavations over 5'0" deep and demolition or construct-
on of stru tures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF C ST.
PARC�J
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT7F PUBLIC
B Z
y
PEFY;(I'T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
I
Receipt NO. Rkr�
WHITE-D.P.W.. YELLOW-ASSES..R. PINK -INSPECTOR. GOLDENROD-APPL I CANT
Retuuiis to DPW AGRICULTURAL STATEMENTOF ACKNOWLEDGEMENT 83-204IL5,
FOR RESIDENTIAL DEVELOPMENT
0FF10141 HE
BUTTE COW4
Section 26-8.1of the Butte County Code requires this acknowledgement' RE00RID-SIK E
be recorded prior to issuance of a building permit.
bu
JUN
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of ILEAN091. .8 C
this property may be subject to inconveniences or discomfort arising LFRK 'AECOR
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 wit ' hin 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:
P-1
Lo -4-
Date: I / 1, /
Ncdodco'j
PROPERTY OWNERS:
:f State of 0- On this the 16- day of
SS. before me, the undersigned Notary
CountY Of appeared
5�,
6,0
Present A.P. 140.
%5_AAJD&A ./. opneC�_Osk4F y
G R cc? W gy -rc-:
I L %_AA_J_V
bli'c, 1perso*na
known to me to be the person(s) whose name(s) Awle�
subscribed to the within instrument and acknowledged
that TA��11 --- executed the'same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary Public
COUNTY OF BUTTE - DEPAPAWOF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
?
NUMB
ASSESSOR PARC E
"5,2_V ,
Z
ZONINA
-
, /.r/- J
BUILDING PERMIT�
OWNER
a/%, 7'-' r/ ?* , / 2 EA �r
TELEPHONE
SQ.FT. OCC. BUILDING VktUATION
OWNER'S MAI�T ADDRE
CONTRAC'IOR, SNAME
TELEPHONE
tOW IfMAA'S MAILING ADDRESS
Fireplace
CON;L.��� LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
A112� A111,
LICENSE NO.
Plan Checking Fee
$
Penalty
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADE�R,�
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
1
PARCEL MAP
1
Each qas water heater or venv,41--
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF[4--`6`upIexFJ MobilehomeD Other '
SPECIFY
Building sewer
5.00
Mobile Home SJGJW-J
10.00 ea
TYPE OF WORK
New F-1 Addition 1:1 Remodel Utl* Ii �'es EJ Instal lation[:] Other
Describe work: 1%44a 1,41"2 9"— e Z
Permit Fee
$ f9 0
-Contractor
_201
ELECTRICAL PERMIT
Filing Fee 10.00—
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADONS. ACC.BLDGS.
21/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
KLL 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 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F� I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. ( MULTCIOUTFLF-T
NO .RES'.. BRAN . C tCU ITSL__
2.50ea
NEW.CONSTR. (POWER APP ARATUS IN')
NON RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20@50t
13AL@ 300
OCCUP. FIXED APPLNS. -OR-
Ex. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
1
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 The permit is for $100.00 (valuation) or less.
E] 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-Inswe.
'E�L I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgmegts, costs, and expenses which may in any way accrue
againMaid County in donU Mfthe granting of this permit.
X ate -7
Signature of Ap;Gcant Owner Contractor E] Agent F1
Lr
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. C;ROUP
I TYPE OF CONST.
D
NO
ISSUE
This permit is hereby issued under
ions of the Butte County Code and/or
work indicated above for which
IkCTOfR OF PUBLIC
By.
PERMIT EX%!1F ,I n-2
the applicable provi-
resolutions to do
fees have been paid.
WORKS
-7
Date.,,
Receipt No.AzYo_�
WHITE-O.P.W.. VTLLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT
7 L
I--- - ----------------
zol
9
Ja
L
L L
In
.. ...........
L
a L
6L
.1 V
T
Waw
I Yb" T4 G PLYWOOD CC EYT
U T . Y
'Z4. i(o'- DF*9 VA DEC'I<IWG '(ALT)
GIRDERS
Ly
UARPRAIL
-16"MAX. DEcy, IQ 6. -
MIN. FOOTIN6
4"x V
Uli Oc
Fr F
FRM0. >
CLIF-
71
IR'STRINGER.
-TDF \JIEW
H RUPRAIL NOT 15HOWM FOR CLh91T*f.
3Y,5 F3 0 IT
rr --- 1
73
m
MOBILE HbME
L --j
12 ,)(1 T PlEg S
'Z4. i(o'- DF*9 VA DEC'I<IWG '(ALT)
GIRDERS
Ly
UARPRAIL
-16"MAX. DEcy, IQ 6. -
MIN. FOOTIN6
4"x V
Uli Oc
Fr F
FRM0. >
CLIF-
71
IR'STRINGER.
-TDF \JIEW
H RUPRAIL NOT 15HOWM FOR CLh91T*f.
3Y,5 F3 0 IT
11
--E
73
m
MOBILE HbME
PE
MAX.
43"
-:mn. FKMVJ4.,.f—
CLIP (EA. PE
MAX,
q,MIN. 4
4N 4' PO ST ----m
2ox Vz.
#1ZDF �OZ 2'�41"PRESSURE'
3/e" TRFA TCD -R
D D.LTS
6
..RFDWOODPLATE'
KAI), I
7-
\.
4*x1V POST
UUU
APF,04TE' b0c,
DNA T
IL
T-ffltyA
bow
tO!JNTY OF B6 46F) 'RTMENT OF PUBLIC:WOAKS
7 County Center Drive oroville, California 95965
Telephone: 538- 1
541-----
e, n le V'3
7-4
IZX(
Oeg;dwo,,d
--7
io t3- cou%'fy,,-2V
13UILDING DEPARTMENT
APPRR w
,q 53 -o!)
7— 1"-.
�76- i Fl. c. r r -4
f- 10 �Icrle
e- )� I . �5 � I P),p ::� C, C, 1�
I I Ty 0 t-,
x 7-R
41
Vi 4,1:k
12/ 1/
-718
. boj�s
'21.1
J Redwa-d
Z-1 :�' h L
1qX jq
1-4 r a
i4x(o
. . ............
e t�s
a mA r- &-x ;54-; na- x iv x 7),, nin
e,?A
t 11
IC2 1,
Pier,
( )/bv
PATE: 4
PERMIT #:
ASSESSOR PARCEL #: C)L]-j- 93D-00(6
OWNER'S NAME:
FEES (Amount and Purpose):
RE3vqqr-
, , YPLXK CHECK: $ C)
BALANCE OF FEES:
$
ADDITIONAL FEES:
$
pa&c-a
REINSPECTION FEE:
$
SHERIFF FEE:
$
CUA FEE:
$
TUA FEE:
$
CSA 87 TRAFFIC FEE:
$
2500.00
WATER TENDER FEE:
$
200.00 BATTALION #
THERM DRAINAGE FEE
$
IF BALANCE OF FEES OR ADDITIONAL VALUATION:
VALUATION:
$
ADDITIONAL VAL:
$
(Check One) COUNTY
CITY OF BIGGS
(Check One) RESIDENTIAL
COMMERCIAL
RECEIPT NUMBER:
Lj--Q-�
�s I oo
Linda Weber
Broker Associate
97-98 Top Ten Office Producer,9093'-,'998
y Service Award Agent, 1996-98
Jeffries Lydon
3100 Cohasset Road
Chico, California 95973
Direct (530) 899-5945
Fax (530) 891-3641
Cellular (530) 519-2276
com
Email newvisionlindag@juno.
Each Office Is Independentfy OmedAnd Operated 10 1993-1998
11 A NI D 0 F N A T U R A L W E A L T H A N D B E L\ U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
August 21-, 1992
Timothy J. &-Patricia T. Rogers 'RE: A.P.-#047-530-006
.3269 Saltern Way
Sparks, NV 89431
Dear'Mr. & Mrs. Rogers,
With reference to the above. subject and your request- for a $23.00 refund of
a portion of the fees paid for permit_#92-1707B,E, I can not�honor your request.
The work- was done prior to obtaining the required permits, so the permit fees
should have included penalty fees. The penalty fees, if charged, would have
been significantly more than the requested refund.
Thank you for. your cooperation in resolving the violation. Should you have
any further questions, please contact me at (916)538-7541.
Yours very truly,
JFG:hla J.F. Glander
Manager, Building Tnspection
File No.
Y Avian Ii 2i 3,
BU7TE COUN T Y IFof Action 1, 2, 3
_f
Publlc Worl<s 15615ti Of
D e P-; b,
c
Rd. Midd-
Shoo & Yards
Bldg. Insp. Adrqin.
Design Engr.
Engr,
e n U
Bridge Engr-
Constr. Engr.
Surveys
Transp.
Land Dev.
Drng. /S.I.
Sub. & PCI. Maps
Permits
Addr.
U
f
4 1
DUtle
eowd* q J
OROVILLE, CALIFORNIA WW ADDRE_S�)v
GANERAL CLAIM
32&qSnUF,1QK wffv
CLAIMANT:/ T, 4 r h g -'i 6 In gj6 f�,�(.
_PMORUESSS: 42t 8HDMkN ]XIE � SPRKKSj S981
CITY&STATE: NO , 0 H. qE02(1) IMPO TANT:
SEE INST CTIONS
DATE OF CLAIM: ON REVER SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE --T-DESCRIPTION
OF CLAIM (DESCRIBE FULLY TO AVOID DEL'A_-YJ�
�T
aL TbDi- -Ptemi
Cj 110 -fl) . 010.6172-HIA(
COUNTY OF BUTTE
Lnz _15k) BUILDING DFPT
7Z
AUG 19 1912
f
A&d lwwl k1l"Y ;y", TOTAL
1, the �M�undoer PMenalti ?oer�ry h e s r I cl bej�V Werfo ed or Wevered, and that this
claim is true and c W,
Datedthis .................................. day of .................. at ..... . .......................... Calif . ....................................................................................
Signature of Claimant
1. the undersigned, hereby certify that, to the best of my knowledge. the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation [D or Specific Board Approval F__j (Checkone) for the same.
Datedthis .................................... day of ............................. 19 ....... at .............................. , Calif . .. ..................................................................................
Department Head or Authorized Deputy
Dept. Exp.
Code............................................ Code ................................................ PAYABLE FROM ............................................................................................ F UND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ.
CLAIM NO.
INV. NO. INV. DATE
ENCUMB.
GROSS AMT.
f
INSTRUCTIONS to CLAIMANTS
'All �clalms against the county must be itemized, giving dates and
character of service tendered or work performed, quantities, de-
"tj�� -
-ti.to %9'cripltio"n and unit prices of articles furnished or delivered.
Claims must be certified by the claimaht and submitted to the De-
partment head for approval. Upon approval the Department head
will forward claim to County Auditor for payment procedure.. Do
not file with the County Auditor first.
Claims should be presented to officials for approval immediately
upon completion of services requested or material ordered.
Claims are paid every Tuesday; however, same must be approved by
officials and in Auditor's office before preceeding Wednesday noon.
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
------- imp_
-- - ------- JENS-
cum I -
low— BMW
XT
LL -
.1 If A f I
a
UA
a
m
MOTION INDUSTRIES, INC.
.---989-B Klamath Lane
Yuba City, CA 95993
Bus: (916) 671-0776 Fax: (916) 671-6998
from:
Bearings, Fluid & Mechanical Power Transmission Specialists
. j =
0
Date
—Date
�Date
----------
----------
------------
_�ate ___
Date —
Date_
COUNTY DF BijV.F-
PUB�IC VVORKS
DEP4F1TMENT*PF-- CA' -',(916)891-2751
3oldt Road, Chico, 6)' 53S-7541
1469 Hum', orovine. CA'- (91 -6307
7 County Center Drive, e. CA - j91 6) 872
747 Elliott Road, Paradis . ' iCE
naRECTION NOT
for
ChorS onne���
Truss-Shthng.-Rfng.
Tr oa�cl--rance
A Flue-Fir2alaEe r ----- --
--�affles
mex protection- &,aj, Sop-ln,.
ing D ors -Sill Hgt. & Dimensions
j 5-2—
No.
PERMIT
r t a
'n 6)CWt at
of Sutt, Cou�ty 4�' ol
=of
Sutte county OlidIr"ances
R ction of work
,,ing violations ol offe
that t" foviol explanajon,
I in.". notft this office w'"n C,
Xiroudne inspectionlindicafts 0, ,ad additional
,uld be correcte, I f.
address and shil ' ning to Wig Inatte
t" above westio" Portal'
is orripleted. lfV0u he"s ainlirnedlatelV-
ct two office
,lease conta
IA, A,'
n,
---------------
-------------
--------------
--------------- I
--- - - - - -- - - - 9
10
0
I, "
I
� openings
k Garage -3rd Story. 2 Exits
,-Rise- �ann��Filre Protection
ang Attic vents -Ratter Outriggers
d -Fd. Verils-Underfir. Access
ection-Skylights-Plastic
Is
s
Card B-1
ate
cad 8 -
Date
hl Protection -Landings
Comb. Air-Connector-
-Mech. Protection
ucts
ub Access
eaker Sizes & Labels___.
ces-Hearth
el- Int. & Ext.
.-Air Gap -Cooking Clear_ance
s at Kit. Counter
LqLrTf C 10 si! r — -----
omb. Air-Connector-P.R.V.
;h. protection
L�te to, LoLajn�__
(G.F.I.)-Romex Protection
Yes
uction-post Caps_—
,r-6rainage & Wood-Ea,th
oor 0 Yes
0 No� Walks 0 Yes E
. ..... . Jq - -- ---------
4—t - -I- Plumbing
ica
tf 2. trance I
I i a n c e - F i re p I a c e. - C I ea
0
nale Plumbing
)ate M 1nSPV ---------- nd ---
Dat le nd-ergrOu
31 85. Exterior Elec. Trim: G.F Recep ac -U -------
--------- 3-� REV '1 91 -------- 86 Vei . )Illation Th�01.1 houl House.
------------ ver 0 Size & Gr-a.de... -------------------------
31 ... .... �ni-115outlet 87 Glass Protection .......
------ ---------- S -Con b, Ali -RetUrn.Air. - V . L . ...... revious Inspections ------- — --------
37. FUrnance-Venli Acces_ 8Ej Corrections from. p -------- ----------
---- --------- I ...... ....... . it Furnance in Attic ... ...... Electric
38 Attic Access & Platform.. 89 Gas Test-metels Tagg.ed: - Gas ---------------
6'to to Grade -HD � proval
. ... ....... ... led- p ------
& Sewet Conne� ----------------
go Wate
... .. .... - - - -Other Certificates
---- -- qy C(, riplivince Certificate -------
Cmd B-1 gi Ener
------ ------ Card B- I Date ---- — --- --
e ....... ... . ..... Card B- I 6ard B- I
........ Date
Date B -I ---------------------
Date Card B- I Card . Card 6- 1
xcept � s Date -------------
Date FRAMING jPlins) OK e D"Ite' card B-1 Dat . e --------- -- Card B-1
3g S'l.'; Plopel IVIZIle.nal & Aochol S D�iw Card B-1
40 Willis SlUcJ9-1,1�,111119. SP'icing & Blac'n
41 Beallno Walls ovul G,,dels & Floo, N,11;1119 Comments at Final: ... . . . --------- -----
0
COUNTY OF BUTTE - Department of Public Works
7 County Center�Drive, Oroville, CA 959.65 Phone: 916-538-7541
.1
OWNER -BUILDER VERIFICATION
Attention Property Owner:
- An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this in -formation at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be,issued until this verification is received.
1. '1 personally plan to provide the ma3'gx labor and materials for construction of
the proposed property improvement fe-8) or no) �AQ$
2. 1 0have,)have not) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
..I plan to pro*vide port'4ons of this wor-l-,, but -I have hired the following person
to coordinate, supervise and.provide the major work:
Name I I ).
Address NII.Ae City
Phone 'I I,- Contractors License No.
5. 1 will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
-02
Property Owner
-e
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the�California Health and-Safet.y Code.
This verification must be completed and-retur'ned to -our office before we . are per-
i ed to issue t h erpm I t
7
i� I �,)
zFr,.l 9 1 1 ".; If'
SM80M 01-y�,c1d:jO'id3a
I I
,qj_Lne.,!O AINnoo
L1
X
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPtION PERMIT
9 ERMIT No
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 agriculturai products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSESSOR PARCEL NO.
3 — oo
ZONING
ER
_T.im
PHONE NO.
11 Ill
OVM-ER'S DDFIESS
UWE CAOD - CA - q5921a
LbdATION OF BUILDING
Q'sAw
IRS PdRow
Wo - 15
USEOFBUILDING 940 Ftlk& U1040XIZ-
172ell-CIL-0111-
SIZE OF STRUCTURE
20 x 2F MID
FT.
—
-SQ.
TYPE OF CONST UCTION:
WOOD FRAME STEEL— CONCRETE— OTHER (Specify)
TYPE OF $I DING
WOOD
ROOFCOVERING
C-004 P
R TYP
4 7-1 A L' S;L_
ESTIMATED COST OF CONSTRUCTION
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: I
S_
" 4`n
FRONT .40 SIDES-
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 floor area shall 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.
/X Date ><Signature of Owner
Permit Fee 125-tro 570. 00 The above descrZWeBOTildin is:'e/Pp from a building permit.
Receipt No. 1 /539 Z, —
I— I FLO70 I PAII�J L�l I ROL�71 7
Director of Publi
By Date
White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant
RE NTIAL
92-1707BE
_T7 �3- 0 6
ROGERS, Timothy 8, Patricia
Pool e-)( e" Chico
4280 Shorthorn Drt
p pool & deck/sf
D! 11
JOB FINALE
Signature
V=OK
0 Not PKI I
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
P'Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date - Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size- Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crossove rs- Brea ke rs-C lea ra nces
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date B-1
Date
—Card
Card B-1 Date Card B-1
I
MISCELLANEOUS
Date DECW, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
11.1�120D�4 Requirements -Setbacks -Easements
glings; Soils-Size-Depth-Spacing-Connectors-SteeI
010�cks; Griders and/or Joists-Decking-Bracin(--St-Z?fi-ails
7 -Wood Awn.; Posts- Bea ms- Rft rs.-Con necto rs
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
&__rr`mg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nail ing-Veneer-Stucco-Mesh
10. - Ro�,IS=-5-fi_ng
11 xtc,�O- oors-Landingi
-Date Card B-1 P_t$ Date jfj,?f_-9ZCard B-1 Algtil
Date 4-J4 -42,C�rd B-1 11 Date Card B-1
Date PO_QeS (Plans) OK except #'s
setbacks- Easements
oils; Compaction -Structure Stability
ool Structure; Steel-Connections-Thicknesk.:�, vr
e AP.Cf 0 F
J�.P�en-Lining Av
rk e, f-
"ec.; Receptacles and Lighting, Distances-GF1
15 volts-GFI
lec.- osures; Conduit En tries -Term i na Is- Listed
_�,- nding; Metal w/5' -Circulating Equip. -Heater
((P�.�Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Bo xes- Enciosu res-Panelboards- Ins. to Main in Conduit
9. He5lb-136partment Approval
JA�Iumb.; Cir. Test -Water Supply Test
Date (0--1q-q?,Card B-1 ff,0 Date -dL 6-q Card B-1
.Date 4- )L4., r4 2 -Card B- 1 Date RM 2Z Card B- 1
V OK
0 N61 OK
Not Applicable
Not Ready RESIDENTIAL (Single
I
-Date- UNDERFLOOR (Plans) OK except #'s Date
I ; � I I � I - � 01 1
1. on ng- et ac s- asemen s- oo - ope AC U D '� A k r,
angers- os aps- nc ors- onne, ors
46. CIng. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shihng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
& Duplex)
FRAMING (Continued
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
Sa. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts: Clearance- Mate ria I-Suppo rt- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 ate Card B-1
Date PLUMBING (Permit),OK except 4's
16. Water HIr.: Vent -Access -Com bust ion Air -Baffle
-1-7. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.: Test-Fitlings & Anchor -Nail Protection
19. Shower Pan: Test, First Floor -Tub Access
20.-Te.st-Tub & Shower. Second Floor -Tub Access - ----------------
21. Gas Pipe: Size & Anchors
Date
- - -------------
Card B-1 Date Card B-1
- ------------- - - ----
Date
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except h's
22.
-----------------------------------------------------------------------------
Fixture & Transformer Clearance -Ins. Protection
Dec. Recept-acles Spacing -Lights & Switches at Doors -------------
------- _____23._
24.
-
Size Boxes & No. of Cond ucto rs-Sta pled
---------------------------
-- - ---------
25.
------------------------------
Romex Installed Close to Edge of Studs & C.J.
--------------
26.
---- --------
I
Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
--------------------------
27.
-----------------
2 Appliance Circuts in Kitchen & Conductor Size/GFI
---- -------------------------------- -----------------------------
28.
SLjbfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
--------------- ------
Cu or A(
--------------------------- ---- -------------------------- ----
29.
Range Circ. / / ga. Cu or Al -Oven Circ. / ! ga. Cu or Al.
-------------------------------------------------------------------------
Insulated Neutral 13 Yes 0 No
-------------- 30.- Service-Riser-Co-nd ucto rs _& -Gro-und -Main- Disco-ri nect -------------
------------ 1-31-.-
Equip.-Clea-ra-nces -Panels-Motors-Mech. Equip --------------
32.
--------------------------------------------------------------------------------------
Clothes Closet Light -Shower Light -Spa Light
33.-
Smoke -Detector -------------------------------------------------
------------------------------- ------- ------------------------------------------
Date Card B-1 Date Card B-1
---------- --- ------------- --------------------------- ----- I --------------
Date Card B- I Date Card B-1
Date MECHANICAL (Permit) OK except h's
34. A.C. Ducts Insulation & Support
-------------- -------- I ----------------------------------------- -----------------
35. Vent Fan: Exhaust above insulation
------------- - ----- --------------------------------------------------
------------- 36.-.Con-d-ensate Drain & Overflo-w: Size - & - Grade ----------- ---- .. __
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
- -----------------------------------------------------
38. Attic Access & Platform if Furnance in Attic
------- ------------------------------------------------------------------- ------
----------------------------------- ------- -------------------
Date_ ------- -- Card -B-11 --Date -------------- Card B-1
- -------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
------ ------- ------------------------- ---- -----------------------------------
40. Walls Studs -Nailing, Spacing & Bracing- Plates- Sound
------ ------ I -- --- - - ---------------
4 l._ -Bearin-g -Wall-s -over-G-i rders-&- Floor -Naili - ng ------------------------
42. Draft Stop in Walls (rat proof)
-------------------------- -------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
--------------- _ ------------------ ----- - --- - -----------------
44. Headers & Beam -Size & Bearing
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
49.- Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
51. Property Line Firewall & Openings
- ----- 52._.Ext. Doors -One 3' -.Check Garage -3rd Story, 2 Exits
------ - ----- 53. Stairs: Width-Headroom-Ris - 67 Run- Landing -Fire Protection
----------- __54. plywood on R-oof Overhang -Attic Vents -Rafter Outriggers
55. Sidina-Nailina Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
57. Glazing Area -Glass Protection -Skyl ights-Plastic
58. Shear Walls: Nailing -Bolts
59. insulation-Walls-Ceilincis
-------- ---------- - __
60. Infiltration -Walls -Windows
-------------------- - - - --- - -
Date Card B-1 Date Card B-1
-----------
Date Card B- 1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
-----------------
62. Smoke Detector
------------- --------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor- Ducls-Mech. Protection
64. Bedroom Exiting
----------------
----------- � -65.--G.F.I. & Bath Fixtures-& Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
67. Stairs & Rai Is
68. Fireplace or Stove: Clearances -Hearth
---------- -
69. Elec. Outlets at Wood Panel: Int. & Ext.
-----------------
70. KiI.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-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location,
- -- ----- - ---- --------- - ------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-------------- 7;-. Insulation -Foam -Looked in -Attic 0 Yes
------------- 78. -Guard -Rails & Deck Const ruction- Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
----- --------------------------------
80. Following instld.: Drive 0 Yes 0 No: Walks 0 Yes 0 No;
Planters 0 Yes 0 No
------------------- - --------------- - -
81. Stucco: Brown -Finish
------------- -- - - ---------
82. A.C. Unit: Disconnect. Electrical, Plumbing
--------------------------------- __
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
-------------
84. Water Well: Disconnect, Electrical, Plumbing
------ ------- ----------------------- ___
.85._.Ext.erior_EIec._Trim: G.F.I. Receptacle- Unde rg round
86 Ventilation Throughout House
--------------
87. Glass Protection
...... ...... --------------------------------
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged: Gas -Electric
go. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
------ ------ ----------------- - ------- - ----- - -
-- --- -----------------------
Date Card B-1
-------------- -- __ _ -------------
Date Card B-1
------ ---------------------
Date Card B-1
Comments at Final:
-------- -----------
Date Card B-1
Date Card B-1
Date Card B-1
COUNTY OF BUTTE
DEPARTMENT OF'PU8L1C WORKS
A
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
*7o'7 - V Z -
OWNER PERMIT NO
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above addresss<d should be corrected. Please notify this office when correction of work
is completed. 1��u have any questions pertaining to this matter, or need additional explanation,
please contqo this office immediately.
Wr1w,
A— Ll;.c e
Date inspector 5C
-Xv
REV 11/91
COUNTY OF BUTTE
DEPARTMENiT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
I - I r�
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. It you have any questions pertaining to this matter, or need additional explanation,
please contact this offiqg-immediately.
40 A/ I ae'o / el%� 1P �'-nr 509!2�-
co Q C �0- -),w a,5 70 --.v
(A) k e IV lk?-7 0 -A 0 "S 'Q
1p
LA -W
Ar- e
e,
-14
Date(,-,,Zq- ?7- Inspector <U.56e-
REV 11/91 176 -Z/
COUNTY.OUBUTTIE
DEPARTMENT0.0 ' 1PU60C WORKS,
1469 Humboldt Road, Chico, CA - (916) 891-27151
7 County Center Drive, -Oro ville, CA - (91,6)'538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
o -)-
OWNER Q PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Xr� I, 'V" e- Al
f r.
4D 'V le _-V 7Z -
A" 44 /A j2'9_1"CL"g -to r
r 97 - - - - 1 - I— , - I - I /
11
M I) 6'A'4'C A71-'
/0
Dal Inspector '_2 F_' _44
REV, 1,31
CORRECTION NOTICE
OWN PERMIT NO.
1,P61
A
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 corirection-of work
is completed. If you have any questions pertaining to this matter, or need additional explanatio . n,. -
please contact this office immediately.
A
C
.41
e
A/ 5 hae -4.
C10 40
-41
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Ro�d, Chico, CA - (916) a91-2761
7 County Center Drive, Croville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWN PERMIT NO.
1,P61
A
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 corirection-of work
is completed. If you have any questions pertaining to this matter, or need additional explanatio . n,. -
please contact this office immediately.
A
C
.41
e
A/ 5 hae -4.
C10 40
-41
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 9596a - Telephone: 916,138-7641 PERMIT NO.
I _: �D a- 7
APPLICATION AND PERMIT I'/
A331133OR PARCKL NUM59R
ZONING
SR -1
BUILDING PERMIT V
Ow�Q�7-53n-nm
""Prc`
Timnth 902
TELEPHONE
355-1095
SO. FT. OCC. BUILDING VALUATION
OWNIER,SMA,lYiN47AR�*ririn
196Q qn Sparks NV 89431
�9&y WAY9
217 C 2-18-2-1-.00
1084 0 7,588.00
CONTRACTOR'!
nwn P r
TELEPHONE
Est. 2,800.00
CONTRACTOR -i MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 13,209.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 127.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 63.75
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 206.25
PLUMBING PERMIT
FilingFee 1 15.00
A220 Shorthorn. Dri-ir-, Chirn
Each Trap
1 5.001
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFEI DuplexE] MobilehomeE] Other Deck
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home is
6 15.001
TYPE OF WORK
NewO Addition [-I Remode I [] UtilitiesE] Installation 01 Other U
Describe work: Pool & Deck
Built w/o Permits
1
1
Permit Fee
11
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00)
Main service 600v OR LESS
200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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 MILlaul-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
Main service 200A TO 1 OOOA)
37.501
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ACC.BLDGS
3.6 4 sq.ft.1
NF
-W CONSTP
- MULT'-OUT LET
NON-RESI-, BRANCH CIRCUITS)
@ 5.00
(POWER APPARATU &
SINGLE OUTLET CIR.
-
Ex. OCCUP(OUTLETS OR FIXTURES
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIM I PA
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
'15.00
-Pool Electric
1 15.00115.00
Permit Fee
$ 30.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become b' t
u
to the W. C. provisions of the Labor Code, you must forthwith comply wit hu
su
'� 'S,�c`h
c h
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi ling Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
P e
Permit Fee
$
Cc
Contractor
I certify that I have read this application and state that the above information
)rmat Ion
I s correct. I agree to comply to all County Ordinances and State Laws relating
e a t in
to building construction, and hereby authorize representatives of the County ot
)u n ty 0 g
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte:1
against
g
all liapilitiides judgments, costs, and expenses which may in any way accrue
cc
gai n sa dounty in cons Vc th anting of this permit.
��,4 -) r VJ47/j, P Date
Signat re of pplicant - 6U. 0 ControctorEl AgenlZ
'g
J!�
An OS permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
M
Mobile Home Installation Fee 41
E r
Energy Inspection Fee $
OCC
CONST TYPE
I TOTAL FEE $236.25
I HAZ 10 FEES I IMP I.. F1.00D I CDF PARCEL I PD
177____�__
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
*11 — QIRZETOR OF PUBLIC WORKS
By "VA— — Date �-1
PEVIII EXPIRES 122�a��te
Receipt No. 11539
WHITE-D.P.W.. YELLOW-ASSESSOR4 PINK -1 NSPFCTOR. GOLDEN ROD-APPL I CANT I
GOUNTY OF BUTTE - DEPARTMPNT PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - 6ROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA -SHEET
OWNER -r/AIU71W�: fA7-A0624 4065&S 0. 31
Proposed Building UseR;0 (.1 Building Inspector Date EZ 2- /42_-Z,
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted . ........................................
Plot plans, 3/4 set9
signedby preparer of plans . ..........................
Complete plans, 3/4' t d by preparer of plans . ......................
Engineered plans and.ciib - sets, with wet signature on plans . .............
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 layouvin,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 . ........................
. tFlood elevation letter (100 year floodl by California Engineer ...................
4 Sanitation and plot plan approv. ;!�� I C-0 Health Department . .............
c!ity 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 appfoval required prior to occupancy). . . . request
P;r�-1;sP*ect-10A
20. Pre -inspection for required. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ...... ........
Certificate of Workmans Compensation Insurance . ...... 1<
Owner -Builder Verification (Given to owner _, Mail to ow'n"er .........
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 (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When yo i sue thner i Pfocq5s,;as follows: Mail wner. Mail to contractor.
M
Telepho office. Deliver with inspector.
.!Z2�z 7 nd hold for pic)kup at W1
0therAX11-7",,q-'_ T 71<-4,C1q tai.- JZ,
Parcel C
Acreage
I
Applicant
Date 5-1-4,zrlc� -Z�
Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other Date By
The following data must be submitted
1. Index permit for above items No. -
2. Additional items required: t IF"
nce: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by hpni;�3'%r6_a_7i1_ Count e
Contractor, designer, owner, was advised of above required d :)Rne mail u er lbby�Dat:e
Plans checked by Date Plans approved by Date.724��
Sets of plans on i MU AP folder
,r-ile cab
i / ' / , , �, �-
Copy - Department of I j ofks
TO Buildina Department
FROM: - - Environmental Health
SUBJECT: Sanitation Clearance
Own -dr Location
Plan Approved for:
Hold final for:
Final clearance o.x. for:
Sewaqe Disposal
Clearance for bedroom mobile home. Other
NOTE * * *
�17-J-2 -,�
AP#
water Supply
Water Supply
Water Supply
. --FJ4'
Sanitarian Date
COUNTY OF BUTTE - - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Cantor DrIvo - Orovillo, California 05065 - Tolaphono:
APPLICATION AND PERMIT
A 99t6§04 PAN c r 6
Z C04 1 N Q
�5k— 1
BUILDING PERMIT
QWNIZFR
n/VioLtLY 0 Z,
T LIZWHONZ
�55_ry E
0
SO. FT. OCC. BUILDING VALUATION
-7
.21 —C,, 2
11)?4 0
OWNER*3 MAILING ADDRE33
,'�t�Z?Ci I (� Q 14��r_[] .2 Ulad,�, S hn rk _q
_�O N TP -A ANA E
L.ATOR
Y C LE P H 0 Nlt--
el 711)
CONTRAC,ZOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 12-7
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ & :4 %-7
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADORE S
Permit fee
$ 1-11-06.2-C
PLUMBING PERMIT
FilingFee 1 15.00
Each Trap
L,05.00j
Solar or heat pump water heater
1 20.001
LOT NO.
=NAME
PARCEL MAP
Water piping
7.001
Each clas water heater or 119Af
7.00
USE OF STRUCTURE
SF F� Duplex Mobi lehome r -I Other DOZE 'STAND Q F_ ',k
SPECIFY
Gas piping system 1 - 5 utlets
5.00[
Building sewer
15.00
Mobile Home /ISJ GJWI
@ 15.001
TYPE OF WORK
NewrL--' Addition[] RemodelF_1 Utilities[] InstallationEl Otherxi,
Desc 0 :R
Li I Lz—L u) D P e, e- yvi It -r
Permit Fee
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
[
18.50
Main service 200A TO 1 OOOAi
37.501
37 - 5
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not int9nded or offered
for sale. (Sec. 7044)
0 1, as fhe owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F_J I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&
OR ADONS. ( ACC. BLOGS.
." s.
3.6* sq.ft.1
LAF;�
N EW Z-6_i�`ST F77MU L T I -OU T L I- T
NO N.R E Si 0. BRA C, :'PC TS)
@ 5.00
5.0
(POWER APPARATUS &
SINGLE OUTLET CIR
Ex. OCCUP( OUTLETS OR FIXTURES
2, Ed
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.)
3.001
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
4;R*k
Permit Fee'
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
F� I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
F,14 Fee 15.00
Heating
Cool ing
LHood
6.501
I Ventilation
—
I
FPenmIt Fee
—
$
[_ �_ntract�or
I certify that I have read this application and state that the above information
I s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County0t
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X — Date
Signature of Applicant — Owner El Contractor F� Agent
An 0 5HA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
occ
_
CONST TYPE
I TOTAL FEE $ 2- !�'J
HAZ
1 0 FEES I
IMP
I FLOOD
I CDF
PZ"
mo
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
y
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
C-21 JEFFRIES/LYDON
TEL:916-345-665,7
Jun 09'922 14:21 No.(,112 P..02
';Y44
aAL CLAIMS ANI'll UST E CCOmPANIED BY T141S &U,
'Y.
135 WAth Ave. 0 Chico, CA 95926
Phone (916) 093-4563 Conti-octors Lic'. # 531076
13�!� PAID oul
aAL CLAIMS ANI'll UST E CCOmPANIED BY T141S &U,
RWO 6y
�-K-) Alrl�. L VAI kWt-�. -W
33
Iff.42
TAX
aAL CLAIMS ANI'll UST E CCOmPANIED BY T141S &U,
RWO 6y
�-K-) Alrl�. L VAI kWt-�. -W
I 1/- 93 -r ) n M Vt. 11%r%r" f% rk r'v'r TY
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