HomeMy WebLinkAbout060-090-023s
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{ REAGANRobert; &cJean�,�t 0-09,x:
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V 060-090-023 PERMIT#97-1786
REAGAN, Robert &Jean
21097 Pot Hole Rd., Butte Meadows
Repair _Flood yDamage/SF I
PERMIT NO.t
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PERMIT EXPIRES
7 " OWNER
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CONTR.
ASSESSOR PARCEL
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Temp. Power Pole
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Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
-41
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
• Y:
CORRECTION NOTICE.,
�y$•
OWNER 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.
()4c e,-Ilr49eA4 �
Date �� Inspector
REV 10/92
04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
*11"W.w111m,, 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75419 PERMIT
T NO.
(Rev. 12/96) f APPLICATION AND PERMITT-
ASSESSOR PARCEL NUMBER' 060""023
V
ZONING U
BUILDING PERMIT
OWNER ROBERT E. &JEAN REAGAN
TE342-1058
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
762 SIERRA VIEW WAY CHICO C!.
CONTRACTOR'S NAMETELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
•
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$D
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee
$ �or-
S
BUILDING ADDRESS
21097
21097 POT HOLE ROAD
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 7 n
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF & Duplex ❑ Mobilehome ❑ Other
SPECIFY__
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 154
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: iQFW FOUNDATION AND NEW DECKS, ATR Fta00
Gas piping system 1 - 5 outlets
15.00 151C
Building sewer
15.00 •
Mobile Home S G W
@20.00
DAMAGE
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ( "."A R mss
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.POWER
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:
.ER? I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Mein Service ( 200A To I000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. Bins.
SO
3.5¢FT:
NEW CONST. MULTI -OUTLET
NON-RESID. AN I CUIT.
@7.50
APPARATUS
8 SINGLE OUTLET Ci..
Ex. Occup. ouTLETOR FIXTURES
sn� p "00
.50
P
Ex. Occup. O�ELE7SR p.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMIT FEE
$ 1x3.00
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$ 321.03
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.)
JX 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 shell
forthwifnply with thos provisions.
th c
X Date
Si6natuf6 of Applicant - OGvner ❑ Contractor ❑ Agent"
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 321.05
HA2.
D. FEES
_
IMP
FLOOD
A f
CDF
PARCEL
PO
HD
vt
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated
indicated above for which fees have
�(
By/ _) �_� ' �,�
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date Irl, rl '7-67
1,1- 7-a}2
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
V=OK
O = Not OK
Not '=Not Applicable
MOBILE HOMES ;
Date MOBILE HOME UTILITIES (Plans) OK except,#'s t
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch }
3. Sewer Location-Test-FaiFC/O-Comets
4. Water, Location-TesEEasement Needed (Sketch)
S. Electricity; Location-Clearances-Gmd-/ /Amp•Carnuete
6. Gas; Location -Test -Wrap; / /Tit
/ /Nat or/ tt 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; SizeSpacing-Maniage Line
3. Gas; MH Test -Deman Walve-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water, MH Test-Regutator-Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date Card B-1 Data Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date PECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'a
1. Zoning Requirements Setbacks -Easements
2. Footings; Sails,Size-DepthSpacng-ConnectorsSteel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails '
4. Wood Awn.;Posts-Beams-Rflrs.-Connectors
Shthg.-Rfg.-Bracing
S. Alum. Awn.; Columns-ConnectionsSplioe Decal -Enclosures
& carports; Windows -Doors
7. Electric
8. Frmg.; Sits-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing-VeneerStucco-Mesh
10. Roof; Shthg-Roofing '
11. Ext; Steps-Doors-l.andings
12. Braced Wan, Panels
Date Card B-1 Date Card B-1
Date Card 0-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. SetbacksEasements
2. Soils; Compaction-StructuWStability
T Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting. Distance -GR
5. Elec.; Pod Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5-Circutating Equip. -Heater
8. Elec.; Grounding; Equip. w/9 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
✓ = OK
O = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single & Duplex)
Date NDERFLOOR (Plans) OK except #'s
1 ingSetbacks-Easments-FloodSlope
tg., Main; Soils-Elec. Gmb--/ /` Ftg. Depth
3. Ftg. Garage; SoilsSteel-Elec. Gmd/ P Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteel-/ p Fig. Depth
to IIs, Main;,Steel-Blockouts-Wrapped
temwalls, Garage; Ste&Blodrouts- Wrapped
6a. Hold Downs and Special Anchors .
7. Slab, SteeWVrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Sae Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor BoltsJoists Vents-Crippies
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 #s
17. Water Htr.; Vent Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sae & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
25. Size Boxes & No. of Conductors Stapled
26. Romex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels -Motors -Meth. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ft
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft
40. Sits Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-TrussShting: Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Ratter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underftr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ft
63. Ext Steps -Dow & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meeh. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext
72. Kit Fat. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection _
79. Insulation -Foam -looked in Attic
80. Guard rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82. Following Instld./Drive 0 Yes 0 NoANalks 0 Yes 0 No/Planters 0 Yes 0 No
Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87, Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89. Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/O to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
,�*-7., . ' JT-1TPr--
LAND. OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
September 29, 1998 FAX: (5.30) 538-2140
Robert E. & Jean Reagan RE: Building Permit # 97-1786
762 Sierra View Expiration Date: 10/7/98
Chico, CA 95926 A.P.# 060-090-023
With reference to the above subject, our records indicate that your building permit expires on die above
date and your permit falls into one of the categories marked below:
91 Permit work started, but not completed. Permit may be renewed for 1/2 the original building
permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an
additional year from the original.expiration date. Should you not renew your permit within 30
days of the expiration date, all work must cease until a new building permit has been issued. For
your convenience, we are enclosing a renewal application form and owner -builder form to be
completed and signed by you where indicated and returned to this office together with the fee
shown. Please return all cogles of the application form.
No inspections have been made on permit work. Inspections are required to verify code
compliance. We are unable to renew a permit where the work has not been started and inspected
prior to permit expiration. After expiration of your permit, no work may be started until a new
permit has been issued.
A final inspection has not been made on permit work. Final inspection approval is required
befbre occupancy. Our field inspector has verified that the building is occupied. Occupancy
must cease until a final inspection can be made and final approval given. You have 30 days to
voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions
to be taken by you.
If our records are in error or should you have any questions concerning this matter, please contact the
Chi rn office.
Thank you for your prompt attention concerning this matter.
MCV:ahb
Attachments
Yours very truly,
—Mic I C. Vileira, B.O.
Manager, Building Inspection
Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307
01
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754lQ7 PERMIT NO.
_Z fz��
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 060-090-023
ZONING U
BUILDING PERMIT e /
OWNER
ROBERT E. & JEAN REAGAN
TELEPHONE
342-1058
SQ. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 762 SIERRA VIEW WAY CHICO CA -
7nn R 7noo-on
416 0 ggi?-no
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $ 9912.00
ARCHITECT OR ENGINEER
LICENSE Nu.
Filing Fee
$ 20.00
Permit Fee
$ IrT.
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 76 05
BUILDING ADDRESS
21097 POT HOLE ROAD
Energy Plan Checking Fee
$
PERMIT FEE
$ A ois
LOT NO.
SUBDIVISIONS NAME
IPLUMBING
PARCEL MAP
PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Y9 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
1 7.00
—
Solar or heat pump water heater
23.00
Water piping
15.00 15.0
Each gas water heater or vent
15.00.
TYPE OF WORK
New 13 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: NEW FOUNDATION AND NEW DECKS- REPAIR FLOG)
DAMAGE
—Gas piping system 1 - 5 outlets
15.001 15.0
Building sewer -
15.001 15.0
Mobile Home IS I GI WT-
920.00
I I 65.0
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
( 6000v OR LESS
Main Service . , 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 With Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
JIX 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.
OR ADDNS. & ACC. BIDS.
so
3.50FT.*
NLW GUNST. MULTI -OUTLET
NON-RESID. RANCH CIRCUITS
@7.50
OWER APPARATUS
( PSIN.LE OUTLET ,R. )
Ex. Occu ( OUTLET OR FIXTURES )
20 @ 1.00
BAL @ .50
OUTILED A' OR
Ex. Occup. ETS (R=16.) EA_
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMIT FEE
$ 4 .00
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 workforwhich this permitis 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.)
ZC 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
fcrthwit,h mply with th e provisions.
1--;A
X Date
Si licant -66;i�kwner 0 Contractor 0 Aqenf__
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEiE, $ -:1
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 321.05
HAZ.
D FEES IMP
FLOOD
A ;�'
I -_-F
PAI�C- I PO
I HD �ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By ZIA
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date A - 7- V
16- -7-58
(Date) —
ReceiptNo.
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
"'14
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
, lK 7 County Center Drive - Croville, California 95965 - Telephone (916) 538-7541 PERMIT
n�!v , 1:!/C)6) APPLICATION AND PERMIT
16S ses so A P NuMaCA
,47 (7t_2
ZONING
W
BUILDINGPERMIT
TELzP"ONe
:3
SO. FT. OCC. BUILDING
VALUATION
-7oo rZ 000
- a:;,
OWNER'S MA ADDRESS
7,KZ-r1Ge,r�-e__
1(446 'T t a - 0z)
CONTRACTOR*S NAME
TELEPHONE
CONTRACTCA'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace 9
q f
LENDER'S MAJUNO ADDRESS
Total Valuation S
060,
ARCHITECT OR ENIMNEM
LICENSE NO.
Filing Fee
20.Oc
Permit Fee 7, OD
q_Q__Ga_
AACMTECT OR 0401INUMS MAILING ADDRESS
Plan Checking Fee
-76- 05
BUILDING ADDRESS
84-
Energy Plan Checking Fee
4210,77
PERMIT $
i? 13, OS
LOT NO. SUBDIVISIO" NAJME
PARCEL MAP
-FEE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SFd2f- Duplex 0 Mobilehome 0 Other
SPECI"
Solar or heat pump water heater
23.00
Water piping
15.00 (z
Each gas watff heater or vent—
15.00
TYPE OF WORK
New ZZ Addition C3 Remodel 0 Utilities C3 Installation 0 Other 13
Describe Work: _7( "AA AT( ?e
f -c-
Gas piping system I - 5 outlets
15.00 15- co
Building sewer
15.00 11— 00
Mobile Home ISI GI W1 T�"
0
6 -5-
PERMIT FEE
ELECTRICAL PERMIT
16 �,`
Filing ee 20-00
Main Service 00:
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
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.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
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 wor f 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 suoject to workers'
compensation laws of Californ:a, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code. I shall
forthwith co ply With those provisions.
X Date
Signature of Applicant - 0 OWner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 5*0"deep and demolition or construction
)I structures over 3 stories in height.
Main Service TO tOOOA
46.00
NEW COMT. Occup.
OR ADDNS. %W 3.5,s"
SILDS. FT.
NEW CONST.
NON-RESID. ",uQ0 97.50
PSOX AP=TUS
. . CIR.
204 1.00
Ex. Occup. Ourw OR aAL,4 .50
O.FIXIIDAPPLIO OR
Ex. Occup. EA 5.00
Temporary Service 23.001
Mobile Home Facilities 20.001
Misc. Wiring 23.001 ;?-1- 40
I
PERMIT FEE CD
MECHANICAL PERMIT Filing Fee 1- 20-00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ T, CONS
=TOTAL FEE $
—4--
I "AZ. 0 FEES 1 IMP i FLOOD COF AACEL P0 "D issut
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
J).��
Receipt Plo Ekemfr-
.'/ ". I � J .) I -I ') :ANAA*� A:S,;E:i,;0;1 PINK IN';PF"C 'OR -1,01-DENA00-APPLICAN f
Y OFBUTTY- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PEMIT APPLICA TION DA TA SHEET
OWNER: EA G AAJ ASSESSOR PARCEL NUMBER: 0 6 C9_ 0!9!0 -
Proposed Building Use: r- Building Inspector: Date:
At time of permit application-, I was advised the following data Lai winit processing' and/or issuance:
Date Received By
El 1. All iiems have been submitted --------------------------------------------------------------------------------------
E32. Plot plans, 3/4 sets, signed by the preparer of plans.
E13. Complete plans, 3/4 sets, signed by the preparer of plans - -----------------------------------------------------
00 Engineered plans, 3/4 sets, with - --------
Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation - ----------------------------------------------------
0 7. Statement of Intent. for Non -Heated and A/C Buildings - ---------------------------------------------------------
0 8. Hazardous Material Form - ------------------------------------------------------------------------------------------
09. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
0 10. Fees of $ -------------------------------------------------------------------------------------
0 11. Impact fees as shown on the attached schedule - -----------------------------------------------------------------
V 0
C i ornia Department of Forestry plan approval/fees - -------------
C C
FI elevation certificate - ---------------------------------------------
anitation and plot plan approval CR jC,0 Health Department.
15 C7
t".,
15. City of Chico plumbing permit - ---------------------------------------
0 16. Plot plan and business license approval from the City of Biggs. ---
1117. Planning approval for (A) Use: (B) Parking: _ — -------------------
0 18. Contact Land Development about El Improvements, El Drainage, 0 Legal Parcel - -----------------
El 19. Encroachment Permit for driveway (construction approval prior to occupancy) - ---------------------
E120. Pre -inspection for required. Request to Building Inspector on
C3 2 1. Contractor's license information. (Number, Name Style, Classification) - -----------------------------
0 22. Workers' Compensation carrier and policy number - ----------------------------------------------------
1123. Owner -Builder Verification (Given to owner El, Mailed to owner El) - -------------------------------
E124. Letter of signature authorization - --------------------------------------------------------------------------
E125. Recorded copy of Agricultural Acknowledgment Statement - -------------------------------------------
E126. Letter of intent on building use - ----------------------------------------------------------------------------
0 27. Manufactured Home utility clearance - ---------------------------------------------------------------------
028. Existing violations and/or expired permits - ---------------------------------------------------------------
E129. 0433 A, OGrant Deed, 0 M.H. Title, 0 Check to H.C.D $ - --------
E130. Other:
- 1 Q-7.1 7
(Date)
___T�
When you issue the permit, process as follows 0 Mail to owner, E]Mail to contractor,
4Telephone and hold for pickup at (f /r/( CO office. El eliver with inspector.
Applicant: Date:_��IhZ
Copy of Haz-Mat forth sent 0 Health Department, 0 Fire Department, 0 Air Pollution Date:
Copy of plans sent 0 Health Department, 0 Fire Department, 0 Other: Date: -
,LOP
1. Index perniit application for the above items.numbered: C1 Plan Check List
2. Additional items required:
t.001'11 Contractor, desi er wner, was advised of the above required data by Rphone, 0 mail, ci Building Division counter, by D a —te:
jk1h 9-2&97
Contractor, er owner, was advised of the above required data by )tphone, 0 mail, 0 Building Division counter,' by Date:
Contractor, designer, owner, was advised of the above required data by'o phone, 11 mail, 0 Building Division counter, by Date:
Contractor, designer, owner, wa&gdvised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date:
Plans reviewed by:: (ZV Date: 7 Plans approved by: Date:
3 Sets of plans
on holc�`ffi YOPlan Cabinet, 11 A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
E.H. USE ONLY
'PWt PI. AWhd
Flwr Plu AM=W ' Ye S
Smi to B.D. 0�2
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
V
Owner Location AP#,
Plan Approved for.- Sewage Disposal x Water Supply: Public Private Well x,
-7�
Clearance for bedroom 48@wlep� Other 6 Al eXi
Hold final for:
Final clearance O.K. for:
NOTE:
9,7
Environd6WAftealth Specialist Date
8/92
O.B.- I
Attention Property Owner:
An "owner-buildee' building permit has been applied for in your name and bearing your
signature.
Please complete and rettim this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of the
proposed property improvement: YESP4 NO[ ].
2. 1 HAVE" HAVE NOT[ J 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:
NAMM
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:
NAMIE:
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:
NAAff ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUM13ER:.
D ATE: el--?, I A 17
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our offlice before
we are permitted to issue the permit.
k
Mav 191) 5 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-buildee, 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. They are also required by law to put their license number on an 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 family, and the work (including
materials and other costs) is S300 or mom for the entire projem 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 taxM
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 US. 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 "ownerbuildez"
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
;hat you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
May 1995 2.27
BUTTE COUNTY DANIAGE. ASSESSMENT'
Date: GA"ll'Time:
0
Taken By: Estimated Damage:' 00c) - �0 oco, 00
Name of Reporting Person: C<,obey'+ Rfatl-a/h PhoneNumber:
i Oq 7 e'i
Address/Location: ?E;4" )2�ak &JA County(4 City[
Is this Rental Property? Yes[ ] No[,4 Reporting Person is Tenant[ Owner(vf Manager[
TypeofDarnage: 10
Building Description:
] Commercial Usage
vj Residential/# of Units -L Mobile Home ]Yes ]No
]Currently Occupied.
[,,�Abandoned/Vacant.
Electric*
[,/fElectrical damaged and/or submerged at any time since disaster occurred
Gas:
( ]Downed wires? — /Vo -
Electric is currently On[ I Offj%er
Natural[ ] Propanell/f None[ ] Currently On[ I Offlv�
Obvious problems (odor, leaks, propane tank damaged or floating)
Structure: / / kj Slab(
On( ] 'Offl -/]Foundation. Raised Foundation[
Flooding Above[,/] orBelow[ ] Floorlevel
Obvious leaning or tilting of structure Yes[ 1� No[ ]
Severe Damage/Collapse
Fireplace Chimney Damaged Yes( ] No[
r
Debris Hazard
Sanitation:
Plumbing working Yes(
0
] No[ '�
Potable water Yes[ ] No[v�
Well: Yes[,A No[ ] Flooded? Yes( No[
Obvious Sewage Problems? A4-1�111TL--e
OVER
Access to Damaged Property:
Nearest cross streets:
Closed[ ]
Obvious Damaged/Han ds
Location/Landmarks
Transversable via Sedan[ ] Fou wheeldrive(,�/
Public Utilities Damaged Yes[ A No[
Levees:
Public[ ] Private[ ] None[
Waterway Name
Bridge Damaged Yes[ ] No[
Location of Damage/Problem
Obvious Haza ds Yes[ ] No[
Nearest Landmarks:
Chemical/Fuel:
Wet, flooded, lost chemicals:
I T(3 * E
Types of pesticide, fertHizer, other chemicals:
Amount:
Fuel tanks Yes[ No[ Damaged Yes[ ] No[
Located Above[ or Below[ ground.
Obvious Hazards:
Agriculture Loss:
$5 i Crop Damage Yes[ ] No[ Type of crop:
Livestock Lost Yes[ ] No[ ] Type of livestock:
Agriculture Building's Damaged: Yes[ ] No[ ]
I-% . -i,
Roads Open['
hM 6-P-Z/yL 4E)
This Dam ge Assessment Report shall be refereed to the following Departments:
17Development Services - Building Division
Environmental Health
Agriculture
Sheriff
C.D.F.
O.E.S.
OVER
BUTTE COUNTY BUILDING OFFICIALS
JURISDICTION Block Parcel No.
Rapid Evalu*ation.Sa.fety Assessment Form
BUIT-DEJP DESCRIP'nON:
'Name: voLoa
Address: LX2-1
No. of stories:
Basement: Yes E] No& Unknown
Primary Occupancy: Dwelling
Other Residential 0 Comrnercial[] Office7.
Industrial 7 Public Assembly F� School.C]
Government F1 Emer. Sery [] Historic
Other qammeg- C:A,,z-r,,,Z
OVE RALL RATLNG: (Clieck One).
LNSPECIED (Green)
ExLerior'bnly
Exterior and Inten*or
IJT=E D ENTRY (Ye!low)
TjN SAITE (Red)
INSPECTOF-
In sp e* cto r ID. Nf--A�� 1,2-00 7A�Adz-
Affiliation
INSPEMONPA'I�E-
Mo/d IL
ay/yjar
Time. air. prn
Instructions: Review structure for the conditions listed below. A "yes" answer to 1, 2, 3,
or 5 is
grounds for posting entire structure UNSAFE. If more review is needed, post LLM=D ENCIUY.
A "yes" answer to 4 requires p6sting AREAUNSAFE and/or barricadingaround the hazard.
Hazards such as a to.,dc spill or an asbestos release are covered by 6 and are to be posted and/or
barricaded to indicate AREA UNSAFE.
More
Review
Condition Yes No
Netded
.1. Collapse, partial collapse, or building off foundation
2' Building or story noticeably leianin'g.' All'
El
3. Severe racking of walls, obvious severe darnage and distress C3
11'
4. Chimney, parapet or other falling hazard IM
El
5. Severe ground or slope movement present .0
11
6. Other hazard present
Recommendations:
F� No further action required
F� Detailed Evaluation required (circle one) Structural Geotechnical Other
F� Barricades needed in the following areas:
0. ilier
Posted at this Assessment.: Yes 7 No
Cnmments:
BUTTE COUNTY DAMAGE ASSESSMENT
Date: JUL U)MI Time:
0
0 C-)
TakenBy: Estimated Damage:4 000 �0 1000
Name of Reporting Person: KDbW+ ReCL611dih Phone Number: 0 5(�?
Lot 0 Z"I
ZI -7 Q
Address/Location: ?rAk"b4 Cw-., County[4 City[ 'I
..Is this Rental Property? Yes[ ] No[,4 Reporting Person is Tenant[ Owner[ vf Manager[
Type of Damage: QCA&-k 0 V) 10
Building Description: V .
Commercial Usage *
Residential/# of Units Q Mobile Home ]Yes INo
]/Currently Occupied.
[,/T AbandonedNacant,.
Electric.
[,4 Electrical damaged and/or submerged at any time since disaster occurred
Gas:
[ ]Downed wires? M9
Electric is currently On[ I Off[
Natural[ ] PropaneldNone[ CurrentlyOn[ I Off[V(
Obvious problems (odor, leaks, propane tank'damaged or floating)
Structure: 'j
On[ ] Offj I /Foundation., Raised Foundation[' -,/Slab[
Flooding Above[,/� or Below[ ] Floor level
Obvious leaning or tilting of structure Yes[1-4 No[ ]
Severe Damage/Collapse
Fireplace Chimney Damaged Yes[ ] No[
Debris Hazard
Sanitation:
Plumbing working Yes[
] No[,�
Potable water Yes[ ) No[v�
Well: Yes[,A. No[ ] Flooded? Yes[,4
ObviousSewage Problems?
No[ ]
OVER
Access to Damaged Property:
Nearest cross streets:
Closed[ ]
Obvious Damaged/Hazards
Location/Landmarks
Transversable via Sedan[ ] Four wheel drive( 1�/-
Public Utilities Damaged Yes[Vf No[
Levees:
Public[ ] Private[ ] None[
Waterway Name
Bridge Damaged Yes[ ] No[
Location of Damage/Problem
Obvious Hazards Yes[ ] No[
Nearest Landmarks:
Chemical/Fuel:
Wet, flooded, lost chemicals:
Types of pesticide, fertilizer, other chemicals:
Amount:
Fuel tanks Yes[ No[ ] Damaged Yes[ ] No[
Located Above[ or Below[ ground.
Obvious Hazards:
Agriculture Loss:
Crop Damage Yes[ ] No[ Type of crop:
Livestock Lost Yes[ ] No[ ] Type of livestock:
Agriculture Building's Damaged: Yes[ ] No[ ]
Roads Open(
1E, , -L k0A 6v"n- tD
kom
7: ON L
A
This Dam ge Assessment Report shall be refereed to the following Departments:
[!XDevelopment Services - Building Division
-14nvironmental Health
Agriculture
Sheriff
C.D.F.
O.E.S.
OVER