Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
063-030-005
05 30171-90B �eM;NAHAN, L� 919771B KARCH, 'Ton'y"!&'Terry -Z) 879-71P 4.737 Hartley Way, Forest Ranch 118 -71E contr: William Batt - (conv'breezeway to spa reom/sf) PIs Hartley Way. 2501 W. of Rober Lee Forest Ranch 0' - 170 &-(ee1;;e CONTR: O.W. Gingrich 18 Yale Way, Chico (new single family) 63-03 Permit#3423-OB �V5 43 4 �k wo6d.sE-ov—e/sf) 'qO nn 663-030-.005 2-173 PATRICIALj- C-AMRON,DZ A7'17 T-7 A T) Ti ry r)D 'T I . IPT-1 s. -.r. .� .. ,. s+a�r .._..� `...v. ..-�+-.-T� ..,. „ ,..� Y•.s�,,-. ....w�ssnrxk -.rr �. k•>,e..r•., _ 063-030-005 2-1738 CAMRON, PATRICIA 4737 HARTLEY DR., FOREST RANCH CONT: GREEN Esc SON ROOFING i RE -ROOF t, q, r • 4 1i I� I. f DALE® .-7 -q -� Y II M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT��o. (Rev. 12/96) APPLICATION AND PERMIT C, ?� ASSESSOR PARCEL NUMBER ,. O�O ... ZONING / 1 - BUILDING PERMIT OWNER (]� TELEPHONE SO. FT. OCC. BUILDING VALUATION � OWNERS MAILING ADD(tESS If .10 .00 CONTRACTO 'S NAME7l i TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee s & o ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDINGADDRESS -4 3 1 Avj&j Energy Plan Checking Fee $ $ }� pp PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF .4 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um water heater 23 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:"�%�%uF� ' +- R w/.� V�.1' /tyx•oo Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ♦ r �� „` 5.5 '•• .L/ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 2o0.OR 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�i II force and effect. License Class Ir 'w' • Lic. No. o OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir 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 Main Service 200A TO 1000A 46.00 NEW CONST. DW EWNG OCCUP. SO OR ADDNS. ( 8 ACC. S.3.50FT. CONST* MULTI -OUTLET Qa 7,50 L.LON a s°I oELE AP= QTc w Ex, OCCLI OUTLET OR FIXTURES B20 @ 1.00 FIXED APPINS. OR Ex. Occup. ourLETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE t WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ��l 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 insuraDpe carr .er and policy number are: Carrier .Sr4 J0''P ll�.t�d Policy Number V'J -7 + A0,& -2 _31&2!J (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, Ishall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X '/' �"� �""� Date _"' / — P� Signature of Applicant - ❑ Owner qm-Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE -• '; f TOTAL FEE $ g 3 . a') HAZ. D. FEES IMP FLOYD CDF PARCEL PO HD ISSUE, ✓ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. //�� sy BYef P A „Eo Date PERMIT EXPIRES ON (Da te Receipt No. ?,_ �j•� WHITE-D.D.S.-B.D. __ CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT U (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 P RMIT o. APPLICATION AND PERMIT C,® oz _/ �y2 ASSESSOR PARCEL NUMBER 3- 0-30d 0406I�-/ -- ZONIN BU I LDING P ERM IT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION � �/ .OWNER' (LING AD ESS �j � � � ��qn' n /�� CONTRACT'S E TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ tc,3, O ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3-7- 44 Se1A Energy Plan Checking Fee $ �� In$ d i^e r PERMIT FEE $33,&o LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SFJ� Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 2_3._00 - Water piping i 15.00 Each as water heater or vent 15.00 • TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 3d .5x- l 1eL)tv &tirUA 04 ! Ox • 00 Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 45.00 Mobile Home I S I G I W @20.00 PERMIT FEE S �5 r ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR 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 II force and effect. License Class — :2f Lic. No. 2 % ��� % OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. SO 3.5QFT: tNJOµq°SID. MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL O 1. 0 Ex. Occup. ounE°Ts Ao .°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performanceof work for which this permit is issued. My workers' com ensatipn insuracarr- r and policy number are: Carrier %f¢ %�� � Policy Number — OD 307 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp ith those provisions. X _tel r o` ' Date Signature of Applicant - ❑ Owner�Sntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hei t. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE �TOTAL FEE $ V3 HAZ. D. FEES P I FLOOD I CDF I PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. y Date ' �3 Date Receipt No. " WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT LOCATION: CONTRACTOR: DATE TO INSPECTOR S TYPE OF OCCUPANCY: AP.#: -03 O -O© HISTORY: [ ]NONE[FOLLOWS:' nw-) v BUILDING INSPECTOR'S REPORT ng Description: [ ] C�ercial/Usage: [- I Residential/# of Units: �ently Occupied. /[ ] Abandoned/Vacant. ic: [] No lectnc is currently: : On [ ] Off Condition of electrical? 9 Mobile Home: Yes[ ] No[ Natural [ J Propane[ J--l'To—ne[ ] Currently On[,-I--6ff[ ] Obvious problems: _d tion: Plumbing working Yes[ Well: Yes No[ ] No[ ] Potable water: Yes[l] No[ J Obvious Sewage Problems: criptionIof Damaged Area:crd- to valuation of Damaged Area: 3C1� ' t or: Date: "Z.O - 1 2 PAbloEl FOAIL 49rAI i'1 7 -DAY, n rn t -MAIL E] ITA., n 7-O/�lf El IW1'. oxo t -MAIL E] OTA. . L n D i RAIN TOTAL�� 1 CDFIdCFD DAILY INCIDENT LOG PAGE ,,OF DAV/DATE t RoM oeo' o- I 'DAYMATE'TO 08MRA! ��i11 �fiY7 RIM', PRPW �Wuo =Moe6�If71� WVA W Y. --- -- MWA14 0 �I�I�IaM, m SE I t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive,` OroviI le — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE k OWNER IT 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 o rk is completed. If you have any question pertaining to this matter, or n additional explanation, please contact this office immediately. ��Date 16 -� Inspector�1� �f`•'7�`''*+!"�r'�j'.+.��j'`'L,"•b"';+"bc•r"4+r45�4�1:,•v,1;Q':'••'w�"'%t`7te1T'A::.-.,7—s,yf"'-+=:''ron{!4.r.k.sl-4''•'�-..rurs.�,.:7�.j�.. `j ' ` \ ' •Iv � , .tom - �': �''!►�G=+� , • 3423-90B ; KARCH, Tony ' 4737 Hartley Way, Forest Ranch ;_ ►! i' Contr: Sunshine Chimney Sweeps , (woodstove/sf) ' r . is � •- � J t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, California 95965 - Telephone: 916/538-7541,,, APPLICAT10VAND PERMIT ASSESSOR PARMEL NUMBER ` '_ ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. DCC. BUILDING VALUATION Est 1,000.00 OWNER'S AILING ADDRESS 4717 CONTRACTOR'S NAME G TELEPHONE CONTR KC T O R - P MAI ING D j§ftoppq Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation >. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 'Permit fee s27.50 PLUMBING PERMIT Filing Fee 10.00 4737 Hartley Way, Forest Ranch Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Wood Stove SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Wood Stove _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 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. No. Classification El 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 I r sale. (Sec. 7044) I9 as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason oR ADDNSCONSTDDWEACCLL IN GOCCUP.&) S. 2'h¢sgft NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20®50e BAL®30 FIXED APLNS.License \\ Ex. Occup. OUTLETS PRESI 0.IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department . a Certificate of Workmen's Compensation Insurance or a Certificate oetonsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction;. and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C my i'n'co sequence of the granting of this permit. X Date Signature of App cant — Owner LET Contractor ❑ Agent ❑ An OSHA permit Js 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 TOTAL FEE $27,Qp HAz I CUA I PARK SCHL I ILD I PAR I PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees D E TOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Z? ate �y /.3— �� r 73497 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi11e,:.0 4:Qrpia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER" ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING V UAT ON 3_42-016 - OWNER'S AILING ADDRESS ESt 1,000.0 47'17 14AT-t-1 WnV,—Forest Ranch 955Li2 CONTRACTOR'S NAME TELEPHONE• hinn]�, CONTR11 "Y �IL-lNG-AD RES5i J 4. _B.ax__18a.3y-0>_ovi.l.l.e-95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation s 1,000.0 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ -. Penalty $ BUILDING ADDRESS Permit fee $ 27.50 PLUMBING PERMIT Filing Fee 10.00 A717 Hart-1py Wny, Forest Ranch Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - - PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE I Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 SF ❑ Duplex❑ Mobilehome❑ Other Wood Stove ! Mobile Home I SG W REJe SPECIFY j TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other EM ' Permit Fee $ Describe work: Wjapd_Sto_vP _ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service io°o AMP ORV OR LESS10.00 Main service EA. AOO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification r-1 1, as the owner, or my employees with wages as their sole compen- NEW CONST. DWELLING OCCUP.& DDSA CC. BLDGS. 2/s2sgft NEW CONsfk ULTI OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(oUTLETS OR FIXTURES 20@50S SAL@ 30 FIXED APLNS Ex. Occup. OUTLETS PIRESID,IREA.) 2.00 sation, will do the work,and the structure is not intended or offered eff r sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. Cooling g Hood 3.00 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. Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinanc9s and State Laws relating to building construction, and hereby authorize representatives of the County or 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 udgments, costs, and expenses which may in any way accrue f ag nst sa' C ty i co sequenc of the granting of this permit. Energy Inspection Fee $ -occ CONST TYPE TOTAL FEE.$ HAZ CUA PARK SCHL FLD PAR ISSUE rP70rH�D X Date Signature of App cont — OwnerContractor ❑ Agent ❑ 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. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. D E('TOR OF PUBLIC WORKS Receipt No. 73497 By WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT PEPOT EXPIRES Date {�i3r`i:tTfi i3�s+61rS+1vj.�'A�Vr4`/''���yyG't�` gyp ! COUNTY OF BUTTE - DEPARTMYNl,T OF PUBLIC WORKS - BUILDING DIVISION z�dL-Sb 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �., Permit No. OWNERl/�, �`G� „ A. P. No. Proposed Building Use -i Building Inspector Date At time of ermit application, I was advised the following data must be submitted rior to permit processing and/or. issuance: rr DATE RECEIVED APPROVED 1. All items have been submitted . ....................... .{ .... ... - 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous, Material Form ..................... ......'... ........ 6. Energy Design Compliance and supporting documentation ......... 7. Statement�of Intent for Non -Heated and AC Buildings ............... 8. Engineered Pss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation /� 10. Fees of instructions . / $...................................................... f 11. Chico Urban Area fees paid ....................................... 12. Park fees pai16 .................................................... 13. ; r. School District fees paid .............. 1:4. Sanitationapproval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B).Parking: ...... 18. Improvements may 'be required. Contact Land Development Section DPW 19. Driveway. permit (construction approval.required prior to occupancy) s 20. Pre -Inspection for required...Pre-Inspec. request to aBuilding Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance :::.':............. 23. Owner-Builder,�Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. (Date) When you Issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w.%inspector. Other A Applicant Date 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 prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. \ 2. Additional items requiredi( Contractor, designer, owner, was advised of above required data by—phone--mail—Counter bv_.date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by �\ date • r Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder J e COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,.Chico — Phontr*Q91-2751 .f 7 County Center Drive, Orovi Ile — Phone: �38-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE VAIN l 6 0,41 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 Corr tion of work is completed. If you have any question pertaining to this matter or need additional explanation, please contact this office immediately. f Date Inspector - 1 Po COUNTY OF BUTTE - DEPARTMENT OF PUBLIC" WORKS. PERMIT NO. ,-7 County Center Drive - Oroville, Califcrniar95965 - Telephone:-916/538-75411 r I APPLICATION RD PERMIT !� ASSESSOR PARCEL NUMBER 63-030-005 + ZONING BUILDING PERMIT OWNER - TELEPHONE To :Terry Karch:-" 342-0167- OWNER'S MAI IN ADDRESS- P.O. Box 546 Forest Ranch 95942 ' 1 i SO. FT. OCC: BUILDING VALUATION _ CONTRACTOR'S NAME •, H & •S1 Co. Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Y UNKNOWN Total Valuation - Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ " PLUMBING PERMIT Filing Fee 10.00.737 Hartley Way, Forest Ranch Each Trap 2.00 Solar or heat pump water heater 20.00 -LOT NO. 12 N NAME IsL`E`Dlv�solorthwoodsUnit 1 PARCEL MAP r Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFFN Duplex[-] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W AM 110.00e ' �I ' ' TYPE OF WORK New❑ Addition[] Remodel[:] Utilities[] Installation❑ 0. her ] Describe work: F.lortr{,. _ `� } Permit Fee � f Contractor '" ELECTRICAL PERMIT Filing Fee 10.00 ��.• I I Main service j00 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed cDntract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professiors Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. (ACC. BLDGS. 2/zQsgft NEW RESID,CONSTRANCH TLET NON•RESID BRANCH CIRC ITS 2,50 ea CIRCUITS) POWER APPARATUS&) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES SA O30 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Spa Electric 1 15.00 15.00 Permit Fee $ 25.00 Contractor 1 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation a 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 Cauntyot Butte to enter upon the above-mentioned property for inspection purposes.' I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs,- and•expenses which may in any way accrue against said County. consequ nce of the granting of this permit. /�?�7 X ..e. Date / Signature of Applicant — Owner ® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-CTO ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE_,$ 25.00 HAz: QUA PARK [SCH,L,1--FLO' PAR' PD HD Iss Th;s 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. F LIC WORKS By D Date PERMIT EXPIRES Date ' Sr / / 'Receipt No. WHITE-D.P.W., YELLOW-ASSESSOR, PINK-INSPECTOR. GOLDENROD-APPLICANT ��,,,,� .%^,�Th._?%v«rt�,:i, •i��"w.-%Tt-if��--.R•.�-�+w�:._ .�`i�`*r�►r. � !16+Yr��-�..J<.ov.. �.a-a �`-.._.,,._ __ -, .....10 C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AW PERMIT PERMIT NO. /J(910 -g® ASSESSOR PARCEL NUMBER 63-030-00 ZONING - BUILDING PERMIT OWNER Tones``;& Terr Karch TELEPHONE 342-0167 S0. FT. OCC. BUILDING VALUATION OWNER'S MAIING ADORES P.O. Box 546 Forest Ranch 95942 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ` ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 1 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 12 SUBDIVISION NAME Northwoods Unit 1 PARCE'_ MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other Describe work: Spa l26tri6 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, the owner, am exclusively contracting with licensed contract- ors.. ( (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( OR ADDNS. DWELLING OCCUP.& ACC. BLDGS. , Y2 Osq ft NEW CON5TR ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS h (SINGLE OUTLET CIR. Ex. Occup(oUTLETs OR FIXTURES 201a S0i 9AL®30 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Spa Electric g 1 15.00 15.00 Permit Fee $ 25.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st said County ' consequ ce of the granting of this permit. ��c .5 /rPf) X Date Signature of Applicant - Owner g pp Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.00 HAz CUA PARK scHL FLD PAR PD HD Iss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees D CTO F LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date Receipt No. -� / - WMITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �,-.. �.r �'7-'�.-I..E�r.....m•....I,gr �-�rry.,�} a�t1.' ,. COUNTY OF BUTTE - DEPARTMENT.O PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 --TELEPHONE: 916/538-7541 s PERMIT APP-ICATIsON DATA SHEET x Y ,.r.�. Permit No. 'o.,✓V P�Z2y , to}i' T D 3 O -. cDz s"- OWNER �/lGh�I A. P. No. Proposed Building Use .31+� /C,ref.t�� Building Inspector C�"� Date 2� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: - DATE RECEIVED APPROVED 1. All items have been submitted. ............. ..................... Plot plans in duplicate/triplicate, signed by preparer of plans ........ - 3. Complete plans in duplicate/triplicate, signed'by`preparer of plans .. 4. Complete engineered plans and calcs, with`wet,signature on plans . . 5. Hazardous Material Form .................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobileho'me installation data including manufacturer's installation instructions ................................ ~...... . 10. Fees of $.:'!.................. Y 11. Chico Urban Area fees paid ........................................ 12. Park fees paid ..................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of-. (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .. ` 22. Certificate of Workmans Compensation Insurance .................... . •23. Owner -Builder Verification (Given to owner 0, Mail to owner 0).J.. 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization...........:....I................... -26. 27. t When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant - Date J 12.2436 r, Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item'not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_maiI-counter by date M Contractor, designer, owner, was advised of above required data by_phone_maii-c unter by date Plans checked ' Copy -DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folderz� ! Date 51UEs=CgC�O-:c0 • . � w•Y A p� 1 63-30-05 3011-90B ! i KARCH, Tony & Terry 4737 ,Hartley Way, Forest Ranch Contr: William Batt (conv breezeway to spa room/sf) JOB FINA SIgnatui O Uvv�Qa s/� e4 w ,",,,.°, ._,,,. .�..+scF �r.:.._-wr•ro..�t-.,.-�-�r•i�,�+a.:.s++•-.m•-7�_.. •r—. ,. ... .. 'rr,..A..,,. 9...-. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phom�:.891-2751 r ^, 7 County Center Drive, Orovi Ile — Phone: 538-7541"* 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NI A routine ins ection indicates that the following violations of County Ordinance • exisZa above address and should be corrected. Please notify this office whention of workis completed. If you have any question pertaining to this mateed additional explanation, please contact this office immediately. � � t - �� , . • I_ WM_ J"!_a. ,.V_ 41 „.plc) D -I - % d3/i1 o - o. - A 4 Date—q / - �� Inspector �i `J=OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDE O -(Plans) OK except #' o Setbacks-Easemenod-Slope tg., Main; Soils-Elec. Gii d.-/ /" Ftg. Depth 7,?V 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped I 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped _ 8. Piers -Fireplace Ftg.-Steel 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation r . Date !7_/-1 Card B-1 U Date Card B-1 D7ate Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 fate Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing & Duplex)-'-' Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 7 9C) 60. Infiltration -Walls -Windows Dateq Zj Q4I Card B-1 Date Card B-1 Date Card B-1 Date and B-1 Date FINAL (P1afrr.) OK excegl,# �s t. Steps -Do Sidelight Pro 'tion -L gs oke Detector 68.Vui,ts-cieuiaii-e-GefAb.ALr-Connector- In ar c s- ec rotection 6 . G & Bat fixtures &,Tub Accts - Elec. Trim & Subpanel; Bre er Sizes & Laeeis 67. 68. noes- earth 69. x . 70. nce 71. r G Fire D ; Swing -La -C 7e. -'A. c -m Garage 74. tr. en s- onnector-P.R.V. n arage; Above Floor- ec ection 75. 76. Ele es _rateCtion nsulation-Foam-Looked in Attic 78. Puafd-Rail eck Construction -Post Caps 79. r' i hole uoor-Drainage & Wood -Earth following instld.; Drive es 11 No; Walks des 11No; Planters 13 Yes No 81. ims 82. A.G_U"i D 83. Ve s-- nce to 84. ec nca , umbing 85.. rim; ecep ground e ion Throughout House Glass ection orrections from Previous Inspections 89. es - e ers -lectr, 90. 1Watter�BrS in rRrrarin�tn aroval 91. grtificate-Other Certificates Date% -q0 Card B-1 (1,6Q;;_)Date Card B -1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) v=Ok O=Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Caroorts: Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability r 3. Pool Structure; Steel -Connections -Thickness i' Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 141, • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. + 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 s APPLICA;RON%,,,ND PERMIT ASSESSOR PA ,CEL NUMBER 63-030-005 ZONING R-1 BUILDING PERMIT OWNER Tony & Terry Karch TELEPHONE 342-0167 SO. FT. OCC. BUILDING VALUATION 405 @ 4 conv. 1 620 OWNER'S MAILING ADDRESS P.O. Box 546, Forest Ranch 95942 CONTRACTOR'S NAME William W. Batt TELEPHONE CONTRACTOR'S MAILING ADDRESS P.O. Box 412, Forest Ranch 95942 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 28.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 53.00 PLUMBING PERMIT Filing Fee 10.00 4737 Hartl Way, Forest ,, -Ranch Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF 91 Duplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ER Utilities ❑ Installation[] Other ❑ Describe work: Convert breezeway to Spa room _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP ORSLESS 10.00 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 ProfessionsCode and /may license is in full f r and effect. License No. (� ��/ C/ Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) (,eve I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONIS. ( ACC. BLDGS. 2h¢sq ft NEW CONST;'ULT'.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER /POWER APPARATUS e OUTLET CIR. ) EX. 0CCUp�OUTLETS OR FIXTURES .20@090 FIXED Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I de la 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. /Ip) I shall not employ any person in any manner so as to become subject to the W. C. laws of California. ce 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 FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against acid County inn, cons en f the granting of this permit. X 4 /�� -2_90 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE TOTAL FEE $5 .00 HAz CUA PARK I SCHL F PAR P HD ISSUE Th's permit is hereby issued under sions or the Butte County Code and/or work indicated above for which D E OROFPUBLIC e BY la PE IT EXPIRES Date _f��� the applicable provi- resolutions to do fees have been paid. WORKS pate Receipt No. 70770 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT i m %' Vt 's y+v, 'V4PTjr#TjjP COUNTY. OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL , tf�L15(:RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICI`TION DATA SHEET ' Permit No. OWNER _ —r7U ti �) %A 4 A. P. Jqo. Proposed Building Use,_��LLOS �� 15AQlhyilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED _L/` 1. All items have been submitted . ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous- Material Form...........10 .................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) c,. 9. Mobilehome installation data including manufacturer's installation - - instructions......................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid.......i............................................. 13. School District fees paid . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ......................... ......... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre=lnspec. request to Building Inspector ''' (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................. . 26. - 27 When o the permit, process 'as follows: —Mai l to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date 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 prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-Mail_cou ter by - .date Contractor, designer, owner, was advised of above required data by_phone_mall_co nter by date 1;4Plans checked by Date - - P s approved by Date Sets of plans on hold in Copy -DPW File cabinet _14," AP folder