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Home My WebLink About063-030-009w KEMP,'0harles`E. - -_899-67B-1 5940B, 4522P_ 16 . ,063-030-009 � _` • - -�03-3616. 56 ZE -SIDEBOTHAM,,DAVE+ '�` .' 3 —O�` _ ,4701 HARTLEY DR, FOREST RANCH Cont: CHICOELECTRIC ° Iot 8, Northwood Sub.; Forest Ranc last REPLACE MAIN SERVICE on right side at end of Hartley Way) i (new single family) *RENEWAL) , B06=2418 z x;063-030-009,' MISCf LLANEOUS; �,' V.' Gas Reconnect' tINSTALI GAS-HEAT-STOVE & GAS P,: !x 4701 HARTLEY DR;L� iSIDEBOTHAM DAVID C' •� • BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B06-2418 Issued: 10/11/2006 Address: 4701 HARTLEY DR FOREST R APN: 063-030-009 Permit Subtype: Gas Reconnect Owner: SIDEBOTHAM, DAVID C Applicant: RELIANCE PROPANE SERVICE INC Description: INSTALL GAS HEAT STOVE & GAS PIP f', MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVEr BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed — Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 1813 Project Final 801 IWIa d(o Inspection Type IVR MSP DATE NOTES j OFFICE COPY'- Address 1 GAS D ate rMeter By f ELECTRIC Date .-.,.Meter By , PERMITS BECOME NULL AND -VOID 1 YEAR :FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy l ��}i.. .... � �, ., •-- , • --- .-a- y. •� - � : �,,..y:.,r.�.' :.a f :;ter-" `w;�,,,; ..__ .s.,: �-:.- •, ..................... COUNTY OF BUTTE - :, BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNE� PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or, need additional Date Inspector /�� l2 ✓l //�!/�� REV 4/05 Phone # 4 C 1, FOR RE -INSPECTION CALL?-.,- 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Bo -Z OWNER : _ PERMIT NO. A routine inspection indicates that the following. violations of Butte County Ordinances exist at 4 the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional - explanation, please contact the Building Inspector as indicated below, 911 A�� - �4� -44 t Date/�.zz' Inspector -f- R 4/05 — Phone # ��v 'L+ .14 y; FOR RE -INSPECTION CALL: 538-7636 OR 891-28 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4701 HARTLEY DR Owner: Permit N0: B06-2418 APN: 063-030-009 SIDEBOTHAM, DAVID C Issued Date: 10/11/2006 By KCG Permit type: MISCELLANEOUS P O BOX 621 Subtype: Gas Reconnect FOREST RANCH, CA 95942 Expiration Date: 10/11/2007 Description: INSTALL GAS HEAT STOVE & GA Occupancy: Zoning: RI Contractor Applicant: Square Footage: RELIANCE PROPANE SERVICE INC RELIANCE PROPANE SERVI, Building Garage Remdl/Addn P0BOX 917 P0BOX 917 PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530) 872-9200 (530) 872-9200 FEE INFORMATION Gas System (enter outlets) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B482 LICENSED CONTRACTOR'S DECLARATION 1.OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RELIANCE PROPANE SERVICE CSLB-734318 / B / 03/31/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/11/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: STATE FUND Policy Number: 316-0000185 Exp. Date: Contractor's License Law.). (This section need not be completed if the permit is or one hundred dollars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/11/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 10/11/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owner's behalf. 10/11/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR; E]Agent for Owner DAgent for Contractor INSPECTOR COPY Lenders Address City State Zip i ' BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS BP 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 BIN # OFFICE #: (530) 538-75.41 A FEE WILL BE REQUIRED AT TIME OF APPLICATION ,PLICANT SIG. ATURE X For office use only. OWNER Name Pave Stile h�,q,,, Address 19 � �Gx (0?- city�f�.+. �ia�c state �� zip y59�1Z Phone E-mail Fax E-mail Class ,PLICANT SIG. ATURE X For office use only. CONTRACTOR Name Address 6496 SKVTJ)TV S"e City P R Subdivision Name State Zip Phone 872._9200 Zip Fax E-mail Fax Lic. # 734318 Class ,PLICANT SIG. ATURE X For office use only. ARCHITECT/ENGINEER Name S"e Address Subdivision Name City Page State Zip Phone Fax E-mail State Ucense Number ,PLICANT SIG. ATURE X For office use only. APPLICANT NAME Name SqM e 1 Address Subdivision Name City Page State Zip Phone Fax E-mail ,PLICANT SIG. ATURE X For office use only. Zoning Flood Zone SRA Yes No Occ. Type Const Subdivision Name Map Book Page Lot# Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# K_Ifil 0(2 Property Address 17o l /e o ✓f Cross Street �G WORKER'S COMPENSATION Policy Number / o/ 77 2—Z _ p Z .. Carrier.. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit Issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 Description or Scope of Work: 4,_? L Sq. Footage ❑ Structure Built without Permits D Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application.. In order to renew action on an .application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. t�J Received by:"PS� . Amount: . Bldg SRA Receipt #: Sheriff �,Iico SMIP Date: 10 _ 1 �^ dJ Other __. . REV 4-30-04 G COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive-. 0-roville, California 95965 Tele hon 30 538-754 ER IT NO. ' 3. 344 (Rev. 12/96), APPLICATION AND PERMIT /- ASSEVOjiAR�ENOUMVV9 '' ZON1NO BUILDINGPERMIT OWNER / ,�/�a `bQ 7� TEL,P"°"E SO. FT, OCC. BUILDING VALUATION .OWNERS MAIUNG ADDRESS PO BOX 621 FOREST RANCH CA 95942 CONTRA OR'S NAME nrTELEPHONE)(9 v l /`7 9) COTTORS!MAILING ADDRESS LL/ /- CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDIJJMfE = DR FOREST RANCH Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME ' PARCEL MAP PLUMBING PERMIT Filing 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 Each gas water heater or vent 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: REPLACE MAIN SERVICE AND ONE CIRCUIT FOR SPA Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 3.00 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class /O Lic. No. �s'��_� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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. s aco. gLpS• SO 3.5¢FT: NON-RESID. ' MULTI. OUTLET 97,50 POWER APPARATus 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES ;0000 SAL 20 @' 50 Ex. Occup. oimFTS Ro °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3, 00 PRE -INSPECTION 23.00 PERMIT FEE $ $9.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation� insurance carrier and policy number are: Carrier AJO Vim( nS Policy Number 272 5TFZ 0"i (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 co I wit ose provisions. Date 2 re of Applicant - ❑ Owne Contractor ❑ Agent FOSHA permit is required for excavations over 5'0" deep and demolition or construction tures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc CONST. TYPE TOTAL FEE $ 89.00 HAZ. D. FEES IMP FLAOD COF PARCELPD HD 11 ISSUE 1 This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have PER EXPIRES OiW applicable provisions to do work been paid. () Date V3 0 De Receipt No. Q 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I Feb •O1 02 08:13a P. 1 . COUNTY'OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5='-�PPTO', �eV.12/96) APPLICATION AND PERMIT � VASARCEL NUMBER , D_ oq ZONING BUILDING PERMIT a41� VTELEPHONE �- - — SO FT OCC. BUILDING VALUATION Z�( New ❑ Addition ❑ Remodel ❑ 'Utilities ❑ Installation ❑ Other ❑ Building sewer Describe Work: Mobile Home $ 20.00 $ Fling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 PERMIT FEE S CI V-C-vI (/ ELECTRICAL PERMIT Fling Fee 2 Main Service °0Ov OR LE a..A OR LESS 23.00 Main Service 200A TO 1000A 46.00 *PERMIT FEE PAID SRA SHERIFF OTHER . AAbVW RECE.Mb sTemporary s a.....�� -------- , - rw �\ + w\ NEW CONGT. OWEILINOOGCUP. OR ADDNS. 6 ACC. BLDS. CONTRACTORS MAIUNO ADDRESS NON.aEOra ' MULTI.O SID.LRLET @7.501 CONSTRUCTION LENDER --�. LEN DER'S MAILING ADDRESS ` Fireplace Total Valuation $ • ARCHITECT OR ENGINEER LICENSE NO. Fling Fee ARCHITECT OR ENGINEERS MAILING ADDRESS __—...._-.... BUILDINO.AODRESS O �LI� Permit Fee Plan CheckingFee Energy Plan Checking Fee (.l. PERMIT FEE PERMIT FE LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEOIFY Each Trap Solar or heat pump water heater Water piping TYPE OF WORK Each as water heater or vent Gas vinina s stem 1 - 5 outlets New ❑ Addition ❑ Remodel ❑ 'Utilities ❑ Installation ❑ Other ❑ Building sewer Describe Work: Mobile Home $ 20.00 $ Fling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 PERMIT FEE S CI V-C-vI (/ ELECTRICAL PERMIT Fling Fee 2 Main Service °0Ov OR LE a..A OR LESS 23.00 Main Service 200A TO 1000A 46.00 *PERMIT FEE PAID SRA SHERIFF OTHER . AAbVW RECE.Mb sTemporary s a.....�� \ + w\ NEW CONGT. OWEILINOOGCUP. OR ADDNS. 6 ACC. BLDS. 3.5�so. FT, NON.aEOra ' MULTI.O SID.LRLET @7.501 POWER APPARATUS 6 SINGLE OUTLET C0. --�. EX. Occup. OUTLET OR -RES x.00 SALO .50 Ex. OCCUp. .7ED APPU.OR A 5.00 Service 23.00 Mobile Home Facilities 20.00 rin _ — 23:00 this 1 ✓L c l3Yl y_ (.l. PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 ' Ventilation " TO !V1 "qT0 COmqu PERMIT FEE S Mobile Home Installation Fee $ Energy' Inspection Fee $ occ CONST. TTS TOTAL FEE $ , HA2. 1 0. FEES I IMP I FLOOD I CDF I PARCEL I PO IND I ISSUE ---- This permit is hereby issued under the applicable pTovrsrr3hiS of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date ReceiptNo. PERMIT EXPIRES ON WHITE—D.D.S.—B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT el® COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET , h OWNER: q I Jt 6f� G✓V� I O( t r� `� / ASSESSOR PARCEL NUMBER w O� Dy(:r7 Proposed Building Use: WV(Ce Counter Technician: t v Date: / �'7i�� 6�) Items required in order td apply for a permit. All boxes MUST be checked OR r" rked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all -in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. ncroachment Permit for driveway from the Public Works Dept. (construction approval prior.to occupancy). 2 Pre -Inspection for M ki'n S2✓✓l L.>e required ................ ❑ 23. Contractor's license information. (Number, Name 9tyle, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured'home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. O Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of uirements for obta f 1. Index pe/items lication`for the above items numbered: 2. Additio required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Yellow: Buildine Division E Date: a building permit. Plan Check Letter phone,- ❑ mail, ❑ counter, by Date: phone, ❑ mail, ❑ counter, by Date: Plans approved by: Date: _Structural approved by: Date_ PRE -INSPECTION REPORT OWNER: Sok bd LOCATION: W) LLL CONTRACTOR:' (,2-,D PRE-IIVSPETION FOR WV( <Q 0 i DATE: 1 /'Z_4 3 A.P. # - M3 , 4 U - ZONING: DATE TO INSPECToX. P=)RIW IIUSTORY f>Vf M ( ) AS FOLLOWS.- HuMbS D Oe= iNG �SPiCPOR s Mow CommeinieUUnim r------ ReaidentiaU+Mw o[Unift { Cw=tIY Occupied ✓1 E^J ✓1 tric currently On' Al_ pg AbandonaWac am Ekctrk: Yes ✓ No Condition of Electric �o Gas: Natural Propane None_ Obvious Problems - Sanitation: Plumbing well wort Obvious S Currently On__ Off Potable water 0 ACTION RECOMMENDED: LSSUE:IiOI,D FOR Inspector: ozkrl� . Date 3. Sketch buildings on reverse and indicate location on, , ert . P P Y` t-eo U1 Ue Ub: lja COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 5='�Py I No. tRev.12/96) APPLICATION AND PERMIT C---- ASSESSOR PARCEL NUMBER j� f f`� n/? ZONING BUILDING PERMIT r v U/l/�Ij owNCR TELEPHONE -- SO. FT. OCC. BUILDING VALUATION S If '-� - OWNER'SADDniDY &I--- __� COMM S NAME �W1• TELEPHONE -.—_ CONTRACTORS MAIILINO�O ADORESB CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDIP ADDRESS iq LAT NO. suaDN1sx1NS NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ePECIFY TYPE OF WORK Now ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: A IM t ri/l C,_�, + U✓%fAl ✓ '�12Gj " PE MIT FEE PAM SRA SHERIFF OTH� I1A1 bUW RECEMb $ . 3 03 __Vt, Total Valuation Is ELECTRICAL PERMIT — Flip Fee $ 20.00 Permit Fee $ 46.00 Plan Checkin Fee $ 30 3.Sdf7. Energy Plan Checking Fee $ /� 7.50 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas pipinq system 1 -5 outlets 15,00 Building sewer 15.00 Mobile Home I S I G W^ Q20.0o PERMIT FEE _ ELECTRICAL PERMIT Filing Fee Main Service( a00v OR LESS 000A OR LESS 23.00 Main Service ¢ODA TO 1000A 46.00 NEW GOND T. OR ADDNS. DWELLING OOGUP. 6 ACO. EILDS. 30 3.Sdf7. ` REVTCOI S .11 NON•RESID. 1 MULTI -OUTLET ` BRANCH CIRCUITS ) /� 7.50 tX. OCCU . OUTLET OR FOITVRES - 0 .300 �.O BrLL EX. OCCU FIXED APPLNS. OR oUTtET4 InESIO. EA 5.00 _ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 22, 1 PERMIT FEE S -(-)j MECHANICAL PERMIT Flling Fee 20.00 Heating - Cooling Hood 6.50 1 PERMIT FEP_ I S Mobile Home installation Fee S Energy- Inspection Fee b A• 3� O occ CONST. TYPE TOTAL FEE $ , C� _ * TO ft � � W D. FEES IMP FLOOD CDF PARCEL PD I NO I ISSUE ..• This permit is hereby Issued under the applicable provtsrom ' of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been-patd. By ....Date -- ----- ReceiptNo. PERMIT EXPIRES ON WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT • lfle/et ' ' E f �...<, 9 t F `r F e fi + y\ fr..'j'7• s�'�L 1� p � �'� � u F•i � F r t 4 ' >. i l • r�. ' r i • t -.t \ 5 ii � •rt Y -fit 5 li t e\ `l e to01 lit t r' Y> f r 1. .. i t F1 polls 7;- t R '�' •1 t K Ott! ti 1 t Y tt ii•C y�! •5.litwry, y r., 1,,15}4 s tJt.,, � 1Fyr}r t AN S J4 y ti•. e i V t t p t att`. ,v e • \. r•'t'L - ,5 } r �a: r. A t't~ qtr tr't. {t Jr - i r}1 L�,yy •':l �'e !t •+. 0i 3 +�, tj S a i t�, r `>h� V ' '' r �+.,• � 'S it'F;-{tYi`r� 'x1'r' - t :J �. k f K tL .•' t 4 a t ry 4 ,R'� .� }t: a r5:t p E t7\..x1 man 4f '. +�`�`!n �te'•:� ��• a �Y "; S �. t ? � �. 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