Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
063-030-012
r DRING M. F. 2439B -3'r-' T 63-03-12 11555-90B;P,E 189QF: 3418E GARDNER, Mary II X 4718 Hartley Dr, Forest Ranch Lot 5, Northwood Sub., Forest HE (gar conv to living, & deck/sf) (new, single family) *RENEWAL 63-03-12- Permit#2658-90E (61'ec(.serv/sf- -v 063430-0121 PERMIT#98-'00124 liam:,� - . k. 4 ,GARDNEk-,'.'Wil T"? .,,471 ' 8 Hartley Dr Foregf.,Ranch. Wtr iAHtr*& 6"s' Htp, 'Insert/SF l, 663-030-04 12 4718 HARTLEY DRJR FIRE REPORT 8/3/00 I A F I v 5S. GI 63-03=12 • 2658-90E GARDNER, Mary 4718 Hartley Dr, Forest Ranch" (elec sery/sf) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 rt_ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 63-03-12 ZONING R-1 BUILDING PERMIT OWNER Mary Gardner TELEPHONE 343-9398 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 4718 Hartley Dr., Forest Ranch 959,92 CONTRACTOR'SNAME Unknown 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 $ PLUMBING PERMIT Filing Fee 10.00 4718 Hartley Dr Forest Ranch Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 5 SUBDIVISION NAME Northwoods :Subdivision PARCEL MAP 23-18 Water piping 5.00 Each qas water heater or vent 5.00 rst USE OF STRUCTURE SF'i N Duplex❑ ,Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FGTW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: Electrical Service Upg a4e,- _ RE: B.P. #1555-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 600 AMP OR LESS 1 10.00 10.00 Main service EA. ADD'L 100 AMP 1 2.50 2.50 CONTRACTORS LICENSE LAW under perjury ) " I declare undpenalty p y of p er l y (check one): ❑NON.RESID 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 ❑ 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) I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.&) OR ADDNS. ( ACC. BLDGS. I 2/z ¢sq ft NEW CONSTR ULTI.OUTLET BRANCH CIRCUITS) 2.50 ea POWER APPARATUS 64 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 ®t309 a"L@3o Ex. Occup. our ETS PIRESIDR IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 1S. Permit Fee S 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, i emnify and keep harmless the County of Butte against ahl�fi bidities,��, 111' dg nts; costs, and expenses which may in any 7ay accrue %1T sa CbUnty In co s quence f the granting of this per t. �... 1` X ' Date �� Signature of Applicant — Owner X Contractor ❑ Agen1 ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 37.50 HAz CUA PARK SCHL FLD PAR PD HD ISSUE Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated above for which , fees DIRE F PU LI Bye��"""" y PENN XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date rReceiplNo. 7y Z 60 HITE-D.P.W.. YELLOW-ASSl330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �- 7 County Center Drive'- Oroville, California 95965 - Telephone: 916/538-7541 ` APPLICATION AND PERMIT PERMIT NO. ZLS�? �/ ASSESSOR PARCEL NUMBER ` 63-03-12 ZONING R-1 BUILDING PERMIT OWNER Mary Gardner TELEPHONE 343-9398 SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS . 4718__Hartley Dr., Forest Ranch 95942 CONTRACTOR'S NAME Unknown 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 $ PLUMBING -PERMIT Filing Fee 10.00 4718 Hartley Dr., Forpst Ranrh Each Trap 2:00 Solar or heat pump water heater 20.00 LOT NO. - 5 I SUBDIVISION NAMEPARCEL Northwoods .Subdivision MAP I23-18 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF D Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ® Describe work: Electrical Service Upgrade _ RE: B.P. #1555-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 10000 AMP ORSLESS 11 10.00 10.00 Main service EA. ADD'L 100 AMP j 2.50 2.50 CONTRACTORS LICENSE LAW I declare underenalt p y of perjury fur y (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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCIP.. .11ADDNS. ACC. BLOGS. 2h¢sgft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 2 (SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES 200030 zAL@30 Ex. Occup. OUTLETS FIXED PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 Permit Fee $37.50 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also ee to save, i emnify and keep harmless the County of Butte against al I b' ti,1 dg nts, costs, and expenses which may i45�n any ay accrue ain Cnty In co s quence of the granting of this perm t. X ' Date �� Signature of Applicant — 0wnerX 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 $ 37.50 HAZ cuA PARK SCHL FED PAR PD HD Issue This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees F PU LI ,f DIREI&I By fA P XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. '70 7— J 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING 7 COUNTY CENTER DRIVE., OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ' PERMIT> PPCICATI�DN DATA SHEET / "' Permit No. OWNER Irv,// /nor? 11' G A4,04lt. A. P. No. �3' O3 ; /Z Proposed Building Use S�L Fl 9'CF-/jC V,o ,bl - Building Inspector Date 99 At t71. emit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 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 ............... 1 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ................................................... . 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... j. 13. School District fees paid .............. r 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, Classification 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 you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for -pickup at office. Deliver w. /inspector. 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--nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC L NUMBER - ZONING A7— % BUILDING PERMIT WNER t .gay G �q �2 TELEPHONE 3Y3 - 93 IS SQ. FT. OCC.-- BUILDING VALUATION OWNER'S MAILING ADDRESS 6 ll^mxt 12A fofefi' CONTRACTOR'SNAME / TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER _ _ UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ Y7iqNiO�P( PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME N/�/ ot �iWi7t� s S �%�" PARCEL MAP Z 3-13 - 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 I G I IN 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other s� e— Describe work: fzL�ZC%IC. SC�QJ1C� VDG7,4de- I S'SS -9© 15,5 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.001• Main service ;000 AMP ORV OR LESS10.00 /g v 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 contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 ri , NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. SLOGS. . , /20sgft NEW CONSTR ULTI-OUTLET NON.R ESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIS. Ex. OCCUp�OUTLETS OR FIXTURES 20030¢ DAL@30 Ex. QCCUp. OUTLETS ((RES(D IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation- Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person 'in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement• should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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 al lab lilies, judg S, costs, and expenses which may in any way accrue gat id u in nsequen of the granting of this per t. K U j /,�o Date Signature of Applicant = Owner Contractor ❑ Agent I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3lsto.ies in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �J11SUE HAz CUA PAR�SCHL PAR PD H Th's permit is nereby issued under sions of the Butte CDUnty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By I PERUIT 1=YP1QFS rlatc the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.' �/ 2 2 y wuirr_�. r. w.. I ..,.,_...... I.I....,.e..-. _,.. __....,... .--. C0/"R: DATE: al LOCATION: I Par+ - A.P.#: i CONTRACTOR: ' ZONING: DATE TO INSPECTOR PERMIT HISTORY: [ ]NONE [/]AS FOLLOWS: hep 0AlI1 ^,0AA nn till j,k,-�CL/4AJ -J. A, _A -A A. I I• A • BUMDING INSPECTOR'S REPORT ig Description: } [ ] gommerciaWsage: [L-I'ResidentiaU# of Units: _ [ J Currently Occupied. [ ] Abandoned/Vacant. C. [ es [ ] No Electric is currently:[ On Condition of electrical? Natural( ] Propane[' Mobile Home: Yes[ ] No[ ] [ J Off None[ ] Currently On[ 4-- Offl ] Obvious problems: Sanitation: ; Plumbing working es(�-iNo[ ] ,. Well: Yes[ No[ ' ] Potable water: Ye [ No[ ] ObviousSewage Problems: � 446ZLti. . r iption of Damaged Area: - stimate valuation,"amazed Area: i pector• L6/ Date: 9 0 .::� o(O-3-03D -- o I ;�, ACDF/BUTTE COUNTY FIRE INCIDENT LOG; DATE 1219198 INCIDENT NUMBER 12204 LOGGED BYDAN REPORT TIME 08:35 LOCAL FIRE NUMBER RO DAVIS STATE FIRE NUMBER STATION # 23 CASE NUMBER 0 MEDICS: �- LOCATION 4718 HARTLEY DRIVE IOFFICER 2112 RP IPAINTERS HONE NUMBER 13439398 B COUNTY NOTIFICATIONS R EMD ❑ WRA C4 AGENCYID BTU STATE WILDLAND FIRES STATE STRUCTURE FIRES STATE OTHER FIRE STATE MEDICAL AIDS STATE PSAIOTHER STATE HAZ MAT LOCAL WILDLAND FIRES ❑ LOCAL ACRES 0 LOCAL STRUCTURE FIRES LOCAL OTHER FIRES LOCAL MEDICAL AIDS LOCAL PSAIOTHER: LOCAL HAZ MA INCIDENT NAME IGARDNER I START TIME: 0730 CAUSE 1EQUIPMENT LAND USE IDOMESTIC ACRES: TYPE OF ACRES: DOLLAR DAMAGE1 5000 LOCAL TYPE $ DAMAGE: SAVE F0 DIAMOND #: 1.1-1.8 INJURIESIFATALITIES ❑ # CIVILIAN INJURIES: CIVILIAN FATALITIES: � FF INJURIES: # FF FATALITIES �0 FC -40 ❑ DATE OF FC40 INC SEN EMAIL STATION 23 DSS AGENCY INC #:IINC P'# F LOG ❑ INITIALS COMMENTS: NEXT RECORD : LAST LOCAL FIRE # LAST STATE FIRE# LAST CASE # . *_�,i t"+�A. �y.�!:,.�tr`.�--�cn�.vT k.�.: ., ... -.��.. (,...,T.�e•F`.'M ?�[."�A'�i' Y�..r �i �.'���7'%T.s. 16 r v 063-030-012 PERMIT#98-0012 GARDNER, William 4718 Hartley Dr., Forest Ranch Wtr Htr & Gas*Htg Insert/SF OFFICE COPY Address , t F =' S GAS jMeter By Dat/ `ELECTRI Meter BY Date ' r141- / �� ' 4 n v 063-030-012 PERMIT#98-0012 GARDNER, William 4718 Hartley Dr., Forest Ranch Wtr Htr & Gas*Htg Insert/SF OFFICE COPY Address , t F =' S GAS jMeter By Dat/ `ELECTRI Meter BY Date ' r141- / �� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION' 1 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERM NO. (Rev. 12/96) APPLICATION AND PERMIT 0-42.4,22 ASSESSOR PARCEL NUMBER ZONING BUIL„p NG PERMIT OWNER z (G*_- TELEPHONE � Q aA SO, Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS __- - 1 CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkingq Fee $ BUILDING ADDRESS 4718 HARUM DR. Energy Plan Checking Fee $ FOREST RANCH PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF B Duplex ❑ Mobilehome ❑ Other q SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q Describe Work: WATER HEATER/GAS BEATING INSERT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I Gi W @20.00 PERMIT FEE $ 6.5. ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo, oa LE.' 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed�uhder+provisions of Chapter 9 (commencing with Section 7000) of Division 3bf the Business and Professions Code, and my license is in full force and effea� * License Class Lic. 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 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 OCCUR OR ADDNS. ( & ACC. BLDS. SO 3.5QFr. NEW CONST. MULTI-OUTL NON-RESID. ! c cl ET 97.50 POWER APPARATUS a s GLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS 20 @' 0 Ex. Occup. ouiLEErS RESIOOERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. ❑ 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 $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) `❑' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com y,with those provisions. / /� X �% Date �� he/ / Signature of Applicant i Owner ❑ Contractor ❑ Agent % 1 - An OSHA permit is required fbr 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 $ 65.00 HAZ. I D. FEES IMP FLOOD cDF PARCEL 1.!9 HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have n By _ ( PE' MIT EXPIRES ON the applicable provisions Resolutions to do work been paid. !� Date % G J //�/ `i_1 Date 7 Receipt No. ?_ 64 -W,aL:.�- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - CTroville'``California 95965 - Telephone (916) 538-754115� PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUI NG PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 216 FOREST RANCH CA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ moo Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4718 HARTLEY DR. Energy Plan Checking Fee $ FOREST RANCH $ PERMIT FEE $ LOT NO. - SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat' um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: WATER HEATER/GAS HEATING INSERT Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI WF 920.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 600V ORLESS Main Service 200AORLESS 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 of the Business and Professions Code, ( g ) 3 and my license is in full force and effect.POWER 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: ❑ 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. 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: ❑ 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. s0 3.5QFr. NEW CONST. MULTI.OUT NON-RES10. ANC CIRCUITS UI 97.50 APPARATUS & SINGLE OUTLET CIR. Ex. Occup. ourLET OR FOcruREs 20 @ 1'00 IRAL @ .50 Ex. Occup. OUTLErSPRESD.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith com with those provisions. } , X Date ((/ � Signature of Applican - Owner ❑ Contractor ❑ Agent An OSHA permit is required or 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 $ 65.00 NAZ: D. FEES IMP FLOOD CDF PARCEL 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. By Date P RMIT EXPIRES ON #/T1 Dale Receipt No. 1 ��— WHITE•D.D.S.-B.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Zrovillq;,, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (�l ^'7 ZONING BUILDING PERMIT OWNER I I R R GN U�I TELEPHONE Y3.c33 SO. FT. OCC. BUILDING VALUATION OWNERSAMIADQREi,6 `/ 3,C ,CO qd CONTRCRS NAME TELEPHONE' ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS - ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Y7/19 / �---/ ,p �/ G7 /!/ 'moi 2 42 Energy Ener Plan Checking Fee g $ . PERMIT FEE $ LOT NO. SUBDIVISION'S 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 or 15.00 -740 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other /❑ Describe Work: (^'/d r%L �j `y �j�i.J l'J�C�Jt-I� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W 1 Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS 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 full force and effect. License Class IL No, OWNER -BUILDER DECLARATION 1 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. ❑ 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: ❑ 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 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADONS. ( & AGC. BUDS. 3.5¢FT, NOON-FIESID, muLT'-OUTLET, Ts @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR, Ex. Occup. OUTLET OR FUTTUReS BAS O ':0. Ex. Occup. GFIxLIT Aa ' ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 f_ PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 6 HAz. 1 D. FEES IMP I FLOOD CFF PARCEL PD NO ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Dale Receipt No. WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -I- A. P. NO. ROOF MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) �--- w�t- [- MATERIAL FIBEGLAS -MATER%ALFIBEGLAS BRAND NAME___CERTAINTEED THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) ~�'--��--' ~'�''''�� �'� ���^ ux ���mn�| |�P E FIBERGLASS- THICKNESS THERMAL RESISTANCE (R VALUE) L 0103 E F T LL 'TYPE FIBE-Gifi;SS- BRAND NAME C8RTAINTEED -�MINIMUM THICKNESS (INCHES) NUMBER OF B�GS WT PER BAG 25 LB AREA COVERED (SO FT) THE-RMAL RESISTANCE (R- VALUE) FLOOR, ELEVATED MATERIAL FIBERGLASS' BRAND NAMECERTAINTEED THICKNESS (INCHES) -�— THERMAL RESISTANCE �R VALUE) --'--�-+-- FLOOR, BLAB MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) ----- FOUNDATION WALL � ' ------- MATERJAL BRr-ND NAME JHICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) �--- I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. HAWKIW8 IoNSULATION 379407 FIRM NAME/OWNER � J- STATE CONTRACTOR'S LICENSE NO. �SIGNATURE �--- - �� DATE I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. ALL EQUIPMENT, DEVICES AND MERTIALS APE OF THE QUAL%TY PRESCRIBED OR QRE -SPECIFICHL- Y PROVED BY THE STATE OF CALIFORNIA.jr e QAC(j FIRM NA wNn.) SIGNATURE GEN. CONTRACTOR/ OHNEIR- S7ATE CONTZC.T. TOR'S LICENSE NO. DATE -1- w �.,n-1`^.}^an._.'�•.-::; � ,� ;, yr._ '' at:.'it.;:.'v-.=-, ....�....-...�.:�:er;�'x%7}�?�`�'�L',:l�:rSJre'7r ,d�.. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS t 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE fL(tc� z 40 ER PERMIT NO. r; 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 c rrection of work is completed. If you have any question pertaining to this matte , or need additional explanation, please contact this office immediately.. f .=x J-; YY Date Jo l ' i Inspector d f J-; YY Date Jo l ' i Inspector d """�, to"t;.--:.-1"^�FSiv�t; ."Y+ -`r•...-,. j,«.; :� .4 �.,,..� r..,. -.a. � COUNTY OF BUTTE -�x DEPARTMENT OF PUBLIC WORKS s 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 15 55-� OWNE PERMI A routine inspection indicates that the following violations of County Ordinance 7en tat the above address and should be corrected. Please notify this office correction of work is completed. If you have any question pertaining to this i�er, or need additional explanation, please contact this office immediately. II I Date V v Inspector0 . . �.,..v-... •-«+..--.--.�.+.+-Y.-�+.uc'iiiv�sa�.�^^ry.+:a+-wawia-.n�..sY.w,=".,r.:-..... �--r.-r..:._�..•s_.e•r.w-. r,. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE . ISSSw� OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please •notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date I - Inspector �� ✓ "�� .j; ..... -.. .. _._-.. �_. --o - -,.-w.-,--.-�.*..r- , s.�p�-.�.s--,.rawvx�-s+.-k;T+"-•.�,..�s-. �.r+r. :. r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS s ,A 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Ca���1,�leti l srse- jt OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when corr tion of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. c_ 4 L %�erro2 c, C 0VeA,.r 9 P/I 'o ev o , a� Inspector m4 ob ZroSs -90 } R IDENTIAL 1 63-03-12 1555-90B,P,E GARDNER, Mary 4718 Hartley'Dr, Forest Ranch (gar conv to living, & deck/sf) JOB FINALE Signature J=OK O = Not OK = Not o Reaadyable 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: / /"L"ft. / P'Nat. or/ /" L"ft./ /"LPG In 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-Beams-Rftrs.-Coonectors Shthg: Rfg :Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Siis-Anchors-Studs-Rftrs-Trusses 1 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 (Pians) OK except #s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except tra 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 In 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-Beams-Rftrs.-Coonectors Shthg: Rfg :Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Siis-Anchors-Studs-Rftrs-Trusses 1 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 (Pians) OK except #s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness 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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test t V � L Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t V � L 'J jOK. .A - Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date ` UNDERFLOOR (Plans) OK except #'s 1 y2i5n ing-Setbacks- Ease ments-Flood-Slope VFtg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth (>,./ S� 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth .-s-Stemwalls, Main; Steel-Blockouts-Wrapped -"temwalls, Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchors Pt-,90re gprCN104-3 7. SI ; Steel -Wrapped Piers -Fireplace Ftg.-Steel -3-D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test -14.-Gas Pipe; Size -Anchors ?T Water Pipe; Test -Anchor -Regulator -Service Test 44. -Electric; Underground ev 13 nums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date j- S b Card B-1 Date U CaV B-1 Date -J--3140 Card B-1 0 i_. Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent-Access;C ustion Air -Baffle 17. Water Pipe; Test & hor-Nail Protection 18. D.W.V.; Test-5146gs & Anchor -Nail Protection 19. Shower P ; Test, First Floor -Tub Access 20. Test & Shower, Second Floor -Tub Access 21. s Pipe; Size & Anchors Date / Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. FjxWre & Transformer Clearance -Ins. Protectio Elec Seceptacles Spacing -Lights Swi sat Doors ize xes & No. of Con ors -St om installed �to Edge of Stud .J. quip. Gro made up w/Meth. Fastners-Bond Ga&.JL is in FI 28. u eedWi ga. Cu or AI- ze / / ga. u or Al 29.ga. Cu or Al.. a e eu ra 0 No isco 31-fquip. Clearances Panels -Motors -Mach. Equip. s ose gg - t Smoke Detector Date -V Card B-1 UDate Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK gseept #'s 34. A.C. Ducts Insula ' & Support 35. Vent Fan; ust above insulation 36. Cond ate Drain & Overflow; Size & Grade 37. F' nance-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card -1 Date Card B-1 Date FRA G (Plans) OK except #'s Proper Material & VOKs> 40. Wa tuds-Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Flo ailing 42. Dr top in Walls (rat proo ire ops; Furred Ceil' rs-Chases-Tub 94 eaders & Beam -Size earin6 Date _FRAMING (Continued) 4 an P st Caps -Anchors -C ectors 4 nr61st-Rftr. ties -Pu roof c-Truss-Shthng.-Rfng. e e Ties or TypeA.RdrFireplace Throat clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. ws or xi mg oors- i nsions 50. 51. a irewa p 52. - - rd ory, 2 Exits 3.. Stairs; Width -Head roo a -Ru - anding ire Protection 54. ply�Roof Overhang -Attic Vents -Rafter Outriggers 46 -Ti -ding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts , Insulation -Walls -Ceilings J"SRAlf Date - Card Date Card B-1 Date 1K 12�qb Capd BT- Date Card B-1 Date FIN P ns OK except #'s 6:. Steps -Door & Sidelight Protection -Landings Smoke Detector 63. F(e; Ve - mb.Air-eortnector- I o ecl Protection 64. mg 65. ub-Aeeess-Spa, 66. Elec. i ubpanel; Breaker Sizes & Labels 67. t ' & Rails it ace or Stove; Cleara -He 6 lec. Outlets at Wood Panel; Int. & Ext. 70 Kit Fixt &.Appliance; Grn ap-E k nTr a ra ante 71. 6� r3„��� ^ ° Qom'• tarie�at Kit (`minter 72. - 73. m arage- amper 74. - earance- om ir- o tor-P.R.V. In ve oor-Meth. Protection 75. P ion 76. EI e; .I.)-Romex Protection 77. 7 and Rails Deck Construction -Post Caps 7 n. Vents & Crawl Hole Door -Drainage & od-Earth Clearance Looked under Floor Yes 80. Following instld.; Drive es No; Walks Yes O No; Pla Yes o V"liucco; Brown -Finish 82. 8 ,ns Above Roof; Plbg.-Appliance-Fire e. -Clearance to Openings 84. W iscon rical, Plumbing 85.E eptgcle l7TfV nd 8 . entila hroughout House rotection as'Corrections from Previous Inspections 89. a ers Tagged; Gas- lectti 90. er nnected-C/O to Grade -HD Approyal nergy Compliance Certificate -Other Certificates Date --1�/ Card B-1 Date Card B-1 Date 1-1-91 Card B-1 V e2 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) .; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive-,Orovi(le, California 95965 - Telephone: 916/538-7541 S AP, PLICATIA'AND PERMIT ASSESSOR PARCEL NUMBER 63-030-012 ZONING R-1 - BUILDING PERMIT OWNER //G /,J(f Maw Gardner 891-4255 or TELEPHONE .343-9398 SO. FT. DCC. BUILDING VALUATION p 470 A1 ___ -R 4,780.00 OWNER'S MAILING ADDRESS - 4718 Hartley Dr., Forest Ranch 95942 22 R880.00 CONTRACTOR'S NAME Owner TELEPHONE 172 beck 0. 860.00 CONTRACTOR'S MAILING ADDRESS Fireplace I A 1,000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 7,520.-00 , Filing Fee $ ;• 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 68,50 ARCHITECT OR ENGINEER w LICENSE NO: Plan Checking Fee $ 34.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $127.75 PLUMBING PERMIT Filing Fee 10.00 4718 Hartle Dr. Forest Ranch Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 6 5 SUBDIVISION NAME Northwoods Subdivision PARCEL MAP ^, Water piping 5.00 Each qas water heater or vent 11 5.00 5.00 USE OF STRUCTURE SF E3 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 9,00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ® Remodel EN Uti lities ❑ Installation ❑ Other ❑ Describe work: Garage Conversion _ Permit Fee $20.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service tOO AMP ORS SLESS 10.00V R LES 00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 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 contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr I h2sgft A NEW CONSTR.( MULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea BRANCH) POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20P50t eAL®ao FIXED APPLNS. R Ex. Occup. OUT LETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 22.50 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. Contractor MECHANICAL PERMIT Filing,Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i con equence of the granting of this permit. C�" 1 X Date Signature of Ap icant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiiie,/s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 OCC CONST TYPE TOTAL F $ 200.25 1.�H1_�UA � PARK SCHL FLD PAR PD 4HDISSU .-"' This permit is nereby issued under the applici provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DIRE OR O PUBLIC WORKS By Date P PERMIT EXPIRES Date `1Z�'� Receipt No. 5 ��/ y_V- WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance v+C E'." Owner LocatiorY AP# Plan Approved for: Sewage Disposal Water Supply f Fold final for: Water Supply Final clearance O.K. for: Clearance for bedroom mobile home. NOTE � Other Water Supply S (?i"4t'a r , an Date .q..-.. Art"rvn�Xcs-�!'�+rr,�a�7,aswv�'ft�d�i'rq . , �. k��� 'i`�'. r.'�`+•.';4.fr� ,.,. COUNTY OF BUTTE - DEPARTMENT OFYPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO�XLE, iA�INPFINJIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNERli�tcC. ,4A IntCk_ ____0,A. P. No. 3 '' Proposed Building Use 10.0 '"ode, t Building Inspector Date 5p— oiZ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicatef/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 Materiah 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. Mobilehome installation data including manufacturer's installation instructions.. 1. ........................... .............. .... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 11 O 1 ? Park fees paid • ..................................... ............. x 3. tea/ !rte School District fees paid . 14. Sanitation approval from 1.,0 Health Department 15. City of Chico' plumbing permit ..................................... s 16. P.lot'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 toBuilding Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... �! *pRecorded Certificate of,Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner 11, Mail to owner ❑) ..... coy of Agricultural Acknowledgment Statement ......... .Letter of signature authorization ................................... 26. 27. When yo Issue the permit, process as follows: Mail to owner. Mail to contractor. t 1l Telephone ��,/•�� hand hold for pickup at �b�/ �6ffice. Deliver w/inspector. Other- Y!, S1 1 S Applicant��AM �(%l�t,Q Date S�� v Copy of plans sent Health Dept., The following data must be submitted 1. Index permit for above ite s_ I o.: 2. Additional items required: 6L14 Fire Dept., Other Date ssuance: (Circle new item not checked above). IIM /5-,,. " 4 .. 2 4 iki/l fhal A rr,a e, /z ry er _/ / .. ci c - Contractor, designer, ovoe , was advised of above required data by-k!�'phone_A;!nail_counter by Contractor, designer, owner, was advised of above required data by—phone _mall—counter by Plans checked by Date Plans approved by , Sets of plans on hold in . File cabinet AP folder Copy—DP�� T1Cu-etc( Ifr, IV �£ ..date -y � L 6 4> — date Date Z - 9 0 COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill?, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL yMJ3 — D -7O — O/ � ZON / BUILDING PERMIT OWNERiliI& A'% 48x7.1.. /iC.I/�/L/�. T L Ho – /q S0. FT. OCC. BUILDING VALUATION r MLING AODR /V 1 65 .� OWNER'S '2AA AW s� den CONTRAC 'S NAI+j E TELEPHONE °•% 0 CONTRACTOR'S MAILING ADDRESS Fireplace " CONSTRUCTION LENDER UNKNOWN Total Valuation $ " 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 $ S BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 V -<'A Joe Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. S� SUB VISION NAME J iAil �O� ,S : J b Cha it PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFt�J'Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TY�F WORK New Addition,E Remodel Utilities ❑ Installation❑ Other ❑ ❑ Describe work: _J s/�.J Permit Fee $ D �' Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): , F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business.and Professions Code for this reason NEW CONST. DWELLING OCCUP.p OR AODNS. ( ACC. BLOGS. , /20sgft i NEW CONSTR. ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 120 950t BALM 30C FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 2 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. R 5 1 shall not employ any person in any manner so as to become subject ' to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT >,:;- FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fe $ Contract6r I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. IM j7 X Date Signature of Applic�nt – 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 , CONST TYPE rL , TOTAL FEE $ HAz I CUA PARK I SCHL 1 FLD PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date Receipt No.!22% �� .... - - ... _ , , ........ _ ...,..,.,.,e... _ .., -, ..,.,. _ COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this 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. �. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) J2-"" I (have/have not) Lwe signed an application for a building permit for the proposed work. 3. I"have contracted with the following person (firm) to provide the proposed construction:. Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number DatetC1p NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. FOR M 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) OwnerG �Climate Zone Permit # /S Y5 Floor Area 5_0D The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic.conversions, and any space that is existing non -conditioned space that is converted -to conditioned space.. Remodeling of existing conditioned space is not included. APPLIES TO NEW AREA CEILING O WALL FLOOR SLAB tv GLAZING 40 SHADING ZONE 11 ZONE 16 R-30 R-38 R-11 R-19 R-11 R-19 R-7 R-7 ,Q 'SOUTH - OPTIMUM.OVERHANG U-.65 (Dual) U-.65 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient ® LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) - 0 DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT 0 MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER Bb BUILDING DEPARTMENT A P P RO V2S 0 *1 HEATING VENTILATING AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) 1 Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) 13 Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector. orientation collector tilt rated y -intercept rated slope 13 Other (describe) *1 (B) Cooling 0 Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) 13 Electric Heat Pump • EER Btu/hr (cooling capacity at 95°F) ❑ Other . (describe) DOMESTIC WATER SYSTEM Q .(A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) 13 *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 2 ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) E3 Location of Solar Panels 0 Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing O charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P,S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGN URE O�BUI�ESIGNER OR APPLICANT VIArj�i"�',��1��'�C� ►�U1�.���l�� DV()A9 4 A 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER GENERAL 1. Zoning requirements: (sideyards Valuation. Eans signed by designer. gy Design and Compliance. �g -4 el ation o_perty. . Items*on data sheet. PLOT P Bldg. Permit # s3— 9 c ) A. P. # 4� 3_ ll76 -/L and number of permitted living units). 1. Complete parcel size and dimensions. - 2. Setbacks, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. 5. Flood hazard. 6. Special conditions on creation map or compliance document. 7. FAU & FAS road setback. FLOOR PLAN mplete to scale -plan with dimensions. S�U6 4;15� Required windows for light and ventilation (Sec_. 1205). ows-f-or- second exit (Sec. 1204). 34 & Sec. 5207) .m=Mpafttgl�ass (Sec. 5406). 5-d . Required room sizes, ceiling heights (Sec. 1207). , arage, and exterior 'outlets (Article 210-8). 8 sLight fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1 ge- irewa See-. leX3'.0" exterior exit door (Sec. 3304(e)). ' eplace and wood stove location, alcoves, and clearance. 1. . Smoke detectors (Sec. 1210). STRUCT,UJRAL DETAILS Foundation plan complete enough to construct building. �or construction details complete enough to construct building. -evdfions and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. e e ai s an ca necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1-,--&ta!Tway-d-eT-a-M, landings, rise and run, head clearance, handrails (Sec. 3306). ai s (Sec. 1711 & 3306(j)). eer ap er ). �l/i �lri%GL 5/89 RESIDENTIAL PLAN CHECKING GUIDE r MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONVD) c. 4706). Rer roof pitch 'for covering (Chapter 32). C ccovering type - (fire hazard). Rafter ties or bearing ridge beam. c ea er sizes. Adequate bracing. - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ee-story dwellings (Sec. 3303 & see Mezannines - 1716). I,�ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). om u aces. 1 - pecia oun ation design. ng walls requiring design. ua shape size, or split level house requiring lateral design. 1 5.Flashin all exterior openings. j Kao /It �� 6�— �,r /917 / - W o(a dot, S, Ctl, �/� c) ,✓ S /� �4 r fCd 00/? Za 0-17- ., f y � L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE:. 916-538-7541' Mandy Gardner _ DATE t?aT I_ggp 4718 Hartley Drive`' RE: Permit appin #1555-90 for garage Forest Ranch, CA 95942 conversion u. A. P. # 63-03-12 With reference to the above subject: �L Attached is Application for permit Mobilehome Utilities Installation Sheet. Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verif ication Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law informatio'h or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section'(DPW). sets of plans -in accordance with the changes marked in red. X Sanitation approval from Butte County Health Department at: XXXX 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, .Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing w Recorded copy of agricultural acknowledgement statement. OTHERQ•�S keoi Fees raid Should you have any questions concerning the above, please contact Tom May of this office. (916-538-7541 between 3 -Spm) Yours very truly, William Cheff Director of Public Works JFG/aj F. Gla Chief Building Inspector OWNERS. NAME: - �O ��%/�/�� RECEIVED BY: L DATE: P7RESIDENTIAL NUMBER: A. P. # !0 3 -D 3 -'/ Z TIME: NON RESIDENTIAL. RECEIPT # ----------------------------------------------------------- REQUIRED PRIOR.TO PERMIT JSSUANCE ------------------------ FROM.DATA SHEET „k REQUESTED BY PLAN CHECKER, ENGINEERING OTHER ---------------------------------------------------------------------------------- REQUESTED BY CORRECTION YES NO ITEM:. LOCATION IN BUILDING WHERE CHANGE OCCURS: ---------------------------------------------------------------------------------- WHEN APPROVED, PROCESS AS FOLLOWS: Mail to owner Mail.to contractor Call and hold for pickup at the office. Deliver.with next inspection. REVISED PLAN CHECK FE ID: $15.00 $30.00 Additio 1 Fees Not Required BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (Ond Form per Building) A.P. Number Building Department No. School District G�%,s %> City [--I County Property Owner Project Location/Address HA.,? -7"1.r_, V DI-2- Subdivision !2 Jurisdiction Subdivision Lot Number Residential Development: Sq. Footage417,q # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Da e (Floor Plans reviewed by School District Personnel) District Id No. ICo Or, I_1 JC Appli¢aVt Name School District certifies that Jrf3 — 9 35?eK (Phone Number) ('.U. 15 6T oflb (Street Address) Fare -9f ga,hc/ (City) (State) ( Zii+p Code) has complied with the requirements of Resolution No. .3 90 ` Q % by thepa ment of $ representing /l/ square feet. V. Da e School Distr' epresentative PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) \ nw...v. ,,.+ .r. .r,N.. Y.,�,.... ..r.o_ ••_ ,-•'•wf�n� ' r^'7, I+` r y'�`Y^c S.s1°!k"v'►�+ees.yicj`9"yr•- ....._,�-+.r....,,,,. ,•r- 6., , BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (On6 Form,per.Building) A.P. Number �� �-034-(%,/Z,. Building Department No. School District City:= County r.>q Jurisdiction Property Owner JA.{/2 J A V n, "c_&q 126 14 4 Project Location/Address Subdivision •Residential Development: � a # of.Living MHI Units Fv Lot Number Sq. Footage 417iq Addition (Group R) Commercial/I'ndustrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) /Z !O s 7 v Buildifng Department. Representative Da e (Floor Plans reviewed by School District Personnel) District Id No. YOO ICo School District,certifies that Appligrar/t Name Street Address 7T7 - 7 Phone Number Foresl— Eanch C4Y.; .. -f ,2 (City) (State) (Zcip �C+ogde ) has complied with the requirements of Resolution No. 394 by the ri merit of $ representing % square feet. 'School Distri epresentative �tDa e PAID BY�CHECK NO. REMARKS: 00 BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) t .y w Suite y LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 May 16, 1991 RONALD D. McELROY Deputy Director Mandy Gardner. RE: Building Permit No. 1555-90 4718 Hartley Dr. - Expiration Date 6/22"/91 Forest Ranch, CA 95942 (A.P. No.6330 � x012 ) Dear Ms. Gardner: With•reference to the above subject, our records indicate that your Building Permit expires on the,above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall_be .renewed for Z the original Building Permit Fee (plus a $10.00 "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 thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the ('.hien office. 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 copies of the application form. - Thank you for your prompt attention concerning this matter. JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Yours very truly, William Cheff Director of Public Works ( JZ�1 v r� Glander k"hief Building Inspector r1,:. - Ing M--4 I Lr.•.. 1001 _')701 D,-4-; .-., - 7/, C rl 1 4 ..f- Rrl /5277_x. )07