HomeMy WebLinkAbout063-310-004OUT.
MR- Si
Bidwell Hers Land Co.
NIS Wilder Dr.,app.750'W.of,q �� r
Zinfandel Dr., Chico
contr: H"& R Const., Paradis ' t
Permit #4436-81B,P,E,M(new single r"
famil, Y)
Permit #567-82B(add carpor ov. urche
& open deck SFS
Permit#19\ (1st renewal/4436-81)SF
�• �, `��-�� ��� �,, µ.�� -: }�e `92=23118 �' •
063=310-004►' x ' k �,
:CARLSON 'Stephen.
4530„Wilde"r��br.' y.F6i`es �RaitcI s•;,
=4436 �?6'7 W
f 'complete/81 & 8
s,' .� > �* s�'Ss,Y. i;�o '1 Y n•a.. .r �i-r � '3`< '��.� �..tl A'!y; , t.�I,i,� Ct.
'063,310,004 ,
BENZ', `WILLIAM'''
-4536 WILDERDR ` ` '1 CHICO
INSTALLWOODSTOVE/ SF
r� ERMIT N0.
P,
PERMIT EXPIRES
1
q' OWNER Bidwell Heights Land Co.
CONTR. H & R Const., Paradise
ASSESSOR PARCEL `"nom rev
7`%-9Z t ��• .� - OX-A-- rR ;; : LOCATION N/S Wilder Dr. ;app.750'W.of —
s t? =3.3 Zinfandel Dr . , Chico
,'A
g,
}.
Temp. Power Pole
Called PG&E
Temp. Elec. Service
�1
t ! Called PG&E
Temp. Gas Service
y IY _
Cal led PG&E
�ly�P r r JOB FINALED (Date)
S
Signature ��
O = Not OK -,
- e Not Applicable4
= iNot Ready
RESIDENTIAL ,Single and Duplex)
Date
UNDE OOR Plans OK exce t#'s
Cute FRAMING (Continued)
14-loning requirements -Se ks-E Ole
40.
Properlytine Firewall & Openings
tg., Main; S i S -EI rnd.- / /" Ftg. Depth
xt.D ors -One 3' -Check Garage -3rd story, 2 exits
3r f0t ils-Steel- / /" Ftg. Depth
5
airs; Width-Headroom-Rise-Run-Landing-F44a-2ralection
& Decks; Soils -Steel- / /" Ftg. ggpth
ywood on R?g Overhang -Attic Vents -Rafter Outriggers
1,1`f
Stemwalls, Main; Steel-Blockouts-W
Sid ing-N ng -V e r J A&5&" -
`-B�STPTRCPaIIs, Garage; Steel-Blockouts-Wrapped-Slab
Screed-Fdn Vents -Under r. Access
��j�+j-"
Yrf'' rs-FirepJar� kgs-9ieel
zing Area -Glass Protection -Skylights -Plastic
D.W.V.: fiaN!Fi gs-T(ea( w /O eve
j
iz h 9 r
Water Pipe; s-Regdieto Servi
Ducts; Clearance -Material -Support -Ins.
13- Qjrders-Sills-Anchor Bolls -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date .Z:! Z--� Card -BI Date
Card -BI
Date . / �i Card -BI Date
Card -BI
,` /J_ Card -BI Date /j Q� •-
Date
Date FINA ns) OK except #'s
Card -BI Gan Date _ef_� Card -BI Date
Date
PLUMBING (Permit) OK except #'s
Ext: SMpe-15bqL$.Side'light Protection -L7&d' gs
moke Detector
1 Access -Combustion Airrn
- learance-Comb. Air -Connector -
I loor-Ducts-Meth. Protection
Water Pipe; & Anchors -Nail Protection
Ti
.W.V.; Test-Fttngs & Anchors -Nail Protection
5 .om
Exiting
1First Flo -Tub Access
6
G .I. & Bath Fixtures & Tub Access
es & Shower, d o -Tub Access
C
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
- & Anchors
6ZISrtairs
&Rails
_
Clearances -Hearth
t Wood Panel; Int. & Ext..
Card -BI
Date - Zi Card -BI Date /
62mixt.
&Appliance;b ! P iQGatYC'ookinAarance
Card -BI
jog Date Card -BI Date
let. Outlets &Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
oor; Swing -Landing -Closer
- amper
re ransformer Clearance -Ins. Protection
Wtr. Htr.;s-C nce-Comb.-Jrir-Conrbetor-P .-
Inoor Mecb.�rotection
I c. Receptacles Spacing -Lights &Switches at Doors
i Boxes & No. of Conductors -Stapled
omex Installed Close to Edge of Studs & C.J.
Ve"Plb.,
Elec. & Mech. Equip. Listed for Location
arage; (G. F.I.)-Romex Protec.
ip. Ground made up w/Mech. Fasteners -Bond Gas & vswel
7
n-F-eara_hooked-Fn Attic E3 Yes
2 Appliance Circuits in Kitchen & Conductor Size
(78 -Guard
Rails & Deck Construction -Post Caps
_
26. Subfeod WiraS'_,,-5--e�^I-A.C. Wire Size / / ga. Cu or AI
70
5dw "sAIR R, ole Door -Drainage &Wood -Earth Clearance
Looteed-nnderf Uor ❑ Yes
ange Circ. / / ga. F AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes (�Dle�
7
ollowing instld.: Drive Yes &44<f as es
W
Walks p No;
Planters 1-1 Yes
_
28. Service -Riser Conductors & -Main onnect
7
o=F�iadsh
quip. Clearances; Panels-Motors-Mech. Equip.
7
Unit; Disppnn€ct- es & ond. iz 115
othes Closet Light -Shower Light
Vents Above Roof; App4apee=F' ea o 0 n
—
ct, Electrical, Plumbing
Card B -I
Date % ?i Card -BI Date
xler' 1W9
Elec. Trim; G.F.I. Receptacle-(eflmnd
enlil tion throughout House
Card B -I
Dat!,"_ _ �^ Card -BI Date
8
Protection
Date
MECH CAL (Permit) OK except q's
8
orrections from Previous In ions -
t -Meters a
A. C. Ducts; Insulation & Support
W Sewez-�nnectedA ro
Compliance Certificate -Other Certificates
-ent Fan; Exhaust above Insulationnergy
_43...Goodsasate Drain & Overflow; Size & Grade
�(1
34 a rft1 cess -Comb. Air -Return Air V outlet
U ^ _& Platform if Furnace in Atti���
Card -BI
Card -BI
+ Date�'..�p� Card -BI Date
--- -
Date Card -BI Date
Card -BI
Date yard -BI Date
Card -B
Dat2f7jj Card -BI Date
Card-B
Date Q Card -BI Date
Date
FRAMI Plans) OK except #'s
Comments at Final:
Proper Material r
_-___34-55aft
__ills; _ _
alls; Studs -Nailing, Spacing & Bracing -Plates-
31�ring Walls over Girders & Floor Nailing__ _
Stop in walls (rat proof)
__4i7 ; ire Stops; Furred Ceilings -Stairs -Chases -Tub
-
4 Bader & Beam -Size & Bearing
angers -Post Caps -Anchors -Connectors ��
Cing. Joi.flyt F�1.f"n�ot Brac.-Truss-Shl�g.-Rfng.
taLre-Mror Type A Flue -Fireplace Throat
-51ze & Rom_ex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
-- -
—---rotection
Framing---
(NOTE: Anentrymust be made each time youvisit jobsite)
OK
O = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
- tq
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) L. .:xcept k
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; -Girders and/or Joists -Decking -Bracing -Stairs -'sails
4. Water; Location -Test -Easement Needed (Sketch)
J
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. -Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enc
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI ° Date ,
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
_
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test-Demand-Valve-Con"hector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI _
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.vo/5'-Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main.in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
i
�r �
COUNTY OF BUTTE
` DEPARTMENT OF PUBLIC WORKS
i'--196 Memorial Way, Chico — Phone: 891-2751
Or 7 County Center Drive, OroviIle— Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
r BUILDING OR PROPERTY ADDRESS
P
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
matt , or need additional explanation, please contact this office immediately.
��U/�E LSA �,�ii //u�✓ �`
12,�ZlN 5/.4' ;e G.0
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Inspector Date
COUNTY OF BUTTE
A DEPARTMENT OF PUBLIC WORKS Z
196 Memorial Way, Chico - Phone: 891-2751 (,
0 7 County Center Drive, Orovi Ile -Phone: 534-4541 /-
Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57
CORRECTION NOTICE
�f / /,/ -dl
BUING OR PROPERTY ADDRESS
Y*'�
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,'Wneed additional explanation, please contact this office immediately.
Inspector
Date e' - /'V- '�' z
COUNTY OF BUTTE
r DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57
CORRECTION NOTICE
-/J'�
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
(S' U G in V -6a<
c
d/2Ti�//UdJ<
Inspector. Date J J—�
COUNTY OF BUTTE
s DEPARTMENT OF PUBLIC WORKS
r ,r 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville— Phone: -534-4541
i' Skyway and Elliott Road, Paradise—.Phone: 872-2961, Ext. 57
CORRECTION NOTICE
44if /Y l £i yrsjs — W ldf, -- Z10*
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office .
when correction of work is completed. If you have any question pertaining to this
ee�matter, or need additional explanation, please contact this office immediately.
75 /i/rcC/ 5"A/i �� rad /c�� , i;a al -Al %I
� �✓?LC/ 7of?C3 /.e, ss -�/,�/£c7k
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C -,V V //�v, (,(<- %sem'
D/L 15 %�,rUI/4 r
-Z w
-2� Inspector Gzy Date
s
COUNTY OF BUTTE
r DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
i Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
r BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
0l"%Z", /£ / S /;,- G, Li, �// ✓1 // S
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County of Butte
/DEPARTMENT OF PUBLIC WORKS
495 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE'
.......................................................................................................................
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
;mmediately.
....... L� ..'........................./ X ............................. A
...........
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........................................................................................................................
............-.............`............................
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Date.............................. Inspector..........................................................
Do Not Remove This Tog
(400-4)
F:2F!'tYffi2±A *.+r„'.•y': t`. f.'..�:%rw��✓/.�oir..__..._._'-'ii,. - dtM�_N ..._�.. ' ,. y s6:;t�t':
JO: Building Department
FROM: Environmental Health, Chico
SUBJECT Sanitation Clearance
T
1�f
Owner Location AP#
Plann approved for: sewage disposal water.supply
Hold final for: `� water supplyy
Final;,clearance.' 01 . ,: for: j water supply
Clearance. or bedroom mobile home.S: Other
Note***
Sanitarian
Date
Address X1196 ?4emorial Way
Reply to Chico, California 95927
Telephone: 916/691-2727
Mr. Dan I -lays
P. 0. Box 3040
Chico, California 95926
Dear Mr. Hays:
B E A U '
DIVISION OF ENVIRONMENTAL HEALTH
❑ 7 County Center Drive ❑ 747 Elliott Road
Oroville, California 95965 Paradise, California 95969
Telephone: 916/534-4281 Telephone: 916/ 872-2961, Ext.
December 8, 1981
Sewage Disposal Permit
Lot #4 Wilder Drive
AP# 46-81-04
This department received your sewage disposal permit application for the above
property and will review the proposed sewage disposal site. 4
The community domestic water supply system for the subdivision is under construction
and this department will be unable to allow occupancy of a dwelling constructed
within the subdivision until the water system is complete and a permit to operate
a community water supply system is issued.
If you desire issuance of a sewage disposal permit at this time, please sign
below and return this letter to the above address as an acknowledgement that
you have been advised and accept the requirement that the community water
supply system must be completed and approved prior to occupancy of your dwelling.
Date , �, • L _ �.
Very truly yours,
1 / -
Tom Reid, R. S.
Division of Environmental Health
TR/les
cc: Public Works, Building Department
• `I 'fir Q`V , ' Ii`' �� 1• ! � - 1 ?r�J �_
TURN—OFF 71 MILES
FROM CHICO n'
�/ 9 i}a 11
7 ,
PRIVATEti
Wip
ROAD
�� • �� r k , +: � 1. �' >< r
40
40
o • �i t. •: E., S F . I r I .I. � , � ,
BIDWEL�. ,;
, •
40 H E * I, G Hr;T S�� i'Jej t },. � '
oo
Hwy 32 ti
1
DRAKE & I SOFT PRO ECT f
QUAIL CAWYON STATES
`
1
t'
i
i y. Y S ' �'• •tail
SIERRA FOOTHILLS .SUBDIVISION
I I a2O At.
30.7718 -
_ 324.34 337.3/ - L91 - 366.65 372.66\ l9
• 269.26 295.3! - 30.7.% _13.72 _ :3.27
ti
9
3 a 7 a 1-
O? 3 320 -AC329 Aa 3.34 AC. O 6.07 AC. I mi
3. P7 AC. 3.26 AC. .. .� .G 3. 3.31 Ac. m 532 AC..
S. AC.
� Zv
1`� ���, .S0. m
• .60.56 I(
DRIVE370.26 464 97 `.
WILDER 330.33
_ -- 325.44 ��'N_ �-
' 3i4.33 34737 ' 01
30,1.73 429.63 , o
..._-"J� • 295.63 410�7Y �• - 13 ` -
. 279.37. 30713 N_w� on+% 5.79 AC' N 17
214D
N0 ,T !3 O w IZ 6.04 4c ^I
656.62
5.78 4C. .p 6.10 AC. w 149 Ac. , T
8.49
0..49 AC. „ 3.37 Ac. „
16
3.63 AC. /
• vJ
173.36 250.46
147.87 263.07 Is
' 205-3!
f.1B
In
MUTUAL WATER Co.. O AC. 746. T4 304.69 77.62 �-
-
140.0 1836.42
WELL SITE
SIERRA 'FOOTHILLS SUBDIVISION ,%%� - •----- �' AREA OF .'
FUTURE EXPANSION
POND
ZINFANDEL VINEYARD .
-`: . i
ENERGY INSTALLATION CERTIFICATE �j Q
Building Owner c�� `�is�/V Building Permit T
Building Locacio
T2
DESCRIPTION OF I11SiJLATION
RCOF
Matarf alf �>-Brand Name
ZA CT
Thiccess(inczes) Zlltl6ld The= -al Resistance (R Value)
r:. —RIOR WALT,
M.ateri.al i�6pgu\
� ri
Thic?tress (inches)
Brand Naae /Q//V G—
Thermal Resistance(R Value)
CZTL=.TG �--' l
Batt or Blanket Type � /_Z) S_ R'Brand Name
Thic?_-ess( inches 5' z Thermal e i
Thermal Resiscanc_(R Value)
Loose Fill Type Brand Name .
M_!=4^1m Thic?cness(Inches) NLcer of Bags Git. per bag Ib.
Area covered(.6 Thermal Resistance(R Value)_
FLOOR, ELZZ7
Material
Thickness (inc:.es)
FLOOR, SLAB
Material (.L7Z016_
Thic'.,_-ess(inches)
Width (:aches)
Brand Name
Ther --al Resistance(R Value)__
Brand Name
Thermal Resistance(R Value)__
FCUiMATION ALL
Mataria I C49XOZPK Brand Name
Thickness(inches) i•Z" Thermal Resistance(R Value)
I hereby certi that the above insula tion was installed in the above bu_lding,
is consistent with approved building department plans -and attachments -and con-
forms with requirements of Chapter 2-53. of State of California Energy Requirement
FLS.'! iiEi1`�/OWE? S CONZRA.CTOR' S LIC:.:iSE NO.
SIGNATURE OF INSTJU1_-TION APPLICATOR
I nerety certify the required features, devices, and equipment, .as shown on the aooroved
Building Department plans and attachments h�r,e been installed and conform to the appli-
ancestandards and Chapter 2-53 of the State of California Energy requirements.
BUILDING CONT.RACTORMYRNE,R (Please Print) STATE CONTRACTOR'S LICENSE NO.
( FIRM NAME)
SIGNATURE OF BUILDING CONTRACTOR/OWNER DATE
HVAC FIM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE. NO.
n
SIG, ATURE OF HVAC CONTRA IOR/Ow-NER DATE
THIS CERTIFTCATL MUST BE ON FTLE WITH THE BUILDING DEPAR7,!E.NT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE PCST�cD WITHIN THE BUILDI2IG.
SEPTEMBER 1988
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville; California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
n
I
ASSESSOR PARCEL NUMBER
063-310-004
ZONING
BUILDING PERMIT
OWNER Stephen R. Carlson
TELEPHONE PHNE
SO. FT. OCC. BUILDING VALUAT ON
.St• 2,000
OWNER'S MAILING ADDRESS
780 S. Shasta Rd., Eagle Point, OR 97524
CONTRACTOR'SNAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
1$2.000.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $ 37.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 52.50
PLUMBING PERMIT Filing Fee 15.00
4530 Wilder Dr., Forest- aneh
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF El Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Permit to Complete Work Started Under _
B.P. Vs 567-82 & 4436-81
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
Main service 200A TO IOOOA) 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is. In full force and effect.
License .Jo. 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
OCCUP.&\ 3.60 sq.ft.
NEW CONST. DWELLING OR ADDNS. ACC. BLOGS. //
NEW CONSTR. ULTI.OUTLET
NON•RESID BRANCH CIRC ITS @ 5.00
f POWER APPARATUS &)
%SINGLE OUTLET CIR.
( OUTLETS OR FIXTURES
Ex. Occup( 20 76d
pl
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.) EA.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. byirin 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 15.00
Heating
Cooling
g
Hood 6.50
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 ove-mentioned property for inspection purposes.
I also r e to Siin emnify and keep harmless the County of Butte against
all Iia I ies, I en s, costs, and expenses which may in any way accrue
agains s id C n in onsequence of the granting of this permiitt.
X Date ���� J '
Signature of Applicant —Owner Contractor 11Agent ❑
An OSHA permit is required for excava Ions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $
HAz
DFEES
IMP
FLODD
cDF
PARCEL
PO
FID
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for ich fees have been paid.
CTPR UBLIC WORKS
BY Date Z
PERMI PI S Date
Receipt No. 117511
WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
THE REAL ESTATE
L 345-5066 J
MARSTON"BUD" MCNAMAR
SREALTOR�, Broker, G.R.I.
Residential
Lots — Acreage
Investments
1129 ORIOLE COURT
P.O. BOX 5183
CHICO, CA -95927
COUNTY OF BUTTE - DEPARTMENT;QF, .PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-754 -
PERMIT APPLICATION DATA SHEET
OWNER tl /
Proposed Building Use
No. D(2 3 -3 /O --004
Building Inspector Date 9,
At time f permit application, I was advised the following data :must be submitted prior toWermit processing and/or issuance:
DATE RECEIVED BY
1.
2.
3.
'4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
All items have been submitted . ....................................... .
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans . ......................
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ..................... .
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof $ ..........................................
Impact fees as shown on attached schedule . ..............................
California Department of Forestry plan approval/fees. ........................
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . .............
City of Chico plumbing permit
r
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). .. ..
Pre -Inspection req.u_67-
Pre -inspection for required. . to Building Inspector
Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner ) ............
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . .........................................
Mobilehome utility clearance . ..........................................
Documentation of legal access . ........................................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . .......................................
Plan check list . .....................................................
Whe7ou issue the permit I ocess as follows: Mail tq,,.9Qw,ner. Mail to contractor.
Telephone 544 5-9CO(and hold for pickup at Q n I C9 A Mice. Deliver with inspector.
Other
Parcel Creation bcd 7WWe_�_ _� 2-
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive-'Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
IT NO.
4
ASSEss PaR� =Nu ER
�"
ZO(JING
BUILDING PERMIT
OWNE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWN 'S LIN DDRESS
D '
CON'rRACTOR'S NAME
TELEPHONE
EE
CONTR CTOR'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
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 1
BUI DI SRES$ Jl�/,`!)� ^��
,() I
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT N SUBDIVISIONNAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other '
SPECIFY
Building sewer
5.00
Mobile Home S G W
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation❑ Other
Des ri work:
�p , /
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
/
fo
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, 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 CO ID R BRANCH CIRCTITS 2.50 ea
NEw CONSTR POWER APPARATUS &'
NON.RESID. SINGLE OUTLET CIR.
20e50C
Ex. Occup(O TS OR FIXTURES BAL®30
FIXED
ED APP LNS. OR ``
Ex. Occup. OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
l shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X iAi=_9I DateL 3 g �
Signature of Applicant — caner ❑ 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 $
D
TOTAL PERMIT FEE $ mn
OCCuP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND I
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI EC OF PUBLIC
BY
PERMIT EXPIRES ate 1 `
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date l{
�+^ / / —,
Receipt No. 'd (17.96-..
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS %� /� �/iP�FRMIT NOO..
�• - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4
--APPLICATION AND PERMIT
ASSESSORARC .L44NUMBE -07
ZONING
BUILDING PERMIT
O./W�NER/,/ /
�!/v �l✓ TS L/7•N �% cam:
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
✓
�
"ov
OWNER'S MAILING ADDRESS
CTR CTOR'S N17Wa
,
�76��
10OOqT RLAJGAD /SS
Fireplace
CONSTRUCTION LENDER
UNKN[NOWN
Total Valuation $
-C Z)
Filing Fee $
10,00
LENDER'S MAILING ADDRESS -
Permit Fee $
. 0
ARCHITECT OR ENGIN R
LICENSE NO.
Plan Checking Fee $
,.SO
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $
, 5�
BUIL
BUIL I G ADDRESS /
S Gi%/LI%�ie. 7iP-/VE• p 7Jr"a
PLUMBING PERMIT Filing Fee
10.00
of Z/, / r�j/�/,f/ �--,,_ PEE — � ��
N
Each Trap 2.00
%x.08
Repair drainage or vent piping 5.00
"
C[�
Water piping
LOT NO
SUBDIVISION NAME
S16A�r �'"i- I�F�%H�L�
PARCEL MAP
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Imo' Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
, 00
Lawn sprinkler syste 5.00
(/ om— L
(mom—
Zo.00
TYPE OF WORK
New ❑ Addition ❑ Remode'l ❑ Utilities ❑ Install tion Other
Describe work: WWI'PN'ws Z-0 � 's�
Permit Fee VPIVNe4
_go 1-190
Contractor
.o ZD
ELECTRICAL PERMIT Filing Fee
10.00
Main service 10ov OR LESS
100 AMP OR LESS
/0100
Main service EA. ADD'L 100 AMP 2,50
OR ADDNS. ( ACCNEW CONST. DWELBLDGS./ , 26sgft 51.
CONTRACTORS LICENSE LAW
I declare er 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.
��LILA
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: I.OUTLET 2,50 ea
NON•R ESID BRA CH CIRCUITS)
NEW CONSTR(POWER APPARATUS 8�
NON-RESID, SINGLE OUTLET CIR,
50 0250
Ex. Occup o OR FIXTURES BAL@t
IXED A
Ex. Occup.(ou TLE TS P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT FiIingFee
10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I gj,,Ihhave 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.
Heating QQ
/4-T jP(, AIP
Cooling Z--
rOZI
Hood 3.00
-5,0 0
Ventilation
Permit Fee $
2J�•�d
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabil' ' - judgments, costs, and _expenses which may in any way accrue
agai ' said ounty in nse=e-.-9ranting of this permit.
X Date/2 �/
Signature of Applicant — Owner .,tractor ❑ Agent ❑
An OSHA permit is required fore vati.ns over 5'l)" deep and demol' ion or construct-
ion of structures over 3 stories i h ight.
Mobile Home Installation Fee $
�
TOTAL PERMIT FEE /, 11
OCCUP. 6ROYP
,R13
YPE owf �CONST.
TV-0
V — 0
JFIR�HD
ISSUE
This permit is hereby issued under the applicable
sions of the Butte County Code and/or resolutions
work indicated above for which fees have
DtR TOR OF UBLIC WORKS
By /�" Date
PERMIT EXPIRES Date
provi-
to do
been paid.
4
Receipt No. 58 7 g7. 70 159-5 / 20•
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR GOLDENROD-APPLI ANT
1-1
�--...-....-,v---"n�.�,fd'b;,e� •^�/'"�•'zir-..!"�"':S•'i3,..'r��'i�a-r'A;i'{"i'^_.�..'-�.,-ti^.r.,n.. ,,.s.. --.e «r,.+. -..v -«-.a. _ �, ......_ .�-........,,, __.-.,,. .,�
COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COU.!TY CENTER DRIVE'" OROVILLE+CALI,EORNIA 95965 - TELEPHONE°:'916/534-4541
c
.i
HERMIT APPLJC'ATION DATA SHEET
Permit No.
OWNER�1TJGti�"LL f-�L/�NI S L/�/�D GO. A. P. No. �(o`
Proposed Building Use S
Permit Fee Based Up Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted ..�.� �.
rPlot plans in duplicate./trip ' e. . . . .
Complete plans in uplicat riplicate. . . .
4. Complete engineere plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
1 8. Fees of $ . . . . . . . .
li_�9. Letter of signature authorization.. . . . . . .
,x_10. Sanitation approval from /,� Health Dept. �Z•-��'$�
I)) . PI nning approval for (A) Use: - (B) Parking:
Certificate of Workmen's Compensation Insurance.
v1` "'Contractor's License Information (no., name style, classif.)
� 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . .,. .
Pre-Inspec. request to _ (Date)
��7. Pre -Inspection for Required. Building InspectorI/ F ,
�:a�����b g
(/fin/' %�,�L/!� i70 ""' 3he
When you issue the permit, process as follows: Mail to owner. Mail to contractor.'
Telephone �4/- �7Z7 and of or pickup at l'7 office. Deliver w/inspector.
Other
1
Applicant 4'-�'Date1_/2-�-�/
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above i@i tlm of application, circle item.)
1. Index permit for above Items No. .
2. Additional items required:
c
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By
Date
,
Plans checked by . Date
Plans.,a,pproved'by'A f°'� - �.r° Date
Other:
Copy—DPW
OWNER aINELL TCS
RESIDENTIAL PLAN CHECKING GUIDE.
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Pe it #
Lh11b CO. A.P. #
A. GENERAL
oning requirements (sideyards and parking).t'0t
V�aluation.
Signature'by R.C.E. or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
a. Setbackq, sideyards, easements, etc.
a. Other buildings or structures.
f_ Grading, fills, drainage.
C. , FLOOR PLAN
Ino Complete to scale plan with dimensions.
2-e" Required windows for light and ventilation (Sec. 1405).
.Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
1. ��Required room sizes, ceiling heights (Sec. '1407) .
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
40' -'Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
/' Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
III -,Garage firewall, door size, and -closer (Sec. 503(d)(4)).'
L1` 1 - 3'0" exterior exit door (Sec.'3303d).
1� Fireplace location.
Smoke detectors (Sec. 1413).
D. SXRUCTURAL DETAILS
Foundation plan complete enough to construct building.
`Floor construction details complete enough to construct building.
levations and wall construction details complete enough to construct building.
(Y. Roof construction details complete enough to construct building.
Fireplace construction details and talcs if over one-story in height.
(� Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
.2-1. CCX plywood on exposed locations and overhangs.
Z. Stairway details (Sec. 3305).
.31' Guardrail details (Sec. 1716).
6e'O' Brick or stone veneer (Chapter 30).
> Exterior plaster - weep screeds (Sec. 4706 & 4708).
6-.1' Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
80*'O" Garage door or porch header sizes.,
Y�Adequate bracing.
1(f. Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc. 1.
,e" Two (2) exits on three-story dwellings (Sec. 3302).
COUNTY OF BUTTE - De¢artmeqt of Public Works
7 County Center Drivt, Oroville, CA 95965 Phone: 916-333_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.
1. I personally plan to provide the major labor and a erials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) 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: _LL_ U�
Property Owner
Social Sec Number
Date �� - ity2—.
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovlllt, CalJfcrnla 95965 - Telephone: 916.'538-7541
APPLICATION XND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
— � 0 — O1-
ZONIN
1
BUILDING PERMIT
OWNERPa
e I son
TELEPHONE
SQ, FT, OCC.1 BUILDING VALUATION
•�^ O,,^
G r,
OWNER'S MAILINUG ADD SSq*7 5214
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR AILING ADDRESS
�—
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Q
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
--
Permit Fee
g o
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
i
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
530 .I
Each Trap
1 5.00
Solar or heat pump water heater
1
1 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 15.001
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
odel[!! Utilities ❑/� Installatio'n❑^ Other
New Addition ❑Xj�
Describe work: 011-�- +C) l C�1�Y1T �'P't''
l.&bt�� S�G,(t'I (�Yl Pri �•�• �J���Z
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
', t''� � G j
`T /
Main service 600V OR LESS
200A OR LESS
18.501
Main service 200A To 1000A)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. --(Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. (DWELLING OCCUP, h)
OR ADDNS. ACC, BLDGS.
3.6C sq.ft.
NEw coNsrR ULT' -OUTLET
_NON, ESI D, BRANCH CIRC ITS
to 5.00
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES
20 760
AP 460
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID .)OR EA.)
3.00
Temporary service
15.00
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
Filing Fee 15.00
Heating
Cooling
LHood
6.50
IVentilation
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 in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA
ion of structurestover r39stories a n excavations over 5'0" deep and demolition or construct-
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
I TOTAL FEE $ SZ '5(3
HAz
1 0FEES I
IMP
I FLOOD
I CDF
PARCEL
PD
HD
I ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By _
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
8/ —
This set -of plans .and specifications MUST be
kept on f a!a at al! times and it is. unlawful to
rna'ro► onv 6,�.gyms or cltPraticns'on some without
vwristen porrni.s on from the Department of Public
Works, County of Dutte.
NOT-6—All Materials & Workmanship Shall Be in
Accordance with Recognized' Good Practices and
of a quality prescribed for the'SpeciVed use in the
Uniform Building, Plumbing & Mechanical Codes and
!he' Notronal Electrical Code.
313° 7x A setback of 5 ft. from. the
} h
property lines and a setback
Ifi0 from the road
600centerline shall be clear of
structures or equipment except
3 ,P* for a 2 ft. eave overhang.
-
I
.ee NIzsser Plan on file for budding
plans. _
7`4
'M op"Is
/7--
W
7—W g!
BUTTE COUNTY
BALDING DEPARTWNT
APPROVEu
-we -
T'���`1��. ,����
i. .
( O
(Corprp orr ation) �
STATE OF CALIFORNIA
COUNTY OF Butte SS.
December 8, 1981
On before me, the undersigned, a Notary Public in and for said o
State, personally appeared Dan Hays
known to me to be the XXX President, and
0
known to me to be Secretary of the corporation that executed the within Instrument,
.known to, me.,.to. be..the..persons -.who. executed the within CM
Instrument on behalf of the corporation therein named, and y
acknowledged to me that such corporation executed the within .
instrument pursuant to its by-laws or a resolution of its board yep:`.. °R. �. OFFICIAL SEAL r"
a�
of directors.
:R V
ELMA S. GEDDiS
WITNESS and and official sea NOTARY PUBLIC - CALIFORNIA
BUTTE COUNTY
L'V� �/ r r'c:ow+`a MY COMMISSION EXPIRES JAN. 22.. 1985
Slgnatur
i'
Elm S. Geddis
Name (Typed or Printed) END OF DOCUMENT
(This area for official notarial seal)
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8,i of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
81-38470
The property described herein is adjacent to land or included x F
within an area zoned for agricultural purposes, and residents of CLAR tE
this property may be subject to inconveniences'or discomfort arising CLERK-RECORDERfrom the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, "and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Lots 1, 2, 3, 4, 5, 6, 7, 8, 9,- 12, 13, 14, 15, 16, 17 as shown on_:
that certain map entitled Sierra Foothills Subdivision which map
was filed in the office of the Recorder of the County of Butte,
State of California, on October 30, 1980 in Book 80 of Maps, at
pages 10 and ll.
Date:
State of )
# ) SS.
County of )
(r
PROPERTY OWNERS:
C- -
On this the day of
before me, the undersigned Notary
appeared
19 ,
Public, personally
J
known to me to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged
that executed the'same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
' ,Present A.P. NO.
I -
Notary Public
x.
' ��
7
PERMIT NO.
7�-567=
PERMIT EXPIRES 3 A/ '
OWNER Bidwell Heights'Land Co.
owner,
CONTR.
ASSESSOR PARCEL
Wilder Dr, app.750'W".of
LOCATION
Zinfandel Dr., Chico
u
id
I�
4
is
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature ' C
V = OK
O = Not OK •
- = Not.
App
licable
* _ Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce tq's
Date
FRAMING (Continued)
Sr�o'ning requirements -S s-EeeeRrents
48.
Property Line Firewall & Opehing's
2.
Ftg., Main; Soils-Steel-Elec. Grn .- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- /g. Depth
..
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soil I'- /" Ftg. Depth
51:
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Ste -B oc outs-Wr -Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; S-Blockout ed -Slab
53.
Stucco Mesh -Drip Screed-Fdn.yVents-Underflr. Access
7.
Piers -F' Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V. F - ittings- . s way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pi p0, Tize n hor
10.
Water Pipe; T nchors-Regulator-Service Test
11.
Electric; Und ground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date �-
Card-BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
58. Furnace; Vents-Clearance-Comb.F�(r=Connector-
In Garage; Above Floor-Ducts-Mec Protection
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except p's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.)
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap- DDkiriq Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑Yes•
-
25.
26.
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
73.
Guard Rails &Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑Yes
27.
Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75.
Following instid.: Drive E] Yes ❑ No; Walks El Yes El No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except H's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain &Overflow; Size &Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access -& Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
' 1iT/p li
U o�r JT/e
37.
38.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
___46.
_Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit job site)
V = OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
4
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Flans) OK except H's 1
Date
DECKS -,VERS; CARPORTSET' !Plans except q's
1. Zoning Requirements -Setbacks -Easements
oning Requirements -S ks- is
2. Soils; Special MH Support -Sketch
l`9 Footings; Sia - th-S ng onnecto
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. EIe .
Card -BI
Date Card -BI Date
Card -BI
DateCard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Date;iZ&-_f"Zr Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except it's
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE
DEPARIMENT OF PUBLIC WORKS
.,"4x e , 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: -534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION'' NOTICE 1
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question_ pertaining to this
matter, or. d,0i naVxplanation pi ase contact this office immediately.
AJC e) i
r
iyi/5 of �r% /iia�/.ifS
f
Inspector. Datez'--
COUNTY OF BUTTE - DEPiRTIs,�ENT OF PUBLIC WORKS �PEIT NO.
7.Cou7nty Center Drive 7. Orovi!le; California 95965 - Telephone 916/534-4541 /„ / — CJ)
APLICATION AND PERMIT vJ
n
ASS ESSO PARCEL NUMBER
ZONING
B DING PERMIT
ow R
TELEPHONE
SQ. FT. CC. BUILDING VALUATION
r
o 0
O"Wa
N �'S Zx- ADDR Ss o
-i/
ONTRACTO 'S NA EV
CJ`
W £
TELEPHONE
/
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ VZ/"00
Filing Fee
$ - 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ -'
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING RE S
s. ' o ^
PLUMBING PERMIT
Filing Fee 10.00
`.
E
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
�A l
P CEL MAP
d
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New F] Addition �RemodelLttilitiesE Installation❑ Other❑
Describe work: O
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 16:00
Main service DOOV OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP -
2.50
NEW CONST. / DWELLING OCCUP.EI)
OR ADDNS. \ ACC. SLOGS.
20 sq ft
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
NEW CoNSTR MULTC.
NON-RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR POWER APPARATUS D
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES BAL�1
00
(FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
1 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.
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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a ai st sai ounty in consequence of the granting of this permit.
-� ` �� —92
Date ! 73
Signature Df Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is re ired for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
ocCUP. GROUP I
TYPE OF CONST.
PARCEL
PD
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datel—Z A_ -00'Z
Receipt No. 7r
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE;- DEPARTMENT,'O`F°PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIIVE4,` ;-OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534,.-4'541
PERMIT APPLIQATION DATA SHEET
Permi't No.
OWNER
&Zjr1l, f7 %�/L�t A. P. No. Ga a
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price' Valuation
Other p(Explain)
Building Inspector /.�-9/l/i �ie%��/,� Date_
At time of permit application, I was advlsed,t.heJollowing data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate... . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
-drew .di I' , `–g_s
7 Statement of Intent for Non -Heated a'nd A�C,�Bulldings'.
t 8. Fees of $ . , ,
. Letter of signature authorization.��
` Sanitation approval from Ci`//lire Health Dept. / ` . 3-10-8a-
11. Planning approval for (A) Use: (B) Parking:-
12.
arking: 12. Certificate of Workmen's Compensation Insurance."-
�13. Contractor's License Information (no., name style, �classif.),%,. ,,y
/�• t/ 14. Owner -Builder Verification (Given to ownerO.,.Mail to owner ❑) �o.�t_ �vI �;
15. Improvements may be required. . . . . . . . . , . .
r
16. Mobi lehome Installation Data. . . .
.JW*.ol.. . •. .
f
17. Pre -Inspection for •
Pre-Inspec. request to
�'Required. Building Inspector (Date)
18. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
l/" Telephone 924 / 7% 7 and hold for pickup at office. Deliver w/inspector.
Other
Applicant C_t-C�,� Date /0 'v 1
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
TO:*, '.'.Building Department
FROM::- Environmental Health, Chico
SUBJECT: Sanitation Clearance
L6
Owner Location ppb
Plan approved for: sewage disposal water supply
Hold final for: water supply
Final clearance O.K. for: water supply
Clearance for bedroom mobile home. Other
� oar �n ►�� _
Note***
Sanitarian
i
[late
COUNTY 6P BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541'
OWNER -BUILDER VERIF ICAT ION
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in -processing and issuing your.build-
ing permit. No building.permit will be issued until this verification -is received.
1. I.personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) �.
2. I (have/have not) 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 : LF�Pll
Property Owner
Social Security number
Date /CO — 1
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
.permitted to issue the permit.
Irv'F,rra+rss+4i+�:,e�,c�-1^'�'aW'ixa;�>-F-r^;-•�ri�J*-�;+w;�''w."s+t[;r,.v,Y �a�^�,y,:�;{), :.r —r.•� ;�� x r,;�`} t" t. j,� M +:�.:. >.-r�w ^••I:M �.,. .
[7"4530 0 004;;, .., TWILLIAMILDER 4DR.CL}WOODSTOVE/SF
x
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1
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! ' F
V/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.p....-- 7 County Center Drive - Oroville, GWifornj'#-95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT _ r � a --__5 -7 9
K
nASSESSOfl PARCEL NUMBER
Kl V
j;
ZONING
BUILDING PERMIT
OWNER
LEHI TAN B12177
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4530 LID AER AR CHICO 95928
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 4530 WILDYER DRIW, CHICO
PERMIT FEE $
55.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFX8 Duplex ❑ Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities O Installation ❑ Other ❑
Describe Work: INSTAIJ. TME11STOVE
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BQOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONIS. ( &ACC. BLDS. )
SO.
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.Ex.
License No. Classification
I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS
( & SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES )
BAL.@1.00
.50
Occup. FIXED APPLNS. OR
p' (OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20,00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
lare under penalty of perjury (check one):
WThis permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California. .-
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit. ^^��
X _C C_�_ \\ 14 \ Date p) ryL
Signature of Applicant - M Owner ❑ Contrafor 1:1Agent
An OSHA permit is required for excavation ver 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 55. OC
HAZ•
1 O. FEES
I IMP
I FLOOD
[TDF
PARCEL PD
HO
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 /V'�1'�i' - Date
G :2 1 ` 9r
PERMIT EXPIRES ON </ V .7
(Detel t
Receipt NO. /C - t/�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
W
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Ujjforniwe5'965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCELNUMBER
ZONING
BUILDING PERMIT
OWNER
I, 1 TAM BENZ
TELEPHONE
93-3846
SQ. FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4530 WILDER DR, CHICO 95928
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1500
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 4530 WILDER DRIVE, CHICO
PERMIT FEE $
55.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFX( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
` 20.00
TYPE OF WORK
New C1Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther ❑
Describe Work: INSTALL WnoT)SToyF.
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV 200A OLESOR LE
SSS )
R
23.00
Main Service ( 200A TO iOOOA )
46.00
NEW CONST. DWELLINGOCCUP.
OR AODNS. ( & ACC. BLDS. )
Q.
3.50 FT.
CONTRACTORS LICENSE LAW(
I d�lare under penalty of perjury (check one)
` I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044)
El am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST.MULTI-OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20 @ r.0
Ex. Occup.FIXED APPWS. OR
( OUTLETS IRESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
Clare under penalty of perjury (check one):
J;S-This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X 1 cN\A Date Q ��L
Signature of Applicant - Owner ❑ Contraor ❑ Agent
An OSHA permit is required for excavation ver 5"0" deep and demolition or
construction of structures over 33 in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE S 55.0
HAZ•
I D. FEES
I IMP
I FLOOD
COF
PARCEL PD
HO
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 ::2//W/
�
PERMIT EXPIRES ON 7
9S'
fDa tel
rstories
Receipt l 'p — J `'
WHITE-D.D.S.-B.D.
D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
a�
Its,
COUNTYOF BUTTE - DEPARTMENTOF DE IN MENTSERVI ES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 - TELEPHONE" 538-7541
VX
PERMIT APPLICATION DATA SHEET
OWNER �i //� 4/`1 13C'r/�. ..�
A. P. No. �3 - 3/0- DbY
Proposed Building Use sZg,- c,w-z1s/-o JBuilding Inspector Date l5 `7'
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
" DATE RECEIVED BY
1. All items have been submitted. .......... .......................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans.and calcs, 3/4.:sets, with wet signature on plans . .............
5. Hazardous Material Form . .......................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . .......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...............4.
10. Fees of $....................................... .
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit .....
.
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.a bout (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy)....P,;4A . ; r; �
20. Pre -inspection for required. .. to B�ilding Inspedo(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 Acknowledgement Statement . ................. .
25. Letter of signature authorization . ........................................ .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .................................................... .
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation D
Acreage -° Applicant �� Date S
o
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: Y
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - Deaa:tment of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION:
Attention Property Owner:
b
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.
1. I personally plan to. provide the major labor and materials for construction of
the proposed property
ll improvement (yes or no) a* -
_. 2. I (have/have not) 0YIyE signed an.':
n 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.
!+: I plan to provide portions of this work, butI 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 1
Social Secµrit Number o
l!S �9 .
�)
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.