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Home My WebLink About043-200-041GEORGIA WATT 43-2 0 -g -r 1424 NordAvenue,Chico Contr: Chico Electric, Chico Permit#1074-80E (�unde ground ►e le ser) 43-20-P Contr: Butte Roofing / Permit#3710-86B(reroof/SF) 043-20-0-0*,? 97-2703 BPEM BETTY, Monte 1424 Nord Ave, Chico (mini stg office & garage addit) 043-200-aO:b.- PERMIT#98-0057 BETTY, Monty,, 1424 Nord Ave., Bldg A-1, Chico New Mini-Stg/Com 043-200-"@Q* PERMIT#98-0058 BETTY, Monty 1424 Nord Ave.,.Bldg B-1, Chico New Mini -St /Com �Z3/9� 043-200- PERMIT#98-0059 BETTY,,Monty- 1424 Nord Ave., Bldg F-1, Chico New Mini -St /Com l/z3/ 043-200 PER14IT#98-0166 BETTY, Monty 1424 Nord Ave., Bldg D-1, Chico New Mini-Stg/Corgi r`V#G 1111ia/fS 043 -200 -SM PERMIT#98-1143 BETTY, Monty 1424 Nord Ave:, Bldg C-�,, Chico New Mini St PA/ 1_ 043-200-( IPERMIT#98-1144 BETTY, Monty_ 1424 Nord Ave., Bldg C-2, Chico New Mini Stg .&M-1 1112 043-200-vr PERMIT#98-1145 BETTY, Monty 1424 Nord Aye., Bldg D-2, Chico New Mini S g -77� 043-200-00!r- PERMIT#98-1146 BETTY, Monty 1424 Nord • Ave . , • Bldg D-3, Chico New Mini St F/�tJfjG i�/z3 y8 , 043-200-OEIP #98-1668 BETTY, MONTE •1424 NORD AVE. CHICO OWNER �!�}AiLS- //V STORAGE UNITS % 043-200-al�l-_ #98-1669 .,BETTY, MONTE 1424 NORD AVE. CHICO OWNER .STORAGE UNITS G-2 0.43=200 -Ems.... .; PERMIT #98-2092 ,BETTY, Monty &.Kathleen 1424 Nord Ave. -,"Chico New Mini-Stg/Comm. 043-'200-® '41 .PERMIT #98-2091 BETTY, Monty & Kathleen 1424 Nord 'Ave., -Chico New Mini-Stg/Comm 043_200-8" PERMIT #98-2090 BETTY, Monty & Kathleen 1424 Nord Avc,,:"Chico __New Mini-Stg/Comm 043-2001 PERMIT #98-2089 BETTY, Monty & Kathleen 1424 Nord Ave . , `Chico-, New .Mini-`S'tg/Comm �� .c �_�� . �. _ - -�_ G� m a��' R - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT _7_/0_(30 ASSE$S(.1R/�ARC}}�ILIp1@E1041 Ll1 11 11 z -Ta 2 BUILDING PERMIT OWNER MONTY ANT) KATHLEEN BETTa TELEPHONE R-011 0379 SO. FT. OCC. BUILDING VALUATION - OWNERS MARLING ADDRESS '1614 RF1 I ROAD, CHICO CA 95973 CONTRACTOR'S 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 z ORIGIN 245.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 811LDTZr`IORD, CHICO Energy Plan Checking Fee $ $ PERMIT FEE S 2 5.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex O Mobilehome O Other MINI STG 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 O Utilities O Installation O Other XX Describe Work: IST RENEWAt,/98-2092 MASTER #909-94 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20..00 Main Service z�oo°,vL oa L.ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. O 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.) O 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. e Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 20GA TO IOWA 46.00 NEW CONST. DWELLING UP. s0 OR AODNS. ( a ACC. BLDS. 3.50FT. NEW NONR6ID ' MULTI.OUTLET @7.50 POWER APPARATUS a SINGLE OImET CIR. 2O °'•00 Ex. Occup.OUTLET OR FIXTURES SAL p ,50 Ex. Occup. oLI LEDTs PRM.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEES 265.50 HAz. D FEEs IMP FLOOD COF PARCEL I PO HD ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 02/08/01 to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT _/0-0 ASSESSOR PARCEL NUMBER ZOwNO BU I LDING P ERM IT OWNER MONTY AND KATHLEEN BETTa TELEPIN 0 N14E SO. FT. OCC. BUILDING VALUATION _891-0379 OWNERS MAILING ADDRESS 3634 LL ROAD, C CA 95973 -NI -C-0 CONTRACTOR'S NAME MnNTY BETTY TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 q Permit Fee 2 $ ORIGINAL. ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 111INiMssNORD AVENUE, CHICO Energy Plan Checking Fee $ $ PERMIT FEE i LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome O Other MINI STG SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK j� New ❑ Addition O Remodel O Utilities O Installation O Other Q Describe Work: IST RENEWAL/98-2091 MASTER PLAN 94-904 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI 0.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service POA pq LEgg 23.00 � VILICENSED CONTRACTOR'S DECLARATION ((�� I hereby affirm u penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 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 it 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 t 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall _ forthwith comply with those provisions.4QQe Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0° deep and demolition or construction of structures over 3 stories in height. Main Service PCA TO 46.00so CCU000A NEW CONST. DWELLING oxuP. 3.5¢F°. OR . BLDS. NEW cod MT.UAC OUTLET NON -REBID. 97.50 PSOr APPARATUS a swGLE oLmET cert Ex. Occup. OUTLET ORFDRURES 20 ML .SO Ex. Occup. o,S�'PP D,°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 2 - 0 HAz D FEES IMP RooD cDF PARCEL SSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 02/08/01 I oaffhp) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT /D `O 1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT ON,NE TE N E SO. FT. OCC. BUILDING VALUATION °wNItn' E'ROAD, CHICO CA 95973 CC'R IV l I ISt:,TTY TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 20.00 Permit Fee 2 ORIGINAL $ 297.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BLIILOI�LES NORD, CHICO Energy Plan Checking Fee $ a PERMIT FEE S 3 T7750— LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MINI STG SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)0 Describe Work: IST RENEWAL/98-2090 MASTER PLAN 94-904 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service "a Oona XLss 23.00 *LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 TO 46.00so WEE200A CC NEW CONST. DWELLING occuP. 3.5QF°. ( BILDS NRA cors . MUACC. NON RES10. @7.50 PSO APPARATUS a swoLE OvrLEr as 00 EX. Occup. OUTLET OR FIXTURES a4L O r.SO FIX Ex. Occup. RESISID°EA 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 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. Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 317.50 HAZ. D FEES IMP I FLOOD' I COF I PARCEL I 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 PERMIT EXPIRES ON 02/08/01 ate ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT I-,/,0 ` ° b ASSESSOR PARCEL NUMBER 04q-20-0-041 ZONING BUILDING PERMIT OWNERMONTY AND KATHLEEN BETTY TE 891E 0379 SO. FT. OCC. BUILDING VALUATION OWN18'3 4'tnt ROAD, CHICO 95973 `G"r` M "tETTY TELEPHONE CONTRACTOR'S MAILING ADDRESS ' CONSTRUCTION LENDER :::::�JFireplace VENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 2 ORIGINAL $ 245.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ B"ILD1424SSNORD AVENUE, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 0.00 USEOFSTRUCTURE MINI STG SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherM Describe Work: IST RENEWAIJ98-2089 MASTER 902-94 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".*.' oA L�Ess 23.00 !`LENSED CONTRACTOR'S DECLARATION I hereby affirm un er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.SQso BUDS. ORNEW o"� (T. MUALCM. NON•RESID. BRANCH @7.50 OWEPPARATUS 8 PSINGLER AOUTLET 010. .00 EX. Occup. OUTLET OR FIXTURES BAL @ I.50 Ex. Occup. OMD ,�U.ID.) F 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ 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'HAz. 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 to Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 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 $ 265.50 O FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date provisions to do work paid. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,. ' . 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541E ►� (Rev. 12/96) APPLICATION AND PERMIT �� r ASSESSOR PARCEL NUMBER MONTY & KATHLEEN BETTY 043-200-001 ZONING C-2 BUILDING PERMIT OWNER MONTY &KATHLEEN BETTY TE 891E 0379 SO. FT. OCC. BUILDING VALUATION 3000 @22 66 000.0 OWNERS MAIUNG ADDRESS 3634 BELL ROAD CHICO CONTRACTOR'S NAME MONTY BETTY TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation 66,000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 491.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 319.15 BUILDING ADDRESS 1424 NORD CHICO Energy Pian Checking Fee $ $ PERMIT FEE $ 830.15 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MINI STORAGE SPECIFY 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 ❑ Describe Work: 100 X 30 MASTER 909-94 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V ILE Main Service ZDDAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. 0111-1 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 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 forthwith comply with those provisions.' X _ Date Sig ature of plicant - �fjw ❑ Contractor ❑ Ag An OSHA per it is required for excavations over 5'0" deep d demolition or construction of structures over 3 stories in height. Main Service 200A TO tOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLAS. 3.50FT. NC I. MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES O I'50 Ex. Occu SAL @ .so Ex. Occup. O R p,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ $30.15 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD I Ho I ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indic ov or w ch fees have been N By ��g#40V PERMIT EXPIRES ON provisions to do work paid. !e Receipt No. / S v 25.00 LS8/3 g'D WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ROD -APPLICANT A e COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-75410 3 APPLICATION AND PERMIT ro�No BUILDING PERMIT ASSESSOR PARCEL NUMBER BUILDING VALUATION f WNER 141 OWNERS MAILING ADDRESS t 3, CONTRACTOR'S NAME M CONTRACTORS MALING ADDRESS CONSTRUCTION LENOER I.ENDEA'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAKING ADDRESS BUILDING ADDRESS CHTro LOT NO. SUBDIVISIONS NAME USEOFSTRUCTURE SF '❑ Duplex O Mobilehome EX Other UNKNOWN MAP TYPE OF WORK New (A Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 Describe Work: DT Tl(' S�rr-- /vd V, 3 d 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 14 —/ Lic. No. g L� v 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 dwner 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code. for the rformance of the work for which this permit is issued. 01- I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 5 ; C 0017-7P Policy Number 7;3„73 F. 7 - 9 5 (The above sections need not be completed if the permit Is for work of n 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 fo ith comply with those provisions. _ _ __ DateZ_L/�� Signature of pplicani er onrractor ❑ Ager't An OSHA pe it is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Receipt No. WHITE-O.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L 1 SO. FT. I OCC. 9,Y o? (�62 Fireplace Total Valuation $66,000-00 Filing Fee S' 20.00 Permit Fee S 491.100 Plan Checking Fee S 319.15 Energy Plan Checking Fee S PERMITFEE I S 6JU. 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15. )0 Mobile Home ISI G . W @20.00 EX. OCCU FIXED APPL NS. OR P' ( OUTLETS (RESID.1 EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is ) Energy Inspection Fee 1 $ occ CONS=-TOT�FEE$ 830.1s' 11 NAZ. Lod FEES I IMPZ FLOOD I C99 I PARCEL PO D �; This permit is hereby issued under tie applicable provisions of the Butte County Code and/or Resolutions to do work indi a above for hich fees have been paid. � G B Dat -7j2- 3/yf' Y PERMITEXPIRESON 7 2 3 , 7 (Dere) PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service( 00°" °R LEss ) zooA oR LEss 23.00 Main Service ( NEW CONST. OR ADDNS. ( 200A TO 1000A ) OWEIlING OCCUR 8 ACC. BLOB. ) 46.00 SO. 3.52 To NEW CONST. NON -REBID. ( MULTI -OUTLET BRANCH CIRCUITS ) @7.50 POWER APPARATUS 8 SINGLE OURET CIR. ) EXOCCUp. (OlIT1.ET OR FDCTURES) 1 70 BAL 0 1''000 EX. OCCU FIXED APPL NS. OR P' ( OUTLETS (RESID.1 EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is ) Energy Inspection Fee 1 $ occ CONS=-TOT�FEE$ 830.1s' 11 NAZ. Lod FEES I IMPZ FLOOD I C99 I PARCEL PO D �; This permit is hereby issued under tie applicable provisions of the Butte County Code and/or Resolutions to do work indi a above for hich fees have been paid. � G B Dat -7j2- 3/yf' Y PERMITEXPIRESON 7 2 3 , 7 (Dere) COUNTY OF BU, TIE:- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7- COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE_(91b) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 2vr'7 &� ASSESSOR PARCEL NUMBER: 3 — Z Proposed Building Use: rj v2 - 9-/ 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 By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ eesof $ PO"5• l_5 ------------------------------------------------------------------------------------- ": Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- *Flood elevation certificate.------------------------------------------------------- O ---------------------- Sanitation and plot plan approval _��-- Health Department. ---------'-'�---- 0:15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- O 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 'O 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 111. 9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on - (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. �g Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollution b Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: r = € ❑ Plan Check List 2. Additional items required: ?� ' Contractor, designer, owner, was advised of the above required c1lilby ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by De: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: 14-1 Yellow Copy - Department of Development Services, Building Division. Aq 1' Y err _ - .. _ r• / � .. � . ' 11� BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER 16 -Za Z APN 0q 3 -200- M/rs Tt'12 CI O q" It 3J0o Sq FT' 1442 -Lt rvoyto A vC. Firm Name nAlry 43 AIM 0 a UE L2I1UI.STl- R 1 (_ Address 3 7 Lf- TJX- L L_ R Q i -f I c n A. c r 91 *7 1 Nature of Business M /p t 57-0 R ACL L Contact Person M oAj 7-1" & Or Phone # 031 —037 1. Does your business or that of your tennants handle, store, or transport hazardous materials? ANO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and -safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at st dard temperature 4 pressure), or formulation containing hazardous material? NO ❑ YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916 -538 -728+) -for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or sc of site? E NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential. to emit any air pollutants; e.g., dust, soot, odors, fs, vapors, or other volatile compounds? u0O ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative �— 2—q ` 9 ISig atureJ (Date) BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. El❑ The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. • t` ,� f eti �..J;R'.'Ls� s *%A.y':y �.l.. .. 4 - •'��' ' .. T X7.1`! . �r�itiN L•3,r..�:. • 1,. r . Vii'- '!f . c ,•+:�;YZ :. ;4;:+y„ .r �; 4 �y,.. �`., v V 1 6y��` S..rtv�.--'.H.`r•,,+i.".;!`"ri��"•`"`'�Ni+L.`.•�°^"i}�i�x+....�:`..i-'r*---".'i.,N"^w.,;,,;;:I^'-,.:'w-'nrY,.%-Y�'"4rr0"'r"N"'�"«v,7.-�+''•�'.""'...-„d-,.a,.” r .... ... r uBUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District. �.Ci(/J� Building Department No. ' A.P. Number D y3�Gb- Jurisdiction: City County Property Owner Property LocationM Subdivision Lot No. Residential Development Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage 3300 New Addition (Including Exterior _Roofed Areas) Q Building Department Representative Date trioor rians reviewea Dy acnooi uistnct rersonneo District Identification No. CAi7 �3'y oSchool District certifies that ,tApplicant) D w/ (Street Address) (Phone Number) 9,5 (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing 1,33 Q square feet. School District Representative Paid by Check # Ve Remarks: oe b by payment of $ $ B 2926 LL WTIGATION $ Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit youfrom challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm 4 , COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT g� (Rev. 12/96) APPLICATION AND PERMIT ZO 1 ASSESSOR PARCEL NUMBER 043-200-001 ZONING C-2 BUILDING PERMIT OWNER MONTY & KATHLEEN BETTY TELEPHONE 891-0379 SO. FT. OCC. BUILDING VALUATION 3000 @22 66,000.00 OWNERS MAILING ADDRESS 3634 BELL ROAD CHICO CONTRACTOR'S NAME MONTY BETTY TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MaUNG ADDRESS Total Valuation $ 66 000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 491.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 1424 NORD AVENUE, CHIO Energy Plan Checking Fee $ $ PERMIT FEE $ 534.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MINI STORAGE SPECIFY Solar or heat um water heater Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 20 X 150 MASTER 902-94 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 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 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. 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 TO 46.00so CCU000A WEE200A NEW CONST. DWELLING Occup. 3.52F°: OR ( & ACCouBTLES. CONST* =R61D. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES 1.00 BAL. @ .00 LNS Ex. Occup. o(rr Ers AEsID OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q,Fcertify 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. Of X Date � Si nature of r{(' plicant - M-OWner ontractor O Agent An OSHA per It is required for excavations over 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 $ 534.00 HAz. D FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County , ode and/or Resolutions to do work indic abo for ich fees have been paid. ° B Date #IJ PERMIT EXPIRES ON S Date Receipt No. � PG/L y 25.00 �' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOL ENRO -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 96' -go ��,'"► 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT c APPLICATION AND PERMIT ASSESSOR PARCELNUMIIdER ' --1,3E% I S� _ �' 'mT r7' r�°,v'r °�i 1'ifi��lb`�i�?`��f�t'1��'6�L�Y«'• ,�, . . �r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: /�,wr'% dwew�, ASSESSOR PARCEL NUMBER: - ' ' Proposed Building Use: 3 Z - I l-/ 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 By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------ �O %� °'u ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ----------------------------------------------------------------- 4,-Feesof$ California Department of Forestry plan approvaUfees. --------------------------------------------------------- ❑ Flood elevation certificate. ------------------------------------------------- --- anitation and plot plan approval Health Department. -- 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 01.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------- ------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25 . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- El 26. Letter of intent on building use. ---------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------- --------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 1130. -------------- ❑30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, []Mail to contractor ❑Telephone - — and hold for pickup at office. ❑ Deliver with inspector. S tto- ' (`7 Applicant: ��Date:_q//////9 p Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Bx 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required &6 by ❑ phone, ❑ mail, ❑'Building Division counter, by Date: Contractor, designer, owner, was advised of the'above required data by ❑ phone, ❑ mail, ❑ Buihli�ngpivision counter, by D te: Plans reviewed by: ' " .1 _�-Date: Plans approved by: O� Date: /D� Sets of plans on hold in ❑ Plan Cabinet; o A.P. fol$er. Note transfer. by: Date: Yellow Copy - Department of Development Services, Building Division. -4--r`. : 'r..i' .. a: -- .-% ^t - -y ,�.t��1',,w.r.+.y` Y SFr . •-.r•• �`T � „_rte+-^�.,'(•:'�M ,,.�-kl ',: r+'..��•;.-...-�` 1': BUTTE COUNTY SCHOOLS; IMPACT FEE CERTIFICATION FORM ° (One form per Building) ,K School District S� Building Department No. A.P. Number Q4?) -2 Jurisdiction;City14 County Property Owner Property Location/Address Subdivision Lot No. Residential Development ^ E Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage 3 oew Addition (Including Exterior • �� Q�,� _ Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification No.. 99 School District certifies that ( �C (Applicant) (Street Address) (City) ` F has complied with the requirements of Resolution No.. representing % square feet. School District Representative Paid by Check # 424 Remarks: (State) Bir D 3'V (Phone Number) p Code) by payment of $ B 2926 $ ULL NIITIGATION $ a 70 Date Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you. from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (2i97)dmm 6 BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER 7 D 2� O 1 APN OLt.3- Z 00- 00 / 902--,944 - 1 4 L L+ IV ID V C-- Firm Name g(J)Ui' i 43C -ML -Al o 2 0 4=09- Au &a Address 634t ,!3 -LL /F0 C All 3 S 3 7 3 Nature of Business Contact Person P70 N T—j 13C Z7y Phone # ?L91037 Q 1. Do s your business or that of your tennants handle, store, or transport hazardous materials? a NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at sttapdard temperature 4 pressure), or formulation containing hazardous material? 9 NO ❑ YES 9:z� I L7 27 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-5®8,1'481) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or schpol site? IWNO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fu es, vapors, or other volatile compounds? 9 NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative ZMZ7��_ (Signature) (Date) BCEHD BCAPCD E The applicant has met or is meeting the applicable requirements of Section 25505, 0. 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. El11 The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept ❑ YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •'i 7 County'Center Drive - Oroville, California 95965 - Telephone (530) 538-7541�q P Q• (Rev. 12/96) APPLICATION AND PERMIT O 8' ASSESSOR PARCEL NUMBER 043-200-001 2ON1N° C2 BU I LDING P ERM IT OWNER MONTY & TELEPHONE 891-0379 SO. FT. OCC. BUILDING VALUATION 3580 @22 78,760.00 .OWNERS MAILING ADDRESS 3634 BELL ROAD CHICO CONTRACTOR'S NAME MONTY BETTY TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 78 760.00 ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 595.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 354.25 BUILDING ADDRESS 1424 NORD, CHICD Energy Plan Checking Fee $ $ PERMIT FEE $ 919.25 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MINI STORAGE SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 179 X 20 MASTER PLAN 94-904 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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.POWEPPARATUS 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, wil do the work, and the structure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ( 3.5Q F7: EW CONST. MUL"OC.-BLDSS. NON-RESID. c @7.50 8 SINGLER AOUTLET CIR. Ex. Occup. OUTLET OR FXMRES 20 @ 1.00 BAL @ .so FU(ED APPLNS. OR Ex. Occup. ounETS REBID. EA 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 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.) OL-4-6ertify 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 Applic n - wrier ❑ ontractor ❑ Agerif An OSHA permit is required for excavatio s over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 919.25 HAZ. I D. FEES IMP I FLOOD CDF PARCEL Pp HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat bov for w iC fees have been paid. By Date PERMIT EXPIRES ON Z B to Receipt No. 1 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPFfTOR GO ENROD-APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 96acDg0 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75410 PERMIT c { APPLICATION AND PERMIT ASSESSORPARCELNUMBER r@ L12)- 6 ZONING - BUILDING PERMIT WNER MONTY & KATHLEEN TELEPHONE -M'dut—.1311 SO. FT. OCC. BUILDING VALUATION OWNERS MAUNo ADDRESS 634 E 35$(3- ZZ -7 90 CONTRACTOR'S NAAETELEPHONE MOi1TY BE CONTRACTORS MAUNG ADDRESS Fireplace CONSTRUCTION UE,gE UNKNOWN Total Valuation $ Filing Fee S' 20.00 LENDEA'S MAILING ADORES$ Permit Fee $ ',j s' ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , ti Energy Plan Checking Fee b ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BULDWGADORESS . I I a4 N)Drd `C PERMITFEE $ •- 9 ,2,C, PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSWIAE - PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF'❑ Duplex ❑ Mobilehome IX Other MT 4T gT1Q'2Ar,F SPECIFY Each gas water heater or vent 15.00 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK .New IN Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ _. Describe Work: BIna 5 I Mobile Home I S I G1. W I @20.00 PERMITFEE S Contractor ELECTRICAL PERMITFlin Fee 20:00 Main Service 800V OR LESS M 23.00 ( 200A OR LESS ) Main Service ( 200A TO 1000A ) 46.00 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 —1 Lic. No. • ; ��. rY -7 - OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑- 1, as dwner of theproperty, 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the �P�rformance of the work for which this permit is issued. & I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: ..— .—� Cd /Y7 � Carrier 5 i 4-1 c Policy Number �,�� 3- P. 7 - 9 `i (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code. I shall fo hh comply with those provisions. - ( _ _ __ Date 2— Z--/ Signature of pplicent er ontrector ❑ Agerrt An OSHA pe it is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR OR ( a ACC- ) so. I 3.5¢ FT. NEW CCONST. MULTI.OUTLENS. TLE T NON'RESIO' ( BRANCH CIRCUITS ) @7.50 s � APPARATUS ( aPOWER OUTLET c a ) Ex. Occup. (OUTLET OR FIXTURES 200 '.50 �� FIXED APPLN$. OR Ex. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee S Energy Inspection Fee S Z - OCC CONST. TYPE 11 1 TOTAL FEE $ HAZ. FEES IMP FLOOD c PARCEL PO 0 This permit is hereby issued under of the Butte County Code end/or indi eWo_r hich fees have dv y PERMITEXPIRESON =72, t e applicable provisions Resolutions to do work been paid. Det 7r Z 3// t �7 (Dade) ReceiptNo. — =; WHITE-O.O.S.•B.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•APPLICANT rGF LS 24q76y %,,,. -r. .y s,,. f C"XUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: A oN t% &e&z ASSESSOR PARCEL NUMBER: 1K 3 — Z --X� — as Proposed Building Use: -302-,5-y Building Inspector: _ 4— Date: ,, At time of permit application, I was advised the following data must be submitted prior to permit p cessing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 0. ees of $Amff&------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.--------------------------------------------------------- ❑ 13. Flood elevation certificate. --------------------------------------------- "El Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 111.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- ❑ 24. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------- ❑26. Letter of intent on building use. ----------------------------------------------- 027. Manufactured Home utility clearance. ------------------------- ------------- 1128. Existing violations and/or expired permits. -------------------- 029. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. (Date) ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. Applic Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: f, '. ❑ Plan Check List 2. Additional items required: a Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Buildin Division counter, by Da Plans reviewed by: Date: Plans approved by: Date: , Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER b APN rnpr5rm-o 9 0-t— Gy - 1W24 /vo2/� sbvtc Firm Name 6JO AJJ2r OE7 r:!i- A/0R0 &V9 14 1 Aj ,S 7-0 0 .4L--' Address0- eFlu 1q,7 CIH /c -G G/& qS 9 73 Nature of Business v411 All Contact Person lyo/yry X7F7TY Phone # g!cy 1 0379 1. Does your business or that of your tennants handle, store, or transport hazardous materials? 26N ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and.safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at sta dard temperature 4 pressure), or formulation containing hazardous material? NNO ❑ YES S:e/r 2-727 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-598 1) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or scchf of site? Q, NO OYES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? 9KNO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative Z !Z22 Z fSignarurel (Date) BCEHD BCAPCD ElF, The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept ❑ YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. M1�^r`%N•-—..i��..,f�^.rti`"Y"4�'%�"' �1-rM%^ iF''d�?irtt7cyfS�ti%M1'r``77ti.'LS.F..•'-.`)f-i.:^.r++'1.r+t`�-�•+wr-.r7' j''C.%a.:».+-...'.+.M.i,-ru.v-s.w..�...�.t;1r...,... „ ...v". +- . " BUTTE COUNTY SCHOOLSIMPACT FEE CERTIFICATION FORM (► (One form per Building) sASchool District. Q�l ; Building Department No. A.P. Number Property Owner Property Location/A �� Jurisdiction: City County . Subdivision Lot No. Residential Development No of Living Mobile Home Addition Units Installation Commercial/Industrial %f mew Building Department Representative Sq. Footage (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) Irsoor rsans revsewea Dy bcnoos usstrnct versonneu District Identification No. C=;z6- Date School District certifies that , (App)(cant) (Street Address)) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing C�5 ed square feet. School Paid by Check # Q'J Remarks: /—% 7 by payment of $ 4:42.— IFBW2926 $ LL MITIGATION• $ Date Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School -District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm CQUNTY-OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 P (Rev. 12/96) APPLICATION AND -PERMIT �� '911 ASSESSOR PARCEL NUMBER 043-200-001 C 2 ZONING BUILDING PERMIT OWNER MONTY & KATHLEEN BETTY TEEOiHONE 891-0379 SO. FT. OCC. BUILDING VALUATION 3580 @22 7 8,750.00 .OWNER'S MAILING ADDRESS 3634 BELL ROAD CHICO CONTRACTOR'S NAME MONTY BETTY TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $7 -76n-no ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $23.00 BUILDINGADDRESS 1424 NORD AVENUE, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 588.00 LOT NO. SUBDIVISIONS NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MINI STORAGE SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: 179 X 20 MASTER PLAN 94-904 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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 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. 12V<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 TO tOooA 46.00So NEW CONST. DWEWNG UP. W:U OR ADDNS. 8 ADC. BLDS. SO 3.5¢FT. T. NO"ON.RESID. MULTI.OUTLET CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLfiT CIR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ I.w ED RA Ex. Occup. OFUTrs � DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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.) Id,4certity 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 Aalicant - caner ❑Contractor 11 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 588.00 HAZ. D. FEES IMP FlooD CDF I PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicat above for vihich fees have % By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 7 Da / W V 7.0-0v T ReceiptNo. G� a WHITE-D.D.S.-B.D. CANARY -ASSES OR PINK-INSPEC R GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 99--,,,20�- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERA T APPLICATION AND PERMIT ASSESSOR PARCEL NUMSER 09&-sgo=ois - �� y� �2 I DOMNO _ BUILDING PERMIT \J✓ WNER 14ONTY & KATHLEEN TELEPHONE —n379 SO. FT. OCC. BUILDING VALUATION 3000 --- bt-1 UUMMUp- OWNER's MAILING ADDRESS 3634 RET.T. NEW CONST. DWELLING OCCUR 35cy Z Z -7 O CONTRACTORS NAMETELEPHONE MOi1TY ETTY CONTRACTOR'S MAAJNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S 76,790 Fling Fee S' A 20.00 ' LENDERS MAILING ADDRESS I Permit Fee s �' ARCHITECT OR ENGINEER 55ENSE NO. Plan Checking Fee b 9 1 Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAJUNG ADDRESS Penalty $ BUILDING ADDRESS n c� PERMITFEE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SLOSMI ON'SNAME PARCEL MAP Solar or heat pump water heater 23,00 ' Water piping 15.00 USEOFSTRUCTURE SF'❑ Duplex ❑ Mobilehome E;[ Other MT 4T CTnRArp SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK Mobile Home I S I G1. W I 1 1 @20.00 .New 0 Addition O Remodel O Utilities ❑ Installation ❑ Other E3 / 7 " DescribeZg K -to. Work: Hf,b'6�`$'®=$i r� LICENSED CONTRACTOR'S DECLARATION 1 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 .4 —/ Lic. No. •; �. LY OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O• 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the ,Performance of the work for which this permit is issued. � I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier S lA-i c CC fY*7 P Policy Number '7 �). :Z I P. 7 - 9 5 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 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 fo ith comply with those provisions. Date J 2— Ll — Signature of pplicant -W1010er tractor C3 Age An OSHA pe it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. I ReceiptNo. . -tri— _ WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK-SPECTOR GOLDENR Tcr 5- - ZVq)�t/ I PERMITFEE 1 $ for ELECTRICAL PERMIT Filino Fee 20:00 Main Service / 600V OR LESS ) Ex. Occup. ( OUTLEEOTS APP. Ex. \ 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46,00 NEW CONST. DWELLING OCCUR SO. OR ADONS. ( & ACC. rvCW t.U_'Q 1. NON•RESIO. BRANCH CWCUITS @7.50 \ & SINGLE OUTLET CIR. / EX. Occup. ( OUTLET OR FIXTURES) m ® 1.00 BAL 0 50 Ex. Occup. ( OUTLEEOTS APP. Ex. 5.00 Temporary Service 23.00 Mobile Home Facilities 2000. Misc. Wiring 23.00 PERMITFEE S I Contractor I MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation I PERMITFEE S Contractor Mobile Home Installation Fee__7$ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ HA2. L,6 FEES I IMP Z FLOOD I COF I PARCEL PO LHO This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indi a abo a for hich fees have been paid. By Dat PERMITEXPIRESON 7 2 3 77 + COUNTY -:OF BUTTE- DEPARTMENT OFDE i-marmulyl-SERVICFr 7 L,OLWTNCENTER DRIVE - OROVILLE, CALIFORMLA 95965 - TELEPHONE (916) 538-7541 PERMIT A PPLICA TION DA TA SHEET OWNER: 'f� 4-e fQ'zl ASSESSOR PARCEL NUMBER: /� — 2. -,.-> J Q <�) Proposed Building Use: 9L ! ✓ 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 By r ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- D2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9 ufactured Home data and installation instructions including Tie Down Specifications .------------------ 'v"'L esof $ S`43- G" ------------------------------------------------------------------------------------- pact fees as shown on the attached schedule. ----------------------------------------------------------------- 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 1 . Flood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval Health Department. ------¢----------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ❑22. Workers' Compensation carrier and policy number. ----------------------- E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - E124. Letter of signature authorization. -------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------- 026. Letter of intent on building use. ---------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. --------------------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. (Date) Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Date: By: / Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: 1- ` Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bui Division counter, by Dae: Plans reviewed by: Date: Plans approved by: Date: /D Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: ` Yellow Copy - Department of Development Services, Building Division BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER��" APN�3 ZOO "OQ1 �n k /TM q 0 y-" 9 y. iN'ty 01-14 Ale , Firm Name MQAtE ' A/C Ra .4yr-_ S'7,0,e+a& Address 36.34 a C: LJJco S4 -7 3 Nature of Business M //L/r sX024-P Z - Contact Person MOA/76f 13 Z7x - Phone # n/ 037!7 1. Does your business or that of your tennants handle, store, or transport hazardous materials? ANO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or. physical or chemical characteristics, poses a significant present or potential hazard to human health and.safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200cubic feet (at sta dard temperature 4 pressure), or formulation containing hazardous material? VNO O YES eFil-/ Z72-7 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-E>000061) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? O OYES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, f�umps, vapors, or other volatile compounds? W'NO DYES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. 17 Owner or Authorized Company Representative % (Signature) (Date) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. ElEl The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept 13 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. ..i�i�C�L�..-T.::•4:yrs.q�('�.wr+�'!��`t,",.,•}�'Y"�.,,,,alb:��.•��,4"ii/tiy�o-s}..•+xA�!{i�d��`rotJhx�tr�,...iyr��.+'JR4'6Yi'f�ei�E�j�'.!K?r�'�✓.�.+�.r..w,i,.,.,.�,>,.ti..,}��M.:..,�.y.�,.r`e^t...Z:rrW�-......-'{r o► . 16&TE COUNTY SCHOOLS: IMPACT FEE CERTIFICATION FORM ! (One form per Building) School District . �M J/ -*Y Building Department No. A.P. Number f Torn QQ/ Jurisdiction: City County Property Owner' Property Location/Address a Subdivision Lot No. Residential Development Sq. Footage ` No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage ?e'w Addition (Including Exterior /� –�, /dd V%� Roofed Areas) Building Department Representative Date (rioor runs reviewea oy scnooi uistnct Fersonneo District Identification No. 40 School District certifies that Applicant) (Street Address) (City) has complied with the requirements of Resolution No. representingC3�e7 � square feet. School District Representative Paid by Check # /tJ71 Remarks: (State) /— (.1 Number) (Zip Code) by payment .of $ B 2926 $ LL NUTIGATION $ pl- Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act 10EQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm PLAN REVISION Please .complete the following information in order to process your submittal. If this form is not complete, c, and legible, it may cause a delay in processing. Owner's Name:- Received B �Date: / O -Z / -qd A. P. #: OL/3_C00_601 Permit # eta Time:9� ContactPhoneNumber: 5 U— �� Purpose of submittal: Elermit Application Data Item ❑ Engineering ❑ Plan Revision ❑ Requested by Building Inspector or Correction Notice - Inspector's Name: ❑ Requested By Plan's Examiner- Examiner's Name: L Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for F review. If engineering is involved in -this revision, the engineer must put his requirements on these drawings stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must clearly sl-. When Approved, Process as Follows: ❑ Mail to Owner at this address: P Mail to Contractor at this address: ❑ Call and hold for pickup at the ❑ Chico Office ❑ Oroville Office ❑ Deliver with next inspection. ❑ As requested on permit application data sheet. Revised Plan Check Fee: 0346.00 Receipt #: ❑ Additional Fees Not Requir Additional fees may be due based upon complexity and time involved to process this submit: MASONRY WALLS N E S W 1st Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 6th Lift ` COMMERCIAL J 043-200=001 PERMIT#98-0059 BETTY, Monty 1424 Nord Ave., Bldg F-1, Chico f New Mini-Stg/Com K-OoS� ?8- OVsZ FIRE WALLS 0 cupancy, Area Propert Gypsum Board. 1st Layer 2nd Layer Walls Ceilings r r ' „ n Y S n y�y 7 i S + e , V=OK O = Not OK -= Not Applicable C O M M E = Not Ready Date UNDERF R Plans OK except #'s onin , etbacks- Ease men ts-Flood-Slope-Soil Report o g., Main; Soils-Ufer Ground.-Ftg. Depth 3. Hold Downs -Bolts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Ste , Main; Steel -BIockouts-Wrapped einf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Handicap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Bol -C& No. of Conductors -Stapled 25. Rom sJdlIed Close to Edge of Studs & C.J. 26.i. r' &gfrllade up w/Mech. Fastners-Bond Gas & Water 27. kiri-90'-PrqJpft-Color Coded 28. Subfeea w Si �/ / ga. Cu or AI-A.C. Wire Size / / ga. 29. Fir esi wFixt e-Conduit-G.F.I.-Susp. Ceiling 30. Ser ce- a ctors &Ground -Main Disconnect 31. Equip. rances Pa els-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. H.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s ,WlsilProper Material & Anchors -Hold Downs 4AXajjs Studs -Nailing, Spacing & Bracing -Plates -Sound ear;iag Walls over Girders & Floor Nailing ra top in Walls (rat proof) 04 tops; Furred Ceilings -Stairs -Chases 5 eaders & Beam -Size & Bearing -Support Fix. RCIAL Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Roof Shthing-Nailing-Diap.Chord Splice 48. Firewall-Doors-Area-Occp.-Prop. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Glu -Lim cert. -Placement -Support 51. S dings -Girders 52. fropWrty ne Fire all & Openings 53. txt. Doors -Ha i ccess 54. Stairs; om-Rise-Run-Landing-Fire Protection 55. Aw.pqdLA Ro verhang-Attic Vents -Rafter Outriggers 56.1 g- i en er S uc Mes D ' Screed -Fd. Vents-Underflr. Access 58. Glazi g Ar Protection -Skylights -Plastic -Fire, Port. 59. Shea IIs -Plywood-Nailing-Conn to Roof 60. Insulation -Wal ls-Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FI AL (Plans) OK except #'s . Ext. Steps -Door & Sidelight Protection -Landings 4. Exits -Size -Number -Placement 5. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection (�6. Sprinklers -Placement -Test 7.Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. 8. Elec. Trim & Subpanel; Breaker Sizes & Labels 9. Stairs & Rails 0. Handicap -Door Levers -Fin. Floor 11. Elec. Outlets at Wood Panel; Int. & Ext. 7�2. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 73. Plb., Elec. & Mech. Equip. Listed for Location Insulation -Foam -Looked in Attic 0 Yes 7�5. Guard Rails & Deck Construction -Post Caps 7`6. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes (7. Stucco; Brown -Finish 8 A.C. Unit; Disconnect, Electrical, Plumbing I9. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 80. Water Well; Disconnect, Electrical, Plumbing �1. Exterior Elec. Trim; G.F.I. Receptacle -Underground 82. Off Site -Parking -Handicap 83. Glass Protection 84. Corrections from Previous Inspections 85. Gas Test -Meters Tagged; Gas -Electric 86. Water & Sewer Connected -C/O to Grade -HD Approval 87. Energy Compliance Certificate -Other Certificates 88. Roofing Certificate -Fire Rating Datet/, ti Card B-1 Date Card B-1 Date Card B-1 Date Card B=1 Date Card B-1 Date Card B-1 Comments at Final: I Certificate of Occupancy (NOTE: An entry must be made each time you visit the job site) .COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 b/� d ,QERMIT NO. (Rev.12/96) -APPLICATION AND PERMIT JJJJ o 7 ASSESSV Pl iCE MFR 001 , Zl. T BUILDING PERMIT OWNERM(O}NjTY BETTY AT-Id379 SO. FT. OCC. BUILDING VALUATION 5000 110,000 OWNER 3�I T TEL ROAD, CHICO 95973 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS KWUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 674.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 438.40 BUILDING ADDRESS 1424 NORD AVENUE, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 1,132.90 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MINI STG 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 EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BLDG F-1 50 X 100 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S TO BE MASTERED — ELECTRICAL PERMIT Filing Fee 20.00 Main Service %oAORLESS 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.8 License Class Lic. No. OWNER -BUILDER DECLARATION 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, Haiti 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 s0 OR ADDNS. ( 8 ACC. B.S. 3.50FT, NEW CONST. MULTI -OUTLET NON -REBID. ANCCIRCUITS@7.50 PSINGLE OUTLECSOWER APPARATTUS R. 20 ° 1•00 Ex. Occup. OUTLET OR FlxruREs BAS p ,50 NSOI Ex. Occup. Dura PL.16.) E 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 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.) ZP 'T 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 �9 d Signature of AA51icant - wn ❑ Contractor 13 Agent/ An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 1.132.9 HA D. F IMP FLoo CD;ARC PD S pr 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 ✓? / ERMIT EXPIRES ON Dat Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INS11FECTOR GOLD APP (CANT -� i. ^ •�: 1 .�... ..... � ' .- - - S � J � � � � ... .. r 1 1 + � . t � 1 ± �If. K •i f . ' 4 } ....._�..i _ ._ _ . _ ,. _� . _ t .. � R _ .._ t ., + � r , � , { ', i 3�' i ,, , ,�� ,. .. � .t �. , T.. �. _.... _.__ . �� ... •. .� , €.. k ... - ,, -, ' ,.. ,., �. � «� f .. .. � .`` _ . ._� .�... � � � .. it •' � S COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 2 © J ZONING BUILDINGPERMIT OWNER TELEPHONE I ('7 SO. FT. OCC. BUILDING VALUATION C� DO OWNERS �NG ADOwol� \Cb ?3 CONTRACTOR'S NAME nils DR'\ A I TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ?% , S ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS I D-49�. U Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome ❑ Other ( — sPEaFv 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 X Addition ❑ Remodel ❑ Utilities O Installation ❑ Other O Describe Work: �I � F_ ��r� ��C7 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S T �Q ELECTRICAL PERMIT Filing Fee 20.00 600V 0 Main Service zo.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 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. ❑ 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 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 i of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall I N P P not employ any person in any manner so as to become subject to workers' I 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 shalt forthwith comply with those provisions. I ' X Date Signature of Applicant - ❑ Owner O Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in hep ht. Main Service 200A TO ,000A 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( 6 ACC. BLDS. 3.52FT. i. RESID. uLTI-OTT 97.50 PO APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. ounEr OR FWTURES sA*'' Ex. Occup. oui�is aE=.oE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE 1 $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. TYPE M TOTAL FEE $ < HAZ. 0. FEES IMP fL000 CDF PARCEL pp ND 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 ale ReceiptNo. 31 WHITE-O.D.S.-B.D. CANARY• SSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT � ,. y.-,iRrtilc �r ., . .r'r- ..-.- ...,.�aa��. �ti:..Lr-�iaf'"�.., -,. /i r �t'►�k.'F:':c�wtjli�'..1��,,jTJ, : � �Lr ,.r , ,('%..—�� ; ,i,..N. ti.. , COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET �V t OWNER:&4C. V ASSESSOR PARCEL ER: TJ — do b — C% Proposed Building Use: Building Inspector: Date: At time of permit application, I was a iced the following data must be submitted prior to permit p essmg and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------=----------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. -------------------- --------------------------------------- ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 0 7,.Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- jHazardous Material Form. ------------------------------------------------------------------------------------------ ❑9 anufactured Home data and installation instructions including Tie Down Specifications .------------------ ff- Ell Fees of $ �-. S� -----------------=------------------------------------------------------------------- Impact fees as shown on the attached schedule. ----------------------------------------------------------------- California Department of Forestry plan approval/fees. ----------------------------------------- =--------------- a] Orm ❑ aFI elevation certificate. ---------------------------------------------------------------------------------------- tion and plot plan approval L- 'rte Health Department. --------------------------------------- --- 5.City of Chico plumbing permit.------------------------------------------------------- -- - -- lot Ian and business license approval from City of Biggs. -------------------- --------------------- n ------------- t' Tanning approval for (A) Use: (B) Park/�ing. "�2�-- - - -� . Contact Land Development about ❑'l�provements, 315rainage, ❑ Legal Parcel. -----------------------f/ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------- =----------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------ ------- 024. ------ ❑24. Letter of signature authorization.---------------------------------=------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. ------------------------------------------------------------ ❑28. Existing violations and/or expired permits. ------------------------------------------------------ ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: . (Date) Wh you issue the ermit, rocess as follows ❑ Mail to owner, ❑Mail to I tractor. Telephone I�� and hold for pickup at��t ` office. ❑ Deliver with inspector. Applicant: Date: % - 3 / Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divis' n counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buil ' g D' sion counter, by D_ at Plans reviewed by: Date: Plans approved by: Date: / Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. , � it y(: ' " , • _ k _ . i�, , •?: ; , ., � -,{ � " , w � , rt 1 i 9 • '. - _ .. _ . r .. - «. .�., a •..r • -•i .. . "� . .n .. _ S,};� . . '�� r ,,r • _.. - - ..... .. .. _t' .. ?' !tai-' • t .ai !.! -r hl _ � .1 �� Y -J je f Y � 7 , ' Y • � � .. , , 1.1"'I<i1'-�- i r . i `mss w, . • A' TO: FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance E.HH.. USE ONLY r==„ Plat PI. Att b d Floor PI. AMOW Scat to H.D. Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other US Hold final for: Final clearance O.K. for: NOTE: A Health Specialist 8/92 Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 'TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # PROPOSED BUILDING USE DATE REC # DATE REC 1. BUILDING PERMIT FEES Balance Due .................. $ ---Additional Fees Due ............ ---Additional Fees Due' ............ $ vi evised Plan Checking Fee ....... $ 2. SSCHCI OOL DISTRICT FEES. (paid at District Office) �HERIFF FEES (paid at Building Division) Residential . * ....... x. $360.00 = $ Units Commercial (sq.ft.) ... 500-1 x $0.03 = $ U. Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ Z-3 /q -,qt . #Units Amt. Commercial (sq.ft.) . ..�'000 x , l =$. () Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be. paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER `'� J APN Q'q 3+ 200- dG I' Firm Name --y A.Zn 2, «t S 7-0/e- kC 'Address 1 J 2 4- AJO r° D ✓�L (' / C Q Nature of Business InINl 5- 0 R -A -C Contact Person a -A -,r7 %3LrTlt' Phone # g q / 0 3 79 1. Dos your business or that of your tennants handle, store, or transport hazardous materials? VNO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and, safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited .to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at sta dard temperature 4 pressure), or formulation containing hazardous material? RO ❑ YES 891-2727 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-MX,I for a review of the project. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? "0 ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fuum�s, vapors, or other volatile compounds? ANO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative /,W (Signature) (Date) BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. El1:1 The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. • t •` e i 1 � PC' ,f j 1. • � 1 •� t M °s ♦ • �1 al 1" • t ....,.-�.. v_...e:-.l its.. .. le. i. . -...w r...h . ..... ti.,. -: A" -L41!,, _.A4141 d' 7(+i.i3,::n::.l�tt+faJ...�$�.YP..2si._}.�.3Ti 11.'�Ja'. t.(srlG++..-.Nr.`�"IYF��2lw^�i•R1AR1•.n1ar.6.-Y.�t.Y�fii��'...-. BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER I APN Firm Name 1220 ti Z3 Address G 3 4t /C 0 CA q!5 ct Nature of Business In/ A21 T7 -0)P,_ lG—t;r_ Contact Person Phone # a D :X7 1. Dom your business or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and.safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at stan and temperature 4 pressure), or formulation containing hazardous material? U4qO ❑ YES 2727 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916- for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or scho I site? U -INO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fuum�8,vapors, or other volatile compounds? "0 ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative Z- Z (Signatu(Date) BCEHD BCAPCD r) ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) Firm Narr Address BUILDING PERMIT NUMBER APN Nature of Business Aq C ;7--j-2 g=A—e- �-� Contact Person �O QTY Phone #� d 3 7 1. Dom your business or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? 1111"N0 ❑ YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-598oP81) for a review of the project. Is the business/facility/operation s�chppoI site? C; N0 ❑ YES IF YES, name of school. to be located within 1000 feet or the outer boundry of a school or -73 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fumes, vapors, or other volatile compounds? M40 ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company RepresentativeMK-,4-2— Z o ISignaJ (Date) BCEHD BCAPCD tur ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. 0 a The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept ❑ YELLOW- Env. Health 0 PINK - APCD 11 GOLDENROD- Fire Dept. BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER APN Firm Name Al "Ty Address/ / j - <' /-//C b_pfSg73 Nature of Business 1AZ) S%ORA-�r-� Contact Person Q n,, Phone # G 7 1. Dog -your business or that of your tennants handle, store, or transport hazardous materials? 19�1\10 ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. . 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at sta (dard temperature 4 pressure), or formulation containing hazardous material? NO 11 YES I'll - 2_`72 -7 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-599-M1) for a review of the project. Is the business/facility/operation sc of site? NO ❑ YES IF YES, name of school. to be located within 1000 feet or the outer boundry of a school or 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fuur!>es, vapors, or other volatile compounds? VNO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representati BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept ❑ YELLOW- Env. Health ❑ PINK - APCD 0 GOLDENROD -Fire Dept. BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER • APN Firm Name .1 1.1 1V I / A/`- / / 11 Address 6 3 LJ RO / G O C'A- Nature of Business Contact Person /W o n' T-117- Phone # 7 q 1. Does your business or that of your tennants handle, store, or transport hazardous materials? 10"NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited ,to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at standard temperature 4 pressure), or formulation containing hazardous material? Q10 ❑ YES F"/ 7-74 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-980OPM) fo a review of the project. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or school site? 111"N0 C YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, f�um�s ,vapors, or other volatile compounds? 10 ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. % Owner or Authorized Company Representative Z 9� (Signature) (Date) BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. 0 The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept ❑ YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. FEB -23-98 MON 14:42 BRUNO & HAWKINS d 5368951125 311q , � 1 _ D�'T75� LTTtt9qq �h'_ MALL BETA I L 0 AR�y� J 0. � � cq.3�j P. 021a� i 1* A eol 1 � R W� OL ArIG31 . C. ell U-) -u February 18,1998 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 533-2140 Bruno & Hawkins 20 Constitution Dr. Chico, CA 95973 Assessor Parcel Number: 043-200-001 Building Permitmber: 97-2703 Rel, v7o n-fe e -y The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: A one hour rating is required to the roof sheathing. We interpret this to mean the roof sheathing of the highest roof. Please show how this will be achieved. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Thursday. Sincerely, Linda Sexton Building Plans Examiner _ .u ...... ecoun LAND OF NATURAL WEALTH AND BEAUTY February 18,1998 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 533-2140 Bruno & Hawkins 20 Constitution Dr. Chico, CA 95973 Assessor Parcel Number: 043-200-001 Building Permitmber: 97-2703 Rel, v7o n-fe e -y The above referenced building plans were reviewed by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: A one hour rating is required to the roof sheathing. We interpret this to mean the roof sheathing of the highest roof. Please show how this will be achieved. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Thursday. Sincerely, Linda Sexton Building Plans Examiner MASONRY WALLS N E S W 1st Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 6th Lift FIRE WALLS (Occupancy, Area Propert Gypsum Board 1st Layer 2nd Layer Walls Ceilin s COMMERCIAL 043-200-001 PERMIT#98-0057 BETTY, Monty 1424 Nord Ave., Bldg A-1, Chico k New Mini-Stg/Com qg-00!5 '7&- 00507 2 V=OK O=Not OK = Not Applicable = Not Ready COMMERCIAL Date UN OOR Plans OK except #'s ning-Setbacks- Ease ments- Flood -SI ope-Soil Report g., Main; Soils-Ufer Ground.-Ftg. Depth Hold Downs -Bolts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Handicap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. Wiring -90' -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation _ 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. H.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sils, Proper Material & Anchors -Hold Downs 41. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops; Furred Ceilings -Stairs -Chases . 45. Headers & Beam -Size & Bearing -Support Fix. (NOTE: An entry must be made each Date ; FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Roof Shthing-Nailing-Diap.Chord Splice 48. Fire all-Doors-Area-Occp.-Prop. -,i.tk Access; Size & Romex Protection -Draft Stop -Ins. Baffles GI m cert. -Placement -Support 5J. Steel Buildings-Purlin-Girders L/ rty Line Firewall & Openings 53. oors-Handicap Access 54. airs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. iding-Nailing Veneer %Vgtucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic -Fire Port. 59. Shear Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date NAL (Plans) OK except #'s 3. Ext. Steps -Door & Sidelight Protection -Landings 4. Exits -Size -Number -Placement 5. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Sprinklers -Placement -Test 6 . Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. 64. Elec. Trim & Subpanel; Breaker Sizes & Labels 64 Stairs & Rails 70 Handicap -Door Levers -Fin. Floor 71. Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 73.1131b., Elec. & Mech. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic ❑ Yes 75. Guard Rails & Deck Construction -Post Caps 76. Fdn. Vents & Crawl Hole Door -Drainage 8 Wood -Earth Clearance Looked under Floor ❑ Yes 771 Stucco; Brown -Finish 7q A.C. Unit; Disconnect, Electrical, Plumbing 71. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to 8P. Water Well; Disconnect, Electrical, Plumbing 41. Exterior Elec. Trim; G.F.I. Receptacle -Underground 2. Off Site -Parking -Handicap 3. Glass Protection 84.Corrections from Previous Inspections 85.Gas Test -Meters Tagged; Gas -Electric 86. Water & Sewer Connected -C/O to Grade -HD Approval 87. Energy Compliance Certificate -Other Certificates 88. Roofing Certificate -Fire Rating DateJ112 filar Card B-1 /� Date Card B-1 Dater_ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of Occuuancv time you visit the job site) t a COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7• County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541_ ea) PE �� • (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER , ZONING BUILDING PERMIT OWNER MONTY BETTY TEL �J- l 0379 SO. FT. OCC. BUILDING VALUATIO 1610 35420 OWNERS MAILING ADDRESS LL ROAD, CHICO 95973 CONTRACTORS 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 $ 323.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee ' $ 210.25 BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 553.75 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other MINI STG 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 EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BLDG A-1 14 X 115 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Is I GI W @20.00 PERMIT FEE S �/y; �,/� TO BE MASTERED �5� �� % ELECTRICAL PERMIT Filing Fee 20.00 600V OR LE 9 Main Service AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lgtw for Ow following reason: r1kdras owner of the property, or my employees with wages as their sole compensation, � I -do the work, and the structure is not intended or offered for sale. -O' 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 I000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BLDS. 3.50FT. BRANCHI CUTCH 97.50 _N9WN-RES,..T POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. ourLEr OR FocruREs BAL .so LNS Ex. Occup. GFtITXE�OSA RES p,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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��ne hundred dollars ($100) or less.) C - 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. J_ / X _ Date ! �� _ - Signature of pplican 4�er ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction�� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. PE OTAL FE $ 53. HA D. FE IMP FL00 4 CDF pqR HD SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date ) " PERMIT EXPIRES ON % ate ReceiptNo. 231528230.25 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT :ev.12/96), COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ^ A ilCJe ZONING � BUILDING PERMIT OWNERTELEPHo E ^/ SO. FT. OCC. BUILDING VALUATION OWNERS MAILING W 5273 [/ - CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuatlon $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ . BUILDING ADDRESS i Energy Plan Checking Fee $ $ T PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURg SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK y 4a\ New Addition ❑ Re odel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: — 4 X %' J Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�ow OF mss 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.PO 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. ❑ 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. SO 3.5¢FT, ,,DµpESIpT MULTI -OUTLET @7.50 APPARATUS 8 SINGLE OUn.ET CI R. Ex. Occup. OUTLET ORFDCTURES BA�� I.w Ex. Occup. .11 a� °� 5.00 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: I 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'HAZ. 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 5'0"deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 3 �� 1 0. FEES IMP FLOOD COF PARCEL PD HD 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 Date Receipt No. WHITE-D.D.S..8.0. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT •ti..� .J , +'`�".v. .-4.. rt ,•.C. N!'-r�•i��r-.r•i3f,.Y1r..^� ....ti'ryx*,.. ...... ti.'r'tsv :...i WI�.� -J'• _r3." r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: — Oct — O O Proposed Building Use: Building Inspector. Date: At time of permit application, I was advised the following data must be submitted prior to permit $roc ssing and/or issuance: Date Received By 111. All iiems have been submitted------------------------- ------------------------------------------------------------ ❑2. Plot plans, 3/4 sets, signed by the preparer of plans- ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans--------- 1:15. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation----------------------------------------------------- tatement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- azardous Material Form. ------------------------------------------ ------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications------------------- Feesof $ ------------------------------------------------------------------------------------- �I 1. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. Calgi a Department of Forestry plan approval/fees. --------------------------------------------------------- Welevation certificate. ----------------------------------------------------------------------------------------anitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- 16. Plot plan and business license approval from the City of Biggs. ----------------- ----------------------- -- �- ❑ 4 ID ❑ T7. lanning approval for (A) Use: ✓ (B) Parkin :- -�--a Contact Land Development about CImp � g , g rovements, Draina e ❑ Legal Parcel. ----------------------- 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification)- ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization- -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use- ---------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. --------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- E130. Other: Wh you issue the permit process as follows ❑ Mail to owner, ❑Mail to contractor. telephone J b and hold for pickup at office. ❑ Deliver with inspector. Applicant: o Date: % Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: 2. Additional items required: ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisio counter, by Date: Contractor, designer, owner, was advised of the above required data by 13phone, ❑ mail, ❑ Buildin Divi •o unter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. rpt r: ' S4� 7 ! J iJ y • t• H - T w r Vis.-n.y rs.,.-'.ay�;.K'Wws.= ,amu ..-.r<S 'w�v.._.•��..� o:p.r.:Y:b,�...,. �v wr.yte:-:,,�•�._.�.,,....--__..-.....-..v-•..--.-�'--,.'-.v-•--..,..--�,.--�,w,.. .- _..-_ .a--.r-�-..nh..,.. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER12 A.P. #' O `I 3 —CXD— OC:) PROPOSED BUILDING USE ` :Elk A j DATE q� ✓' 1. BUILDING PERMIT FEES , -- Balance Due ...:. .....I ..... $ . -- Additional Fees Due :.......... $ -- Additional Fees Due ........... $ -- Revised Plan "Checking Fee ....... $ 2:..SCHOOL DISTRICT FEES. (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq. ft.)... i talD x $0.03 = $ 'TO • J Sq. Ft. Yr ✓ 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Ungs Amt. Commercial (sq. ft.) .. x " 13 =$ p o50 Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER REC # DATE REC a3rds� 3 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) i BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) Firm Narr Address BUILDING PERMIT NUMBER " 00 APN 19q3 -L00'0'0 Nature of Business 57-aR_AG4s Contact Person %�n"ry /3L--1rY - Phone # 7-9) ® 37 �1 1. Doe your business or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at stan and temperature 4 pressure), or formulation containing hazardous material? POINO ❑ YES 891-2727 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (9164W 1) for a review of the project. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or sch of site? NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, f s, vapors, or other volatile compounds? 6" N O ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative I -_ / (Signature (Date) BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To -This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept ❑ YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD -Fire Dept. . ,:. .ti., -,. :t; , 't^"1Q i1 `�°�r'�`P`� y!K w. w:'i"k' J`II';?lSi:..:a.tt.5�.�.k��i�«v/J'�'1'��ii'�l,'�,rr•,w�i( •�.N� #�r RS+a�tvYt.9.e<ail•,�r�"itl"`r/;..fJ'l:!�>Ir�v r�lt-'a. •y�• . Yr �• tiT,:it. .V ,J '''w' '1 ,apt � � •-,; .:a is ,� , 7, U - lL1!�.�.ti a -_.l` ri'41"�;�'?� J�'i!!J! Ir�.�. �, r, 7, i. C ■,! - .. Kt! 'I` ,.. !�i , _ 1 , .. .��il. it � 1!f0 ..r•}•al 1. , �- _ , MASONRY WALLS N E S W 1st Lift 2nd Lift 3rd Lift. 3, 4th Lift 5th Lift 6th Lift FIRE WALLSOccu anc Area Property)3 Gypsum Board _ 1st Layer 2nd Layer Walls Ceilin s t COMMERCIAL VS 043-200-001 PERMIT#98-0166 BETTY, Monty 1424 Nord Ave., Bldg D-1, Chico !'New Mini-Stg/Com m W t V=OK O = Not OK - = Not Applicable COMME Not Ready Date UNDERFLOOR Plans OK except #'s ii -To -Setbacks-Easements-Flood-Slope-Soil Report tg., in; Soils-Ufer Ground.-Ftg. Depth A-FTo-ld Downs -Bolts -Straps -Embedment -Hair Pins a a 4. Concrete -PSI -Cert -SP. insp.-Loc. f 4 Stemwalls, Main; Steel- Blockouts-Wrapped 6. Rein ff %WV Grade -Placement ab; Steel -Wrapped -Wire Mesh - 8. Piers -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test { 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab Y 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Handicap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations ' Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s I 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boyfis & No. of Conductors -Stapled 25. Romex fisted Close to Edge of Studs & C.J. 26. round ppde up w/Mech. Fastners-Bond Gas & Water 27.mg-90°- r t ed -Color Coded 28. Subfe re ze / / ga. Cu or AI-A.C. Wire Size / / ga. oy 29. F're es' i e -F ure-Conduit-G.F.I.-Susp. Ceiling 30. Service- uctors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. FI.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. SilE Proper Material & Anchors -Hold Downs al Studs -Nailing, Spacing & Bracing -Plates -Sound 4 earing Walls over Girders & Floor Nailing 43. Dr Stop in Walls (rat proof) 4�. re ops; Furred Ceilings -Stairs -Chases 45. Aeaders & Beam -Size & Bearing -Support Fix. RCIAL Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Roof Shthing-Nailing-Diap.Chord Splice 48. Firewall-Doors-Area-Occp.-Prop. 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. GI -Lam cert. -Placement -Support 51. Jeel Buildings-Purlin-Girders 5 . perty Line Firewall & Openings 53. JArs-Handicap Access Stat i th-Headroom-Rise-Run-Landing-Fire Protection 5,1q JWqoj'on Roof Overhang -Attic Vents -Rafter Outriggers ,j -Nailing Veneer uc o Mesh -Drip Screed -Fd. Vents-Underflr. Access a. 5 ing Area -Glass Protection -Skylights -Plastic -Fire Port. She IIs -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date C41rd B-1 Date Card B-1 Date FIN (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings ffExits -Size -Number -Placement 5. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6. Sprinklers -Placement -Test 7. Suspended Ceiling-Seismic-Wires-Elec-light & Mech. 8. Elec. Trim & Subpanel; Breaker Sizes & Labels 9. Stairs & Rails 0. Handicap -Door Levers -Fin. Floor 1. Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 73. Plb., Elec. & Mech. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic ❑ Yes 75. Guard Rails & Deck Construction -Post Caps 6. Fdn. Vents & Crawl HoW Door -Drainage & Wood -Earth Clearance Looked u er Floor 0 Yes 17. Stucco; Qk n -F' h 8. A.C. Unit; Disconnect, Electrical, Plumbing 7„9. Vents Above Roof; Plbg. Appliance -Fireplace. -Clearance to I Openings 0. Water Well; Disconnect, Electrical, Plumbing 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground - 2. Off Site -Parking -Handicap 3. Glass Protection 4. Corrections from Previous Inspections 5. Gas Test -Meters Tagged; Gas -Electric 6. Water & Sewer Connected -C/O to Grade -HD Approval 7. Energy Compliance Certificate -Other Certificates 8. Roofing Certificatefire Rating Date /)I.LIM Card B-1 A Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of Occuoancv (NOTE: An entry must be made each time you visit the job site) � COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT q 9 -/ ('t��s� ASSESSOR PARCEL NUMBER 043-200-001 ZONING C-1 BUILDING PERMIT OWNER MONTY RETTY TELEPHONE 891 0379 SO. FT. OCC. BUILDING VALUATION 3580 78,760.00 OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 78.7 0.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 545.00 ARCHITECT OR ENGINEERS MAILING ADDRESS 9n CONSTITUTION DR CHICO CA Plan Checking Fee $ 23.00 BUILDING ADDRESS 1494 NORD AVE- Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome q Other 0,TOj AGE TiNTTR sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ AJC=R �•••��, Describe Work:: ____ G� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zooAoRLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. 211. 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 46.00NEW CONST. DWELLING OCCUR OR ADONIS.( g ACC. BLDS, SO 3.5QFT; NON-RESIDTNMCONS CTI-OUTCU' �a 7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20Q 1.00 a40 .50 Ex. Occup. Ou'TIEEDTSA REESSIp.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE = 27 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.) C}' 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 forthwith comply with those provisions. X Date Z_ Z— 9— Signature of Mplicanl-021i�5WneO ❑ Contractor ❑ Agent An OSHA per it is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ cc If CONST. E TOTAL FEE $ 615.50 HA D. FEES IMP FL0o0 cDF PARCEL PD D IS UE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON _vz the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. 22 (O /. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 . W 1 , r 1 1 v 1 , til • ' •� , ,.. . -w r ['ice -n,. �„w „•„jt�� . ..: CaFNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7. 7 COUNTY CENTER DRIVE_ : OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 Nq -' PERMIT APPLICATION DATA SHEET # D OWNER: b �1 ' �� ASSESSORPARCELNUMBER: Proposed Building Use: rn h i c3CJL Building Inspector: Date: a-7 At time of permit application, I was advised t e following data must be submitted prior to permit processing and/or issuance: "I t Date Received By ❑ 1. All diems have been submitted.---------=--------------------------------------------------------------------------- ❑2. P t plans, 3/4 sets, signed by the preparer of plans. -------------------==--------------------------------------- V mplete plans, 3/4 sets, signed by the preparer of plans. -—===-=--==-=---� ;;-------------------gineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------I ------------------------ ❑ 7. St ement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- azardous Material Form.------------------------------------------------------------------------------------------ es ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ----------------------- El12. California Department of Forestry plan approval/fees.--------------------------------------------------------- Flood elevation certificate. 4. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 6 lot pPlanlan and business license approval from City of Biggs. ---------------------------------------------- 2 l 7. Planning approval for (A) Use: O iL (B) Parking: �%` .¢. -------------- Contact Land Development about crimprovements, Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification)- ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. -----------------------------------------a----------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. =------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. Letter of intent on'building use.------------------------------------------------------------------------=---------- ❑27. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. --------------------- 0 29. ❑433 A, El Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: ------- When you issue the permit, process as follows Mail to owner, ❑Mail to contractor. 6 Telephone $� — 3 7 9 and hold for pickup at office. ❑ Deliver with inspector. �• Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, 13Other: Date: By: 1. Index permit application for the above items numbered: -K r/ ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by phone, ❑ mail, ❑ Building Division counter, by604�fDate: �. Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mai ,0 Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o,.Building Division counter, by Date: Contractor, designer, owner, was advised of the above uired data b ❑ phone, o mail, ❑ Building D vision counter, by Date: Plans reviewed by: O� ` Date'k-10- q Plans appioved by: Date. Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. tolder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY. OF BUTTE Ryxi M. n f h- I DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER 'l. v A.P. # 2 O " DO l PROPOSED BUILDING USE 1 ► 1 I ii L S�Qa� DATE- ?� 3 J . 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ '?,KRY2. SCHOOL DISTRICT FEES 0/(paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units , Commercial (sq.ft.)... MgDx ' $0.03 = $ 0 Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ REC # DATE REC 7-)-q Ci (0 2.3.9 8 �� n vuua ALLLL. Commercial (sq.ft.) .. x,13 =$ 465AD 65— Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Ll Original -Owner Copy -Building Div. (Rev. 12/96) . 5 I ' x, A�r ;rrr7`mrtcwrT^hvr;irr.j��t"s. ^ r 1r"?eur?7 �y ^,,fN.,.n r�-'r` pis. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District . Building Department No. A.P. Number �y3�a%ao- o j Jurisdiction: City E_—__�---_`rCounty Property Owner Property LocationM Qun019* D-1 Subdivision Lot No. Residential Development Sq. Footage No of Living Mobile Home . Addition (Group R) Units Installation Commercial/Industrial New Addition Building. Department Representative (Floor mans revlewea oy bcnooi uistrict versonneq Sq. Footage ��y 0 .3600 (Including Exterior Roofed Areas) a -a -98 Date District Identification No. 11 2U )01! Lo!l SchoolDistrictcertifies that ` pplicant) (Street Address) ` (Phone Number) (City) (State) (Zip Code) , has complied with the requirements of Resolution No. �� - 9�j by payment of $ representing ear?l �q �� square feet. IFiB 2926 $ ULL MITIGATION $ a V Date Paid by Check # UA Remarks: ml ^ Natb4eq��(! Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66Q201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is•being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) . feeform.xls (2/97)dmm (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT r. ASSESSOR PARCEL,NUMSER _ G ( ZONING / BUILDING PERMIT OWNER070 L� T IEPNONE Sia SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADORES$ G 3z4 .. CONTRACTOR'! NAME j t TELEPN ONE / [7 O r S CONTRACTORMWNG ADDRESS CONSTRUCTION LENDER Ffe IACs 1 1 LENDER'S MAILING ADDRESS Total Valuation s • , ARCHITECT ORENGINEEA�NQ 1 17CENSENO. Flin Fee 4 $ 20.0C Permit Fee - 1 ' C/LJ S . ARCMRECf OR ENGINEERS WAILING ADDRESS 2 p 0 N S / 7` 1 O 4! C G C A- � Plan Checkin Fee s Z 3. SUILowoADOREss IL Q G r U Energy Plan Checking Fee $ $ PERMIT FEE LOT No. SUISM610NS NAA! PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trn 7.00 USEOFSTRUCTURE / SF ❑ Duplex O Mobilehome�JC Other (Q ePEclFr Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New i9°-- Addition ❑ Remodel O Utilities ❑ Installation O Other O iM Work: _ 1 ' \ 2 OO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00Describe PERMIT FEE : ELECTRICAL PERMIT Filing Fee 20.00 Main Service 020,0aA OR Les 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 em exempt under Sec. Business and Professions Code for this reason � WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 certity 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 - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0- deep and demolition or construction of structures over 3 stories In height. Main Service 100A TO 1000A 46.00 NEW CONST, owtluNo OCCUP. SO OR ADDNS. ( a ACC. stns. 3 5¢Fr: T. rNpµRaltW p. MULTI OUTLE7 @7.50 7 15'0 PSWGLE OWER APPARATUS 6 Ot1rLET CIR. Ex. Occup. OVTLET OR FOCTURES � ® 1:00 FIXED APPLNS OR Ex. Occup. ourLETs Es10. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ i �d ' MECHANICAL PERMIT Fili g Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FEI: s Mobile Home Installation Fee s Energy Inspection Fee s Occ CONST. 11 TOTAL FEE $" (p 1, D -Z. 1 D FEES I IMP I FLOOD cop, PARCEL PO ND 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 Ogre Receipt No. WHITE -0.0 4.•9.0. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO•APPLICANT .r - MASONRY WALLS .. N E S W 1st Lift 2nd Lift 3rd Lift. 4th Lift 5th Lift 6th Lift FIRE WALLS Occu anc Area Propert Gypsum Board 1st Layer 2nd Layer Walls Ceilin s P COMMERCIAL 043-200-001 PERMIT#98-1143 rBETTY, Monty 1424 Nord Ave., Bldg CA, Chico 'New Mini Stg ..e. 13 V=OK O=Not OK - = Not Applicable COMME = Not Ready Date UtNIDERFLOOR Plans OK except #'s 1. oning-Setbacks-Easements-Flood-Slope-Soil Report 2. 0%, Main; Soils-Ufer Ground.-Ftg. Depth 3. Hol Downs -Bolts -Straps -Embedment -Hair Pins 4. Concre -PSI-Cert-SP. insp.-Loc. 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Reinf. Steel- ade-Placement 7. Slab; Steel-Wra ed -Wire Mesh 8. Piers -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Hand icap-W/C- Back ing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. Wiring -901 -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30.' Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. F(.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F AMING Plans OK except #'s Sils, Proper Material & Anchors -Hold Downs Malls Studs Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing 3 aft Stop in Walls (rat proof) 4,'4,/Fir Stops; Furred Ceilings -Stairs -Chases 45. Headers & Beam -Size & Bearing -Support Fix. (NOTE: An entry must be made each RCIAL Date ' FRAMING (Continued) 4 . riangers-Post Caps -Anchors -Connectors Roof Shthing-Nailing-Diap.Chord Splice Fi rewal l-Doors-Area-Occp.-Prop. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Glu -Lam cert. -Placement -Support Steel Buildings-Purlin-Girders Property Line Firewall & Openings E t. Doors -Handicap Access 5 irs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 68. Gazing Area -Glass Protection -Skylights -Plastic -Fire Port. fiReShear Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F.I L (Plans) OK except #'s . Ext. Steps -Door & Sidelight Protection -Landings 641 Exits -Size -Number -Placement 6 Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 66 Sprinklers -Placement -Test 671 Suspended Ceiling-Seismic-Wires-Elec-Light & Mach. 681 Elec. Trim & Subpanel; Breaker Sizes & Labels 69.1 Stairs & Rails F70.1 Handicap -Door Levers -Fin. Floor 71.1 Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor -Meeh. Protection 73. JPIb., Elec. & Mech. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic O Yes 75. JGuard Rails & Deck Construction -Post Caps 76. dn. Vents & Cra Ho Door -Drainage & Wood -Earth Clearance Loo d der Floor 11 0 Y 77. tucco; Br -F ish -1411[107CI &W 78. .C. Unit; Disconnect, Electrical, Plumbing 79. ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 80. ater Well; Disconnect, Electrical, Plumbing 81. xterior Elec. Trim; G.F.I. Receptacle -Underground 82. ff Site -Parking -Handicap 83. lass Protection 84. orrections from Previous Inspections 85. as Test -Meters Tagged; Gas -Electric 86. % /ater & Sewer Connected -C/O to Grade -HD Approval 87. E nergy Compliance Certificate -Other Certificates 88. 1 oofing Certificate -Fir Rating DatJJ1Z71qX Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Fine: u Certificate of Occupancy time you visit the job site) ' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT _O• (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —200-00 ZONING C-1 BUILDING PERMIT OWNER TELEPHONE 79 SQ. FT. OCC. BUILDING VALUATION 3000 66,000.00 OWNER'S MAILING ADDRESS '16'14 BELL RD, C14TCO CONTRACTOR'S NAME QWNFR TELEPHONE ' CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 66,000.00 ARCHITECT OR ENGINEER BRUNO & HAWKINS LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 491.00 ARCHITECT ORUwl�U1VJ�1�N U lU1V� Plan Checking Fee $ 23.00 BUILDINGADDRESS 1424 NORD AVE.— Ener Plan Checking Fee Energy g $ $ CHICO PERMIT FEE $ 534.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New T Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER PLAN 94-904 BLD C-1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I WF- 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioonoa'ss 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 i full force and effect. O License Class IL 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. ❑ 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 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 ,1n,erformance of the work for which this permit is issued. L9' 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 —F A—/ - ('_0/►20 Policy Number 7 Z -7 g 7 — q (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 1 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 plicant - Owne ❑ Contractor ❑ Agent An OSHA per 1t 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 OCCUP. SO OR ADDNS. ( 8 ACC. B.S. 3.5¢FT. NEW CONS NON-RESIDT MULTI -OUTLET g7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES BAL O ';50 EX. Occup. OUTELETS D AAESIOOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ T��v �°E TOTAL F $ 534.00 HAZ. FE I FL CD PARCEL PD D SU This permit is hereby issued under of the Butte County Code and/or indicated above for which ees have By PERMIT EXPIRES ON�� the applicable provisions Resolutions to do work been paid. )� l Date �� ReceiptNo.236847 3, J, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECT GOLDENROD APPLICANT Wim', MJNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER:�Z>-��'( ol,- Proposed uilding Use: Building Inspector: Date: 6 tjg %gj ` '._ Xt time of permit applicatio , I was ad ' ed the following data must be submitted prior to permit proce sing and/or issuance: Date Received �By _ ❑ 1. All items have been submitted.---------------------------------------------------------------- • 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------ 113. Complete plans, 3/4 sets, signed by the preparer of plans. 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. ----------------- ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- t ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ 9. Njanufactured Home data )I and installation instructions including Tie Down Specifications .------------------ Feesof $ L' C/� ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- 1113. ��FFll-oo�od elevation certificate. ---------------------------------------------------------------------------------------- (J Sanitation and plot plan approvals Ar" e-fIealth Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. -------------------------------- ------------- El 17. Planning approval for (A) Use: (B) Parking: --------------------------- 1118. ------------------------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 111. 9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. Pre -inspection for required.. Request to Building Inspector on - (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- E122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.-----------------------------------------------------------------------=-- ❑ 28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, El Check to H.C.D $ .-------- ------- --- E130. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone S < and hold for pickup at CP1 G6 office. ❑ Deliver with inspector. Applicant: ate: J Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: 2. Additional items required ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail,. ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi ion counter, by Dat . Plans reviewed by: Date: I Plans approved by: Date: Sets of plans o fd/u7❑' 1 �. irg""01 %q. Wei., Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. �r - a � .+ - �-• - � � c ' � � -�� 1 r �i -- '.J ' •� i 1 � � .. '� �� .� ., ,� .. ... ..._ ._ - r .It'll• _ t- � ``, , .. � • ....n - - �- `,fit J � , _ r ..- - •- -� � • r .. _ .. .' �t. ,,. - � � ' , � �+ .,tai - _ � _ ,, h� +• � � i �� 7� ' �• v ,� .. i. � •'1 i ._ ._ _ • � 1 �`�` J� t .. ". - ,� ��. i• � u _ rr _ ... ,� � � • _ �, +� y. .. �1 r .�. 'COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE; OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 106, . BUILDING PERMIT FEES / -- Balance Due ................ -- Additional Fees Due ....... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ...... $ Cy�V2. SCHOOL DISTRICT FEES (�4,, (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... �> $0.03 =s Sq.Ft. 6V 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. &VO x �/ 3 =$. 3 v'ca Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) . 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. ff ' ZOO G d DATE 6 REC # DATE REC At time of permit application, I was advised the above fees are, required to be paid prior to issuance of the building permit. These fees may be changed .during the plan checking process.. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. 7 44-36 Lusn School District certifies that (Street Address) (City) has complied with the requirements of Resolution No. representing 3 0so o �./ square feet. School District Representative 1�• (A plicant) 03-79 (Phone Number) (State) (Zip Code) by payment of S JB 2926 $ ULL NHTIGATION $ �- 9(r— Date. (Date. Paid by Check # Remarks: Mini Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit your from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Erivironmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/971 •° ` ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) o. School District. Building Department No. A.P. Number J4'j^,;LW-60 1 Jurisdiction: City % County . Property Owner Property Location/Address 1 U a 'T Subdivision Lot No. Residential Development Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation ' Commercial/Industrial r F-1 Sq. Footage 3 0� New Addition (Including Exterior 1�� /1 , I Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. 7 44-36 Lusn School District certifies that (Street Address) (City) has complied with the requirements of Resolution No. representing 3 0so o �./ square feet. School District Representative 1�• (A plicant) 03-79 (Phone Number) (State) (Zip Code) by payment of S JB 2926 $ ULL NHTIGATION $ �- 9(r— Date. (Date. Paid by Check # Remarks: Mini Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit your from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Erivironmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/971 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION " 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541n PE MIT NO. (Rev 12/96) - APPLICATION AND PERMIT `� f - I I:E, ASSESSOR PARCEL NUMBER.^�6z I 20NINL BUILDING PERMIT OWNER ELEPHONE 22 ZY SO. FT. OCC. B ILQING VALUATION V �Zy OWNERS MAILING ADDRESS 1 BGG. 91I=6 f 3T?3 CONTRACTOR'S NAME s• -` TELEPHONE CONTRAC RS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ e17A ARCHITECT OR ENGINEERLICENSE ` ' NO. Filing Fee S 20.00 Permit Fee $ G 1 ARCHITECT OR ENG NEERS MAfUNG ADDRESS Plan Checking Fee BUILDING ADDRESS Energy Plan Checking Fee $ $ 7r Id -0 PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ®" Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: � f a-2_2 0 (. e: I, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2oonoa'.ss 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.d 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. ❑ 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 hei ht. Main Service 200A TO 1000A 46.00 NEW CONST. DwELUNG OCCUP. s0 OR ADDNS. ( a ACC. BLDS. 3.5¢FT: NEW CONST. MULTI.OU CUITMS @7,50 PSINGLOUTLET CIR.OWER APPARATUS E 20 @ 1.00 Ex. Occup. CUTLET OR FDcruREs BAL @ .w Ex. Occup. OUEt s gESI6.) Eq 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 9 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL t i Mobile Home Installation Fee $ Energy Inspection Fee $ r %_A� occ CONST. TYPE " TOTAL FEE $ IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for whi h fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Qate _ Ie Receipt No. 17-757) -5 100 WHITE -D.D.S.•B.D. CANARY- SESSOR PINK -INSPECTOR I GOLDENROD -APPLICANT =EWW.W.AWAEV COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 538-7541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 97-2703for the following: Use Classification MINI STG OFFICE & GARAG ADDImION Address or Location 1424 NORD AVENIJE, CHICO Group B/11 occupancy: Type VN construction. It is hereby certified for the occupancy described above and may be occupied. Date 11/23/98 Director of Public by POST IN A CONSPICUOUS PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted In a conspicuous place and is not to be removed by other than the Building Inspector. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 538-7541 CERTIFICATE OF OCCUPANCY This building has'been constructed and completed in accordance with the requirements of the Uniform Building Code under permit'number 98-0057 for the following: Use Classification NEW MINI STORAGE / ..COM Addressor Location 1424 NORD AVENUE, BLDG,A-1, CHICO Group S-1 occupancy; Type VN construction. It is hereby certified for the occupancy described above and may be occupied. Director of Public Works Date 11/23/98 by POST IN A CONSPICUOUS PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted In a conspicuous place and is not to be removed by other than the Building Inspector. r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 538-7541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 98-005Efor the following: Use Classification . NEW MINI STORAGE / COM Address or Locatio)i 1424 NORD AVENUE, CHICO BLDG B-1 Group B/Tt occupancy; Type VN construction. It is hereby certified for the occupancy described above and may be occupied. Director of Public Works Date 11/23/98 byGO POST IN A CONSPICUOUS PLACE (V ver) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the Building Inspector. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 538-7541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the rec uirements of the Uniform Building Code under permit number 98-059 for the following: Use Classification. NEW. MINI .ST ORAGE / COM Addressor Location 1424 NORP AVENUE, BLDG F-1, CHICO Group R-1 occupancy; Type VN construction. It is hereby certified for the occupancy described above and may be occupied. Date 11/23/98 Director of Public Works b A6X9�& Y POST IN A CONSPICUOUS PLACE (Over) NOTICE A new Certificate of ,Occupancy is required At the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and Is not to be removed by other than the Building Inspector. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 538-7541 CERTIFICATE OF- OCCUPANCY This building has been'constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 98-0166 for the following: Use Classification- NEW MINK STORAGE/COM.. Address or Location 1424 NORD AVENITE, BLDG D-1, CHICO Group S-1 occupancy; Type VN construction. It is hereby certified for the occupancy described above and may be occupied. Date 11/23/98 Director of Public Works by POST IN A CONSPICUOUS PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the'guilding Inspector. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE .OROVILLE, CALIFORNIA - 538-7541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 98-1143 for the following: Use Classification , NEW MINS STORAGE Address or Location 1424 NORD AVENUE, BLDG C-1, CHICO Group S occupancy; Type VN construction. It is hereby certified for the occupancy described above and may be occupied. Date 11/23/98 Director of Public Works by POST IN A CONSPICUOUS PLACE ,vver� NOTICE A new Certificate of Occupancy is required If the use or occupancy of this building changes. This Certificate of Occupancy, shall be posted in a conspicuous place and Is not to be removed'by other than the Building Inspector. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 538-7541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 98-1144 for the following: Use Classification NEW MINI STORAGE. Address or Location 1424 NORD AVENUE, BLDG C-2, CHICO Group S occupancy: Type VN construction. It is hereby certified for the occupancy described above and may be occupied. Date 11/23/98 Director of Public Works by AAF:&_� POST IN A CONSPICUOUS PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the Building Inspector. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 538-7541 CERTIFICATE OF OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code 'under permit number 99-114 or the following: Use Classification NEW MINI STORAGE Address or Location 1424 NORD AVENUE, BLDG D-2, CHICO Group BAJ occupancy: Type VN construction. It is hereby certified for the occupancy described above and may be occupied. Director of Public Works Date 11/23/98 byAOk POST IN A CONSPICUOUS PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the Building Inspector. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 538-7541 CERTIFICATE OF, OCCUPANCY This building has been constructed and completed in accordance with the requirements of the Uniform Building Code under permit number 98-1144or the following: Use Classification NE14 MINI STORAGE Addressor Location 1424 NORD AVENUE, BLDG D-3, CHICO Group B/[J occupancy; Type VN construction. It is hereby certified for the occupancy described above and may be occupied. Date 11/23/98 Director of Public Works by POST IN A CONSPICUOUS PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted in a conspicuous place and is not to be removed by other than the Building Inspector. MASONRY WALLS N E S W 1st Lift 2nd Lift 3rd Lift. 4th Lift 5th Lift 6th Lift FIRE WALLS 0 cupancy, Area Pro ert Gypsum Board 1st Layer 2nd Layer Walls Ceilin s t COMMERCIAL 043-200-001 PERMIT#98-1144 BETTY, Monty 1424 Nord Ave., Bldg C-2, Chico New Mini Stg �.a-703, 6g-00'�7 qg- ()pSg, 0054� V=OK O = Not OK = Not Applicable COMMERCIAL = Not Ready Date UNDERFLQOR (Plans) OK except #'s I fig -"Main; Soils-Ufer Ground.-Ftg. Depth 3. Hold Downs -Bolts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalls, Main; Steel;Bl6ckouts-Wrapped 6. Reinf. -Grade-Placement Steel -Wrapped -Wire Mesh 8. Piers -Steel ` 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masogry-Rebar-Lifts Date Card B-1 Date C40 B-1 Date Card B-1 Date ward B-1 Date PLUMBING Permit OK except #'s 16. Water Htr.; Vent -Access -Comb on Air -Baffle 17. Water Pipe; Test & Anch ail Protection 18. D.W.V.; Test- Fittin Anchor -Nail Protection 19. Sinks Floor -G se Trap 20. Handica /C -Backing 21. Gas pe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearan -Ins. Protection 23. Single Phase -Three Phase-Eq6p. Bond 24. Size Boxes & No. of Cond ctors-Stapled 25. Romex Installed Close Edge of Studs & C.J. 26. Equip. Ground made p w/Mech. Fastners-Bond Gas & Water 27. Wiring-90°-Protec d -Color Coded 28. Subfeed Wire 5 e / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resisti -Fixture-Conduit- G.F.I.-Susp. Ceiling 30. Service- ser Conductors & Ground -Main Disconnect 31. Equip. kearances Panels-Motors-Mech. Equip. 32. Fire Yfall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 DatA Card B-1 Date MECHANICAL (Permit) OK e e ,t #'s 33. A.C. Ducts Insulation Oupport 34. Vent Fan; Exhaust ove insulation 35. Condensate Drai & Overflow; Size & Grade 36. Furnance-Vent ccess-Comb. Air -Return Air Vent -115 outlet 37. Attic Access Platform if Furnance in Attic 38. FI.V.A.C. ntilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date EfIAMING(Plans) OK except #'s 40. ils, Wper Material & Anchors -Hold Downs pty,Studs-Nailing, Spacing & Bracing -Plates -Sound 4 ng Walls over Girders & Floor Nailing raft top in Walls (rat proof) 4 ' e Stops; Furred Ceilings -Stairs -Chases Headers & Beam -Size & Bearing -Support Fix. a Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47. Roof Shthing-Nailing-Diap.Chord Splice Fi rewa l l -Doo rs-Area-Occ p. -Prop. 4g-C,tt6coc---i°^g °- �otection-Draft Stop -Ins. Baffles am cert. -Place ort - i rags-Purlin-Gir e 152. Property Line Firewall & Openings 53. Ext. Doors -Handicap Access 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. plywo d on Roof Overhang -Attic Vents -Rafter Outriggers R ng -Nailing Veneer Screed -Fd. Vents-Underflr. Access 9 58. Glazing Area -Glass Protection -Skylights -Plastic -Fire Port. 59. Shear Walls -Plywood-Nailing-Conn to Roof 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s §4Ext. Steps -Door & Sidelight Protection -Landings 64. Exits -Size -Number -Placement 65. Furnace; Vents -Clearance -Comb. Air -Connector - n Garage; Above Floor-Ducts-Mech. Protection 66. prinklers-Placement-Test 67. 1 3uspended Ceiling-Seismic-Wires-Elec-Light & Mech. 68. Elec. Trim & Subpanel; Breaker Sizes & Labels 69. 3tairs & Rails 70. andicap-Door Levers -Fin. Floor 71. Dec. Outlets at Wood Panel; Int. & Ext. 72.tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 73. Ib., Elec. & Mech. Equip. Listed for Location 74. bulation-Foam-Looked in Attic ❑ Yes 75. uard Rails & Deck Construction -Post Caps 76. Qdn. Vents & Crawl H61e Door -Drainage & Wood -Earth 77. Jtuccf, B fish 78. 4. c. Unit; Disconnect, Electrical, Plumbing 79. Jents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to 80. 'Vater Well; Disconnect, Electrical, Plumbing 81. kxterior Eiec. Trim; G.F.I. Receptacle -Underground 82. ff Site -Parking -Handicap 83. JGlass Protection 84. Corrections from Previous Inspections 85. Gas Test -Meters Tagged; Gas -Electric 81 Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 88. Roofing Certificate- ire Rating Date(, Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of Occupancy (NOTE: An entry must be made each time you visit the job site) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT =� / ASSESSOR PARCEL NUMBER 43-200-001 C-1 ZONING BUILDING PERMIT OWNER MONTY BETTY TELEPHONE 891-0379 SO. FT. OCC. BUILDING VALUATION 3000 66,000-00 OWNER'S MAILING ADDRESS 3634 BELL RD, CO CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $664000-00 ARCHITECT OR ENGINEER LICENSE NO. Flln Fee $ 20.00 Permit Fee $ 491-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1424 NOIRD AVE- Energy Plan Checking Fee $ $ CHICO PERMIT FEE S 534 - LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER PLAN 94-904 BLD C-2 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR mss 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 C) —1 Lic. No. 3 O gg S 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 I000A 46.00 NEW CONST. DWELLING Occup. so OR ADDNS. ( a ACC. Bins. 3.50FT: e,..F ES",o'' IUXI-0 ' C� @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES BAu @ .so Ex. Occup. OUTLEEDTs RES D.DEA 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 rformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier e- Qr I /--" MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 7 Z -7 3 " — _ S (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 z 9-P _ Signature of licant 711lyner ❑ Contractor ❑ Age An OSHA permll is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ c T. PE TOT L FEE $534.00 HAZ. FE FLO P PD HD SU This permit is hereby issued under the applicable provisions oI the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By �D7attee/ 1.S PERMIT EXPIRES ON `G/,,�, Def, ReceiptNo.236847 -Ott a4 I - L)v WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSP TOR GOLDENROD -APPLICANT .. ,.� ��;,,-rn'.; �v.lP'lia'+L'4",2'.'►y.crjy 7r'4�,�ilV"'�`°!; �t s„j,�'�I�4'1. •:.i�'�a(i•:.t-7:^' ^""�i+--',�.•'.r"i".'r�f;7!•�.J'iM•�.�1r-•`: �j �{'2 ".'`lC��;.'!'t r='`•'��"e�' �!-.; 'i. ,}�iF« +.�y�•� .v:e j� ;y,,,. .�r:'a r r r 1 r � i r i - t i • t i t f '�C .�,i .,,r,;,,:•t,k.��. .pev.-.� �.,•t� .....y,,:r.�+.�c..-'^r ✓"+'"��iss t:.r�.r+�.�;. rrw:^,r s - rr ..�.,+,}9t+D+`N+apµy�•y.r ss.^uir^5nr �.r. .-i' r^..w t- .. .. , `*0-9UNTY,"6F BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION s w 7 COUNTY CENTER DRIVEL OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC , ER: �i " Proposed Building Use: Building Inspector: , Date: f At time of permit application, was advised -the following data must be submitted prior to permit'processing and/or issuance: Z --. _ -- Date Received By ❑ 1. All items have been submitted.-------------------------------------------� -� ---� ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. E13. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑6. Energy Design Compliance and supporting documentation. 07. Statement of Intent for Non -Heated and A/C Buildings. ---- 118. --- ❑8. Hazardous Material Form. ------------------------------------- ❑ anufactured Home data and installation instructions including Tie Down Specifications. sof $ I c ------------------------------------------------------------------- Qa . Impact fees as shown on the attached schedule. ---------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees--------- ----- 3 Flood evation certificate. -------------- ------------------------------ tion and plot plan approvai:..-� e �ealth Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- . ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- 020. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style,'Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number----------------------------------------- ------------------ 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. --------- Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑lf//ai to contractor. ❑telephone - 17 S and hold for pickup at CClk6W office. ❑ Deliver with inspector. Applicant: ADate: 6- S Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollutio Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divi ion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D' Sion counter, byate• Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER /U`� �� A. P. # T 3 'ZOO d j PROPOSED BUILDING USE �C) DATE G f�-� - R106 REC # DATE REC i71 jr BUILDING PERMIT FEES -- Balance Due ................ $ C4 l -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ J,L 2. SCHOOL DISTRICT FEES (A,,, rS (paid at District Office) �3SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... �;>6ZCX $0.03 = $ �. Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq. ft.) .. I &VO x .1'=$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE _ E— 49:5r Original -Owner Copy -Building iv. (Rev. 12/96) j�j�''I �n:•�.}.3`d"'w�`t„'+�4•"�yi�'l—�'+:.syn:;.,.A.ry,f:'.»tnr�a„�a•.�tK=�i•��'�-�.""'"'f't"`I`.k'►ik'�i:a7r:.ti7�.T,t;,.s�/H'�r+rf'""t::i'+.k:.�vrr.w'�T/{}.$�4��f'':..�ir�yXs.�-,3:ry,,,i..--.:.-�r-"r'...n. ^,~ BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District . A.P. Number Property Owner Property Location/A Subdivision -a/'/ Jurisdiction: Building Department No. City NA County Residential, Development No of Living Units Commercial/Industrial Building Department'Representative Mobile Home Installation New Lot No. Sq.'Footage Addition (Group R) Addition (floor Plans reviewed by 5Crl001 Uistrict Personnel) Sq. Footage 3060 (Including Exterior Roofed Areas) Date District Identification No. `n School District certifies that ( • plicant) (Street (State) has complied with the requirements of Resolution No representing %� square feet. School District Paid by Check #'� Remarks: 13� (Phone Number) 2,i� (Zip Code) by payment of $ B 2926 $ LL NUTIGATION $ 4.15- Date Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit youfrom challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its impact on the school district's schools. r� White (applicant), Yellow (building department)". Pink (school district) feeform.xls (2/97)dmm COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ;F 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT q �' ASSESSOR PARCEL NUMBER 2 _ ? J z.NIZ:7 ` BUILDING PERMIT OWNER TELEPHONE I SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AOOR76 f� �� e Cd ' 7� JJ%% CONTRACTOR'S NAME TELEPHONE cONTRAc R'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace ' LENDER'S MAILING ADDRESS Total Valuation S &TZ90 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee a BUILDING ADDRESS -Z �f U S Energy Plan Checking Fee $ S PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE � ( SFO Duplex O Mobilehome 12 -16t -her l.� �Zt /� it s CIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New03, ddition ❑ Re�mooddelll 0 yUtitil-ities ❑ Inlla/tion O Other [3 Describe Work: -i'//L/kf / 4 /,4.� < — `7 R z zo -Z_ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS 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 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 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: O 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. O 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.) 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'H.A.Z. 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 - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in Peight. Main Service 200A To IuooA 46.00 NEw CONST. OW .EL NG UP. 3.5Qso OR ( coNs NEW . MLI�,co�S. NON•RESID. BRANCH CIRCUITS 97.50 POER 6 OUTLET CIR.R APPARATUS SING Ex. Occup. OUTLET OR FOm1RES SAL @' 0 Ex. Occup. OUR,D,°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL FEE $ VT�hispermit , FEES IMP FLOOD CDF p0 HD ISSUE is hereby issued under utte 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 ReceiptNo. a WHITE -D.D.S.-B.D. CANAR •ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT MASONRY WALLS ` N E S W 1st Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 6th Lift FIRE WALLSOccu anc Area Propert Gypsum Board _ 1st Layer 2nd Layer Walls Ceilings, r7- 043-200-001 PERMIT#98-1145 BETTY, Monty 1424 Nord Ave., Bldg D-2, Chico New Mini Stg- q7 -- COS -`'7 V=OK O=Not OK -= Not Applicable COMMERCIAL ' =Not Ready _ Date UNDERFLOOR (Plans) OK except #'s I Date 1. ning-Setbacks-Easements-Flood-Slope-Soil Report L+Jg., Main; Soils-Ufer Ground.-Ftg. Depth 3 old Downs -Bolts -Straps -Embedment -Hair Pins 4. ncrete-PSI-Cert-SP. insp.-Loc. temwalls, Main; Steel -BIockouts-Wrapped 6. einf. Steel -Grade -Placement Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Hand icap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. Wiring -90° -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors &Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 •Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation _ 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. Fi.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F MING (Plans) OK except #'s 0 Sils, Proper Material & Anchors -Hold Downs ails Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) e Stops; Furred Ceilings -Stairs -Chases 4r Headers & Beam -Size & Bearing -Support Fix. (NOTE: An entry must be made each FRAMING (Continued) urgers -Post Caps -Anchors -Connectors sof Shthing-Nailing-Diap.Chord Splice gel ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Glu -Lam cert. -Placement -Support 1. teel Buildings-Purlin-Girders 52. roperty Line Firewall & Openings xt. Doors -Handicap Access tairs; Width -Headroom -Rise -Run -Landing -Fire Protection ly 56 ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 . iding-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic -Fire Port. 58! hear Walls -Plywood-Nailing-Conn to Roof ro_msulation-Walls-Ceilings 61'. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Exits -Size -Number -Placement 65. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Sprinklers -Placement -Test 67. Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. 68. Elec. Trim & Subpanel; Breaker Sizes & Labels 69. Stairs & Rails 70. Handicap -Door Levers -Fin. Floor 71. Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 73. Plb., Elec. & Mech. Equip. Listed for Location 74. Insulation -Foam -Looked in Attic 0 Yes 75. Guard Rails & Deck Construction -Post Caps 76. Fdn. Vents &Cr wl Hole Door -Drainage & Wood -Earth Clearance L.Ze'd under Floor % 4 Yes 77. Stucco; wn-Finish 1111ir [AV 78. A.C. Unit; Disconnect, Electrical, Plumbing 79. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 80. Water Well; Disconnect, Electrical, Plumbing 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground 82. Off Site -Parking, -Handicap 83. Glass Protection 84. Corrections from Previous Inspections 85. Gas Test -Meters Tagged; Gas -Electric 86. Water & Sewer Connected -C/O to Grade -HD Approval 87. Energy Compliance Certificate -Other Certificates 88. Roofing Certificate -Fire Rating Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -1 - Comments at Final: Certificate of Occupancy time you visit the job site) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �g`tit 44E ASSESSOR PARCEL NUMBER ZONING C-1 BUILDING PERMIT OWNER MONTY BETTY TELEPHONE 891-0379 SO. FT. OCC. BUILDING VALUATION 3580 78,760.00 OWNER'S MAIUNG ADDRESS 3634 BRIT, RD_ CHICO 95971 CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MMUNG ADDRESS ' Total Valuation $ 78,760.00 ARCHITECT OR ENGINEER BRUNO & HAWKINS LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 545.00 ARCHITECT OR ENGINEERS MAILING ADDRESS 20 CONSTITUTION LN. Plan Checking Fee $ 23.00 BUILDING ADDRESS 1424 NORD AVE. Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ 588.00 LOT NO. S UBDNIS ION'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 Each as water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: i' �— q- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service pgpqgg 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 A full force and effect. License Class / Lic. No. ©S��S OWNER -BUILDER DECLAMATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. BLDs. SO 3.5,s" 7.50 NEW CONST. MULTI -OUTLET NON-RESID. qNC , c , @7.50 PowER APPARArus 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 °'-0° @ ,so ED Ex. Occup. oUT rs AEslo.oE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE $ 27.50 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. el 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 S _ f% 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.) ❑ 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 1plicant -Owne ❑ Contractor ❑ Agent An OSHA permit is required for exc vations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oc PETOTAL FEE $ 615.50 5HAZ.. F IM FL396 I 9f I PAR Ho a96E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which es have been paid. By Date PERMIT EXPIRES ON 7A S14 C) Data r Receipt No. 236847 3; (o 552 9Q WHITE-D.D.S.-B.D. CANARY-ASSESSPR PINK-INSPEGFTOR GOLDENROD -APPLICANT . �; .�r�,.,.,N,3,�. ; 'r''4�}wt'pit'�"*!�Y`�°!�'M'''��j�`'t'��.: �-��i��;�Y�°^d�G��'�:var�` ;iC':^.i'*1'nFtx�„�...f.v:n �. ; r-Ci'�i'a-�r;bV.".'irk^! ,�kj��r'• "Y'wr��..�:�. rf� f''.i.; "'��:�k•. �}`!`�'?,'"y:s' �� •�� A�. _ 7+iry :- `" � - , ., � • .. �. : } � , �• j ' . r ,. f t , 5 i 1 ��i r ti ,i � � 1 � �. - � . . ., � i f � .. . ,,, f~ } i, z M� at { +. � .. _ '' � _ t, ' � � � J � � ` � {� 'Y.;:_.,�„a::R;,, *� ^- Fi'Gitih�A� .� "i"1t` io�ya'rinyo rY'��Q.'.t^;1'•._'�t�,,,.��-•,r.:r�apw-�Rwr'„��d"�Jn%�'n't"K,�l+ti.fA"��4�.r.�Y�"�.`W+i�in�'b'iy� �» ':� `COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION "' `: !• " "" 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET -"--,OWNER: ASSESSOR PARCEL NUMBER: 3 Proposed Building Use: Building Inspector: ' Date: At time of permit application, I was advised the owing data must be su miffed prior to permit processing and/or issuance: ' � � � r .�s Date Received By El' 1. All iiems have been submitted .-------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6: Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ 0. .ees of $ !; r2- z S__Q ------------------------------------------------------------------------------------- o1. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. --------------------------------------------- anitation and plot plan approval` -�/ 4,0 Health Department. 5. 'ty of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 111. 9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------------------------- E126. ------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D`$ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor ❑Telephone and hold for pickup at office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution V Date: UBy: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: - Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di 'sion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building rsion counter, by Dati: Plans reviewed by: Date: Plans approved by: -,Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ' ` (Date) }i1F!' ,.sa+ic«Z:Olritota.c:zl?YunrwY.,r+v+NwnYWr*..+rr.+wn•rencr-.iwr:�y'rl7riYKtl• COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING�DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (9.16) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING SE CDU- `z . BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ............ $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ..... $ C. SCHOOL DISTRICT FEES G / (paid at District Office) bo 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... 3IZ& x $0.03 = $� Sq.Ft. ti URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ ffunits Amt. Commercial (sq. ft.) .. ?�' 0 x , (� =$_� Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9, CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # 1 DATE G ''f'-9% REG # DATE REC M At time of permit application, I was advised the above fees are required to be paid prior to issuance of the ,,building permit. These fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) . Y ;..{" �1A• �.'!r �.r��y,� vi�_��.v v.,ti,�,;v .�, - "U..�:.,p..---.r`" _"' ,r .'ti...r...•.�vv. .�..-.-... `.. .. .- - � , BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District. p�� Building Department No. A.P. Number y3 Aft �� Jurisdiction: City I V 1 County t Property Owner Property Location/< Subdivision Lot No. Residential Development Q Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage I� w Addition (Including Exterior / ` C�— Roofed Areas) Building Department Representative moor rians reviewea Dy scnooi uistnct versonneq District Identification No. Date School District certifies that (Applicant) C�3 .� Y� o �37� (Street Address) (Phone Number) g592 - (City) (State) (Zip Code) has complied with the requirements of Resolution No representing 35SO square feet. School District Representative 669~7(e2 by payment of $ i 2926 $ IFULL MITIGATION $ •S9�' Date Paid by Check # Remarks: rl Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest•will prohibit youfrom challenging the imposition of the'fees In any court action. V If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification prrfm', the School District is - notified by the applicable Local Planning Agency that this project Is being reviewed under the California En� irnmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its Impact on the school district's schools. White (applicant), Yellow (building department)"",' Pink (school district) feeform:xls (2/97)dmm COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 069 ZONING BUILDING PERMIT OWNER6),� I y�J TE IJ7HE SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ORESS ' CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ d ARCHITECT OR ENGINEER ad CA IL/Ja 111-(2 Cu LICENSE NO. Filin Fee $ 20.00 Permit Fee $ C� ARCHITECT OR ENGINEERS MAIUNG ADDRESS O b c-- CJ*t cG Plan Checking Fee $ cJt:5 BUILDING ADDRESS is Energy Plan Checking Fee $ $ PERMIT FEE $ r 09 j LAT NO, SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New �c Addition ❑ Remodel ❑ Utilities ❑ Installation O Other ❑ Descr'be Work: ��L— �/ Iil—�– / Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 'T_,7G W 4]@20::o:o: PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service .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 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. O 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 O Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. II Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADONS. ( a ACC. BUDS. 3.50FT. T. NON•RESID. MOLT 0.OUTLET @7.50 3_0 POWER APPARArus a SINGLE CIR. OURET Ex. Occup. OUTLET OR FIXTURES sAL yo Ex. Occu . OFuT>tis as °E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $7.jz) MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 5�•�'® HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD 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 _ Dere rReceiptNo. .D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT N MASONRY WALLS N E S W 1st Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 6th Lift FIRE WALLS (Occupancy, Area Propert Gypsum Board 1st Layer 2nd Layer Walls Ceilings COMMERCIAL j 043-200-001 PERMIT#98-1146 BETTY, Monty 1424 Nord Ave., Bldg D-3, Chico New Mini Stg i ' q`% - ;2-71)-3( q?- 0077 0037 0�� V=OK O=Not OK - = Not Applicable = Not Ready Date UNDE OR (Plans) OK COMMERCIAL qA YZoni etbacks-Easements-Flood-Slope-Soil Report . Ftg., Main; Soils-Ufer Ground.-Ftg. Depth 3. Hold Downs -Bolts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Rei eel -Grade -Placement lab; Steel -Wrapped -Wire Mesh 8: Piers -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Hand icap-W/C-Backi ng 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. Wiring -90° -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. H.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s s, Proper Material & Anchors -Hold Downs II tuds-Nailing, Spacing & Bracing -Plates -Sound ring Walls over Girders & Floor Nailing D t top in Walls (rat proof) r' . Fir Stops; Furred Ceilings -Stairs -Chases eaders & Beam -Size & Bearin Date AMING (Continued) angers -Post Caps -Anchors -Connectors f Shthing-Nailing-Diap.Chord Splice Fi rewal I- Doo rs-Area-Occp.-Prop. --T-"+tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles w-!RrGlu-Lam cert. -Placement -Support _51,S I Buildings-Purlin-Girders Property Line Firewall & Openings Ext. Doors -Handicap Access -14 -Stairs: 'Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4'S -plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer ©Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. GI mg Area -Glass Protection -Skylights -Plastic -Fire Port. 6000�hear Walls -Plywood-Nailing-Conn to Roof 4:1- 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN (Plans) OK except #'s Steps -Door & Sidelight Protection -Landings Exits -Size -Number -Placement 65. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6 . Sprinklers -Placement -Test 6 . Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. 6 . Elec. Trim & Subpanel; Breaker Sizes & Labels 6 . Stairs & Rails 711. Handicap -Door Levers -Fin. Floor 7 . Elec. Outlets at Wood Panel; Int. & Ext. 72. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 7:1. Plb., Elec. & Mech. Equip. Listed for Location 71. Insulation -Foam -Looked in Attic 0 Yes 1. Guard Rails & Deck Construction -Post Caps 76. Fdn. Vents & Craw ole Door -Drainage & Wood -Earth Clearance Loelwfl under Floor 0 Yes 7 1. Stucco; Finish 7 1. A.C. Um , isconnect, Electrical, Plumbing 79. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 8(. Water Well; Disconnect, Electrical, Plumbing 8'. Exterior Elec. Trim; G.F.I. Receptacle -Underground 8:. Off Site -Parking -Handicap 8:. Glass Protection 8 Corrections from Previous Inspections 84 Gas Test -Meters Tagged; Gas -Electric 8 Water & Sewer Connected -C/O to Grade -HD Approval 8 Energy Compliance Certificate -Other Certificates 84 Roofing Certificate -fire Rating Date j 23 Card B-1 11A1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: g -Support Fix. J Certificate of Occupancy I (NOTE: An entry must be made each time you visit the job site) May -09-98 09".12A BUTTE COUNTY 916 538-2146 P.01 M. A. 7—o 3cll�,z)IA16 otc�ln=�f, 1-10"7- 1, AAID v Z�4 J�o '1�' /4 t%. A/), f7 -,7)A --46t5 MIA1 rY 136 ril1qP 4S -zn' 14t e- kid ,%: �-,�. '�� .. �` � rv�� -- � � r � � "�� (��, } \ � �• 3 r � ` `fir, F � � `� 1 - �, 1 ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT Q� I I -� ASSESSOR PARCEL NUMBER 43-900-001 ZONING BUILDING PERMIT OWNER MONTY BETTY TELEPHONE 891-0375 SO. FT. OCC. BUILDING VALUAT 78.76000 OWNERS MAILING ADDRESS 3634 RRIT RD CHIC _3880 -0 CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ > ARCHITECT OR ENGINEER BRUNO & HAWKINS LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 545.00 ARCHITECT OR ENGINEERS MAILING ADDRESS 20 CONSTITUTION CHICO Plan Checking Fee $ 23.00 BUILDING ADDRESS 1424 NORD AVE. Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Y Other 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 10 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER PLAN BLDG 94-404 D-3 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service zo.A 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.Q 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. ❑ 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 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. 0--r—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 57"—S— (' Policy Number 72--7 '3 (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 �_ Sig ature of Ah6llicant - Lrrbwne _0 Contractor ❑ Agent An OSHA permit is required for exc ations over 60" deep and demolition or construction of structures over 3 stories in heig Main Service 200A To IOOOA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 8 ACC. S.3.50 FT.7.50 NN•RES OT REW CONSM�U 0NIFTCET UiTS 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 00 BAL @ I 0 PPLNS Ex. Occup. ouTELETS RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 27.50 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling` Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEEA 9n HA2. D. FEES IMP I FLOOD CDF PARCEL PO HD 6SUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON DefB provisions to do work paid. 7 J_5�4,? Receipt No236847 3, L1fl H 0 3777.21150 WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -IN PECTOR GOLDENROD -APPLICANT � ._7...R`:'�:��ir ��.,L"'1''ri}��.�'r�-'vF.'v...u•.-i�;,�,,j-.ir��•rY••��.`.�r.•.w.r ..,,.+ti.M.•� va.!�.'.�•�1rry a.1,r �yij-F•n'�..�s1:.;y�.�.}�.••�r_ith�dt•F''F�r �:�'F: Y'l.�'�f �+� t. r:�. Y,t r i t v - VC,- ' iI ,: r 1 4 1 1 ' r � f _t 1 r 'fw-„w�•rti;r•.�,N .-�fi'a ;� ,T,o'W"'miY”`t.�lki`�a�vk+^-�-r•r-'i�i=�tn1� ..—. 7 •rr � � ��_ a , - OU NTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION w r 7 COUNTY CENTER DRIVE - OROV. LE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 1 , PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: q3 — Proposed Building Use: Building Inspector: Date: At time of permit application, I wd advised thc4oHowing data must be submitted prior to permit processing and/or issuance: ( / D ---------- Date Received By 111. All items have been submitted -------------------------------------- ------ ------ ------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- 118. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. ees of $ 5�5-2_ , S -p ------------------------------------------------------------------- 1. Impact fees as shown on the attached schedule.----------------------------------------------- 1112. ---------------------------------------------- ❑12. California Department of Forestry plan approval/fees. e"03.lood elevation certificate. --------------------------------------------- anitation and plot plan approval 4/�iealth Department. .ity of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). -- ❑ 20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- E323. Owner-Builder ----------------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). - 024. Letter of signature authorization. -------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑26. Letter of intent on building use. ---------------------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- 1128. -------------------------❑28. Existing violations and/or expired permits. --------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone and hold for pickup at office. ❑ Deliver with inspector. ApplicanZA/ Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollut' ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di ision counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building vision counter, by Dat Plans reviewed by: Date: Plans approved by: Date: 7 S Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. i COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER' �1i A. P. # S(? - ZUy -06 1 PROPOSED BUILDING SE DATE �(� (� BUILDING PERMIT FEES REC # DATE REC -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ ✓ 2. SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... 3 x $0.03 = $ b%. Sq.Ft. ---t - . URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. t. Commercial (sq.ft.) .. 3—ko x r / =$ Q& _, Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) .,.''(.`yy''.".-tib•"^r�►^'k[+ittiiy'r?d,.ra''-'.''`'t'+r�i'+,�r-C'L';.8`�'1ii•.'din:li'�:Y. �i'it rt.A "'`�v.,5y..r.r 9 � r' Y�• BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM b } : -(One form per Building) School District. A.P. Number Property Owner Building Department No. Property Location/Address Subdivision Lot No. Residential Development Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial Sq. Footage 3 N w Addition (Including Exterior Roofed Areas) t� Building Department Representative Date - moor rians reviewea oy acnooi uistnct rersonneq District Identification No. Sn School District certifies that Applicant) a3 991 - (Street Address)(Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. -7 by payment of S' representing square feet. B 2926 $ �IJLL MITIGATION $ _96r School District Representative Date , Paid by Check # Remarks: L -lb�2.(�11�71177,r G Notice: You may protest the imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit youfrom challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative, signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees.to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department) ,,Pink (school district) feeform.As (2/97)dmm '4 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT r. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER.r.`v ,,.�� ` Zo.N4 BUILDING PERMIT OWNER ONE -o SO. FT. OCC. BUILDING VALUATION !: OWNERS MAILING ADDRESS 3�23q e ' (' 1coi, L -5_ 3 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ORESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation f3 d ARCHITECT OR ENGINEER UCENSE NO. Filing Fee S 20.O C Permit Fee ARCHITECT OR ENGwm+s MAILING ADDRESS O CC c c— !Z C i+t c C Plan Checking Fee tlU BUILDING ADDRESS Energy Plan Checking Fee E s PERMIT FEE $ LOT NO. SUSDN610NS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or hent pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ( Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe /Work://___��"v�-�L ��(r , /_ / `t � 7' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S -- ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2�ow 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 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 5'0" deep and demolition or construction of structures over 3 stories in Veight. Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADONS. ( a ACC. BIOS. 3.5¢FY: T. NOP}gEOS,NS MULT40UTLET @7,50 Z AWE+ APPARATUS a swGLE avrtET CRR. Ex. Occup. OUTLET OR FIXTURES �� L.w Ex. Occup. oFaun. PPO@ ) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : . MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee L Energy Inspection Fee S OCC TOTAL FEE $ EH-AZZ.O.IMP I FLOOD I CDF PARCEL PO HD 6sUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON OA/A ReceiptNo. L4 (z WHITE -0 0 S .9.0. CANA-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT t: i g' COMMERCIAL MASONRY WALLS N E S W 1st Lift 2nd Lift 3rd Lift 4th Lift 5th Lift 6th Lift FIRE WALLSOccu anc Area Propert Gypsum Board e 1st Layer 2nd Layer Walls Ceilings 043-200-001 PERMIT#98-0058 BETTY, Monty 1424 Nord Ave., Bldg B-1, Chico { New Mini-Stg/Com V=OK O = Not OK - = Not Applicable COMMERCIAL = Not Ready Date upt6ERFLOOR (Plans) OK except #'s i oning-Setbacks- Ease men ts-Flood-Slope-Soil Report tg., Main; Soils-Ufer Ground.-Ftg. Depth Hold Downs -Bolts -Straps -Embedment -Hair Pins 4. Concrete -PSI -Cert -SP. insp.-Loc. 5. Stemwalls, Main; Steel -BIockouts-Wrapped 6. Reinf. Steel -Grade -Placement 7. Slab; Steel -Wrapped -Wire Mesh 8. Piers -Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground, Underslab 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Masonry -Rebar -Lifts Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Sinks -Floor -Grease Trap 20. Hand icap-W/C-Backing 21. Gas Pipe; Size & Anchors - Firewall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Single Phase -Three Phase -Equip. Bond 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. Wiring -90° -Protected -Color Coded 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Fire Resistive-Fixture-Conduit-G.F.I.-Susp. Ceiling 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Fire Wall Penetrations Date Card B-1 Date Card B-1 Date Card B-1 -Date Card B-1 Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation _ 35. Condensate Drain & Overflow; Size & Grade 36. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnance in Attic 38. F(.V.A.C.-Ventilation-Roof Access 39. Smoke & Fire Dampers Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sils, Proper Material & Anchors -Hold Downs 41. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops; Furred Ceilings -Stairs -Chases 45. Headers & Beam -Size & Bearing -Support Fix. Date ' FRAMING (Continued) 46. Hangers -Post Caps -Anchor, -Connectors, , 47. Roof Shthing-Nailing-Diap.Chord Splice <Adwwall-Doors-Area-Occp.-Prop. 49. ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Glu -Lam cert. -Placement -Support el Buildings-Purlin-Girders 52. o rty Line Firewall & Openings xt. Doors -Handicap Access 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer Mesh -Drip Screed -Fd. Vents-Undertlr. Access 58. Glazing Area -Glass 59. Shear Walls -Plywo 60. Insulation -Walls -Ceilings 61. Infiltration -Walls -Windows hts-Plastic-Fire Port. ing-Conn to Roof 62. Corridors -Openings -Fire Protection -Framing Date Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Exits -Size -Number -Placement . Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 6. Sprinklers -Placement -Test 7. Suspended Ceiling-Seismic-Wires-Elec-Light & Mech. 8. Elec. Trim & Subpanel; Breaker Sizes & Labels 9. Stairs & Rails 0. Handicap -Door Levers -Fin. Floor Al. Elec. Outlets at Wood Panel; Int. & Ext. 7 . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Above Floor-Mech. Protection 7 . Plb., Elec. & Mech. Equip. Listed for Location 7J. Insulation -Foam -Looked in Attic ❑ Yes 7J. Guard Rails & Deck Construction -Post Caps 7 . Fdn. Vents & Cr,*l Hole Door -Drainage & Wood -Earth Clearance L ed u der Floor Yes 7 Stucco; B wn-F' ish 7E A.C. Unit; Disconnect, Electrical, Plumbing 7 Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 8C Water Well; Disconnect, Electrical, Plumbing 81 Exterior Elec. Trim; G.F.I. Receptacle -Underground 82 Off Site -Parking -Handicap 8 Glass Protection 8M Corrections from Previous Inspections 85 Gas Test -Meters Tagged; Gas -Electric 86A Water & Sewer Connected -C/O to Grade -HD Approval 8J. Energy Compliance Certificate -Other Certificates 813. Roofing Certificate -Fire Rating Datel Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Certificate of OccuDancv (NOTE: An entry must be made each time you visit the job site) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75PERMIT No. (Rev.12/96)• APPLICATION AND PERMIT 911-045 ASSESSOR PARCEL NUMBER 043-20-0-001 ZONING 1 BUILDING PERMIT OWNER MONTY BETTY TELEPHON SO. FT. OCC. BUILDING VALUATIO 26,160 OWNERS MAILING ADDRESS 3634 BELL ROAD, CHICO 9-5973 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 172.25 BUILDING ADDRESS 1424 NORD AVE, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE MINI—STG SF ❑ Duplex ❑ Mobilehome ❑ Other 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 OX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: BLDG B-1 14 X 85 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ TO BE MASTERED ELECTRICAL PERMIT IoRLEss Fling Fee 20.00 Main Service 2o.AoRLEss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, I do the work, and the structure is not intended or offered for sale. 2- 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ( .s. 1 SO 3.50N. 7.50 NE CONST. MULrIC. NOID. All C s @7.50 PowER APPARATLIs d SINGLE OUTLET CIR. Ex. Occu ourLEr OR FIXTURES zo p I.00SAL @ .so INS Ex. Occup. ourLEEDTs RESID.10 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 27 , 50 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Policy Number (The above sections need not be completed if the permit is for work of a valuation 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 forthwith comply with those provisions. Date_ XDate Signature of plican - ner ❑ Contractor ❑ Agentt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 484.75 HAZ. FE IMP FLOG C P L PD D This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which ees have been paid. By Date 1 PERMIT EXPIRES ON Date Receipt No. 231528/192.25///f S 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. 'ev.12/96) ' APPLICATION AND PERMIT ASS ESSORPARCEL NUMBER O(12 _ ©O 2014INO�it BUILDING PERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADD S I O - CONT C1TOR'SSNNAM�E� ,( � TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 02 S, 0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ADDRESS t1 f l � Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other I �� SPED" Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 jd TYPE OF WORK New I� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: I -� I Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service e00V OR LESS .0. 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 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. ❑ 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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.) 131 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 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO LOooA 46,00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( 3 ADO_ BLDS, 3.50FT. NO "SID. T.MULTI-OUTLET @7,50 . CIRCUITS POWER APPARATUS a sING.OvnET CIR. Ex. Occup. OUTLET OR FIXTURES B20 (P 1.00 Ex. Occup. ouTrs RESIO.PPUISOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _%S� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $— HAZ. 0. FEES IMP FLOOD CDP pMC0. PD HD 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 Da�eJ Receipt No. IN262W WHITE-D.D.S..B.D. CANARY -AS ESSOR : .INSPECTOR GOLDENROD -APPLICANT Yigd'�'T�?'►it�A,''%� .fid —,.� r 'li'a A'��rA/ TJN�Md 7 +�! �rhM4lfi•�a!x��Y�11�i1{'1t 7 ►l COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 i PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL Proposed Building Use: Building Inspector: Date: At timeof permit application, I was advised the following data must be submitted prior to pe recessing and/or issuance: i Date Received By 111. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plins, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ El 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. tatement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- Hazardous Material Form. ------------------------------------------------------------------------------------------ Manufactured Home data and installation instructions including Tie Down Specifications .------------------ Feesof $--------------------------------------------------=---------------------------------- 1. Impact fees as shown on the attached schedule. ---------------------=------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- W'at elevation certificate. ---------------------------------------------------------------------------------------- tion and plot plan approvalo4 Health Department. ------------------------------------------- 1:115. ------------------------------------------ ❑15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs.-------------- 04<-Planning ------------------------------------------C- ❑4 Planning approval for (A) Use: �(B) ;1;21.inage, �� R�-- -u`-r- `tel 8 ontact Land Development about B<provements, ❑ Legal Parcel. ----------------------- AO4p 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- E122. Workers' ------------ ❑ .Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. ------------------------------------------------------------ 7 ------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. -------------- 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- 030. -------------- ❑30. Other: ------- When you issue the permit, rocess as follows ❑ Mail to owner, ❑Mail to actor. E Telephone -7� and hold for pickup at office. ❑ Deliver with inspector. e f Fes•.-;, Applicant: Date: 3 Copy of Haz-Mat form'sent o Health Department, ❑ Fire Department;;❑:Air Pollutio Date: By: Copy of plans sent ❑ Health Department, o Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building i is'on counter, by Die: Plans reviewed by: Date: Plans approved by: Date: io Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. ' li' `i�3' �. 11 f'�� ., 7 F•ti.. • T: �T .�� •,. '+ . Y' "j F ' y` ` a', 1 � r7• p� . ,IP ,; €*: '11 :+iS5'j ' .11.04 . •� �' a 7 i. -, - ' ice.`'•♦ - -+..- '.J � Y ,7•` � :J �m•r . r • VAr So �• f 1+ t. A; ' _ _. 1 •'r : . 1": it 1 'T' - .{ " Td 1 ".. . 1 ' • 1 �:�:�1 iA`+`t'}If:' r4 "l F' fir. :?: r7, •d •`C ' _ '; . t ... C� - is A.Af ,., • f;;i""'�`-"" i� COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541- SCHEDULE 38-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE ftj /1. BUILDING PERMIT FEES -- Balance Due .......... $ . -- Additional Fees Due ............. $ -- Ad itional Fees Due ........... $ -- evised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES (paid at District Office) -1�3. SHERIFF FEES (paid at Building Division) Residential ......... x $360.00 = $ Units r7 Commercial (sq.ft.)... t A rvx $0.03 = $ 3S• /0 Sq.Ft. " 4. URBAN AREA FEES (paid at Building Division). Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. I IQ() x , k5 =$ • Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER . A. P. r)4 -a•00-00 DATE REC # DATE REC �3� ( � 351. 3jr- rr -f eA_ 3 rid At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process.. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) Firm Nam Address BUILDING PERMIT NUMBER QE_00f3ff/- APN n!',. — 2—c— ®®-1 Nature of Business /rlINJ 5' i OA&_a=L?" Contact Person MO 6 Ey EE Phone # 2!�J / 037!q 1. DoQ.& your business or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and.safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at stpdard temperature 4 pressure), or formulation containing hazardous material? U NO ❑ YES 891-2727 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916 WK?&V for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or sc" site? SJ NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fu es, vapors, or other volatile compounds? NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative ( i nature/ (Date) BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, El25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. 0 The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept ❑ YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD -Fire Dept. f ,- ,. -, � `q ., ,�,. .y, . } �.q ,: ; i:.:� �x^ ..r r qr. ...s wS •.r .p.:p• nF^ �Mr . it .,krt +'ACV � .. 1 c , rr s - „r[ al r�"' ,>.4.1•:. !?u• .l' , t'r... - 1...+.. >� y :v.,-.4 F!�rY c a'..•a.. � .ax ti ;c'".'t Iw��. � ,�.ii�l !y. �1a � } �1 , 1 .:� ' .�..•� u fir ^fie i /' a `c.� �•�C •S. + +^. i� �...{T .+13. a w tits: • ,. . ., .7 i =� � air ,. . P. .1 j . .i .. : f ., $x. , ,e `' tfn ^ fiS �3:ai'� f ti e.l :F' i Jr t � 1' !' 1 • �i .10 r ; ' � a „',,':.,. •• ,� - ::r ., _ ,-a, _ e a :' _ r - .� .••1" 1, r 4 ' H � E — rWUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _ I PER IT�No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 043-200-001 C-1 ZONING BUILDINGPERMIT C..� OWNER MONTE BETTY TELEPHONE 891-0375 SO. FT. OCC. BUILDING VALUATION 7500 S1 165,000.00 . OWNERS MAILING ADDRESS 3634 BELL RD, CHICO CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 165.000.00 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 2 0.0 0 Permit Fee $ 867.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1494 NORD AVE Energy Plan Checking Fee $ $ CIRTCO PERMIT FEE $ 910-00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EY Other STORAGE UNITS XX SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New R Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STORAGE UNIT MASTER#901-94 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A 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 i full force and effect. 3 /1 (i F q5 License Class Lic. No. C / 71 D OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for following reason: 1v1, as owner of the property, or my employees with wages as their sole compensation, 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 TO IDSA 46.00so NEW coNsr. DWEUING Occup. DWE200ALLING ADDNS. ( &ACC. 3.50 FT. FT. NOR EW CONST. BLDS. LET NON.RESIO. BRANCH CIRCUITS@7.50 7 50 POWER APPARATUS a SINGLE OUTLET CIR. F,c. Occup. OUTLET OR FIXTURES �,� p I:� Ex. Occup. oUTrs R= .FIXEDDE,L 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 workerspE sati insurance carrier and policy number are: Carrier �i.��,,��j.. (;�ryn,lp MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FET= $ Policy Number (The above sections need not be completed if the permit is for work of a valuation �d'one hundred dollars ($100) or less.) E3/ 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 forthwith comply with those provisions. X Date Signature of Appli nt - B -Owner OContractor ❑ Agent An OSHA permit isrequired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. t Mobile Home Installation Fee $ Energy Inspection Fee $ Occ S1 CONST. TYPE VN TOTAL FEE $ 937.50 HA D. FE IMP FLOOD COF -� PARC p0 E 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. Q�Q ByI Da / �I PERMIT EXPIRES ON 3 Date Receipt No. 5-0 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �'r:: ,rtM;��'A+. 3rg,.�.cr�:; ivau�'r •'.a -•.'"�4;rM�-y J,d-JQ`Y:ii1'yM'� Y'`t1}y5=:y.Vu,;!�?w+`z—+ba3'F_y:{ri�"b"Ly'�!' _s }w r:•{aY"'r( , l 1 t r' 1 .,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541'> PERMIT NC IRev. 12/96) - APPLICATION AND PERMIT �jJ — l�Q� ASSESSOR PARCEL NUMSS q3 aOQ 00 2O"" BUILDINGPERMIT OWNERTELEPHONE 84l�03�5' SO. FT. I OCC. BUILDING VALUATION -�'00�1-- •O -- OWNERS MAILING ADOR SS i CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S "UNG ADDRESS Total Valuation Is o 0 -00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ to , 0C) ARCHITECT OR ENGWEERS MAILING ADDRESS Plan Checking Fee 2 .0 V Is - SUILOINGADORESs 1 Lla I� Energy Plan Checking Fee $ $ PERMIT FEE 16 DQPLUMBING LOT No. SUSONISION9NAME PAR0E1 MAP . PERMIT Fling Feel 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF O Duplex O Mobilehome Other IPY Solar or heat um water ter Water piping 15.00 Each gas water heater vent 15.00 TYPE OF WORK New ❑ Addition O Remodel O UbGOess0InnssUllaation O Other O Describe Work: �4 - 'l V I q` /'1' 2S-0 /X 3 a' G 71 Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 4 @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service so= oA LLES.S 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. 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. ❑ 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 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 ssttorrie�s. in height. Main Service zouA TO 1000A 46.00 NEW CONST. OWELLINO OCCUP. SO OR ADDNS. 6 ACC. SLDS. 3.5¢FT. NEW NONMULTI. RESIO. � OLmu @7,50 , POWER APPARATUS 8 SINGLE OUTLET CIA. 01�ORFD`�`"'� Ex. Occup. sAL01 I.w FOCED APPWS. OR 5.00 Ex. Occu . oLmFrs ESIo. ESL Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $1 2V MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood Ventilation PERMIT FEPE S Mobile Home Installation Fee $ WPONDOCSSSUE Energy Inspection Fee $ OCC c PE meq* TOTAL FEES HAZ. D. FEES IMP FLOOD COF 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 _ De1o� o. �{� r , 0.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICA TION DA TA SHEET OWNER: � - ASSESSOR PARCEL Dq3900 -001 Proposed Building Use: „Jf' Building Inspector: Date: 7 -Q 7 -76 At time of permit application, I wjW advised the following data must be submitted prior to permit processing and/or issuance: - Date Received By al'o All hems have been submitted.-------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ . Manufactured Home data and installation instructions including Tie Down Specifications .------------------ Feesof $ 2 _ U ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. - - 12. California Department of Forestry plan approvaUfees.--------------------------------------------------------- 41 3 Flood elevation certificate. ---------------------------------------------------------=------------------------------ Sanitation and plot plan approval Health Department. ----=-------------------------------------- 5. City of Chico plumbing per'niit- ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking: --------------------------- 1118. -------------------------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 1120. --------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- ------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given td -owner ❑' Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- E126. ------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 1143 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue thee emit ocess as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telepholid i'y "3 and hold for pickup at office. E.Ijliyer g%.in&pec3rr.i S Applicant 1'9bate: 7:?7 -5? Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department,❑ ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: k�, ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: 4 OL Sets of plans on hold)n-0 Plan Cabinet,'❑-A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. a: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ A.P. # DATE RECEIPT # DATE REC SCHOOL DISTRICT FEES I C 0 (paid at District Office) _ SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ _ Commercial (sq.ft.)... ,,:z0 n — x $0.03 = $ Sq.Ft. G3(� 4 URBAN AREA FEES (paid at Building Division) esidential (per unit) . x : = $ _ #Units Amt. Commercial (sq.ft.) .. x =$ _ Sq:Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) _ 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 'TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) •��'•�_n�-,p},�'r�/•�-�rL•�,t��i�!j..•t..�Stla�y s-.,,:��"��:,,,,✓��f'F��!F�+r"..'./"�,'.'w!..: • .� .;�.. •. �• .,�, �r. .3��a '�r .", .�' r �� ... : COUNTY. OF, BUTTE DEPARTMENT OF DEVELOPMENT SERVICES •BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-754 SCHEDULE OF FEES. DUE r OWNER PROPOSED BU'ILDING'USE. 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due :..' ........ $ -- .Revised Plan Checking Fee .. $ !;.62. SCHOE_tjDI DUCT FEES 1 Cy (paid at District Office) yl�''VIII.� . "%D SHERIFF FEES (paid at Building Division) �. Residential:.'... x $360.00 = $ Commercial (sq.ft.)...: �5— x $0.03 = $ 2.2-5 Sq.Ft: G1q 44. URBAN AREA FEES (paid at Building Division) `Residential (per unit) . x ; _ $ #Units Amt. Commetcial (sq.ft.) . x =$ Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) f ` 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid 4t Building Division) 7.SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8:WATER TENDER FEES (Battalion # ) $200.00 (paid -at Building Division) 4 I' 9.. CSA;87 TRAFFIC. FEE $2500.00. (paid at Building Division) A.P. # DATE RECEIPT '# DATE REC 1 .. jar , • ' y all' • 10 10. OTHER -7, �$ At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit,!-- These fees may be changed,�during the plan checking process. t: API LI ANT (� ! t.K LDATE AP•P� Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5;6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date. of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest -are specified in Government Code Section 66020(a). Original -Building Div. 2nd Co Applicant ' 3rd Copy" Own � N H j a{Reu. 2� �/' t A iV1j �� 7dl.�rtn*-•I v`+�-aq ...-\-::V,.0 _"^.�`'y.y �.��i"si= `v � .c-Yv�`J�y; YPV sr.� �y-.�v`�✓ su L ""-t��'-.�'-�� 'l/ COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULEOF RECEIPT OF FEES OWNER A.P. # PROPOSED BUILDING USE DATE 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ (_.2. SCHO@L' I$TRICT FEES (paid at District Office) KID SHERIFF FEES ( aid at Buildin Division) .� RECEIPT # DATE REC F g Residential x $360.00 = $ ........ > '7Smlts 0 $0.03 = $ Commercial (sq.ft.)... ? a6Q x Sq. Ft. �q , 4I URBAN AREA FEES (paid at Building Division) esidential (per unit) . x = $ #Units Amt. � e Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER i At time of permit application, I was advised the above fees are required to -,be paid prior to issuance of the building These fees may be changfd during the plan checking process. i� APP,LICANT i / DATE Pdrrsuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for •a protest are specified in Government Code Section 66020(a). �" Original -Building Div. 2nd Coaypplicant 3rd Copy -Owner ev. 26/91) Aug 10, 1998 Butte County Building Division RE: Monty Betty 3534 Bell Road A.P. 043-200-001 Plan check number- 98-1668 Status of plan check letter of corrections summary. 1. The 1.5 factor for overturning applies if you are using dead the load to resist the overturning force. I am not using any of. the dead load to resist the overturning force. 2. All of the shear walls are shown on the'plan according to the calculations, on page 20 of the calculations I use all of the walls in the transverse direction. those numbers in the triangles are all of the different shearwall types that can be used. 3. There is no plywood .on the roof to transfer loads through. We are using the interior finish to transfer the loads, and the nailing is shown on the detail in question. If you have any questions, please feel free to contact this: office._ AS ' n ererl� , fit/ 1 Gary awkins Bruno & Hawkins 20 Constitution Dr., Suite A Chico, CA 95973 Phone 916/895-1125 Fax 916/893-0532 p-ECr-,41VED AUG 13 1998 BUTTE COUNTY BUILDING DIVISION H L A N D O F N A T U R A L W E A L T H A N D B E A U T Y Date: August 6, 1998 Permit Applicant: Monte Betty 3634 Bell Road Chico, CA With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Permit Number: 98-1668 Assessor Parcel #: 043-200-001 Action Required: [X] Comply with Plan Check List [ ] . Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Michael Mooney Date: August 6, 1998 Permit Applicant. • Monte Betty 3634 Bell Road Chico, CA 0 Permit Number. 98-1668 Assessor Parcel #: 043-200-001 The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: Monty Betty 1) Page 18 of calculations it appears you have left out 1.5 factor for overturning. 10VPage 20 of calculations identifies braced walls, but the plans do not. If the walls are consequently numbered from left or right won't "4" have a greater tributary area? Shouldn't detail "4/2" include boundary nailing roof to wall? If not then check diaphragm forces. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4.00 P.M., Monday through Friday. Michael Mooney PRO*CT PROCESSING RE&RD APPLICANT: OWNER: PERNIIT #: A. P. #: WORK DESCRIPTION: DATE DESCRIPTION OF STEP &cbk ad "m �,� r °l. ,4 � 1•. r F +S ,M• I. R �.T le I ti °•. cL; � l4z, All 61 ,trvA• w • A e - •t s f:. s .Y N y • COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 Telephone (530) 538-754 E No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 043-200-001 ZONING C-1 BUILDING PERMIT OWNER - M TELEPHONE —0375 SO. FT. OCC. BUILDING VALUATION 3300 S1 '72,600.00 . OWNERS MAIUNG ADDRESS 3634 BELL CHICO CONTRACTOR'S NAME OWNFER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS 7260000 Total Valuatlon $ ' ' ARCHITECT OR ENGINEER LICENSE N0. Filing Fee $ 20.00 Permit Fee $ 18.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ - CHICO _ PERMIT FEE $ 87[.70 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other STORAGE. TTNTT 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 i7 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: STORAGE UNITIS 30 X 100 G-2 MASTER # 70 q Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G w @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service PODA GR 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. D p9 9- q License Class Lic. No. v �S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT. "EW NON-. MULTI.OUTLET @7.50 7.50 POWER APPARATUS 8 SINGLE OIJfLET CIR. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 BAIL @ .so EID AR. Ex. Occup. DFlxL . Aa of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin EE tl PERMIT FEE $ 27.50 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the /performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 5 � Cc'm P 1f6- 2Q_ZA1-e MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 7 C J (The above sections need not be completed if 1he 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 shallv 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 provis' of section 3700 of the Labor Code, I shall forthwith comply with tho rovisions. X Date Signature of A Ii an -Owner EVContractor ❑ Agen An OSHA permit i quired for excavations over 60" deep and d molition o construction ' of structures over 3 stories in height. ' Mobile Home Installation Fee . $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 902.20 HAZ f71 D. FE IMP FLOOD CDF PAR HD 6SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/orResolutions to do work indicated above for which fees have been paid. ,,4EM By : `r' Dae6)12 PERMIT EXPIRES ON3 L I J(Date) Receipt No. 21-9-07mT73 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. -, . ��.. T n �• rwc y .`^'��'".''[��."irM`d`f�`wii-�+%fi:'��,j4�•`h��j�n � ..'t5P F�'Y��'+ � }.� '� 'vfn'ln'4V'"�i�. '"'�lht:Ce",'Y�3jy!,:;" �`1 �F�'31i.�C"i�i� L� r- .. e. .k. M' i, yt i _, ,F.. . 4. . %' 1'�,il I � ^� ' aKi COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 l r �� I C; N ,Rev 12/96) APPLICATION AND PERMIT L�iJ� ASSESSOR PARCEL NUMQER 3� C200_061 2O" L BUILDINGPERMIT 1 OWNER n L TEILPNONE SO. FT. j OCC. BUILDING VALUATION _ n. O �� -. i I OWNERS MALIMORF,S9 /p39 aLOA rL& CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNO ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation S ARCWTECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee S sli? .ad ARCHITECT OR ENGINEERS MAUNG ADDRESS Plan Checking Fee 5 'g6o SUILDINGADDREss I ' `'t Energy Plan Checking Fee S S PERMIT FEE OR • LOT NO. SUaONIS100111NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Tr 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 13—Other A. SRWVY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or Yen 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Inst'allat,iont.1,,,,❑Other ❑ Describe Work: T� b -L Maf� Ja G-2. —2. Gas piping system 1 - 5 outle 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE t 6 x ELECTRICAL PERMIT Filing Fee 20.00 Main Service aD=DA oa 1..' 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 50' deep and demolition or construction of structures over 3 stories in height. Main Service 46.00 WELL2oaA NG CCU000A NEW CONST. DWELLMG OCCUP. S° OR ADONS. a ACC. BLDs. 3.5¢FT. NEW NON-RESID. I. MULTbOIJTLEi @7,50 b POWER APPARATus a SINGLE OVTLET CI . B20 1.00 Ex. Occup. 50 oFMIDAuTLEr RLNS. �O APPS' Ex. Occup. OUTLETS REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : ') 6 O MECHANICAL PERMIT I Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt: S Mobile Home Installation Fee $ Energy Inspection Fee is 902-20 Occ CONST. TYPE TOTAL FEE $ I HAZ. 1 0. FEES I IMP I 0.000 7 PARCEL I PO I HO I 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 _ Dwrol ReceiptNo. WHITE O.O.S..8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD.APPLICANi CESS- - __....._. 4r 2�5 . ,COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 1; PERMIT APPLICATION DATA SHEET OWNER: `'} INL— ASSESSOR PARCEL NUMBER: O Y 3- c9 VU - 06 I Proposed Building Use: (,l Building Inspector: V f*3 Date: -7 - D'%-0 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: � Date Received By nl All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ------- ------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. --------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------------------- ❑ 8. Hazardous Material Form.----------------------------------------------------------------------- ❑ 9. ufactured Home data and installation instructions including Tie Down Specifications .------------------ sof $ Z 7- 5 J ------------------------------------------------------------------------------------- r112 act fees as shown on the attached schedule. ---------------------------------------------------- O.ifornia Department of Forestry plan approval/fees. --------------------------------------------------------- ❑Flood elevation certificate. ---------------------------------------------------------------------------------------- '14e r 1 . Sanitation and plot plan approval¢2 Health Department. ------------------------------------------- 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Pi t plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17 lanning approval for (A) Use: (B) Parking: -------------------------- Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Budder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ E130. Other:------- ,LWhen you issue thhe,periprocess �as follows ❑ Mail to owner, ❑Mail to contractor. []Telephoneo t J and hold for pickup at office. ❑ Deliver with inspector. o Applicant: /ZJ�Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ A. r Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: _� f.� f ❑ Plan Check List 2. Additional items required: �T Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: 1 -3 -16 -Date: 4M Plans approved by: Date: Sets of plans on,hold in ❑ Plan Cabinet, ❑ A.P. older. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. I�'r�`�lrv-,.-.rr•��.,y�Yw..^.�,�']�YVV"'�'�1'^N+��'i"'i7i.'��::r��rylf"„r'�r+"i..�arr�'"��K;Y•�P''-�4'^'`.:f'+.n' s-r..dy.,.rv.ti.r.7(�,Yy�„Yc..a.nn•.......,�� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number Jurisdiction: City County Property Owner Property Location/Address �'ljF p�'� %�� aLy Subdivision Lot No. Residential Development Commercial/Industrial No of Living Mobile Home Units Installation AI Xew Sq. Footage Addition (Group R) Sq. Footage 33610/ Addition (Including Exterior Roofed Areas) Building Department Representative Date 11 District Identification No. (Street (City) u-ioor mans revlewea oy 5cnool uistrlct versonnell 9 9D0� School District certifies that has complied with the requirements of Resolution No. representing 0 square feet. School District (State) A*pplicant) ic2 !/ �/r O ✓ (Phone Number) (Zip Code) ((J,.J /' 9&- by payment of $ 4Q— B 2926 $ [FULL MITIGATION $ ✓Y� % ,9 719.,?" Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District; in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest.;.wi[U..prohibit you from challenging the Imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate„its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmM-- - -. -,.... uf... r _ ��.� Lam.. .`� +_. .---...1tiw;•-. ��--:..-.. .r.. .• .' - 4" Q BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �� Building D partment No., O�t3 �,n/ A.P. Number �- Jurisdiction: City County Property Owner Property Location/Address Subdivision Lot No. Residential Development a Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial le Sq. Footage w Addition (Including Exterior I n C1C1 Roofed Areas) ig Department Representative (Floor Plans reviewed by School District Personnel) (3 t Identification No. n� Date School District certifies that Applicant) (Street Address) (Phone Number) (City) has complied with the requirements of Resolution No. representing O square feet. School District Representative Paid by Check # -^ Remarks: (State) (Zip C by payment of $ IVILI16 S ITIGATION $ 7/9 7n 41�1- Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit— you from challenging the Imposition of the fees In any court action. ,/ /- .1-111" If, subsequent to the School District Representative signing this Butte C .uc�nnty Schools Impact Fee Certi is n Form; the Sc o9FNstrictiis notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEGA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. ' ' ' White (applicant), Yellow (building department), Pink (school district) feeformAs (2/977m d 9 -,3 9 JA)o -1. e 611. R COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS, PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIO,I'AND PERMIT ASSESSOR PARCEL NUMBER lfl� t'10 -- j11 ZONING BUILDING PERMIT OWNER _ TELEPHONE 893-5423 SO. FT. OCC. BUILDING VALUATION OWNER'SMAI'LIN-G-ADDRESS .1.'424 Nord Avenue Chico Cal 95926 CONTRACTOR'S NAME 13 utte Roofin , Co. TELEPHONE 2-4 SC; Z. .jt3ti.U� 'S CONTRACTOR'S MAILING ADDRESS - -' 1. O. Box 557 Chico, Cc1 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS ,_ Permit Fee $ ocu ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1424 Nord Avenue Permit fee $ J -1.-w PLUMBING PERMIT Filing Fee 10.00 Each Trap 00 Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 00 Each qas water heater or vent00 $20.00 USE OF STRUCTURE SF n Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets00 Building sewer .00 Mobile Home S G WOea TYPE OF WORK New ❑ Addition [I Remodel [:]Uti lities ❑ Installation ❑ %Other ❑ Describe work: Comr)onition shingles 23so. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9; Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. 1768 %R C -39 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.9 y2¢sgft OR ADONS. ACC. BLDGS. NEW CONSTR. ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES eA 50 300 FIXED APPLNS. 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. j' said X �_ fy/ * �- 'i �` ' Date -4— '� Signature of Applicant — Owner ❑ Contractor ❑ Agent Ej/`' An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. g Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 33.50 occu P. CONST.TYPE [-7LOODIPARCELI PD I ND I.ISSUE This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which DIREC4 `OWOF PUBLIC'WORKS By ,',+�� r../ 6/r.�L�i}Cfi/ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. �Date j+n ' 1)01/1 Receipt No. `t/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPECTOR.'6OLDENROa-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE�M1T�0 ASS PAjZC NUM (�/ ZONING - BUILDING PERMIT OWNER TELEPHON 893-543 SO. FT. OCC. BUILDING VALUATION ILG ADD OWNER'S MARESS 11424 Nord Avenue Chico Cal 95926 CONTRACTOR'S NAME B utte Roofing Co. TELEPHONE _9551 sq CONTRACTOR'S MAILING ADDRESS P. 0. Box 557 Chico, Cal 95927 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 1424 Nord Avenue Permit fee $ lys 16-0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF El Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Composition shingles 23sq. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. 176858 C_-39 License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered 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.. ) C.BLDGS. 2'�2¢sgft NEW CCONSTR.(AMULTI-OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20®SOC eALe3o FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. O 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 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against County in conse ue ce of the granting of this permit. %� l �e( ��-�L' — Date I22 9—RA Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 33.50 occu P. CONST.TYPEJ I 7LOODIPARCELI PD FD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work in '- ated above for which D!R F PUB B / PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS /Date Receipt No. WHITE-D.P.W., YELLOW-ASSE340R. PINK -INSPECTOR. GOLDENROD -APPLICANT r - � • . - cod ,�� '`i' ., i .f r�rrt'a-�.:.IY"�"•r`--•^-r... • ..-.w+vk,�i�.,n...-..:.--�.. ..-.--,--.c _ .f .,,j ....� � <-,.. .... ..... _ _ . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District, �� LO Building Department No. A.P. Number -,,00" 00 Jurisdiction: City E4 County Property Owner MmL rr Property Location/Address Subdivision Lot No. Residential Development Sq. Footage No of Living Mobile Home Addition (Group R) Units Installation "I � OD Commercial/IndustrialSte` Sq. Footage O e Addition (Including Exterior 3_ Roofed Areas) 3 �0 A.uildingDepartment Representative Date (Floor Plans re wed by School District Personnel) ' District Identification No. !3t9(0Q 4 School District certifies that (Applicant) (Street Address) (Phone Number) %5,93 (City) (State) (Zip Code) has complied with the requirements of Resolution No. �-7 by payment of $ representing 2Anro square feet. B 2926 $ IFULL MITIGATION $ School District Representative Date Paid by Check # Remarks:n� v Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm I Owner COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 ..1 7 County Center Drive — Oroville, California 95965 At Telephone: 534-4541 APPLIC9TION AND PERMIT 10 Watt - Mailing Address 1424 Nord Avoo Chico, CA. 95926 134-4-JU80 Contractor Chico Elootric Mai I i ng Address 1933 E Chico, Building Address 9424 N ^.hico. 1 »llannd0 CA. 95926 Te699 = i rd Avo. CA. 95926 A. P. No. 16ning & Planning Fees I kC. Sanitation Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Im rovements Plans Declaration p p Bldg. Plans•Rec'd I Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER R❑ _ BUILDING SQ. FT. OCC. BUILDING VALUATION Fireplace 11 Total Valuation Permit Fee P I an Checki ng Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or -vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County.of Butte a certificate of Cooling Workmen's Compensation Insurance. $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ $3.00 .5.00 2.50 25.00 1.00 FEE . >..50ea Permit Fee undorground sorvico utilities ELECTRICAL conversion PERMIT FILING FEE LESS Main service 600V OR 100 AMP OR LESS Single Family ®Duplex ❑ Mobil Home ❑ Others ❑ Main service A. ADD'L ioo AMP $ y•CJ Main service OVEReo0v 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP. OR AODNS. ACC.BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Chico Electric NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS NEW CONSTR. POWER APPARATUS & ( NON.RESID. `SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT[IRE! FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID.) EA Temporary service Mobile Home Facilities License No. 290982 Classification 9110 Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County.of Butte a certificate of Cooling Workmen's Compensation Insurance. $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ $3.00 .5.00 2.50 25.00 1.00 FEE . >..50ea 0@Z56 IAL @ 10¢ 2.00 10.00 15.00 6.25 6.25 $ y•CJ $ @ FEE $3.00 r1I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ 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. X� Y 1 Date 3/5/80 Signature of Permi`tee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby'issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo.r which fees have been paid. DIRECTOR OF -PUBLIC WORKS By�� a� f l,V�.��fl/t� Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` - 7 County Center Drive — Oroville, California 95965 D /� po Telephone: 534-4541 / j APPLICATIGN AND PERMIT AA BUILDING Owner Georgia watt SQ. FT. OCC.1 BUILDING VALUA ION Mailing Address 14.24. Nord Ave. Chico, CA. 95926 Tel -Rb Contractor Chico Electric Mailing Address 1933 Esplanade Fireplace Tel phone No. Total Valuation Chico CA. 95926 91-1933 Permit Fee Plan Checking Fee &/or Penalty Building Address 1424 Nord Ave. Permit Fee Chico CA, 95926 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 f o Repair drainage or vent piping 1.50 O ( Water piping 1.50 A. P N0. oning & Planning Each gas water heater or vent 1.50 Wes I vc. gaaiiaUon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking I ParcelEach additional outlet .30 EQA Plans I Declaration I Parcel Map 1 60' R/W Improvements Building sewer 5.00 `13"g. Plerr9 Rec'd Parcel_Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ underground service utilities ELECTRICAL No. @ FEE conversion PERMIT FILING FEE $3.00 • Main service 8000V OR LE 0 AMP ORLESS5.00 Single Family X❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OOR ADDNST ( ACC`BLDGS.CCUP. Y� 20sgft CONTRACTORS LICENSE LAW NEW NON -RON EBID `CESID, /MULTI.OUTL T BRANCH CIRCUITS 12.50ea NEW CONSTR. (POWER APPARATUS & I am licensed under the provisions of Chapter 9, Div. 3, of the NON-RESID. (SINGLE OUTLET CIR. State of California Business & Professions Code under the name Ex. Occuo(OUTLETS OR FIXTURES 5 L� st le of: Ex. OCCU FIXED APPLNS. OR y Chico Electric p' OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 290982 Classification C10 Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 9, 25• MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 I am aware of the provisions of Section3700 of the California Labor Heating h' h I t b' d ' t I' b' I' Cd o e w IC requires every emp oyer o e Insure agalno la I Ity for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the. Workmen's Compensation Laws of California. 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 ipove-mentionedNproperty for inspection purposes. X � I Cy )fl I, � 11A li' Date 3/5/80 5 g oture of Per;nifteel or Agent Receipt No. J —51-( White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant in Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ „ This permit is hereby issued under the applicable provisions of the Bu a County Code and/or resolutions to do work indicated ahoy f which fees have been paid. R C OR OF PUBLIC WORKS a B e - Dat1o`'k/�� Building permit expires Date — !� —l0�' �� 2; _ DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director RDM DE B L. A TJS 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 9596S LYR DIVISION BLD 7•i•aron•: 19161534-4541 Rff,% WE H. 'a ,,.. E� Deputy D.r�er� 0C T 2 5 1:,'r 9 t�L� October 25, 1979 ��6E8 DCG WDL NOTE C01'41'01F.NTS BC'r1 REPLY SEE ROM FILE Pacific Gas and Electric Co. RE: Highway 32 Underground P.O. Box 49 Utilities Chico, CA. 95927 Attention: R.L. Lind New Building Representative Gentlemen: x With reference to the above subject and your letter dated October 16, 1979, elec- trical�ermits will be required for any electrical work to be -done by other thail ?� your utility Company. ` Since the electric services are existing, and if determined to be safe, they will not be required to be brought up to code. After taking a permit application for undergrounding,but prior to issurance, a pre inspection will be done by the Building Department to determine if additional work , will be required to make the facility safe. Should you have any questions concerning this, please,contact,me,, l V Yours very truly, "k Clay Castleberry Director of' -Public � Works . Glander'�^�,� JFG:dd C11ief Puilding lnspectQr cc: Chico Office ♦ y Y y t Job number >> 9?54 DATE 12/23/97 Structural Calculations for Monty Betty Nord Ave Mini Storage Chico, Ca. Bruno & Hawkins Architects 20 Constitution Or. Ste. A Chien, Ca. 95973 (530) 095-1125 (530) 993-0532 Fax R -Ty I 2.11 -ID Z CALCOATA 11/13/97 ------------------------------------------------------------------------ Rev 4-20-94 Calculation data ------------------------------------------------------------------------ Description » Monty Betty Jurisdiction Butte County Code referenced 1994 UBC / 1991 NDS 1986 AISI Wind loading Basic wind speed 80 MPH Exposure 8 Seismic loading Seismic tone Gravity loading Roof live load 16 PSF Floor live load n/a Ealcony live load: n/a Soil data Allowable bearing: 1500 PSF LOAD -S 4:31 AM ------------------------------------------------------------------------ REV 8-13-42 LOAD -SUMMARY MODULE 12/23/97 ------------------------------------------------------------------------- DESCRIPTION >>Monty Betty >> ------------------------------------------------------------------------ ASSEMBI_Y >Roof 1 SLOPE > 6 IN 12 > 26.57 DEGREES NO. DESCRIPTION 12 Comp shingles 22 1/2" PLYWOOD 35 2 X 4 - 24" 35 2 X 4- 24" 54 INSULATION 64 MISC. 84 5/3" GYPSUM BD UNIT F. PITCH? ADJ. WT x.00 3.00 1.50 1.50 1.00 1.10 1.00 ?0 70 1,00 1.00 2.00 2.00 2.80 2.30 ------------------------------------------------------------------------ DL 11.70 USE: 12.00 PSF LL 16.00 PSF ------------------------------------------------------------------------ TL 28.00 PSF ASSEMBLY )mall 1 SLOPE > IN 12 ¢ > DEGREES NO. DESCRIPTION 85 ?/8" PLASTER 22 1/2" PLYWOOD 34 2X4-16" 59 INSULATION 64 MISC. 84 5/8" GYPSUM BD UNIT WT. PITCH? ADJ. WT. 3.00 8.00 1.50 1.10 1.50 1.00 1.10 1.00 2.00 2.00 2.30 2.00 ------------------------------------------------------------------------ Dl 16.40 USE: 11.00 PSF LL PSF ------------------------------------------------------------------------ TL 17.00 PSF CoAn.., . P2 1�r�rZ.. — --- --- - !(o. to,P1 (tolb)C2//L4-1) ` ,20 co r2 SQ -SM -6 3:03 AM ------------------------------------------------------------------------ Rev 9-13-93 SIMPLE SPAN BEAM - UNIFORM LOAD 2/121148 ---------------------------------------------------------------------- - Description ))GARAGE HEADER IGEN ERAL Span (L) > 16.500 feet Repetetive ? > N R_iuce shear for bm depth ) Y Laterally supported (Y/N) > Y lu .000 feet le > .000 feat Slenderness factor Cs > .000 Ck > 22.210 --------------------------------ACTIONS--------------------------------- Uniform dead load > .200 kips/ft 57 % TL Uoiform live load .150 kips/ft 43 % TL Uniform total load > .350 kips/ft End reactions ........................... DL > 1.650 hips LL ) 1.2':5 kips TL > 2.89E kips Design loads ............................ Total load moment (M) > 1?.511 ft -kips lotal load shear (V) ) 2.888 kips --------------------------LUMBER DESIGN VALUES -------------------------- Base values Species Grade Fb FtFv Fc r Fc° E DFGL 24F -V4 2400 1150 16S SSO 1650 1800000 Size factor Cf > .931 Apply to Fb Size factor Cr' > 1.000 Apply to t Size factor Cf > 1.060 Apply to Fcu Repetitive member factor Cr ) 1.000 Load duration factor Cd > 1.000 « Adjustment for lateral support > 1.000 Adjusted values Species Grade Fb Ft Fv Fcr. 'co° E DFGL 24F -V4 2369 i150 165 650 1656 1800000 ------------------------------BEAM DATA ------------------------------- Member width > 3.125 inches Member depth > 13.500 inches Required Actual Comment S (in"3) ) 60.334 44.922 <ok) A (in"2) > 22.670 42.168 :ok> I (in"4) > 640.723 ------------------------------ DEFLECTIONS ---------------------------- - Total load deflection > .506 inches L/ 391 <OK, Live load deflection ? 217 inches L/ 913 <OK) Dead load deflection ? .284 inches Minimum camber (glu-lams) > 434 inches. 11.54L deflection? Standard 20001 camber > .204 inches --------------------------CHECK MIN. BRC,. AREA -------------------------- Minimum area ) 4.442 in"? Minimum length ) 1.422 inches Assuming full width bearing, File, >SHEARW 4:32 AM 12/23/97 ------------------------------------------------------------------------ Rev. 1-20-95 Shearwall schedule ------------------------------------------------------------------------- Description >> ------------------------------------------------------------------------ Mark Description HF OF 1 3/8" cdx plywood with 8d nails .216 .264 at 6", 12" o.c. 2 3/8" cdx plywood with 8d nails .315 .384 at 4", 12" o.c. 3 3/8" cdx plywood with 8d nails .403 .492 at 3, 12" o.c. 4 1/2" cdx plywood with 10d nails .254 .310 at 6", 12" o.r,. 5 1/2" cdx plywood with 10d nails .311 d60 at 4", 12" o,c. 6 1/2" cdx plywood with 10d nails .492 .600 at 3", 12" o.c. 1/2" gyp bd with 5d nails wind .082 .100 at 1" o.c. edge & field seismic .041 .050 3 5/8" gyp bd with 6d nails wind .094 .115 at 1" o.c. edge & field seismic .041 .130 9 1/3" cement plaster over expanded metal .148 .180 or woven wire lath with no. 16 gage staples, (1/8" leg) at 6" O.C. 10 3/8" plywood siding with 8d nails .131 160 at 6", 12" o.c. File )LATOATAS 4:33 AM 12/231'97 Rev 5-1-05 Wind pressures on structures Oescriptior Exposure Importance factor 1.00 Basic wind speed ) 80.00 mph qs > 16.40 psf Roof pitch ) 6.00 in 12 0 26.57 degrees PRIMARY FRAMES A N D SYSTEMS Direction Ht. <0'-15'> <'I@,) (25') <30') (40'> Assembly description Ce .62 .67 .72 .116 .84 Cq WALLS Windward walls .80 .0081 .0088 .0094 .0100 .0110 Inward Leeward walls .50 .0051 .0055 .0059 .0062 .0069 Outward Total wall .0132 .0143 .0154 .0162 .0179 ROOF Wind perpendicular to ridge Leeward or flat roof .70 .0071 .0017 .0083 .0087 .0096 Outward Windward roof Slope 2:12 to less than 9:12 .90 .0092 ..0099 .0106 .0112 .0124 Outward or Slope 1:12 to less than 9:12 L .30 .0011 j 0031 .0035 .0037 .0041 Inward Roof t otal .0102 .0107 .0118 .0125 .0138 Wind parallel to ridge and flat roofs .70 .00,11 .0077 .0083 .00811 .0096 Outward ELEMENTSAND COMPONENTS WALL All structures 1.20 .0122 .0132 .0142 .0150 .0165 Inward Enclosed structures I.?D .0122 .0132 .0142 .0150 .0165 Outward Open structures 1.60 .0163 .0176. .0139 .0199 .0220 Outward Parapets 1.30 .0112 .0143 .0154 .0162 .0179 Inward/outward ROOF Enclosed structures Slope less than 9:12 1.10 .0112 .0121 .0130 .0137 0152 Outward Open structures Slope less than 9:12 1.60 .0163 .0176 .0189 .0199 .0220 Outward LOCAL AREAS AT 0 C 0 N T I N U I T IES Wall corners 2.00 .0203 .0220 .0236 .0249 .0276 Outward Canopies or overhangs at ca-ics or rakes LSD .0285 .0308 .0331 .0349 .0336 Upward Roof ridges at ends of buildings or eaves and roof edges at building comers 3.00 .0305 .0330 .0354 .0374 .0413 Upward Eaves or rakes without overhangs away from building corners and ridges away from ends of building 2.00 .0203 .0220 .0236 .0249 .0276 Upward i 0 n Q 11—d �. I 1 I -= r( q/- 2 ►/ti + fir,, (2 %L� C� r �► (I C ► °� �i1) C ► o �d Z•) _ /, / /< F�. c '`� .... £' 0 b/ 3Z) + �Iq,.33/z)�� 1D) �" (Z)( r''t) L oz, %z: - , §?. ! z , \� ia� /•'. ! I ;> y »«a.. g » ff- >., . ' 1 . . •. .. �� 2 ./ . 2 I J0/2.r7# GOO 7W LrN�• / P/= /,/Q/4 3� v to eli =3lst v41 �3 fiF , 4 --� 11/1 S67Z32� „t a Z., / t-, j h: -- A P� = // 2 9 le, e...i -= 6, / ( '0 1 - cu'; iclIvy, bolt, C• t o �4� = �4 i2 , 770S. r -00 6,t MIJ BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS .MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER G7 -77d:— APN 0'k 3n 2_00 –60 1 Firm Name MQ&7� 12LS /J r Address 3 (� 2 ! 1J&Z_L, Ra C11/c, a Nature of Business ��/ S 7- C; IN G-%? Contact Person 4 ��`%� Phone # -5 4/0 _' c1 7 % 1. Des your business or that of your tennants handle, store, or transport hazardous materials? NO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at st�Kdard temperature 4 pressure), or formulation containing hazardous material? 1 NO ❑ YES �i 27Z� If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-9W7281) for a review of the project. Is the business/facility/operation sc of site? NO ❑ YES IF YES, name of school. to be located within 1000 feet or the outer boundry of a school or 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fUXEs, vapors, or other volatile compounds? NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative MIC -2- (Signature) (Dare) BCEHD BCAPCD The applicant has met or is meeting the applicable requirements of Section 25505, El25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. El13 The Above Regulations Do Not Apply To This Facility. BCEHD Signature BCAPCD Signature Date Date WHITE- Building Dept ❑ YELLOW- Env. Health ❑ PINK - APCD ❑ GOLDENROD- Fire Dept. 11" 7T'J�- till.! ra 1v.1:"f171 ovi t� s Ina, J.' If j si I j 07 it k r BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS. MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER9:7--270 APN (70 3n % W —001 Firm Name Address J U —77 IJ45LL.- RI�2 C' Nir a CA— 9t.5-9-7 3 Nature of Business Contact Person 4 �'•'%�' Phone # _5 -'i0-7 `'177 1. Does your business or that of your tennants handle, store, or transport hazardous materials? dNO ❑ YES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at styfdard temperature 4 pressure), or formulation containing hazardous material? 1 NO ❑ YES �j i 27Z 7 If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-581) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or sc of site? NO ❑ YES IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any.air pollutants; e.g., dust, soot, odors, fu Xes, vapors, or other volatile compounds? NO ❑ YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representativefi= 2— (Signature) (Date) BCEHD BCAPCD ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. El1:1 The'Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. lRm" RI" Y $;V -!a: ,40Vr ,, .yr V i'l rt , • r�4 r� f r Y.:.. ; • �� x xL -: �h� r..e + .'� ^„ �: .r 1»? �'S ;r js.�L '{`� �"'+ / r l ,-fes, , j t y fry.. h ` r , BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) BUILDING PERMIT NUMBER !9:7-270 �� APN rj03 �Q0—� Firm Name _M0& FY /7_L Address 3 6.77 1,3�L-L-- R0 c kil i c o Nature of Business /72 //(/l Contact Person Ma A -I" Y Phone # ZeO7 x177 1. Does your business or that of your tennants handle, store, or transport hazardous materials? P(NO DYES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at st dard temperature 4 pressure), or formulation containing hazardous material? NO 0 YES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-538972$1) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry of a school or 2of site? O 0 YES t IF YES, name of school. 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fu/es, vapors, or other volatile compounds? R1 NO DYES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative 2—(Signature) (Dare) BCEHD BCAPCD ❑ 0 The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. El1:1 The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept ❑ YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD -Fire Dept. BUTTE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT HAZARDOUS MATERIALS AND EMMISSIONS QUESTIONNAIRE (A Building Permit cannot be approved without this completed form.) Firm Narr Address BUILDING PERMIT NUMBER -q:7-270 APN (714�n 7 e2O —60 Nature of Business Contact Person �l a 6- "7' Phone # 9410-7977 1. Does your business or that of your tennants handle, store; or transport hazardous materials? YNO OYES NOTE: Hazardous materials are defined as any material that, because of its quantity, concentration, or physical or chemical characteristics, poses a significant present or potential hazard to human health and safety or to the evironment if released into the the workplace or the environment. "Hazardous Materials" include, but are not limited to, hazardous chemicals, hazardous waste, paints, oils, lubricants, fuels, flammables, combustibles, corrosives, gases, and any material which a handler or the administering agency has a reasonable basis for believing to be injurious to the health and safety of persons or harmful to the environment if released. 2. Do you or will your future tenants handle store, or transport 55 gallons, 500 pounds, or 200 cubic feet (at st •ndard temperature 4 pressure), or formulation containing hazardous material? WNO OYES If you answered YES to 1 or 2, contact the Butte County Environmemtal Health Department (916-5384281) for a review of the project. 3. Is the business/facility/operation to be located within 1000 feet or the outer boundry-of a school or scl site? ENO OYES IF YES, name of school. x 4. Does the business/facility/operation have the potential to emit any air pollutants; e.g., dust, soot, odors, fines, vapors, or other volatile compounds? R1 NO 11 YES IF YES, contact the Butte County Air Pollution Control District (916-891-2882) for permit requirements. Owner or Authorized Company Representative Z (Signature) (Date) BCEHD BCAPCD - ❑ ❑ The applicant has met or is meeting the applicable requirements of Section 25505, 25533, and 25534 of the Health and Safety Code and the requirements for a permit from the Butte County Air Pollution Control District. The Above Regulations Do Not Apply To This Facility. BCEHD Signature Date BCAPCD Signature Date WHITE- Building Dept 0 YELLOW- Env. Health 0 PINK - APCD 0 GOLDENROD- Fire Dept. 0 JANUARY 26, 1998 MONTE BETTY 3634 BELL ROAD CHICO, CA 95973 Re: PERMIT # 97-2703 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: 1916) 533-2140 With reference to the above subject, attached is: [ x] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other A.P.# 043-200-001 Action Required: ( x] Comply with Plan Check List [ x] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. rM Sincerely, LINDA SEXTON Suite County -� L A N D O F N A T U R A L W E A L T H A N D B E A U T Y JANUARY 26, 1998 MONTE BETTY 3634 BELL ROAD CHICO, CA 95973 Re: PERMIT # 97-2703 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: 1916) 533-2140 With reference to the above subject, attached is: [ x] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other A.P.# 043-200-001 Action Required: ( x] Comply with Plan Check List [ x] Resubmit Plans with Revisions As Required [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other Should you have any questions, please contact this office at the address or phone number listed above. rM Sincerely, LINDA SEXTON r "'Permit Applicant: MONTE BETTY Amenor Parcel Number: 0437200-001 Permit Number•. 97-2703 Date: JANUARY 26, 1998 The above referenced buikang . pz= were reviewed by this offlce. Provide additional !nfornratlon and/or make revisions to plain; specijicadons and calculations as follows: PLAN CHECK OF GARAGE,'OFFICE AND ADDITIONAL• LIVING AREA ONLY. SECTION 1004.9 -LANDING REQUIRED AT EACH SIDE OF THE DOOR -NO STEP. CEILING -JOISTS ACCROSS BATH, STORAGE, LAUNDRY MUST BE 2X10 16"OC UNLESS WALLS ARE BEARING WITH FOOTINGS UNDER. 3.. HOW IS•.ONE HOUR SEPARATION ACHIEVED WHERE CALIFORNIA FRAME -OVER? 4 X 14•GARAGE DOOR HEADER APPEARS INADEQUATE. PLEASE REVISE OR PROVIDE CALCULATIONS SHOWING ADEQUACY. PLEASE REVISE YOUR ACCESSIBLE RESTROOM TO COMPLY WITH REQUIREMENTS. 48" CLEAR IN FRONT OF WATER CLOSET AND 18" MINIMUM WALL AT SIDE OF DOOR OPENING --SEE YOUR DIAGRAM ON SHEET 3 "ACCESSIBLE TOILETS." PROVIDE RAMP AT PORCH SO THAT THERE IS AN ACCESSIBLE PATH OF TRAVEL FROM PARKING T0* DOOR. COMPLETE AND RETURN HAZARDOUS MATERIAL FORM. PROVIDE NON-RESIDENTIAL ENERGY AND DESIGN COMPLIANCE AND SUPPORTING DOCUMENTS FOR NON-RESIDENTIAL ADDITION. 9.• OBTAIN PROJECT APPROVAL FROM i—EFAMIME1711; :11,111161111111: ON AND LAND DEVELOPMENT DIVISION. A BUTTE COUNTY SOILS MAP SHOWS SOILS WITH MODERATE EXPANSION POTENTIAL IN THE AREA OF THE PROJECT. PLEASE PROVIDE A DESCRIPTION OF THE SITE SOIL. IF OTHER THAN THE CLASS 4 MATERIAL (OR BETTER) PER TABLE 18-1-A OF THE UNIFORM BUILDING CODE, VERIFY MATERIAL IS NON -EXPANSIVE. MODIFY FOUNDATION DESIGN AS NECESSARY TO ACCOUNT FOR THE ACTUAL SITE CONDITIONS.. a /2 h-teo – %20oc 1'r7 If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 RM and 4:00 P.M., Monday through Thursday. LINDA SEXTON MM February 6,. 1.997 County of Butte Building Division 7 County'Center Drive Oroville,_ California 95965.-339.7 RE: Monte Betty Mini -Storage, Nord Ave. Flan No 97-2.703 We- have addressed the following items- from, your 'B, il'ding Divisions status of plan check dated Jan. 26, 199:8 0 Item Plan revised, Landing added to office. area.. Steps allowed for residential to Garage. Intermediate walls are bearing, Foundation Plan revised. , One hour rating is not required above roof sheathing, , california framing overlays% roof sheathing. -- Header revised, see plan. Restroom revised,, see plan.. Stripped path of travel from parking, stalls noted on Site plan,- no change in elevation or slope greater. than 1:20 from space to building entrance. By others,. Energy information requested provided with fdrs.t.submittal.. By others. If you have any, questions•, please feel freer too contact this office. S"ncerely, Bruno an a kins 20 Constitution Dr., Suite A Chico, CA 95973 Phone 916/895-1125 Fax 916/893-0532 0 I E. F. G. VDetailed types of construction requirements. . Proper roof pitch for roof covering (Section 1507 & 1508). Attic access and ventilation (Section 1505). ..Roof drainage (Section 1506). Skylights Section (2409 & 2603). Stages and platforms (Section 405). Interior wall and ceiling finish (Section 801). Fire resistive requirements. Walls, floor, ceiling, penetrations (Section 702). Wall and ceiling covering installation (Section 2500). lass, glazing, Human Impact - Safety Glazing (Section 713.9 & 2406). Foam Plastic (Section 1715). STAIRS, EXITS AND OCCUPANT LOADS: General Exit Requirements (Section 1001.4 & 1006.3). Number of exits, width andIoca�(Section 1003). Doors (Section 1004).. /$ rzq) Corridors and exterior exit balconies (Section 1005). Stairways, rise and run, width, winders, and construction (Section 1006). Horizontal exit (Section 1008). Exit and smoke proof enclosures (Section 1009). Exit signs and illuminations (Section 1013). t isles and seating (Section 1014 & 1015). Exits for occupancy groups (Sections 1016 - 1019). Floor level exit signs (Title 24 & Section 1013). MISCELLANEO US REQUIREMENTS: Masonry chimney (Section 3102). Veneer (Section 1403). Special Inspection per U.B.C. Section 1701). a. High Strength Bolting. b. Field Welding. C. Masonry (full stress). d. Concrete (f'c>2500psi). Special Certifications -Mill Certificates. Expansive soil - Special design. Cut/Fill slopes, compaction tests, grading. Noise requirements (Planning, Appendix Section 1208). Weld electro de, welder certificate. icate.NGINEERING REQUIREMENTS: 1. Complete calculations, correct design criteria. 2. Complete shear transfer details, roof to foundation. 3. Complete structural material specifications. 4. Shear wall anchorage based upon wall shear. 5. Roof diaphragm chord, collector, drag struts. 6. Combined tension and shear @ steel RF anchor bolts. 7. Braced roof and wall bays. H. OTHER: I. For Inspection Jacket: Flood Hazard/Elevation Certificate SRA Requirements Special Inspection Requirements Automatic Fire Sprinklers ✓�i�� June 1997 �� ? 3.5 COMMERCIAL PLAN CHECKING GUIDE (1994) U.B.C. OWNER B UII.DING PERMIT NUMBER. 4 � PLAN CHECKER: A.P. NUMBER: A. . GENERAL: Zoiung requirements, P_ lanning approval.' Valuation. ` + Plans signed by an engineer or architect. - Proper description or work on application. .. Existing violations on property. A F /ltems on data sheet (W.C., fees, Health, Impact Fees, License Law, etc.). ---Improvements or drainage, Land Development approval. B. PLOT PLAN.• ' omplete parcel size and dimensions. r ' etbacks, sideyards, easements,etc.ther , buildings or structures. Grading, fills, drainage.lood y - °�' hazard. FF pecial conditions on creation map (noise, C.D.F., sprinklers, foundations, etc..A.U. & F.A.S. road set back. Building or utilities across lot lines (Lot Merger). �* C OCCUPANCY REQUIREMENTS: Wholesale Food Manufacturing (Plans to state DHS/FDB). Building use: �� ' �•�ye ✓�.5 olQ/L�c41 Occupancy Group: a . _]'2_ Type of Construction: VA) Building floor ar/ �3s3 OccupantLoad:. Basic allowable floor area: sq. ft. Total allowable floor area: ` k Basis for increase: w� - Compliance with specific occupancy requirement. - Occupancy separations (Section 302). .. Area separations (Section 504.6): ' y Firewalls due to location on property (Section 503). Maximum height requirements (Section 506). Draft stops (Section 1505). Ventilation and special hazards -requirements (Section 3). Automatic fire spriiikler system (Section 904). , Fire alarm systems (Section 310.10).- �1vlechanical code requirements (Grease hood w/fire sprinkler system - Section 507). y - °�' Environmental Health Review - (a) Restaurant Act, (b) Commercial Pool, (c) -H Occupancies. Smoke deiection system. C.D.F. or State Fire Marshal plan review. Electrical Code Requirements (Medical - Article 517, Assembly - Article 518, etc.). Physical Disability Requirements (Title 24). —11 Wholesale Food Manufacturing (Plans to state DHS/FDB). D. TYPE OF CONSTRUCTION REQUIREMENTS:�— Roof covering requirements (Section 1503). P apet walls (Section 709.4). , oilet room floors and walls (Section 807). - Guardrails (Section 509). Y June 1997 3.4 `. r Job number 7> 97541 DATE 12/23/97 Structural Calculations for Monty Betty Nord Ave Mini Storage Chico, Ca. Bruno & Hawkins Architects 20 Constitution Dr. Ste. A Chic^, Ca. 95973 (530) 895-1125 (530) 893-0532 Fax HA No. 186W REN. C A�� CALCOATA 11/13/97 ------------------------------------------------------------------------ Rev 4-20-94 Calculation data ------------------------------------------------------------------------ Description )?Monty Sett; ------------------------------------------------------------------------ Jurisdiction Butte County Code referenced 1994 UBC / 1991 NOS - 1986 A(Si !find -loading Basic wind speed 80 MPH . Exposure B Seismic loading Seismic zone Gravity leading Roof live load 16 PSF Floor live load n/a Balcony live load: n/a Soil data Allowable bearing: 1500 PSF LOAD -S 4:31 AM ------------------------------------------------------------------------ REV 8-13-92 LOAD SUMMARY MODULE- 12/23/97 ----------------------------------------------------------------------- DESCRIPTiON %)Mont.y Betty ------------------------------------------------------------------------ ASSEMB!-Y >Roof 1 SI OPE > 6 IN 12 > 26.57 DEGREES NO. DESCRIPTION UNIT WT. PITCH? ADJ. WT. 12 Comp shingles 3.00 3.00 22 112" PLYWOOD 1.50 1.50 35 2 X 4 - 24" .70 .70 3S 2 X 4 - 24" ' p 7 0 59 INSULATION 1.00 1.00 64 MISC. 2.00 2.00 84 5/8" GYPSUM 80 2.80 2.30 ------------------------------------------------------------------------ DL 11.70 USE: 12.00 PSF LL 16.00 PSF ------------------------------------------------------------------------ TL 28.00 PSF ASSEMBLY )wall 1 SLOPE > IN 12 > DEGREES NO. DESCRIPTION UNIT WT. PITCH? ADJ. WT. 85 7/8" PLASTER 8.00 8.00 22 112" PLYWOOD 1.50 1.50 34 2 X 4 - 16" 1.10 1.10 59 INSULATION 1.00 1.00 64 MISC. 2.00 2.00 34 5/8" GYPSUM 80 2.30 2:80 ------------------------------------------------------------------------ DL 16.40 USE: 17.00 PSF LL PSF ------------------------------------------------------------------------ TL 17.00 PSF File >SHEARW 4:32 AM 12/23/91 ------------------------------------------------------------------------ Rev. 1-20-95 Shearwall schedule ------------------------------------------------------------------------ Description >: - -------------------------------------------------------------------- hlark Description HF DF 1 3/8" cdx plywood with 8d nails 216 .264 at 6", 12" O.C. 2 3/8" cdx plywood with 8d nails .315 .334 at 4" 12" o.c. 3 3/8" cdx plywood with 8d nails .403 .492 at 3" 12 c.r. 4 1/2" cdx plywood with 10d nails ,254 .310 at 6", 12" c.c. 5 1/2" cdx plywood with 10d nails .311 .460 at 4", 12" o.c. 6 1/2" cdx plywood with 10d nails .492 .600 at 3", 12" o.c. 1/2" gyp bd with Sd nails wind .082 .100 at 1" o.c. edge & field seismic .041 .050 3 5/8" gyp bd with 6d nails wind .094 .115 at 1" o.c. edge & field seismic .041 .180 9 1/8" cement plaster over expanded metal .148 .180 or woven wire lath with no. 16 gage staples, (1/8" leg) at 6" o.c. 10 3/8" plywood siding with 8d nail_. 131 .160 at 6" 1?" "N.C. t File ,LATOATAI^ 4:33 AM 12/23/91 Rev S-.-95 hind p;-Essures on structures Description. . Exeosure ? Y .0131 .0143 ROOF .0041 Inward 0118 lmportanee factor I.!10 0063 .0087 .0046 Outward te.eward or flat roof .70 Basic wind speed > 00.00 mph qs > 16.40 psf Slope 1:12 to less than 9:12 Roof pitch > 6.00 in 12 0 > 26.51 degrees .0031 .0031 P R I M A R Y R A M E S A N O S Y S T E M S * * y roofs .70 .0011 .0017 '' * E L E M E N T S A N Direction N E N T S " x WALL Ht. <0'-151> 001> <15'> <30'? <40'> Assembly description Ce 62 .67 .12 .16 .84 .0176. Cq 1.30 .0132 .0143 ROOF W A L LS Enclosed structures Slope less than 9:11 Windward walls .80 .0031 .0088 .0094 .0100 .0110 Inward Leeward walls .50 .0051 .0055 .0059 .0062 .0069 Outward Iota! wall .0112 .0131 .0143 ROOF .0041 Inward 0118 .0125 Wind perpendicular to ridge 0063 .0087 .0046 Outward te.eward or flat roof .70 .0071 .0071 Windward roof Slope 1:12 to less than 9:12 .90 .0092.0099 Slope 2:12 to less than 9:12 .30 .0031 .0031 Roof total .0349 .0102 .0107 Wind parallel to ridge and flat roofs .70 .0011 .0017 '' * E L E M E N T S A N 0 C O M P O N E N T S " x WALL All structures 1.20 .0112 .0132 Enclosed structures 1.20 .0122 .0132 Open structures 1.60 .0163 .0176. Parapets 1.30 .0132 .0143 ROOF Enclosed structures Slope less than 9:11 1,10 .0112 . .0121 Open structures 2.00 .0203 .0220 Slope less than 9:12 1.60 .0163 .0176 0154 .0162 .0179 0083 .0087 .0096 Outward 0106 .0112 .0124 Outward or 0035 .0037 .0041 Inward 0118 .0125 .0138 0063 .0087 .0046 Outward 0142 .0150 .0165 Inward 0142 .0150 .0165 Outward 0189 .0199 .0220 Outward 0154 .0162 .0179 Inward/outward 0130 .0137 .0152 Outward 0189 .0199 .0220 Outward *LOCAL AREAS AT 01SC0NTINUITIES Wall corners 2.00 .0203 .0220 .0236 .0149 .0116 Outward Canopies or overhangs at execs or rakes 2.80 .0285 .0308 .0331 .0349 .0386 Upward Rcof ridges at ends of buildings or eaves and roof edges at building corners 3.00 .0305 .0330 .0354 .0314 .0413 Upward Eaves or rakes without overhangs away from building corners and ridges away from ends of building 2.00 .0203 .0220 .0236 .0249 .0276' Upward /i ) 0142,r45-7u-r...i . � r I- c) p� � rK1 h/943477ow �:'" :;} .* ':� -: r v' �. .� 4 ;�� ' r s _ - -.. . ... .. ... ...... _.._. _,_... - ----i ... ...... -- LrtiE eli=3,Sr � fiF , 4.0 --N S,S7B Li NFA.. A eulirlIvy- bolt, n RESIDENTIAL 043-20-0-001 BETTYMonte 97-2703 BPEM 1424 Nord Ave, Chico (mini stg office & garage addit) PERMIT NO. PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION 7 �r L Temp. Power Pole Called PG&E .-.,Temp. Elec. Service +� Called PG&E Temp. Gas Service t Called PG&E 1 � JOB FINALED (Date) 23. fq Signature ✓' V=OK 0 = Not OK Not R = oteadApplicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 7. Well Clearance & Disconnect 1. Zoning Requirements - Setbacks - Easements 8. Utility Clearance 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists-Decldng-BracingStairs-Rails 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftra.-Connectors ' Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; LocatiorrClearances-Gmd-/ /Amp -Concrete Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap; / /LYt MISCELLANEOUS Date / /Nat or/ /1 -It./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 3. Decks; Girders and/or Joists-Decldng-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftra.-Connectors ' Shthg.-Rfg.-Bracing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test DemandVahe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector Date 7. Water and Sewer Connected -C/0 to Grade -HD Approval Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 4. Elec.; Receptacles and Lighting, Distance-GFI Date Card B-1 Date Card B-1 Date' Card B-1 Date Card B-1 7. Elec.; Bonding; Metal wiV-Circulating Equip. -Heater MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectws-Steel 3. Decks; Girders and/or Joists-Decldng-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftra.-Connectors ' Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplk*-Decal-Encosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sits-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall.Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal wiV-Circulating Equip. -Heater S. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool Lghtg. Boxes-Endosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready Date DERFLOOR (Plans) OK except #s ningSetbacks-Easments-Flood-Slope ain; Soils-Elec. Gmd. / /"Ftg. Depth F . Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth Ftgq. Porches & Decks; SoilsSteel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 7. Slab, Steel -Wrapped 48. 8. Piers -Fireplace Ftg.Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/OSewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Chppies 15. Access & Ventilation Glazing Area -Glass Protection -Skylights -Plastic 16. Insulation Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels Date 61. Card B-1 Date Card B-1 Date 62. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date 17. W Htrl,V.e2t s -Combustion Air Baffle Card B-1 Date Card B-1 18. , Te Anchor -Nail Protection Card B-1 Date Card B-1 19. D.W.V.; Test Fittings & Anchor -Nail Protection FINAL (Plans) OK except #'s 20. Shower Pan; Test, First Floor -Tub Access Ext Steps -Door & Sidelight Protection -Landings 21. Test Tub & Shower, Second Floor -Tub Access Smoke Detector 22. Gas Pipe; Sixe & Anchors Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Stairs & Rails 23. Fixture & Transforrjper Cleara 'Ins. Protection Fireplace or Stove. Clearance -Hearth 24. Elec. Receptacl S ng -Lights & Switches at Doors Elec. Outlets at Wood Panel, Int. & Ext. 25. 26. Size Boxes & of Conductors Stapled Romex I Close to Edge of Studs & C.J. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 27. E Gro d made up w/Mech Fastners-Bond Gas & Water Elec. Outlets & Recepticales at Kit. Counter 28 Applia a Circuts in Kitchen & Conductor Size GF] Garage Fire Door; Swing -Landing -Closure Subf Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI A.C. Duct in Garage -Damper 30. R ge Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes Date 82. Card B-1 Date Card B-1 Date 83. Card B-1 Date Card B-1 Date 84. MECHANICAL (Permit) xcept #'s 35. A.C. Ducts Insulatio upport 36. Vent Fan, st above insulation 37. Condenslifte Drain & Overflow, Size & Grade Exterior Elec. Trim, G.F.I. Receptacle -Underground ' 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Ventilation Throught House 39. Attic Access & Platform if Furnace in Attic 89. Glass Protection 90. Corrections from Previous Inspections Date as Test -Meters Tagged, Gas -Electric Card B-1 Date Card B-1 Date & Sewer Connected -C/0 to Grade -HD ApprovW Card B-1 Date Card B-1 Date Energy Compliance Certificate -Other Certificates FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anch9ks 41. Walls Studs -Nailing Spacin & Braces- ates-Sound 42. Bearing Wallsi er Floor Nailing 43. Draft Stop in Walls (rat roof) 44. Fire Stops, Furred dingsStairs-Chasers-Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac: Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romez Pr6tectioh-Draft Stop -Ins. Baffles N. 5t 51. . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ' Garage Fire Protection Framing Property Line Firewall & Openings Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54.' Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood n Roof Overhang -Attic Verits-Rafter Outriggers " 56. ' ' g -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings j.;� - x 62. Infiltration-WallsWindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 No/VJalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground ' 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. as Test -Meters Tagged, Gas -Electric 92./Water & Sewer Connected -C/0 to Grade -HD ApprovW Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 `„• Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: AwCOUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico; CA - (916) 891-2751 7 County Center Drive, Oroville,,CA - (916) 538-7541 CORRECTION NOTICE -03 OWNER 1.11PERMIT NO. A routine inspection indicates that the following violations,of Butte. County Ordinances exist at the above address an hould be corrected. Please notify this office wheri,correction'of work ` is completed. If ave any questions pertaining to this matter, or need additionval'explanation, ` please cont this office immediately. Date / f9 Inspector (l REV 10192 *4Mc Fro: Certificate of Con%rmance: Certificate THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified below and marked with a collective mark of American Wood Systems (AWS)• were manufactured in accordance with the specifications indicated below. J$( ANSI Standard A190.1-1992, for Structural Glued Laminated Timber ❑ i. ❑ Proof_ loaded end joints WESTERN WOODS (CHICO ) Job Name CHICO, CA Job Location I Customer's Order No. 50344 Date02--05-93 57-9379 Mfgr's Order No SignatureilS.F r ig_ ,ac- Tc-rhnic.al Direr, -tor • � Ttde Company _l- lamet'te Ind. AddressVaugTin , Or'gon 0',""-05--98 Date •'� / `"_ - f fin IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the 'above- named manufacturer which carries a collective mark of American Wood Systems (AWS) is subject to regular audit by American Wood Systems, such audit consisting of the inspection. with reasonable frequency of the manufacturing process, with adequate sampling to verify the quality of glulam construction and the adequacy of glue bond. WOOD lF' a Z1�- t 2ji :M Q so SEA!; ey.....::� I .. Thomas G. Williamson:; Executive Vice President.::' ' gSNG,o� AMERICAN WOOD SYSTEMS - A RELATED CORPORATION OF APA ' OE INSULATION CERTIFICATE _ - -_---__---_-___ .� . ~ ' _ ��D-_''_'_-_� --_ Si _ DESCRIPTION OFINSTALLATION 1. R{JC)F � K0ataria|___-________ Brand Name Thickness (inches)-- Thermal Resistance (R-Vm|ue)_. 2. CEILING Brand N�� Johns Manville ��orB|an�Type.��_��_____-' u __ Thickness (inches)..._ Thermal Resistance _______--_-_-- Loose Fill Type Fiberglass Brand Name __JohnoM�nyU�__ Contrautor/smin. installed weight/ft sq. ��»�|b. Minimum Thickness inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) 3.EXTERIOR WALL Material ^v Thickness (innhes)_________^�_'��'--___--__-- 4. RAISED FLOOR KUmtaha| -_ Thickness (inches) 5. SLAB FLOOR /PERIMETER Material Thickness Perimeter Insulation Depth (inches)-__. 0. FOUNDATION WALL Mate[ia|______ Thickness (innhes)___ DECLARATION ^ Brand Name Brand Name '_---- -- Thermal Resistance (R-Value).. ' Brand Name Thermal Resistance /R-Va|u Brand Name I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the Certificate of compliance, where applicable. � Cl��9150 "� - ItLOERKE INSULATION CO., INC. em 8�- -- .�- |O��U| General ontractor (Co. Name) Or Owner General Contractor (Co. ame) Or Owner _Item #s_ Signature, Date 16-ii-affi- ractor (Co. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION y' 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 �'� PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT j ASSESSOR PARCEL NUMBER 041-900-001�000 ZONING C-1 BUILDING PERMIT OWNER MONTY BETTY TWM379 SQ. FT. OCC. BUILDING VALUATION 20 235 OWNER'S MAIL{�JZ7E ELL RD. CHICO �� (('�' [[�+ 7,560 CONTRACTOR'S NAME MONTY BETTY TELEPHONE 51 C 663 111 R 7182 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 35.640 ARCHITECT OR ENGINEER BRUNO & HAWKINS LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 323,50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 210.30 BUILDING ADDRESS 1424 NORD AVE Energy Plan Checking Fee $ 23,00 CHICO $ PERMIT FEE $ 576.80 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R] Other GOM SPECIFY Each Trap 61 7.00 42.03 Solar or heat pump water heater 23.00 Water piping 15.00 15. Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: MINI STORAGE OFFICE AND GARAGE ADDON. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 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 wdh Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. NO. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law�ar the following reason: 2( 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 reason51 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. BLDs. SO 3.5Q�;80 NEW CONST. MULTI -OUTLET NON•RESID. ANC c @7.50 OWER APPARATUS 8 SINGLE OUT_CR. Ex. OCCu OUTLET OR FIXTURES 20 @ 1'00 BAL @ .50 Ex. Occup. DUTELETS RESESI6.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 50 PERMIT FEE $ 54.50 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 forthwith comply with those provisions. X Date / L= O — _ Signature of Oplicant - ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.W Occ CONST. TYPE TOTAL FEE $ 806 O HAZ. D. FEES I L D _5r 5r CDF I p AEL I PD I "� 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 PERMIT EXPIRES ON 3 o- Receipt No. 231290/$ .94*w-g WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. ..-r.:.=...'^'�:kb:ri'+/��"".�...�._.Tr�"T.�"�w.�rTrr. *'4-�+i ^^;tit �A�'aril'�„=•."xlr�d"w'i+�'�=�''f",t�yr't+Y►Mr"`i`�+�'ary'"rrr."."h'4'_i'. i7_�" .'k;'..��, .. ...• .•_i i. 9 l { ' I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .4 y 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541�� P& (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER / d -T 3— O "' 0 C)[ — O co 0 ZONING is BUILDING PERMIT OWNER oN TELEPHONE $' -1103 7 SO, FT. OCC. BUILDING VALUATION ` OWNER'S MAILING ADDRESS 3 C3 Z_ ELL "eo C-14 1 co C A- 'IS of 73 1 CI Z) CONTRACTOR'S NAME Md A,7 -f 13 C TT -Y TELEPHONE ' ' L CONTRACTORS MAILING ADDRESS 11 CONSTRUCTION LENDER A/ /6,C LENDER'S MAIUNG DRESS ' /V Fireplace Total Valuation $ ARCH ECT OR NGINEER iQvr 1 �-tAJkiN LICENSE NO. Filing Fee $ 20.00 Permit Fee $ , ARCHITECT OR ENGINEER MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS , ^ '_ I Energy Plan Checking Fee $ , $ PERMIT FEE $ D LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE � SF ❑ Duplex ❑ Mobilehome I2 -Other SPECIFY Each Trap 7.00 Solar or heat . pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel ❑ Utilities O Installation ❑ Other Describe Work: I / lVe ��r``}7z {'�� (�' / L� D Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home IS G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 Main Service '.*.oaLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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.) 111 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 - O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. OWF111N0 OCCUP. SO OR ADDNS. ( 8 ACC. S. 3.5¢P{, NON -RES O. NEW CONST MULTI.OUTLET @7,50 POWER APPARATUS &SINGLE OUTLET CIF. Ex. Occup. OUTLET OR FIXTURES ®' aAL O .SO Ex. Occup. OUXTi. R=.OE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating t -� Cooling is— Hood 6.50 Ventilation V r PERMIT FEE $ S� Mobile Home Installation Fee $ Energy Inspection Fee $ ` t CONST. TY TOTAL FEF,= . J Lt HAZ. I D. FEES IM FLOoO COF r. P pp HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do indicated above for which fees have been paid. By Date PERMIT EXPIRES ON Data work Receipt No. WHITE-O.D.S.-B.0 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT i V COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER A.P.;y O PROPOSED BUILDING USE DATE REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ........ $ _�2. SCHOOL DISTRICT FEES C /W / fy (paid at District Office) . . SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 $ Units Commercial (sq.ft.)... 146 q.Ft. $0.03 = $ S � L70— 7 kt 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ V-0 ?O—s7 71q'Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) t 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion'# ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE 7 Original -Owner Copy-Buildi iv. (Rev. 12/96) COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENTS ERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER4 �� 1�/G � P. No.0043 -%Gzl "D C9 / Proposed Building Use Building Inspector Date /`Z-"3 O At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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. ........... 10. Fees of $ .......................................... X 11. mpact fees as shown on attached schedule . .............................. 1 California Department of Forestry plan approval/fees. Flood elevation letter (100 year flood) y California Engineer...... .... 14. Sanitation and plot plan approva{ = Health Department . ............ "!. 15. City of Chico plumbing permit . ......................................... X E*7. . Plot plan and business license approval from City of Biggs/Gridle r� .....::::::: Planning approval for (A) Use: ✓ (B) Parking:. Contact Land Developmentabout (A) Improvements (B) Drainage ........... Driveway permit (construction approval required prior to occupancy) . .. .. ... 1 Pre -Inspection req 20. Pre -inspection for required. . 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 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 r�nit Qrocess as follows: Mail to o er. Mail to contractor. Telephone d/'l�S-7 and hold for pickup at 0 office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date / 2/,.,/ 3 `7 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 grRr to ern nce Circ new ' em t ch 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 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached '/ES Floor Pian Attached Y Sent to 13.13, /�tor.iy Qe7�S• /42 4 ma►4 Ave y3-200-661 Owner Location AP# Plan Approved for: Sewage Disposal x Water Supply: Public x Private Well Clearance for Wig. Other Hold final for: Sia c ,nravn/ A" Final clearance O.K. for: NOTE: G • .Bvf/ 1e /. ,/yr. / zw r Environmental Health Specialist 8/96 Date 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 materials for construction of the proposed property improvement: YES[ "f NO[ ]. 2. I HAVE( 4 HAVE NOT[ ] signed an application for a building permit for the 3. proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: JU - ADDRESS: Com' PHONE: CONTRACTOR'S 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: CONTRACTOR'S 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 1 SIGNED: PROPERTY OWNER: SOCIAL SECM TTY NUMBER: - DATE: NOTE: This owner -Builder Veriftcation�s required by Section 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. 2.26 May 199i Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work If your work is being performed by, someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their License number on all permits for which they apply. If you plan to do your own work with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project. and such persons are. not licensed as contractors or subcontractors. then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer acid you are subject to several obligations including state and federal income tax withholding,_ federal social security taxes, workers compensation insurance. disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks'are especially serious with respect to worker's compensation insurance. 0 For more specificµ information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. .A frequent practice of unlicensed persons professing to be.contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA. 95814. Please complete the"Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of.these matters. The building permit will not be issued until the verification is returned. Sincerely. Michael C. Vieira, C.B.O. Manager. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1003 .vq rMr... r L `r fF.tv}y.� �.^fN�:r..,,:si..+-ih"TnC.....>rtriiWwrf.'p+''�..i'3rii,�-.-r.;ter-.I rhY !•,:,:;..^�7�','r,7;;.'.�r*:,.r+'+5,..r-r.-r"er. ,+fv F.rl..r^`r9'YLri•��r741f•Si;T,.. A. V BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District C C 0 Building Department No. A.P. Number —6 D % Jurisdiction: City � County Property Owner Property Location/Address Subdivision Lot No. Residential Development --,-� SqFootage No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial E Sq. Footage New Addition (Including Exterior A /l Roofed Areas) Building Department Irioor runs reviewea Dy acnooi uistnct versonneu te — Date District Identification No. 1 (Ac�. 1 G f. r, School District certifies that (Applicant) (Street Address) (Phone Number) (City) /(State) {� (Zip Code), has complied with the requirements of Resolution No. l(J� / by payment of $ representing square fee -t -:t JFBW2526_ $ ULL MITIGATION $ o� School District Representative Date Paid by Check # XhY Remarks: ' Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Pertification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California gnvironmental Quality Act (CEQA), this project may be subject to additional school fees to fully. mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (2/97)dmm g BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District A.P. Number Property Owner Property LocationM Building Department No. Jurisdiction: CityPQ County Subdivision Lot No. Residential DevelopmentIX No of Living Mobile Home A, di on Units Installation Commercial/Industrial Sq. Footage 3 (Group R) A,, Sq. Footage New Addition (Including Exterior (rioor vians reviewea Dy bcnooi uistnct versonneil Roofed Areas) Date District Identification No. AJ School District certifies that (Applicant) 6 -341 sae-" lz4t- �y (Street Address) (Phone Number) nij Le (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing l square feet. School District Representative by payment of S K� B 2926 $ ULL MITIGATION $ Date 10, Paid by Check # 7(% Remarks: n�/�/j /�2 C��!/.ZI! Gam, J Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(x), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court actid6.' If, subsequent to the School District,. Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this, project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm Mia Valley Title & Escrow Cmg= y 601 Metin'Strest * Chico, CA. 95928 .1530.) 893-56" ESCKW 914M: 161960C PFa1'Y: 1424 MW AVWUE CH=, CA. 915926: I yv� y /UaPP f%k— TCLIAY' S DATE: 11/14/97 a SnG DATE: 11/14/97 ID,:4-.• M * --I Ia • • 1 !- -� SELLEVS C DSW STA•IRJP DESCR 1�:ia11.7 �i�CiJ11.7 Sales Price Y� 210,000.00 Second Daed Of Trust 70 SELLER 50,000.00 Prorate Tama 11/14/9.7. to .12/30/97 0 SM -02/6 mos. 63.46 pay saim CAROL NVERS . REALA'Y 6, 300.00 Pay f1omd ss' on THEGR" ; REAL ESTATE 6,300.00 1/2 ESC FCW FEE "`" ' Mid" ", ' ' 'Title & EsCraw Co. 85.00 Doom mt PhoPF P I Ell Md Valley Title & Escrow Co. 30.00 IN FJVCE PI M. Escrow w OD• bUdy�Va/LUW Title &/yE� 2246.2�20 /1y/�2�}T�I�TyLE Dead S �/ Balance Due Tb Seller 146,871.24 TCTUS 210,063.46 210,063.46 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (page 1 of 2) CF -1R y./CR-0 AVE A/,V1 S?D,Q, Project Title /4-Z¢ AJO AVS C /`lyo SdMO e4 /fire vpt „td /bier:. y ®95/i-4 5 Documentation Author Telephone Compliance Method (Package, Point System or Computer) Climate Zone /2-2a07 Date :Z7 -a70_3 - BuildVermit` G n P anCheck P an / Date/ Date Q Y Field Check / Date Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area —112. ft Building Type: Single Family 1C Addition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: North / South / East AQAII Orientations (input orientation in degrees and circle one) Number of Dwelling Units: Floor Construction Type:lab aised Floor (circle one or both) BUILDING SHELL INSULATION Construction Component Insulation Assembly Location / Comments Type R -Value U -Value (attic, garage, typical, etc.) wall Wall Roof Roof Floor Floor Slab edge Shading Devices Fenestration Area Fenestration Interior Exterior Overhang Framing Type Orientation (sf) U -Value (roller blind, etc.) (shadescreen, etc.) (yes / no) (metal, wood, vinyl) Front Front (— ) Left ( ) Left (11/) �? _ 1690 rje V)t-'YL Rear Rear (- ) Right (5) r/ 1(00 V/NYL Right ( ) T �►' Skylight Skylight COIZIAX THERMAL MASS�,� �. Type / Covering Area Thickness ®� caAn / Description (slab, exposed, tile, etc.) (so (inches) (kitchen, bath, etc) _ Zv' ►Zda/�3 Revised March 1, 1996 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (page 2 of 2) CF -IR "&.Q AME_ IYMtAd /2- 2&-97 Project Title Date HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Water Heater Distribution Energy' Rated' Tank Factor or Number Input (kW Capacity Recovery in System or Btu/hr) (gallons) Efficiency External Tank Standby' Insulation Loss (%) R -Value I. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features / Remarks section. Designer or Owner (per Business and Professions Code) Name: Title/Firm: Address: Telephone: Lic. #: 70-� (signature (date) Enforcement Agency Name: Title: Agency: Telephone: (signature / stamp) (date) Documentation Author Name: Title/Firm: Address: 20 60A— Telephone: Revised March 1, 1996 l'2-3()-st 7 (date) Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat Configuration pump, etc.) (AFUE or HSPF) (ducts, attic, etc.) R -Value Type (split or package) e.0 A 4, 2- 15r -15h464 - -OL-Z Cooling Equipment Minimum Duct Heat Pump Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type (split or package) .061& t O r a 7 ASLA& e. Water Heater Distribution Energy' Rated' Tank Factor or Number Input (kW Capacity Recovery in System or Btu/hr) (gallons) Efficiency External Tank Standby' Insulation Loss (%) R -Value I. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list rated input and recovery efficiencies. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features / Remarks section. Designer or Owner (per Business and Professions Code) Name: Title/Firm: Address: Telephone: Lic. #: 70-� (signature (date) Enforcement Agency Name: Title: Agency: Telephone: (signature / stamp) (date) Documentation Author Name: Title/Firm: Address: 20 60A— Telephone: Revised March 1, 1996 l'2-3()-st 7 (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL MF -1R Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures: • §I50(a): Minimum R-19 ceiling insulation. §I50(b): Loose till insulation manufacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls ✓ (does not apply to exterior mass walls). • §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in raised concrete floors. § 150(1) : Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 pemt/inch. §118: Insulation specified or installed meets insulation quality standards. Indicate type and form. §116-17: Fenestration Products. Exterior Doors, and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Manufactured fenestration products have label with certified U -value, and infiltration certification. 3. Exterior doors and windows wcatherstripped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(0: Special infiltration barrier installed to comply with § 151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous buming gas pilot lights allowed. Space Conditioning, Water Heating and Plumbing System Measures: §110-13: HVAC equipment, water heaters, showerlieads and faucets certified by the Commission. §I50(h): beating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or RCCA. Ve § 150(i): Setback thermostat on all applicable heating and/or cooling systems. §1500): Pipe and tank insulation 1. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (114 or greater) 2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R -I6 combined intemal/external insulation. 3. All buried or exposed piping insulated in recirculating sections of hot water systems. 4. Cooling system piping below 55° F insulated. 5. Piping insulated between heating source and indirect hot water tank. • § I50(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 601 and 603; ducts insulated to a minimum installed R4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, ✓ manually operated dampers. § 114: Pool and Spa Heating Systems and Equipment. 1. System is certified with 78% thermal efTtciency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36" of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. § I IS: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) Lighting Measures: § I50(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures are IC (insulation cover) approved. Revised March 1, 1996 A104�0 fl V& Gttolr o PrP ff�Crv,� �ti AT /N AUTHOR 2.2. PE Building Permit N INE Checked by/Date Ar Enforcement Agency Usc INFORMATION iGENERAL DA "I E01: I'LA SHUILDINCi CONI�II0 D FLOOR AREA CLIMA'T ./ONF 3 C G� / BUILDING TYPE NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION [X ADDITION ❑ ALTERATION ❑ UNCONDITIONED (file affidavit) METHOD OF ENVELOPE ®, COMPONENT ❑ OVERALL ENVELOPE ❑ PERFORMANCE COMPLIANCE ISTATEMENT OF COMPLIANCE This Certificate of compliance lists the building features and performance specifications need to comply with Title 24, Parts 1 and 6 of the California Code of Regulations. This certificate applies only to building envelope requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DOW ENTATIO AU R ��°� SIG AT DNfE /2 13 •5 7 The Principal Envelope Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the'other compliance forms and worksheets, with the specifications, and with any other lulations submitted with this permit application. The proposed building has been designed to meet the envelope •.iirements contained in sections 110, 116 through 118, and 140, 142, 143, or 149 of Title 24, Part 6. Please check one: I hereby affirm that I am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that 1 am a civil Engineer or Architect. ❑ I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that 1 am a licensed contractor preparing documents for work that I have contracted to perform. ❑ I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by section of the Code to sign this document as the person responsible for its preparation; and for the following reasons: PRIN IPAL ENVELOPE,DESIGNER-NAME SIG A DATE LIC. b 604pSL/ nA,dtJ /fir -1 • ENVELOPED. 1MEASURES Indicate location on plans of Note Block for Mandatory Measures;', INSTRUCTIONS1 APPLICANT For Detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual fished by the California Energy Commission. /-l: Required on plans for all submittals. Part 2 may be incorporated in schedules on plans. ENV -2: Used for all submittals; choose appropriate version depending on method of envelope compliance. ENV -3: Optional. Use if default U -values are not used. Choose appropriate version for assembly U -value to be calculated. Nonresidential Compliance Form January 1996 I. PROJECT NAME DAT[ ASSEMBLY NAME: (Cg Wall -I. Floor -1) INSULATION R -VALUE (cg. R-19. R-22, etc.) CONSTRUCTION TYPE (eg. Block, Wood. Metal) LOCATION/COMMENTS (cg. Suspended Cciling, Demising, ctc.) NOTE TO FIELD Building. Dept. Use OVERHANG CREDIT , GLAZING TYPE (c,. Clear, "tinted) NOTE TO FIELD Building Dept. Usc Gt�INhoc� �. ► lack I�r �. ��L. G Lam, wi tjr�o� WINDOW NAME (cg. Wind(w-I) NO. OF PAINS U -VALUE; FRAMI TYPE; (INIC1a1. Wood, cic.) EXTERIOR SIIADI? ' OVERHANG CREDIT , GLAZING TYPE (c,. Clear, "tinted) NOTE TO FIELD Building Dept. Usc Gt�INhoc� �. ► lack I�r �. ��L. G Lam, wi tjr�o� SKYLIGIIT NAME (cc Sk\.-I) NO OI' PANES U -VALUE FRAME TYPE (Metal. Wood. ctc.) SKYLIGIIT MATERIAL (Gloss. Plastic, ctc.) GI.,V',IN(: `I l'I'E (Clear, l.(,%v-E. ctc.) NOTE TO FIELD Building Dept. Use Nj cw Nonresidential Comnliance Fonn January 1996 le n -ALT -'s., � .. 14, it •� 'J E c �� • _ l Jai++{ `' J •.�F .:•.,fir.. t 1 PROJECT Nnnw Al2GA f Al f 111.ATInN . CKVI1.IGNT Al2PA CAV ITLATInN iSEMBLY NAME g. Wall -I, Floor -1) TYPE (cg. Roof, Wall, Floor) HEAT CAPACITY 3a rLooF• ATRIUM HEIGHT FT 13 GROSS WALL AREA (GWA) ❑ ❑ ❑ DISPLAY PERIMETER (DP 00i"AlAXwAl— 2 GWAx0.4 PROPOSED DPx6 /LJ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ wIN �o+v Z t(od IFS 5FT IF>55FT 0.10 X GREATER OF If the PROPOSED0.05 )\1AXIA•f UAt X — WINDOW AREA is ALLOWABLE GROSS ROOF AREA ALLOWED SKY. AREA greater than the WINDOW AREA MAXIMUM ALLOWABLE ,(I, WINDOW AREA, go If the ACTUAL SKYLIGHT AREA is greater to another method. PROPOSED than the ALLOWED SKYLIGHT AREA, go to WINDOW another method. ACTUAL SKY. AREA iSEMBLY NAME g. Wall -I, Floor -1) TYPE (cg. Roof, Wall, Floor) HEAT CAPACITY 3a rLooF• l3 13 ❑ ❑ ❑ ❑ ❑ ❑ A-&6- 2- 00i"AlAXwAl— 2 ALLOWED PROPOSED ALLOWED /LJ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ INSULATION It -VALUE PROPOSED MIN. ALLOWED 3a �9 l3 13 ❑ ❑ ❑ ❑ ❑ ❑ I(oa ��Z 2 ALLOWED ASSEMBLY t1 -VALUE TABLE VALUES? PROPOSED Y N MAX. ALLOWED El El El El ❑❑ ❑❑ I' For each assembly type, meet the minimum insulation R -value or the maximum assembly U -value. 11 WINDOW NAME (e.g., Window -1, Window -2) N ORIENTATION I E I S I PROPOSED RSIIG U-VALIJE # OF PROP. ALLOW. W PROP. ALLOW. PANES SC 11 V 111V OHF RSHG RSHG Gvl�'00"AJ 0 ❑ ❑❑❑❑ ❑ ❑ 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ I(oa ��Z 2 ALLOWED PROPOSED ALLOWED /LJ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ wIN �o+v Z t(od t72 Z Nonresidential Compliance Form January 1996 SKYLIGHT NAME (e.g.. Sky -I, Sky -2) GLAZING TRANSLUCENT TRANSPARENT # OF PANES t1 -VALUE SIIADING.COEFFICIENT PROPOSED ALLOWED PROPOSED ALLOWED /LJ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Nonresidential Compliance Form January 1996 ry .�.r, .r � j. �t� . _ ..._..» � .._.. � � ,r _ � ;�; t,�.; Y. n .. � � - . , Yid r.`�pyrK". r �.��%.�. `. • �`.s, . � �f f ' , , Y��'.: . �� . � �� t f ' (j. y ' � � . . . � e'f:��jl.� 'ir�,'F. 4 f 1. 1'r �y '�`'�{(t� � � • ... . �` "'it, . t � r •� r i � .. r K ,. ', } 'i, �.�inFt � r ..r�;��r �,. { r.ti ,l.i.` •Y _ C �� 4' •.��x 4�..�x i .� . W h . ,. ��x• , �� . MZ��}) � of J re • ��r�l . , i ,,. .y �i1i ��1? �, ``� �. r y -• •� . F.. 1 1A y ., y�.: K.•�� .�. . � --f-tt i= . � '� .i'!'R-. � � �� x �? + r � i-�w 1� Y .W�� rf z � �dyw 1 .c ' . !i • �"�' J i y� .L$ 1..� '�hl, .� - +rye .fwY,�� y� � ��"�` � arc; �,. + % t :_, 7`y ..., aP' .,�.'. 44 f/ k_l t-- lb /4! !dJ Building Permit N Checked nyn>ate Enforcement Agency Use :GENERAL1' 1 DATE OF PLANS BUILDING CONDI "I'I NEDLOOK AREA CLIMATE'ONE BUILDING TYPE ® NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ I-IOTEL/MOTEL GUEST ROOM PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ® ADDITION ❑ AI.Tr:RATION ❑ UNCONDITIONED (file affidavit) METHOD OF ENVELOPE ❑ COMPLETE BLDG. ® ARr:A CATEGORY ❑ TAI LOBED ❑ I'hRFGRMANCE COMPLIANCE STATEMEN 'T OF -COMPLIANCE This Certificate of Compliance lists the building features and performance specifications need to comply with Title 24, Parts I and 6 of the California Code of Regulations. This certificate applies only to building lighting requirements. The documentation preparer hereby certifies that the documentation is accurate and complete. DOCUNENTATION AUni k y ��S sl DAT Z•a3.97 The Principal Lighting Designer hereby certifies that the proposed building design represented in this set of construction documents is consistent with the other compliance forms and worksheets, with the specifications, and with any other r-'-ulations submitted with this permit application. The proposed building has been designed to meet the envelope irements contained in the applicable parts of Sections 110, 119,130 through 132, 146, and 149 of Title 24, Part 6. Please check one: Lam' hereby affirm that 1 am eligible under the provisions of Division 3 of the Business and Professions Code to sign this document as the person responsible for its preparation; and that I am a Civil Engineer, Electrical Engineer or Architect. ❑ I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section 5537.2 of the Business and Professions Code to sign this document as the person responsible for its preparation, and that I am a licensed contractor preparing documents for work that I have contracted to perform. ❑ I affirm that I am eligible under the exemption to Division 3 of the Business and Professions Code by Section of the Code to sign this document as tile person responsible for its preparation; and for the following reason(s): PWNCIPAL LIGII'fING I EtiIGNIat-NAMIi sIG � _ LIC. a UA I'L LIGHTING MANDATORY ' Indicate location on plans of Note Block for Mandatory Measures ar• 2 INSTRUCTIONS1 APPLICANT" For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Manual ',fished by the California Energy Commission. j-1: Required on plans for all submittals. Part 2 may be incorporated in schedules on plans. LTG -2: Required for all submittals. LTG -3: Optional. Use only if lighting control credits are taken. LTG -4: Optional. Use only if Tailored Method is used. Parts 2 and 3 used only if applicable. Nonresidential Comnliance Form January 1996 CE'RTIFICATE'-OF COMPLIANCE .- - (Piirt'2'of`2j". -..LTG-1 PROJECT NAME DATE ItJ09- AVS 1/ 2.2.E 7 SCHEDULE'INSTALLED LIGHTING LAMPS BALLASTS LUMINAIRE NAME TYPE NO.OF TYPE NOTE TO (Eg. Type- 1, Type -2, etc.) I I F H LAMPS WATTS/LAMI' S I E• 0' NO./LUMINAIRE FIELD 7-Yp&e ❑®❑ a❑❑ ❑❑❑ ❑❑o ❑❑❑ ❑❑❑ ❑❑❑ ❑❑❑ ❑❑❑ 4-0 a❑❑ F-1 1:11:1 ❑❑❑ ❑❑❑ F-1 1:11:1 ❑❑❑ ❑❑❑ ❑❑❑ ❑❑❑ CONTROL IDENTIFICATION CON TOL TYPE• (Auto Time Switch.Extcrior, etc.) SPACE CONTROLLED *Provide Supporting Documentation MANDATORY / CONTROLS NOT FIELD CONTROL LOCATION (Room #) CONTROL IDENTIFICATION CON TOL TYPE• (Auto Time Switch.Extcrior, etc.) SPACE CONTROLLED ;!CONTROLS 1' CREDIT CONTROL CONTROL TYPE IDENTIFICATION (Occupant, Daylight. Dimming, etc.) CONTROL LOCATION (Room # or Dwg. #) LUMINAIRES CONTROLLED NOTE TO FIELD TYPE N 01: LUMIN. Nonresidential Compliance Form lanuary 1996 PROJECT NAME. , DATE. MPLETE'BUILDING METHOD BUILDING CATEGORY (From Table I -M) LUMINAIRE NAME DESCRIPTION NUMBER OF LUMINAIRES WATTS PER LUMINAIRE (Including Ballast) CEC DEFAULT TOTAL WATTS Y I 'No ©❑ El El F-1 El 1:1 1:1 El 1:1 El El El El 4-7L GArV. , (pv it b P? z IN cA+j Oteo^,r l 75 �S TOTALS AREA 1VA"ITS SUBTOTAL FROM THIS PAGE Q PLUS SUBTOTAL FROM CONTINUATION PAGE LESS CONTROL CREDIT WATTS from LTG -3 If not using the CEC Default value, please provide supporting documentation. ADJUSTED ACTUAL WATTS Sol MPLETE'BUILDING METHOD BUILDING CATEGORY (From Table I -M) 1VATI'S PER SF COMPLETE BLDG. AREA ALLOWED WATTS ALLOWED WATTS F 9 G AREA CATEGORY METHOD AREA CATEGORY (From Table I -N) WAITS PER SF WAITS (SF) ALLOWED WATTS F 9 G 4-7L GArV. , (pv it b TOTALS AREA 1VA"ITS Nonresidential Compliance Foran January 1990 n D r rn -- n ® it N I i :t 4 � N z I ---1 i IS ,I b I NORD AVE. _ s 0 0 91 Nord Avenue Mini. Storage ' Monty Betty 1424 Nord Avnue Chico, Ca. ® m � � Nord Avenue Mini. Storage ' Monty Betty 1424 Nord Avnue Chico, Ca. 77 i 2 ! 17. 77 i .. e a .,.., �..._ ...,. k.. ,.n lY .eu�N,': •c-3 .n .: a .. ,. .. .• .. ... ,<.. , ;`.+ t'i - :-... , ....... .. .. .. .. :_. ,. .. .. _. ..- .:. ¢ter ... .... .. .�. ,. .. r.. ,. ,. ..- .,. ,_. ... ,� `c,' -n.:' t' .z,. i% _az. ,. ._ ... c. r... s_.. .,,> ...� �s �+': .�. 1 y,< :. s ... .- .... � c.. s.. .. n: � 4.:... r......,s. �.. ,. ', ... -t ,..... .. K- Tia' - 3. ".T'•n:�, p .S � `{' _+J ,.sv... �.,. .ro +"h .. .. .. .. .., ..p. .. n .., ., ... -gk .f.., ti;, rA"�a 'x f�:.x?,v,... Y _,. .... .. ,. .. .: ..,. ,. .. .. f+ ,. e �! ,... -, ... ,._ � 'Mair. r s_. .. _ R... x t . .. i .. , :, ,, ... _, s v ., cG' .$'.. ..t. r' vi �°i �' yty,. y. w. s. ,. r... s.. _ r . ,. .. ,.:. .. 8` .d. .. '�Cx �,.,'.. wa' . .Y. -.. ,.. .r. s.. �.M .. -..t :. «._ .. ..rf. ', r .. .. .a. .... a .'. .. .....�... ..r .. r.. �.. ... .. ... . 1. ... ....:. 3 r .-. a-. ."i%_. r. � x ti j A. '.'.i - K 4:�' ..' ... ,.. .. � ....... .. w ;,;^i. �'a �'MR R '. ,.. w .. .. ..., .. <, ...... .00 . �, r. ., s yak v � .. ..-.. .. ,.. r-. .. ... .. ... rc..� .. a .... _... .. .: ... .i. ..,. r4. ., ,s. .. f ..:.... ...8- R ,.ai k ^. 1. >. .. -. � ?. ... ..... -.. 9. ,. _.. .M. . ... ,. a- w r... ..... r�., .-.. ...,. x. ... ,.. ,. .. �. .. r ..s�.. .= r.-.. ,v. ✓. ..., .. ,. u. ,x ..�:. ,, ..t.� � � .� ,¢ �h.v�.SK . - t. .,_.i-,.. � �u, 4 1 .- , Y tom: X1 3 e i ! l�_� - - � X'. 17614 .. B i i 605 V 630 -- .. , _-- -` ( r _7_23 �- 177-3X1- Y 177.8 i 177.2 • N r 7 I 003306 1 , 6. 6 50 +- 5 6 0 , , , 2 , 9 - -. _ 71 .58 r _. ..._ .. _ 610 1 38 _ O 12 , ,� F 1i L t 1 5 . >I sta "�^:!`. 1 E) 6.30 . 15 -= t,s i t t7s.t 4--640 0 t60 k7 6 .hi , ; I I s � - - - : .i ri 57.3 , tI ,4 6.165 .63 6.30 .30 F.F.- I fC1762 1 • I 7 3 2 I .176.3 % .x.175.9 :. / 176.♦ . . X 176.4 577 6 / x 69( 7 6 1 x 8 / 6 65 _ 6.50 � ..--. x 177.4 30 30 _ _ :- 6. 6. i _ i 61 5 90 _ s ! cn II ' 74 f EXISTING 0 �rasE 5, � � 0 PROPOSED- t 6.30 / 6.20 Y 1 ,n 6.20 oeFlCE 41 / E f 6.3E otI) 176.2 x 476:3 F.F. - L`T6.5Q EK. R.O.W. UNE - - -4- -T- PROPOSED R.O.W. UNE I i 1 •- t-- r-' ° 34 E.10 1 # ' ` ' 78.3 x N�Zf4rL ' � , � t 5..�•_,y �lI(e YI k , i4w r_ rtnoXaa . : - T <. % 1- -_/ _ _ ,-_• --_ , - _- +i1-f I1 5.9 _ ._._ .. . . R. ■__ .x_ t75.8 _Z NG 000000000000O00JK-LAEB23b84571 1 '6 4 0 - ' 76 9 ' 7 6.2 0 S '. :1 r _ r: _ � , , ; '. .` x 176 ' .r-:- 00-000000. 23.69i 0 _ ` � .1 76 7 .. 5 -7 7 8 .•_-_- ` i _:- � _ _ _ - � _-` - - $- ' ` ' ' _ - L _ , - ` 6 .1 7 4, 5 , � ' .. , : ' . , srt , , , _ , ' , -- , .. Ltt E« .L : f:E _N X476.6 176.9 1165 7� D1 78 .2 ' 'o Ti - - f - :- , ., . . : _1; , 8' 1ttit. 8 8 6,-.714.01 6.0 6 S 34'08 '00" .81 7.07 7.36 1 B05 6.106.70 6 50 176.72 DROP INLET CONSTRUCTION NOTE SEWER CONSTRUCTION NOTES 175.80t 12 INV. LOCATION AND DEPTH SEWER PIPE FRQ.,E ISTING INSTALL DROP INLET, GRA7EEL£VATIDN7W0 B ORObM' OUSE N 175�72.9a1INS7ALL 4 INCH TIGHfiLINE STALL DROP NLE7GRA E rL ATI0 .9010 IvV AT SLOP c {MINII ,ATO>3 PTICfiANKu___ _Nn AV.: 127 CONNECT S WER FROM PROPOSED OFFICE INSTALL DROP I1ETGRAT EL£VATION .176. 0> 10 �IV I73 S0 INSTALL 1000 GALLON SEPTIC TANK PER BUTTf COUNTY HEALTH DEPARTMENT GRATE ELEVATION 175.44Try n73.30>REQ0IREME TS INSTALL DROP INLET, �o I2 INv. n73.10 INSTALL 4 INCHDIAMETER TIGHTLI E ATSLO E 0.5o (MINIMUM) TO BEGINNING 0F LEACHLI ES AS SHOWN INSTALL DROP INLET, GRATE ELEVA ION 175,90> I0INsn73 70 EXISTING ELEVATION INSTALL DROP INLET, GRATE ELEVATION -176.9 -0 NV 1 73.50 INSTALL 75 LF OJ LEACHLINE {15O Lf TOTAL) PER BUTTECOUNTY'HEALTH ,, EXISTING FENCE ExIsNc DEPARTMENT REQUIREMENTS MENTS INSTALL DROPINLET>GR TE ELEVATION 10n_INV.-1174.20 FUTURE TIGHTLINE OF LEACHFI£LD REPLACEMENT AREA INSTALL DROP INLET GRATE'ELEVATION 176.10>I0 INV117.70, 12 INV. 1173;5O %6.80 PROSEDFINISH ELEVATION (ADD 1N 7 0> .• 0 0 , _-F _ O_ RDATUM) , .w. ;. ,. FUTURE REPLACEMENT LEAC LINE 150 LF TOTAL 176.10: 301 INV. l173:$0INSTALLDROP INLET, GRATE PROPOSED DIRECTION SURFACE FLOW 4 INCH PVC FUTURE SEWER LATERAL AT SLOPE a1/ AS SHdWN PLUG BOTH Tr GRATE ELEVATION 176.105 1Qn INV. 173.90IN5TAtL DROP INLEENDS> VERIFY E STER Y END 0= LATERAL IS DEEP ENOUGH TO CONNECT T0 THE SEWER LINE FROM THE PROPOSED OFFICE ,174.5O PROPOSED GRADE BREAKINSTALLDROP INLET, G ATE ELEVATIONY176.50> 1oIPv. � 114.400 INSTALL DROP INLET, GRATE ELEVATION I76.50, 1bt_INV. INSTALL DROP INLET, GRATE ELEVATION 176.50 10N INV.174.30 0 0 oto CT 6 DRAiN BOX AND GRATE ST0RtDRAIN PIPEC0 CONSTRUCTION NOTE ------------ NOTES: G UTILITIES SHOWN dNTHESE PLANS ARE 2 _LF_ I2I CH STORMDRAIN P IPEl LOCATIONS AND DEPTHS OF EXISTI 0.0204 APPROXIMATE.. THE CONTRACTOR SHAL-VERIFY- HE EXISTENCE, LOCATION AND 3 INSTALL 50 t � I01INCHH STORMRAIN PIPE S 0.D120 DEPTH Of ALL PRIOR T0 ANY CONSTRUCTION. TNECONTR CTORSHALL CALL UNDERGROUND SERVICE ALERT-(USA)AT800-642-2444 A7_LEAST :3:DAYS 4 0 INSTALL 100 LF_ 12INCH STORM DRAIN PIPE, S 0.0040 STORM DRATWPRidR70 C04STRUC I N T'/ 2 PIPE . D INSTALL 82 t _ 10IINCH STORM PIPE S b.0049 2 STORM PIPE SHALL BE HDPE PLASTIC PIPE IN ACCORDANCE WITH INSTALL 42 LF_ 10nINCH STORM 0024 SECTION 64 OF'THECALTRANS STANDARD SPECIFICATION OR APPROVED EQUAL. Ewsnrc 5 oHOUSE io CAST IN PLACE _O INSTALL 1 0 LF_ 10rINCH STORM DRAIN PIPE, S 0.0021 3 STORM DRAIN INLETS SHALL BE C ISTY V64 DRAIN BOX WITH GRAVEL BOTTOMCONCR TE BASE OFRCE AREA 0R APPROVED EQUAL. In Go LFt i2NINCH STORM PIPE, 0.0030 R GRavEL BOTTOM THE OWNER HAS PROPOSED TO INSTALL A 4 INCH THICK REINFORCED CO rR Ez INSTALL 40 tFt i0' INCH STORM DRAIN S=0.0025 SECTION FOR ALL DRIVEWAYS AND PARKING AREAS ALL.CONCRETE ESURFAC S HAVE R.O.W.UNE BEEN ,0 SIGNED WITH AMINIMUM0.33a SLOPE T R I EDRAINAGE CONCRETE PROPOSED R.O.W. UNE 7 o i� INSTALL 40 L1 INCHST RM DRAIN PIPE S 0.00 5 CONTROL JOINTS AND EXPANSION JOINT'S WILL BEETERMI ED BYTN£ OWNER DURING CONSTRUCTION.IN TALL 194 LF+ 14INCH STORM DRAIN PIPE, s_Dflo�l DROPP INLET DETAIL INSTALL 40 LF. 10 INCH STORM DRAIN PIPE, S_ o.Do25 NO INSTALL 40LFt 10 INCH STORM PIPLi 0.0025 BASIS OF BEARING Environmental H8 a! �t h THE BASIS OF BEARING FOR THIS PLAN IS THE NORTHWESTERLY LINE OF LOT 6 O THESEW SEWER PLAN "OMEGA BLOCK" SUBDIVISION ON BOOKI MAPS PAGE TAKENASN NORTH 34O08 00d 21998 EAS BETWEEN MONUMENTSNTSSHON ^Omla Chic ri 0. u $f Drawing No. AP �rDesi Designed R 2OF 2 MSB PREPARED FOR. ONSITE DEVELOPMENT A� Drawn JabNo. C cMM MONTY BETTY ROLLS ANDERSON N &RO 51�@ CIVIL ENGINEERS 1424 N RD A n�E.APN00 320o001971 Checked CMM DECEMBERr 75 YELLOWSTONE WST0NE DRIVE C iCO,CA CALIFORNIA!RNiA959l3 5811 TELEPHONE 915 89514 2 , .. r .t, :., _ I i L I � I I i it S E , A GE , C B OV a I UNfTS o � � XI TTM , ait R 1D E C _ _ E5 - y ELECT{ l . .. 4 E 4f D .0 LD NG . � 1 4 RAVE D . 5 I 2 , : f _LI I F E, EMG 1 AT } _ - _ ISBUI DING 'F-- I' F _ 1 - _