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HomeMy WebLinkAbout028-110-021COMPLAINT TO INSPECTOR ,i 4 ----- IV, , . 28-11-W2j. fETHEL MEASE F _ SE/S LaPorte Rd a -04AG004`.pp' 2 mi 'E Pleasan MICHEAL Grove Lane, Bangor area �� 19�gTE ROAD, BANGORContr:.Twin City Interior Ext, Y.0 ER r ermt��896-84E(e�le-•ser-c'h--&cl-eanup) BLDG N� FA C COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 Phone: (530) 538-7541 NAME: MICHAEL KOESTLER Date: January 12, 2004 ADDRESS: PO BOX 150 RE: AG BUILDING PERMIT CITY/ZIP: BANGOR, CA 95914 APN# 028-110-021 With reference to the above subject: We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, % sets, signed by preparer of plans. Complete plans and calcs, % sets, signed by preparer of plans. Engineered plans and calcs, 3/o sets, with wet signature on plans. Hazardous Material Form Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. FEMA National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Contractor's license information (No. Name Style,Class) or exemption statement. Owner -Builder Verification Form Recorded copy of Agricultural Acknowledgment Statement Letter of signature authorization Copy of recorded deed of parcel creation and 60' right of way to a public road Letter of intent on building use. Mobilehome utility clearance Documentation of legal access. Documentation of 50% subdivision developed of a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements Existing violations/expired permits resolved. Plan check list data and revisions sets of plans in accordance with changes marked in red .Copy of recorded 60" right of way to a public road Other: A more specific description of the usage of your proposed agricultural building. Should you have any questions concerning the above, please contact the Oroville office at (530) 538-7541. Yours truly, , �r ill Barro<8uilding Division BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _ /0 n I ZONING 14 zs- OWNER,,a./ PHONE NO. OWNER'S ADDRESS , LOCATION OF BUILDING La �- USE OF BUILDING r� SIZE OF STRUCTURE X'= iGD SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN9 ROOF COVERING FLOOR TYPE 42,067 71,6 �its�rr rock ESTIMATED COST OF CONSTRUCTION $ 4 69y Jee AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: `I / �� / l� `5wIX FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. 1 I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 1 -9-0 Signature of Owner Permit Fee - $60..00L, The above described AG Building is exempt from a building perm' . Receipt No. �`� 7 4g2 i� - FOO I PAFKL I V I RT/11G 17 Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant OR i BUILDING DIVISION 8 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES f A 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING,EXEMPTION PERMIT PERMIT NO. ;fJ6 %0_� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.� 4 ZONING OWNER Ole PHONE NO. OWNER'S ADDRESS P D, A0 v SD [3 rr a/ ` zo LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE "IN 4fO ' X SQ. FT. e,, TYPE OF CONSTRUCTION: xWOOD FRAME X STEEL CONCRETE OTHER (Specify) TYPE OF SIDINrp ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ 000 pe-) AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT v'� /�/�� 0W SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a ,mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply,with the requirements in effect -at that time and before occupancy. Date 1 '9`0 ¢ Signature of Permit Fee - $60.00 Receipt No. The above described AG Building is exempt from a building pe Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 4 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING«EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. , } ZONING f .14 OWNERyy/ PHONE NO. OWNER'S ADDRESS P D, 6,1y ./S /-) 9Pbru)'r /''.) LOCATION OF BUILDING t USE OF BUILDING i SIZE OF STRUCTURE $, !i✓ ' X /a' = / ; /'l SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING &1- ROOF COVERING / FLOOR TYPE r�� - f tI /9 i /a r°t��sl �r re i ESTIMATED COST OF CONSTRUCTION b AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: /� a"F✓ FRONT SIDESO�VREAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date / — 9 • ©�' Permit Fee - $60.00 Receipt No., Signature of Owner,0 r✓' 'jr The above described AG Building is exempt from a building permit. , Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date r -. .. - . " - .--•'}sftY 4' 4�f�..�,1+"y�: ..r�,-.... "tires •. �ti..rm.'i"w.7�r" -y„..�`4...�'':t,"'dis..r�"""":'P.-.... .-. �. �.- .tiwv,-...J- ., ^-...., ., -.... . - .. -.-._ .-r BUILDING. DIVISION - _ COUNTY OF BUTTE - DEPARTMENT`OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING-ZX'EMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public.. . ASSESSOR PARCEL NO. ti ZONING OWNERhh PHONE NO. OWNER'S ADDRESS LOCATION OF BUILDING d USE OF BUILDING SIZE OF STRUCTURE TYPE OF CONSTRUCTION: WOOD FRAME /Y STEEL CONCRETE OTHER (Specify) TYPE O) F SIDIIN+j(P ROOF COVERING FLOOR TYPE .ell i i /'.�! /I / (,_r. �J f • 4•: c,� f�'.. n �" y_. -i {.. ESTIMATED COST OF CONSTRUCTION „ R r• AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: �j f s?/ / j ,21 Z/;P a S FRONT SIDES REARVf AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before .- occupancy. Date-/ Signature of Owner,.- Permit wner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. y s' •� � k — � FLOOD PAR SEL F J Receipt No. ` Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant t ti -•.+I"!-=, .��J1.I'-..:t r'�'vl�'�Fl._I�,w+.^�'r.ti._+1::��,.,iyf„��„'„f'3�.1i�..,(y`_s�-YID'i`�p+I^+n''7.sww�-'i��lhw-1'1+�.`,.-I4'J�`�.-i....�.r.-..+H.v+":.-v.n'f,-'A. }""�,".-'�.�r`-/ ,,,+��'M ..+.-.fav'«+wry-.'°^"..-'^�ti(„'n+-'t�..�-���. Ethel Mease 4� • LaPorte Rd, Bangor area { E _-- ne - Y f COQ.NTv QF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orolille, California 95965 - Telephone 916/534-4541 APPL14TION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER VZONINGI BUILDING PERMIT OWNER TELEPHONE .� 0 �F�� � � n l � ] SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS (I > rf '?(A)I� �' � � -- -Tr-,14A, J CONTRACTOR'S NA E ,- I , I r --TIS !M4, <1 TELEPHONE AT CONTRACTOR' S MAILING ATD ESS r, a lfr--/ `• k • Fireplace CONSTRUCTION LENDER% UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER j LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS - ' - _ +1 J ! PLUMBING PERMIT Filing Fee 10.00 t + , r"Sl " '` ' Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME I PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF 0' Duplex Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 2' Describe work: �- ) /' ` /r nJ �'�',(�� +� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 6001 OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 ; NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2h2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code -and m license is in full force and effect. y License No. '/ r, •� '' Classification ,' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI-CU2,50 ea NO N.RESID BRANCH CIRC ITS &\ NEW NON.CONSTR ESID. (SINGLE OUTLET CIRR POWER APPARATUS . / 20e50c Ex. Occup(OUTLETS OR FIXTURES SAL@30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 t) { T P)ors. Permit Fee ( $ _S } Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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. '' �: _ •' = '' X Date Signature of Applicant — Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD seUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which _ DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - Receipt No. `.' % �� WHITE-D.P.W.. YELLOW-ASSESSOR,IP,NK-,NSPECTOR. GOLDENROD -APPLICANT 0— ,a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2761 , 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE miss A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. V Inspect cyss�;,�., ��� Date,4. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE z ER! — PERMIT N( A routine inspindicates thatthe following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector ,�1 Date'4- Y �� • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: -534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this / matter, or need additional explanation, please contact this office immediately. ®r? / I.A'10 , MIT FV � Inspector / �,�/'/" — Date 'Z — tf J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541�G� .4 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBE �^ It_ I ZONIKp , BUILDING PERMIT OWNEeI � s TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORE _ !- t_f'wo r r COACTOR'S Nl, OppJAA TELEPHONE CONTRACTOR'S M(A`IIL_ING A ESS ` C Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS S rw,PLUMBING PERMIT Filing Fee 10.00 � Each Trap 2.00 Solar Water Heater 20.00 r Water piping 5.00 LOT NO. SU ISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑Utilities ❑ Installation ❑ Other [� Describe work: e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. 2t/20sgIt CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' Cod ndvn license is in full orce and effect. License No. Classification OK ❑ I, as the owner, or my .employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS. NEW NON-RESID. CONSTF SINGLE OUTLET CIR. POWER APPARATUS & ( 2oes0C Ex. Occup( OUTLETS OR FIXTURESBAL®30 FIXED P LINIS Ex. Occup. OUTLETS (RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 / ,D Permit Fee $ , Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Er'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 shal I be deemed revoked. 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 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 Iia ilities, judgments,,,costs, and expenses which may in any way accrue again t said County ' offs uence of the granting of this permit. X Date �`—�� n1ractor Agent ❑ Sig ure of Applicant — Owner ❑I,'.n An $HA permit is required For excavaover 5'0" deep and demolition or construct- ion of structures over 3 stories in Neigh Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI OF PUBLIC WORKS ,Q� By�" PERMIT EXPIRES lfate. �� Receipt No. 0J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/[,34.4541 . APPLICATI'O'N AND PERMIT _ -- ASSESSOR PARCEL NUMBER ~ I ZONIVC . a BUILDING PERMIT --- OWNE T:ELEF"H0NE SO. FT. OCC. ! BUILDING VALUA"BION OWNER'S MAILING AjDDRqE 1L'k COrr A UR'S N( E�vTELEr-HONE epXR CONTRACTOR'S MAILING N_G A Q ESS ��_t_ L, �_�_ `a C. CONST RUCTION LENDER UNKNCWN — -- •— Fireplace Total Valuation Q $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER r LICEN`.3E NO. - Plan Checking Fee $ Penalty $ A.RCHtTtCT OR ENGINEER'S MAILING ADDRESS Permit fee — $ BUILDING ADDRESS � = ' ��� �, ..� �� �} c= ,I k . � /�I PLUMBING PERMIT Pilin Fee 10.00 9 Each Trap 2.00 �q f) ���C�S c`?�.t� t z� '•. c�3� Solar Water Heater 20.00 - LO'r NO. U VISION NAME PARCEL MAP Water piping _ 5.00 — Each qas water heater or vent 5.00_ Gas piping system 1 - 5 outlets 5.00. W USE OF STRUCTURE. SF ❑ ❑ DuplexMobiiehomeOther -- SPECIFY Building sewer 5.00 Mobile Home SG. 10.00 e TYPE OF .WORK Ne:v ❑ Addition Remodels D. ' Uti litie_s ❑ installation ❑ Other Q Describe work: '—a a� _ / - — - -- CONTRACTOR (CENSE LA I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, F 3 of the Business and Profess' 1Cod nd-Im license is iI Jorce and effect. 4t (� �c� / ! f� CIaSs!f!cat!on — License No.. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 600V OR LESS 100 AMP OR LESS 10,60 dCi blain service EA. ADD'L 100 AMP 2.517 NEW CONST. // DWELLING OCCUP.& OR ADONS. ( ACC. BLOCS. 2hCsgft NEVI' CONSTR SULTI-OU-r LET NON-RF_SID. BRANCH CIRC )ITS 2.50 ea _ NEW CONSTR / POWER APPARATUS & NON.RESID. \SINGLE OUTLET CIR. Ex. Occup(OUTLETS OP. FIXTURES zo�soe aAL�ao� FIXED APPLt•!S. OR Ex. OCCup. OUTLETS (RESIDJ EAJ 2.00 _Temporary service Mobile Home Facilities 10.00 15.00 - Misc. Wiring 15.00 !' O(') -. - Permit Fee $ „_1"i ; s7c Contractor MECHANICAL PERMIT FiIir>rgFee 10.00 ' — WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department .a Certificate of Workmen's Compensation Insurance or a Uertificate of Consent to Self -Insure. R�I shall not employ any person in any manner so as to beco!ne subject to the '. C. laws of California. Notice to Applicant: If after making this statement, should yeti becoine Subject i to the N. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling ^- j Hood 3.00 — Ventilation permit Fee $ Contractor i -certify that I have read this application and state that the above information is correct. I a3ree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Courtyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia ilities, judgments, costs, and expenses which may in any vay accrue against said County i,r)cMniquence of the granting of this permit. ic Date-7��___ � _ I Agent ❑ Sigi)4ture of Applicant — Owr.ar ❑ or.tractor En'— An�-6SHA permit is required for excovet ons over 5'0" deep and demolition r.: coagtruce- ion of structures over 3 stories in heigh>/ mobile Home Installation Fee $ TOTAL PERMIT FEE $ occur. ';Roup TYPE O!- C61497. PAFCEL -0 Hn ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC MIT EXP PI Date—__ the applicable provi- resolutions to do fees have been paid. WORKS Date _ ~ Receipt No. -- — _LBY L_WNITE-D.P.W., YELLOW-ASSCSSOF, PiNY•INSrECTCR. COLUENROD-APPLICANT