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Home My WebLink About028-120-003io 28-12-3 H. BOARDMAN DROBISH Q N V�j_ E/S Kings Ranch Rd, ann--h00'"N L orte Rd, Bangor Are% _ Permit#3435-83E(ele`ser'ch & cleanup)SF ------------ 1384KinF 28-12-3 /e g- R-nch Rd, Bangor Permit#198 R6E(new ele ser/SF)Ifs z-9 "" 2812=03' Permit#1066-90B,F;E new 'R ( sing e PM, �4 .. 28-12-03 12027-91 PARLEE, David 1321,ings Ranch -R.d., . Bangor' (ls renewal/1066-90) -28-12-03 9 -1421 PALMYRLEE, David 1.3 King Ranch Bangor. 2nd enewal/9 1066,, X028=12 003 92-4015B PALME EE, David 13 ings Ranch'Rd, Bangor wo tove/sf T 8�.lzo� 028-12-0-003 93-M " PALERMLEE, DAVID &-JOY 1386 KINGS RANCH RD, MARYSVILLE AGRICULTURAL EXEMPTION_EERMIT ORtCHW-RD-E PMENT, TRACTORS - SK 0 t BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVEL P ENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOP,NIA 95965- TELEPHONE: (916) 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.0 005 ZONING OWNER DAVID LM y y L PHONE NO. (o-7 q — 2.12— 3 OWNER'S ADDRESS I 1 J 1 A /' C 7/�^,� /- / 1� {'Knr V LOCATION OF BUILDING 3 -kl/V G c k4A/C-Iq 9-D N` � Go9tiG //?-- AM Ye HA USE OF BUILDING ? ^ / L I%Ole /`L SIZE OF STRUCTURE � X SQ. FT. TYPE OF CONSTRUCTI WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF C RJ�G L FLOOR TYP�� ESTIMATED ST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: 5 � ' t � 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. r I declare under penalty of perjury that the building will be used as stated above 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 theq ' em nts in effe tat that time and before occupancy. IfA Date Signature of O Permit Fee - $60.00 The above described AG Building is exempt from a building permit. Receipt No. /� d 3 3 FL PARC P.D. ROOFING` IS U Manager Building Division By �`�" ` Date / -S White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SE ICS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALI4ORNIA95965 - LEPHONE (916) 538-7541 PERMIT APPLICION DATA SHEET OWNER �� / !/ �� /"//f//��Li A. PI/0.0�1��' o7C�� vd 3 Proposed Building Use A�F Building Inspector " Date At time of per, application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... ` 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit ........................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .... 20. Pre -inspection for P1n,eCti°" requestrequired. . . 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 permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at ffice. Deliver with inspector. Other r ! Parcel Creation i x-116 / // Acreage Applican /Date C� 1! (O Copy of Haz-Mat form sent Health Dept. Fire Dept. A Air Pollution Date Copy of plans sent Health De.pt:----Eire Dept. Other Date By The following data mustbe submitted prior to permif,issuance: (Circle new item not checked above). 1. Index permiffor 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 Permit#1985=86E H. Boardman Drobish 1384 Kings R nch Rd, Bangor Nom' o� �4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER C ZONING BUILDING PERMIT OWNER ) / t TELEPHONE' ,, f S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILy1NG ADDRESSf /, I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS i x/ Permit fee $ PLUMBING PERMIT FiIingFee 10.00 r Each Trap 2.00 c 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 l Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 10.00ea TYPE OF WORK New ❑ Addition❑� Remodel [:1Utilitiies E]Instt?a�ationE] Other�J7 Describe work: r,� ., Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 1 f ..r Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole`compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 OR ADDNS. ( ACC. BLDGS. , /20sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20950t DAL@30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) 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 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ti X' Date 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 $ OCCUP. CONST.TYPEJ FLOOD PARCEL PD HD 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees �� DIRWbR OF PUB,LICjVIfORKS s r By '` /%• E',, f t' PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. D to /. ) J i ,77 . Receipt No. WHIT!-D.P.W.. YELLOW-ASSES50R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERM T NO. ASS S ORPARCEL UMBER �, ZONING BUILDING PERMIT OT T Ho SO. FT. OCC. BUILDING VALLATION OWN 'S MAILjyG ADD ESS (l// " r� v�' �- CO ACTOR'S NAME TELEPHONE CONTR TO 'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH T CT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1177-41 Penalty $ BUILD G DRES f /O (O Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR L MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New❑ Addition Remod I❑ Utilities Insulation❑ Other Describe k: `1 _ leaELECTRICAL Permit Fee $ Contractor PERMIT Filing Fee 10.00 Main service 800V 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 Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.a+\ Yz2sgft OR ADONIS. ACC. BLDGS. I NEW CONSTR. U TI -OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES S20 ® 50C AL®30 FIXED PR EX. Occup. OUTLETS (RESID.)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 15.00 g 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnif and keep harmless the County of Butte against all liabilities, judgments, and expenses which may in any way accrue against said County in co se `uen a of t e granting of this permit /s` t Date 45 Signature of Applicant — Owner [R' 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 $ n OCCUP. CONST.TYPEJ I FLOOD PARCEL I PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indi ated above for which DiR F PUB PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. I ORKS DD to C _ Receipt No. WNIT!-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - pepaTtment of Public Works "7 County Center"brive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �) I personally plan to provide the major labor and materi is for construction of the proposed property improvement (yes or no) I (have/have not) _ signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 1983-86 �Z _ `qZ j RESIDENTIAL -r- ��r �-.�.• 28-12-03 1066-90B,P,E,M DROBISH, Boardman ,• . "r 1384 King Ranch Rd Bangoror (new single family) �i v . • � iYi l \ 4r - i y- P; At l ar,� • ft ` 1 ! P OFFICE COPY + " Address E . i GAS Meter By �Dat/01-7— ELECTRIC`S Dat Meter By i OFFICE COPY A Address E G AS pate Meter BY D ELECTRIC l E Meter BY JOB FINALED (Dat ' Signature r' f J=OK O = Not OK Not Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Pans) OK except #'s 1. Zoning Requirements -Setbacks -Easements : �. 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete , 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L" ft./ /"LPG 7. Utilitv Clearance 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 -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 MISCELLANEOUS ' Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg -Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing it.. Ext.; Steps -Doors -Landings 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. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK. = Not pyc^bje Not ReReaAdy RESIDENTIAL (Single & Duplex) ' = Date t -UNDERFLOOR Plans OK except #'s n i ng-Setbac ks- Ease ments-Flood-Slope 1,1�12. Ftg., Main; Soils-Elec. Grnd. " Ftg. Depth . Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Pg., Porches & Decks; Soils -Steel-/ /Ftg. Depth X. Stemwalls, Main; Steel -BI ockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab;. Steel -Wrapped ler at D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Gas Pipe; Size -Anchors yl f"Water Pie; Test-Anchor-Regu ator-Service Test 12. ctric; Underground enums & Ducts; Clearance -Material -Support -Ins. L-A<Girders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date--? / 7&ard B- Date Card B-1 Date Card B4Date Card B-1 Date LWMBING Permit OK except #'s Water Htr.; Vent-/jecess-Combustion Air -Baffle fW er Pipe; st & Anchor -Nail Protection pD W:V.; Tdst-Fittings & Anchor -Nail Protection .11'6�Shower Pan; Test, First Floor -Tub Access 20. TR5 Tub & Shower, Second Floor -Tub Access t ,21 Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection (/'.2 Elec. Receptacles Spacing -Lights & Switches at Doors p 4:'Size Boxes & No. of Conductors -Stapled 25..Romex Installed Close to Edge of Studs & C.J. 26.,150p. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. ,jGsulated Neutral O Yes No 'L,--' 30. Service -Riser Conductors & Ground -Main Disconnect f 1. uip. Clearances Panels-Motors-Mech. Equip. lothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s t 39_A -C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation -"'36.-7�6ndensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet _--aft-Attic-Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors L -f0. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 4 .)3earing Walls over Girders & Floor Nailing 2. r t p in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) ' 451 _ ngers-Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-PUrlin-roof Brac-Truss-Shthng.-Ring. lk"Fireplace Ties or Type A Flue -Fireplace Throat clearance �4$.,Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles �_49:`6drm. Windows or Exiting Doors -Sill Hgt. & Dimensions _�50 awage-Fire Protection Framing t_5J.-Property Line Firewall & Openings t 52.'Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. -Stairs; idth-Headroom-Rise-Run-Landing-Fire Protection _,54.-0ywood on Roof Overhang -Attic Vents -Rafter Outriggers t 5 rding-Nailing Veneer 56. Stucco Mesh -Drip Screed`Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic 8. Shear Walls; Nailing -Bolts ulation-Walls-Ceilings 0. Infiltration -Walls -Windows Date Card B-1 Date (cept #'s & Sidelight Pr F Furnace; Vents -Clearance -Comb. Air -Connector - t • I age; Above Floor -Ducts -Meth. Protection & Bath Fixtures & Tub Access -Spa 6. Elec. Trim & Subpanel; Breaker Sizes & Labels �Mrs & Rails fireplace or Stove; Clearances -Hearth ZA)57X4�ej lec. Outlets at Wood Pinel; Int. &-Ext. t-'2-TO-KI-Frzi. & ADDliance: Grnd.-Air.Gao-Cookinq Clearance Elep. OtMets & Receptacles at Kit. Counter dor; Swirig-Landing-Closer Duct in Garage -Damper 4.. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75.'' .,,Elec. & Mech. Equip. Listed for Location . Receptacles in Garage; (G.F.I.)-Romex Protection 7. Insulation -Foam -Looked in Attic es G ails & Deck -Construction -Post Caps Fdn. Vents & Crawl Hole Doo r-Drai a ood-Earth Clear ooked under Floor . Yes ollowing instld.; Drive No; Walks O Yes o; Planter -s-0 Yes Stucco; Brown -Finish Unit; Disconnect, Electrical, Plumbing 83. Ve ove Roof- Plbg.-Appliance-Fireplace.-Clearance to Openin ater Well; Disconnect, Electrical, Plumbing 9-5,1Exterior Elec rim; G.F.I. Recepta5le-Underground 86. sort Throughout House ��_�-rrection,VKM Previou nspe tions -89. Meters Tabg ; (pa -Electric ('fi',j ,o69Q'"ePF& Sewer Contfected-C/O to Grade -HD AVprovaf IF L,J�. fnnergy Compliance Certificate -Other Certificates Dat �- Card B ate Card B-1 Date rd B-1 Date Card B-1 Date rd B-1 ate Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) v COUNTY OF BUTTE DEPARTMOT OF PUBLIC WORKS 196 Memqrial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE I/� 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, oLneeA/dditional explanation, please contact this office immediately. pill Iff M# MAn V F) G L 9 ux �yv^1C �'�41 1 1 1 �.,...y �';.�_:�rC.T�•'� .y._�?t � . 1"'-., ?•�=�._� f •, �3,i�� i 4C � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 s 747 Elliott Road, Paradise, CA - (916) 872-6307 a � CORRECTION' NOTICE 4 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected-. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conjact jhis office immediately. V 1 El W � r Date `' l� 1 Inspe�mac-, ±--� REV 11 /94r."4 Owner: l.S Permit No.�� LOCATION ENERGY C ERTIF ICAT ION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) ERIOR WALL Material -� hPsra��sS Thickness (inc-�) 3 /z i ynr,S►,pS CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thicknes$(Inches) Are 'overed(ft.ZZ) OR, ELEVATED Material QS _ Thickness (inche ) �'�� t► FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) A. P. Brand Name Thermal Resistance (R Value) Brand Name [�UtA�VI.� Op*N r rLcx Thermal Resistance(R Val e)R(I Brand Name a Thermal Resistance(R Value_ Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)_¢�—'ICI Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance -faith the State of California Energy, Requirements. PffiFUM-1/OWNER SI NA OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. �.I/_�D��zTE I hereby certify the above insulation -and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. /OWNE�R 1 se print) STATE CONTRACTOR'S LICENSE NO. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER v 28-12-03 ZONING A5 / BUILDING PERMIT OWNER DAVID PAII�TERLEE TELEPHONE 679-2423 S0. FT. OCC. BUT�IL7DITNtG AL ION 7T 21'ID RENIT1d9L OWNER'S MAILING ADDRESS 176 D.ROBISH RD MARYSVILLE 95901 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee 2 n $ 234.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING RD ADDRESS - DDRES; I t n RANCH BAl\f GO_ Permit fee $ 249.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF RI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 2`1D RE' E14AL OF BP#1066-90 (1ST/1202-91) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 20GATO1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one : LL - ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE 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 _37.50 NEW CONST. / DWELLING OCCUP.&) 3.64sq.ft. OR ADONIS. l ACC, BLDGS. / NON -RESID NEW R BRANCH CIRCUITS @ 5.00 POWER APPARATUS e OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID,1 EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (va ua Ion) 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 subjectPermit to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to sav , i demnify and keep harmless the County of Butte against all liabilities, jud men ,&sts, and expenses which may in any way accrue gain t said Caun i n quence of a granting of this per it Date Signaturesions Signature of Applicant — Owner Contractor El 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 S Ener Inspection Fee $ Energy p OCC CONST TYPE I TOTAL FEE $ 249.00 HAz 11 FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- of the Butte County Code and/or resolutions to do j Work indicA`ov r which fees have been paid. C OF PUBLIC WORKS BY Date PERMIT EXPIRES Date 5-2-93 Receipt No. —� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARrMEtRT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 �;,"'',• '� PER ITpAPPLICATION DATA SHEET Permit No. /�� OWNER r o. Proposed Building Use Building Inspecto Date At time of permit application, I was advised the following data must be submitted prior to permit processing acid/or issuance: DATE RECEIVED APPROVED — 1. All items have been submitted. ............. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ — 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . — 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... — 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ — 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department k 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of 1 (see City for other requirements) — 17. Planning approval for (A) Use: (B) Parking: _ 18. Improvements may be required. Contact Land Development Section DPW _ 19. Driveway permit (construction approval required prior to occupancy) 20. Pre --inspection for required Pre-Inspec. request to Building Inspector (Date) —21. Contractor's license information (No., Name Style, Classifications ... —22. Certificate of Workmans Compensation Insurance .................. —23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... —24. Recorded copy of Agricultural Acknowledgment Statement .. , ...... —25. Letter of signature authorization ................................ . 26. ' _ 27. When �you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup atffice. Deliver w/inspector. Other 1___\ . /7 n / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data.must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date A Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE.- Department of Public Works !-County Center Drive, Oroville, CA 95965 Phone: 916-538-7541.',' OWNER -BUILDER VERIFICATION Attention Property Owner: _. An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no),� 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before ae are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,-Galiforyia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 28-12-03 ZONING A5 BUILDING PERMIT r OWNER p p� BOARDMAN DROBISH A l f �L M6R.Eir TELEPHONE 679-2423 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS - 176 Drobish Rd. Marysville 95901 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 1 FER $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1384 King Ranch Rd. Ban or Permit fee $ 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 ET Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 1st renewal of BP#1066-90 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 Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.61) OR ACDNS. ACC. BLDGS. vzaSgn NEW CONSTR ULT' -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS IL (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050c eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I o ree to save, indemnify d keep harmless the County of Butte against liabi it, judgme s, st and expe s which may in any way accrue gai st aid Cobrity ' copse u ce of the r g of this erm' . Date 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 i height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 244.00 HAz. CUA- PARK SCHL FLD COF PAR PD 1 HD. ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab a for which fees have been paid. D E 0 OF PUBLIC WORKS By Date Lf^Z31 PE IT EXPIRES Date _ _5-2-92 Receipt No. �— WHITE-D.P.W., YELLOW-ASSCS OR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF -BUTTE - Department of Public Works 7 County Centex Drive, Oroville, CA 95965 Phone:. 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit -will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) I 'l signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 0 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work:, Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Bounty Center Drive - Oro\4e, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBE ( S - , -r _ ZO IN - BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION 176 Drobish OWNER'S MAILING ADD SS Boar( 84RQ848 CONTRACTOR'S NAME ` TEL O WrIp CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ jr, on Penalty $ BUILDING ADDRESS Permit fee $ 1184 King Ranch Rd, Bangor- PLUMBING PERMIT Filing Fee 10.00 Each' Trap JA 2.00 24.00 Solar or heat pump water heater 20.00 VW LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5,00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 5.00 SF Q Duplex❑ Mobilehome❑ Other Building sewer 5.00 5.00 SPECIFY Mobile Home S I G I W 0.00ea TYPE OF WORK NewE@ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ 54.00 Describe work: 3 BR Contractor ELECTRICAL PERMIT Filing Fee 10.00 j OOOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.81) / , /20sgft I declare under penalty of perjury (Check one): OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE and Professions Code and my license is in full force and effect. OUTLET CIR. License No. Classification Ex. OCCUp(OUTLETS OR FIXTURES 23 t eAL@Lao I, as the owner, or my employees with Wages as their sole compen- FIXED • OR Ex. -Occup. OUTLETS TS (RES(RESID.) EJ 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 9 15.00 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 1 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating 90,000 6,00 ❑ 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. Cooling / None I shall not employ any person in any manner so as to become subject Hood 3.00 3.00 to the W. C. laws of California. Ventilation 1 3. 3.00 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 Permit Fee $22.00 provisions or this permit shal I be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ 30.00 to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x TOTAL PERMIT FEE Qn I also agree to save, indemnify and keep harmless the County of Butte against occu2 c N T 'c OD PAR L PD HD ISSUE all liabilities, judgments, costs, and expenses which may in any way' accrue ISC.00LIF;D �y ,__ against said County in conse erre of the granting of this permit. J ' '� This permit is hereby issued under the applicable provi- �� •�,(?oe6Date/O sions of the' Butte County Code and/or resolutions to do Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ work indicated ave for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demol' ion or construe IR CTO PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. $289.00/64009 -% By Date - o WNIT[-D. P. W., YELLOW-ASElS SO R, PINI(-IN9PlC R, GOLDlN ROD-APPLI NT PERMIT EXPIRES Date + �� ' - ..-:• '., 'Y` ,>r1:"L, .t„r}'"i.-�-�F��.,,-, �,�'4P+>�+.r}t'{tk��y"'�1Y•�"�`•''`•.'. =•i`~ + V . COUNTY OF BUTTE - DEPARTXPNT�OF PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE - ORO�Vf><"Ct *CALIFORNIA 95965 - TELEPHONE: 916/538-7541 K's • _gip "PERMIT APPLICAT�O�V DATA SHEET r ., I Permit No. � G'o�d --D3 OWNER w1 AQIJA/�I A�0 �.a � A. P. No. Proposed Building Use Building Inspector W Date 16 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ................. ................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans ... 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......... ............................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobi ehome installation data including manufacturer's installation Fees of $ 11. Chico Urban Area fees paid ............. ........................ . 12. -Park fees paid .................................................... 13. chool District fees paid .............. Sanitation approval from ��' Health Department 15. City of Chico plumbing permit ..................................... t. 16. Plot plan and business license approval from City of 31 (see City for other requirements) • 17. Planning approval for (A) Use: (B) Parking: ...... 6 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 2 Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner 4) .fit Recorded copy of Agricultural Acknowledgment Statement ......... 255.. Letter of si nature au orization ........ _ ......... . ..... v - `PO When you issue the permit, process as follows:; i Mail to owner. Mail to contractor. Telephone', `1� and hold for pickup at 0KQ off' Deliver w/inspector.'o Other { r Appl icaPeU-&&Xte_L) Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent ---Health Dept. Fire Dept. Other Date ley The following data must be submitted p or o ermit issuance.. (Circle ne i*tW not checked aCove). 1. Index permit for above items No. 2. Additional items required: Contractor, design r, owner as advised of above required data by_�one�nail_counter by ate _Z6' Contractor, design own as advised of above required data by v phone_mail_counter byj)�date Plans checked by Pc Date 4-Z.5�- 9-0 Plans approved by Date �� C? C7 Sets of plans on hold in �ile cabinet AP folder Copy—DPW TJ Buildina Department FROM- Environmental Health SUBJECT: SanitationtClearance #-j LJ Owner Locat'on AP# Plan Approved for: Sewaqe Disposal, _ Water Suppl;d4g, Fold final for: Water Supply Final clearance O.K. for: Water Supply clearance for bedroom mobi ome. Other NOTE s*« Sanitarian i Da `a TO .Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location # Plan Approved for: Sewage Disposal ._ Water Supply PLV e 1,4 - Hold final for:. Water Supply Final clearance O.I. for: Water Supply Clearance for bedroom mobile home. Other NOTE *** Sanitarian Date TO .Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance let Owner Location AP# Plan Approved for: Sewage Disposal Water Su ply //�� i ig Hold final for:. Water Supply V Final clearance O.R. for: Water Supply Clearance for bedroom mobile ome. Other NOTE * * * At, :i., Sanitarj n at COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroyille.,California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER- ZONING S p BUILDING PERMIT OWNER TELEPHONE ISC)A�. 8 - C OWNER'S MAILING ADORE S 6 �eA , �d� � 9S50 SO. FT. OCC. BUILDING VALUATION .�- _72I / lv% —,- CONTRACTOR'S NA E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S X49 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 �.30q /C n O Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Z 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 S� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 -i Building sewer 00 Mobile Home S I G I W 10.00 ea TYPE OF WORK Newt/ Addition ❑ Remodel[] Utilities[] Installation❑ Other ❑ Describe work: � 40e I 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 — Main service EA. ADD -L 100 AMP 2.50 5� CONTRACTORS LICENSE LAW 1 declare under penalty perjury p y of p er j y (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F1 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) ❑ 1, 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.6\ OR ADONS. ACC. BLDGS. I 2'/zQsgft `70 �� NEW conlsT R. ULTI.OUT LET NON.R ESID 'ITS BRANCH CIRC 2.50 ea POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES eALO 30 Ex. Occup. OUTLETS ED PR RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ej'�`t✓ 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 o Cooling /UDd%E Hood 3.00 Ventilation 3— 3 - Penult Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. - X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height.. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPe TOTAL FEE $9_2 S �— HAZ cuA PARK scHL FLD I PAR I PO HD Issue This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date - cv rReceipt No. -D.P.W.. TCLLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT LETTER OF INTENT April 30,1990 Butte County Department of Public Works Department of Environmental Health 7 County Center Drive Oroville, CA 95965 Concerning Assessors Parcel Number: 28-12-,03 This letter,is to establish that it is the intent of the current owner, H. Boardman Drobish, and David C. Palmerlee,the future owmer, to convert the residence known as 1384 King Ranch Road to a guest house of 500,square feet or less. The conversion of.th'is unit will be done upon completion of the new dwelling that is to be erected on this parcel, and will consist of removing the food preparation facilities from the unit. Datedb H. Boardman Drobish Q'David C. Palmerle. I Department of Public Norks Butte County 7 County Center Drive Oroville, CA. 95905 April 30th, 1990 To whom it may concern, This is to inform you that we want to remove the baseboard electric heat from the plans we submitted to this department. The gas heaters on the same set of plans are to be free standing with no duct work. Dated7: 4 Cl 1', Boardman Drobish, Owner David Paimerlee, Preparer 5/89 RESIDENTIAL PLAN CHECKING GUIDE .(S.F., DUPLEX & MISC. ONLY) Bldg. Permit #®%fo-� OWNER Pio Q s t-} A. P. # . 29 -.12 -0 3 GENERAL Zoning requirements: (sideyards Valuation. P ans signed by designer. Energy Design and Compliance. Existing violations on property. 6 Items on data sheet. and number of permitted living units). PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. 7(/p �,�,e�EL PVlA P Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map or compliance document. FAU & FAS road setback. FT.nnp PT.AN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). Ir 1 - 3'0" exterior exit door (Sec. 3304(e)). 2r Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough.to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) /�. Exterior plaster - weep screeds (Sec. 4706). .5� Proper roof pitch for roof covering (Chapter 32). 162 hoof covering type - (fire hazard). Rafter ties or bearing ridge beam. ,• Garage door or porch header sizes. Adequate bracing. LO -.—Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Ll.�rwo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). .1 -2 -.'Attic access and ventilation (Sec. 3205). P3 -.-Underfloor access and ventilation (Sec. 2516). 14 Combustion air for fuel burning appliances. P—. Noise requirements on duplexes. 166. Adobe soils - special foundation design. 1,7--. Retaining walls requiring design. 1$: Unusual shape, size, or split level house requiring lateral design. 1A: Flashing at all exterior openings. '. eh p'.4 /I(.Y9rfr aj OR IC To • w•'o'& K GL^.S s i N RvTtx Co. u COUNTY OF BUTTE - Department of Public Works 7 County -Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7541 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 or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I hav�c�nt� d with the following person (firm) to provide the proposed construction: Name Address �� City Phone Contractors License o. 4. I plan ro—pr-ev-ide_portions of this work, but I have hired the following person to coordinate, supervise and --provide the major work: Name Address City Phone Contractors License'No. 5. 11 provide some of the work but I have contracted (hired) the following persons to pT-o 'de �th_e work indicated: Name Address—_ Phone Type of Work Signed: Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. .REQUESTED BY: �� d 90-17755 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT c'2- 2FOR FORRESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County +Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent , to land or included within an area zoned 90-017755 Ree Fee 7.00 for agricultural purposes, and residents 1 Check 7.00 of this property may be subject to incon- Recorded ; veniences or discomfort arising from the Official Records ; use of agricultural chemicals, including, County of ; but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs " of agricultural operations including, Recorder ; but not limited to cultivation, plowing, B:Olam 2 -May -90 ; BG 2 spraying, pruning, and harvesting which _ occasionally generate dust, smoke, noise, and odor. Butte County has established—agrcui- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described, as follows: see-, �- . Date: State County of UA{ 7e— MMALROMMN ) ®�meseoso�aemau®ga®��s ® N0TARY KMr CA F MIA a s butte cou • My CAmmisst Ms 4 Oct. 18, 1991 80 E] Personally known to me. M Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Y ��diO3 Notar Public �. "� r Z u. 0D w V D O �Q WOe a0� OMO 2,W0 O Q 90-1 7755 EXHIBIT "A" Part of Section Five (5), Township Seventeen (17)'!torth, lango Five (5) East, M. D. P. do ::., and inoro particularly le scribed as follows: Psginning at a point on tho weet aide of the Northoost quarter ofthe Northeast quarter of said Suction 5, said point being 5. (f' 02' Y/. 02C.0 fact from the northwest corner of the northeast quarter of the northeast quarter of Section 5, sold point also being on the west lino of the property owned by the Wyandotte Land Company; tbanoo along the sold property linef the 71yandottn Land Compnny S. CQ 02' tit. 511.0 foot; thence S. 138 07' tY. 190.3 foot; thenc8 S. 2e 34' 71. 707.0 font; thence leaving said property line S. 31 50' W. 415.4 foot to a point on the center line of the Clangor-lionout Cou ty Ron d; thoraco along the center line of said County Road S. 2V 25' W. 1006.4 foot, more or loos, to the inter- section of the oai5 cantor line with the cantor line of the pro- posed County Road from Yuba County lino to the present County Road :cno m as t'ro Kentucky Ranch Road; t�onco along the center line of the said proposed County Road N. 21,. 59' W. 1300.5 foot; thence on a curve to the right hginl:, a radiur of 300 font a distance of 173.4 fact; thence '1. H 10' E. 41.2 feet; thence on a curve to the left having a ralius o: GGO fent u JLetunce of 290.00 foot tO a point on sold curv^ the 'tongont of tEn curvn at sold point 1'.uvinS. a bearing of N. L ::(.' W., th-ncr leuving said center line. ..p ;i3' E. 033.7 for:t; tt,onco N. 5b0 12' SC.!i.9 foot; thr.ncr :!. 1-:50 30' r 716.4 feet, morn or loco, to the point of boginning, and containing 57.67 acres, morn or loos, 'j"SERVING T1!: 0,'.RO:: the %vosterly 25 foot of said doucrlbed tract as a right of way for the said proposed County 1(oud. ALSO Rb'suv r!G therefrom a trionGular piece of lnnd no a riGht of way for a road turn from the said Bangor-iioncut County :load into the sold propo2ed County Road. Sold reserved tract being that portion of the above described tract described as follows: DOGinning at tho intersection of the northwesterly right of .•ray lino of the cold !angor-iioncut County Road with the north- oaetarly right of way line of the said proposed County Rood; thence northeasterly along the said right of way lino of the sold BanCor- i!onout County Rood 100 foot; thonto northwoctorly to the said rift% of way lino of the prop000d-County Road; thence southeastarly alonG,the said right of way lino of the said proposed County Road 100 foot to the point of baGinning. ALSO L'::C i ;I::. :'i:_: 1_:'! a: a parcel of land dnscribed up f ollov:c Co:..3onoinG at tout::::n: t nor nar of soul ;cant quortnr of south- oost quarto of Suction Z2, :3:rhtl:iP l(i :forth, Raneo 5 Fout, thence S. W 02' ';(. alon,; wcstorl•/ line of property bolon;;lr.r; to /and3tto pond Co^n;uny f::G.n foot; thence l^avin,; cold ;pr3:porty line S. 0:�C" ':1. 'lid.•; :'ant; thence S. 550 12' '.l. 505.9 :ant; Ponca S. 45 53' ':' G::C.'/ fnrt t3 t!"n point gf bn,:innin;; of L!-,) purool o: lug.d hnr sin dr.t.oribnd; t.`onco S. 30 02' '.!. 29..1 'not; thenco S. 56 27' 14. ':'.::.(: fart to a point on cantor line, of prcce:it Hunch !load and -anich is ;.ropoccd County Roud t'ro:. 'Cu'oo County lino to present County Roud kno:m as Kontucky Punch Road; thonoo loaving said oentor lino of said road Pl. 45° 53' E. 511 feet, more or loss to point of bo;;inninb of the parcel of land heroin dosoribed and containing 0.24 ocres, more or loss; oxcopting the wost6rly 25 foot of said described tract as right of way for above .mentioned road, as conveyed to King Ranch Association, Incorporated by deed dated January 29, 1927 and recorded in Look 11224" of Deeds, Paco 400, records of Hutto County, California; ALSO FXCEPTI!10 rih;ht of way for polo lino an granted to Pacifio Can and Electric Company, a corporation, by dned doted July 0, 1937 and recorded in Book 11109" of official kocordc, poi;a 273, records of Butte C3unt7, California. Ai.SO RES7.11VI1.1C a riGht of ';lay for all nccoosnry 1rr1:3utlon and drainage ditches over and ocross said lands with richt of ,access thereto for op^rating and maintenance and repairs over or through any of Paid land.^, as ::ray be necessary in connection v:lth the development of tho ror:wining lands in said tract known as the Kine; Ranch. I ALSO SUBJECT to any existin;; County Ponds. McUD CR DOMW BooK D race L- END OF DOCUMENT ry g m` O j '-q o >- Q �w m 0 -of Xut& OROVILLE, CALIFORNIA GENERAL CLAIM. CLAIMANT: ADDRESS: Far View Ranch - CITY & STATE: Marysv-.i11e, CA 45_goJ_ - IMPORTANT: Jul 16 1986 SEE INSTRUCTIONS DATE .1F CLAIM: - Y , -- ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT SUB. OBJ. ;Owner decided not to do work.- (Bldg Permit Appin. #3435-8�, INV. NO. INV. DATE 'Receipt #09128, #09128, dated 10/5/83, A.P. #28-12-3). i I Total fees -- ---- -- ---Paid=_---=-_--=__-_=--_---=_=--X50.00 Retain filing fee ---------------- $10.00 _ Retain gree=inspection-.fee_=-_--_ 15.00__- Amount retained-------------------------------- i25.00 _ - I! TOTAL REFUND DUE ------ ------ -------------------------------- $25.00 $25.00 I I I I TC TAL $25 00 1, the undersigned, declare under penalty of perjury that the services or urticles claimed have been performed or delivered, and t at this claims, is true and correct as stat -d. - / Dated this/... ... day of ... 19!J et .......elif. ..... .. .. - .. ... ............... Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified aboveXhavben perfurmed or de- livered end that there Is a Budget Appropriation or Specific Board Approval[-�(Checkone) f e auk Da•ed this 16th ea ar July l9 86rt Oroville Calif. /� ..................................... y .............................. ..... P Y --- epartrnent Head or. Authorized a ut Dept. ---- Esp.___—_— ----- _- — — CodeCodr PAYABLE FROM FUND _ _ ................................................ — DO NOT WRITE S LOkf THIS LINE - AUDITOR'S USE ONLY TEAT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ': � ... r. + t ..R z 1. c .• _ .. � W . y .n ;,�� .e. „�.: L: . i y . w ,. � , r. � —..`. a r y +i Permit #3435-83 v H. Boardman Drobish z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Californf'a 95965 Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCELERZONIN3 1.. BUILDING PERMIT OWNER`+( I I i . I :J /ri n r. 1 �1 -11 r] TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNFER's MAILING ADDRESS 1 . CONTRACTOR'S NAME 7 t� f•`Q TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER j 1 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 dd PLUMBING PERMIT Filing Fee 10.00 \ Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME .1 V 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 I G W 10. 00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ��' r`} �I^ t.� - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 .-N^ Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS. 1 ACC. BLDGS. 1 2h4sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &'1 NON -RESID. SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 90@030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 —TI ` 7 ~ n !n Permit Fee I, $ <—i'),r,r, Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 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 4 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 I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. i q / ,,BY WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF "PUBLIC WORKS 7 County Center Drive - Orovlll'e, California 95965 - Telephone 916/534-4541 APPLICATION ANCITERMIT PERMIT NO. 3s _ S/3 All/ ASSESSOPAPR � L NUMB ZONING- BUILDING PERMIT OWN R a TEI,.EPHHOONE�� 6 SQ. FT. OCC. BUILDING VALUA ION OWN 'S AI NG ADD S e r s�I II CONTRACTOR'S NAME :M,0 1A Wr t T EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A CDRES§ q .?a/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U%ilities ❑ InstIlation❑ Other ❑ Describe work: �ac �canhyIn 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 NEW CONST. (/ DWELLING OCCUP.g OR ADDNS, l ACC. BLDGS. 1 220sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Businesszo®80C and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS Ik' NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES\\ BAL@30 FIXED A PLINIS R Ex. OCCUp. OUTLETS (RESID )EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 - S 46-, Permit Fee $ Sb, Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I 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 shal I 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 i conseq f the grantingof this permit. ` / p Ja Date Signature of Applicant — OwnerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 ssttoriiess in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which =BLIC ByDate PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS G Receipt No. oq10 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i r'ti..F 1 "J;h,.w •�.'`.;�. ,�.•.$i1.rr. ... .t� ,�i'M, .y ....lj 'V"'� .-yam.,. �`k-.iii � - i' - .• .�. ,�t '� •�..�.,�,:.'.:[`*Yw�^.- 1��.>��'��,4!_ c � E It " • ' it y�j"�'RI�P K: • • '`, r . r- L,, r ' '1" I i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMITff11�� 7 County -Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �r e= tTU / APPLICATION AND PERMIT / 11 ASSESSO,A PARCEL NUMBER 023-12-0-003 ZONING A5 BUILDING PERMIT OWNER DAVID PAU M LEE TELEPHONE 679-2423 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 175 DROBISE ROAD, 1IRYSVIM, CA 95901 � CONTRACTOR'S NAME MINTER TELEPHONE CONTRACTOR'S MAILING DRESS _� V Fireplace CONSTRUC I N LENDERNONE UNKNOWN Total Valuation $ LENDER 'Syl Al. N;G 'ADDRESS i Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITE GINEEO I �O LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Ener Plan Checking F $ 9Y g ee Penalty $ BUILDING ADDRESS 1384 KINGS P,ANOi ROAD, BM GOR Permit tee $ • 00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W @ 15.00 TYPE OF WORK New❑ Addition[] Remodel❑ Utilities❑ Installation❑ Other^ Describe work: INSTALL tMIDSTOVE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one : ) ❑I am licensed under p prOVISIOnS Of Cha t. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. / DWELLING OCCUP.6i\ 3.64sq.ft. OR ACDNS. \ACC. BLDGS. // NEW CONST R. ULT( -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS 6) (SINGLE OUTLET CIR. 76 Ex. OCcup(OUTLETS OR FIXTURES\ 1 8 464 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )KEA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood #6.50 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against allInabilities, judgmegposts, osts, and expenses which may in any way accrue agafnst said Count n o equence the granting of this permit. 17T Z Signature of Applicant — Owner Contractor E] Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- i on of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 45.00 IDate HAz DFEES IMP FLOOD COF PARCEL PD HD 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. DIREC O OF PUBLIC WORKS By ''�Datel/-/t.-92— PERMIT EXPIRES Date v - '�" 129594 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 71r.\ ' 1 COUNTY BUTTE -, DEPARTMENT OF PUBLIC WORKS 7 County Cent r Drive - Oroville. Cal i;ofiiia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT ASSESSOR PARCEL NUMBER 028-12-0-003 ZONING A5 BUILDING PERMIT OWNER DAVID PAL ER LEE TELEPHONE 679-2423 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 176 DROBISH ROAD, MARYSVILLE, CA 95901 t CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECTVOR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1384 KINGS RANCH ROAD BANGOR Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME --TPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition Remodel[] Utilities❑ Installation❑ Other ® Describe work: INSTALL WOODSTOVE ( — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSs and Professions Code and my license is in full force and effect. �( License No. Classification WEx. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOOOA, 37.50 NEW CONST. ( DWELLING OCCUP.e�\ OR ACDNS. ACC. BLDGS. / 3.6psq.ft. NEW. CONSTR ULTI.OUTLET NONRESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occup(ouTLETS OR FIXTURESFIXED 20 76 Occup. OUTLETS 1PRESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor , I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against tieS, judgm tS, OSt S, and expenses which may in any way accrue all 4nstaid ag C�nt o equence the granting of this permit. X Date Z Signatu o Applicant — Owner Contractor E] Agent F!sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.o Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 45.00 HAZ 11 FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or Work indicated above for which fees DIR C O OF PUBLIC By y PERM X IRES Date applicable provi- resolutions to do have been paid. WORKS Date lw &, S/+�' 1-� Receipt No. 129594 WHITE-D.P.W., YELLOW-ASSrSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ip 1plll ' `= *Z7 'i%`. ,�C. j i tr ,rt :' ' ,, . %,-,•'i �h\i "v'.a^' rte+' kam"4:j..ri 3kv'. COUNTYOF BUTTE - DEPARTMENTI-0F DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER //�7 �L/�/�G�� A. P o. Proposed Building Use 0 Building Inspector Date 0 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY �111 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 $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . P'¢'"�ece`or 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. sue the permit, process as follows: Mail to owner. Mail to contractor. elephone and hold for pickup at U office. Deliver with inspector. Wther Parcel Creation Acreage Applican Date % ;A� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted. prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE;- Department of Public Works 7 County Cent?er�Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) tde 2. I (have/have not) ��ti� signed an application for a building permit for the proposed work. 3. -I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work,'but I have hired the following person to,coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons, to provide the work indicated: Name Address Phone Type of Work Sign Social Sec rit Number Date �(�� NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. - This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Capifernia 95965 - Telephone: 916.'535-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ` ZON IN / BUILDING PERMIT OWNER TELEPHON E� . S0. FT. OCC. BUILDING VALUATION • OWN R' MAILING ADDRE/S/J CONT�{tAC OFj 5 N�.ME�_ � TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee $ .lf Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS p� Permit fee $ �d N �t� PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. J SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 \�},�' USE OF STRUCTURE SF L�1 Duplex❑ Mobilehome❑ Other I�� SPECIFY Gas piping system 1 - 5 outlets J_ 5.00 Building sewer 15.001 Mobile Home S I G I W @ 15.00 TYPE OF WORK New 71 Addition❑ Remodel❑ Utilities❑ Installation[ Other Describe work: `A)aDaS�V �6 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW penalty I declare under P y of perjury Iur y (check one): I� J 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) [J_ 1, as the owner, am exclusively contracting with licensed contra ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST.( DWELLING OCCUP.&I 3.64sq.ft. OR AODNS. ACC. BLDGS. II NEW. CONSTR MULTI -OUT LET NON RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS h) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d gi) 4F FIXED APPLNS. OR 1 EX. Occup. OUTLETS IRESID,I EA./ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00ct- Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the 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 ccrue against said County in consequence of the granting of this permit. X Date signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHAq permit is re sired for tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. neigh Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I DFEES IMP I FLOOD I COF PARCEL PO HD 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. DIRECTOR OF PUBLIC WORKS Date PERMIT EXPIRES Date Receipt No. _14By WHITE•D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r I 1 , 3 l NO d r < I 1 I I r , , . A z , I I w, -1 a 3 I , 1 k- , _ f I , , I , r 'r r r r , r , I ..,. a .: I r ...� �' •' � � .'� .. �... :I f. , 1 ,;. , c Y I , . / , ,. . , iii i i i ! i .' p f Civ � , �« N d - T r ��, � w cor 'Q �"'' S� M , ro 1 I 4 / fiol r r d ��- I t , , , x , 'C" i, C-,Y\.GK Q 1 I t M 1 t r ,-ZVI:,