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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSf
7 County Center Drive - Oroviller Ca P Rla 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
PERMIT N0.
�O
— —
OWNER
TELEPHONE
Juanita
BUILDING PERMIT
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADD. SS
74 Wisconsin Chico
CONTRACTOR'SNAME
TELEPHONE
11prt-
Durham
CONTRACTOR'S MAILING ADDRESS 4 — 1
11
F i reolace
Total Valuation $
CONSTRUCTION ENDER
Nonp
UNKNOWN
LENDER'S MAILING ADDRESS
Filing Fee
$ ;0.00
ARCHITECT OR Lv.-,I,vEEP.
Permit FL e
$
Nonp
LJCEr:SE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
-
BUILDING ADDRESS
Penalty
S
974 Wi_9LD115jj2. Chico
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Solar or heat pump water heater
Water piping
20.00
5.00
USE OF STRUCTURE
SF MK DuplexDuplex[]Mobilehome❑ Other
Each gas water heater or vent
Gas piping system 1 - 5 outlets
5,00
5.00
Building sewer
5.00
SPECIFY
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti litiesg Installation ❑ Other ❑
Describe work: meter upgrade
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1Doo AMP 1 OR ORSLESS
10.00
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 license
_ _ my cense is in full force and effect.
License No. 4�75�5 Classification,—_ Gin/
❑ 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)
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.OI
OR ADONIS. ( ACC. SLOGS.'/20sgft
NEW CON5TR U TI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
�- (PowER APPARATUS Is
SINGLE OUTLET CIR, �
Ex. OCCUp(OUTLETS OR FIXTURES
200'0'
e AL930
Ex. Occup.FIXED APPLNS. OR
OUTLETS (RESID.1 EA.�
2.00
Temporary service
10.00
❑ I, as the owner, am exclusively contracting with licensedcontract-
ors. (Sec. 7044)
F1I am exempt under Sec. , Business and Professions Code
Mobile Home Facilities
15:00
Misc. Wiring
15.00
Inn
for this reason
Permit ee
;
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
�❑�The permit is for $100.00 (valuation) or less.
i,d I have placed on file with the County of Butte Building Department
JET' 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
50 00
MECHANICAL PERMIT
Filing Fee 10.00
Heating
J:;
3
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 u he above-mentioned property for inspection
Mobile Home Installation Fee
Energy Inspection Fee
S
$
occ
CONST TYPE
purposes.
I also agree sav in nify and keep harmless the County of Butte against
penses which may in any way accrue
against id C granting of this permit.
all liabili 'es, ju m9gete
TOTAL FEE. $
50.00
HAZ
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scHL
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Po
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ISSUE
Q
x Date -- 9/
Signature of Ap cant — 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.
This permit is hereby issued unser the applicable provi-
sions or the Butte County -Code and/or resolutions to do
work indicated abo for which fees have been paid.
DI OR PUBLIC WORKS
By 42 1Date
PERMIT EXPIRES Date
Receipt No. 88314
WHITE-D.P.W., TELLOW-A9eE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle,'Cellfonla 95965 - Telephone: 916/538.7541 _
APPLICAtION"AND PERMIT
ASSESSOR PARCEL NUMBER
5-383-010
ZONING
BUILDING PERMIT
OWNER
Jua itat e
TELEPHONE
SO, FT. DCC. BUILDING VALUATION
OWNER'S MAILING ADDR SS
74 Wisconsin Chico
CONTRACTOR'S NAME
TELEPHONE
45-2301
CONTRACTOR'S MAILING ADDRESS
11 ChicoFireplace
ENt.
CONSTRUCTION DER
Nonp
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS-
Permit Fee
$
ARCHITECT OR EN ;INEEP.
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Q74 WiRconsin, Chico
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 MK Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New❑ Addition Remodel❑ Utilities Installation❑ Other E]
Describe work: meter upgrade
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service GOOV 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 BusinessPOWER
and Professions Code and my license is in full force Tand effect.
License No. y�75 Classification. G—Ic7
EJ 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..�
OR ADDNS. 1 ACC. BLDGS.
y2¢sgft
NEW CONSTR U TI.OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
APPARATUS e
(SINGLE OUTLET C1R.
Ex. Occup(ouTLETs OR FIXTURES
5AL SOS
e ALO 30
FIXED ALNS.
Ex. Occup. OUTLETS P(RESID,)REA.7
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit re
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): .
❑ The permit is for $100.00 (valuation) or less.
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 u he above-mentioned property for inspection purposes.
1 also agree sav , in nify and keep harmless the County of Butte against
all liabili 'es, ju m s, osts penses which may in any way accrue
against id C i the granting of this permit.
�1 /_9/
X Date `7 /
Signature of Ap cant - Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE -
TOTAL FEE $ 50.00
HAz.
CUA PARK SCHL
FLD
CDF
PAR
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1 HD.
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated abo for which fees have been paid.
�t R PUBLIC WORKS
By Date —115:q
PERMIT- EXPIRES - DateL-/—&
88314
Receipt No.
WHITE-O.P.W.. YELLOW-ASSrSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR ARCE U BER
r
ZON G
BUILDING PERMIT
OWlBI
SIF
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDF;ESS974 ,
�JjscoqsmhLD
FCMR TOR'S NAM �..
�ONT
TELEPHONE
'ACTOR'S MAILING ADDRESS
1v� tLa
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
$
Penalty
$
-
BUILDING ADDRESS 74
Permit fee
$
PLUMBING PERMIT
FiIIngFee 10.00
Each Trap-
2,00
Solar or heat pump water heater
20,00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
55,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF j< Duplex❑ Mobilehome❑ Other
/TTTT�������`` SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00 e
TYPE OF WORK
New f7 Addition Remodel❑ Utilities Installation El Other ❑
Describe work: % 5/Z �/ X4 22'`—
1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8000 AMP OV OR R LESS
10.00 jig, 06
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. �%�&.5 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)
❑ 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
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.ei
OR ADONS. ( ACC. BLDGS.
, �22Sq ft
NEW CONSTR ULTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
9005 30
eAL@30
FIXED APLNS.
Ex. Occup. OUTLETS PIRESID IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
N
,O
Permit Fee
$ O
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in h fight.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE Q
TOTAL SEE $ ��•
HAZ
I CUA
PARK
I SCHL
FLO
I PAR
Po
HO 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
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORdVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
I , I Permit No. r
OWNER W IM / %Z'(/ 4 A. P. No.
Proposed Building Use ��� .C_ Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
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
15. City of Chico plumbing permit .....................................
16. Plot'plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction�aPproval required prior to occupancy)
ire -Inspection for-�J 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 o r. Mail to contractor.
Telephone and hold for pickup at Deli r w/inspector.
Other
Applicant Date
Copy of Hdz-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_—tlail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
�r PRE -INSPECTION
OWNER:
LOCATION: l --$. e�l
CONTRACTOR:
CJ
PRE -INSPECTION FOR:
C
DATE 4z�
A.P. n -
ZONING
Ac/ G rz
DATE TO INSPECTOR
PERMIT HISTORY: NONE AS FOLLOWS:
.- TYPE OF OCCUPANCY
FIELD - INTORMATION
BUILDING USAGE: d -
TENNANT : Uc? C C> n -
[.00CUPIED HAS ELECTRIC [34'HAS GAS COIAS SANITATION' FACILITIES
[� HEATED -COOLED L7 PERSON CONTACT:
OTHER C011fENTS :
ACTION RECOMMENDED:
ISSUE HOLD FOR
OTHER:oo�in�a
BY lrh (�r ►� DATE
t
1
s ,-
i _ ��_...—. i
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z
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
O� 196 Memorial Way, Chico — Phone: 891-2751
7 C unty(Anter Drive, Oroville — Phone: 538-7541
EI;ECTION
Road, Paradise — Phone: 872-6307
NOTICE
t b, 46
OWNER Q - PERMIT NO.
/
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have an estion pertaining to this
matter, or need additional explanation, please this office immediately.
t.►�-
r
�e C� VI'"
JOrk
Date 3-2, 7-- Inspector jo / OIse n
Z� Iy c,
Q l' 4 Q C 4
o u,
(3 l I L e S
c,•.,�r�,k
to /�� �s�
06 -,•�
a Pf
't .. 4of a K w
�L
m 7 �C ✓ G�.!
L
a r l� �.t
�+ 0
lec jm
�.
�r m/ -le
ZHS,p
Qro
�"
Date 3-2, 7-- Inspector jo / OIse n
q Complaint Date "
C( Ce her Date
BUTTE COUNTY COMPLAINT FORM
OWNER
Address
Complaint Location f2l% 46L sec> -soh
VIOLATION TYPE ljo BUILDING [� HEALTH PLANNING
COMPLAINT:
`A.P.# DSS- 93-0/0
Zoning
Taken By: /
= OTHER "
PERMIT HISTORY ON FILE NONE AS FOLLOWS:
FIELD INFORMATION
TENANT: Name a 'e a vt "('//'' Address
Description of Violation /(?D O'c
OTHER COMMENTS: z�
Approx. Bldg./MH Sized 'X� Approx. Bldg./MH Age,c -IS
Under Construction Built By./For Present Owner 0 Previous Owner D Occupied
Has Power F Has Gas Has Sanitation Facilities
Written Notice Given & Attached Person Contacted Bi„
Describe Action Taken: U i ,g r/l (C.Q o In e ai Oy
9 (
T c
-2 (` ✓vim -� C S e Q ri 7�/ Q r %,2 CX D G - P
ACTION RECOMMENDED:
Information only, file
Letter
Other /
BY: VV_
Hold for/d Da
\ DATE 3 �/
',�+'.fi�.j"�`z .s�;^; •r 7i r«'«.o7L:�Sr IPI' ..0" � �'!@`?IG:��r..diSYa�. r. • ;a.-.-- . -�- ,f, .;a
' :COUNTY OF BUTTE--[) D PARTME T OF PUBLIC WORKS 1 , PERMIT NO.
7 County Center Drive - Oroy le, Califfl:Tlia , 965 -Telephone: 916/538-7541
" APPLIC IOWAND ERMIT
ASSESSOR PARCEL NUMBER
005-383-010
ZONING
AR
BUILDING PERMIT
OWNER
Estate of Imna I. Brad 4
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
1 840
OWNER'S MAILING ADDRESS
C/o 515 Miall St. , Chico
CONTRACTOR'S AME
XWW ) n n
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None t
UNKNOWN
Total Valuation $
FilingFee
$ X0.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 16.00
ARCHITECT OR�CNvINEEP,
None
LICENSE NO.
Plan Checking Fee
$
ner Plan Checking Fee
gy g
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
4 °
Penalty
_
$
BUILDING ADDRESS `,
974 Wisconsin Chico
Permit fee
$ 26.00
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
,i
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME 'i':
CEL MAP
'
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFIA Duplex❑ Mobilehome❑ Other L -
` SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobi le Homes I G I W I 1
110.150 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: ri —roof _
- , -
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6180' AoR LESS
I00 MP OR ESS
10.00
Main service EA. ADC -L. 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of
p y 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, IEx.
EJ 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)
1, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING oCCUP.a
OR ADDNS. ACC. BLDGS. )
, /20sgft
NNEW ON•RESIO CONSTR.BRANCH CMULTI-OUIRCUITS
2.50 ea
I /POWER APPARATUS h
(SINGLE OUTLET CIR. )
OCcup(OUTLETS OR FIXTURES
20®e0t
BAL930
Ex. Occup. OUTLETS FIXED P(RESID )KEA.)
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.
❑ 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.
1 also agree to save, indemnify and keep harmless the Co my of Butte against
all liabilities, judgments, c ts, @rid exj_,ens I h n any way accrue,,1
against said Cou `ty In cone uenA I'Atie-gram ifgval'fhTJ ermit.
X —'�� s��N�>✓j , �„
te
�'- . I
Signature of Applicant - \tlwry r C ntractor"❑ ent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
-
TOTAL FEE $ 26.00
HAI
CUA
r
PARK
SCHL
FAD
CDF
PAR
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ISSUE
Th' I ermit is hereby issued unoer the applicable provi-
sion,� of the Butte County/bode bnd/or resolutions to do
work indicated 'above for which fees have been aid.
P
DIR CTO�R�j01F UBLIC WORKS
By �� ��/ V Date
✓ G
PERMIT EXPIRES Date
Receipt No. 88384
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cavprnia'�5965 - Telephone: 916/538-7541
APPLICAT1014ND PERMIT
PERMIT N0.
T1
ASSESSOR PARCEL NUMBER
005-383-010
ZONING
AR
BUILDING PERMIT
OWNER
Estate of Ima I. Brady14
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
60 840
OWNER'S MAILING ADDRESS
C/o 515 Wall St. Chico
CONTRACT( 'S AME
Affile
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
Filing Fee
g
$ I0•00
LENDER'S MAILING ADDRESS
Permit Fee
$ 16.00
ARCHITECT OR EN ;WEER
None
LICENSE NO.
Plan Checking Fee
$
Ener Plan Checking F
Energy gee _
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
974 Wisconsin Chico
Permit fee
$ 26.00
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
SFIE Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: >P—rnof
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V 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.
EJ 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..)
OR ACDNS. ACC. BLDGS.
1/20Sgft
NEW CONSTU TI.OUTLET
R
NON.RESID BRANCH CIRCUITS)
2,50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR. )
Ex. OCCU p OUTLETS OR FIXTURES
20050`
BALO 30
FIXED APPLNS.
Ex. Occup. OUTLETS ((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
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all Iia ' s, ju ments, costs, and expenses which may in any way accrue
agai sai C u y n conse ence of the granting of this permit.
� iVe
X Date
5ignot re of Applicant — Owner(%] Contractor ❑ Agent ❑
An SHA permit is required for excavations over 5'0" deep and demolition or construct-
io of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
-
26.00
HAL
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PARK
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COF
PAR
Po
j HD.
ISSUE
This permit is hereby issued under the appiicabte provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
D R. TORO PUBLIC WORKS
p
BDate cq
y
PERMIT EXPIRES Date —_L f3—q
Receipt No. 88384
WHITE -D. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
OWNER.
�:,-«\..rr iw;rye+a L;:, o�,Ci.'�it'.rT;'1�'i. h'a.',J!•ral.Ri.'.t: 'ri,t.] ti V � "' aFpsNAS'!.:b4p', ,
COUNTY OF BUTTE=;DEIRTMENY Q�''� 1BLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE-R9`fhZC90'?,CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMI 1 APPLICATION DATA SHEET _
' Permit No.
l 1 _
Proposed Building Use
Building Inspect
At time of permit application, I was advised the following data must be submitted prior to permit processing
DATE RECEIVED
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
15. City of Chico plumbing permit..........t...........................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector
21. Contractor's license information (No., Namet Style, Classification) .. .
22.' Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: M*Cff
r. Mail contractor.
Telephone and hold for pickup at ice. Deliver w/inspector.
Copy of !-adz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health-D.Q[Zt. Fire Dept. Other Date By.
The following data
1. Index permit foi
2. Additional item
n.us4'be SubM-M-4
above items No.
required: --
for to permit issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date
Contractor, designer, owner, was advised of above required data by_phone—mal l—counter by date
Plans'checked by Date Plans approved by ► Date
Sets of plans on hold in File cabinet _ AP folder
Copy—DPW