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HomeMy WebLinkAbout005-383-0105 . 3 '10 �;BRAD�*Stat '97��,fV - 0nsonSt 0 Watson ,.- -5-383-'— J'O 'i. WI4 ITIVEY ,974`,W- j.!,l,,uan'jta Iscon meter, In P, Chico" k uPgrade)SF Durj4 83�0,11 am ec, 1133 '-9-IB BR;Y TADY Ima-' (es�tate.'q' 974 Wiscon* of) sinST,-,-Ch-- (reroof/sf) Ico' U V �-383-oio 5►4-ney a-7,4 Ljl5c0nsly-) � Ccs.) 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 CUA PARK scHL , FLo cDF PAA Po I HD. 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 PD 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 � .} �. U I S % c�S O �. 3� � �y� � � 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 PD I HD. 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 CUA- PARK SCHL I FLo 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