HomeMy WebLinkAbout005-400-014I
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JAMES DE EHAN S S y�dC/
ifornia St, Chico
Perm' 37-85B,P,E,M(new single family)
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COUNT Y OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
-
PERMIT NO.
ASSESSOR PARCEL NUM ER
r1
ZONIN
-,BUILDING PERMIT
O WNE _ -
-
T LE HON
- SO. FT. OZZ CC. BUILDING VALUATION
OVfNER* AI Ilj ADDR SS
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On
CON ACTOR'S NAME
Ito YI& in
TELEPHONE
CON RACTOR'S MAILING ADDRESS
Fireplace
CONS RUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ or
ARCHI ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ `
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ t9 0
PLUMBING PERMIT
Filing Fee 10.00
O 1P t\ `1
Each Trap
2.00 /0, 0(')
% 1
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 5-,0
Each qas water heater or vent
5.00 `
USE OF STRUCTURE
SF 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
Newt] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
66-fe r ,�3_ R�1_
Permit Fee
$ 0,60
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV oR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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 OCCu ,
OR ADDNS. (ACC. BLDGS. /22sgft
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS e\
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES .20060`
eAL030
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 1 10.00
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 (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.
�f��lj 1 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
f�
Hood
3.00
Ventilation
Permit Fee
$ o
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 liabilities, judgments, costs, 'and expenses which may in any way accrue
again said Countgons quence of the granting of this permit.
X Date Z ZZ
Si ture of Applicant — Owner"71 Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
inof structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ r00
TOTAL PERMIT FEE $
Occup.
CONST.TYPIJ
J,4,,,,FLOOOJPARCqT
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Is E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. / .Q
WHITE-D.P.W., YELLOW -ASSESSOR, P -INSP kCTOI1. GOLDENROD -APPLICANT
116%4W6.01 vr
FOR RES f DEVELOPMENT
;! OROYFLLF TTT1.E t$!.
Section 26-8.1 of the Butte County Code requires this acknowledge209tJUN 28 AN 11: 49 Piss
be recorded prior to issuance of a building permit.
ELEANOR 1M. BEC (ER
The property described herein is adjacent to land or inc1ud6ARK-RECORDER FEE_-___,
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from 85—:1937
the
the use of agricultural chemicals, including', but not limited to herbicides, pesticlGes,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spray.;pg, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural 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: 1
Lot 14, as shown on that certain Map entitled "Official Map of Boucher's
4th addition to Chico", which Map was filed in the office of the Recorder
of the County of Butte, State of California, of February 3, 1922 in Book
9 of Raps, at page 10
Date: --,P
PROPERTY OWNERS;
NOT COMPARED WIT4
ORIGINAL pOCUMcNT
State of ' ) On this the // day of 19 before
SS. me, the undersigned Notary Public ( personally appeared
County of
/Pe Personally known to me. JJ Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) 42 subscribed to
the within instrument and acknowledged that 41
executed the same for the purposes therein contained.
`IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. w_ - /,3)o - .�_
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t:OT/,RY PUBLIC -CALIFORNIA a
Buiie Cc,nry o
�. ✓ My Commjss,on F:xp _es Jan. 23_1997
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