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005-403-006
i JAMES K. LAWLER 854 VIRGINIA ST. CHICOI'% PERMIT #5949-75 SER. CHl S/F MICHAEL CONNOLLY � 5-403--06 Permit#1115-88B(reroo�F)g` 3�g� 005-40-3-006 .'DIXON- FRED 93-319B 854 VIRGINIA ST, CHICO REPAIR-DRYROT/SF 005-40-3-006�--- DIXON, FRED 93--2611 B .• 854 VIRGINIA ST, CHICO�"�'�'�--- STUCCO PORTION OF SF t i 1 i JAMES K. LAWLER 854 VIRGINIA ST. CHICOI'% PERMIT #5949-75 SER. CHl S/F MICHAEL CONNOLLY � 5-403--06 Permit#1115-88B(reroo�F)g` 3�g� 005-40-3-006 .'DIXON- FRED 93-319B 854 VIRGINIA ST, CHICO REPAIR-DRYROT/SF 005-40-3-006�--- DIXON, FRED 93--2611 B .• 854 VIRGINIA ST, CHICO�"�'�'�--- STUCCO PORTION OF SF t ,o���^�- .� � � �c�4 .005-40-3-006`` 93-2611 B 4 L ' DIXON, FRED 854 VIRGINIA ST, CHICO STUCCO PORTION OF SF _-iv^y, z i I I I COUNTY OF. BUTTE - DEPARTMENT OF:DEVELOPMENT SERVICES -BUILDING DIVISION ,•, ri. ,� 7 County Center Dve - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION NANDx-PERMIT A`SVV.J=46;V 3.4706 ZON'IC•R BUILDING PERMIT 016RED E DIXON TE{.FP,HT 6132 SQ. FT. OCC. BUILDING VALUATION 1,000 °W sS,+lArfrAli) rSS St, Chico 95928 CONTRACTOR'S NAME iinlennym TELEPHONE CONTRACTOR'S MAILING ADDRESS Y saltie Fireplace COhW;JCTI N LENDER UNKNOWN Total Valuation $ 1 0� Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee S 24.00 ARCRTTEE�eR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fees ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BDILDIN,G,ADQf�ESsrgini St, Chico 95928 �`�(� �/i PERMIT FEE $ 45.00 PLUMBING PERMIT Filing Fee 20.00, Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome ElOther X i t +_ SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK •—I— New ❑ Addition -O' Remodel ❑' Utilities ❑ Installation ❑ Other ❑X Stucco.O tion ;: n P ) _ r Describe Work: r �.= .•. A PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 a �- i- - BOOV OR LESS Main Service ( 200A OR) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. So, OR ADDNS. ( 8, ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET .NON -RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) A I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 P 1.000 Ex. Occup.OUTLETS (REST .OR (OUTLETS (REBID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. YI shall not employ any person in any manner so as to become subject to the Worker's � Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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, a d^expenses which may in any way accrue against said County in c • sequ ,nc� f t granti g of this permit. Q X �/ A, Date .d 'p ` � � /� Signatu` of Applicant - O''Owner ❑ Contractor ❑ Agent An OSHA permit is required for• excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 45.00 HA2. I D. FEES I FLOOD CDF PARCEL I Pp, )HD ISSUE This permit is issued under the applicable provisions P Y PP of the Buttef County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS p/ B y -�"`7- PERMIT EXPIRES ON /Date) j!� Receipt No. 3 J WHITE-D.D.S.-B.D. CANARY -ASSESSOR , PINK -INSPECTOR GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATI®N`AND PERMIT �_13_ <-_tZ, ASSff!I PAFJC,F,L.NTB�L06 _ , "•�' - BUILDING PERMIT oW��rff���ED[}�EJ DIXON TE TEIZT-E6132 (}s SQ. FT. OCC. BUILDING VALUATION 1,000 0wr4m`TirginiA- St, Chico 95928 CONTIIACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS same Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 000 Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 24.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 854 Virgini4 St, Chico 95928 PERMIT FEE $ 45.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAPS Each gas water heater or vent 15.00 USE OF STRUCTURE SF OX Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel C3 Utilities Utilities ❑ Installation Other OX Stucco portion Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. OLDS. ) 3.50 SO, FT, NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P 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 compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) AI, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason POWERAPPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES.) 20 @ 1.00 BAL. .50 Ex. Occu FIXED APPLNS. OR p' ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. J�I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 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 Butte County Ordinances and California 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, a xpenses which may in any way accrue against said County in sequ ce of t g ; ti of this permit. Q X �� Date —/� Signatur of Ap licant - Owner O Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ 45.00 HAZ• I D. FEES IMP F100D CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKSAA]64;��_,g Date 1 � 7T BZq PERMITEXPIRESON ?1101.911 loat Receipt No. 3`17qY WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE -DEPARTMENT OF'BEVELOPM,ENT-SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFQI,A 965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION- DATA SHEET OWNER g Ft _ � .O /� Q �! . _ A. P. No. Proposed Building Use 5PV C Building Inspector Date $ 7 At timof • ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED 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 $ ..................... I........ , ....... t 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. ............. l 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 required. .. oB�ild 9 �speda� (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 office. eliver with inspector. Other Parcel Creation Acreage Applicant Date 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 ..•..^. r...-.,. ten. •Tj v: .Tr . _1i n..I_ .. •.i"r^:<''''C..: tr,y-t. ..�...-T . ,r Z:•� ^+:_ ^+ }.qr y,•: •. <'--sn;'+�^ t +FT' v _ ? , 005-4073-006 93-3.19B DIXON, . FRED !z 854 VIRGINIA.ST, CHICO . , _ REPAIR DRYROT/SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION+AND PERMIT 005-403—M6 - Aff I BUILDING PERMIT OWNER TELEP ONE Cb.a.i tli SO. FT. OCC. I BUILDING VALUATION www 9A9 •+]r1 RACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ • LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ Plan Checking Fee $ 22.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 37.50 RIA Virginiat Chico PLUMBING PLUMBING PERMIT Filing Fee 15.00 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 SFUr 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: Replace Dry Rott Studs 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): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the duSlnesS and Professions Code and my license is in full force and effect. License No. Classification ; /-•�`J I, as the owner, Or my employees withwages as their SOIe 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 1000AI 37.50 NEW CONST. / DWELLING OCCUPM .11ADDNS. l ACC. BLDGS. // 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS el (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76 A[ 46i FIXED APPLES. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 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. Z Noto 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 Penult 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 Mi keep harmless the County of Butte against all liabilities, J dgme ts, cos end expenses which may in any way accrue against said Oo my i cgnseq en a of -e granting of this permit. q X Date © f Signatuiebf plicant — Ownerg Contractor ❑ Agent ❑ An OSHA p rmit Is I,aired for excavations over 5'0" deep and demolition or construct- ion of structures over_3_stories'in height. Receipt No WHITE-D.P.W. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Mobile Home Installation 'Fee S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $37. HAZ 1 D FEES I IMP I FLOOD I COF PARCEL. This permit is hereby issued under the sions of thetafte u . ty Code and/or work indi'Ede� 60or which fees OR OF PUBLIC W By PERMIT EXPIRES Date .I - COUNTY OF BUTTE BUILDING DIVISION - QI PARTMENTOF�,DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 �r CORRECTION NOTICES Y j 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 contact this office immediately. i f Date �� �` /-*"` Inspector L�-- REV 10/92 1 J r r COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California;,95965 - Telephone: 916/538-7541 APPLICATIO:WAND PERMIT ASSESSOR PARCEL NUMBER 005-403-006 ZONING AR BUILDING PERMIT OWNER Fred Dixon TELEPHONE 343-6132 SQ. FT. OCC. BUILDING VALUATI N OWNER'S MAILING ADDRESS 854 Vir ina St. Chico 95926 Est. 1000.00 CONTRACTOR'S AMi Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1 000,00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee $ 22.50 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 37.50 894 VirRiniq St. Chico 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 [J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 915.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other[)fl Describe work: Replace Dry Rott Studs _ 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 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 - ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO I000A) 37.50 NEW CONST. (DWELLING OCCUP.IE\ 3.6Q sq.ft. OR ADDNS. 1 ACC. BLDGS. / LET NEW CONSTR. UANCH TI-OUTCIRCITS � 5.00 NON•RESID BR (POWER APPARATUS 6 SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20 76 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA.) 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. 1 also agree to save, indemnify keep harmless the County of Butte against all liabilities, • dgme ts, cos , nd expenses which may in any way accrue against said i cgnseq n e of a granting of this permit. 1 X Date- / ®� Signature ofpplicant — Owner Contractor 11Agent ❑ An OSHA 'p rmit 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 Energy Inspection Fee $ occ CONSTTVPE TOTAL FEES 37.50 HAz I DFEES IMP I FLOOD I CDF PARCEL PD HD ISSUE i This permit is hereby issued under the applicable provi- sions of the B to u y Code and/or resolutions to do work indi t d _ for which fees have been paid. OR OF PUBLIC WORKS By Dated-/�%3 PERMIT EXPIRES Date 1, Receipt No. 135249 WHIT!-D.P.W„ TELLOW-A59lSSOR, PINK•IN9PECTOR, GOLDENROD -APPLICANT i' fir.✓ -..,,.,.w.. ..�.r ��''A �}�''.,�'�-, it�11-.+d'IkSF'-sr.,.s+1i�.-IvA+f+►.l.J_. �.'Ey �['+�'-�. � _ COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE-\ROVILLE, 6 IFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA -SHEET OWNER I) I WAI A. P. No. OOS- / O 3 -00s Proposed Building Use , S. F- Building Inspector -PK- Date 2 -/0-q3 At time of permit 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). ...r;,;4 peatoo reae�- 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. When you issue the permit, process as follo ail to owner. Mail to contractor. Telephone and hold for i pat offic Deliver with inspector. Other Parcel Creation / 3 Acreage Applicant Date 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, vas 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 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) aLJt1e5,,*,, 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 g�► ' Signed: Property Owner Social Scurity Nu er Date I- /0 ^ q3 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. '}•-i 3;;WTr; m _}..� y: •may COUNTY OF BUTTE - DEVAi TMENT OF PUBLIC WORKS 7 Count9 Center Drive - Oroville,' California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Vo —z� ( ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' CONTRACTOR'S -NAME .1 TELEPHONE , CONTRACTOR'S MAILING ADDRESS + Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing 9 Fee $ 10.00 MAILING MA 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-7Permit fee $� PLUMBING PERMIT Filing Fee 10.00 �/ _ n�7�Y /�c��//1�/ S^ ~� i! , 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 SFO Duplex❑ Mobilehome❑ Others SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ RemodeX Utilities ❑ Installation❑ !Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 (/ e00V OR Main service 100 AMP OR OR LESS 10.00 Main service EA. ADD'@ 100 AMP 2.50 f. V- CONTRACTORS LICENSE LAW • I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of theBusinessPOWER and Professions Code and my license is in full force and effect. License No. Classification �- I, as,fhe owner, or my employees with wages as their sole compen- sation, will• do toe 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.y\ , OR ADDNS. ACC. SLOGS. // /20sq ft f' NEW CONSTR. U TI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS APPARATUS 6\ SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 522 0@03030 AL0 FIXED APPLNS. OR Ex. QCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I,declare underenalt e ' "- p y of prjur y (check one):;; �. j}® \The permit is for $100.00 (valuation) oHess:_'_. `. i"❑ I have placed on file with the County o`f.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 FiIi� Fee 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X {'.i _r ` l ��� f�� Date 4•�, � i' Signature of VApplicant — 0.41J1— Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ n 0CCtJP-J CONST.TYPE JSCH00LJFL009J"FZ;TTD I ND I I'SlUE This 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 � _ �f ! By �r 1' 'lam t Date `1 " 1 s PERMIT EXPIRES Date �r A stories Receipt No. !� WHITE-D.P.W.. YELLOW-ASe(OSOR, PINR-INSPECTOR, GOLDENROD -APPLICANT .14 COUNTY OF BUTTE - DEPARNENT OF PUBLIC WORKS L 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION'A.ND PERMIT PERMIT No, //s = . / �V/ ASSESSOR PARCEL, NUMBER ZONING _ �3 -io & BUILDING PERMIT OWNS TELEPHONE SO. FT. OCC. BUILDING VALUATION OW R'S MAILING ADDRESS CONTRACTOR'S AM ! TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN ER UNKN OWN Total Valuation $ Filing Fee $ 10.00 LENDE '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 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 SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10-00 ea TYPE OF WORK New ❑ Addition ❑ Remode Utilities ❑ Installation❑ Other ❑ Describe work: / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V 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/POWER and Professions Code and my license is in full force and effect. License No. Classification 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.EI\ OR AODNS. ACC. BLDGS, / , hQsq it NEW CONSTR. U TI.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS APPARATUS S (SINGLE OUTLET CIR. I Ex. Occu 20 9 30e Occup(OUTLETS OR FIXTURES SAL030 FIXED APPINIS Ex. Occup. OUTLETS RES(D )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. INirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE nder penalty of perjury (check one): I dWI—Nu he 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 FilingFee 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 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 agains said Coun " rue�.nc7f the granting of this�6permict.XDate `l--1 J �' Signature of Applicant - Owner }-"Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -EC ion of structures over 3 tories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL Po NDF.&P-AE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which O F PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ry Dat(gey `� Receipt No. 16 7N7 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 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) YES, 2. I (have/have not) Jjj / 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: Property Owner Social Security Number _ Date c_f— ( S7— 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. J COUNTY OF BUTTE — D5,PA*MENT OF PUBLIC WORKS 7 County Center Drive' — Uro Ile, California 95965 Telephone_ 534-4541 APPLICATION AND PERMIT I `- ► BUILDING Owner /1i C I l_ �r SQ. FT. OCC. BUILDING VALUATION Mailing Address Z2 6 ( IF 0 y �Telephone ` " C No. Fireplace Contractor �' t,�='/j/ C / Total Valuation Mailing Address - Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address S /� /' fj� <:Z 7— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 r n Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. __ �,�:.. �� ( -� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees' i W.L San.ita.td'on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA' Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg:—Pians Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER a< ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 9 C) /f/ Main service 600V OR LESS � r-• �� 100 AMP OR LESS 5.00 l Main service EA. AOD'L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 1100 AMR OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING O:R ADDNS. ( ACCLBLDGS.OCCUP. &) 20sgft NEW CONSTR.MULTI.OUT LET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)/ FIXED Ex. Occup. FIXED APPLES, OR P• OUTLETS (RESID.) EA) 2•�0 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 -� ❑t I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5 �� $ C71 I WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 11 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ �� i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X " Date ' Signature of Per'mitee or Agent Receipt No. C �? 9 _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS '7_7 �j By ' iG/2�'..- G-��r a Date//—/ 1 ` / y Btri•11t'rn'g permit expires Date % (. COUNTY OF BUTTE — %f'EPAR-TMENT OF PUBLIC WORKS 7 County Center Dri e, -= UroviIle, California 95965 Telephone: 534-441 APPLICATION AND PERMIT �?- - z1 X75 7, uUL Vr a rcNicacniauvcs UI Lhe l,Uuniy of Butte to enter upon the above-mentioned property for inspection purposes. XDate Signature of Permitee or Agent Receipt No. / —3 (9© White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D ECTOR OF UBLIC WORKS Date11_—Z ?— / S— JBuiidihis permit expires Date 1 Z—Z I? - 7 C� BUILDING Owner 44 "1 5 SQ. FT. OCC. BUILDING VALUATION Mailing Address 8 CC � (C — Telep one No. Fireplace Contractor Q A/C/9 Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 l Ic 0 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -- /�� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W. . �m Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking. Plans Parcel Declaration parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 BI ans ec'd Parcel Approval Plans Approval PBCRIIt Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Q 5e� 2!J/ C Main service 100 AMP OR00V OR LESS5.00 0� Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home E] Others ❑ Main service OVEAMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW OR ADONSCONST.ACCDWELBLDGLING OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS)2.50ea • NEW CONSTR.POWER APPARATUS &) / NON-RESID. (SINGLE OUTLET CIR. / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@L�C` BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 0 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 5 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. ® I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.@FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE C uUL Vr a rcNicacniauvcs UI Lhe l,Uuniy of Butte to enter upon the above-mentioned property for inspection purposes. XDate Signature of Permitee or Agent Receipt No. / —3 (9© White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D ECTOR OF UBLIC WORKS Date11_—Z ?— / S— JBuiidihis permit expires Date 1 Z—Z I? - 7 C�