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HomeMy WebLinkAbout007-150-104007-150-104 PERMIT -96-1180 CARPENTER, Ernie 1075 Eaton Rd., Chico Cont: Ronald Drews 311"F/97 Add Bdrm,Bath,Dnrm & Conv Garage 007-15-0-104 96-1754 E CARPENTER, Ernis 1075 Eaton Rd, Chico L (ele/95-1180) Ronald s �f17 Dre bl'A 5,1 RE IAL " 007-150-104 PER!q T#96-1180 CARPENTER, Ernie 1075 Eaton Rd., Chico �! Cont: Ronald Drews Add Bdrm,Bath,Dnrm & Conv Garage - /-,�171- ?7 t Do r (5/9p2l OFFICE COPY Address GAS r Meter By Date ELECTRO / Meter By �`Z/ Date 7 a JOB FINALED (Date) 3-7— ,signature ,signature �"1 ✓=OK O = Not OK = Not Applicable = Not Ready OK except A's RESIDENTIAL (Single & Duplex) rFtq._JVrain;'Soils-Elec. Grnd.-/ /" Ftq. Depth -V 11 4. t o - ee -/ /Ftg. Depth — emwalls, Main; Ste - wa Is,Garage; Steel-Blockouts-Wrapped 10. UF. pe; Size -Anchors - yard gas piping: size -test 1 ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric nderground % Llin 11 V 13. Pi ms & Ducts; Clea rancewi V=OK 0 = Not OK '= Applicable Nott Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test Fall -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / t'L'ft. / /Nat. or/ PL"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing VeneerStuccc -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements- Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing VeneerStuccc -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 W U, COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754y3f�P MIT NO. APPLICATION AND PERMIT / /, ASSESSOR PARCEL NUMBER 007-150-104 ZONING SR BUILDING PERMIT OWNER CARPENTER, ERNIF TELEPHONE 342-1251 SO. FT. OCC. BUILDING VALUATION T BE COO V -V 1,200 OWNERS MAILING ADDRESS 1079 EATON RD, CHICO 581 R3 31,374 CONTRACTOR'S NAME RONALD DREWS TELEPHONE 342-5711 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 32.5 7 Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 304.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 197.60 Energy Plan Checking Fee - $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1075 EATON RD, CHICO PERMITFEE $ 544.60 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 28.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SFx7 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition EX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OF BEDROOM & BATH & DINING ROOM WITH EXISTING BEDROOM CONVERSION TO GARAGE. Mobile Home S I G W 1 @20.00 PERMITFEE $ 63.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 200V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license JI in full force a d effect. .� ` ---11 fes[ ^ / 3. d License Class Lic. No. ���r�!!U// I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ACDNS. ( 8 ) s0. FT. 20.33 LTI- UTLEBLDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 97. ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 64L .30 Ex. Occup. ( OFIXED UTLETS (RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 40.33 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 'VeliMr T)1J_C=XT. 15.0 PERMITFEE $ 35.0 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the Workers' compensation provisions of section 3700 of the Labor Code; I shall comply with t Mer ions. 2 _ Date d_ pplicant - ❑ Owner Contractor ❑ Agent 4OSrmitis required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is 46.0 OCC CONST. TYPE TOTAL FEE $ HAZ. 0. FE IMP FLO CDF PARCEL PD HC ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which ees have been paid. By Dat e�9044/50 PERMITEXPIRESON (Date) provisions to do work p(j Receipt No. 7�(JOZ o Q �'�lO WHITE-D.D.S.-B.D. CANAIRY-ASSESSOR PINK-INSPE OR GOLDEN ROD -APPLICANT � �ii'�"'fy,�'i►ry�Y., _•, �►^"'�i�ryl��5".ila a:t"�..,. '' ,- z1•«i'L.':�Jk}i`�`+,r+aiC'1ti,•"'.�fi.,��'.-:.-...».y--�v.. �i.ra. ' k C.OUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISI ° N 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNERelz� �. - !� P. No. Proposed Building'Use 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 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 docurTtentation. ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . Mobilehom i d t a anufa ttr is installatio instructions, 2 sets 011— Fees of Impact fees as shown on attached�G.l:> Auie.�„_ . --r". _........... . ....,.,..-r....,..o..I.1—!7- — ! .r.. -.s. . •. .- . ..-. ... . . . . . Flood elevation letter (100 year flo by Califor ' gineer................... 1 Sanitation and plot plan approval Health Department. .............. . City of Chico plumbing permit. ........ ....................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: . ......... -.18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for Prey"spegI edor required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. r 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 . ............... a 31. Existing violations/expired permits. 32. Plan check list . ..................................................... 33. 34. When you issue the perr,�It, process as follows: Mail to owner. Mail to contractor. Telephone i` and hold for pickup at office. Deliver 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 1. Index permit for above items No. 2. Additional items required: 1 Contractor, designer, owner, was advised of above required data by _L/phone _ Q'ti mail Counter by,/Date 1IM 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 Cnnv - nanarfmenf^-f-r`ubllc Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SgRVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER A.P.#00_?-16T - /0y U PROPOSED BUILDING USE —, DATE �. +�,,�£Y "�, r ; r• y� _EC ��, DAT'E RFC w 'SCHOOL DISTRICT FEES yvY Y�Yr. (paid at District Office)OF, SHERIFF FEES (paid at Building Division) esidential ,- rt a a:Y''_$`J. �;� rx%,; _ e 1_A 4� � �M x .--._ .� ,r' �; tip_• unit , amt ,,,...r. c� . # � � � Commercial (sq.ft �`:$ r h L{ S` URBAN AREA FEES.—' �L�+� `(paid at Building Division) + 11%N_.._1.F ,Residential (per unit). r#Wats• amt Commercial (sq. ft. ). p 7C =$ sq lL. am '; 'r `'Y•fJ���. •, RECREATION DISTRICT FEES y (paid at District Office) x4 THERMALITO DRAINAGE �DIS T,> 4 $400.00 (paid at Building Division(, FEES kY ,��M SRA FIRE INSPECTION AND PLAN. CHECK � 'zr.=� , � $89vision) .00 (paid at Building Di K.•i �J„' • � �" K ATER TENDER FEES 4 < (BATTALION # $200.00 aid at Buildin Division xr�r &94 6V CSA 87 TRAFFIC FEE t mss' 1., � r• `:. $2500.00 (paid at Building Division) , ,, i , ,�, .' ..•}r •.. •.•r. r. {�'.' h.{Sr+�r J, �vJ s �r •'� r .�. 9:OTHER , At time of pe it application, I was advised the above fees are required to be paid pnorao issuance of the �; wir�7F pernut� sLigr r r PJ ywif {y , t �7.Yq �� afl G r cFtk'` iFt x f icy✓ ti}y ��l��i✓'�i �� j 1:�����Sfk'T Pf 3,/�1 x' �{: t h�i'��• �{4 w . * • C, t " '� � .��'1r Ye•, r w Rc•.:4}•,C' .!r ,T x - �'�f' ys{ ��iv . "' � r'' t y 7 i {l Y C• .Fy a xl�fii s x/M ' r ,�' r � 1 %�'�.C�• - APPLICANT J��L ` x+rrCDATE J '�%.�jx TJX• Ir,��t.c •�.,. - 7 .r a � fay . 1. f t, . t r X'C'Y..w. ��� �° Y r *i'Y'Altt�•'' �• fa, t -, Si 9 • 1.fYi r. 1 aJ wi { •A h'l P A+''4Y I I}n�F�S,=ii .. .- - 'Y Y �a: .if} � t�'�fz➢7 ,'�c' 1 C},•.a Y � � � M � re4�v � Y r�r x��2"rA �jF r w'R,s�ka k'4,da.•4'G`lrt�A u- x - Y i '�7! _ +Y ��Y.��^{-" krU. •� Mwyl 1!1 Vi���tY i _ aril ' .- i'.si�,�'r .`�� „7"S_"'"J.'.tti_'Sr .`�.1n�.'�.iY•as r.. . Lucn 4.0 it 8"o. 44at13",,.c -¢M- 4s ,oc'. 344, ,4: IZ" �a 3• 7,p' �� 3►� 4-at Il;oc: ,,oat 13"oc #4..,t:2; of• 3. 4. IO° (2" 9,• 9 ,► �� � 4-at'q 0.�. #¢0► I- 13 "oc f (9'' *13 n . 4a o.4• 3 #4 IZ THICKEN SLAB 'rt ; C AT REJHf310RCMG- VERTICAL x Iql.4 x `U:4 Ga REINFORCING WUIi M SLAB. SEE. SCHEDULE 77. 3'. CLRj WELL-DRAINED GRAN AR BACKffll HORIZONTAL }�o, REN FORpNG .d SEE SCHEDULE VERTICAL, DOVELS SEI:SCHEDULE ' WALL .THICKNESS ' DRAM TO c DAYLIGHT ' - , . ,A. , ,B. UNDISTURBED- sofl .::. ,TRANSVERSE REMfORCING 'OOT IN� - - DEPTH LONGIT. fM 3' CLR ...:REINF. KEY DEPT . . ;G f,4KA' rz /- 11 O 3 �� S Q� � wif�S'c- 14co e- o r L ni c� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF 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 CORRECTION NOTICE 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. Je- D,✓ L� Com- (f �� �� fat- kT' } i Dan- (A REV 10/92 /J Inspector k;' • COUNTY OF BUTTE BUILDING.,DIVISION DEPARTMENT OP"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 CORRECTION NOTICE OWNER , PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address 'a should be corrected. Please notify this office when correction of work is completed. If you ve any questions pertaining to this matter, or need additional explanation, ple s�tact t office immediately. 6 Date Inspector i REV 10/92 INSULATION' CERTIFICATE 'IC -1 Number and Street City County Subdivision Lot Number Description of Installation . 1. ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) ' 2. CEILING Batt or Blanket Type fl'U Brand Name -� Thickness (inches) ' Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor/s min installed weight/ft' Ib Minimum thickness ' inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) 3. EXTERIOR WALL Frame Type A. Cavity Insulation Material I }aPllOrtff) Thickness (inches) 0 :3')y" B . Exterior Foam Sheathing Material Thickness (inches) 4. RAISED FOR Material Thickness (inche U14" 5. SLAB FLOOR/PERIMETER Material Thickness (inches) Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) Declaration Brand Name a�iw x Mt Thermal Resistance (R -Value) R— l� Brand Name Thermal Resistance (R -Value) Brand Name, Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standardsfor residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Lj�n ry LOP�1� I I Item ignature, Uateing bubcontractor o.Name) "I General Contractor (Co. Name) OR Owner Item #s Signature, Date Item #sSignature, Date Revised July 1999 Installing Subcontractor(Co. ame General Contractor (Co. Name) OR Owner Installing Subcontractor(Co.Name) General Contractor (Co. Name) OR Owner l BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per- Building) School District Qkt —o Building Department'No. A.P. Number CUp`J - 50 • l 04 Jurisdiction: 0 City FX County Property Owner FAM >4� Property Location/Address 10-+57 Ea-t� >, ICY Subdivison Lot No. Residential Development' 0 ® Sq. Footage No. of Living MHI Addition Proup R Units3�a Commercial/Industrial 0 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative EX isf . Date (Floor Plans reviewed by School Dl�trict Personnel) District Identification No. fat School District certifies that (Applicant) Address) ity) s 7� -J Jd ne Number) has complied with the requirements of Resolution No. (p 9.796 by payment of $ rQpresenting 09099 square feet. '� ns 2926 $ VITT T XZT' Tl-A�YOW $ Date Paid by Check # }5z- Remarks:ew Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fuliv mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm ... .. w. .. C' i• .. 1. ., i.y. Y ... • ' • J. . .USO LRR AY1Y➢GY Smt to D / TO• . Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 0 7� �7 l- �, Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well �--� Clearance for . Other g 24rwa-e �1 0.c�c I inoow� 16Q° .�60 a-., J►���o r�r Hold final for: Final clearance O.K. for: NOTE: Environmental oth 'st _ Date . x , 8/92 } _ .:,N":rP'i:ei,�„`a. _:.b.?Swx"4•'`: �?'x;.y�';•"r.. t -,.g �. 4/ F � k r ♦ .:,N":rP'i:ei,�„`a. _:.b.?Swx"4•'`: �?'x;.y�';•"r.. t -,.g �. r•, F � k r ♦ i .:,N":rP'i:ei,�„`a. _:.b.?Swx"4•'`: �?'x;.y�';•"r.. t -,.g �. r•, F � k r ♦ n ti .:,N":rP'i:ei,�„`a. _:.b.?Swx"4•'`: �?'x;.y�';•"r.. t -,.g �. 1 w t� r ♦ n COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville�rCaliforriis'95965 -Telephone (916) 538-7541 PERMIT NO. IN I)l. - I'�S APPLIq LON A'ND PERMIT , ASSESSOR PARCEL NUMBERoOn IS0!�Y ZONING BUILDING PERMIT V OWNER E a N+` C /qR P Fri � T 3 4/1E 1 5 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS a t rlq tr6 Cell L 0, (A s 173 CONTRACTOR'S NAME JR ?,jqjd oc ,4 5 TELEPHONE coN4RgCTQR, MAILING ADDRES��r / /` o CA rc� 7'j `j! Fireplace - CONSTRRUCTITTIIONLEENDER UNI(NOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS V,7 i 0 _) I'� PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 ! Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump Water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF R" Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �G - -� Mobile Home S I GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT20:00 Filin Fee Main Service 2000AA OR LESS ( 20OR LESS ) �7 23.00 fi Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. J License Class & - / Lic. No.' .-. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SD. 3.52 Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (ourlEr OR FIXTURES ) BAL 0 I:50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS )RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43 Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (TDe above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.)�G 00 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those,, provisions. XF�"" �.I`G� [➢ — Date Signature of Applicant - ❑ Owner ontractor ❑ Agen An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is C R• vj CO T. PE �� .r- TOTAL FEE $ q3 HAZ. D. FEES IMP FLOOD GDF PARCEL PD HD ISSUK This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B y '�`"" ` �/ l PERMITEXPIRESON /- I applicable provisions Resolutions to do work been paid. Date — -7 �l 1 ,</ I / ' ReceiptNo. Z IDi. L -f± / 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) 538-7541 PERMI NO. APPLICATIONAND PERMIT 74- ASSESSOR PARCEL NUMBER 0V� �Sb IOy V J 7 ZONINGC 67 BUILDINGPERMIT OWNER E A r4 1 T 3 (fZE ,! SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ?RAS ,_^ / �� CHi / g I W923 'a/ (- 5 /�''I,T CONTRALTO 'S NAME D �e L!� �,;e�s TELEPHONE l CONTpgCTN);' 1NG AD RES, � � �.�� O 1- YY // 5-7- %3 Of Fre lace p CONSTRUCTION LENDER UNXNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS a� s��t PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 l.l��C © Each Trap 7.00 LOT NO.SUBDN1310N'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF K Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ,se p—at e— 6 _ 9�' Mobile Home IS I GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 L• .J Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 9 full force and effect. .L-�/ License Class Lic. Nor / -3� OWNER -BUILDER ECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the .project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( &'ACC. BUDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 us (s SINGLE OUTLErWERT CIR. ) Ex. Occup. (OUTLET OR FDCTURES ) BAL 0 I.50 EX. OCCU FIXED APPWS. OR p. ( OUTLETS (RESIO.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S 73 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (T above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall�A not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f ith comply with th provisions. X Date -7131 -- -- Signature o Applicant - ❑ Owner ontractor ❑ Age An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is g�c vj coN T. PE TOTAL FEE $ �3 HAZ. I D. FEES IMP FLOOD COF PARCEL PD HD ISSU 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. '� 3 j/J4 By _Date PERMITEXPIRESON t (Date) Receipt No. L0 LL 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT