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HomeMy WebLinkAbout007-240-0717-24-71 CHARLES CLEMENS co 544 Eaton .Rd, Chico �! a Permit#3120-87P(gas piping/SF) 7-24-71 2081-90E CLEMENS, Charles 544 Eaton Rd, Chico Contr: Chico Electric 0 (elec sery/sf ) 7-24-71 92-1891P CLEMENS, Charles Patsy 544 Eaton Rd, Chico repair shower/sf 007-24-0-071 93-1153 B CLEMENS,CHARLES & SY 544 EATON RD, C CO CONTR: K -DE NERS VINYL SI G/SF y L.7 � � �, ��»m.s. �1i 1� ; �. -•v. - .�-�+:st,*ngrrs+v'", .s.. . :r-'"t woR'ct.r � :•t,..°rsve.a.a+-r ..ycr�,.ti".'rc-.._. _, - __. _ 007-24-0-071 93-1153 B x CLEMENS,CHARLES & PATSY `� 544 EATON RD, CHICO CONTR: K-DESIGNERS VINYL SIDING/SF 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Courity Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT '. . ,Y `v'- . .. `a-.. PERMI NO. 9 — ASSESSOR PARCEL NUMBER ZONING 5I ` 7 BUILDING PERMIT OWNER , SONRLES S PATSY CLEMENS TELEPHONE 345-0364 SO. FT. DCC. BUILDING VALUATIO �,� e! • OWNER'S MAILING ADDRESS - 544 EATON ROAD CHICO CA. CONTRACTOR'S NAME —DESIGNERS TELEPHONE 631-9300 CONTRACTOR'S MAILING ADDRESS P 0 BOX 276977 SACRAMENTO CA. 95827 Fireplace CONSTRUCTION LENDER - ]UNKNOWN CASH Total Valuation $ 10,955.38 ,yl,, Filing Fee $ 15.00 XfiS:d LENDER'S MAILING ADDRESS Permit Fee $ 105.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 544 EATON ROAD CHICO, CA. CH Penult fee $ 120.00 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 STRUCTUREGas •'� r;._ SF +'� Duplex❑ Mobilehome❑ Other' SPECIFY - piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK Xr, New Addition❑ Remodel[-]Utilities[]Installation❑ OthePermit Describe work: VINYL SIDING TO EXTERIOR OF NOME 'Contractor Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR0OV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I dec LMre under penalty of perjury (check one): �u{}Ny 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. 490"06 Classification C-61 w F1 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.EI OR ADDNS. ( ACC. BLDGS. , /2¢Sgn NEW CONSTR. U TI -OUTLET NON•RES,D BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. EX. Occup OUTLETS OR FIXTURES .20L0s30 FIXED LNS. Ex. Occup. OUTLETS APP (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g i 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 thi.s�,appiWatiort�aadl plate tijhe,4bove information is correct. I agree to compl*, to all County Ordinances and State Laws relating to building construction, anThereby authorize representatives of the Countyot Butte to enter uponithe above-mentioned property for insyRection purposes. I also agree to save, indeir§iTyc�ndep I?9rt�'e"� lJbunty of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cons ce of the ti f this permit. _ M��(�J�l siJ X ate Signature of Applicant — Owner ❑ Contractor ❑ Agenf ' 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 $ , TOTAL PERMIT FEE l," `I -$ 120.00 OCCuP. CONST.TtPC r ' SCHOOL - FIA 00 :., PARCEL PD ND 590 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 aid. f . p / DIRECT • R OF PUBLIC WORKS (/ &��4 By��� 0aC�l.� Date i� -��.� y PERMIT EXPIRES vDate Receipt No. � p1yT l WHITE-D.P.W.. YELLOW -ASSESSOR. 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 PERMl,T 110. i ASSESSOR PARCEL NUMBERO _4S> ✓ ZGN7 BUILDING PERMIT OWNER CHARLES 8 PATSY CLEMENS TEL PHONE/� 345-9364 SQ.FT. occ. BUILDING VALUATI OWNER'S MAILING ADDRESS 544 EATON ROAD CHICO CA. CONTRACTOR'S NAME -D GNERS TELEPHONE 631-9300 CONTRACTOR'S MAILING ADDRESS P.O.BOX 276977 SACRAMENTO CA. 95827 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 10 955.3 Filing Fee $ 15.00 XMM LENDER'S MAILING ADDRESS Permit Fee $ 105.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 544 BATON ROAD CHICO, CA. Permit fee $ 120.00 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 SF9 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 NewAddition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: VINYL SIDING TO EXTERIOR OF HOME Permit Fee $ Contractor ELECTRICAL PERMIT FilingFeel 10.00 00V OR E S Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I dee under penalty of perjury (check one): Ce Ajs�rr XI 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. 49880G Classification C-61 ❑ 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) ❑ 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. BLDGS. /20sgft NEw CONSTR U TI -OUTLET NN.RESID BRA CH CIRC ITS 2.50 ea POWER APPARATUS e\ (SINGLE OUTLET CIR. / / Ex. OCCUp\OUTLETS OR FIXTURES 200601 e ALO 30 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. QI 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee : Contractor I certify that 1 have read this application and state that the above information is correct. 1 agree t comply to all County Ordinances and State Laws relating to building constru ion, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also aggree to sav ,indemnify and keep harmless the County of Butte against all liabiliti, s, jud ments, costs, and expenses which may in any way accrue against,sai Count in Consequence of the granting of this permit. X / Date Sign ure of Applicant — Owner El Contractor ❑ Agen An SHA 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 $ TOTAL PERMIT FEE $ 120.00 OCCUP. CON 9T.TYPE SCHOOL FLOOD PARCEL PD No 3311 This permit is hereby issued under sions of the Butte County Code and/or work in ated above for which 44DIR;EVT;OFPLI B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 'I 5Q 002 i�p WHIT!-D.P.W., YELLOW-A3DE330R. PINK -INSPECTOR. GOLDENROD-AP►LI CANT .�Y_t'►'�',-��t7""""rkY µjc�rt'�'o�%j.���..rkay,..�:,..:; ..,:M''S;F� T-e9� i''�s��. i k . r _ �; �24-71 92-1891P CLEMENS, Charles &Patsy 544 Eaton Rd, Chico repair shower/sf / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95985 - Telephone: 918!538.7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR I-. U •807-240-071 - ZONING A SR - BUILDING PERMIT OWNER CHARIM W & PATSY L CIRMS TELEPHONE 345-9364 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 544 EATON ROAD CHI00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 544 EATON ROAD CHI00 Permit fee $ PLUMBING'PERMIT Filing Fee 15.00 Each Trap ' 5.00 5.00 Solar or heat pomp water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water pipirig 7.00 7.00' Each qas water heater or vent 7.00 USE OF STRUCTURE SF[A Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Ell Other ❑ Describe work: REPAIR SHOWER Permit Fee $ 39.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20R LESS 0AORLESS 18.50 Main service 200A TO 1000AI 37.50 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 Q' 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) El 1, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) 3.6Q sq.f[. OR ADONS. ( ACC. BLDGS. / NEW CONSTRMULTI-OUTLET @ 5 00 NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 75 FIXED APLNSA Ex. Occup. OUTLETS PIRESID )REA.� I 3.00 Temporary service 15.00 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. 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 FiIingFee 15.00 Heating Cooling g 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 Countyol 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 Si nature of Applicant — Owner g pp � 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE39.00 HAz 1 DFEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions t0 do work indicated above for which fees have been paid. DIREST R PUBLIC WORKS By '� Date j -tI - S 7 - PERMIT EXPIRES Date V 6262 Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538.7541 APPLICNTIDNAND PERMIT PERMIT N0. ,A[F ASSESSOR PARCEL NUMBER •007-240-071 ZONING A SR BUILDING PERMIT OWNER CHARLES W & PATSY L CLEMENS TELEPHONE 345-9364 SO. FT. OCC, BUILDING VA ATION OWNER'S MAILING ADDRESS 544 EATON ROAD CHICO CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 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 $ BUILDING ADDRESS 544 EATON ROAD CHICO Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF[3 Duplex[] Mobilehome❑ Other Mobile Home S I G I WH @ 15.00 • SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Permit Fee $ 39.00 J Describe work: RFPATR SAnWFR Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LES0V OR S 18.50 Main service 200A TO 1o0OA) 37.50 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 �I, as the owner, or my employees with wages as their sole compen- NEW CONST.( DWELLING OCCUP.&\ OR ADONS. ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS POWER APPAATUS R 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES Ex. Occup. OUTLETS P(RESID )REA.) 3.64 sq.ft. @ 5 00 AO 76 I 3.00 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) Temporary service Mobile Home Facilities Misc. Wiring 9 1 15.00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate � 9�f Consent to Self -Insure. / shall not employ any person in any manner so as to become subject ' Cooling 9 Hood 6.50 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. 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. 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 s id County in con se ue ce of the granting of this/permit. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 3g.00 I I HAz ID FEES I IMP FLOOD COF I PARCEL PD HD ISSUE X Date �o �� ' 9�/ This permit is hereby issued under the applicable provi Signature of A licanr - oWner �/ L'r Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. work indicated above for which fees have been paid. D CT R PUBLIC WORKS Receipt No. 116262 WN I T E-0. P. W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ER EXPIRES Date LB Date, 'yf }7.i `-:Y'�_#�'�RyC Y�'.'i .,s�:C���T"�'-��f�^1T+.1�r: sc '7•i4,��-k'.� 717�3�'�.ilY t ljJ r' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL,P,,1%CAL1FORNIA 95965 - TELEPHONE (916) 538-7541! 1�P`ERMIT APPLICATION DATA SHEET OWNER Yl 112 E /" 7 c, 51t/ 1 No. ��7 Proposed Building Use ilding Inspector Date Z - At time of permit a plication, 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). .. ... ... . Pre -Inspection request 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. l When you issue the permit, process as follows: r✓ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation' 3 Acreage Applicant ate 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: 1 1 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by 1 Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Plans checked by -Date Plans approved by I 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 - Orovllle, California 95965 - Telephone: 916538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR P((,/,,�//1]JA iC NU B R — r- ONIN BUILDING PERMIT ov, ('ER e t 5 S TELE HONE S - SO. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS S CO I S TELEPHONE CONTR CTOR'S MA NG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 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 $ BUILDING OD ss �' / �j G� Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 r 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 SFXDuplex❑ Mobilehome❑ Other '�\ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel zies ❑ In,sta�llat�ion�❑ Othe� work: I_ �JT// _,, Permit FeeDescribe Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 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) ElI, 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.( ACC. SLOGS. DWELLING OCCUP.N) 3.64 sq.ft. NEW CONSTR. ULTI.OUT LETITS BRANCH CIRC ^ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @0 764 Ex. OCCUp. OUTLETS PRESID )FIXED APLNS.REAJ I 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. R1,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 FiIingFee 15.00 Heating Cooling g 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. 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 again aid County in ns quence of the granting of this permit. X Date l ' — — 9,�J Signature o!/ — 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 $ HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITC-D.P.W., 7ELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - E4akartment of Public Works 7 County Center Deive, Oroville, CA 95965 Phone: 916-533-7541 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) 47 2.. I (have/have not) 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 Numbe - Date 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 mustbe completed and returned to our office before we are per- mitted to issue the permit. ,r r Nr j,r. � fir. '; n��Yt`r.-�,.'w•),�ry�,J„�!{t•., llYr .Sr y r... -1 • .-r,...L..�J-. .., . i' .... , `1+. t°'�. )Jqy-..M ��.�..., . y,. .s &-24-71 #- :•'t'ti*I}��. �.�"'_. •✓'. ' < .Y--•..• C.,+ r" _ 2081-90E CLEMENS, Charles 544 Eaton Rd, Chico Contr: Chico Electric (elec sery/sf) .c _ ad'FA i+-':•, ...:},i.',in`A+�'x"M: .. '''.. .e.,;d?-1t. ,,',.•�^," ti,. _,,:'+es' *4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 .Zp / 'Ar, APPLICATION AND PERMIT A SESSOR PARCEL NUMBER 7-24-71 ZONING BUILDING PERMIT OWNER Charles Clemens TELE HONE 345-2928 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 544 Eaton Rd Qftco 95926 CONTRACTOR'S NAME Chico Electric TELEPHONE 801-19-31-1 CONTRACTOR'S MAILING ADDRESS 36 West Eaton Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 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 $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 rT!irnEach 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 ❑ Duplex❑ Mobilehome❑ Other Shoda %ommerclalL_ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWT 10.00e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ l,tnstallationC Other❑ Describe work: Service Change 100 A s0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 1 10.00 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 ❑ 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) ❑ 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 GSCCUP.&� oR CONSTWELL IN / ADDNS 2y2¢sgft NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea /POWER APPARATUS o- (SINGLE OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( 20 @ 50e eAL@30 FIXED APLNS Ex. OCCup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g X 15.00 15.00 Pre -Inspection X 15 15.00 Permit Fee $ 50.Q0 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 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. 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 r again .t said County in consequence of the granting of this permit. ' X Date �' ��" i Si ata re of Applicant - Owner � ✓ pp ❑ Contractor ,® Agent ❑ An HA 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 I CUA I PARK I SCHL I FLD _J PAR PD Ho Issue This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees ') Dl ECT R OF PUBLIC l By PERMIT EXPIRE D e the applicable provi- resolutions to do have been aid. p WORKS Date G Receipt No. X084 'WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 —1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroip;!er California 95965 - Telephone: 916/538-7541 • APPLICATION AND PERMIT PERMIT NO. AS ESSOR PARCEL NUMBER 7-24-7 ZONING BUILDING PERMIT OWNER Charles Clemens TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 544 Eaton Rd., CHico 95926 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 36 West Eaton Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 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 $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 946 FAtnn 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❑ Duplex❑ Mobilehome❑ Other hopSComm tial PECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W L10.00 ed TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Service Change 100 A 30 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100VAMP OROR LESS1 10.00 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 ❑ 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) ❑ 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 GOCCUP.&) OR ADDNST ( DWELLING S.l 2+/22sgft NEW CONSTR.ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS .&) (SINGLOUTLET CIRC ) E Ex. Occup(OUTLETS OR FIXTURES 20080¢ ,ALO 30 FIXED PR Ex. Occup. OUTLETS IRESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g X 15.00 15.00 Pre -Inspection I X 15.Ob 15.00 Permit Fee $ 50.00 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 FiIingFee 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 again said County in o eque ce of the granting of this permit. X Date �Z _ rJ Si at re of Applicant — Owner ❑ Contractor Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct -CT ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAZ I CUA I PARK I scHL FLD I PAR I Po rD ISSUE This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees OF P BLIC BY (/T PE IT EXPIRES D e the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 66084 WN+TE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 1 7 COUNTY CENTER DRIVE - 17 `VLLLjR CALIFORNIA 95965 -TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET Permit No. l A j/1 / r— Proposed Building Use No. Iding Inspector V:,Date 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: —V,l DATE RECEIVED APPROVED 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. 20. 21. Driveway permit (construction approval required prior to occupancy) Pre -Inspection forte`-- required Pre-inspec. request to Building Inspector Contractor's license information (No., Name Style, Classifications ... (Date) 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: Mail to w er. Telephone d/93� and hold for pickup at =ffice. Mail to contractor. Deliver w/inspector. Other Applicant Date o'ez' i) Copy of Haz-Mat form sent Health Dept.yFire 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---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW CJ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovLlle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS ' 55 R PA CE NUMBER - 1� --�7 ZONING BUILDING PERMIT OWNER �cccs C�Eu TELEPHONE S�Z Z SO. FT. OCC. BUILDING VALUATION OWNERALING NAD1DRESS '5M CONTRACTOR'S NAME cD C (,6 -0g -RA TELEPHONE CONTRACTOR'S MAILING ADDRESS 3(0 W 6S E6 0 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 $ BUILDING ADDRESS i.59-4 ck-vajo 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 ❑ Duplex❑ Mobilehome❑ Other 5 CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 1 110.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ,SER-,JIGc C 4'- J�A _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 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 Profession Code and my license is in full force and effect. License No. Classification �,—i(J El 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.a OR ACDNS. ( ACC. , h¢sgft I-OLITBLDG NEW RES'D,CONSTRANCH CRC" NO N•R ESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS 6� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200500 eAL030 FIXED APLNS EX. OCCup. OUTLETS PIRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 , d Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 The permit is for $100.00 (valuation) or less. lq I have placed on file with the County of Butte Building Department uq 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 t MECHANICAL PERMIT Ing 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. 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 agains aid County in conseq nee of the granting of this permit. X �--Z2- Sign a of Applicant — Owner ❑ Contractor ® Agent ❑ An HA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in- Mobile Home Installation Fee $ Energy Inspection Fee $ ccc CONST TYPE TOTAL FEE $ HAZ CLIAP ARK SCHL FLD I PAR PD HD ISSUE his permit is hereby issued under sions 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 height. Receipt No. 66 0 k4 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT K., PRE -INSPECTION OWNER: 1�19/� L�� .� /y` 0 LOCATION:- CONTRACTOR: OCATION•CONTRACTOR: -------------------------------------------------------- PRE -INSPECTION FOR: 6;,(,)A,,) S H o f PERMIT HISTORY: [DNONE El AS FOLLOWS: DATE 6 S A. P. # 7 -2--V-7 l 3 ZONING G j DATE TO INSPECTOR CQ - ZCo - QG TYPE OF OCCUPANCY C7 t&t 1 51-F6 P -------------------------------------------------------------------------------------- FIELD - INFORMATION BUILDING USAGE: NJ f T"M m W\ (r r- T o G was TENNANT : (.« i� (_c (L C L Cl- /V_\ M O K-5 OCCUPIED HAS ELECTRIC [3� HAS GAS E] HAS SANITATION FACILITIES N6 HEATED -COOLED E&I PERSON CONTACTED 0+Jk fL (,lUs Cc E ry\p► \ t tJ S OTHER COMMENTS: rUd b o"b S TO UC-� I& L, I L it rnlGP fR QX , t 7 SO SC1. E T, WrrN 150 17-) 04g, W RECOMMENDE ISSUE OLD FOR (',lkArs(�f af, 6 cr-KP)�,cI OTHER: S\ga_(E ;�-Am rt,y %w6cL rNG t,ocprrgL On( Fteo-IT flV r- of 'FA RCu, .q(. pr. qyy ity`•'Iyi7R+'°.`}i5 rv+^.r+ -� _ �ay� ,.ca i. 'Rh; i; r`1R^-.��.ysN ij �y..;sc a„x,.�F,� "`gip"` .'"t�i',.wft 't.f4 ' r OFFICE COPY �J�� Address% 1 GAS Meter By DateZ Z 9 - ELECTRIC Meter By Date I n w. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 , `1 APPLICATION ANU PERMIT 1. ASSESSOR-„p=RCEL NUMBER vU / ,� x!_07 ZO 'I NG ej/ BUILDING PERMIT OWNER - TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS- r!j_J` CONTRACTOR'S NAME ,TELEPHONE CONTRACTOR'S MAILING ADDRESS ” Fireplace CONSTRUCTION LENDER { ` UNKNOWN Total Valuation Is Filing Fee $ 10,00 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 BUILDING ADDRESS ) 4 r J` Permit fee !$ $ PLUMBING PERMIT Fi ling 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 © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G W 10.00ea TYPE OF WORK New ❑ Addition❑ Remodel/❑ Utilities ❑ Installation[]Other ❑ Describe work: / �I'L� 7ELECTRICAL Permit Fee r $ --- Contractor PERMIT Filing Fee 10.00 Main service GOOV OR LESS t00 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 �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) ❑ 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 0CCP.S , A 2/22sgft New CONSTR.U MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SAL@30 Ex. Occup. OUTLETS FIXED P(RE SID)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. Ej 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. ©if 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 Filing 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 - = ' Date .work 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 height. Mobile Home Installation Fee $ Energy Inspection Fee $ - 1 TOTAL PERMIT FEE $ ,;, 2, Occu P. CONST,TYPEJ FLOOD PARCEL PD HD 39UE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR,OF PUBLIC 7 g 1 �S %� l�.:fJ� y " / r;/. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date "// %,/• •A •' r. L 5 r j Receipt No. � � � � WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE LrlM fiw 7U -v OWNER PERMIT NO. A routine Inspection Indicates that the following violations of County Ordlnance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional- explanation, please contact this office immediately. rl) /;'�'s A4161"Fli A) L) /--V i X --v S AO) f/v�-v,o 9D P/V / L4-7 a CL T.dCI'L %✓//�%/plc " ! O A/UL/ 0 LI Inspector "" Date —/�—� j COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER 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 any question pertaining to this matter, or need additional explanation, please contact this office immediately. r' ti � A n Inspector. Date � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �ERMIT NO. A SS FSSQ R�^RCEL NUMBER (//)(gJ•/ 1 'v,) TSIT BUILDING PERMIT OWNE.. T LEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER AILING AD RESS r CONTRACTO '5NAME TELEPHONE CONTRACTOR'S MWILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 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 $ 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 SF 51 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S — Building sewer 5.00 Mobile Home TS77G I W 0.00ea TYPE OF WORK New ❑ Addition Remodel Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee %f, $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV 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): ❑ 1 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 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 oa ADDNST DWELLIN GOCCUP.&) S. '/zQsgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES t 120 0 200030 SAL9 3 Ex. Occup. OUTLETS FIXED P(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. �f'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 Filing 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 Countyot 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 liabi s, judgments, costs, and expenses which may in any way accrue :gains s ounty in cons u ce of the granting of this permit. X Date Sig"of A plicant – Owner ElContractor❑ 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 $ TOTAL PERMIT FEE $j . occUP. CONST.T7 I I FLOOD PARCEL jPD I ND 139UE This permit is hereby issued under sions of the Butte County. Code and/or work indicated ab for which fees D OR F PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS 61MY -7 Data / Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Del)artment 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) Lsigned 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 6?_ /I-) _ P117 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.