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HomeMy WebLinkAbout007-250-018. . . 5 - 007 - z 5o - 018 , �- G�I DAVERNn/s _ r Eaton Rd, app. 2501 east of Burnap, Chico ENVIRONMENTAL HEALTH CLEARANCE 0 Chi CONTR: Smith Const., Paradise DATE 3 (3 (Z S � Permit 164.5-73B, P °° (fire damage repair") ' Permit 1748-78B,P,E (new private garage & game room) ° 1 _ Contr: R & A Bldgs. Par '' lI _Q Permit#4926-79B(lst: renews Permit # 2549-82B(234 3 4 r ( new/1748-,:78) �---- "! Permit#2635-82B(install wood stove)SF Permit #2827-83B (Wth renewa1/1748-78) Permit #1219 1 wal 748 78)-84B (6th renei - 010 - -t - _ 007-250-018 02-1924 DAVERN, LOIS 1030 EATON RD., CHICO CONT: JAMES WATTS REPLACE WATER HEATER 1 i . . . 5 - 007 - z 5o - 018 , �- G�I DAVERNn/s _ r Eaton Rd, app. 2501 east of Burnap, Chico ENVIRONMENTAL HEALTH CLEARANCE 0 Chi CONTR: Smith Const., Paradise DATE 3 (3 (Z S � Permit 164.5-73B, P °° (fire damage repair") ' Permit 1748-78B,P,E (new private garage & game room) ° 1 _ Contr: R & A Bldgs. Par '' lI _Q Permit#4926-79B(lst: renews Permit # 2549-82B(234 3 4 r ( new/1748-,:78) �---- "! Permit#2635-82B(install wood stove)SF Permit #2827-83B (Wth renewa1/1748-78) Permit #1219 1 wal 748 78)-84B (6th renei - 010 - -t - _ 007-250-018 02-1924 DAVERN, LOIS 1030 EATON RD., CHICO CONT: JAMES WATTS REPLACE WATER HEATER PERMIiT NO. v, •�" PERMIT EXPIRES Tz OWNER Gerald,.,Davern jCONTR.' R & A Builders, Paradise LOCATION (A.P. 44-45-18 N/S Eaton Rd., 4 mi.E.of Cohasset Rd., @ Burrep, Chico. I Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) 2827-83 Gerald Daverri . Permit #1219-84B COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ,` } $ ARCHITECT OR ENGINEER I LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ` BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other X11 ' ° _ SPECIFY Building sewer 5.00 Mobile Home IS I GJWJ 1 110.00 e TYPE OF WORK New❑ Add ition❑ Remodel❑ Utilities❑ Installation[--] Other El Describe work: + I 14 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 - '-� -- - Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACG. BLDGS. 2th¢SQ ft 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 CONSTR ULT' -OUTLET 2.50 ea NON -RE ID, BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &') NON.RESID. ( SINGLE OUTLET CIR. Ex. Occu BAL030 DAL@30 p�OFtIXED APPLNSxORRES Ex. DCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 , 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. 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 against said County in consequence of the granting of this permit. ti., k ,} I • + X t , '. 1 ' t t ' , , A Date t -' ` 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 $ TOTAL PERMIT FEE $ .— OCCUP. GROUP I TYPE OF CONST, PARCEL PD I ND I 1S5UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By i ✓.-'/� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - Receipt No. ! 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 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UOWN NKN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS _ ,- PLUMBING PERMITg Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other ` ' ' . SPECIFY Building sewer 5.00 Mobile Home TS G W 110-00el TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: _- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR LESS 100 AMP OR LESS 1 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21h¢sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON.R 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 CONSTR.ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTFL I POWER APPARATUS &' ESID. SINGLE OUTLET CIR. 20e50e Ex. Occup(OR FIXTURES RAL®ao P\o XED A FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ T •. TOTAL PERMIT FEE -- OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD IssOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which "DIRECTOR OF PUBLIC -/ I •/ , l By ,- 3 it PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. `N — r� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovil le, California 95965 - Telephone 916/534-4541 " '�":; q I I - 2— APPLICATION AND PERMIT ASSESSOR PARCEL /NUMBER (7 �' % / ♦" ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION - ' I j OWNER.5 MAILING ADDRESS -, C44, z i f N S ~ D >r �J' J (_ �i C^ (J /!dam ! i Tsir/EGcr6 /.i CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER .-I'�'U r UNKNOWN Total Valuation $ Filing Fee $ 10.00 9 LENDER'S MAILING ADDRESS Permit Fee $ / 9/4/ f., (, ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS , �u�lAJ4 •� Z, A/- Filin Fee 10.00 PLUMBING PERMIT9 r Each Trap 2.00 Repair drainage or vent piping 5.00 _ Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE &_7,00URE SF [:1 Duplex❑ Mobilehome❑ Other /.�%/'/� �� ��,�� � SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel Q Utilities ❑ Installation ❑ Other ❑ Describe work: -9 ;,& >� 4/ n f 1r., /+ir / n x f� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.y) 2� sq ft OR ADDNS. \ ACC. BLDGS. 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) ❑ 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 CONSTR. I -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS NEW CONSTR. / POWER APPARATUS 6\ NON-RESID. (SINGLE OUTLET CIR. J EX. OCCu 50@25¢ p.�.OUTLETS OR FIXTURES BAL@1 00 FIXED APPLNS. OR Ex. Occup.(DUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Q 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. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �r �,,� X 'j"� '" -' �� "'' Date r •1 �� /� •' Signature of Applicant Owner ❑ Contractor ❑ Agent ❑ ' — An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT. FEE $ J OCCOP. GROUP I TYPE OF CONST. PARCEL PD ND SSUE 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 By! • �� Xz&/ Datee .ZS —rPL �- PERMIT EXPIRES Date _ .? 77-1 .Y 2 over Receipt No. `% _- ,% WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentionedpropertyfor inspection purposes. X `t-:—!. _ Ji / �r2�a I Date l Signature of Permitee or Agent ✓ Receipt No. 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 By,:. , /L� - Date 01 Building permit expires Date - BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee , PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I I Plans Approval Lawn sprinkler system 2.00 __E2!,ceI_AaprovoI NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ jr. ELECTRICAL No. @ FEE t PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLOGSCCUP. Y� 20sgft 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: —. NEW CONSTR. MULTI-OUTL T NON -REBID ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS p NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES 50@25a 101 FIXED APPLNS Ex. Occup. (OUTLETS ((RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification 141_ Misc. Wiring 6.25 �`❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE - 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. i] .oI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentionedpropertyfor inspection purposes. X `t-:—!. _ Ji / �r2�a I Date l Signature of Permitee or Agent ✓ Receipt No. 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 By,:. , /L� - Date 01 Building permit expires Date - COUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ' BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee / PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning` _ Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ _ . ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soov OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONST.OR ADDNS. 1 ACCDWELBLDGS,LING CCUP. '1) 2¢sgft 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: NEW CONSTR MULTI -OUTLET NON.RESID.ONST � BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTI1PES1 a �� FIXED APPLNS. OR Ex. OCCup.(OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ . $ 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. ❑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 J 2.00 Permit Fee $ $ 1 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 Land Development Fee $ It TOTAL PERMIT FEE au a IV[14a IcIJl caenlalAvca UI UIC %,UuniY UI Dutic LU erller UPUII me above-mentioned property for inspection purposes. R Signature of Permitee or Agent Receipt No. Date 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 By White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date Date 0 a Gerald Davern Rt. #5 Box 600 D Chico, CA 95926 Dear Mr. Davern: Fo ,, 19119`4y ­qq� O F NATURAL WEALTH A N D DEPARTMENT OF PUBLIC WORKS B E A U T Y 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (.II) CHEFF . Krector March 13, 1985 RE: Building Permit No. 1748-78 Expires4/27/85 (A.P. No. 44-45-18 ) With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the Chico office. For your convenience, we are enclosing a renewal application form and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. t Thank you for your prompt attention concerning this matter. JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Chico Yours very truly, William Cheff Director, of Public Works .F, Glander Chief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57 ir COUNTY OF BUTTE — DEPArvfMENT OF PUBLIC WORKS ; l _�- BUILDING INSPECTION RECORD l I . BUILDING BUI_DING (Cont'd) PLUMBING Setback -- Firewall Soil Piping Forms — Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows / 3rd Floor Stemwall Sldin _l f Slab —^— To out /S Roof Sheathing ( Water Piping Piers �-1 = Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Prov. for physically ; Appliances. I Carport handica e Conformance of ex. Gas Piping & Test i Footings structure Temp. Gas F Slab Final Sanitation Patio FIREP E Final ,l Footin S Footing ELECTRIC Masonry Walls Throat Rough Reinf. Steel Final Z- Fixtures l 4&"> Bond Beam FIRE SPRINA S Motors Framing Test Water Htr. Stucco Final Subpanels — l Mesh M CHANICAL Grd. Fault Prot. -_l Scratch Heatin Service Brown oli Temp. Pole Finish Ducts Underground ,zy fl Interior Lath Ventilation Permanent Door Closer i Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Of 4,00,_0 ;;Oz V 7 � i� (NOTE: An entry must be made on this form each time you visit the job site.) A- COUNTY OF BUTTE DEPARTMENT OF PUBLIC Woms 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECl TIO NOTICE ' 4 J q�.tj� BUILDING OR PROPERTY ADDRESS 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, need additional explanation, please contact this office immediately. ,I#/( ', 0 9 V, /) 7YU/J—/ )WYZ,(A -) 0/L J -- a// o/c, Inspector t��Jt t t� \�7 �✓ �'l! Date .:....�-:a..,..,.e+�T��-w�� .�:..-.ti ..�t'c„�f�Y�7e£� :•<s:xw:his.'7•�-a�arasr�.s.�s-v-;,+�,i.y�'y.s.s,.m+r,�,T"e�Gi1'� f+ s i X�'+�vi+s:tiksT ✓-per Nt"L 007-250-018 02-1924 DAVERN, LOIS 1030 EATON RD., CHICO CONT: JAMES WATTS REPLACE WATER HEATER iNALED U. A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 07 /PE124. (Rev. 12/96) APPLICATION AND PERMIT (C4 ��' ASSESSOR PARCEL NUMBER (mac/ � I)L f J_ ZONING BUILDING PERMIT OWNER i I`M/ / / TELEPHONE YON- �3 q SO. FT. OCC. BUILDING VALUATION OWNERS KfAIUNG AJ3DR S ! CONTRACTOR'S NAME 0AAA (__J(T, TELEPHO =E 0 CONTRACTORS M41UNG ADDRESSIrtYz 41V / Ila CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 0,7 70 /! G Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑Utilities ❑I -In'stAallaytio-n �❑./JOther ❑// Describe Work: /� �/(.Nf,/7 / /�C"'" Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ -7 ,<%U ELECTRICAL PERMIT Fling Fee 20.00 OOOVOR LESS Main Service 20 0A OR LESS 23.00 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. License Class C - .. C,- Lic. No. A.; C -)v Z 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, army 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 - / - F✓. i- Policy Number frrl yam, - > ti (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. 4 / / X ,3-, __� � Date f �� Signatureo ( Applicant - ❑ Owner O'Contractor ❑ Agent/ f An OSHA permit is required for excavati ns over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00So CCU000A NEW CONST. DWEWNG OCCUP. SO W:o OR ADONS. ( 8 ACC. BLD S. 3.50FT. T. NON-RESID. MULTI.OUTLET 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 @ I.50 so FIXEDLISIS Ex. Occup. oUTUETSA AEsID.GeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE (,,i This permit is hereby issued under the applicable provisions of the Butte my Code and/or R lutions to do work indicated abov for which fees have een paid. e ey ,s/1 Date) •� PERMIT EXPIRES ON (Da te Receipt No. 9 % i _,eV WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 0711 - (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /'�/J'�� �'�/j(/ ` 7VS ZONING BUILDINGPERMIT OWNER N � /' ,✓1V/ TELEP fi SO. FT. OCC. BUILDING VALUATION .'7 DS OWNERS ILING RBS 3 �T� x7�, CONTRACTOR'S NAMEti.�/' 99��JJJJ I &: bvl� TELE�PPHONE `� T — /' O " i CONTRACTORS MAILINGADDR 456 � '� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS0`36/ a G Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFuplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK /❑ Other ❑ New ❑ Addition ❑ nRemodel ❑ Utilities ❑'' ..Installation Describe Work: /� W , %(� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Ti20.00 PERMIT FEE $ LSU ELECTRICAL PERMIT Fling Fee 20.00 R UES 800V 0Main Service zoOAORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full �y force and effect. ,/-z f V _ License Class - V (O Lic. No. • ,/ O �� G 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. ❑ 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier .z7gT� Policy Number ocu /1iIro — 4F (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 Cal Porn' , and agree that if I should become subject to the ars' compensation pro sions of section 3700 of the Labor Code, I shall forth ith comp w h those rovisions. X Date /,�� ign r o Applica t - ❑ Owner oC�YC ntractor ❑ AAn OS A pe it is required for excavati ns over 5'0" deep and demolition or constructionof s ctures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. BLD S. 3.50Fr, CONST9 rNONN•RES D. LTOTIS @7.50 POWEPPARATUS aFIXTURESSINGLER A 0 rLET CIR. 20 ' .00 Ex- Occup. OUTLET OR FIXTURES BAL @ 00 Ex. Occup. Dfl'LETSRM DE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ r eW HAZ D FEES IMP FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte my Code and/or R iutions to do work indicated ov for 4feeseen paid. By ateReceiptNo. PERMIT EXPIRES ',7` I Date 3� 7 ,r/f% WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PAV t COUNTY OFBUTT-E — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - . Oroville, California 95965 Telephone: 534-4541 (� U APPLICATION AND PERMIT M authorize representatives of the County of Butte to enter upon the above -me 'oned property for inspection purposes. X 2ez=Z Date J gnature of Permitee or Agent Receipt No. 7� / Y6 White-D.P.W. - Y CA&v�-D - ink- �BDIdenrod-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 By ate B ilding permit expires Date BUILDING Owner yL 4 SQ. FT. OCC. BUILDING VALUATION to Mailing Address s 7 t? -- -3V519. v Telephone No. Q ciRr /n� Contractor /fir AUt Mailing Addres �e>6 Fireplace Total Valuation Q If.Q,AVCie' • hone No. le 1^3242 Permit Fee O0 Building Address Plan Checking Fee&/or Penalty SOL Permit Fee (piQtj ' f}T0� PLUMBING No. @ FEE f Jt ��?dn �Q! e �����,. !Y c ,PERMIT FILING FEE $3.00 Each Trao •3 1.50 Ar 19LIA)VI410. ! aLQ r/�� N�1 g0 Repair drainage or vent piping 1.50 A. P. No. .i41 -' Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 ' Fe�*-IC. S ' 'on Parking Parcel EQA Plans Declaration FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 � Bldg. "ns Rec'd Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ Is ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 4 f Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family • Duplex ❑ Mobil Home ❑ Others)Q Main service EA. ADO'L 100 AMP 2.50 f V �� Main service 1100EAMP OI 600VR LESS 25.00 Main service EA. ADD'L 100 1.00 �JA�MP `` PNEW OR ADD NSACCLBLDG �.( �Y 20Sgf tt 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 st le of: y NEW CONSTR.MULT ET 1 H CIRCUITS/ 2.50ea NON-RESID � BRANCH NEW CONSTR (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES 5 L� Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 License NoJC f4-" C Classification — Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for IN en'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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -me 'oned property for inspection purposes. X 2ez=Z Date J gnature of Permitee or Agent Receipt No. 7� / Y6 White-D.P.W. - Y CA&v�-D - ink- �BDIdenrod-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 By ate B ilding permit expires Date r s COUNTY OF BUTTE - DEPARTMENT OF` PUBLIC WORKS 7 County Center Drive - Oroville,'C6lifornia 95965 - Telephone 916/5344541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Z9N bkG -/\ BUILDING PERMIT OWNE (/ ,�) ^AILING TELEPHO E SQ. FT. OCC. BUILDING VALUATION' OWNER'S ADDRE E #J . CONTRA TORS NAME 12 / TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCT] ON LENDER UNKNOWN Total Valuation 1 $ rD. V Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ "b ARCHITECT OR ENGINEER d LICENSE NO. Plan Checking Fee .$ 7 Penalty $ ARCHIT CT OR ENGINEER'S MAILING ADDRES Permit fee $ ,y BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 L U Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCT,RE � SF ❑ Duplex❑ Mobilehome❑ Other h J60 4 SPE IF Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities E:1Instalj�l tion❑ 0th Describe work: f�jlil Z-11-2 iv1-1 'El&ll G V, _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 A y , Vf Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21hQSgft - CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSI El 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 CONSTR U TI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS &` NEW .CONISTR ((POWER APPARATUS . / NONRES DSINGLE OUTLET CIR 1 / a EX. OCCUp\OUTLETS OR FIXTURES BAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling /01001 Hood 3.00 Ventilation permit Fee $ Contractor 1 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 against said Count in 1 sequence of the granting of this per it. X � �, Date 3 Signature of Applicant — OwnelQ Contractor ❑ Agent F1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ J TOTAL PERMIT FEE $ 5 OCCUP. GROUP I TYPE OF CONST. F PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 1 /% b) 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: 534-4541 APPLICATION AND PERMIT uoUlUnce represenliauvcs U1 1nt3 LUunry UI tsulltl 1U VnLUF upon me above-mentioned property for inspection urposes. x - Date Z _ � Z S' re of Permitee or Agent Receipt No. a .���F 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 E TOR OF PUBLIC WORKS ^� BY Date) -3t— 6 Building p4t expires Date 9 —,9-7 0 BUILDING Owner G =hEEV7Q Al SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor ucvqS Mailing Address 0 t Fireplace Total Valuation E Tele hone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee aa AP. PLUMBING NoT @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. Jr Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 -Fees- 4-6- Sanitaiioq Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 al�..-.n_C14 Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ Ej - ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR L LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER e O 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLLING BLDGS.CCUP. 4\ 20sgft 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: -�4::!!%Temporary NEW CONSTR BRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CON STR POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD{OUTLETS OR FIXT11RES 5 L25 FIXED ALNS. Ex. Occup.(OUTLETSP(RESID)REA) 2.00 service 10.00 Mobile Home Facilities 15.00 License No,9/ �,(� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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. fhave 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 Land Development Fee $ TOTAL PERMIT FEE $ uoUlUnce represenliauvcs U1 1nt3 LUunry UI tsulltl 1U VnLUF upon me above-mentioned property for inspection urposes. x - Date Z _ � Z S' re of Permitee or Agent Receipt No. a .���F 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 E TOR OF PUBLIC WORKS ^� BY Date) -3t— 6 Building p4t expires Date 9 —,9-7 0 COUNTY OF BUTTE - DEPARTIM5-:NT OF PUBLIC WOR PERMIT 7 County Center Drive - Oroville, CaliV.11j,a 95965 - Telephone 916/ 4-4541 5(/9 -- J2_ APPLIC'AliA AND PERMIT ASSESSO PA CEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER' MAILING ADD SS x Zl DD . r- -o CO TRACTOR'S NAME TELEPHONE KNTRACTOR'S W.MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LEND R'S MAILING ADDRESS Permit Fee / $ p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee _ $ Bul `A�DRESS Get/ �T PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCT RE SF ❑ Duplex❑ Mobilehome❑ Other �• £ SPE FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition [:1 /Remodel d Utilitiesf] Installation El Other ❑ Describe work:?- Of _S Ag%fBtJGl n_7 �ZS/ z D O Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 5.00 Main service EA- ADD'L 100 AMP 2.50 NEW CONSOR ADDNST ACCLBLDGS.LING CCUP,�\ / 20 sgft 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 ® 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 CONSTR I.OUTLET NON.R F_SID BRANCH CIRC ITS 2,50 ea NEW CONSTR. I POWER APPARATUS b\ NO ESID. SINGLE OUTLET CIR, 1 ESLD. %SING _ Ex. O OR FIXTURES 50 @ 250 BAL@100 FIXED APPLNS, OR Ex. Occup.(p UTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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. 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. //� /( Date /is S' /9 X lDYL ^ '`�� J 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 $ TOTAL PERMIT FEE $ S' OCCUP. GROUP I TYPE OF CONST, PARCEL PD I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D ECTOR OF PUBLIC BY s, PERMIT the applicable provi- resolutions to do fees have been paid. WORKS DaJte��'' ZS '8� Receipt No. 7fS7d 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 916/534-4541 APPLICATION AND`f'ERMIT PERMLT NO. ASSTO PA CEL NUMBER —5�8 ZONING BUILDING PERMIT OWNER4 Gerald Davern EE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Rt. 5, Box 660—D, Chico 5th Renewal CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Feet original Fee $ g, ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �$,Up 1_541- 00 BUILD NG ADDRESS N%Side Eaton Road at Burnap Avenue PLUMBING PERMIT Filing Fee 10.00 Chico Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomet OtherPri. Gar. & Game Room SPECIFY Building sewer 5.00 Mobile Home I S I G JW I H!! TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other® Describe work: 5th Renewal of Permit #1748-78 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 220sgff CONTRACTORS LICENSE LAW I declare under pen ty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20®50( and Professions Code and m license is in full force and effect. Y 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 CONSTR ULTI.OUTLET 2.50 ea NO N•RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &') NON.RESID. (SINGLE OUTLET CIR, X Ex. Occup(o Ts OR FIXTURES eALe 300 FIXEEDD APP LNS, OR Ex. OUTLETS (RESID.) EA.1 2.00 -Occup. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 JF -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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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 against s Id Count in cons ence of the granting of this/permit. / p .., \` V7C,) `� - Date CJ IIf7t f��3 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 $ TOTAL PERMIT FEE - Oc CUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE 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. I 15 -NEC O OF PUBLIC WORKS BY n Date PERMIT EXPIRES ate 4-27-84 r Receipt No.olC9 2 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I 9��I�,IFI ,,IT17,t itfil610L VIIIJ 'Ad £M 8Z 15m SxaJM VIC" 'o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Qgif64*95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESS ,)=RCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT, OCC.1 BUILDING VALUATION OWN 'S MANG A DRESS r (� CONTRACTOR'S NAME vier TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checkin Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD RESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 I co Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRU URE SF ❑ Duplex ❑ Mobi lehome ❑ Other Y70— SPECIFY Building sewer 5.00 Mobile Home I S G Fw 1 110-00 e TYPE OF WORK New Addition ❑�RemodeI Utilities Installation[-] Other Describe work: %%(fE-D 9 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 t- VUQ L)s R" a l —?3 C�s�/ Main service EA. AD 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. � ACC. BLDGS. 1 2/20sgft ONTRACTORS LICENSE LAW I declare under p y of perjury (check one): ❑NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y 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 CONSTR ULTI:OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &'% SINGLE OUTLET CIR. / Ex. Occu BAL030 P�o OR FIXTURES 9AL®ao IXEDTs Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 ORKMEN'S COMPENSATION INSURANCE I declare un alty 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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 Cou�:ni3nseque nce of the granting of this permit. �I X �bM Ndl � Date 191 ISM 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PO HD IssuE This permit is hereby issued under the applicable to do sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. F PUBLIC WORKS BY Date PERMIT EXPIRES Da 4-27-85 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT _PW v COUNTY OF BUTTE - DEPARTMENT OP PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. " H � Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Vafuation Other (Explain) Building Inspector �� �`��� Date At time of permit application, I was advisedithe following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . Plot plans in duplicate/triplicate. . . femiS! ,V +v sem) 3 Complete plans in duplicate/triplicate. �. 4. Complete engineered plans and calcs. pip . .i . 5. Plans with Energy Design Compliance Statement. . . . . . 6 State Energy Forms No. ��­�tatement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. A� � Planning approval for (A) Use: (B) Parking:. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑ -,'Mail to owner ❑ LL Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . •Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Appe�ctoorr , _� Other Y/e VIbE LE`%% D,C 14i r Xj rdle Building When you issue the permit, process as follows: /.-=Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other a Applicant �, ;. �� ..o ��� =� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked abov x ap c do circle item.) 1. Index permit for above Items No. 2. Additional items required: xc%,.,41 , (Contractor, Designer, Plans checked by. Plans approved by Other: �� �Opy—DPW vised of above requi -Mail Other Date 2 AAaZ-J,' Date Date k 1 01 If I R TO Building Department FROM: Environmental,Health SUBJECT: Sanitation Clearance Owner LocatioTI: AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: 'Water Supply Final clearance O.K. for: Water Supply Clearance for _J bedroom home. Other NOTE * * * Sanitarian -27- �'0 Date s TO:' Building Department FROM:, Environmental Health, Chico SUBJECT: Sanitation Clearance / Owner Location APN Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for bedroom mobile home. Other IN -o Aarian 15/2 Date CIA COUNTY OFABUTTE - DEPRTMENT"OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C4.I#=ORNIA 95965 - TELEPHONE: 916/5344541_�y�„�� PERMIT APPLICATION DATA SHEET Permit No. OWNER /c/ 1 / �G41gw,4j A. P. No. Proposed Building Use { /S,e0,�f�t Permit Fee Based Upon: Complete Contract Price/__—DPW Valuation Oder Explain) Building Inspector / Date At time of permit application, I was advised the following ata must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ y . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) Q/G —L--t4--Owner-Builder Verification (Given to owner0, Mail to owner 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector ) s, 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. i Telephone and hold for pickup at office. Deliver w/inspector. her _--f 41rrl e5k"FK 49 Applicant d`C�� ��lLlXA/Jl� Date Ll z. -'/e,� d Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by. Plans approved by Other Copy—DPW Date Date Date ` PERMIT APPLICATION WORK SHEET . � Permit No. OWNEk V A. P. No. Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). _- 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs-- -------------------- 5. Fees of $ -------------------- Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- �1 16. Parcel map, recording data. 7. Pre -inspection request for -- Improvements lans requir d & DPW approval. --- ------- Other ------ i -'� By _CV0A Date Bldg. Inspector During plan checking process, the following data or information must be submitted prior to permit issuance: 40, 1. Index permit for items � above and in addition t -he f lowin : 2. Applicant advised by X Telephone Mail�-7 Other 3. Plans checked by Date 4. Plans approved b Date? _ When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup @ office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent" A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other OWNER ISL/C Zoning se Proposed Permit fee based upon: 1. 2. 3. PERMIT APPLICATIOR .WOR -Mr SHEET Complete contract price. Partial contract price (explain). DPW Valuation (show): Permit No. 1%y� %z A. P. No. Approved Not approved At time of -permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted- -------------------------- 2. Plot plans in duplicate/triplicate- --------------------- 3. Complete plans in duplicate/triplicate------------------ - �- 4. Complete engineered plans and calcs------------------- , 4 1- 5. Fees of $------W----�-�, 6. Letter of signature authorization - --------- -------- 7. Sanitation approval- ------------------- --- /1 XT 8. Planning approval for 9. Workmen's Compensation Insurance Certificate- ----------- 10. Contractors license information- ------------------------ 11. Parcel declaration, recorded copy- ----------- --- ----- 12. Access declaration--------------------------BEd-1 L W W % l 13. Aunt Minnie information- --------------------- 14. Deed of access, recorded copy-----------------xo_a--- COT P 15. Deed of parcel creation, recorded copy- --------- ----- 16.. Parcel map, recording data- -------------------- - 17. Pre -inspection request for . -- 8. Improvements - plans requi�d & PW arov----------=19. Other ------ A, By Date Bldg. Inspector During plan checking process, the or information must be submitted issuance: 1. Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by Date When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup @ office. 5. Other 15-; Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use n 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Nb'tice Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other. 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other ROUT£ SLIP Date To LQ a ......Approval ......Necessary action ......Prepare reply ......Comment ......Note and return ......Note and file ......Investigate ......Signature ......Confer ......As requested ......For information ......Per telephone conversation BUTTE COUNTY Q par 6uM E d idFe.al.th i a �3ditio� Cl_2- _. a:.c(s) Sewage and/or Water a:.�o: Gerald Davern U. 41 I IL a�s^.s e aporaved for: Final f Or: Eaton Road, Chico LCCAT10N D1sposal x Q:� K for: ""Cma cr Imchi le ha}:—'-) Crthar le rz'n- i� fora bedroom k-- TLa a3a_tion(s) be AA.._ Sani � iar� 44-45-18 A.P. No. -- Water 3=31YX Water SUPP17 Water Sll ,.�'_;r Proposed Garage with Bathroom April 120,1978 Date _ V f File No.�✓ BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Tronsp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. f K . f d � 1 � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Gerald Davern Rt. #5 Box 660 D Chico, CA 95926 Dear Mr. Davern: With reference to the above subject: Attached is: DATE April 30, 1985 RE: Building Permit Application to convert garage to craft shop A.P. # 44-45-18 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Statement of intent for non -heat non -air conditioned buildin I_.XL We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in X Structural details in duplicate Complete plans and calcs in by registered engineer or architect. Energy design including X Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. X/ OTHER Provide structuraldetails for a one-hour firewall; one-hour firewall required at west garage wall due to location on property. Should you have any questions concerning the above, please contact this office. ,'G/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector j,4D COUNTY OF BUTTE - Drepartment of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) 'Z&i . 2. I (have/have not) Al- 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 \ Z Address y City, ------------- Phone 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 Ix 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: nn Property Owner Social Security number Date C _zI ^. / 9,92 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 permitted to issue the permit. 1411 -//v COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 t= 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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 hav /have not) `rA,�_ 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 /�' y.�f�2isx� City Phone /A 3d 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 zq,u 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 permitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) nye 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 S igned : Property Owner �� 0IYAY_LA_^__ Social Security number — Date 5 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 permitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor. and ma erials for construction of.the proposed property improvement (yes or no) 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 number Date e.),- y l s. t5 A 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 permitted to issue the permit. A. auilder.s 6,195 IN. Libby Paradise, CA 95969 . Arwuasa+.�w v� 1 Bafte LANDOF NA1'URA(. '!_f4. -i Ar' " DEPARTMENT OF PUBLIC 'WORKS CLAY CASTLESERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95905 Telephone: (91 534-4541 �JT-'1 1979 H. W. Dr //'? Deputy Director �w Gerald Davern KE: Building Permit No. 12J8 Dear R. & A. Builders: � — E 4-27e79 (A.P. With reference to the above subject, our records indicate that your building permit has expired. Building permits are valid for one year and should construction not be completed at the expiration 'date of the permit, the permit shall be renewed for 1/2 the. original fee. Kindly contact this office within ten (10) days to renew your permit. Should our records be in error or should your construction be completed, please advise. this office immediately. Thank .you in advance for your prompt.attention concerning this matter. Yours very truly, Clay Castleberry Director of Public lvlorks F. Gl nder TFG:dd Chief Building Inspector P.S. For your convenience, we are attaching'a renewal application form which may be completed and signed by you where indicated and returned to this office together with the fee shown. cc: Building Inspector IN �r�aoo qo SU 1,5x�5xZo�X �d � 31 a�. psc.. b I4-, < 35 4eL ' ", rA &I 0 DOTE:—All Materials & Workmanship Shall Be in �ccorcf ance with Recognized Good Practices and. f a quality prescribed for the Specified use in the , Iniform Building, Plumbing & Mechanical Codes ; nd the National Electrical Code. 1 tivm an��L n- s C � � i r c I u i KA `dDICAPPED REGULATIONS This set of plans and specifications MUST be make any changes or alterations on same wnn- out written permission from the Department of Public Works, County of Butte. a v' OWE I AUL r..j �A V X �oo,o 7L a SZ -0 of-/ b bPC a 'Z U o L4 J r o 01 RI s M No No no M No ON imisomm— M o I a ONE INER ME No IN M NO Immul M I 1111=1 ME M1 0 ME M SOMME ME ME MEN ME I MEMO SEEM NONE M ME min ma��m MEN Mimmosommumm uRM= MESIMMIN IMMOM-EMmMMEMEMmNINMMEmMUENMMM0MmO MEMMI MMI :CMiEE EmMOmmEMN M1lmIEEMMMEIII1IIIl .E':1 MM NME omEoMMM OINEE MMMOEEMMENN -MME =--Mlmom mac' °EmO 9 ° ONE MEN IN SOMEONE mom ME NUNN] SMEMMI ME _ MENOMINEE ME MOO � Si i i ■a■■i i MM mommum M momml MIviii IMEM III u� ME MORE MORE SOME MMOMM KINNEREMMISMOMMUr..... MEMOMMMUMM n MENNOMM ME MMMMMMMMMMSM M M MEMO SEEM= ME M1 in . SOMEONE MEN L ON 01 MNO MOMEME MEN MUMMUMMOM ME, son 0 ROME ONE] M' ME MOSSIMMEMEMEM NOON ON No MMMMMMMMMMMMV MOMMMMOMME ONO M M IN mommumm 0 momom No M M 0 ME SEEN NOON NONE 0 No ME ENE M IMEME ME I NS M M MEMO IMMEMS ME io MMM1 �; amomom6 EMMIN M momom MMMMMMMMM MMOMME NOON M KNOMMM=m ,,MMMIMMMM No ON=Imml �S�MOM� �IMMUNE. ME �S O�R� � CINN No �� NMI ':�:.:.A1C � '0 1 PERMIT NUMBER - B 1645-73B,P- ��1 P E PERMIT EXPIRES OWNER Gerald Devern CONTR: Snaith Const., Paradise LOCATION (A.P. 44-45-18 � n/s Eaton Rd. app. 250' east of Burnap,Chico- COUNTY OF BUTTE Departmentt -of Poolic.-Works BUILDING INSPECTION RECORD Zoning __- Setback Foundation Piers & Girders Rgh. Plumbing Bond Beam Rein. Steel Gas Piping & Test Framing Plmg. Topout Wt-. Htr. Furnace Firewall Garage Vents ELECTRIC GAS y ���- Temporarrr� Temporary � Final CO — `-' —7'/ Final Forms Fireplace Lath & Plaster Found. Vents Rough Elec. Kitchen Vent y— Sanitation & Water BUILDING Cert. of Occup. ff Final eP DATE REMX$KS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR ,%✓� 7 County Centei.Dri•ve r — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection rposes. Z—�—X `' Date '-J/— Sig re of Permitee or Agent 7 Receipt No. /M 94 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 Bv Date Building permit expires Date BUILDING Owner 1� rA-1 SQ. FT. OCC. BUILDING VALUATION z6 Mailing Address Telephone No. Fireplace Contractor H,j �' j C Total Valuation Mailing Address J_9 I� � f Permit Fee Plan Checking Fee&/or Penalty g. T �- Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Z dw J1 Each Trap t 1.50 j, 5-0 Repair drainage or vent piping 1.50 Water piping 1.50 G0 Each gas water heater or vent 1.50 A. P. No. 420-4S-- ZR Zoning & Planning Gas piping system 1 - 5 outlets 1.50 1 �j a Each additional outlet .30 es Sani o in I Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plan�roval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILIN E $3.00 _ i' ar �� Main service incl. 1 im—ei 3 G Additional meters, each .00 Sub -panel (12 or less ore than 1 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space ter 1.00 Light fixtures21J 5 atd?e Receps., switc s & fix outlets 2023 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 N Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 w Temp. Power Pole 5.00 License No. _912t,/_ ?O (R Classification r Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. ❑ 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $=5zand authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection rposes. Z—�—X `' Date '-J/— Sig re of Permitee or Agent 7 Receipt No. /M 94 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 Bv Date Building permit expires Date ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Orovi Ile, California 95965 Telephone: 534-4541 �� ) APPLICATION AND PERMIT aLit"Grc �cP1 IaU VCS UI lfle l aunty of Butte io enter upon the above -mention r perty for inspection purposes. X >r Date 5-17-73 Signature of Pe71fygent Receipt No. l 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. �EC 0 OF PUBLIC WORKS BY z ate Building permit ex res Date .,.–..,,,.,,*. BUILDING Owner Gerald DAkern SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Chico' Electric Total Valuation Mailing Address 1921 Esplanade Permit Fee Plan Checking Fee &/or Penalty Chico IT ��I` _42.hi_r6VS Permit Fee $ Building Address Eaton Road at Garner Lane PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Chico 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. r — �--�Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation FireDept. tFireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Fire damage repair Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bai_ 7a 25 Receps., switches & fix outlets 54 b 3,00�? 8.40 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: Chico Electric Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 2488 2 Classification C-10 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 19.90 $ 19 190 WORKMEN'�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. ❑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 per i is issued I shall not employ any person in any manner so as to bec 'e'subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE1Y 15'U $ aLit"Grc �cP1 IaU VCS UI lfle l aunty of Butte io enter upon the above -mention r perty for inspection purposes. X >r Date 5-17-73 Signature of Pe71fygent Receipt No. l 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. �EC 0 OF PUBLIC WORKS BY z ate Building permit ex res Date .,.–..,,,.,,*. Jr yr 5' J, 7 op/ yy r;.4 "3 r 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 [^ - �- APPLICNION-4ND PERMIT .-, ASSESSOR PARCEL NUMBER -y ZONING BUILDING PERMIT OWNER TELEPHONE %.?- 716 3 OWNER'S MAILING ADDRESS SQ. FT. OCC. BUILDING VALUATION CaNNTTRRAAC..TTORR'S NAM'E/ TELEPHONE CONTRACTOR'S MAILING ADDRESS e 1 Fireplace, V CONSTRUCTION LENDER AL UNKNOWN Total Valuation $ fig �y Filin LENDER'S MAILING ADDRESS Fee g10.00 Permit Fee i $ 10• $ ARCHITECT OR ENGINEER J"(f/'F' LICENSE NO. I I Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee {' $ ' /lt► BUILDINit!/� DDRE S i /`� _ 1' I' �N � PLUMBING PERMIT Filing Fee 10.00 / Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets �/ USE OF STRUCTURE SF IL1' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition []_ Remoodell ❑ Uti litiesEl Installation❑ Other %' Describe work: �-./Nr/G.// � T` tl 4JIJ/7w Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 11 ORMain service 1110 AMP LOR ESSLESS 5•00 Main service EA. ADD'L too AMP 2.50 NEW CONST. ( DWELLING OCCUP.y' OR ADDNS. \ ACC. BLDGS. 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): Business ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the 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 CONSTR LT"U LET 2.50 ea NON-RESID BRANCH CIRC ITS NEW NON-CONSTR RESID. ( SINGLE OUTLET CIR. POWER APPARATUS e Ex. Occup(o OR FIXTURES AL� BAL@1 IXEDTLETs oTLETSP(RESID )APLNS.REAJ 2.00 Ex. Occup.(U Temporary service 10.00 Mobile Home Facilities 15.00 Mise. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 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 l.� J �f �� �i fr -.? Date Signature of Applicant — Owner © Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occUP. GROUP I TYPE OF CONST. PARCEL PD 1 -_HD ISSUE �/ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. .I DIRECTOR OF/PUBLIC WORKS By _ /� Date -'(} PERMIT EXPIRES Date�"� �"•^ '� Receipt No. ��/[� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPA! �'MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C?II' nia 95965 -Telephone 916/534-4541 APPLICAV^Vii PERMIT ASSESSOR A CEL NUM BERZONING y UILDING PERMIT OWNER IIELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER 'S MA��II1LI NG A DRE 01 CONT�TOR'5 N/AI/�y.E� TELEPHONE CONTRACTOR'S MAILING ADD SS Fireplace . %� O O.10 (% CONSTRUCTION LENDER UNKNOWN Total Va ation $ 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 'I - p LICENSE NO. Plan Checking Fee 'E $ Penalty $ a ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD •DD Ess PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 'USE OF STRUCTURE SF©/plex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition- Remodel ❑ U ilities�j Installation❑ Other Describe work �-L•� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 00 1AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.8) OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): El 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTRTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. %SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES BAL@1 00 IXED APPLNS. OR EX. OCCUp.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $1Cb.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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County in consequence of the granting of this permit. %� e`'« Z /k Date 9,/A Au Signature of Applicant — Owner ® Contractor ❑ AgentEl 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST.PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR O PUBLIC BY 4 r PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date v , Receipt No. 7rs1-� WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT(, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE-- "K IF,,ORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPEICATION DATA SHEET Permit No. OWNER oll/% SGA A. P. No. Proposed Building Use �JoD01 S7/£ "J Permit Fee Based Upon: -Complete Contract Price I DPW Valuation C�l'v/ Otherlain) Building Inspector Date At time of permit application, I was advised t he fo lowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/tripl,icate... . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . : . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 3. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner M, m it to owner ❑) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required- Building Inspector (Date) 18. Other When you issue the permit, process as follows:Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other AppIicant_ f/ . �. Qom. J?� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW