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Home My WebLink About017-100-056AVIS MO NROE 11—.31-56 12706 Quail Run Rd, Chico, COntr: Butte Roofing /�b PErmit#343-88B(reroof/SF) 3 1-56 92 ='~^ 710B`^ I MOO 5'. rONROE- Chuck� &"�Avis 427067Quail, Rd,' D�;-Chi�o. cont .-Ditkins-on. Const -7-/ IP repair -fire damagedflbii/s 13 A I , I ',�■.u�� . � .�� ` � � � � - �-lam �� . :`.a . .. � v7�� e�.�c( G�'��1 _ w� , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive - Oroville, Qaliforni.a 95965 - Telephone 916/534-4541 APPLICATION AND `PERMIT PERMIT NO. ASSESSOR PARCEL NBER ,1 - _7—_'& & NING , j BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9 Ji�, ✓/[h CONTRACTOR'S NAME • �! w `_-, I I' f '��., ,. C.. TELEPHONE y- r r 3 - CONTRACTOR'S MAILING ADDRESS I -7 ' / J 7 (-,' l % Fireplace CONSTRUCTION LENDER -- UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER \ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGIN EER'S.MAI LING ADDRESS Penalty BUILDING ADDRESS Permit fee !$ $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Q Describe work: •)Contractor -1 Permit Fee $ 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 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): 51 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professions Code and my license is in full force and effect. License No. 17 '7 Classification I ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP..!) '/20sgft OR ADDNS, l ACC. BLDGS. NEW CONSTIRMULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL@30 FIXED PR Ex. Occup. OUTLETS (RESID 1EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X f I ' J r-- _ T , j Date Signature of Applicant — Owner ❑ Contractor ❑ Agent MA An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL -PERMIT FEE $ OCCUP. CONST.TYPEJ I IFLOODIPARCELI PD HD 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which /DIRECTOR OF PUBLIC 01 B' �, r f.�: Y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS A A f Date Receipt No. t WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,Salifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO� ASSESSOR PARCEL UMBER �j S z0 N,R9Si. BUILDING PERMIT OWNER Y TELEPHONE -03.)-a SO. FT. OCC. BUILDING VALUATION OWN S MAILING ADDRESS ,1 - ''II'' 0 r t�W 69) Z2 CO TRACTOR'S AMF - TELEPHONE CONTRACTOR'S, MQJ,LJAI LI A T A91P RES Fireplace CONSTRUCTION LENDER l UT4K'NOVYN Total Valuation $ Filing Fee $ 10,00 AD LENDER'S MAILIN DRESS Permit Fee $ ' ARCHITECT OR ENGIN R LICENSE NO. .Plan Checking Fee $ - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER' AILING ADDRESS 4;I�;enalty $ BUILDING ADDRESS 8rmit fel PLUMBING.PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 71-67w 0.00ea TYPE OF WORK 11 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other fV Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' 'I.-Aeclare under penalty of perjury (Check one): [t;'' - I am licensed under provisions of Cfiapt. 9, Div. 3 of the BuSIneSS and Professions Cod an my license is in full�pforcen effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for.this reason NEW CONST. DWELLING OCCUP.ad/ , OR ADDNS. ( ACC. BLDGS. h0sq ft NEW CONSTR ULTI-OUTLET NO N.R ESI BRANCH CIRC ITS 2.50 ea (POWER APPARATUS el SINGLE OUTLET CIS. / Ex. Occup( OR FIXTURES 2AL SOC BAL030 FIXED APLNS.Fl Ex. OCCUp. OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject. to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have reaetrRis application and state that the above information is correct. I agree to. compl•y,totall County Ordinances and State Laws relating to building construction, and herebyyauthorize 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 ounty in conseque"' e`of..the granting of this permit. 1) Q %��!,— r Date �� u 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 eight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP! FLOOD PARCEL - PD NO seuE This permit is hereby issued under sions of the Butte County Code and/or work ind• ed above for which IRE F PU B P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat Receipt No. W, T!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT F I % '4�l�'t�R�t.:T .�'r"is�:<W'u`rtc;"rj'"'i:'-��•-.�>v:BtT ,.a%4+:. a,,r e�--j�iL;;i. v ^9 ..�"Y:.w., :y. ?i y�^,t'. �4v y s ��,�6 ��!. y�� t ,�., `�� Si+i" r ry . .«4�,; 'i "`(' .�� f``•.�iq%��aa .r -,� R y> t'°` wt� ii;'a'" `4✓.;�%a�i'• hr'. "C7.�9A<. 1 1-31',56 r 92-710B ONROE;, Chuck r& Avis' 12706' �` ' Quail RUf1 ;Chico`„ ,f '} .. Dickinson Cosnt _ (repair fire'damaged'flue/sf) h M t F • - x,18 y 3 ... r COUNTY OF BUTTE - DEP4RTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, Cpllfornle.9/6965 • Telephone: 918/538.7541 APPLICATION'AND PERMIT PERMIT NO. 5 - 71 t") ASSESSOR NUMBER 011-310-0sie ZONING-- • FR -2 BUILDING PERMIT OWNER Chuck & Aria Monroe TELEPHONE 891-0320 SO. FT. OCC. BUILDING VALUATION Est. 1,500.00OWNER'S MAILING ADDRESS 12706 Oueil Run Dr., Chico 95928 .- CONTRACTOR'S NAME Dickinson Construction Co TELEPHONE CONTRACTOR'S MAILING ADDRESS California St 344456 Fireplace CONSTRUCTION LENDER UNKNOWN 500 00 I.. Total Valuation$1 • LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 30-M ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,b' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 45•00 PLUMBING PERMIT Filing Fee 1 15.00 12706 fhwil Run Dr., Chl(-o Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Flue Repair Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50 200A OR LESS Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification f ❑ 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 (Sete owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.& 3.60 sq.ft. ACDNS. (ACC. BLDGS. NE NEW CONSTR. MULT'-OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS It (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 $ Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. •� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15:00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �� K4. JjjM'� Date 3 2 An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures ovr 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 45 00 HAz 1 OFEES I IMP I FLOOD I COF I PARCEL PO 1) I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do - work indic�bof ed ave or which fees have been paid. DIRECTOR OF PUBLIC. WORKS By Py" Date PERMIT EXPIRES Date /! / 4 r / Receipt No. 109965 I WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPART;MENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllla Californw 950m - Tolephow 010/038-7541 t: APPLICATION AND PERMIT 011-310- _2 BUILDING PERMIT " Chuck p Avis eRs Monroe 1-0320 SO. FT. OCC. BUILDING VALU TION / Est. 1,500 00 OWNER'S AADD8 12706 uail Run Dr. Chico 95 28 CONTRACTOR'SNAM E Dickinson Construction Co. TELEPHONE CONTRACTOR'S MAILING ADDRESS California St. #344456 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1.500.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JWI@ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Flue Repair _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200AT01000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) -® I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) 3.64sq.ft. OR ACDNS. ACC. BLDGS. / NEW CONST FL ULTI.OUT LET N ON.RESID BRANCH CR,:" TS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. 76 Ex. Occup(OUTLETS OR FIXTURES\ L8 4F;1 Ex. Occup. OUTLETS (RESID )REAJ I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 1, Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g LHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and. expenses which may in any way accrue against said County in lconsequence of the granting of this permit. X Date.3//e/9 z si nature of Applicant - owner 9 pp ® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 45.00 L I I HAZ 1 0FEES I IMP I FLOOD COF I I PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the tte Cou y Code and/or resolutions to do work indi ed o or which fees have been paid. D OF PUBLIC WORKS By Date PE IT EXPIRES Date / Receipt No. _ 199965 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ."'..r►.W44AMIP,''V" ? •v +r+ti`-'"' '.=,'"4,ti+'��jhL=if:6'�hK`•.: � �t'•�"W'1f�'f ii'i•�:lt^c�..a . . t t. COUNTY OF BUTTE - DEPARTMW-.NOI :rPUBLIC.WORKk- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER _ 6� (o A. P.A o. �� "' /3�// Proposed Building Use /ice ��i� �� Cilding Inspector Date 311, At time of permit application, I was advised the following 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/triplicate, signed by preparer of plans....:... 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......... 6. Energy Design Compliance and supporting documentation ........ 7. Statement of Intent for Non -Heated and AC Buildings ................ 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12.,Parkfees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... - 16. Plot plan and business license approval from City of (see. City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land. Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for Y' required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant_ '""%�Date �� G Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The toIIowing.data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail—counter by -.date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW IZJ COUNTY OF BUTTE - DEPARTIMENT OF PUBLIC WORKS 7 County Center Drive - Orovilte,.Galiforna 95965 - Telephone: 916,`538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _ ZO / W Z BUILDING PERMIT OWNER _ �� /� I 0-7 (/// TELEPH/g+,t,E v SQ. FT. OCC. BUILDING VALUATION (/ OWNER'S MAILING MMAILING ADDR//ESS /' 1.2 / 4 w l� CONTRACTOR'SAME, TELEPHONE c c &AtChico CONTRACTOR'S MAILING ADORES$.�_L, �/j ✓ T`li Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /� D/ Permit fee $O' PLUMBING PERMIT FilingFee 15.00 G Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF�< Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G I W @ 15.00 TYPE OF WORK New 7, Addition❑ Re�mlodel❑ Utiilliilieess[] Installation❑ Other ❑ Describe work: �.y t� /�—L�' /4'�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-.ESIO 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 .Jo. Classification ❑ I, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.Ei� 3.60sa.ft. OR ADONS. l ACC. BLDGS. NEW CONST"UL T1.0UTLET BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 20 @ 76d R FIXED EX. Occup. OUTLETS PRESI 0.IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.Contractor Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation 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 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 Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMP I FLOOD I CDF I PARCEL PD HD 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 Date PERMIT EXPIRES Date Receipt No. WNITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT W Complaint Date D Other Date CZ�Q0�fi BUTTE COUNT' C OWNERS n U r `(' G A. P.# Address 1,):7o % O �VGA RVN C \Q (y QSZoning, F(�� t Location Taken By: VIOLATION TYPE [] BUILDING [] HEALTH Q PLANNING D OTHER __._PERMIT.HISTORY ON FILE a NONE AS FOLLOWS: FIELD INFORMATION TENANT: Name Address Description of Violation ��-��2� - (Z Pc/�e Cv�F R41> . 9-6,PAa6 OTHER COMMENTS: Approx. Bldg./MH Size Approx. Bldg./MH Age Under Construction Built By./For-L-91 Present Owner = Previous Owner = Occupied Has Power Q Has Gas Has Sanitation Facilities Q.Written Notice Given & Attached Q Person Contacted Describe Action Taken: Ce)rj r'"eTUY?- �vir,J g"R 1i) A ral") -P"m I r _ ACTION RECOMMENDED: Information only, file 10 Day Letter X Letter Hold for Days Other BY:— DATE 3 " d Z COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: 0 C CDF/BCFD DAILY INCIDENT LOS -. Day/Date from :88811 � ---_/ - �� to 88®B .fj _/ -1.�__ Page of ------ 1•••aii/•,i'7•/••s•fifftairti•*t•ii•ii*•iiiiiitii:i*i6iiiAii•t•i/�+i•iistiiOiGf*1t•••t*sfa lnc#_ YZ _ Fire• - --- --Naoe-----------------Type-K-t---------- - - --- --- - ------- Report tid y St�ert tie+___Control tiaQ__R.O._ _�A•Y�O Location -�5---��1%�,�-------------9----------------J �---- Batt# --- Cause ------------------------------------- En :nes:CDF-__6CFD_ _ Co# --- Officer ---------------------- - ------ Saved --------------- ----------------------- Sq/ptk---HT --- Doz Crew AA AT --_HC --- Damage ------------------------------ : ------Other Eq-- ` _____ _ __ Land use---------------Acre/'type------------------------Total Owner/Tenants ORA: 0 Mist__fft .-��L_-------------------------------------------------bi:------- ---------------------------------------------------------------------- - - ••••a• ! i•i•••ifi•1111111*iiii••iitiiii•iiiiiiii•titf•111.11**iiiiia•�titi••ti••t••t Inc #_ __Fire* _______i__Naoe Type_-"flLC Report tiae_j U _Start tne__-____Control time_______ R. 0. ---- ---------- �_-�------------------------_ S ta# 3 Location�-----Batt# Cause En inesiCDF---BCFD... iCo* Officer ------ Saved _________________________Sq/AtkMTDoz Crew AA A7 HC r__------..------ --- --- --- Dssaq.e�--------_______ Otfier�Eq=-------=-=`=--------- ------------------- ---- Land use Acre/T a �._ Total r Owner/Tone t- ------------------------------`1-----------NRA:_JJ_iS� �W 0 R'. P. _ii_ ��-��---------- �� BI: i - - ------------------------------------- Misc.Info------------------------------------- ��-�--------- * •�• •_ �/•i:-,A�i,l?.6,if.ii i-b.i?1iAE,10�4ii8idif461181-a!?./eiii6i*S?i*!Fia•A4i4ii44id•¢ilFi-G•sb•ti•t to c- aO Fir_t#_-- - -= 0: 8di . _ 1U1., --- ---7 pe-- ------- - r Report tine D�._Stear ti_se U��3.`Contc�i -tise��S_RO�Sta'Z� Location�_%O_ - �1_(._Cs.-'_ _lc_-_it_.1.�----- --- - Batt# -- - - ---- --- .' Causa_-- - --1�� -'-Cel°=)---------------Ergines:CDF___nCFD_ iCogjZ451Officer_ �Og gavel�___ ________HyAAtk_�_UT _ Doz___Craw__ AA AT HC ---- ------ Oth ---- --------------- _ L —an use_F r,, ______________ _ _ 1�--__ -Acro/Type---------------------- Total OwnrrQ/Tnn:Want �d�g2��1 �_�^�_��:t�_ -----------bIRAs �{._� ----------------------- -- ----------- Bl:-** M:sc. Info �Y1u�51�31s _C r?t� 71I.' Llr�c.l_�'1=�1gss_��ssQ- -- •if•-* • yi•ifaiiiiit4i4ii?tilFit-8iisfstF*?iR*?aisaiiiii�Ai•i1F61fii?�i�}6i44s 4L�4i'bafic•iiif Inc---Pira*----------Qla4a--------------------- Report --------- - Typ+ (�� 17C Report Us )OZ start tide Control tiaa_______R,0,_�l Location----1-_--_---__---Ca-fi!---= ----B- at t�-=------------------- -------------------- --- Cause ______ �j�____lEngines:CDF_6CFD Saved _____yq/Atk MT__DoxGfticer_--- ------------------------------------- AA--- AT ---HC --- Dasaga------------- -----Other Eq ............................ Land useA ----- ?-i-i-*-•-igA-1-•-i-•-t-i-i-i-i-fii4f?•iQ44-_.4-�-9d-•_i-*-4-i-*-•-f-i-i-4-i-i-c=ir-4eyF4pte?-Q-i-b-6-�-i8-i--4--•R-- --i--1--�i--S--4--i--i-s--(--}4--i--F-a-sS-.�l-Tota'8- Owner----------------------------- --------------------------- WRA _/- -Misc.Infot------------------- __ - ----------------------------------5-j-4-- -t---4--- �- Inc*4- p F r—----x--�------------_OdadQ�—Y--'—ch------- --------- --TyP + Report'ti•e Control time R.0_. Location —1 T�l--f-�-✓---- --Batt* Causettta* Cavae '_ D --------------------j- # ------ - aved---------------------------_____-___ngnes;CF... BCFD... ;Co* ---- ------- Officer ------------------------------------- Sq/Atk... 1T---Doz --- Cram ---AA ---AT - HC Daiage------------------------------------Other Eq --- --------------------------- -. Land use r-------------Acre/Type ______ . T I---_Owner/Tenant------------------ otal_ _ v ..r/� R.P.----------------------------------------------------------------_PIRA:��_ !V) B I : Misc.Info----------------------------------------------------------- rev.(7/16/96) 00