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Home My WebLink About017-170-005'� .. '� .: , , . a '•i •' __ "tet ..-.�' ' - .-w...�+-.,—•�.-�-�"r""�`: ..' _ f, - '. .� - _ _. � T ' "`'_ ✓ . • ^` .. t ...•...- r 'k- � ` • �� 'ww L OND & RUTH STATHAMA®i e� Honeyrun RdChico �a eit#463-83E(ele,-ser-ch/SF) y (/IBJ k': o- 11 �, 11 .Mwr1 FF { • _ 4 9FM COUNTY OF BUTTE - DEPARTMENT OF PUBLIC .WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. y6 9-Y-3 ASSESSOR PARCEL NUMBM ZONING BUILDING PERMIT �W a��t �i1n�� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN! 'S MAILING ADD ESSpp U CONT ACTOR'SNAME TELEPHONE '47 CON ACTOR'S AIL I G DD11E55 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LE DER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Qs0 P, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 �F•' *10 S -E— 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 SFW Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 1 10.00 e " TYPE OF WORK New [--I Addition [I Remodel❑ Utilities.❑ Installation❑ Other Describe work: — 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. l ACC. BLDGS. t 2h0sgft 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 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)Misc. Li. 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 NEWCONSTR ULTI.OUTLET 2,50 ea NON. R ESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS .&) NON.R ESID.SINGLE OUTLET CIR. Ex. Occu 20@sot P�o TS OR FIXTURES 9AL@30Q FIXED Ex. Occup. OUTLETS PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Wiring 0 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 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,saA County in consequence f the granting of this permit. ,y X__ Date Z_ Signature of Applicant — Owner [I Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep on demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE of CONST. PARCEL PD ND 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. ��! 3 q . WHITE-D.P.W., YELLOW -ASSESSOR. P NK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLIE-, 0.991FORNIA 95965 - TELEPHONE: 916/534-4541 J rj PERMIT APPLICATION DATA SHEET Permit No. OWNER + G A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract'Price DPW Valuation Other (Explain) Building Inspector. Date 3 . 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. . . . . . . . . . . ' 3. Complete plans in duplicate/triplicate. . . . . . . . . t 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. f 8. Fees of $ , . • . , , , , t 9. Letter of signature authorization. . . . . . . . . . . i 1.0. Sanitation approval from Health Dept.' ` 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 'V 14. -Owner-Builder Verification (Given'to owner, Mail to owner (X) 15. Improvements may be required. . . . . . . . . .. 16. Mobilehome Installation Data. � . . . . Pre-InspI �17.- Ore -inspection for ritr,.' iJv�: -t-. Required. Building l . request to �t� ) P q Building Inspector �6 ��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 Appl icant �.. `i I Com'` Date Z U + 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 applicati n, circle item.) 1. Index permit for above Items No. q 9f- 2. Additional items required: (Contractor, Designe dvised of above required data by Tel phone W~"Mail Other -, BY Date 3 'Plans checked by Date Plans approved by Date Other: f``4 �. Copy—DPW '-', �_:__: ....:1 S ,..: �,t ��;.� . ; ., t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Raymond Statham 9220 Oakleaf Way Roseville, CA 95678 With reference to the above subject: fes[ Attached is: PHONE: 916-534-4541 DATE April 11, 1983 LRE: Building Permit Application #463-83, A. P. # 55-34-5 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 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 Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including 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 R Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact this office.. Yours very truly, �0 a fa I J / �^A Clay Castleberry r d Sr -t m a j 0m J e fs Director of Public Works t' @tai Ms �-a �a-ve G!� S1� i,bt ,(SOK � G�� GU/�6�1 • Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PH NE: 916-534-4541 3 8 DATE-b6ch , Raymond Statham RE': Building Permit Application #463-83 9220 Oakleaf Way Roseville, CA 95678 A.P. # 55-34-5 With reference -to the above subject: AL Attached is: Application for permit Mobilehome Utilities Installation Sheet, Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet X Owner -Builder Verification Form List of Codes Enforced OTHER is We need the following information: •Permitapplication 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 Structural details in Complete plans and calcs in by registered engineer'or' architect. Energy,design,including,. ' Street and drainage improvement plan approval from Land'bevelopme.nt.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 X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy,of agricultural acknowledgement statement.. X OTHER A letter of signature authorization for Kabhleen Gaston to si.An permit. Should you have any questions concerning the above, please contact this -office. Yours very.truly,- Clay Castleberry Drctor'dif b 'c Wo s J.F. Glander JFG/aj Chief Building Inspector C NT OF BUTTE - DEPARTMENT.OF UBLIC WORKS PERMIT No. 7 Co ty C rater Drive - Oroville, California 959( T flephone 916/534-4541 yf APPLICATION AND PI RM'_ - ASSESSOR PARCEL UM� � ZONING — BUILDING PERMIT NO W. 4,101 trip TELEPHONE ' C. FT. OCC. BUILDING VALUATION - �>WNE( 'S MAILING ADD�,�`\E 55 FONT/q)A C.y��OR-S NAME .7 / �• TEt_1:PNOt•:E — TV AllRILI G A CON RACT OR'S ADORESS — Fireplace CONSTi7UCT10N LENDER —' UNKNOY/N Total Valuation $ — _h— �� Filing Fee $ 10.00 LENDER'S MAILING .ADDRESS f ------- — Permit Fee __ $ .4RCNIT ECT OR ENGINEER LICE VS[i NO• t'I��II Checking Fee$ -- __1 �,�- --—`—=------ Penalty - -- - --- ------------ $ ---- l.RCHIT' CT OR ENGINEER'S MAILING ADDRESS t -- Permit fee $ PUILDItiG A.DORES_•— _ PLUMBING PER IT Filing Fee 10.00 • � 2.�� I—.----- -- r"F_i c h Trap - --•- - ----- - - ---- --- '� ^__ !moi' �r -<fr t, pt.. _eater- - -- 2 �I - - JSti:fr I J• U N:A as water heater or vent 5.00 ,�•. .t..��,1 tl1O1tlN NAAlE I _ --- -- I Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 �} �`�, '.+ �!{• USE OF STRUCTU E f:i.` .'t t., HrMoile Home G W 10.00 es>•ltcuncr0 Other SPECIFY1 Itrm�rc��rsisflms - TYPE OF WORT( (k Permit Fee $ i' — New �•� Addition ❑ Remodel [� . Utilities ❑ Installation[, Contractor t Describe work:__ -- - -- ELECT I AL PERMIT FilingFee 10.00 Main serve a 80 AMP CRSS 10.00 A -ALL -- CMain servfz6 EA. ADD'L 100 AMP 2.50• _ NE, W CONST. ( DWELLING OCCUP.&\ 21�1¢sgit OPf ADDNS. \ ACC. BLOCS. `` CONTRACTORS LICENSE LAW' �iE'w'c"oNs�R LouTLET 2,50 ea NO"�•RESI D. BRANCH CIRCUITS/ I declare under penalty of perjury (check one): NE:W CON ST R. /POWER APPARATUS &1 NON.Ii_ESID• `SINGLE OUTLET CIR, [_i I am licensed under provisions of Chapt. 9, Div. 3 of the Businp�0U7LE'I'S OR FIXTURES ALO ess Ex. Occu Ooa - All!30c and Processions Code and my license Is In full, force and effect. - FIXED APP LNS. OR — Classification EX. nCCUp. OUTLETS (RESID.) EA.) 2.00 License No. -- ° Temporary service 10.00 [-� I, as ti -,E owner, or my employees with wages as their sole co•npen- — <;ation, will do the work,and the structure Is not intended or offered Mobile Home Facilities 15.00 for salcf. (Sec. 7044) t Misc. Wiring 1 r— ., I, as the ot•:ner, am exclusively contracting with licensed contract- ls. (Sc:C. 701 ) ( Permit Fee - - $ a I am exempt under Sec. ---,Business and Professions Code - - ' for this reason _ t' Contractor - Y=-===_ MECHANICAL PERMIT FilingFFe 10.00 WORKMEN'S COMPENSATION INSURANCE Heating I declare under penalty of perjury (check one): r --- — The permit is for S100.00 (valuation) or less. -1 I have placed on file with the County of Butte Building, Department Cooling -' a Certificate of Workmen's Compensation Insurance or { Certificate of Consent to Seli-Insure. t Hood — _— 3_00 I shall not employ any person in any manner so as to become subject Ventilation — -- - 1 to the W. C. laws of California. 1' Notice to Applicant: If after making this statement, should •you•become.subject -Permlt.Fee _, $ to the N. C. provisions of the Labor Code, you must forthwith comply with such- -_--_-_-- ---- piovlsions or this permit shall be deemed revoked. ( Contractor I cortify that I have read this application and state that the above information Mobile Home Installation Fee $ Is corract. I agree to comply to all County Ordinances and State Laws relating tat' of the Count of I>a 1 to building construction, and hereby authorize represen Ives y Butte to enter upon the above-mentioned property for Inspection purposes. TOTAL PERMIT FEE $ p -" i also 3grne to savL,.indernnify and keep harmless the County of Butte against OCCVP, GROUP TYPE' OF CONST. PARCEL PD NO ISSUE Ilii fir;, tu{:gnx,nis, costs, and expenses which may in any way accrue I,•i Uo-:wy in consequence f the granting of this permit. This permit is hereby issued under the applicable provi- (�. DateLL sions of the Butte County Code and/or resolutions to do ! work indicated above for which fees have been paid. -•f Applicant — Cwner❑ Contractor Age"demoliti"on •�-'•A oc—it is re uired for excavations over 5'0" deep annstruct• DIRECTOR OF PUBLIC WORKS I •-• t,ualures over 3 stories in height. 1 - -- By Date _ „i,:t K-O.P. W., YELLOW- 'ASSESSOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date ---- N ddl 14 k,.s '40 e., lye e✓ �(alPe`� a _COUNTY OF BUTTE - Department°of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Pro _rty Owner: An "owner- ilder" building permit has been applied for in your name -and bearing your signature. Please complet and return this information in the envelope provide at your earliest opportunity to avoid unnecessary delay in processing and issu g your build- ing permit. No building permit will be issued until this verif icat' n is received. 1. I personally plan to provide the major labor and mater is for construction of the propose property improvement (yes o no) 2. I (have Ave no \\ signed n appl cation for a building permit for t e prd. osed work'. 3. I have contracted w th the fo 1 i pe so (firm) to provide the proposed construction: Name Address City 4. I plan to provide port person to coordinate, Name Address Phone / 5. I will provide some of persons•to provide the Name Add Signed: Prope�y OwRi�� Soci a �g¢u Date jl 7ac rs License No. s work, but I have hired the following and provide the major work: C ity - Con actors License No. e work bu I have contracted (hired) the following work indicate ss Phone Type of Work in 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. ' • ��ycQ. )