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HomeMy WebLinkAbout017-170-035w C 20�3� �-92=176 + , . 'AROLYN..ST.AMMER_ t ► JONES , "John' �.- ► v S/S Honey Run Rd, 1 mi.E Cover ridge 2T34' HoneyRun;Rd .Chico . ' Trk'1 !' + 7' Chico '.~A ; Exem ti ori =Permit Permit#975-84E(ele ser ch & s circuit) �� - sheep;. ;fee ,. E 011" 25 .k""� -•0-035 _ J . r ~ f� h' k ,�s�.�,`.•I:.i:. tel' .: A� ' � ��� PERMIT#98-0077,.1 STAMMER, • Carol` 0/7-/70r 2134*Honey Run;Rd.', Chicoy `E'• •Cont -,Chico Electric ' ' `' Ch/SF s Ele "Ser, 17 0 r 1) G 9/� ,l } i I I 9 � � r • If 5 � 1- 7 • . I t 0 r 1) G 9/� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �A x'Mr22 ASSESSOR PARCEL NUMBER ZONING BUILDirGPERMIT OWNER �490L STAUN MER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI2 4E 4ONEYRUN RD. CHICO CA CONTRACTOR'SOffCO EMIC Hjj EL -') ONE ' f J CONTRACTORSTAILIV ADORES N RD. 6 wW CHICO CA 93' CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS 2134 HOt�L�lilUl� RD. � �p��}�� Energy Plan Checking Fee $ CHICO $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING 'PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 5 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Y1 Installation ❑ Other ❑ Describe Work: REPLACE ELECTRICAL SERVICE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service iooAoass 23.0023*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 G 10 Lic. No. `iS"13"1 S 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 Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.,45 T. NEW CONST. MULTI -OUTLET NON-RESID. I 97.50 POWER APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDcrURES s A0 @ 'Z.OWNER-BUILDER Ex. Occup. ouTELErs RESI6.DFea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ •00 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier F,4. _-A-, s ';-,r,J MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number w7..? (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. X_4-, Date _ I '_q�__ Signature of Applicant - ❑ Owner ❑ Contractor XAgent An OSHA permit is required for e� avations over 5'0" deep and demolition or construction of structures over 3 stories in heic�jllTTt. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43 .00 HAZ. D. FEES IMP I FLOOD I COF I PARCEL PD HD UE This permit is hereby issued under of the Butte County Code and/or indicated above for hick fees have %� �y !.'�-t" PERMIT EXPIRES OND.S.-B.D. the applicable provisions Resolutions to do work been paid. 8 l Dat r r ate rR7eceo. 224918 •UU CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATI OM AND PERMIT ASS ESSOR PARCEL NUMBER 011-250-035 ZONING BUILINNG PERMIT OWNER CAROL STAINER TE SO. FT. - OCC. BUILDING VALUATION owNERSMA1LI2134EHONEYRUN RD. CHICO CA CONTRACTOR'S NAME CHICO ELECTRIC TELEPHONE ' 91-1933 CONTRACTOR'S MAILING ADDRESS 36 W. EATON RD. CHICO CA 95973 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2134 HONEYRUN RD. Energy Plan Checking Fee $ CHICO $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF F3 Duplex ❑ 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 X] Installation ❑ Other ❑ Describe Work: REPLACE ELECTRICAL SERVICE Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo, OOa LEss 23.00 23-00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect. License Class C_ to Lic. No. LAS`' S"A 5 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 permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ''1rll, „�I,o J3 's _ Main Service 200A TO L000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( s Acc. BLOB. SO 3.5QFT; NEW CONST. MULTI -OUTLET NON-RESID. ANC C @7.50 PowER AppARArus &SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FIXTURES .00 2UQ x .50 BAL 9 .SO Ex. Occup. OUTLETS (a SE p,DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number W -z—? q5ex-IS-4%lon (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 complythose provisions. X _ �, �_ _____ Date _1 " Q0=90 Signature of Applicant - ❑ 0�n:vr ❑Contractor AgentAn OSHA permit is required forations over 5'0" deep and demolition or constructionof structures over 3 stories in hht. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL po HD I UE This permit is hereby issued under of the Butte County Code and/or indicated above for ich fees have PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dates �L Date Receipt No. 22491$/$43.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION q✓� 7 County Center Drive - Oroville California 95965 - Telephone (916) 538-7541 12/96) APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERD ` I ��O — 0 � f ZONINOF� 9 BUILDING PERMIT OWNER �� M ^ r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4 t1 � ^a(g CONTRACTOR'S NAME `/^t`o�ec+((`J TELEP E 291—k -Z, �U CONTRACTORS MAILING ADDRESS w 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 $ BUILDING ADDRESS ' I on run Energy Plan Checking Fee S $ PERMIT FEE _ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ 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 Y Installation ❑ Other ❑ Describe Work:���� �C-al S�.ryfl�_ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200AORLESS 23.00 3� 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 LIC. NO. DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mein Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADONS. a ACC. Blas. 3.5QFT: No RESD. MULTFOIRCUT 97,50 8PSINowGLEER APPARArus OUTLET CIR. 20 (VI 00OWNER-BUILDER Ex. Occup.OUTLET OR FIXTURES BAL o .yo Ex. Occup. OFIX�EDS i , 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 FEL: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ J HA2. O FEES IMP I FLOOD I COF PARCEL PD HD LSSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -,. - ,.. .. �Y1.,-►.,rtyp•: p v .. � yy.•a.'v•.yy Y.. a.y. ._.r m:rs•,"'--^.��[ �" i .. .a +.�Y, s -v.. .. �r i,� !e.•v- _ _ ,-,y, e% Oma' 2d i I ro, G'AS,. i Mete , ELECT,RI 1t_,Meter By Date Y 11 Fti4 !k> Fciy� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS T Y' PERMIT NO. J 7 County Center Drive - Oroville, California 95965 - Telephone 916/34-4541• ! APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 'S c ,. ; COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS ` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT60N AND PERMIT PERMIT NO. /Y/ ASSESSOR PARCEL NUMBER ZONING S�— BUILDING PERMIT OWNERn ��� Ey,EPH NE J dmm O�ADD N SQ. FT. OCC. BUILDING VALUATION ACI LI N G OWNER'S MO9; , V Yft 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 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ,Fi 51,5 O - PLUMBING PERMIT lin 9 Fee 10.00 Each Trap 2.00 _ D i- Solar Water Heater 20.00 L LD �� Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas waterheater 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 JSJGJWJ 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: F 4!722(e— S&lW/e4r: 0A64t)6E Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 100 AOR S MP ORLESS 10.00 10,9e> Main service EA. ADD'L 100 AMP 2.50 -Z, 157-0 NEW CONST.(DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. I 1 2/20sgft 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. %� 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 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 &'� NON-RESID. SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES 9AL®3o BAL@30 FIXED APP LNS, OR FIXED Ex. OCCUp. OUTLETS (RESID•) E 2.00 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 S1 C9C Permit Fee $ , Contractor MECHANICAL PERMIT FilingFee 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 agai st said County in co sequence of the granting of this permit. X Yli Date Signature of Ap IiCanr — Ownerrvr Contractor E]Agentwork 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�f.0-0 OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD IseuE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTO PUBLIC By `� PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �7�T WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE, - DEPARTMENT OF 0UBLIC.WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPL_ KATION DATA SHEET �/n� Permit No. OWNER (f�0� 5'r� �`hiiil�✓� A. P. No. Proposed Building Use-5E,e_4)1ec C'%Ig-10 6om, Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspectors 1I�_l�'L� Date ...,,.. v 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. . . . . . . . . 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. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail. to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 6. Mobilehome Installation Data. ,� .�( •'�- �`- Pre -Inspection for �.� C�l�. g� U/wPre-Inspec. request to ired. Building Inspector 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 x. " 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 --L—'Telephone i By Plans checked by, Plansapproved by Other Copy—DPW Date Date —Mail Other Date r COUNTY OF BUTTE - teriartment•of Public Works 1 7 County Center -Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION 1 ' i Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand 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) 1J`e- 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: 06✓V Name t, Aa(f_ t A Address.' City Phone Contractors License No. t 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 ofthe work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work r S igned : ' Property. Owner Social Se it' umber Date NOTE: This Owner -Builder Verification is sent to you'as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the'permit. COUNTY OF BUTTE - DEPART SENT. OF PUBLIC WORKS - Telephone 916/534-4541 7 County Center Drive - Oroville, Californ 959tRMIT APPLICATION A D P OWNE�j L^ ES,eaH N , �- 4SSESSOR PARCEL NUMBER ZONINGrFireplce LDING PERMIT BUILDING VALUATION ' OWNER'SMAILING /A�DDR�E—SSb - CONTRACTORSNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN aluation $ Fee $ 10.00 LENDER'S MAILING ADDRESS Fee $ ARCHITECT OR ENGINEER LI ENSE NO. Pian Checking Fee $ Penalty $ ARCHITECT OR ENGI,NEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 _ D D d Solar Water Heater 20,00 ._- L i Water piping 5.00 Each qas water heater or vent 5.00 LOT NO. SUBDIVISION NAME I-ARCEL Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTUREU. SF ❑ Duplex ❑ Mobi lehome ❑ Other 1 Fv - ilding sewer 5.00 obile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ ' OtherContractor Describe work: �' F' ��L�/FF �'f�i2��F ^`z �.J S'^ Permit Fee $ ELECTRICAL "PERMIT Filing Fee 10.00 600V OR LESS 10 �(] Main service 100 AMP OR LESS to,6 Main service EA. ADD'L 100 AMP 2.50 'Z, 5-C) NEW CONST. / DWELLING OCCUP.&) 2y2QSgft OR ADDNS. l ACC. BLDGS. 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. Classificationy ❑Temporary 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-4S, ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NE w NIS ULT(.OUTLET 2,50 ea NON-RESID 'BRANCH CIR TS NEw CONSTR OWER APPARATUS &) /P NON.RESID. (SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES eA m20 90 FIXED APPLNS, OR c EX. OCCUp. OUTLETS (RESID.) E 2.00 S,OC) service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /S Ci i c Permit Fee $ Contractor MECHANICAL PERMIT JFilingFeel 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 agai,pst said County in consequence of the granting of this permit. X !, i P �' rte)<. Z %'t- %' L"�' Date SignatUre of liCant - 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 $ Sy. S0 OCCUP. GROUP I TYPE Or CONST, PARCEL PD NO 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. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date .."- �7iT Receipt No. 7 WNITE-D.P.W.-, YELLOW-AS<GSSOR. PINK-INSPECTOR. GOLDENROO-APPLICANT BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT � ,(1► \ R�TN VVVV r Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. T-� j 3-5ZONING PARC,�� OWNER �/ _,PHONE NO�/} OWNER'S ADDRESS �� D ' /� A _ H l C O ^ , N LOCATION OF BUILDING l� e pPka k a D' /7'-dU S USE OF BUILDING 0 76 �D SIZE OF STRUCTURE ' SL X -� _ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) � TYPE OF, SIDING L vj ROOF COVERING Ga FLOO TYPE a d�tJ E TIM %YE COST OF-CONSTRU CTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR l a AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is m e, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with th qu' ments in effect at that time and before occupancy. Date �197i Signature of Owner Permit Fee - $50.00 The above descri AG Building is pt from a building permit. Receipt No. a%-2-7 Manager Building Divisi By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOOD PARC,�� P.D, ROOFING ISSUE df? V"', Manager Building Divisi By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORN1 55965 - TELEPHONE (916) 538-7541 ,F, PERMIT APPLICATION DAJO, SHEET ,*�o /1/0 W OWNER Proposed Building Use A. o-/ Building Inspector Date % 3S� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . .................. 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: I . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... .. Pre-Inspection.req.uesf- 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner t , Mail to owner ). . . 24. Recorded copy of Agricultural Acknowledge em nt Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... r 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed t and (B) Parcel meets zoning area and frontage requirements . ............... t 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. f '" 34. When you issue the permit, process as follows: (,,e' -Mail to owner. Mail to contractor. Telephone and hold for pickup at A office. Deliver with inspector. Other Parcel Creation��'� / Acreage Applicant "'/ Date 7 Copy of Haz-Mat form sent Health Dept. Fire Dep . Air P I ion Date Copy of plans sent Health Dept. Fire Dept. Cher Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works