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022-201-015
A p -201 P -201 Melvin Calkins n/s Hastings Ave. 6/10 mi. W. Biggs Permit 1521-74 (deck & awnings for 22-201-te John erke Hastings Ave.,app.6/10 mi,jj.'of "wy 59, Biggs Permit #19911-81B(new pri.garage & storage) 40;u Alp4t) ;P le r m 4613-8'lB.,P,E,M(new S/F) 022-201-015 SANNAR 04 721 242 HASTINGS AVE, BIG INALE 02 SA 24 2- N 2 H 2 N HASTINGS 1 A 0 ROTN NEWTON RO RE Cont:- S E RE-ROOF 39 SQ 0 0 0 10 22-201- 15 04-1814 SANNAR, JEROMY 242 HASTINGS AVE, BIGG INALE Cont: JACKSON'S GLASS WINDOWS & DOORS BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds JPERMIT NO. BP041721 LICENSED CONTRACTORS 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 Issued Date' 06/14/2004 APN: 022-201-015-000 the Business and Professions Code, and my license is in full force and effect.2 License Class: cW Lice Number -lS_ �PSY Site Address: 242 HASTINGS AVE BIG Date: -� Lf Lk Contractor: LK 15 Map Index: Description: RE ROOF COMP 39 SQ. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SANNAR JEROMY R & STACEY E to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 242 HASTINGS AVE 7000) of Division 3 of the Business and Professions Code) or that he or BIGGS, CA she is exempt therefrom and the basis for the alleged exemption. Any 95917 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: SANNAR JEROMY R & STACEY E such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: 131 am Exempt under Article 3 of the Business and Professions Code l_ �, ` % 14 J4!� Lv+ 10r r) L, S'f. ; Date: Owner: Vj , b1 C `.-f i V �i WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the �./' "' Q - H iC �3� C 3 - 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: • 41- 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 Valuation: $0.00 become subject to the workers' compensation laws of California, that if I should become subject to the workers' Census Code: and agree compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: 4rt ` ?6,egor ileo Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applica a provisions of the Butte County Cods anrt/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to do w indicated above for hicli fees have been paid. performance By: ' Date: Name: ` ' PERMIT EXPIRES ON: r_4:z; Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. 1 acknowledge it is unlawful to alter the substanceof any,.o ficial form or document of Butt County. I hereby authorize repre tatives of Butte County toe ter upon the above mentioned property for inspection purpose r _ \/ Print Name: \�� tt_�� Signature: !S " � \ t — C Date: � t ❑ Owner I1J. Contractor ❑ Agent for Owner ❑ Agent for Contractor I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041721 LICENSED CONTRACTORS 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 Issued Date: 06/14/2004 APN: 022-201-015-000 the Business and Professions Code, and my license is in full force and effect.C 3 Lice Number -5 5 License Class: cJ Site Address: 242 HASTINGS AVE BIG I Date: —� 0� Contractor: Map Index: Description: RE ROOF COMP 39 SQ. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SANNAR JEROMY R &STACEY E to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 242 HASTINGS AVE 7000) of Division 3 of the Business and Professions Code) or that he or BIGGS, CA she is exempt therefrom and the basis for the alleged exemption. Any 95917 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: SANNAR JEROMY R & STACEY E such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). � Q jr 1 I vt eco Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code I 1 Date: Owner: !'r l� 1 `� � b / 4J „ `..�� C A . WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury 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 License #: c— C/ is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Cartier: Total Square Ft: 0 S. F. Policy #: 41- 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 Valuation: $0.00 become subject to the workers' compensation laws of California, Census Code: 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. � Date: � f� " / Applicant. v-�ff',,&y74?ec19 UeCI WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars , ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees.— - _ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applica a provisions of the Butte County Code ?nwor I hereby affirm that there is a construction lending agency for the Resolutions to do t�k indicated above fo hic as have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)_—O Name: BY Date: Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an , ficial form or document of Butt County. I hereby atives of Butttee GJounty toe ter upon the above mentioned property for inspection purpose authorize rep70V\11e- Print Name: r v � Signature: �' 1 _ 01 Date: l� ❑ Owner ! Contractor ❑ Agent for Owner ❑ Agent for Contractor I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name Address City 3 s Sta Zip Phone C) „ S Fax E-mail APPLICANT SIGNA URE X For office use only: CO TRACTOR Name o eLkvv Address LjL o�� S4 city i �� C: Stt,n ZipfS g . Ph g3o -155 - $3 Fax E-mail Planner Lic. # Class APPLICANT SIGNA URE X For office use only: ARCHITECT/ENGINEER Name e-LkJ Address � w V' A City C: State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNA URE X For office use only: AEPICANTINAME Name e-LkJ Address 5 � w V' A city �k u`, C: `�'� =5� Phone -75, Map Book Fax E-mail Planner APPLICANT SIGNA URE X For office use only: Zoning WtYL"0� Flood Zone ❑ Structure Built without Permits SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT &Z/— l92I BP BIN # � /i LOCATIO/N� AP# Q / - CJ 1S Property Address y 2 �cStt Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Descr tion or Scope of Work: f2e6,o00�0_ e s .v- rtolace WtYL"0� Sq. Footage 39 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. �J Received by: r Amount: Bldg / SRA Receipt #: G Sheriff C7�l SMIP Other Date: 1��0� Cv Total K:\F0RMS\BUILD1NG F0RMS\131dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041814 LICENSED CONTRACTORS 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 Issued Date: 06/22/2004 APN'' 022-201-015-000 the Business and Professions Code, and my license is in full force and effect. ct , ` 44 / License Class: License Number: -1 Site Address: 242 HASTINGS AVE BIG i Date: 6 h, Z Contractor. Ti4,k 5 6 n J 61455 Map Index: Description: RETROFIT 11 WINDOWS, 2 DOORS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a SANNAR JEROMY R & STACEY E permit to construct, alter, improve, demolish, or repair any structure, prior Owner: to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 242 HASTINGS AVE 7000) of Division 3 of the Business and Professions Code) or that he or BIGGS, CA she is exempt therefrom and the basis for the alleged exemption. Any 95917 violation of Section 7031.5, by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: SANNAR JEROMY R & STACEY E such work himself oriherself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion,: the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). jII ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: JACKSON'S GLASS CO ❑ I am Exempt under Article 3 of the Business and Professions Code 2900 MYERS ST OROVILLE, CA Date: Owner: 95966 530-533-3696 WORKERS'. COMPENSATION DECLARATION 1 hereby affirm under pealty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 347219 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: �+ I Carrier: J� wk r, FA r i_M Policy #: " w ' 23 9 7- 7 Total Square Ft: 0 S. F. ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code' ' 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. 6 "'�?IJ—% Date: U Applicant: nl�/ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars in addition the cost of 0 compensation, damages as provided for in Section 3706 of the Labor provided for ►LII►'/ code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby is'su d under the applicable provisions of the Butte County Code anrvor ' I hereby affirm that there is a construction lending agency for the Resolutions to o dicated above for which fees have been paid. )� performance of the work for %which this permit is issued (Sec 3097 Civ.) ' C J By: Date: Name: D Address: i PERMIT EXPIRES ON: �% Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: _[ G k $ LjVI Signature: Date: 0 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name K1 f) first Name , /RG 7" Address ,(Z 34.1, s A A � CityL s State State Phone Fax E-mail CONTRACTOR Name Name Address 7,9 ®v Address City OrUI•,'fi,_ State Zip9S���, Phone533.3 % Fax 57-3 3 4(o6 ` 3 5 -mail Lic. # Z I'9 Clas F APPLICANT NAME ARCHITECT/ENGINEER Name Address z e7 a Address Cityc)e, V L 1 1� City State State Zip Phone Fax Fax E-mail Map Book State License Number APPLICANT NAME Name (cs0� Address z e7 a eej Sl- Cityc)e, V L 1 1� SRA State Zip (,s-.��c 7 Phone If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Fax E-mail Address APPLICANT SIGNATURE X For office use o NO. 64- Zoning BP Flood Zone X I SRA I Yes Policy Number ��`� A Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Tye Const. Subdivision Name Address Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of PERMIT NO. 64- r BP City , > BIN # LOCATION AN r Property Address City , > Cross Street WORKER'S COMPENSATION Policy Number ��`� A Carrier _54"4 If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address L Description or Scope of Work: �C rb t-4 qftlly S o� , / �� <2 Sq. Footage , ❑ Structure Built without Permits ` ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. W Receipt #: 4� Date: � I -,-), --)- IV) Amount: Bldg SRA Sheriff SMIP Other O Tn4al SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet-si ied by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds ZPRM'T NO. 041814 LICENSED CONTRACTORS 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 Issued Date: 06/22/2004 APN'' 022-201-015-000 the Business and Professions Code, and my license is in full force and effect.G License Class: C, I License Number: 3 H% L I 1 Site Address: 242 HASTINGS AVE BIG Date: Z L Contractor: ��! c�k 5 G++ J G/ n 1 3 Map Index: Description: RETROFIT 11 WINDOWS, 2 DOORS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner' SANNAR JEROMY R & STACEY E to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section f 242 HASTINGS AVE 7000) of Division 3 of the Business and Professions Code) or that he or BIGGS, CA she is exempt therefrom and the basis for the alleged exemption. Any 95917 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does r Applicant: SANNAR JEROMY R & STACEY E . such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of + proving that he or she did not build or improve for the purpose of , sale.). ❑ I, as owner of the property, am exclusively contracting. with licensed contractors to construct the project (Sec. 7044, Business W17 and Professions Code. The Contractors' State License Law does / 1 not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 'Contractor JACKSON'S GLASS CO ❑ I am Exempt under Article 3 of the Business and Professions Code 2900 MYERS ST OROVILLE, CA Date: Owner:' 95966 530-533-3696 " WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 ha4 and will maintain a certificate of consent to self -insure for License #: 347219 workers' compensation, as provided for by Section 3700 of the Labor Code,'for the performance of the work for which this permit M is issued. r ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurances carrier and policy number are: Carrier:— arrier:Policy#: 70 �L _%397 2 Policy #: Total Square Ft: 0 S. F. i ❑ 1 certify that in the performance of the work for which this permit is $0.00 issued, I shall not employ any person in any manner so as to ;Valuation: become subject to the workers' compensation laws of California, Census Code'' 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. Date: 7�p2 OV Applicant: WARNING: Failure to secure workers' compensation coverage is�� unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees.' CONSTRUCTION LENDING AGENCY This permit is hereby 'ss ied under the applicable provisions of the Butte County CodR anrVor I hereby affirm that there is a construction lending agency for the Resolutions to o dicated above for which fees have been paid. f performance of the work for which this permit is issued (Sec 3097 Civ.) By: Dater r Name: � Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection puS_s Print Name: d >�I l.� 1 �G � L/J inSignature: I Date: 0 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor a,. COUNTY OF BUTTE BUILDING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. PERMIT NO. 4613-81B$P,E,M b PERMIT EXPIRES— OWNER XPIRES OWNER JON PERKEY { CONTR. owner ASSESSOR PARCEL 22-201-11 LOCATION NIS Hastings Ave, 6/10 mi W Hwy 99 Biggs F .S� 5 IL S tj'�.a t A A' f Temp. Power Pole Called PG&E Temp. Elec. Service — Called PG&E r3 Temp. Gas Service Called PG&E JOB FINALE[ V Signature 4 .J = 'OK7 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) ut. except # . 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. -Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.iS�iLs 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _ 4• Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -81 Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable RESIDENTIAL'(Single and Duplex) = Not Ready Date UNDERFLOOR Plans •exce t#'s Date FRAMING Continued 9 1 Zoning requirement -Setbacks-Easementsrop ty ine Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth xt. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- / /" Ftg. Depth 5 eadroom-Rise-Run-Landing-Fire Protection tg., Porches & Decks; Soils -Steel- /.2` /" Ftg. Depth ywood on Roof Overhang -Attic Vents -Rafter Outriggers temwalls, Main; Steel-Blockouts-Wrapped-Slab 2 ng -Nailing -Veneer Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. - creed-Fdn. Vents-Underflr. Access Z,Piers-Fireplace Ftg.-Steel 8 .W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test azing Area -Glass Protection -Skylights -Plastic 55., ai ing-Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 444- Electric; Underground .69" Plenums & Ducts; Clearance -Material -Support -Ins. '�e Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card- ate C rd -BI Date Card - l Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date ard-B S CI Date Date FINA ans) OK except #'s Card -BI Dat2gV V2,, Card -BI Date Date PLUMBING (Permit) OK except #'s _ Eft. Steps -Door & Sidelight Protection -Landings S" Detector 14. Wat r Ht.; Vent -Access -Combustion Air 160oFurnace; Vents -Clearance -Comb. Air -Connector - - - _ Pipe; Test & Anchors -Nail Protection ��� W.V.; Test-Fttngs & Anchors -Nail Protection edroom Exiting 17..afshvarer-Parr Test, First Floor -Tub Access. G . & Bath Fixtures & Tub Access __ �.18. We"! Tub & Shower, 2nd Floo Ac 0. -Elec. Trim & Subpanel; Breaker Sizes -Labels as Pipe; Size &Anchors 62. Mair,-B-Ra+�c -/ — 63. e4' -EW. Outlets at Wood Panel; Int. & Ext. Card- Dat %�, mrd -BI Date 88r.- Kit. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -B ateT d -BI Date le1c,.Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 6Z, --Garage Fire Door; Swing -Landing -Closer 68.e- amper lure & Transformer Clearance -Ins. Protection qaAW-r_Htr.; . Ve -Clearance-Co it -Con or -P .- ove Flo - Plb. Elec. & Mech. Equip. Listed for Location c. Receptacles Spacing -Lights &Switches at Doors 2 Boxes & No. of Conductors -Stapled lec. Receptacles in Garage; (G.F.I.)-Romex Protec. om ex Installed Close to Edge of Studs & C.J. round made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic s 73.- Ap ' e Circuits in Kitchen & Conductor Size 74.Gl:wle Door -Drainage & Wood -Earth Clearance L es j� teed Wire Size // ga. or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Uor AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No ollowing instld.: Drive es ❑ No; Walks es ❑ No; Planters ❑Yes o 2fielTe-rvice-Riser Conductors & Ground -Main Disconnect 76 29. Equip. Clearances; Panels-Motors-Mech. Equip.A. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light19r-V2 bove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -__--___-_— - ater ; Disconnect, Electrical, Plumbing Card B Date '_ Card -BI Date xt lec. Trim; G.F.I. Receptacle -Underground 8+ --Ventilation throughout House Card B-I&,fate . -n_?-�_Card-BI Date 82 Date MEC H ICAL (Permit) OK except #'s _ o ions from Previous Inspections Ga t -Meters Tagged; Gas -Electric Ducts; Insulation & Support a Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates _ 32. _ an; xhaust above Insulation ondensate Drain &Overflow; Size &Grade urnace-yqui,- 'cce.eS o ir-Return Air Vent -115V outlet i 35. rm if Furnace in Attic Card-Bly�-- Date/-��Card-BI Date Card -BI Date Card -BI Date Qv- I ate d -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRA G(Plans) OK except #'s Comments at Final: Sills; Proper Material & Anchors _ Zy�o�� ;_Studs -Nailing, Spacing & Bracing -Plates_ -Sound 3rT Be g Walls _over Girders &Floor Nailing _ raft Stop in Walls (rat proof) _ _ - re Stops; Furred Ceilings -Stairs -Chases -Tub ' wader & Beam -Size & Bearing . angers -Post Caps -Anchors -Connectors _ g. Joist- -T ' s -S nq.- or Type A Flue -Fireplace Throat _ - Attic s; Size & Rom_ex Protection -Draft Stop -Ins. Baffles 4 rm., indows or Exiting Doors -Sill HgL_& Dimensions_ _ arage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 00, A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this % matter, or need additional explanation, please contact this 'office immediately. rJt -r - c T R. L/ G.._ A/, r 3X 50 _T ISL r�R/ 2s7 11"4'k— Inspector. �� �" ��l /�!'' rI Date �l��'® • RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT BUILDING PERMIT NO. cation) LI CA/ �` (Pl A.P. NO THE FOLLOWING HAVE BEENINSTALLED AS -PER. APPROVED PLANS: (Check each item or write N/A if not applicable) INSULAT ION : ,� Slab Edge. /V-4 Fdn. Walls Floors Walls �- Ceiling/Roof Ducts U Circulating Pipes�i APPROVED HEATER P/ APPROVED WTR.HTR._ GLAZING: Single Glazed Special (Insulated) GL�c.tp aw6a c , CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. L BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES 4 -- CERT. APPLIANCES Y I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS B.MITTED. Insulation Applicator Name Signature of (p a print Insulation Applicator-� _ �;�• State on tractors L' a No. General Contractor/ r Name 0'v (pl se.print);' Signature of General Contractor/OwnerDate Stat ontracturs' Lice se No. THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. t- x COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 APPLICAT40N AND PERMIT ASSESSOR PARCEL NUMBERZON 22 - 2a1// #IX� G BUILDING PERMIT O WNE O. / PC /V TELEPHONE SO. FT. OCC. BUILDIN VALU TION © OD OW ER'SMAILING ADD 9 0.q& 9XL O f�� -00 400. CONTRACTOR'S NAME z TELEPHONE / /%q ( / WW V h O v OC CONTRACTOR'S MAILING ADDRESS Fireplace Q �DOO. O t7 CONSTRUCTION LENDER t UNKNOWN — Total Valuation $ �/ 1So� C) Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , po ARCHITECT OR ENGINE PR LICENSE No. Plan Checking Fee $ O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ -�56 BUI�Lp G ADDR SS �(/ S /,)k/ S A -V6. 14PP• 10 M PLUMBING PERMIT FiliniL6 9 Fee 10.00 I-Itnp lav, '7 / Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping .Qp LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,--,� USE OF STRUCTURE SF L5' Duplex❑ Mobilehome❑ Other SPECIFY - Building sewer �0v Lawn sprinkler system 5.00 S�� � ,�,� TYPE OF WORK New 2 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ .00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESSO 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING Qd9/l?PLN4 OR ACDNS. ACC. BLDG 2•' qft '�J� 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 D-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 CONSTR. I.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NON-RESID. (POWER NEW CONSTR. (POWER APPARATUS.9 OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �� FIXED APPLNS. OR EX. Occup. �OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ , 30 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 o -sent to Self -Insure. 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 c ir,-000 pt7 14 C -:A-% 4V/1.4p Cooling 37- 6.06 Hood 3.00 3,00 Ventilation permit Fee $ ,pa 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�bov and eby authorize representatives of the County of ned property for inspection purposes. Butte to enter upoge,in rto sakharmless the County of Butte against all liabi ' jud xpenses which ma any ay,ac a I ranting of thi�pe�uL't. ` ( // Date Signora �Appliicont - Owner ❑ Contractor ❑ Agent An OSHA required for excavations over 5'0" deep and emolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $%(QIalsoa OCCUP. GROUP _ TYPE of CONST. ) rV PARC PD H SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateZ— Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - -+ vti....,..,,-_..wf.p..nr^. �;'.1:.^rx..rs.-.....a.:....-..+s..;.,.r�,�f--.i.,;,_d�a.^�:.`ti....,.-F.,�++n..•�I'""-+-•--'` .a,,,_� ..-. .-...---•......�..-,.....- ,.-._J-._- .. COUNTY OF BUTTE F,�DEPARTMENT OF PUBLIC WORKS - BUILDIN,G DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE/ 916/534-4541 PERMIT APPLICATION DATA SHEET 1V/ %� %� Permit No. OWNER .- oAj /� k-�,��Y A. P. No. �ZZ- 201 Proposed Building, Use S1r Permit Fee Based Upon: t Complete Contract Price ✓DPW Valuation Other (Explain) Building Inspector Date 17-123181 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. Fees of $ 9: Letter of signature authorizations + ero.4E, u/cY SL. ✓10. Sanitation approval from Health Dept.. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 711/1xO 3�,..-�Contractor's License Information (no., name style, classif.) '-iwner-Builder Verification (Given to owner0, Mail to owner 15. Improvements may be required.. , . , , , , , , , , r 16. Mobilehome Installation Data. . . . .`,. . . . . . 17i Pre -Inspection for RequiredPre-Inspec. request to (Dote. Building Inspector , ) 0/1�18. Other When you issue the permit, process as follows: ti Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applican&,- e_-1--ee_- Date �2�.��/ 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 Qmwof applic4ition, circle 't .) 1. Index permit for above Items No.X: 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by ' Telephone 04" Mail Other Plan: P lans Other By Date Copy—DPW &e_40�/ A C�/ To: Building Department From: Environmental Health Subject: Sanitation Clearance er tidh Plan approved for: sewage disposal PP P Hold final for: 111r, i iii�, lei water supply. water supply Final clearance O.K. for: water supply .� Clearance for bedroom home. Other Clearance for addition of NOTE * * * ani arian Date COUNTY OF tUTIE - bepartment of Public Works 7,Cpunty 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) 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 Date /,-;?-- ,.� 1 er NOTE: This Omer -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. 0?.? -0. *// ove/3—J// "`'Return to DPW "` ' "` AGRICULTURAL STATEMENT, OF ACKNOWLEDGEMENT �,'�-. 1024 FOR RESIDETITIAL DEVELOPMENT OFFICIAL RECof?DS Section- 26-8.1 of the Butte County Code requires this acknowledgement BUTTE COUNTY-`I.ALIF. •R ^ REQ' ' "T ". aY rr,be recorded prior to issuance of a building permit. 41.ECO . The property described herein is adjacent to land or included IJ 10 32 Q�, within an area zoned for agricultural purposes, and residents of CLARK A. NELSON this -property may be.subject--toinconvenietces" or•discomfort arising CLERK -RECORDER from the use of agricultural chemicals, including,- but not limited to herbicides, EYJ pesticides, arid`fert�ilizers;- and�from`the pursuit•of agricultural operations--including;EE but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor, Butte County has established agricul- tural -zones which..have.as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from tormal,'necessary farm operations.' /-All.that real'property situate in the County of Butte,.State of California, —described as follows: — - �1.` Lot 9, as shown on that certain Map entitled, "MAP OF BIGGS COLONY NO. 2", which-- - map was filed.in the office"of-the_Recorder-•of the County of Butte; State of California, August 16, 1907, 16 Book 6 of -Maps, at page 103. = �< i • - _ ".�, , QDate., .,� ter- :- •� .-•�<. _.-4-N^-aPRQPERTY�OWNERS: R..Perkey Nell I 'Perkey raw.. f State ofCalifornia ) On this the �� day of , 19 SZ, SS. -before me, the undersigned Notary ublic, personally -County of cSy/s,� appeared. _ „.. •�eN 2 Pt2K� Y • Nt�u z Pc2K�y known to me to be the person(s) whose name(s) OFFICIAL SEAL. subscribed to the within instrument and acknowledged .• � -, EL;Y FRY that executed the same for the purposes s NOTARY PUE:LIC-CALIFORNIA therein co ained. ' Principal S Rn9 L'yCur�sien E�,s Ail 15183 IN WITNESS WHEREOF, I hereunto set my hand and official seal. - - - • Notary blic Present A.P. N0. Z2-2ol- 1f - i Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 82— 10;!4 FOR RESIDENTIAL DEVELOPMENT OFFIC.AL RECORDS Section 26-8:1 of the- Butte Count Code requires this acknowledgement TECO I COUfVI'Y4. CALIF.)B Y 4 g ��;E�9R REQ ST T'..)By be recorded prior to issuance of a building permit. 1 - The property described herein is adjacent to land or included °�ki � �� �2 �8 within an area zoned for agricultural purposes, and residents of CLARK q NELSON this property may be subject to inconveniences or discomfort arising CLERK -RECORDER from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and from the pursuit of agricultural operations including,. but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience,or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of -California, described as follows: Lot 9, as shown on that certain Map entitled, "MAP OF BIGGS COLONY NO..2", whithl, map was filed `in the office of the Recorder of the Countyyof Butte, State of California, August 16, 1907, in Book 6 of Maps, at page 103. Dat, State of California SS. County of cSy-P PROPERTY OWNERS: On this the %� day of _ 19 Z, before me, the undersigned Nota personally rY � P Y appeared ,;Yo ti 2 PtQkt= 1 NE(_c z Vc6Lt`1-Z-y known.to me to be the person(s) whose name(s)- `.,': 1j,F OFFICIAL SEAL subscribed to the within instrument and acknowledged ELROY FRY that 22— executed the same for the purposes NOTARY PUBLIC -CALIFORNIA therein co ained. Principal Oif ice in',SUTTER County 4lip N My Commission Expires April 15, 1963 IN WITNESS WHEREOF, I hereunto set my hand and official seal. i i Present A.P. NO. -Zo I- I( Notary P blic — r r- r1n^.t 1t,AENT qs » - r o6�v`" L /1. N' C,' O F 1,4 A, 7' U Ri !. V,,' e # '# . i ; i N l?. F7 F A. `I T Y DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY. Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534.4681 WILLIAM (Bill) CHF,FF September 21, 1982 Deputy Director i i t Mr. Jon Perkey Re: Building Permit 2770-82 P. 01, Box 596 AP 22-201-11 Sutter,;CA 95982 Dear Mr. Perkey: The Board of Supervisors did not approve the issuance of your building permit as a vested right on AP 22-201-11. The Board is aware that you hadn't applied for the land development as I indicated to them that you had. Supervisor Al Saraceni_ asked if action could be held off to allow you to express yourself -and also that Supervisor Moseley be present, I believe that it will allow that next week either at a time that you might get from Mrs. Moseley or if a time is not available, then 11:00 a.m. would be appropriate. I would suggest that you or your surveyor make application for the land development as you told me you were going to because the Board may not act which would prohibit permit issuance until your land had been divided. Yours truly, Original signed b'y Clay Castleberry Clay Castleberry Director of Public Works CC/ss cc: Supervisor Bertha Moseley and Supervisor Al Saraceni NOBu1, :a 10 -M epartme it�t r 2i 3 �I `I i 5i s 7. 8 91 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 ORDINANCE NO. 2314 AN INTERIM ORDINANCE ZONING A PORTION OF THE COUN W OF BUTTE, STATE OF CALIFORNIA, AN "A-2" (GENERAL) DISTRICT The Board of Supervisors of the County of. Butte, State of California, under and pursuant to Chapter 24-30 of the Butte County Code, and declaring an emergency, DO ORDAIN as follows: SECTION 1. The hereinafter described area situated in th County of Butte, State of California, shall be and it is hereby zoned as an "A-2" (General) District for a period of one hundred twenty (120) days, and such area shall be subject to the restrict- I ions and restricted uses and regulations pursuant to Butte County (Code Sec. 24-66. Said area so zoned being located in the unincorporated area of Butte County, near Biggs, more particularly described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: Within Lot 9 of Biggs Colony No. 2 per Map of Record in Map Book 6 on page 103 on file in the office of the Butte County Recorder. SECTION 2. This urgency ordinance shall take effect immediately upon its passage, and before the expiration of fifteen (15) days after its passage shall be published once with the names of the members of the Board of Supervisors voting for and against the same in the Biggs News, a newspaper.in general circulation in the County of Butte, State of California. The fact constituting the urgency on which this Ordinance is based is: 1, 2i i 3 4 5 6 7 8 9 10 11 12 13 14 15 16" 17 18 19 20 21 22 23 24 25 26 <<HEEME7f, CFa--irman ut e County Board of Supervisors ATTEST: ELEANOR M. BECKER, County Clerk -Recorder and x -officio Clerk of the Board BY I� I A hardship on the family. PASSED AND ADOPTED by the Board of Supervisors of the ,ounty of.Butte, State of California, on the 12th day of October, 1982, by the following vote: AYES ,�o?,::r., Fulton, :00st_J-e Saraceni. and Chairman Wheeler NOES: lYCile ABSENT: t;onc NOT VOTING: <<HEEME7f, CFa--irman ut e County Board of Supervisors ATTEST: ELEANOR M. BECKER, County Clerk -Recorder and x -officio Clerk of the Board BY I� I I J PERMIT NO. 1991-81B i PERMIT EXPIRES a OWNER John Perkey CONTR. owner ASSESSOR PARCEL 22-20}11 LOCATION N/SHastings Ave.,app.6/10-mi.W.of Hwy 99, Biggs Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E/ Temp. Gas Sehi ce _ Called/PG&E— JOB al led PG&E _ JOBwF LED (Date) Signature r t J = OK 0 Not OK = Not Applicable = Not Ready MOBILEHOMES 10 WISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except R's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ ' / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ /" LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date , Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5.Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 0 7 J=OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAOL.(Siiigle and Duplex) Date UNDER LOOK Plahs OK except #'s Date FRAMING (Continued) 2 oning requirements -Setbacks -Easements 48. im R rewall & Openings 2 -Elec. Grnd.- / /'' Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- / yf" Ftg. Depth 50.--8tdhS_-Midth-Headroom-Rise-Run- Land ing-Fire Protection 4. rc es & Decks; oils -Steel- / /" Ftg. Depth 5 wood on Roof Overhang -Attic Vents -Rafter Outriggers 5. - lockouts -Wrapped -Slab ' ing-Nailing-Veneer 6. Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab 3. &wo@eMee"-Brip Screed-Fdn. Vents-Underflr. Access 7. 54. 94eriPq-Asea-lass Protection -Skylights -Plastic - g -Test-2 way C/0 -Sewer Test 55.-O&hoa;.AUaRelilailing-Bolts 1 -nchors -nc ors -Regulator -Service Test 11. rgr 12 1 earance-Material-Support-Ins. 13. Gy(dE(S:$11-I6-Anchor Bolts -Joists -Vents -Cripples Card -M ate and -BI Date An -Tl,b ra Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date - Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date PLUMBING 14. Date Card -BI Date (Permit) OK except q's Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails --- 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q's 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 20. Fixture &Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. 73. Insulation -Foam -Looked in Attic E:) Yes Guard Rails & Deck Construction -Post Caps 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire S' e / a. u r AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. // ga AI Insulated Neulral es 0 N 75. Following instld.: Drive ElYes E]No; Walks E3Yes [INo; Planters ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval _ _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date _ _ Card -BI Date Card -BI Date Date FRA G(Plans) OK except q's Comments at Final: Sill Proper Material & Anchors 3 al , Studs -Nailing, Spacing & Bracing -Plates -Sound 3 earing Walls over Girders & Floor Nailing 39. .0T 0S ITfWalls (rat proof) IOV Stup ; Furred Ceilings -Stairs -Chases -Tub _40. 4 eader & Beam -size & Bearing _ 42, Hance=st Caps -Anchors -Connectors Ing. ----- - - r Shthr4,-Wr , . 44.-FtrEpf�c-l7es or Type A Flue -Fireplace Throat _ 45. moa► Size & Romex Protection -Draft Stop -Ins. Baffles 46. bdf?R"OPiR_ows or Exiting Doors -Sill Hgl. & Dimensions _ 47. fi ire rotection Framing (NOT E: An en try must be made each lime you visit job site) 7. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PP RMIT 7 County Center Drive - Oroville, California 95965 - Telephone 916/5 541 Y APPLICATION AND"t"ERMIT 44 WLJ ASSESSOR PARCEL NUMBER . Z.Z-- ZO NG Z. BUILDING PERMI 111 OWN R �0A/V PES TELEPnONE ass o� SQ FT. OCC. BUILDI VALUATION - 0 _ OWNER'S C?, Bo ✓ MAILING E 676. L/ 6 / �e CONTRACTOR'S NAME N iy l TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ �d Filing Fee $ 10.00 LENDER'S MAILING A RESS Permit Fee $ 57 � 0 -0 ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee ,$ , i2d Penalty $ ARCHITECT OR ENG[ E R'S MAILING ADDRESS Permit fee $ TY -0 Q BUILDI G ADDRESS(� A-sTmJ S AV 67, ry ,�� . Ak PLUMBING PERMIT Filing Fee 10.00 F *0 y Each Trap 2.00 Repair drainage or vent piping 5.00 s 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 5'i P44 SF ❑ Duplex❑ Mobilehome❑ Other SP CI FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMOR LESS 100 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. (DWELLING OCCUP.EI\ OR AODNS. ACC. BLDGS. I 20 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 IKI, 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-Ou LET 2.50 ea NO N.D ESI . BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS b NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES 100 B @� 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 $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. 1 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 an keep harmless the County of Butte againstoccuP. expenses all I'abilities, judgme cos s, a d expenses which may in any way accrue agai t said County i co sequ ce f the granting of this permit. Date Signa re of Applicant — Owner CoAr ❑ Agent ❑ An HA permit is required For excavations over 5'0" deep and demolition or construct- ior, o structures over 3 stories in height. Mobile Home Installation Fee $ v TOTAL PERMIT FEE $ �O- od GROYP ` TYPE OF CONST. PARCEL PD/ N;' 1✓E This permit is hereby issued under sion- of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PEWIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date — D �✓�!/ Receipt No. s1 / 03 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT