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HomeMy WebLinkAbout024-100-026B06 -2861 024-100-076 MISCELLANEOUS Ag Exempt Ag permit- pole barn with lean-to's 1096 LARKIN RD FIELDS, LEIF DAVID & JACKI 24 10-76 ' HAROLD L. COBEEN ' 1096 Larkin Rd, Gridley Contr: Richard H. Carter, Live Oak - Permit#2605-81B(reroof/shop & garage)SF /9 24-10-76 593-91E PARAPID, Michael 1096 Larkin Road, Gridley (upgrade electrical) `ter, 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 PROJECT INFORMATION Site Address: 1096 LARKIN RD Owner: Permit No: B06-2861 APN: 024-100-076 FIELDS, LEIF DAVID & JACKI Issued Date: 01/31/2007 By KCG Permit type: MISCELLANEOUS 1096 LARKIN RD Subtype: Ag Exempt GRIDLEY, CA 95948 Expiration Date: 01/31/2008 Description: Ag permit- pole barn with lean-to's (530) 846-1430 Occupancy: U-3 Zoning: A10 Contractor Applicant: Square Footage: FIELDS, LEIF DAVID & JACIt Building Garage Remdl/Addn 1096 LARKIN RD GRIDLEY, CA 95948 Other Porch/Patio Total (530) 846-1430 FEE INFORMATION Ag Exemption Permit $109.98 EH Building Review Fee $70.00 Total Charged: $179.98 Fees Paid: $179.98 Balance Due: $0.00 Receipt No: B1235 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 01/31/2007 penalty [$500]; Pease check one of the following: , Contractors Signature Date 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 License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section 3700 I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Cartier: Policy Number: Exp. Dale: (This section need not a competed if the permit is or one hundreddollars ($100) or less.) ❑ IAM EXEM der Se n B. 8 P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation ws of California, and agree that if I should become subject to the workers' O 01/31/2007 compensatio rovisions of ctio 700 of the Labor Code, I shall forthwith comply with those wne Signature Date provisions. X q 01/31/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building ShAtifure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including dee and property mage caused arising out of, in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND t is the issuance of lh' ermit. I hereb no ledge that issuance of this permit does not authorize the a use or occupan f any sidewa , ree r subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to en t above me ed party for inspection purposes. I hereby certify that I am the pro er am author' d to on the property owners behalf. CONSTRUCTION LENDING AGENCY 01/31/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for me of ermitt SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner 1:1Contractor OR; ElAgent for Owner ❑Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVIILE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds AGRICULTURAL BUILDING EXEMPTION STATEMENT 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 agriculrural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies Initials L, AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials �,� 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 manufactured home, and 23 feet from a commercial/industrial buildings Initials, L ,,.Ae- AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 1096 LARKIN RD Permit No: B06-2861 APN: 024-100-076 Square Footage: 0 Permit Type: MISCELLANEOUS Occupancy: U-3 Permit Subtype: Ag Exempt Zoning: A10 Description: Ag permit- pole barn with lean-to's Required Setbacks: Applicant: FIELDS, LEIF DAVID & JACKI Front: 55' Side: 20' Rear: 20' 1096 LARKIN RD GRIDLEYCA95948 Type of Construction: (530) 846-1430 Type of Siding: Other Owner: FIELDS, LEIF DAVID & JACKI Est. Const. Cost: $ 8,000.00 1096 LARKIN RD GRIDLEY, CA 95948 Roof Covering: Metal (530) 846-1430 Floor Type: Roadbase I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Divison aobtain t e necessary permits, inspections and approvals to comply with the te requirements in effect at tha an for to occupancy. Signature of owner: o g Date: 12/18/2006 Si FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name -i�l,o Name irst Name LrlF Mailing Address 0 q (D L9 ouN 2 otgo City /'_R 10L9 Fax State C� Zip 9:yq q� Phoney 8qL- Iy3'o Lot # Fax E-mail Date Approved: APPLICANT INFORMATION CONTRACTOR Name .� Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT INFORMATION Name or u� r'1.2 Address City State Zip Phone Fax E-mail AP LICANT SIGNATURE 'Al2el"I'l i X .S For office use only: AP# 10Z) - 0-7 Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Carrier Map Book Page Lot # Planner Address Date Approved: PERMIT NO. BIN # PROJECT LOCATION AP# 10Z) - 0-7 Property Address 109(a trialN coo City, �t�rOL Cross Street 04if) reN WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at Me time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: iALf- bj4klo WIT L g.4 Sq FT- Living Garage Open Cov ❑ 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. Received by Amount: �. V Bldg SRA Receipt #: ___Sheriff b _,._ _SMIP Other Date: Date: `� f V --7 t -Total Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not requir3ed to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.S OR NO) I IAV 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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE 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 Description: Ag permit- pole barn with lean-to's Reference Number: B06-2861 Applicant Name: FIELDS, LEIF D ID & C Signature of Property Owner: Z Date: /o7 $ a Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the pe who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years m the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan C portion of fees i�dedu ridable only if the permit is cancelled or withdrawn before any plan checking is done. Buil g Division costs will bted prior to authorizing a refund and a charge of $54.99 to process the refund applicatio ill be assessed. Refunds on permits (i�s need) may be requested prior to the expiration of the permit, provided no work h een done pursuant to the permit. An Inspection 4y be required (and deducted from any refund amount) to determine work was done. \ Fee/refund information can be read on-line at http://municiDalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2861 Location: 1096 LARKIN RD Parcel Number: 024-100-076 Owner Name: FIELDS, LEIF DAVID & JACKI Description: Ag permit- pole barn with lean-to's Signature of Property Owner: I b FILE Date: 12/18/2006 Phone: (530) 846-1430 Date: 12/18/2006 BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B06-2861 Job Address: 1096 LARKIN RD Contractor: Printed: 12/18/2006 3:06 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt Ag Exemption Permit 0010-440001-4210500-1010 $109.98 12/18/2006 $109.98 EH Building Review Fee 0021-540013-4614901-1010 $70.00 12/18/2006 $70.00 Printed By: Gwyn Benedict 179.98 $179.98 Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior ro issuance of the permit. These fees may be changed during the plan checking process. Signature: Date: 12/18/2006 Pursuant to Government code Section 66020, you are herby notified those items listed above may been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 0 O 0 0 0 O on uc =;V_ � National pollutant Disharche Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS TH.!%-N 1 ACRE 1 Reference Number: B06-2861 Date: 12/18/2006 Location: 1096 LARKIN RD By: GLB Parcel Number: 024-100-076 Sub Type: Ag Exempt Owner Name: FIELDS, LEIF DAVID & JACKI Phone: (530) 846-1430 Description: Ag permit- pole barn with lean-to's By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: QW N,(R_ FILE Date: 12/18/2006 s _ NO. 2605-81B p PERMIT EXPIRES 7/10/82 OWNER HAROLD L. COBEEN CONTR. Richard H. Carter, Live Oak ASSESSOR PARCEL 24-10-76 i' LOCATION 1096 To kin Rd, Gridley Temp. Power Pole— Called PG&E — Temp. Elec. Service Called PG&E_ Temp. Gas Service _ C; JOB F Si J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 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./ /"_PG 7. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 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 N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except Lt's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 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 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg, Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 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 I 7 a V = OK O = Not OK - = Not Applicable' RESIDENTIAL (Single and � Not Ready r Duplex) Date UNDERFLOOR Plans OK exce t#'s fate FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements Elec. Receptacles Spacing -Lights & Switches at Doors 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 2 Appliance Circuits in Kitchen & Conductor Size 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Equip. Clearances; Panels-Motors-Mech. Equip. 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab Card -BI 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 10. Water Pipe; Test -Anchors -Regulator -Service Test Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Qf Fire Stops: Furred Ceilings -Stairs -Chases -Tub -41. 42. 43. 43. 44. 11. Electric; Underground _ 45. 46. 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date _Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. 23. 24. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I Date Card -BI Date Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 31. _A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 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 Date FRAMING(Plans) OK except #'s 36. _Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. _40. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Qf Fire Stops: Furred Ceilings -Stairs -Chases -Tub -41. 42. 43. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic El Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No; Planters ❑Yes CJ No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Card -BI Date Card -BI Card -BI Date Card -BI Comments at Final: (NOTE: Anentrymust be made each time you visit job site) Date U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 41%��� APPLICATION AND PERMIT ASSESSOR PAR EL MB /f —` /4, ZONING BUILDING PERMIT Op7 �L� L�v� �OWNER'S /iM/ TELEPHONE SQ. FT. OCC. BUILDING VALUATION � V ING ADDRESS •0. 50K D/ CONTRy rA ^�IJ{ME /'/9/'Mrn/,ILING_0;Y yEyyEp�Oy / + l/i/�S�L OBJ CONT�/GCTO `/(/`�, Z[ V I_ : " /// /-� S /C�Ji/jCJ� jJJ/ � Fireplace CONSTRUCTION LENDER _ U K�, NOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ W -OD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r 00 BUILDItl PRESS [.A �ez A/ / UU (/v" PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 n /v(�T Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTU�RRE, dQ f, SF Duplex❑ Mobilehome❑ Other ��P //�4� SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationOther Describe work: _eE ,000JC Lt%% GDy%� S/1J/ _ LeS NNN Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR LE 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.N) OR ADDNS. ACC. BLDGS. 2Q Sq ft VCONTRACTORS 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.;L0 �� Classification V ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. .OUTLET 2.5Oea NON.RESID BRANCH CIRC TS NEW CONSTSL ( POWER APPARATUS 61 NON.RESID. SINGLE OUTLET CIR. / Ex. Occup OUTLETS OR FIXTURES a �� IXED APPLNS. OR EX. OCCup.(OUTLETS (RESIDJ EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S 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, j gments, costs, and expenses which may in any way accrue agains said C nt i consequ nce of he granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor X AgenIt"D An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE of CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which e BY d 04RQOF PU LIC PERMIT EXPIRES Jr Date the applicable provi- resolutions to do fees have been paid. WORKS 7Date ��,�Q� L �O"Vz— Receipt No. �ZS�2 � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT YR#t`j:.'ijlij:�hr.`r� Yipy(�' `�T'.s�.r < ..y ..,r .. _ r .sg.,: .*r.. . .:,y „Z, ;..t• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callfornle 95985 - Telephone: 918/538.7541•,� 93 —Cl/ APPLICATION AND PERMIT A811195111OR PARCEL. NUM1111KIIII ZONING BUILDING PERMIT "arapid, Michael `j SO. FT. OCC. BUILDING VALUATION D 1lJ`j0' %ar yA 1�tj iE; °Gridleq 95148 CQLNTReAr TOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C%S RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ECT OR ENGINEER AWITTne LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BY1W1a°r'kYAsRd. , Gridley Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 E Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 1 Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTUggE elec SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities F! Installation ❑ Other Describe work: upgrade elec fleffnit Fee $ bontractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the uslness and Professions Code and my license is in full force an effect. License No. Classification. compen- sation, will do the work,and the structure Is not intended ooffered 1, as the owner, or my employees with wages as their sole1'ontrac for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed t- ors. (Sec. 7044) I ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.& , OR ADONS. ACC. BLOGS. /20sgft NEW CONSTFL ULTI.OUTLET ' Q,SOea NON•R ESID BRANCH CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. / EX. OCCUp\OUTLETS OR FIXTURES Z0950t eAL030 FIXED APPLNS. OR EX. DCCUp. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities .� 15.00 Misc. Wiring !c: 15.00 Perm t Fee $ ?fi...Sd25 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E] 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 shal l be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating AL Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 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`too—s� indemnify and keep harmless the County of Butte against all Iiabili les, judTments, costs, and expenses which may in any way accrue against s County in conseq ce of the granting of this permit. ?, _ 19Z X Date Signature of Applican — 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ - 52.50 HAz. CUA PARK SCHL FLD coF PAR PD I Ho. Iss This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRE 0 0 PUBLIC WORKS . �r : 9l By `, 13' to 3 PER IT EXPIRES Date Z-- Receipt No. RUIIX ( WNITC-D.P.W., TELLOW-ASeE790R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. _�V93-ql AA A33IK32OK PARCEL NUMMIER _ BUILDING PERMIT arapid, Michael T M_899S SQ. FT. OCC, BUILDING VALUATION O1plbF�rj 3 rAI IIyG AQD,RE"Gridley 95948 l �f (� j,ar in C NTRACTOR'S NAM 8wner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CRNNSTRUCTION LENDERoneUNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER done LICENSE NO. Plan Checking Fee ,b' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ By�q`Lar�CinSRd. , Gridley Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE elec SFO Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W .00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ttt�� � Installation ❑ Other ❑ Describe work: upgrade elec Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 10.00 10 QQ Main service EA. ADD'L 100 AMP 2.50 2 50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): • ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole Compen- TTT sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d+ OR ACDNS. ACC. BLDGS. ,/2¢sgft NEW CONST R.U OUTLET NO N•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e\\ SINGLE OUTLET CIR. / Ex. OCCUp\/ OUTLETS OR FIXTURES 20®e0t eALeeo Ex. Occup. FIXED APPLNS. OR OUTLETS L SID.) EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 9 Misc. Wiring 15.00 15 QQ Per It Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. i17( I shall not employ any person in any manner so as to become subject J� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood 3.00 Ventilation permit Fee $ Contractor I certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agr o s e, indemnify and keep harmless the County of Butte against all liabi hies, jud ments, costs, and expenses which may in any way accrue against Cou yin conseq nce of the granting of this permit. %� Date Signature of Applican — 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 $ Energy Inspection Fee $ occ EH, CONST TYPE TOTAL FEE $ 52.50 HAz. cuA PARK SCHL FLD cDF PAR PD I HD. ISS This permit is hereby issued under the applicable provi- cions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRE O O PUBLIC WORKS By � Date P IT EXPIRES Date �L Z� Receipt No. X391 X WNITE-D.P.W.. YELLOW-ASeE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER --- --��i COUNTY OF BUTTE - DEPARTMEN'T,OF PUBLIC WORKS!- BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 V, PERMIT A-PEld"AT:ION DATA SHEET Permit No. Proposed Building Use A P _ Bui ding Inspector Date 1 M,/ At time of permit application, I was advised the following data.must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 10Driveway permit (cont—G r ct' . approval required prior to occupancy) IZ 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................. . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup a office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The 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--nail_counter\by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Plans approved by \ Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 at your earliest opportunity to avoid unnece sary delay in processing and issuing your building permit. No building permit will le issued until this verification is received. 1. I personally plan to provide the mlabor and materials for construction of /the proposed property 'mprovement (yes)or no) 2. I (hav / ave not) signed an application for a building permit fo a 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 Securit Nu er $ Date .?—/- �i 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 per- mitted to issue the permit. . PRE -INSPECTION OWNER: / 1 ! T �i ( a M i f D DATE LOCATION: �D � L2 eel A D A.P. # - eoe-e'7� CONTRACTOR: (�N /� ZONING ! U -v PRE -INSPECTION FOR: U T (1 J12,47, DATE TO INSPECTOR, PERMIT HISTORY: E NONE 0 AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT:_/�n� e/cl32- CCUPIED Eg-HAS ELECTRIC 6S GAS EErHAS SANITATION FACILITIES [El"H*EATED-COOLED PERSON CONTACTED /V/,4 - OTHER COMMENTS: ACTION RE.COMMENDED: ISSUE Q HOLD FOR OTHER: BY DATE 3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PA L NUMBER � ' ZONI BUILDING PERMIT OWNER 1 TEL PMO E _ 693 S0. FT. OCC. BUILDING VALUATION OWNER 'kJ1ALLLIN AICIPRESS /09 �14rk1"w ,fid CONTRA R•S N TELE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AOpR S it p(` 49 A) k77 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Duplex❑ Mobilehome❑ Other a SPECIFY 924e Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New❑ Addition [_1 Remodel❑ UtilitieXS Installation Other ❑ �Describe work: _ 9 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LE SLESS 10.00 c CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business�----' and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 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 Main service EA. ADD'L 100 AMP 1 2.50 NEW CONST. DWELLING OCCUP.aI A New , hLDGS.¢sgft CONaSTR.� ULTBI OUTLET ....RF ON.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e -SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES P 2093ot eAL030 FIXED Ex. OCCUp. OUTLETS PAPLNS.(RESID 1REAJ 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring 15.00 O s Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have 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 or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. �( Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ S ' �— HqZ CUA PARK SCHL FLD coF PAq PD I HD. ISSUE This permit is hereby issued unser the appiicab:e provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ��R o SITE D LAN .....:......:...........:...:.....r..••----..:...- ...---••-:••--..7_•...:__.-- ..... -_....-:-•----:.....--••--------: --•----.-- •- •---_•._•:.---- - -....................- -..................• •.............. .._..... . • .... ......:.. _.. _.:..........._ .. .. :. : :3:�ie .. :.. .. ._ .. .. ..4.....� .. .. .. :r '. �._ .. ---- .. ' 1/ I —w: -- .. .. .. .. .. ._ . . .. .. .. .. .. - --. D-- -tea-- .. .. n!a rr { t� .... .. _. [ i_ is . _. .. _ _ .. .. _ .. .. ._........ .. .. ----------- .. .. . k `1 :1 __ ..:._ ...... .. ......... ...................................._ .. • V -��A- : ........_ :...;....._ : ..__._ _ .. _ .. +� , o { ,� / ,. /� _ .. _ .... F.r fYvi r� f•CJ�t.•tit Y�JtX'17Y rt �'t!: •• •• d yl _.• ..............{ h F Pa;icin Lard n •,err• .�;.. .�. .-ci-•-s-•-•• ..�--`--`-• - -- -_P�. .. .. .............. .. 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