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Home My WebLink About025-100-005HOUSING INSPECTION 2/l4/AI ' ----'------ 025-100-005 01-2352 BANES, JAMES & COLLEEN DEMO SF 25-10-05 A '847-89E 07 riv ' nw .BANF.S,. James 95 arkin Rd, Gridley LA 3 �,.r �::��i'�F•'R•:'Y�iY'-Gs.. ..._ .sy F,�•�-�{.i,'rR^z,{:ki•t::ur.rtFe9"•'IG�A,{iy"M"�%��i�^yr. ,r.^a•G4;i'`>rtini�' 1 a F 01-2352 EGRIDLEYENN, t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75416) PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT Vv - 31a.�1 ASSESSOR NUMBER ��1Vr,A ZONING 40 BUILDING PERMIT OWNER JAMES Q, QQLLM HAM TELEPHONETELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 1.5.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS M95 LANIM RD, GROW$ Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: " Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LE Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, wAill do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors Ato construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST, owELLNG OCCUP. OR ADDNS. ( a ACC. eLDs. s0 3.5¢FT: NNO gale MULTI -OUTLET 97,50 PSINGOUTLET OWELER APPARATUCIR.S Ex. Occup. OUTLET OR FIXTURES 20 @ 1 1.00 SAL .S0 Ex. Occup.oFlx�EEo�A F pOEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a .certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' com nsation laws of California, and agree that if I should become subject to the work rs' compensatid, provisions of section 3700 of the Labor Code, I shall fg7th/� ith comply with those provisions. I,- f- -, X �J (. � �✓1 Da et i/< 1{ �� _ Signature of Applicant - Iff Owner ❑ Contractor Agent r An OSHA permit is required for excavations, over 5'0" deep and demolition or construction of structures over 3 stories in heigffr � MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE 05s00 HAZ. I D FEES IMP FLOOD CDF I PARCEL PD HD 5SU This permit is hereby issued under the applicable of th Butte County Code and/or Resolutions indica d abov r which f es have been By _ Da PERMIT EXPIRES ON provisions to do work paid. / !!! ete ReceiptNo. � WHITE-D.D.S.-B. CA RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �3 � ASSESSOR PARCEL NUMBER 025-100-005 ZONING - BUILDING PERMIT OWNER JAMES & OOT T vM BANES. TELEPHONE -4030 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 360 HAZEL ST. GRIDuy CONTRACTOR'S NAME KIETH ANDERSON TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee s 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3095 LARK Energy Plan Checking Fee $ $ PERMIT FEE $ 35,00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO – USF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service '..A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not ploy any person in any manner so as to become subject to workers' Com nsation laws of California, and agree that if I should become subject to the w r rs' compensa ' n provisions of section 3700 of the Labor Code, I shall f Jith comply w' those provisions. X a e I IDof Sign ure of Applicant Owner ❑Contractor Ag - ent An OSHA permit is required for excavatio er 5'0' de and demolition or construction of structures over 3 stories in Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. 6 ACC, BIDS. 3.5¢FT. NON-RERIU T. MULTI. OUTLET @7,50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDcruREs BAS @':0050 Ex. Occup.. oFuTLEEOTSA A.ID °FRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $35.00 HAZ. D. FEES IMP FLOOD CDF pgRCEL pp HD ISSU This permit is hereby issued under the the, Butte County Code and/or indica d abov r w ich f es have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date / D Date Receipt No. �— WHITE-D.D.S.-B. CA=Y-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION aev.t2196) 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 _ APPLICATION AND PERMIT PERMIT N0. Il.n W 11.MCQ MJMtta1 r Somme - BUILDING PERMIT oxvr«ere �� pp��**•. a- ��'�L'BUILDING VALUATION �] �fi� .L xooN.rwuenoNusoo� 9% U:NIll w Km &MAns Fireplace ARCNfrQC,T OR EN&WER Total Valuation S ucePA NO. r (� Flin Fee ARc►-rEcr OR eas+Ewe www �ooREss $ 20.00 Permit Fee _ c s"uL•''��. — F _ Plan Checkino Fee = Energy Plan, Checking Fee = `oT"°' suewveanrwe el MA► PERMIT FEE S �. PLUMBING PERMIT Filing'll 20.00 USEOFSTRUCTURE Each Tr SF O Duplex O Mobilehome O Other Solar or heat Ump water heater 23.0-U tP�i11 Water piping15.00 TYPE OF WORK Eech as water heater or vent 15.00 New O Addition O Remodel O Utititles .p hstailletion O Other O Gas (in9 system t - 5 outlets 15.00 Describe Work:rn - Build!'n as sewer 15.00 nil Mobile Home S G W "(&20.00 :P ---- PERMIT FEE S -- _ ----� ELECTRICAL PERMIT FM Fee 20.00 Main Service 000V On LE zoos OR LEsso 23.00 Main Service "" rO I 000 A8.00 NEW care . a+AOONs, o a AOC. OWLUM S. 3.SeR . NON• 0810. ' MULT40UTLET Q7.50 srovrEn a vARArus as Ex. Occu Ounu OR Fungin 200 1.00 Ex. Occu NrEO ^vrLM. OR Ill 50 1 ovnEra Esso. rw 1 Tem orar Service 5.00 i 23 00 Mobile Home Facilities 2000 Misc. Will23.00 PERMIT FEE _ *PERMIT FEE PAM $ 3S, �o MECHANICAL PERMIT Fling Fee 20.00 SRA t - - Heating � u Coolin SHERIFF Hood 6.50 r OTHER Ventilation r PERMIT FEt S Mobile Home Installation Fee i -�--- Energy Inspection Fee i AMOUNT RECEIVED -' occ Omar.n� TOTAL FEE_ 8 S, c� I NAL O. Ra UAP CD, ,,,tea „ ,D asvE This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work *R NU"Bt �� Indicated above for which fees have been paid. * TO BE PVT XNTO COIMPVTER ay Date PERMIT EXPIRES ON Demolition Permits Asbestos Notification Statement Date4�4�? AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "'19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt i from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at 9 0R Signature of Applicant I hereby declare fhat..a written asbestos notification to the United States Environmental Protection Agency is not applicab e to this de lition project. i Signature of Applicant 2/19/91 �,["�(f��+�,�.�rfR6➢N�,.p�; .,��ti,;efW��,,.•+'.,t�! r. �7C��^�A6�"��"�F1�`14±� 4 L, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE'- OROVILLE, CALIFORNIA 95965 - TELEPHONE (5i6)538-7541 � A _ �PEl�MIT APPLICATIUIN�DATA SHEET XIV OWNER: , ASSESSOR PARCEL NUMBER: Proposed! ua&ng U§e: t l Building Inspector: Date: i At time ofpe" Iiiit application, I;was advised lbp., llowing data must be submitted prior to permit processing and/or iss ance: Date Received By ❑ 1. All iiems have been submitted.------------ Jr ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. -------- ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by`the preparer of plans. ----------------------------------------------------- ❑4. Engineered.plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ---_---- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation. -------------------=-------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. -=--'9 -/-______________________________________ ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ El 119. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $------------------------------------------------------------------------------------- , ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.---- ------------------------------- -. ---- 13. Flood elevation certificate. ---------------------------------- _ Sanitation and plot plan approvq()ccA�j ly.,Health Department. ------------------ City of,Chico plumbing permit. ---------------- --------=------=='_----------------------- ❑ 16. Plot plan and business license -approval from the'Ciiy of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) parking: _. ❑ 18. Contact Land Development about ❑ Iinprpvements, ❑ Drain ge ❑Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- •----------- . .-. ------------- ------------ ------------ ..�., Li Lu. Pre -inspection for r, required Request to Building Inspector on 1:12 1. Contractor's license information. (Number, Name Style, Classification). ------------------- ---------- ❑22. Workers' Compensation carrier and policy number. --------------------- ❑23. Owner -Builder Verification' "(Given to owner ❑, Mailed to owner ❑). ❑24. Letter of signature authorization. ------------------------------------------ ❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------- ❑26. Letter of intent on building use. ------------- ❑27. Manufactured Home utility clearance. ----- E128. Existing violations and/or expired permits. ) (Date)`"-. -w. 9. 11433 A, (A,ant�pTit � , ❑ ChecPc H.C.D,$--------------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at ffce. ❑ Deli with inspector. licant: / ate: 7/17d d Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Dep , ollu on Date: `Y By: Copy of plans sent ❑ Health Department,-07Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: �� ❑ Plan Check' List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of -plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: VP11rnu ('nnv - TIP -t -t of TIP.,AI.,....,o.,t Co.•..;. 0..:1,7:..,. VIOLATION CHECK LIST A. P. # Address Owner - Owner' -s Address' Owner's Phone No. r S' Supervisoral District Tenant's Name Phone No. -. Type of Violation in Detail with Code Section Priority No. P 0,�— Specific Plot Plan with C/V Noted. _yes no Penalties Required lst..Notice Sent 2nd. Notice Sent ate. Date Comments and/or Determination Disposition For Citation Citation Date) (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) F. BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH _ Division of Environmental Health 7 County Center Drive Oroville, CA 95965 (916) 538-7281 February 14, 1991 CERTIFIED MAIL - RETURN RECEIPT REQUESTED James B. and Colleen A. Banes 3022 Larkin Road Biggs, CA 95917 RE: Housing Inspection - 3095 Larkin Road/Ar-25-100-05 Dear Mr. and Mrs. Banes: This department had received a complaint alleging health and/or safety hazards in the above listed rental dwelling. On January 2, 1991, I visited the property and the tenant permitted me to inspect her rental unit. The following conditions were observed which are in violation of the California Health and Safety Code, Section 17920.3 (a) (6) (11) (12). (13) , (b) (1) (2) (3) (4) , (d) , (g) , (1) (2) (4) , (k); the Uniform Plumbing Code Section 1001, "running water required (potable)", and which pose health and/or safety threats to the tenants. 1. The home is served by a well which has been tested by this department and lab results indicate that the water is non - potable. 2. The electrical wiring in the home is substandard and. keeps shorting out. 3. The home has no adequate source of heat - the tenant is heating the home with the oven. 4. The home has a cockroach infestation. 5. 'The floor covering and wall coverings throughout the home are in a state of serious disrepair. 6. The foundation, floor supports and sub flooring are seriously deteriorated. 7. There is a dampness problem in many of the rooms because of faulty weather protection. 8. The home is in a state of general dilapidation and is unsafe due to lack of maintenance. 9. There is no smoke alarm in the house. r r James B. and Colleen A. Banes February 14, 1991 Page 2 These conditions shall be corrected as follows, and within THIRTY (30) DAYS from receipt of this notice. Obtain any required permits from the Butte County Department of Public Works, 7 County Center Drive, Oroville, CA prior to making repairs. 1. The well must be cleaned up, sealed, and tested to certify that the water is potable. 2. Repair/replace electrical wiring and boxes as needed to eliminate all problems. 3. Provide an approved and adequate source of heat properly vented-- the heater must be able to maintain the home at 68' F. 4. Eliminate cockroach problem in the home. 5. Replace floor and floor coverings, walls, and wall coverings as needed throughout house so they are in good repair. 6. Repair/replace foundation, floor supports, and sub flooring as needed to be in good condition. 7. Eliminate moisture and dampness problem throughout home. 8. Home must be restored so it is structurally sound and have adequate weather proofing. 9. Provide a working smoke detector in the house. A reinspection will be made. Failure to comply will result in the Franchise Tax Board being notified of your non-compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expense connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 17299 and 24436.5 of the California Revenue and Taxation Code. If you have any questions regarding this letter, please contact me at the above listed address or telephone number between 8:00 -10:00 A.M. Tuesday through Friday.- - Very truly yours, JL,av� to Tom Hughes, R.E.H.S. Division of Environmental Health TH/kf cc Butte County Building Department ,. .T.. , ;. � r �.. .+w." �•t :i .,-✓- �^�. t.w . i.1:� .«i�� it : r" ., t.^, :� ��,,�...- �.�`�" e'_-iY _ .: .`+d`��k.� ,a y,-, K FFINALED: �847-89E ame s kin Rd, Gridley. c main upgrade)SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . �PERMIT Ngo,., 7 County Center Drive•- Oroville, California 95965 - Telephone: 916/538-7541. APPLICAfIONAND PERMIT 1 ASSESSOR PARCEL NUMBER �` . ` ZONING BUILDING PERMIT OWNER - �` it rs .vims TELEPHONE �(�k-. � SQ. FT. OCC. BUILDING VALUATION OWNER 'S MAILING ADDRESS ' � D a A Zqe t 10 /(?i.� CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �.A'XX11 UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ EnergyPlan Checkin Fee g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Penalty $ BUILDING ADDRESS 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 1 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFS Duplex❑ Mobilehome❑ Other SPECIFY j Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W T 10-00 ea TYPE OF WORK j New ❑ Addition_❑ Remodel ❑ Utilities ❑ Instal ll,ation/❑ Other ® Describe work: i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 101 OR Main service 100 AMP ORSLESS 10.00 QV 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, Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sat ion, will do the work, and the structure is not intended'or offered for sale. (Sec. 7044) 1 ❑ 1, as the owner,, am exclusively contracting with licensed contract- ors. (Sec. 7044) i ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW OR ADDNS. CONST. ACC. SLOGS. / DWELLING OCCUPM , �20sq ft NEW CONSTR. '.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS a (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES-2AL0 eLe3090 FIXED PR Ex. Occup. OUT LETS (RESID.)EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc: Wiri n g 15.00 V ; Permit Fee $ �j A WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 9,.-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 perrrilt shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation f permit Fee ;' $ Contractor. • lr I certify that I have read'thi's appolication'�and state that the above information is correct: I_agree to comply to all County'- Ordinances and State Laws relating to building,const(uction, and hereby authorize representatives of the County of, Butte to enter upon the above-mentioned,.property for inspection purposes. I also agree'to save, inder6fy'atid, keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against,said County in consequence of•the granting of this permit. X u�-�'�+✓+_---�:--'-A -xis Date ,7 Signature`of Applicant —•' ^~Owner ❑ Canrracior ❑ Agent ❑work ,. An 6,s4 permit is required for'exca4ations over 5'0" deep and demolition or construct- ion of structures over 33 sato/ries in height. Mobile Home lnstallatjon'Fee$ Energy Inspection Fee $ TOTAL.P,ERMIT FEE ; $ OCCuP. CONST.T7,PEPLIFLOODJPARCELISCNO PD NO ISSU,e- This permit is hereby issued under sions of the Butte County Code and/or indicated above for, which DIRECTORIOF PUBLIC f By / ��1 `� PERMIT EXPIRES r Date the applicable provi- resolutions to do fees have been paid. WORKS Date - ' �i 0 `` r) -� Receipt No. _'—) Gv ' . 40 U WNITE-O.P.W., YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �PERMIT N / 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATIONANb PERMIT M_ P11 ASSESSOR PARCEL NUMBER – — ZONING BUILLDI G PERMIT OWNER/y�LC ] T EPHONE SO. FT. OCC. BUILDING VALUATION OW3'SMAIL IIJG ADDRESS X71 / CONTRACTOR'S NAME TEL PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 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 SFX Duplex❑ Mobilehome❑ Other SPECIFY - Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G FW T 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other.W Describe work:4V_ZZ4a1LGG�t i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LE00V ORSS Main service 100 AMP 10.00 Main service EA. ADD'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 Business and Professions Code and my license Is In full force and effect. License No. Classification ®�Ex. 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 1, as the owner, am exclusively contracting with licensed c ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a S. , Acc.TI oL TLET �2¢sgft New CONSTP- NON.RESID .BRA CH CIRC 5 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES 20050t P eALeaD OCCUp. OUTLETS FIXED PIRESID )R Temporary service 10.00 Mobile Home Facilities 15.00ontract- Misc irin g 15.00 isermit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 172�all 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 Pertnit 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili ' judgments, costs, and expenses which may in any way accrue against i ounty in consequence of the granting of this permit. %� Date ��—_ Signa r of Applicant — Owner ❑ Contractor ❑ Agent ❑ An A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Occup. TPEJ scHooL PLOOD PARCEL I PD ND IV This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D) =CTFPUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 's 0' Receipt No. � WHITE-D.P.W., YELLOW-ASSE,sOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ..-.1 _ •• r .....ra.. :... �. r .� ..� . r^..w.,•-..t, a r• •Y! , y.zl"."v :� p, '+.. .ry�w—r-.w- ...r '�...... -..-� � �' . ^ t r'ft�!}�i� v',._..;h. ; ^.'+ai...,i `... 't. . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, t AUTP0 A A�95965 - TELEPHONE: 916/538-7541 # f PERMIT APPLICATION DATA SHEET \' Permit No. r OWNER A. P. No..;=5-d Proposed Building Use .21' �`�- Building Inspector.Date 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions........................................................ 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... .� 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. =41 Driv ay permit (construction approval required prior to occupancy) .. . e -Inspection for C/ Cf -r _T', required .... Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... ' 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follow>�:,__,_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other, Date The following data must be submitted prior to permit issuance: (Circle new item not checked bove). 1. Index permit for above items No. 2. Additional items required: % Contractor, designer, owner, was advised of above required data by_phone---nall_/ccounter by date Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 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 unnecessary delay in processing and issuing your building 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 wort. 3. I have contracted w construction: Name Address Phone the following person (fir�rovide the proposed 4. I plan to provide portions of to coordinate, supervise, and Name Address Phone ity ntractors License No. is work ut I have hired the following person ov' the major work: City Contractors License No. 5. I will provide some of the work .but I have contracted (hired) the following persons to provide the wo k indicated: Name Addres . Phone Type of Work Signed: Property Owner Z�Z� Social Security er Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Count Cent Drive - Oroville, QaIIfgrnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARC9t- NUMBER ZONING BUILDING PERMIT OWNER T EPHON I OwN 's MAI ING ADo Ess SO. FT. OCC. BUILDING VALUATION CON A NAME TELEPH NE CON RACTOR'S MAIL NG ADDRESS Fireplace CONSTRUCTION LENDER N UNKNOWluation Total Va $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan. Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO.SUBDI VISION NAME PARCEL MAP Water piping 55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea E OF WORK New ❑ Addition ❑ emodel ❑ Utill Installation[] Other Describe work: ; Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP' OR00V OR LESS10.00 Qv Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under peva oecane� ❑ I am licensed Un a rovasioras oL.Chapt. 9, Div. .3 Uf the Business and Professions Code and my license is in full force and effect. License No. Classification -Ex. — 27<1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered. for sale. (Sec. 7044) - ❑ I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a , �=¢sgft OR DCONSTR` ACC. NEW T� OUTLET NON-RESID BRANCHCIRC 5 2.50 ea POWER APPARATUS a SINGLE OUTLET CIR. 20@Ex. OccU OUTLETS OR FIXTURES p 280@9AL6300 FIXED Occup. OUTLETS PR (RESID ) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc firing 15.00 - ermit 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. all 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabili judgments, costs, and expenses which may in any way accrue against,ogio,Zounty in consequence of the granting of this permit. XDate T:, Signar of Applicant — Owner [:1Contractor ElAgent❑ An A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYPE SCHOOL ILOOD PARCEL PO ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW-Ase[SSOR. PINK -INSPECTOR. GOLD ENROO-APPLICANT AL