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027-020-009
1 I A.P. 27-02-9 CLARENCE 0.. GARDN_ER Lsli 109 Slunmit Ave., Oroville _ } 027-020-009, PERMIT #98-50AG- Permit 2165-73P2E 4� V,413 --(utilities for mob . MOORE, Fredric A. ;home)--- -- - 109 Summit Ave., Oroville Ag Ex Permit -AG 027-02-0-00998-1244 B,E V. LOT BLOCK SUBDIV. MOORE, Fredrick.-A.�:'P.up. 1109 Summit Avenue, OroviTleI' ti ,_ 3- - U TYPE PERMIIT PERMIT NO. PLAN NO. DATE Is (new garage/shop)f w/ol permits ISSUED REMARKS PERMIT DESIGNATION: B—BUILDING DEPARTMENT OF P—PLUMBING BUILDING AND SAFETY T -TRAILER E—ELECTRICAL U—USE PERMIT r TV — RAD 10 -TV ANTENNA V — VARIANCE S/W—SIDEWALK NOTICE S_ SIGN PERMIT HM —HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 PERMIT DESIGNATION: B—BUILDING DEPARTMENT OF P—PLUMBING BUILDING AND SAFETY T -TRAILER E—ELECTRICAL U—USE PERMIT r TV — RAD 10 -TV ANTENNA V — VARIANCE S/W—SIDEWALK NOTICE S_ SIGN PERMIT HM —HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 INSPECTION RECORD BUILDING APPROVALS Ir �W W Z z 2E O OWF U0Z p o LL ? UJ W zy W (� Z < h O= Q F.! Z O= f FJ OF P za OF I F.QJ IL W t zm U W J D< aw t,� U W �_ IL J Z LL SIG. DATE SIG. DATE SIG. DATE SIG. I DATE 11 SIG. DATE SIG. DATE SIG. DATE SIG. DANE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PERMIT NUMBERi SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS DESIGNATION 'f �pq� RESIDENTIAL - 027-02-0-009 98-1244 B,E MOORE, Fredrick A. 109 Summit Avenue, Oroville 4PERMIT NO. (new garage/shop) w/o permits PERMIT EXPIRES /io/9 9 OWNER ' CONTR. _ / ASSESSOR PARCEL a I "LOCATION 4 \f t a 4 i W �, 4 /SRA CHECKED BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS w VERIFY Temp. Power Pole Called PG&E r Temp. Elec. Service Called PG&E- .I. �# Temp. Gas Service Called PG&E JOB FINA (Date) i x' Signal a ,i 't V=OK 0 = Not OK _ Not Applicable ' = Not Ready - . MOBILE HOMES. Date MOBILE HOME UTILITIES (Plans) OK except#'s MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 1. Zoning Requirements- Setbacks Easements 2. Soils; Special MH Support Sketch 2. Footings; Size -Spacing -Marriage Line 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Gas; MH Test -Demand -Vere -Connector " 4. Water, Location -Test -Easement Needed (Sketch) 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Electricity; Locabon-Clearances-Gmd-/ • /Amp -Concrete 5. Drain; MH Test -Fall -Flex Connector 6. Gas; Location -Test -Wrap; / /`Cft. / /Nat. or/ /'L"ft./ "G- 6. Water; MH Test -Regulator -Connector T. Well, Clearance & Disconnect 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Vere -Connector " 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Dowris-Type-Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy . 12. Permanent Foundation Only: License Decal Date Card B-1 " Date Card B-1 Date Card B-1 Date Card B-1 ISCELLANEOUS Date D5jW, COVERS, CARPORTS, GARAGES lana OK except #'s /folkoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"paclng-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shth .-Rf .- cin 5. Alum. A umns-Connections-Splice-Decal-Enclosures 6. C indows-Doors Ae g.;Sils� chorsS ids-Rttrs-Trusses 9. Siding; fling Ve Stucco -Mesh 10. R ; Shthg- fing 11 , .;S sdandings 1 . Bra Wall Panels Date and B-NA90 Date Card B-1 Daterd B-tS Date Card B-1 Date POOLS (Plans) O except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighting; Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ =OK O = Not OK RESIDENTIAL�(Single & Duplex) - - Not Ap 1' bl e p ica Not Ready Date _YWERFLOOR (Plans) OK except #'s ningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ i Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/OSewer Test 10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joistsa/ents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -tights & Switches at Doors 25. Size B es & No. of Conductors Stapled 26. Romex 11astalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & SuppoR 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors. 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr Ties-Purlin-toff Brac: TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits ` 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls: Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: FI X (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF,,DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754yr/ PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-020-009 ZONING AR155 BUILDING PERMIT OWNEFREDRIC A. 140ORE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P 0 BOX 487, LOMPOC, CA 93438-0487 u 12,240 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION NONE LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing F@@ $ 20.00 Permit Fee $ 144.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 109 SUMIT AVE., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE/SHOP 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 X�Xg TYPE OF WORK New"? Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (BUILT IN APPROX. 1975) Gas piping system 1 - 5 outlets t 5.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Serviceaoov oR LEss zooA oR LFss 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 Profe�j0R6 Code, and my license is in fU orce and effect. p� -7 ® / License Class LIC. NO. G DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( 6 ACC. BLD S. 50 3.5Q�: wi Rn NEW CONST. MULTI.OUTLET NON-RESID. B ANC Cu @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00OWNER-BUILDER BAL @ .50 FIXED . Ex. Occup. OUTLETSPPLNSRESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.80' 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 Number7 T.p n / f / a— (The above sectionseecl no becomplet d if t permit Ts foywork 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' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with�thoseisions. G�� X ^—�' _ Date rO ��! Signet of Applicant - ❑ O r O'C,`ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ oc CPN T. PE TOT L FEE $ O1.40 HAZ. .�— D. FEES IMP FLOOD r - COF Pr PD HD SU This permit is hereby issued under the applicable provisions of the Butte Coun Code and/or Resolutions to do work indicated above for hich fees have been paid. rJ/0 By to PERMIT EXPIRES ON/,e�O ZQ g (Date) T— ReceiptNo. 27677-60.00h/31341-24170 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J I F U5/11/98 09: 59 %Y805 736 6370 MOORE HILL LMBR 001 PAINT • BUILDING MATERIAL • HARDWARE MOORE MILL AND LUMBER CO. -ZumCF-% and Aiff Wo%4 320 North D Street • P.O. Box 487 • Lompoc. California 93436 - Telephone (80S) 736-5661 • fax (805) 736-6370 �� F105-73�`��7D COUNTY OF BUTTE- DEPARTMENT OF DEVELQPMENT SERVICES - BUILDING DIVISION ;> 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.'.2/96) APPLICATION AND PERMIT ASSESSOR L NUMBER � o ^O 75 =D"�N�'J,r^ — BUILDINGPERMIT' OWN R-�011� r , � n TELEP...CO/NEE/ cep G� SO, Fr, OCC. BUILDING VALUATION OWN MAIUNO AD) (1� // /l. ' C/'!J� o l� COMM R'9 NAME TELEPHONE TELEPHONE -�^ C r a CONTRACTORS MAWNO ADDRESS CONSTRU .LENDER LENDER'S kWUNG ADDRESS Fire lace Total Valuation $ ARCHI` C O�ENGINEER LICENSE NO. V �� >° Filing Feb $ 20,00 ARCHITECT OR ENGINEERS MAKING ADDRESS Permit Fee b l Plan CheckingFee $ BUILDING ADDRESS m Energy Plan Checking Fee $ / $ PERMIT FEE i LOT NO. SUBDNISgNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome ❑ Other r'C( 4(9 la Water piping 15.00 c Each gas water heater or vent 15.00 TYPE OF WORK New Addition 13 Re ❑ Utilities Gas i in stem 1 - 5 outlets 15.00 e1 13 Installation O Other ❑ Buildin sewer 15.00 Describe Work: .7 44,0 nq Mobile Home I S G I W 020.00 ( i PERMIT FEE t ELECTRICAL PERMIT I Filing Feel 20.00 Main Service zoo. oR DESS 23.00 LICENSED CONTRACTOR'S DECLARATION Main Service 200A TO 1000A 46.00 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter DWELLING OCCUP. OR ADONS. NEW CONST. ( y ACC, BLOS. SO 3.5¢x: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, tW GU NN O ID. MULTFOLITLET @7,50 and my license is in full force and effect. POWER APPARATUS License Class Lic. No. 8 SINGLE OUTLET CIR. OWNER -BUILDER _DE_CLARATION Ex. OCCU . ovn.ErORFmAm aAALL®'.w I hereby affirm under penalty of perjury that I am exempt from the Contractors License Ex. Occup.U�PPa 5.00 Law for the following reason: .cFX Temporary Service 23.00 ❑ 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. Mobile Home Facilities 20.00 ❑ I, as owner of the property, am exclusively contracting with licensed contractors Misc. Wiring 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason PERMIT FEE S WORKERS' COMPENSATION DECLARATION MECHANICAL PERMIT Filing Fee 20.00 1 hereby affirm under penalty of perjury one of the following declarations: Heating ❑ 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 Cooling performance of the work for which this permit is issued. Hood 6.50 ❑ 1 have and will maintain workers' compensation insurance, as required by Section Ventilation 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 PERMIT FEE $ Policy Number Mobile Home Installation Fee $ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Energy Inspection Fee S ❑ 1 certify that in the performance of the work for which this permit is issued, I shall Dcc CONST_ 11 TOTAL FEE $ ,Q not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I. should become subject to the HAL D. FEES IMP FLOOo COF PARCEL PO NO ISSUE workers' compensation provisions of section 3700 of the Labor Code, I shall I forthwith comply with those provisions. This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work X Date indicated above for which fees have been paid. Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent I An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height. I By Date Receipt No. 13-=3,61)d WHITE-O.D.S.-8. D. CANARY -ASSESSOR PINK•INSPECTOR GOLDENROD•APPLICANT PERMIT EXPIRES ON to • ,:tl"� � :719Yy=ti' y:t "F, u, ��k'-1ifcv+9'���2' 'T�u iFT'y" .if7� -. `;�;;fp{YS��RJf7i�rii"'f`'..i'�a,..-- y, 'COUNTY OF BUTTE = DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING.DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA` SHEET �. 46rP_ nOWNER: ',�'(i/' 1G ASSESSOR PARCEL ER: Dj % � � O 9 Proposed Building Use: Building Inspector: Date: At time of permit application, I was ad ed the following data must be submitted prior to permit p easing and/or issuance: Date Received By t 7 o• ❑ 1. All,items hav been submitted .-----------------------------------------------------------C_!h_ I -VI -k /------- lot plans, Vsets signed by the,preparer of plans. ------------------------------------------------------------ omplete pl 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. -------- truss details and layout in duplicate (required prior to plan review) No faxes! h 6. Energy Design Compliance and supporting documentation. ---=-'= ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----------- ❑ 8. Hazardous Material Form. ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ eesof $ =------------------------------------------------------------------------------------ 1 • . Impact fees as shown on the attached schedule. -------------------------------------------- -J------- t2. -- -- -- — 2. California Department of Forestry plan approval/fees._t 4K--------------- wt --_ y -- - ----- t 3 Flood elevation certificate. ------------------- -----------------------D=am' [_C --13" -------- 4. Sanitation and plot plan approval (�QHealth Department. ----------- -----;-------------------------- ❑ 15. City of Chico plumbing permit. ------------------------------------------------------------- r =--------------------- Y 1 ❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------%--------- -- ❑ 17. Planning approval for (A) Use: (B) Parking: _. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. --------------- ❑ 1.9. Encroachment Permit for driveway construction approval prior to occupancy). ``' ' --- ❑20. Pre -inspection for required. Regdi t to Building 43�Inspector on' ` 2: Y (Datej' 0ontractor's'cen e information. (Number, Name Style, Classification)'---------------' ----=- ' ---------- i. orkers' Compensation carver and policy number. ----------------------------------------=- r ----------------- - wner-Builder Verification (Given to owner ❑,Mailed to owner ❑).----------------= = E24. Letter of signature authorization. ` ent Stat '/ --------- ❑25. Recorded copy of Agricultural Acknowledgm ement:,--------------------------------------- ❑26. Le%r of intent on building use. ---------------------- ------=------------------ .- ❑27.,Manwactured Home utility clearance. ------------- 2 8. ------------28. Existing violation`s_ and/or�ired per_mits.= ----- 0 Y A 29. ❑43, ❑Grant Deed, ❑ M.H. Title; ❑'Check Otf Wh you follows ❑ Mail to owner, ❑Mail to ►Telephone 0 -7 Y q and hold for pickup it 6k v V J If f Applicant: -' Copy of Haz-Mat form sent ❑ Health.4Department, ❑ Fire Department, ❑ Air Copy of plans sent ❑ Health Department;. ❑ Fire Department, ❑ Other: - ah• Ir ------------ _E 4. 1, s� A- ---------- 4 . •• �..,•C e. d"C'� Z !.� ' tractor. t.office. ❑ Deliver with inspector. Date: By: D By: 1. Index permit application for the above itemg'numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Ioivision 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 Divi ' - n counter, by Date: oe Plans reviewed by: Date: ' Plans approved by: it—e.7 rlrl Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by,; j ' Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY „r. Plot Plan Attached Floor Plan Attched Sent to B.O. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance M�& Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 Date ' -r COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER r i GiC G, // /0 got,-6- PROPOSED r-GPROPOSED BUILDING USE 4�'/ 0 f- S �' O DATE RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................. $ -- Additional Fees Due ............ $ . -- Additional Fees Due' ............ $ -- Revised Plan'Checking Fee ........ $ 2. SCHOOL DISTRICT FEES (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) x #Units Amt. Commercial (sq.ft.) .. Sq.Ft.' -Amt. 5. RECREATION DISTRICTFEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $5 0.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) Pi 6- IS -98 /Lec. &, 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit: These fees may be changed during the plan checking process. APPLICANT e /_%mo i DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your' project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) - ry w COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT, SERVICES .- BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 My. SCHEDULE OF RECEIPT OF FEES OWNER lei �i e-` 9, -e—, A.P: # � w 00 (� f PROPOSED BUILDING USE ®.f c'� 4 4 DATE RECEIPT # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised P1a i' Checking Fee ....... $ / 2. SCHOOL DISTRICT FEES " (paid at District Office) 3. SHERIFF FEES (paid at Building Division) t - ! Residential ........ x $360.00 = $ d �( Units Commercial (sq.ft.)... x $0.03 = $ s Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. - Commercial (sq.ft.) .. x Sq. Ft. Amt. -5 -RECREATION DISTRICT FEES (paid at District Office) r 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7.` SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at -Building Division) f.1./ A, - Ae . Z� :3 1.3 4 7�- 8. WATER TENDER FEES (Battalion # - ) $200.00 (paid at Building Division) r AK � �'" � �p�� ) �• a � ����.+ r ~ y i ! t.:' i( ! i.! '�� r�.? ."}k iir fJ 9. C A 87 TRAFFIC FEE `$2500'.00, (pate at Butlding'Divtsion) t fP ► c5,r ; ; ,_, 10. OTHER ,x` s`. At time of permit applicationY, I� ks�advis d the above fees are required to be paid prior o issuance of the building permit. These fees may be changed duffing the plan checking process. 5 APPLICANT ra -DA E G 7 f - Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). , Original -Building Div. 2nd Copy - Applicant 3rd Copy Owner ,3;',„ ; r ('Rev. 2/97)' .S . ..... �•.-,mss'-.._ Eatte county RIK _ LAND OF NATURAL WEALTH AND BEAUTY Date: June 24, 1998 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Permit Applicant: Fredric A. Moore Permit Number: 98-1244 P.O. Box 487 Assessor Parcel #: 027-020-009 Lompoc, CA 93438-0487 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans [ ] Other Action Required: [X] Comply with Plan Check List [ ] Resubmit Plans with Revisions As Required' [ ] Return All Original Materials and Revised Plans to the Building Department [ .] Other Should you have any questions, please contact this office at the address or phone number listed above. Sincerely, Linda Sexton Date: June 24, 1998 Permit Applicant: Fredric A. Moore Permit Number: 98-1244 P.O. Box 487 Assessor Parcel #: 027-020-009 Lompoc, CA 93438-0487. The above referenced building plans were received by this office. Provide additional information and/or make revisions to plans, specifications and calculations as follows: Com'• �i Your property is zoned AR5 which requires a 10' side and rear set back. Your plans show the garage 6' from the property line. If this is the case, you must get a variance from the Planning Department or move the building. A plan check has not been done. If you wish to discuss any requirements,. you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Friday. Linda Sexton `' .. ,;;,q,1,•") x h M;ht Eir "" ��y f* - ri' Jl��r ^�! r if—:i�iY� r' s'rs °rangy.,— F.a�i t' #�• ... i T,4r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORQVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA TA SHEET OWNER: s c, rt ASSESSOR PARCEL NU ER: Proposed Building Use: _ _ C Building Inspector: C /" Date: �%g At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. 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! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. 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. ------------------------------ ❑ 14. Sanitation and plot plan approval Health Department. ------------------- 1115. ------------------ ❑15. City of Chico plumbing permit. --------------------------------------------------------- n- 0 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑ 20. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). -- Workers' Compensation carrier and policy number. ------ - ------------------- 1123 Owner -Builder ------------------ ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). ---- NLetter of signature authorization. --{=---}---� 025. Recorded copy of Agricultural Acknowledgment Statement. ---------------- 026. Letter of intent on building use. ------------- ❑ 27. Manufactured Home utility clearance. ----- 028. Existing violations and/or expired permits. 1129 ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 2r:iU. Other: S aOA/n,".t- b j_S 9,q When you issue the permit, process as follows 11 Mail to owner, ❑Mail to contractor. Telephone .s� / _ 533V an hold for pickup at d ry office. ❑ Deliver with inspector. Applicant: _ Date:- Copy aterCopy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Date: By: (Date) 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, wasadvised 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: Yellow Copy - Department of Development Services, Building Division. COUNTY OF BUTTE - DEPARTN ENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: , •916--53.8-7541 I FREDRIC MOORE PO BOX 487 LOMPOC, CA 93438-0487 RE:DATE: 5/12/98 t� BUILDING PERMIT#98-50AG A.P. 027-020-009 FOR 109 SUMMIT AVE., OROVILLE With reference to the above subject: Attached is: X Application for permit - AG Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced we need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation: Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome-data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit'(approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building -use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired pernits resclved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other:- AN AGRICULTURAL BUILDING PERMIT MUST THE Should you have any^'questions concerning the above -,.please contact of this office. _ _'`-{" - - .. _ a _._. YotWs very ?a'Jy, MCV:ahb t , 1 C. Vieira, C.B.O. r,' uilding Inspection BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE: (916) 538-7541 f AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. -_S) Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING AlqmflC J OWNER r-1 G Moo re - PHONE NO. OWNER'S ADDRESS 4VI L01C -A LOCATION OF BUILDING USE OF BUILDING to Inc— rr SIZE OF STRUCTURE �, Q%� Y ' ' (AD X —�� _ SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME __TISTEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE �� �-o1,0 ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 11 $1 . FRONT "� �' f] '" ""' 2-0 SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before V occupancy. D ate G S ` 8 Signature of Owner Permit Fee - $60.00 he above described AG Buildinq is exempt from a building Dermit_ Receipt No. q- al 1% 0 Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date .,r-,w.V-.,....ry.,,�y.r��•:`«..-:flCici�,,w� y iYi'P�`'^'v�r�0�,�`i'Yt � i:►-•••"�'�'•��st'r�;y y� '�� {�' '•�4�. '�',w.•�� ��� ����'�.` ` BUI��ING DIVIION '' COUNTY OF BUTTE - 66ARTMENT OF DEVELOPMENT SERVICES '. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 'rt t AGRICULTURAL BUILDING EXEMPTION PERMIT :.. PERMIT NO. . _Agricultural building. Is defined as`follows Agricultural building. Is a structure -designed and constructed to house farm ,,,implements,;hay; grain* poultry,.liyestock, or other horticultural products. This structure shall not be -human place of human habitation or,a place' of employment where agricultural products, are processed, treated, or packaged, nor shall it be a place used by'the publiicc, I . ASSESSOR PARCEL NO.ZONING dol 5. OWNER � rt no- O PHONE NO. OWNERS ADDRESS C LOGATIQN OF -BUILDING Y< L USE OF BUILDING _ Al -l' SIZE OF STRUCTURE X SO. FT. TYPE OF CONSTRUCTION: FRAME STEEL WOOD.'. `(Specrfy) CONCRETE OTHER TYPE• F'SIDING - IT, ROOF CO:VERING.,, FLOOR TYPE ' p .ESTIMATED COST•OF CONSTRUCTION . Y_ e47"' . $moo ori AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County -Ordinances as follows: , ► ' _ �• 7 �� � 't t, ' .+�"" FRONT '++,""'' (J .'• SIDES REAR o2 Adt0dings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less -than 1000 sq. "ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and. 23 feet from a commercial building Buildings greater=than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet -from a commercial building. .0AG4Bulldings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation ' USGS Datum. I declare under penalty of perjury that the building will.be used as'stated above and.the purposed use confirms with the , AG.Buildipg .definition. If anychange-in use or occupancy of the"building is made,, I will, contact the Building,'Division•and, obtain any necessary, permits, inspections, and'approvals'to comply.with the requirements to effect at that time and,before : foccupancy Date .V.,•.'i �� k� � - :,, r7 r •,.� x ',.• i v,. S Ignature of Owner Permit Fee :.$60 00 he above describedrAG Bulldina'is exempt frnrma hrrilri�r,r, r,or.,,., r� / - FLOOD PAROL P. . ROO / Receipt No..d3CD� I �J V Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. L, Goldenrod — Applicant IT— IWI BUIL ING DIVISION D � COUNTY OF BUTTE - EPARTMENT OF DEVELOPMENT ` SERVICES `K� a 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT `9 PERMIT NO. 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 of a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public.-, ASSESSOR PARCEL NO. Oa,., 1 02 O ZONING OWNER e ric Moo re PHONE NO. - OWNER'S ADDRESS LQ.CATI©�V OF,BUJLDING , . vP_, rw. r USE OF BUILDING SIZE OF STRUCTURE - X = lO�(� SO. FT. TYPE OF CONSTRUCTION: 'WOOD FRAME CONCRETE _Z STEEL OTHER (Specdy) TYPE OF SIDING: ' ROOF COVERING FLOOR TYPE '. ESTIMATED COST OF CONSTRUCTION $ 0®1.0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows - ollows:FRONT...qhs SIDES CJ .`w`'" ' FRONT, REAR AG�$uildings shall be a minimum' -of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. it. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from_a commercial.building. AG Buildings greater, than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a �mobilehome, and 40 Leet -from a commercial building. {v AG�Buildmgs must comply with Fl od Zone requirements. Finish floor elevation must be at or above elevation ' USGS Datum. � I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms:.with the ` AG' Building, definition. If any change.tin, use -or occupancy of the building is made, .l will contactjhe' Building ,Division and obtain any necessary permits,, inspections, and approvals.to'comply with the requirements m effect at that time and'bef,ore occupancy: / r` Date. a Slgn.ature of Owner Permit Fee $60:00 he-above.descnbed AG Building is exempt from a building permit..' Receipt No. FLOOD PAR/CEL � PV' Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date ROOFI G Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date 91' BUI6I'NG DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. !9 - _Sn Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. '0r ASSESSOR PARCEL NO. OQI _ DQ O © ZONING OWNER A Moore PHONE NO. /ISSUE ti e r'►(- • - OWNER'S ADDRESS tA LOCATION OF�BWLDING. .. L,-. w _ __ _ _ USE OF BUILDING � j ��� �• SIZE OF STRUCTURE X L� - lJ SO FT TYPE OF CONSTRUCTION: / WOOD FRAME 1/ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING T-111 ROOF COVERING FLOOR TYPE " 14 4 (t -r4,- a r ESTIMATED COST OF CONSTRUCTION $ 2 5 001 OCA AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: f, p• _ FRONT ''-' �.�.►.r SIDES wf t'�"� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. ; 4 x , AG Buildings greater,than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. "AG,Buildngs must comply with F11 od Zone requirements. Finish floor elevation must be at or above elevation USES Datum. Y'" I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before �Dateoccupancy ' q Permit Fee - $60.00 Receipt No. Q30 1 D Signature of Owner he above described AG Building is exempt from a building permit 17 FLOOD 1 I PARCEL P.D. R,OOFIFING t/ ! /ISSUE ti Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date BUILDING 'DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Mi 'i R -At Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. , ,ASSESSOR PARCEL NO. AG ZONING N OWNER PHONE NO. OWNER'S` DRE ® 3y 3g-0 X87 `7 LOCATION OF BUILDING /UL /t6l P p ko fl/ C- —2 li USE OF BUILDING / l.9" SIZE OF STRUCTURE __.. L ' ® X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME -�— STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERINGFLOOR TYPE ESTJAATED COST OF CONSTRUCTION $ xz5ve? AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: �S r _ - r �Gt.w✓ 2 d iw-''� °Z'� FRONT 714" SIDES REAR 1714- AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date_ Permit Fee - $60.00 Receipt No. 2,317 r7C, (Signature of Owner �y o--rr7p The above described AG Building is exempt from a building permit_ \_ Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOOD I PAR L P.D ROOF 1D! SSUE Date --vt � 7fz'4�� ^R lt'r"•+N't+'.Wr�'ci"'z _� t ,Bb,81kG i ISfON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 _'TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural buildingis a structure designed -and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall�d;be a place used by the public. ASSESSOR PARCEL NO. Z 7 . _ QZ O —0019 ZONING OWNER F11a n C_ � PHONE NO. OWNER'S, e, O 70 7 1,044,0 CW 3 g-0 14,?7 'LOCATION OF BUILDING /J/� / ,i USE OF BUILDING CT' SIZE OF STRUCTURE 3 �f �Q XIiG% _J SO. FT. TYPE OF'CONSTRUCTION: - WOOD FRAME', STEEL CONCRETE OTHER (Specify) TYPE_QE SIDING ROOF COVERING FLOOR TYPE P/l�- e, ESTITED COST OF CONSTRUCTION $ 2 5 op�� AG"Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County ,Ordinances _ as follows:5 �. �� $ /h"""r 2 C� av'"'' C) FRONT SIDES REAR aL /,U— AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a . mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq: ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and.40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation ' USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the .AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvalsto•comply,with the requirements in effect at that time and before occupancy. ,, ' rs, _ Date `s%S AptSignature of Owner "/,Permit Fee - $60.00 The above described AG Building is exempt from a building Dermit- L FLOOD PAR ROOF 0 SSUE Receipt No. 23 J'% r76 t/ Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant , 2+R•,'r�;+�f`av'-t•,t�4.i13''h�k.rfd •'s . J "'!'t6 r , BU, - NG` iVISFON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 �r AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed- and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall jt be a place used by the public. ASSESSOR PARCEL NO. -O? ' -PAi7L. ZONING /J 2 � 1 ' i"1 OWNER � D� !G /W 04 e PHONE NO. i OWNER'S, DRE e 7 a LOCATION OF BUILDING C9 4"0' u/ LLQ e-4. C' sl y USE OF BUILDING CT,• SIZE OF STRUCTURE ►---- TYPE OF CONSTRUCTION: WOOD FRAME .—,?�— STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERINGFLOOR TYPE ESTIJyIATED COST OF CONSTRUCTION $ .P` 2 5 U p .v o AG"Buildings shall comply with the minimum front, side, and rear yard setback requirements of the -applicable County Ordinances as follows: ' FRONT �6�.vv✓' SIDES "1. ��'"" REAR g- J ✓7� �""'' AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals tgxomply with the requirements in effect at that time and before occupancy. Date_ ;' /9 �J 7 Permit Fee - $60.00 Receipt No. 23 � % %U Signature of Ownercs~?-p The above described AG Buildinn is eYPmnt frAm a hi dIrlcnn nor.,,,, Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date J FLOOD -PAi7L. P.D,/ R OOFING SSUE Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date J BUJJANG`D_MSfON COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO C Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. FLOOD ZONING ; r... OWNER ROOD G/ISS PHONE NO. OWNER'S ADDRESS o l� I LOCATION OF BUILDING +✓/bel /14 1. Y dI USE OF BUILDING SIZE OF STRUCTURE / <, ✓"f X _ SQ. FT. TYPE OF CONSTRUCTION: -. WOOD FRAME %C STEEL CONCRETE OTHER (Specrfy) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION 'f2. AG'Buildings shall comply with the minimum front, side, and rear yard setback requirements of the -applicable County Ordinances as follows: �• FRONT - �?,:•,^ SIDES ;,,.,.- REAR _ ItL,ti -, AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation OSGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. /,,,,,-Date- < A `t: Signature of Owner dl� �- fie y r Permit Fee - S60.00 Receipt No. X73 t `7 "7e. The above described AG Building is exempt from a building permit Manager Building Division By 3 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ,r Date FLOOD PA,RJCEL ROOD G/ISS l� I �P.D.e 1. Y dI Manager Building Division By 3 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ,r Date COUNTY OF BUTTE - DEP.kRTIfENT OF DEVELOPMENT SERVICES, BUMDING DIVISION 7 County Center Drive,'Oroville CA 95965 Phone: 916-516-7`541 FREDRIC MOORE PO BOX 487 LOMPOC,•CA 93438-0487 'RE: DATE: 5/12/98 A P BUILDING PERMIT#98-50AG 027-020-009•FOR 109 SUMMIT AVE., OROVILLE With reference to the above subject: Attached is: X Application for permit - AG Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engineered Calculations Typical Plan Sheet Owner -Builder Verification Fm List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer'of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required -prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50t subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to'a public road Other: AN AGRICULTURAL BUILDING EXEMPTION PERMIT MUST BE SIGNED BY THE PROPERTY OWNER. WE ALSO NEED YOU TO TELL US THE USE OF THE Ri1TT nTNG, PIRASP. RF SPFC:TFTC., TF; TRACTOR CTG HAY, ANIMUS- THANK Yf111 - Should you have any questions concerning the above, please contact of this office. "id -Gas veru trfil-v, Micel C� Vieira, C.B.O. MCV:ahb Man ger, uilding Inspection �r- •-�.-. .. .. —_, � ... +-....ww �e�.�.r-vn va..re war.s.JF?imR4-R�.FM?Y4'�.�.'.r'^.'F•R'tlN4 SR"I!-�h,/A^!�"TtiMF��' •SI..1[�YA,-.+er2 r S . V, s��w Il APA, ------------ Certificate of onform�ance } 3. Certificate 052772 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products'• identified below and marked with .a collective mark of Engineered Wood Systems (EWS) were man- ufactured in accordance with the specifications indicated below.. ,✓1tA N . • ' ANSI Standard'A190.1-1992,.for Structural Glued Laminated Timber•' _ . Proof loaded end joints WESTERN WOODS (CHICO) Job Name CHICO, CA Job Location 61029 05-13-98 Customer's Order No. _ Date Anth Signature. Willamette Company nd . Vau€ Address 57-0151 Mfgr's Order No. X� 2 - Technical Director Title Oregon 05-13-98 Date IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above -:named manufacturer which carries a collective mark of Engineered Wood Systems (EWS) is subject to' -regular. -audit by Engineered Wood Systems, such wauditconsisting of.the•inspection with reasonable frequency. of the manufacturing process, with -adequate sampling to verify the quality of glulam construction and the adequacy'of glue bond. by Thomas G. Williamson Executive Vice President ENGINEERED WOOD SYSTEMS - A RELATED CORPORATION OF APA F COUNTY OF BUTTE BUILDING DIVISION Y DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street* Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE z NER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above addre s and should be corrected. Please notice this office when correction of work is complete . If you have any questions pertaining to this matter, or need additional explanation, pleas on act this office immediately. -Q -64Ile r L HCl l I 4a a 111do C4 <2_ a i Date Inspector REV 10/92 ,' .ir+:���i;.-aC�si.:✓'y:.,,.+_ :t;,-!F�:�C_ y `_',�`t•c'L�v�L;��Y".' +y-�F`=":3:is �;�.r �rt.. _..e..te.:... :� `r 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 Ode? OWNER 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. �s /2�54r.,��P� 5,0i Date ��� 6� Inspector REV 10/92 "Yr ' \ r OF BU. -WE <z BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .,r 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 r CORRECTION NOTICE OWNER PERMIT NO J.. 'r 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. r 42 jov f ` ;`.•r } j Dat 1� Inspector �, ` r REV 10/92 11 72: COUNTY OF BUTTE —' DEPARTMENT OF PUBLIC WORKS 7 Coufrty Center Drive — Oroville, Galifornia95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. fl Signature of Permitee or Agent Receipt No White-D.P.W. Date — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions 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 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address;, Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. I @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures�,10 Receps., switches & fix outlets201.013 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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, and hereby TOTAL PERMIT FEE $ autnorize representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. fl Signature of Permitee or Agent Receipt No White-D.P.W. Date — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK' +^ 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date (o—�d' 73 Signature of P itee or Agent Receipt No. /0 9Z d % White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Of!�PUBLIC WORKS BY Dater -2,Z - ! 3 yuuuing pertnit expires Date`_'� :_7� BUILDING Owner S0. FT. OCC. BUILDING VALUATION Mai I i ng Address Q Telephone No. 3 -3—Gi6 ZFireplace Contractor Total Valuation 01- n Mai ling AddressZ&uaPlan Permit Fee Checking Fee&/or Penalty ephone No. Permit Fee $ $ Building Addre PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 X01 Each gas water heater or vent 1.50 A. P. No. Zoni Gas piping system 1 - 5 outlets 1.50 s" Each additional outlet .30 f�eSr VFX. Sa tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Plan R c'd Parcel oval Pltt�pprovol Permit Fee $ ® d0 $ B NEW [JADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter .. , Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Hom&o Others ❑ Range, Cook -top or Oven 1.00 _ �L Water Heater or Space Heater 1.00 Light fixtures b25 al d2o Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump a" Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring lErI am exempt from the Contractors License Laws of the State of California. Permit Fee $ a $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date (o—�d' 73 Signature of P itee or Agent Receipt No. /0 9Z d % White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Of!�PUBLIC WORKS BY Dater -2,Z - ! 3 yuuuing pertnit expires Date`_'� :_7�