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MYRTLE GUIDICI Q
240•Guidici Ln:,- Oroville
Cont: Jim"Ray's Conc . VIA
Permit #52-88P,E(MH util) �/
-ELEC.
GAS '
—COMPACTION TEST REQ.JU
r.
SUPPORT STRUCTURE REQ.
Lo
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
5
ASSESSOR Py 714UMB R'
�-.1/C _l(/x/�
ZO"
BUILDING PERMIT
OWNER „
TELEPHONE Q
d �Q
SQ. FT. OCC, BUILDING VALUATION
OWNER'S AI A RESS
CONTA AC TSO(' AME /�
liii(, l
TELEPHONE
,
CONTRACTOR MAILING ADEURASS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 111-00—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 14< 06
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 477Z ieO //�r�°6a
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Sol ar or heat pump water heater
20.00
LOT NO.SUBOI VISION NAME
PARCEL MAP
Water piping -
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ DuplexDuplex[]MobilehomeL2�Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S
[10.00 ea
TYPE OF WORK
New ❑ Addition ❑ RRe,m,odel ❑ Utilities4[:2-�Installation❑ Other ❑ i
Describe work: t�
Penult Fee
$ Q,
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
00
10.d.
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 Busines$
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
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.( OR ADDNS. DWELLING ACC. BLDGS. / oCCUP.m` ,
�20sgft
NEW CONSTR MULTI -OUTLET 2,50 ea
NON-RESID .BRANCH CIRCU' TS
(POWER APPARATUS Sit
SINGLE OUTLET CIA. /
E.Z00so
O
Ex. ccup(ouTLETs OR FIXTURES AL@3C
FIXED PR
Ex. Occup. OUTLETS (RESID )EA.Y 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
U
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai at said County in consequence the gra ting of this permit.
43�Jr,{ r,This
X rate % o
Signature of Appli ant — Owne� Contractor [IA r ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ a
occuP.
CONST.TY
SCNooLJ
PLooD
PARC
PD
NO
ISSUE
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. a0�� /
WNITC-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
,41.�� ,
rT i�1611...� .Q 1 1 r T iY ... , w a•v. t r
�., - .,,- .'�.f, „y -1�'ti :��..''-+. -�-.., `iJ'-►1'�"-fav" �f.�'�rir iw� ti.:�' '�w�p1r �tihi�iYMd'yyitf�. .s.:'i:.�,�
COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER
�GC.Q °(�G, A. P. No. a 7 -2 2- a3
Proposed Building Use ��� —��a%� Building Inspector <i2 Date Y—
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. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from PY'Q _ Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . .
17. Pre -Inspection for___..____ _". _ ..._._.__ _Required. Pre•Inspec. request to (Date)Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
_ 20. Plot plaan' approval from city of—
_W21 . //� wit/�✓ ��✓ _
v
22. — — --
When, you issue the permit, process as follow.sr:_�Mail to owner; ,Mail to contractor_
Telephone old for pickup at office, Deliver w/inspector.
Other
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 above).
1. Index permit for above items No. CeZZ&a Z �-
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---mail —counter by date
Contractor, designer, owner, was advised ci above required data by—phone —mai I—counter by date
Plans checked by Date Plans approved by Date
Ff
Sets of plans on hold in File cabinet AP folder
Copy–DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cal'i'fornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
- z
53ESSOR P�«l NUMBERZo"�.IG��.
�C •(J
BUILDING PERMIT
OWNER
/C!'
le
TELLEE-PHONE
SO. FT. OCC. BUILDING VALUATION
OWNER' AI LIr IRE
CONTRACTOR'S r�A
/r/)Q
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER'S MAILING ADDRESS
- - - --- - --_ .� _
BUILDING ADDRESS'. 27-22-23
Permit #53-88(MH-inste11ation)
ISSUED.
ti-
Plan Checking Fee
Energy Plan Checking Fee
. Penalty
!Permit fee
I PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
$
$
$
$ _ �j $•
Filing Fee 10.00
2.00
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G I W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Rem/,�odeI El Utilities ❑ InstallationEi�Other ❑
Describe work: 26—eyV
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
_
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury )
p y p f y (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.SINGLE
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
- for sale. (Sec. 7044)
I, 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.N ,
OR ADDNS. ACC. BLOGS. /20sgft
NEW CONSTR.TI.OUT LET
NON.RESID .BRA CH CIRC TS 2.50 ea
POWER APPARATUS &)
OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®60t
SALO 30
FIXED LNS.
Ex. Occup. OUTLETSP(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
TI shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in c nseque ce of the granting of thi permit.
` /
X2�y Date
Signature of Appl,eant — Owne� Contractor F -1 A40 El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ Q .
occUP.J
CONST.TTPEJ
SCHOOL
FLOOD
PARCEL
PD
HD
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. 4 M0 7
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
^�._A.f'�,j t"i r,...`�V ;:r'a ...y.=`L�.-fhi-e.�'r'Y- f'--"a..>.iF'� 3;r+Kw:,.F�;,r�•-+`"�". r' ' �`,j+ , .�y_-t -i�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER �WC&CK, A. P. No.o? 7 -�21--,7
Proposed Building Usey%i ' a5t wQr,ex/"' 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. . . . . . . 9:
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. Plans with Energy Design Compliance Statement. \s
6:'. School District ''Fees Paid'' Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of *$ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . .
0. Sanitation approval from _ Health Dept. . w
11. Planning approval for (A) Use: (B) Parking:,r
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to ownerE]) 1' —
_ 15: Improvements may be required. •
16. Mobilehome Installation Data. . . . . . . . . .
Pre - Inspec, request 10 (Date)
17. Pre -Inspection for ..___--- _. _ Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
20. Plot plan approval from city of
21.
22. — — --
When you issue the permit, process as follows: Mail to owner; Mail to contractor_
Telephone and hold f pickup at—off ice, Deliver w/inspector.
Other--
����fr�.v aiv
"�- Applicant o , ,1,_1( t_va 1�).! o-6 A4,69- Date l 2 k D
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 above).
1. Index permit for above items No. ----
2. Additional items required:
~� Contractor, designer, owner, was advised of above required data by—phone _—jnaiI—counter by date —
Contractor, designer, owner, was advised cf above required data by—phone —ma il—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW