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HomeMy WebLinkAbout028-063-02028-03-2,0r- -a±!Eb- Curre 150'off W/5 hpkA. N.of -'-B06-2887 02 ' 8-063-020 School St. t ut MISCELLANEOUS' Electric Panel Permit #4485-81B(demolition/SF) ,REPLACE ELECTRICAL METER BOX 10090 AHART RD firm q.- n- oi MEDINA,'FRANK A. & ROXANNE 28-063-20 [-: 63 2 208-0 - 0 2223-89E MEDINA, Roxanne , t . 10090 Ahart Rd, Honcut (elec ser for well) v1 I -- pp -pp BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds Permit No: B06-2887 Issued: 12/26/2006 Address: 10099 AHART RD HONCUT APN: 028-063-020 Permit Subtype: Electric Panel Owner: MEDINA, FRANK A. & ROXANNE Applicant: MEDINA, FRANK A. & ROXANNE Description: REPLACE ELECTRICAL METER BOX MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 ' Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Fina1 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 PERMITS BECOME NULL AN VOID 1 YEAR Fl :OIVI THE DATE OF ISSUANCE. IF WORK HA COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspectc,r Copy OFFICE.COPY / Bldg Permit: j'y(�h/ .p Address: l©ow / otozr poli C GAS By: Date:T Electric By: Date: /�� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.netldds PROJECT INFORMATION Site Address: 10090 AHART RD Owner: Permit N0: B06-2887 APN: 028-063-020 MEDINA, FRANK A. & ROXAN Issued Date: 12/26/2006 By KCG Permit type: MISCELLANEOUS 10096 AHART RD Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 12/26/2007 Description: REPLACE ELECTRICAL METER B (530) 743-0744 Occupancy: Zoning: U Contractor Applicant: Square Footage: MEDINA, FRANK A. & ROXA Building Garage RemdUAddn 10096 AHART RD OROVILLE, CA 95966 Other Porch/Patio Total (530)743-0744 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1298 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 12/26/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date 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 WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not inteided or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a competed if the permit rs or one hundreddollars ($100) or ass. ❑ I AM EXEMPT under Section B. & P.C. for this reason: �j I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 12/26/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith, comply with those Owner's Signature Date provisions. X 12/26/2006 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge that issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am uthorized to ct on the property owners behalf. CONSTRUCTION LENDING AGENCY 12/26/2006 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) `, 1 1:1 Owner 1:1 Contractor OR; ,� Iggent for Owner DAgent for Contractor FILE COPY Lender's Address City State Zip Z - Z IQ�CX.e ��JCfiK� a ndaG� II��-eJCyY�CSSSa� �! D f �1 low. 12/26/2006 15:14 5307439352 Aec 26 06a09:46p FRANK MEDINA Butte County Department of Development Services TIM SNELLINGS, DIMCTOR I PETE CALARCO, ASSISTANT DIRECTOK 7 County Center Drive Orovillle, CA 75965 (530) 538-7601. Telephone (530) 538-7785 Fhx www.buttecounty..net/dds PAGE 01 p.2 OWNER -BUILDER INFORMATION An application form building permit has been submitted in your nano listing yourself as the builder of the property improvements specified. For your pruteotion you should be aware that es "owner -builds" you are the responsible party of record on such a permit. Building permits arc not required 10 be signed by property owners unless they are personally perfbrming their own work. If your work is being performed by someone other than younclf, you may protect yourself ftom possible liability if that Letson applies for the proper permit in his nr her name. Contractors are required by law to be licensed and bonded by the State of Califontia and to have a business license from the city or county. They aro also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following infbrmation for your benefit and pmtection: ° if you employ of otherwise engage any persons other than your immediate family, and We work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. * If you arc an employer, you must register with the state and federal government as an employer and you arc subject to several obligations including state and federal income tax withholding, &decal social security takes, workers/ compensation insurances disability insurance costs, and unemployment compensation contributions. ° There may be financial risks to you if you do not carry nut these obligationa, and these risks are especially serious with respect to workers' compensation ingursnce. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if; you wish, the U.S. SmNI bminess Administration)t For more specific ittformat.ion about your obligations unders state law, contact the Department of Bcrtcrit Payments and the Division of Industrial Accidcnta. If the structure is intended for sale, property owners who are not licensed contractors are allowed eo perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent ptactide of unlicensed persons prefessing to be uuntraotor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits arc not requir3ed to be signed by property owners unless they are perforating their own work personally. information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone infrtmtation system at 1-800.321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER V FRI ICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE, OP THFSE MATTERS. THE BUILDING PERMIT WILI. NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED, OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFPECIrIYE JULY 1, 1980), NO BUILDING PERMIT WILL BE 13SUED UNTIL THIS VERIFICATION IS RECEIVED. 0I PERSONALLY P�� LP TO PROVIDE TI -IE MAJOR LABOR ANIS MATERIALS FOR CONSTRUCTION OF THF.. PROPOSED PROPERTY IMPROVEME S. R NO) O (14AVE/ 'AVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. � 7. i HAVE CONTkAc-rED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTJON: NAME _ ADDRESS _ CITY PHONE_ _,_,___CONTRACTORS LICENSE NO 4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT 1 HAVE HIRED THE FOLLOWING PrRSON TO COORDINATE, SUPERVISE. AND PROVIDE THE MAJOR WORK: NAME ADDRESS T _ _ CITY ,__ PHONRCONTRACTORS LICENSE NO 5.1 WG.L PROVOE SOME OF THE WORK BUT T HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE T14E WORK INDICATED: NAME A2123E55 PliONE IYMOF�BK Description: REPLACE ELECTRICAL PANEL Reference Number: B06-2887 Applicatlt Name: / Signature of Property Ow cr,.J l� �` Date: > '� .i,... :'l". �'a+'*li �� sr. ..✓y„'1':^Y •';(?•-rL,!'"�",'},•ti d..:fi�^ _r"' fT.� r.• 2223-89E 28-063-20 MDINA, Roxanne 10090 Ahart Rd, goncut (elec ser for well) ,. 1 COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO. - - 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 .� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER L "ei ZONING BUILDING PERMIT OWNER /1% Di•�n �x ��N,� TELEPHONE 7r +�L�7� ,SQA FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I 0 4 omli — Ro CONTRACTOR'SNAME 1>b✓/V TELEPHONE CONTRACTOR'S MAILING ADDRESS i Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 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 i //✓Cut,,,,. H 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 IEach Water piping 5.00 . qas water heater or vent 5.00 USE OF STRUCTURE! SF,® Duplex❑ MobilehomeE] Other 11 SPECIFY j Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities F-1 installation Other Describe work: Sig✓lLc 6" -XL td" L(_.- Permit Fee $ /5 jNe Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 Main service e00v OR LESS X 10.00 100 AMP OR LESS �J� 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 thelBusiness 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- 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.81 , OR ADDNS. ACC. BLDGS. /20sgft NEW CONSTR U TI -OUTLET NON.RESID BRA CH CIRC ITS 2.50 ea POWER APPARATUS S\ SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES20050t eAL030 FIXED APLNS. \ Ex. Occup. OUTLETS P(RESID )REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /5"v .J.$ G 1Y, A,O�f3 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self` -,insure. , '-, -`�I shall not employany person - in any, manner so as to become subject to the W. C. laws of Califorriia. Notice to Applicant: -If after making this statement,should you become subjectpermit 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 FiIirig Fee 10.00 Heating Cooling ,. Hood t %-r 3.00 Ventilation ` Fee , $ Contractor I certify that 1 have read this,application, and state that the above information is correct.`f 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 consequence of the granting of this /permit. ' �? Xt`�`IC ��-L f•1�* -rlYr / Date !' IV p Signature of Applicant— i Ownel Contractor ElAgent Elwork An OSHA permit is J"required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. f Mobile Home Installation Fee $ , Energy Inspection Fee TOTAL PERMIT -FEE $ i OCCu P. CONST.TYPE SCHOOL FLOOD PARCEL PD I HD I 1SSUE7 V/ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated abover for which fees have been paid. PUBLAC.WORKSion By ` /DIRECTORfQF t "�►�/� / �/�QRecei i1 fie Ay�`� i�Date ( /11 P&M—I EXPIRES Date V.�l j.%,.�•i�/ t No. � /etc/ �tf 7`'y- S WHITE-D.P.W.. YELLOW-/`Ifio�011, M1I`N tlksll,ECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,-California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. _l ASSESSOR PARCE} NUMBER 0 bN Lfl ZONING BUILDING PERMIT OWNER - �r�� TELEPHONE 2n- 071/ Ll SO.FT. OCC. BUILDING L ION OWNER'S MAILING ADDRESS I 0 q 19 A llv- C) SS G CONTRACTOR'S NAME VJ,-16V6 TELEPHONE - -CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. 'Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty � BUILDING ADDRESS 2r— Ad A4/,/GUY Permit fee PLUMBING PERMIT Filing Fee 10.00 �O g0 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 SF� Duplex❑ MobilehomeZ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK . New ❑ Addition ❑ �iRlemodel ❑ Utilities ❑ Installation❑ Other -a/, Describe work:�S✓lf.L f��' W�'zL�--- 11 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 0V OR ORSLESS 10,00 /J U� 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 ElXE 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) Q I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, DWELLING OCCUP.a ,hQSgft OR AODNS. ACC. BLDGS. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES SAL0t p 200933 0 PR) . Occup. OUTLETS (RESID,)EA.2.00 ' Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 %OJ Permit Fee S 5✓ 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such ,provisions or this permit shall be deemed revoked. Contractor - MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 aga' st said County in consequence of the granting of this permit. X �-�_ /0 _ r Date Signature of Applicant - Owne Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE f occuP. CONST.TYP! scNooL PLOOD PARCEL PD I ND ISSD This permit is hereby issued under sions of the Butte County Code and/or work i ted above for which DIRE F PUB B PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. 0RKS D to Receipt No. I AC- 3 WHIT!-D.P.W.. YELLOW- 9 CCTOR, GOLDENROD -APPLICANT IF .r COUNTY OF BUTTE o DERARTMENT4_010:11PU®LIC WORKS • 13UILDING DIVISION i 1 COUNTY CENTER WINE = OROVILL-E, CALIPORNIA 06066 = T.1=LEPM6NEi 016/656=9641 / PERMIT APPLICATION DATA SHEET `V Permit OWNER �� 4t/4 _f I � k A. P. No. - Ob`�"-02_3 Proposed Building UsekLelzr SeBuilding Inspector ( Date 22Z 0 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 c.alcs, 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 $fes"' �� J 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. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 2. Owner -Builder Verification (Given to ownerg/Mail to owner ❑) ........ ------ 23. Recorded copy of Agricultural Acknowledgment Statement : , ....:.... . 94. Letter of nature authorization .............. ...... , .. . (Date) When you Issue the permit, process as follows: - _-.._ Mail to owner, .Mall to contractor. Telephone__ '.-_92414.and hold for pickup at ,offioe, _.Deliver w/inspector. ., Other — - - - .0 Applicant" Date 7_ 101 Copy Of plans sent ___.__ Health Dept,, Fire Dept,, _ OtherT= Date The following data must be submitted prior to permit Issuance: (Clrole now 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_,JnalI—counter by date Contractor, designer, owner, was advised of above required data by—phone —me ll—counter by date Plans checked by Date Plans approved by Date Copy—DPW Sets of plans on hold in File cabinet AP folder �v 00121VIO 01MG_;IU S - 2?4R81W 3l-l.8Ye! t43MTAAq3G - BT-rus q0 YTi UO,) t&c'.1- E8 8tt? :3rGF1'?3�3T - aaeae ,3_l2IVORO - 3VMG P.3T030 Y-r'NiJoo � q . 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'(OI'•k c(ISiliPi::., 2(Ifi(rin`lC7'1ii ii) Sth:Jlttf ie7 ! _ .. .. . .,1 .. .. .... 1... .. nvv Ot il,,l,;il;ioi�r)i:. to vow,,, I7�ifan,J:�t1 _ .. t Ir ti,!„rj11;c. •JUtti ;ti �. 1., r'ti ; ;�' ., t. lil;M1`t-- ,i:,;; moi, l-.in(turt ufll rtus�.i I'loy nC.siW alit.) tji.n!�1, ,`'.t!_'�i _....__.._..:',i'li'-- tiifl:iA,-dglot:hurt bw., ;niiggA ansl(l to `{qo:) .i*nvodu bc)AJodol. loo fnoti wert of lli)) :07fIf;11T?i tifrliert Ot •101';q bFilfirlldili OIA 12{.illi Gtf:l) jolm.11101 odr amoli fsv0dr,, loo lir, -Im xot;rl! .t _____ :b yiiijpw em Ali lf.f!t)ilibbA .!, risb 139-0upei 9votlr. to bopivim acv. ,l'_mwo ,ioriplagh ,lol3m1no”) 9;su _ vd tflin�io3_._-_lie;m. _.snnri:i._-.�¢f Wsi: hodup^,1 nvods to baaivbc zfwl 'lufmc ,s+n�iz�Y, ,•n13c'llnoJ bovolftgf:; leblot qA___-__ tsnidsa elii:lni blod no znsiq to PI 2 %,4q0-ygoo 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) e Z. I (have/have not) h au signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. �I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date �- 10--X�j 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. 3. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCE/L NUMBER ZONING BUILDING PERMIT OWNER A� TELEPHONE S0. FT. OCC. BUILDING VALUATION Main service foo AMP LESS 10.00 OWNER'S MAILING AOORES5 Oo el(, ./9rD �- 2.50 NEW CONST. / DWELLING OCCUP.y\ OR ADONS. 1 ACC. BLDGS. I CONTR AC TO R'S NAME TELEPHONE 2,50 ea (POWER APPARATUS a) SINGLE OUTLET CIR. CONTRACTO '5 MAILING ADDRESS z0@50C eAL330 Fireplace I Ex. Occup. OUTLETS P(RESIO IREA.) 2.00 CONSTRUCTION LENDER Temporary service UNKNOWN Total Valuation $ Mobile Home Facilities 15.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE la o. Plan Checking Fee $ Erergy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 111-1114r— Qq 4 AA � 'I r— t AJ 1.- �J � Permit fee $ Filing Fee 10.00 �1 0o gU / ' ` PLUMBING PERMIT Each Trap 1 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 SFg Duplex❑ MobilehomeFl Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: S1at)ILe- UAZL(— O A CONTRACTOR (CENSE LAW I declare under penalty of perjury (chec ne): i ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ 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 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. (iy 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X C� _,_ r I. Date Signature of Applicant — OwneA Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct ion of structures over 3 stories in height. Receipt No. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service foo AMP LESS 10.00 /: J Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.y\ OR ADONS. 1 ACC. BLDGS. I I /,¢Sgtt NEW CONSTR. U TI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS a) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES z0@50C eAL330 Ex. Occup. OUTLETS P(RESIO IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee Contractor MECHANICAL PERMIT Heati na Cooling Hood Ventilation Permit Fee Contractor Mobile Home Installation Fee Energy Inspection Fee TOTAL PERMIT FEE OCCUP.1 COHST.TYPE SCHOOL I $ O Filing Fee 1 10.00 3.00 S S $ c' Z- nceLl PO I D I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date— qy��r� ow Q (. GCS. E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviile, California 95965 - Telephone 916/534-4541 APPLICATION ANDYERMIT PERMIT NO. Y t'_ ASSESSO ARCEL NUMBER ZONING -- "�,.. BUILDING PERMIT OW TELEPHONE I1? r y SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADRESS r;> CONTRACTOR'S NAM L PHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace I-otal Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /0100 ARCHITECT OR ENGINEER Q C LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESSESS Permit fee $ 02& DO BUILDING ADDRESS A� PLUMBING PERMIT Fill Fee 10.00 ng 1 �^ 7)0 Each Trap 2.00 Repair drainage or vent piping 5.00 r Water piping LOT NO. SUBDIVISION NAME PARCEL MAF5 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,/ USE OF STRUCTURE SF - Duplex❑ Mobilehome❑ Other 9 SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition RRemoodel❑ utilities[:] Instal Other Describe work: Own Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.al OR ADDNS. \ ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty Of perjury (check One): F1NON.RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification {�• I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ANCH CCI UTL 2,50 ea NON.RESID BRIRC LITS- NEW CONSTR. /POWER APPARATUS ) %SINGLE OUTLET CIR. / 50 a 2sm Ex. Occup OUTLETS OR FIXTURES BAL LsI FIXED APPLNS. Ex. Occup.(OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of t ,ranting of this permit. X �%-U"4 r +�"y� Date r - Signature of Applicant — Owner [ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-IIiEC ion of structures over 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ AHD OCcUP. GROUP TYPE OF CONST. PARCEL PD SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which R OF PUBLIC By PERMIT EXPIRES late _-� the applicable provi- resolutions to do fees have been paid. WORKS •D-�ate -/ 1� �✓ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 41, aunt* at OR&ILL1, CALIFORNIA GENERAL CLAIM CLAIMANT: Bill ' Current ADDRESS: _ Rt. 2. Box 2608 A CITY & STATE: Oroville, CA 95965 IMPORTANT: DATE OF CLAI3vi: _ March 24, 1982 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT 3/24/82 Not going to install utilities for mobilehome. (MR utility permit L Appin #4486-81P,E-dated 12/7/81 -AP 28-063-20) Total Fees Paid ---------------- $87.50 —Retain plan Check fee --------- $in -on Balance -----------------------$77.50 Plumbing permit fee pas -------------- $40.00 Retain filing fee -------------- ------- Z11.01. 00 . re n -- mown o u ue------------------------- ec rica permit fee pas ------------ $31.50 Retain filing fee--------------------- 10.00 Amountrefund due--------------------------- - REFUNDDUE ---------- ------------------------------------- 0� � n�d family--Birlg per 4485 -81B - - - Receipt Receipt #58515 -dated 12/7/81 -AP 28-063-20). Building permit fee paid -------------- Retain filingfee--------- $10.00 Amount of Refund due ---------------- ----------- $10.00 ---- $10.00 I---------------------------------------- Less Inspection Fee------------------------------------- 7.50 -- TOTAL R FUND DUE---------------------------------------- 60..00 00 TOTAL ( • I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. e�� Dated this 1 � ................. day of ._„%!1!? G� , 19,�Z-at Q/ �. , Calif. ..................................... �( ... ................ ' Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is -a Budget Appropriation EJ or Specific Board ApprovalQ (Checkone) for the same. Dated this 24th day of March .1982 at Oroville , Calif. ........ ............................. ...., .............................. Department Head or Authorized Deputy Dept. Exp. Code ..................................... Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. 'CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB-OLST.. i 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER WIT NO61 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541f—; / APPLICATION AND PERMIT ASSESSO AR CCELt BER ZONING p,40( ILDING PERMIT Ow TELEPHONE ( r SQ. FT. OCC. BUILDING VALUATION OWNEQ15 MAILING A RE SS CONTRA TOR'S NAM 'A Ow L PHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Al NKNOWN �L Fireplace Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $azo ARCHITECT.OR ENGINEER �M LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS S PLUMBING PERMIT Filing Fee 10.00 O j Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF LTJ' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Zqlf Describe work: (2,YY\17 JPermit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.al OR ADDNS. \ ACC. SLOGS. 20 sq CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation'will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.-OU LET 2,50 ea NON.RESI. BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS .&) NON-RESID. SINGLE OUT CIR. EX. Occup OUTLETS OR FIXTURES 50 0 BAL@1 00 IXED APPLNS. OR EX. Occup.�OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. .EX, I shall not employ any person in any manner so as to become subject o the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expe ses which may in any way accrue against said Cou ty in consequence oft nting of this permit. X Date f 7 _ Signature of Applicant — Owner �' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overin height. 3^ Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I I PARCEL PD 1 ND 9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 1 R OF PUBLIC By pp••�� PERMIT EXPIRES ate the applicable provi- ,resolutions to do fees have been paid. WORKS Q Date `— v Istories Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 28=063-20 Y_ Permit #4486-81P,E(uti1.,MH) ELEC.+ GAS SUPPORT STRUCTURE HP. COMPACTION TEST TEQ. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541ci� �/ '' APPLICATION AND PERMIT ASSESSO PARCEL NU BER - r ­Q G— ZO ING BUILDING PERMIT OWNER, r_ TEL PHONE SQ. FT. OCC. BUILDING VALUATION OW R'S MAILING ADDRESS O NA TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �I\ UNKNOWN Total Valuation $ Filing Fee $ TO-00— LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 6 LICENSE NO. Plan Checking Fee ,$ ba Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I W S PLUMBING PERMIT Filing Fee 10.00 I Each Trap 2.00 Repair drainage or vent piping 5.00 U Water piping D, LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets J6 160 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[e Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK / New ❑ Addition ElRemodel ❑ �, Utilities � installation❑ Other ❑ Describe work:_ Permit Fee $40100 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 0 OD Main service EA. ADD'L 100 AMP 2,50 NEW CONST. /DWELLING OCCUP.N1 OR ADDNS. \ ACC, BLDGS. / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 NEWO N CO ID R BRANCH CIRCUITS) 2.50 ea NEW CONSTR./POWER APPARATUS DJ (SINGLE SINGLE OUTLET CIR, Ex. Occup OUTLETS OR FIXTURES BAL@1 IXED APP LHS, OR Ex. Occup.(ouTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against in consequence of the of this permit. X > Date i2 — 7— Signature of Applicant — OwnerP Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OccUP. GROUP I TYPE OF CONST. PARCEL PD M SSUE 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. ��U^� �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7.COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit Fee Based Upon Building Inspector Permit No. PP A. P. No. Complete Contract Price DPW Valuation Explain) Date At time of permit application, I was advised the following data must be submitted prior to permi rocessing and/or issuance: DATE RECEIVED APP OVED ,1 All items have been submitted. / _ Plot plans in duplicttef-Irlplicate. . . . . . . . . . 2 3. Complete plans in du:rM, wIp Icate. _ 4. Complete engineered plans and calcs. . . . . . . . . . _ 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9� Letter of signature authorization. • ., Q�� Sanitation approval from 04 • 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.) . _ 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )_ 15. Improvements may be required. . . . . . . . . . . . _ 16. Mobilehome Installation Data. . . . . . . . . . _ 1 Pre -In tion for Re uired., re -Ins ec. r q Buildi g InsF 8. Other Z �f/ i When you issue the permit, process` Telephone Other is follows// Mail to owner. — and hold for pickup at office. (Date) Mail to contractor. _Deliver w/inspector. v Applicant Date 12. 7 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at tyln%f applicatlion, circle jaem.) / 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, wner)was advised of above require ,_� By Plans checked by Plans approved b, Other Copy—DPW Telephone Mail TR� Date Date - Date a _ cV.�a oP7 al'V 61 To a Builcaink; i. e aartrItent . From: �.nvirowaental Health Subject: Sanitation Clearance IM-571—on Apr— Flan approved for: Sewage Disposal � � dater Supply Oold Final for: 'Water Supply Final (clearance O.K. for: ,anter Sapply �. �..W. Glearance for bedroom mobile home o Other Clearance for addition of Sanxtarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS S 7 County Center Drive, Oroville, CA. 95965 PHONE: 916-534-4541 Bill .Current .Rt. 2,.Box 2608 A DATE December 9� 1981 Oroville, CA 95965 RE Permit application #4486-81(mobile home utilities) A.P.(# 28-063-20) With reference to the above subject: Attached is: Application for permit. Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Labor Code Information List of Codes Enforced OTHER We.need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $. payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractors License Law information or check exemption statement. Letter authorizing signature of Complete plans in including plot plans. XXX Plot plans in triplicate Structural details in Complete plans. in prepared by registered civil engineer or architect. Engr.' calcs. sets of.plans in accordance with the changes marked in red. XXX Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico - 7 County Center Dr., Oroville Skyway &.Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive,. 'Oroville, for Copy of recorded parcel declaration. __.Recorded copy of deed showing 60right of way to a public road. XXX/ OTHER (1) It appears this parcel was created in April, 1966 at a time when Butte County required a parcel map for division of property or a s'xt foot right of 5jay t a public road. Recorded Agricultural Acknowledgement. Should you have any questions concerning the above, please contact this office. Yours very truly, Clay Castleberry _ Director of Publi Works Glan er JF� dd' Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �' PERMIT_ NO. / :- `'ICoUnty Center Drive - Oroville, California 95965 - Te!ephone 916/534-4541 APPLICATION AND PERMIT ASSESSO (� ARCE�L t ER, ZONING ,2 � t ILDING PERMIT OW IT EPf3 TELEPHONE S(], FT. OCC. BUILDING VALUATION OWN MAILING AQJDRESS CONTRACTOR'S NAME LEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER - UN H.r:O WN =iCepi:acc Total Valuation $ ' Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER �M LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER•S'MAIL:ING ADDRESS Permit fee $ BUILDING ADDRESS � V o (-A) LS11 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 - �M Repair drainage or vent piping 5.00 Water piping - LOT NO. SUBDIVISION.NAME • PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,,� USE OF STRUCTURE SF Ly' Duplex❑ Mobilehome❑ Other SPECIrY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑ Addition[]' Remodel❑ Utilities[] Installation❑ Other Describe work: n, ��•'� ? �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADO•L 100 AMP 2.50 NE?J CONST- (DWELLING OCCUP.&) 20 sq ft Or, ADONS. \ ACC. BLDGS. CONTRACTORS LICENSE LA ' I declare under penalty of perjury (check one): ❑ _ I am licensed under provisions of 2Raine s and Professions Code and m license is in tull force and effect. Y License No. Classification 0 I, as the owner,- or my employees with :vages as their sole cornpen• sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. . Business and Professions Code for this reason NEW CONSTR (MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS NEw CONSTR (POWER APPARATUS 61 NON -RES,D. SINGLE OUTLET CIR. .°P25c Ex. Occup(O S OR FIXTURES BALctoc FIXED APPLNS. OR (FIXED Ex. Occup. OUTLETS (RESID,) EA. 2.00 Temporary service' 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MIECHANICAL.PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE w_ 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. .LZ , I shall not employ any person in any manner so as to become subject Ll -''oto the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 -- — Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and exper)ses which may in any way accrue against said Cou ty inncco`nsequence of t canting of this permit. X . ? �"�` -{%h Date t� _ 7 - r;�� Signature of Applicant - Owner $2- Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP J TYPE OF -CONST- I IPAPCELI.PlND suE This permit is hereby issued under the applicable prov?- sions of the Butte County Code and/or .resolutions to do work indicated above for which fees have been paid. 0 f EC R OF PUBLIC .WORKS —� By Date (}�� PERMIT EXPIRES r4m. Receipt No. WHIT!-D.P,W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 81-39:60 FOR RESIDENTIAL DEVELOPMENT .Section 26-8.1 of the Butte County Code requires this acknowledgemp,'R be,recorded prior to issuance of a building permit. raw ®5E The property described"herein is adjacent to land or included Z� ' �� IH -M within an area zoned for agricultural purposes, and residents of CLARK A NELSON this property may be subject to inconveniences or discomfort arcs RK-iRECO,-RDE;R from the use of agricultural chemicals, including,' but not limited to herbicides,FEEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normalj•necessary farm operations. All that real property situate in the County of Butte, State of Califorpia, A� described as follows: (:0 ry)r,1er)e,,Y�9 4T -Ma„ NorTl�czo� Sie�rLy eAV1n*2, °$ Sae Loi t� , he•»n%r�� rhCr)0_9_ W�sTely along -TVQ- NQwih boun&kr-y of sa;rJ "YVi `4J9 Fez—r 76 Q nT 0n� N0rl k,ounclar1 a So-�d L.oT %3 'AQnce. 501xt c�, �- h 1 S Fw�-T • To T►%Q �ol*,T o� lo" inninS : 3o.ad Po j�vT 011, ioeS+nnin� -be; n.5 T1 he Sou'Th►oesj'. ` And Lois C' kr re�T. Fro y Y TO 3obby 0,L rr nT m s � �e, nT of _5 nn ►n To wed So 47h /�5 S� 5 �'e�1',° 7./�e�nea EAST a1�$ fe�"f, �'hv.ne^9 F1�►, 1 T I+ •e me ,�. Wes? 2 G � ° _ 6 s -fiee-7. -�re�t' To 'fb�e 1 sJ Date: PROPERTY OWNERS: p .�/�. State of /GG' ) On this the day of ) SS. before me, the undersigned Notary Public, personally County of ) appeared ---�,` �p known to me to.be the person(s) whose name(s) /7-C9:- 5 subscribed to the within instrument and acknowledged 8? that executed the same for the purposes Go ++++'-'-I . .. •.+ ......therein con ained. _02 REBECCA A. NIMZ IN WITNESS WHEREOF, I hereunto set my hand nd official .� NOTARY PUBLIC It seal. Aft Butte County o State of California Ay Commission, Expires Nov. 25, 1983 ,C'P Notary Public Present A.P. NO.0-R - (0(33 END OF DOCUMENT ;".'Ye -r';'^; ""�r+Yy'.�r'�'�r' e�`;'�..$'r-ax)''R'�C'''y'.".'. "i'.�,-+ "^1L.iw:�rr-sr.��wr-,rte•-11�-rte,,--r e..-;..,. s.,, �'-,...:1.,.,.^y.!-�.-'..a. G'�T4��eSl f' 3 slfi _" r!j <.r a . "e 4? ... 0 T94 rM r$ .' r ��.• � 'rte A _'�-��' • t 1;> G' - `L'11�_ • P^ F - `�� X4,0 ��' yy ��`}4,'�.. 1ti o L't•` O E� I • O :- C11. 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