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HomeMy WebLinkAbout028-140-0045 1 AP 28-14-04_ KEHLER, Irene 028-140-004'- E/side Tennessee Ln, south of La William .Smith Porte Rd., 1 mile in. "E/S Tennessee Lane, S. of La Porte Rd, i mi in , Permit • #•.•21-37-74P;E- ' - ricultrual' Bide_. PXamr, K" (util,) �-�- - �n-R�A- ;plot A///9/'7!' oaf}: 140-00t-4 ' PERMIT #6057-75E(BRING EL " "�'R ELECT- FAC r �w TO CODE ON EXIST. S I TE) MH AP 28-14-4 f._ .. �• i� . f �• , t _ :, ,V Permit 621-77B "- (reinstall awning/MH) fit, 028-14.0;004 a 91-4219 JACKSON, •CAROLYNN CONTR i" ELY ROOFING, - 1 19 TENNESSEE LN,', BANGOR '. ,REROOF/SF-, - . N'"` 621-77B ! PERMIT NO. P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Irene Kehler CONTR. owner LOCATION (A.P. 28-14-4 ) 'E/S Tennessee Lane, S. of LaPorte Rd., 1 mile in, Bangor i { i t I j Temp. Power Pole Called PG&E Temp. Elec. Serv. �Cal.led PG&E Temp. Gas Serv. Called PG&E JOB J FINALED (Date (Signature) Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam ,/2,Framin Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING 7'PM, Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidinq To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically handicapped Heaters /Appliances Conformance of ex. structure _. Gas Piping & Test Temp. Gas Final ` Sanitation r FIREPLACE Final Footing EL Throat Rough Final Fixtures FIRES RINK RS Motors 7 Test Water Htr. Final Subpanels MECHA CAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final REMARKS OR CORRECTIONS L �J - COl7NTY OF BUTTE=;- CPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephbne: -5341-4541 APPLICATION AND PERMIT '.i ri=s� ima authorize representatives of the County of Butte to enter upon the above-mentioned property forr inspection purposes. ` Date // Aj e� Signature o Permitee or Agent Receipt No. 43 RX 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 P6SLIC WORKS 7 2 Building permit expires Date Z ! ;P BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 130 9100 V_ Mailing Address Telephone No. Fireplace Contractor 422 C Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee&/or nalty Telephone Na. Permit Fee �— Buildi Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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 FV Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements I -awn sprinkler system 2.00 Id c' Parcel royal PI pprovaI Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑ Sub -panel 02 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y %2 W Receps.., switches & fix outlets 11,1a2_1 in 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 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 o 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 forr inspection purposes. ` Date // Aj e� Signature o Permitee or Agent Receipt No. 43 RX 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 P6SLIC WORKS 7 2 Building permit expires Date Z ! ;P ")ERMIT NO. P E J M NIH UTIL. PERMIT NO: 213 %-74P . E ?; PERMIT EXPIRES -OWNER Irene Kehler y, Ta_IONTR. :i�OCATION (A.P. 28-14-04 ) ;3 E/side Tennessee Lane, south of La Porte Road, 1 mile ;LA i .\4t Y. l �j 1� Temp. Power Pole Called PG&E Temp. lea Serv. �pCralled PG&E Te`fn. Gas Serv. % i Called PG&E JOB FINALED �- (Date) • n (Signature) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinci To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garacie Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & T st Temp. Gas l 7 Slab Final Sanitation Patio FIREPLACE Final STY Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub aneIs Mesh MECHANICAL Grd. Pault.Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final 'af DATE / _ REMARKS OR CORREC IONS I/l vv /Ih 7. .1 /iV—'/ it 4c/S�, N COUNTY OF BUTTE — DFRARTMENT OF PUBLIC WORKS 7 County Center bri've- , t' groville, California 95965 534-4541 Telephone: / APPLICATION AN PERMIT -' "'�.vvv..._"� 11- -1.1y V1 -u- IV QIIl61 UVVll llltl above-mentioned property for inspection purposes. Date Signature o'' ((Peermitee or Agent Receipt No. /Ek__ 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 Date -Building-permit expires Date /i G F� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address rX 1Telephone No. 6 7y Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 �w ry Each gas water heater or vent 1.50 A. P. No. ��� ! C`r O Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fk W 8atti1ati•on I Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 EkW v. ane ec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER (� ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 e 15 Main service 100V OR 00 AMP 0RSLESS 5.00 $",mQ _ Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) '2.50ea NEW CONST. (POWER APPARATUS & NON- R RESID. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) 50 BA@1.21 04 Ex. Occu FIXED APPLNS. OR P•(0UTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 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 rpermit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ -' "'�.vvv..._"� 11- -1.1y V1 -u- IV QIIl61 UVVll llltl above-mentioned property for inspection purposes. Date Signature o'' ((Peermitee or Agent Receipt No. /Ek__ 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 Date -Building-permit expires Date /i G F� COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. W - , 4 - Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral 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. ©� L� id o - 0o 6 L� ZONING OWNER \p (� 9 4 V �' \ �� \ 5. -k ` T -A +� �j �^ PHONE NO. 6;11 1® l `a Cr 1 L o OWNER'S ADDRESS LOCATION OF BUILDING `\ E USE OF BUILDING " SIZE OF STRUCTURE 3�ri , � • X _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME ./ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ �a���� AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: x -V" �L S S FRONT .A'.' 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. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date /�a O Signature of Owner r Permit Fee - $25.00 The above described AG Building is exemptfrom a building permit. Receipt No. d Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive '— Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT P66.13.9'' r/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 1(vt 744,1 Signature of Permitee or Agent Receipt No. 7��44F 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 OFrPUBLIC WORKS By Qate I. -1 L- 6 — i Building permit expires Date ...............f?....! Z—� BUILDING Owner �� SQ. FT. OCC. BUILDING VALUATION Mailing Address__J �Q� 3 , A� O 2 Telepho=eNo.�O Fireplace Contractor 457 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address �� S S` PLUMBING No.1 @ I FEE PERMIT FILING FEE $2.00 , Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 S Each gas water heater or vent 1.50 A. P. No. —14— O3 Gas piping system 1 - 5 outlets Each additional outlet 30 FS®n t on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans r I ec ation parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 �la� Rec' Par royal PI pproval Permit Fee $ $ Q NEW ❑ ADDITION UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3rj00 Main service incl. 1 meter r 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 Q '�`�� Water Heater or Space Heater 1.00 fight fixtures bal d20 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 Mobil Home Facilities - 5.00 Q Temp. Power Pole 5.00 License No. Classification Misc. wiring X JX] I 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. @ FEE PERMIT FILING FEE $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 Bi authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 1(vt 744,1 Signature of Permitee or Agent Receipt No. 7��44F 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 OFrPUBLIC WORKS By Qate I. -1 L- 6 — i Building permit expires Date ...............f?....! Z—� �'�'�"=�''L� 3"'+y''�:';�inata�: v : �++�ia'y»,M;.k.i#e:.'3tte•_ `7 0-004 {` ; t91-4219 . CAROLYNN, ELY ROOFING -� NESSEE LN, BANGOR'' SF' " ... 'sir ". •' f,'j'[h'"'... �,,L .. F 1 r' .yr 2U_ COUNTY OF BUTTE - DEPART,ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CalA� ,a.9S965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSES O PARCEL NUMBER 028-140-004 ZONING A-5 BUILDING PERMIT OWNER Carol nn Jackson TELEPHONE 679-2520 SQ.,FT. OCC.1 BUILDING VALUATION 18 60 1080.00 OWNER'S MAILING ADDRESS P.O. Box 218 BAn or CA 95914 CONTRACTOR'S NAME Ely Roofing Inc. TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS P.O. Box 704 Chico 95927 4 F i rep l ace CONSTRUCTION LENDER UNKNOWN Total Valuation i $ I 10W.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 24.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 39.00 PLUMBING PERMIT Filing Fee 15.00 119 Tennewe Lime, Untor Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other Reroof SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New❑ 'Addition❑ Remodel❑ Utilities❑ Installation[] Other EA Describe wd : Rtroof _ .. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 �:- T Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under pe,alty of perjury (check one): 'Na11 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and 00fessions CodeQand my license is in full) force and effect. License No. ��/� o� Classification If -134 ❑ I, as the owner, o`r 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 contra ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&\ OR ACDNS. 1 ACC. BLDGS. // 3.64sq.ft. NEW CONSTR. MULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. OCCUp. OUTLETS PRESID IREA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00ct- Misc. IlYirin g 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. ❑ 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 15.00 Heating Cooling g Hood 6.50 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 liabi l'ti es, judgments, costs, and expenses which may in any way accrue against d County in consequ nce of the granting of this permit. X �� Date 9 Signature pp ❑ Contractor ❑ Agent nature of A l ant - owner An OSHA permit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $39.00 HAz DFEES IMP FLOOD COF PARCEL PD HO IS This permit is hereby issued under the sions utte County Code and/ sioadlih wod ab f which a IRE F PUB BY Date applicable provi- r resolutions to do have been paid. ORKS DatPERIf�ES f ��� Receipt No. 103131 WHITE-D.P.W.. YELLOW-A33E330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller .Caliirnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT � � F44- � ASSESSOR PARCEL NUMBER ZONING f0AW A-5 ' BUILDING PERMIT , OWNER Carol nn Jackson J TELEPHONE 679-2520 SO. FT. OCC. BUILDING VALUATION p n p 18 l 60 1.080.00 OWNER'S MAILING ADDRESS P.O. Box 218 BAn or CA 95914 , CONTRACTOR'S NAME Ely Roofing Inc. TELEPHONE 343-7663 CONTRACTOR'S MAILING ADDRESS P.O. Box 704 Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1,080.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 24.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 39.00 PLUMBING PERMIT Filing Fee 15.00 119 Tennesse Lane, BAngor Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other Reroof SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition❑ Remodel El Utilities❑ Installation❑ Other® Describe work: Reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (cheek one): 1 am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. / /7 �j License No. In 4� Classification iV-%H ❑ 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 Main service 200ATO1000A) 37.50 OCCUR.&) NEW CONST. DWELLING OR ACDNS. ACC. BLDGS. / 3.64 sq.ft. NEWCONSTR ULTI-OUTLET N O 11-R ESID BRANCH CIRCUIT S IRC ITS @ 5 00 POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS FIXED P(RESID,)LNS REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Fvr I have placed on file with the County of Butte Building Department Lam- a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. F1 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 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 against d County in c�nsee of the granting of this permit. X Date Q Si nature of A I ant - Owner ❑ Signature pp ❑ 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 11 111S I IMP I FLOOD I COF PARCEL PD HD IS E This permit is hereby issued under the Bions of utte County Code and/ work di ed ab f which a DIRE F PUB By PER I EXPIRES Date applicable provi- r resolutions to do have been paid. ORKS Dat �� % 9/ /a Receipt No. 1 f141 R1 WHITE-D.P. W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT {^'r-.r—.�-•... -.. ._ ,.�...�_,� _ r -,�. sv+T*�►aP•gr.a.r e. .,*, .. n'�►r"" .,yfVq COUNTY OF BUTTE - DEPART II6L*C� ,PUBLIC CORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA -95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATI00:1DATA SF EET ''�'ll Permit No. OWNERy_ \\/V A. !Y -00, J� ti No. / Proposed Building Use /� Building Inspector Date—/.,.? - f At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ( 1. All items have been submitted. . DATE RECEIVED APPROVED 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for t required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ............. :..................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant �< / Date 4 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date �By The followingdata_m46% ' prior to permit issuance: (Circle n above). 1.' Index permit for above items No. 2. Additional items required: 1 Contractor, designer, owner, was advised of above required data by—phone --nail_counteryby ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy=DPW r 01�? COUNTY OF BUTTE - DFPARrTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND,PERMIT PERMIT NO. ASSESSOR PARCEL NUMBE — ^ZI `//) !7� U ZONING BUILDING PERMIT OW COL NAt — TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CON ACTOR'S AME dd � TELEPHONE Gr d -� CONZRA TOR'S__�MAILING ADDRESS/��� Fireplace CONSTRUCTION LLNOER7 �� UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF �[ Duplex❑ Mobilehome❑ Other / SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: AL k Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and /my license is in full �force and effect. License No. �Y�Classification L_�w1�1 ❑ 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 contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.S! OR ADDNS. ACC. SLOGS. 3.6dsV•ft. NEW CONSTR. M ULTI.OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCcup(OUTLETSOR FIXTURES 20 @ 76d Ex. OCCUp. OUTLETS (RESID )KEA.) I 3.001. Temporary service 15.00 Mobile Home Facilities 15.00t- Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 against said County in consequence of the granting of this permit. X Date Si nature of Applicant - owner g pp ❑ Contractor ❑ Agent An OSHA ion of structures u estover 3astories oineheight ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 3`�. d HAz 1 0FEES I IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. LAND DEVELOPMENT BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit ft. OWNERS A.P. NAME: AN f�JlSkL- � Oy NUMBER: Do?� �yQ �(JO PRINT LAST NAME FIRST ADDRESS / LOCATION: ' / 1-P-j4e.Ssee l ioe , ZlqW6O2 COUNTY ZONING V DESIGNATION: FLOOD ZONE: �" FLOOD MAP: �Od� APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION COMMENTS/CONDITIONS: r lZ0 A 8/Gb I2h MAP INFORMATION: DATE OF RECORDING LEGAL ACCESS REQUIRED: YES NO YES NO -0 t -j IE= G�%-oN Y CoK1r1ST^flT' - Nor (aEc, LOT i B BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply- with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from _ 6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. Al 9A. o IVB 25_. E_til E 1�-► �i-u c,r� tet_—F_b PlJM91N's `� EtF_C Mo(31 _l.�C �tD M E u n i n EZ S_�_1�2A.1_'7' - 21 D7 7�- �h-1 'I-1 t -AC,EF_ p .� N F- ALS 0 HAS--A-AJ E UF_cTQ 1;c- A FAC -4 �� T I S. UP' 77D C F `t H 15 1, ) A S "OT _ Z -C C), �--T - L) o \,U o a C-0 a.s 60 o /. SAS HooV-Sio I-AE=rv` UP, , A -A r.c c Aj Ly a��ti ��rA� �, Co��C) A Q V c S E H- Eg A5 J tUO A.7 -*?,O -l' 1 -1113 o The Bldg.. Setback shall be, 5. ft. from the side property line and 50 ft. from the centerline. of the- road, p rmitting a maximum of a 2 ft. eave o erh.ang. Septic system and ovation i . to . be . as pet Butte County H' alth Dept. Re - qui rements. I All- utility con ections shall be located within 4 . outside the rear third section of he mobile home on the left (road) ide of the mobile home. BUTTE COUNTY BALDING DEPARTMEN Nt _. ''APPROVE -D", 1 Env rn. rZQr� ✓ _ z! Hea!,,� ;. MAR 3 . 1998 LAND DEVELOPMENT 7 Counij,c, Orov11',,le-., Ufa BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Buading Pe�AINo. 3 �C_ OWNERS IJ I NAME: V A' N PRINT LAST NAME FIRST ADDRESS / LOCATION41q I-ei-Wesse.e 1{#/t%P A.P. r/ NUMBER: DAF /7Q —(Joy A16 0 COUNTY ZONING Llr �/ DESIGNATION: 170 FLOOD ZONE: ✓` FLOOD MAP: 5 00S APPROVED: CONDITIONALLY APPROVED: i7 ���� RESOLVE PROBLEMS PRIOR TO APPROVAL PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: / ��1 l �oUU DEED REFERENCE: %EGAL ACCESS PROVIDED: YES NO MPLIES WITH COUNTY STANDARDS FOR DEED CREATION: CO ENTS/CONDITIONS: f mo y I 04=7 MAP INFORMATION: DATE OF RECORDING LEGAL ACCESS REQUIRED: YES NO YES NO Go%-oN Y C0IQF45T^OT — Nor [aEc, LOT 19 BOOK . PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BEPAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. �1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of 3. Comply with Zoning code for building setback from road. _ 4. .Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from _ 6. Pay water tender fees in the amount of $ to Battalion. Number of the Butte County Fire Department. X7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of S _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) — 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of S as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to Me PJfwmdog Dhnb4en. _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22. 23 24. 25. 26. 'AIC 1N3Wd013A30 0Nd1 310810 ,11N665 8661 Z 0 avw A3AI3338 LD 5197 C:%.w%11f0R 4.�DDrtw.Ca 03/15/2000 WED 09:53 FAX A A M E Mid Valley Title & Escrow Company 601 Main Strcet, Chico, CA 95928 (530)893-5644 FAX(530)893-3428 Fax Sheet From: �,%'�GY _ Fax 4:. j Total Pages_ Date: 7 Y �� � -,-YC� � ur.�-�`k Y� �Y . Q001/004 RECEIVED MAR 1 5 2000 (AN OPENRELOO PFANTEDi v 03/15/2000 WED 09:54 FAX 002/004 -4.. - � .... -. 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ILLI%/"/G.�l.-•%//3�� � :+:u:/_� ilii --.�1 .�r•F•�!' ..._ 0004/004 MAR 1 5 2000 COUNTY OF BUTTE LAND nFVFI nPAAFNT nIV FAX COVER SHEET PLACER TIME CO 1548 STARRORIVE SUIMA YVa4 CI7Y, CA 95993 (530) 871-5040 (630) 671-6270 FAX SEND TO Front companyname oars office locaubn olllce vn W n` cY Fez number s3 � � �� � -� Pnane num r sso SY1.6 ao LjUMwtt ❑ Reply ASAP [3Pl"so comment t0PleiesorroNvw D Foryourinlonnatlon Tole/ pa peA indudlnp cover, U COMMOTS AL 10 'd OLZ9 IL9 069 'ON Xd3 ALIO 88AA 311I1 HOd1d Wd Lt:ZO Q3M OOOZ-80-NVW MAR- 8-00 WEU 12:33 PM MID VALLEY TITLE P. 2 �' • � ' � • ' ' ��: t.lvalt et �7i 99 e1t11�t8 r,a� FAX u0, 530 893 3428 swd%9wwM Two nonLhw Of CtvcPagri _.-- aftILLE TVMC aorVAt41 No SAWA ww1�wts�«t•.?PA r9o�.�it►...,._._„ ' � atftra°� oC Jt b+ri uuroa+sa ti24�fiittptti�;. b 6T1KL 9"M Canto p,...t» emu" ..Compe I* nlQo m4rod UM i. 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Reel 20 *hsimi 4 1169 to POW cc waudla11 too- "WdS 20.41 •ora, sorra or Use. prepetV bdea bmsi s• tot 19 of 0110V C*tatsdy and Vole& %bra Aluth halt of the Northwt %!setae Of the Potdbnal QOtrl.r of Paction 6► p 11 herb%. Logo S east, N.O.l. A !q. KIM p't'JleaaM" e—"l agar, • tats per etlL r.. CwWr tats let& meds tytw.ad wr .004400" 41 Z0 'd ReS IL9 0£S 'ON XH I �M ' �se t0 a c0 i w A110 VOU 31.1I1 N30VId Wd LV20 0 03M 002-90-8K T.17N.R.0 E. M. U. d. ti M. COLONY CONNSTADT - NOT REG. NOTE -ASSESSOR'S PARCEL BLOCK & LOT NUMBERS SHOWN IN CIRCLES sz W93( -��/u