HomeMy WebLinkAbout030-090-006030-090-006 PERMIT#95-02603:
BOYD, Ruby
1930 Grand Ave., Oroville�
j
Cont: Bud Strang Electric 5/2a c.
Ele Ser Ch/SF If
030-090-006 PERMIT#95-0405
BOYD, Ruby, ��
1930 Grand Ave., Oroville� j j
Cont; Christiansen & Son Roofing/ %/
-
Reroof Hobby Rm/SF
Ilk
""" �• ��' �i�.'�"F.v".��s. 1°��1'+Idiot'$'.%�r0'ioi'i;?yii7�+Y9'sy}cy::Cy`yi,l'aF1'•i�"i`"ty„ ... .... .,.wr•.asa:w7rv+�..... .,,��;,.,�'F.I,�,..
f
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
`APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 030-090-006
ZONING.
BUILDING PERMIT
OWNER RUBY BOYO
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1930 GRAND AVE OROVILLE"
3 @ 130 J1
390.00
CONTRACTOR'S NAME
CHRISTIANSEN & SON ROOFING
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIwOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER )
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADORES
Penalty
$
BUILDINGADDRESS
1930 GRAND AVE
PERMITFEE
$ 35.00
OROVILLE (
PLUMBINGPERMIT
Filing Fee 20.00+
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE i
-
SF {C Duplex ❑ Mobilehome ❑ Other I •`.r
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
1 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Q
Describe Work: 3 SQ BUILT—UP HOBBY ROOM
—
-'Mobile Home IS I GI W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filino Fee 20.00
Main Service OOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO +000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class �3 Lic. No. 617 7COOSI
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:I
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, -'am exclusively contracting with licensed contractors
�o construct the project"-- _
W I am exempt under Sec. Business and Professions Code for this
reason '
NEW CONST. DWELLING OCCUR
OR ADONS. ( & ACC. BUDS. )
SO.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( & POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
2L Q I•50
BAL so
Ex. Occup. ( OUTLETS (RESID.)EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring !
23.00
r, I
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION J.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent+to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for\the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required,by Section
3700 of the Labor Code, for the performance of work for which this permit is,issued.
My workers' compensation insurance carrier and policy number are:
Carrier
,;-MECHANICAL PERMIT
Filing Fee 20.00
: Heating
Cooling + r
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
f one hundred dollars ($100) or less.)
certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date _310A_S-
Signature of Applicant - ❑ Owner X Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
D. FEES
I IMP
I FLOOD
CDF
PARCEL
I PD I HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
4�/1111J
B ` r//,
PERMITEXPIRESON 3
I
applicable provisions
Resolutions to do work
been paid.
Date /
(ate)
Receipt No. I� ��] do �'J
WHITE-D.D.S.-Er.D CANARY -ASSESSOR PINK-INSIPECTOR GOLDENROD -APPLICANT
J
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION
11
7 .County Center Drive - Oroville, italifo�nja 95965 - Telephone (916) 53 541 PERMIT No.
APPLIQATI4N AND PERMIT
ASSESSOR PARCEL NUMBER 030-090-006
ZONING
WALDINGPERMIT
OWNER RUBY BOYD
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
3 130 K
390.00
OWNERS MAILING ADDRESS
1930 GRAND AVE OROVILLE
CONTRACTOR'S NAME
CHRISTIANSEN & SON ROOFING
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Fling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
1930 GRAND AVE
PERMITFEE $
35.00
OROVILLE
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBMrotSION'S NAME
PARCEL MAP
Solar or heat pump water heater
23,00
Water piping
15.00
USEOFSTRUCTURE
SF 'U Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN
Describe work: 3 SQ BUILT-UP HOBBY ROOM
--
Mobile Home I S I G W 1
@20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.'00
Main Service a OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class ^— Lic. No. Gjy %C>U H
OWNER -BUILDER DECLARATION �•
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
oto construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR \
OR ( 8 ACC. /
SO.
3.5Q FT.
NEW CCONST. MULTI.OUTLENS.
TLE T
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS
8 SINGLE OUTLET CIR. /
Ex. Occup. (OUTLET OR FUTURES)
20 0 1.00
�'� S0
Ex. Occup. ( OUT�s RES D.)EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
f one hundred dollars ($100) or less.)
A-10certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date3ZJ/52,$`__
Signature of Applicant - ❑ Owner )i Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3'stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
I
TOTAL FEE $ 35.00
HAZ.
I D. FEES
I IMP I FLOOD
I COF PARCEL
I PD I HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
B
PERMITEXPIRESON
(ate)
provisions
to do work
paid.
/ C�
Dat lQ J
Receipt No. e )� e.�
!
WHITE-D.D.S.-S.D.-CANARY-ASSESS R PINK -IN PECTOR GOLDENROD -APPLICANT
cv:
��` \to
eX
030=090-006 PERMIT#95-0260
0
BOYD,.Ruby
9
.193CO)Gr;-d Ave., Oroville
Grand
ran� ErloevIt
Cont: Bud'Strang Electric
'_ _ , I c.0 , ;
e Ser Ch/SF
LOFFICE COPY
Address
GAS Date-�.
Me GAS
By
ELECTRIC
Meter By Da;g/,o
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center•.Drive - Oroville, California 95965 •Telephone (916),538-754 PERMIT No.
APPLICATION AND PERMIT `.:.i�i;�"` ---K�'
AMMOR PARCEL NUMBER
— =006 -
20NP10
ar
... ..
.a� •:BUILDING PERMIT: yeti
I + ::e+il't•�'�I triip+.ST:ta%'�'ii„�r'Bsrn:;jr?ta'.�4�7k atle'`rf',ai r3v�
owNu
Ruby- Boyd
TELEPlgNE
SQ. FT. OCCr '' '' :BUILDING VALUATION
OWNEWS MAANO ADDRESS
-= - 30."Grand Ave. Oroville
..
.. ... •• .. .
CONTRACTOWSINAME -
Bud*Strang electric
TELEPHONE
533-2585
CONTRACTOR'S MM NO ADDRESS
3577 Hildale Ave. Oroville CA 95966
Fireplace
coNsTR cno" u wm -
UNKNOWN
Total Valuation $ -•
LENDER'S MArLNO ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
UC04SE NO.
Plan Checking Fee - $
ARCHITECT OR ENGINEER'S MAILNO ADDRESS
Energy Plan Checking Fee $
.
Penalty $
BUILDING ADDRESS .
1930 Grand Ave. Oroville
PERMIT FEE $
•
PLUMBING PERMIT
Fling Fee 20,00
Each Trap
700
Solar or heat pump water heater
23,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition O Remodel O Utilities 01Installation O Other ElPERMIT
Describe Work: UPGARDE TO 1Q6 AMP
FEE' $
Contractor
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service BOOV OR LESS
200A OR LESS )
1 23.00 23,00
Main Service ( 20OA-TO 1000A )
46.00
NEW CONST. // DWELLING OCCUR
OR AODNS. & ACC. BLOS. )
3.50 SFT.O
II1
•NON "R SNEW IIDT 1 BRANCH CIRCUMULTI-OUTLITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
�cI T am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my ficeyS pis in full force and effect.
License No. l% "� '� C N ?C�"ssification �' — %
O I, as the own r, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
( POW ERAPPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20@x•60
SAL. 50
Ex. Occup.FIXEDAPPLNS. OR
( OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Mise. Wiring
23 00
Pre - Inspection
..00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
66.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
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 Butte County Ordinances and California 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, judgmews, costs, and expenses which may in any way accrue against said
County in conseqL -nce of the granting of this permit.
�.7
X Date -/ j""-- j'
Signature of Applicz nt - 0.Owner U Contractor Ij Agent
An OSHA permit i>, required for ?xravauons ov,:r 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ.
CONST. TYPE
TOTAL FEE $ 66.00
HAz•
1 D. FEES
IMP
I FLOOD
I COF
PARCEL' PD
I NO
ISSu
I
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fear have been paid. r
% A
By 'T • Date �'/' �i I
—
PERMIT EXPIRES ON •' 'ii
Receipt No. 175324
wmTE•D.0.5.-H.D. CAN ARY•A,;,.ESSOR :;:n,! :NLPECTDR GOLOENROO-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVI
7 County Center Dnve ?Oroville, 6IWer
•APPLICATION a
F
PMENT SERVICES BUILDING DIVISION
1159;6"5 Telephon5e (9,16) 53.8--754.1'k.°ar "PERMIT/JNo.
A88E890RIARCELNUMBER :` a -�..°. c
� 0 'f006t
ZbNNG �1
wait
`y'— s .'=f:
'r BUILD G'I�EFiMIT
a,wa�r1.-4>aW,i,r,. ;^
OIMEll cj "t• •� rtkY+ a'J+
—w.
.TELERpNE
1,
OC C i t:� BUILDING`1IALIJATICN
OWNEWSMAILI/GADDRESS t - - •
30-•-Gr-art.d-•-Rue-0rovi.11e . - ---•---•--
`i '- -*- `'rasa `` � a✓'• :
--r -- - -
CONTRACTO N'S NAME
-Bud •Saran .t electric
TELEPHONE
533-2585
CONTRACTOR'S MATING ADDRESS
��'3 7'Hi-dale. Ave. Or6Viile CA' 95966 ... '
Freplace.z '
CONSTRYCT10N LENDER -
UNKNOWN .. :
'. Total Valuation $
LENDER'S MAILING ADDRESS - ,.'Fling
-t
Fee - ' $ - . -•; ,.10.00_
Permit Fee
ARCHITECToR ENGINEER - .. - - •. -
LICENSE NO.
Plan Checking Fee"'-
Energy Plan Checking Fee $ '
ARCMTECT OR ENGNEER'S MAILING ADDRESS
Y .
Penalty $
BUILDING ADDRESS ..; - =-,:
1930 Grand. Ave. Oroville
.. ... .
PERMIT FEE $
PLUMBING PERMIT -- : ' Filing Fee 20.00
Each Trap - 7.00
:
Solar or heat pump water heater - 23.00
LOT NO.
Su813IvISION'S NAME
PARCEL MAP
Water piping - 15.00
Each gas water heater or.vent 15.00
- : USE OF STRUCTURE
SF (IDuplex O Mobilehome O Other
SPECIFY
'Gas piping system 1 --'5 outlets 15.00
Building sewer 15.00
Mobile Home ISI G I W 1 @20.00
TYPE OF WORK
New ❑ Addition O Remodel O Utilities 01Installation O Other -0
Describe Work: UPGARDE TO !@t AMP!
PERMIT FEE' $
Contractor -
ELECTRICAL PERMIT Fling Fee 20.00
.Main Service( _600V OR LESS 1 23.00
200A OR LESS / 23-00
Main Service I 20OA'70 1000A ) 46.00
NEW CONST. DWELLING OCCUP. SO.
OR ADONS. I DWELLING6 ACC. BLDS. I 3.50
CONTRACTORS LICENSE LAW
I eclare under penalty of perjury (check one)
am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions C de and m�( lige in full force and effect.
License No. Deification c, SL%
❑ I, as the own r, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
O 1 am exempt under Sec. , Business and Professions Code
forthis reason
--FT._
NEW CONST. MULTI -OUTLET
•NDN.RESID. ( BRANCH CIRCUITS I @7.50
( POWER APPARATUS )
8 SINGLE OUTLET CTR.
Ex. Occup. ( OUTLET OR FIXTURES ; 20 @ I •�
BAL. .60
Ex. Occup. FIXED APPLsN% OR
p I OUTLETS IRESID.) EA. ). 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
-PERMIT FEE $ 66.001
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
".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 Butte County Ordinances and California 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, judgmen's, costs, and expenses which may in any way accrue against said
County in consequ:nce of the grantin of this permit.
X - Date ? —/S -,F.S /
'
Signature of�i c� At - O caner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ.
CONST. TYPE
TOTAL FEE $ 66.00
HA2.
1 D. FEES
I IMP
I FLOOD
I COF
PARCEL PD
I MD
I ISSU
This permit is hereby issued under the applicable provisions
of the Butte Count Code and/or Resolutions to do work
Y
indicated above for which fees have been paid.
/
By Dat
PERMIT EXPIRES ON
Receipt No. 175324
4VHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENT OF DEVELPP.MENT SERVICES -BUILDING DIVISION
4
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
P RMITAPPLICATION DATASHEET
OWNER. AP. No. `�ll�lJ
Proposed Building Use Building Inspector Date
At time of pernyi application, I was advised the following data must be submitted prior to permit processing and/or issuance:
V/ DATE RECENED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. .......................:. .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees.........................
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ...
Preanspectionrequest
20. Pre -inspection for required. .. to Building Inspedor (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. eliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
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 following data must be submitted prior to permit issuance: (Circle new item not checked above). �r
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
PRE -INSPECTION
OWNER:
DATE
LOCATION: l� ����2i� A. P. #
CONTRACTOR: ZONING
PRE -INSPECTION FOR: V A G� C% V L (:f --
DATE TO INSPECTOR'
PERMIT HISTORY: IZ NONE Q AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
0 OCCUPIED 0 HAS ELECTRIC [�D HAS GAS Q HAS SANITATION FACILITIES
Q HEATED -COOLED
OTHER COMMENTS:
ACTION"
CTION COMMENDED:
ISSUE 0
OTHER:
BY
E:l PERSON CONTACTED
HOLD FOR
DATE
COUNTY OF BUTTE S
BUILDING DIVISION?`
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916)'891-2751
r
7 County Center Drive, Oroville, CA - (916) 538-7541 3:
747 Elliott Road, Paradise, CA - (916) 872-6307 a
ORRECTION NOTICE
&I N CV7/ PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work e
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. :t
Date�� %CS Inspector 1//,
REV 10/9