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Home My WebLink About030-182-0041 i 30-182-04 2674-89E WRIGHT, Dora i 1136 12th St Oroville ' Contr: Butte Electric, Ber y Creek (elec ser ch/SF) �> 030=182-00494-0598P,E WRIGHT,. DORA, 1136 & 11341 12TH S.T., OROVILLE y � R CONT: FOX COMPANY SP1,IT ELE & GAS SER FOR COTTAGE & SF B07-1577 030-182-004 RENTIAL SFD-Custom/Model NSF 1726, 05, COV 95' TO VP1 1136 12TH ST LEE, MARSHA L�� B07-1578 030-182-004 MISCELLANEOUS Demolition ti yr r DEM EX RESIDENCE O "" �,: ;;y �er•;� L, 3 r;: 1136 12TH ST 1 �, " LEE, MARSHAL N 0 u 1 030-182-004 94-0598P,E WRIGHT, DORA 1136 &.1134-i., 12. ST. , OROVILLE CONT: FOX COMPANY f` SPLIT ELE.&xGAS SER FOR COTTAGE & SF* ` 9 ! i s OFFICE COPY Address GAS Meter By DA MeteELEr By1C Meter By— 030-182-004 94-0598P,E WRIGHT, DORA 1136 &.1134-i., 12. ST. , OROVILLE CONT: FOX COMPANY f` SPLIT ELE.&xGAS SER FOR COTTAGE & SF* ` 9 ! i s OFFICE COPY Address GAS Meter By DA MeteELEr By1C Meter By— ''ia:K-r13�'�.."7�-�{„'=,,�'a�, �""%i�r��°f'«.-�i�l"`�r�'g�ia+:'rl'.�i.iv+"'.��+,.ia��-'...'��,"�.fi.�3.` ��.f�.fk�.�-ii'Jrrf�i�r+:�•,:»mr=a`r`..�a-SRe'sa,,,�'.s;:q,r..�..,,.�,,.�,'�,�''' A 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 ' O V3 ASSESSOR PARCEL NUMBER 030182=004 ZONING AR � BUILDING PERMIT OWNER DORA WRIGHT TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �, 1134 12TH ST OROVILLE 95965 CONTRACTOR'S NAMETELEPHONE FOX COMPANY 533-2730 CONTRACTOR'S MAILING ADDRESS 3995 OLIVE HWY OROVILL8..95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER i LICENk NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS '1t,,, f, ti Penalty $ BUILDING ADDRESS 1136 12TH STT OROVILLE PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 FOR 1134 1/2 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK Other ❑ New ❑ Addition ❑ Remodel ❑ Utilities �.j Installation 1:1 Other Describework: ADD SERVICE, FOR COTTAGE IN REAR TO HAVE FEE $ 35.00 Contractor ' ELECTRICAL PERMIT Filing Fee 20.00 ON SEPARATE METER FROM FRONT HOUSE 11OV OR LESS 1 Main Service ( 200A OR LESS 23.00 23.00 Main Service ( TO 1 46.00 SEEERATE GAS & ELEC MTR NEW CONST. DWELLING OCCULING OCCUP. OR AODNS. ( & ACC. BLDS. 1 SO. 3.50 FT. NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS 1 @7.50 CONTRACTORS LICENSE LAW I dec are under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect.Ex. License No..3fjS _Classification G /U G-3 ❑ I, as the owner, 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) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 20 .00 RAL. @ 1.50 Occup. FIXEDAPPWS.OR p' ( OUTLETS IRESID.1 EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 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. ❑ 1 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 $ �+ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 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. 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 inlonsequenceo e g anting of this permit. X Date 8 Signature of Ap licant - 07wra r g Contractor' ❑"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 $ OCC CONST. TYPE TOTAL FEE $ 78.00 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL I PD I Ho I ISS 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. By/�!'� '� Date F-� PERMIT EXPIRES ON s bate) Receipt No. 156.514 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENRO 1 ' COUNWOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965'- Telephone (916) 538-7541 PERMIT NO. . APPLICATION AND PERMIT -9-4z- 05ya ASSESSOR PARCEL NUMBER 030-182-004 AR ZONING BUILDING PERMIT OWNER DORA WRIGHT TELEPHONE 80, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1134 12TH ST OROVILLE 95965 CONTRACTOR'S NAME FOX COMPANY TELEPHONE 533-2730 CONTRACTOR'S MAILING ADDRESS 3995 OLIVE HWY OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1136 12TH ST' OROVILLE PERMIT FEE $ FOR PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAMEPARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF L( Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition 1:1Remodel O UtilitiesR Installation ❑ Other ❑ Describework: ADD SERVICE FOR COTTAGE IN REAR TO HAVE PERMIT FEE 1 $ 95 00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 ON SEPARATE METER FROM FRONT HOUSE Main Service ( 11*V 11 LESS 2OOA OR LESS ) 23.00 SEEERATE GAS & ELEC MR Main Service ( 200ATO1000A ) 46.00 CONST. NEW OR NS. ( D 8 ACCG OCCU P ) so 3.5C CONTRACTORS LICENSE LAW( I d-eglare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and mxlicense is in full force and effect. LicenseNoti ,S Classification G/t� G—�(o O I, as the owner, 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) Cl I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTIOUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0`0 Ex. Occu FIXED APPLNS. OR Occup. (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. Al 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 $ 43 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, •udgments, costs, and expenses which may in any way accrue against said Countyl'onsequence o nting of this permit. X Date 8 Signature of Ap icant er Contractor EI Agent An OSHA permit is requi ed for excavations over 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 $ 78.00 HAZ• D. FEES IMP FLOOD COF PARCEL PD HD ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BYzc�, PERMIT EXPIRES ONJ;S (D el provisions to do work paid. ate Receipt No. 156514 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r t r' ar�,�i'�:'iiJtt�'7P'1'rtfPKl+:.3.%k.y. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTS-ERVICES -BUILDING DIVISION N4 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 `PERMIT APPLICATION DATA SHEET OWNER G" K- � Ca I - A. PANqo-,2 5::� -49 Proposed Building Use r--./ Building Inspector Date At time of.., ed application, I as advisthe following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit. .......................... . ............ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage . ..... ...... . Driveway permit (construction approval required prior to occupancy). . . Preanspedion requesF Pre -inspection for required. .. to Building Inspector. (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ............... . .......... +� Owner -Builder Verification (Given to owner , Mail to owner _) ` 4 Recorded copy of Agricultural Acknowledgement Statement . ..........:....... t �' Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... . Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . Existing violations/expired permits. .• .................................... . Plan check list . ..................................................... When you issue the permit, process as follows: Mail to owner. V Mail to contractor. Telephone and hold for pickup at P er with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Copy of plans sent Health Dept. fire Dept. Other nv Date Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: By 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 2. 3. d - 4. 5. 6. 7. 8. ,..k 9. 10. •.. 11. 12. . 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit. .......................... . ............ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage . ..... ...... . Driveway permit (construction approval required prior to occupancy). . . Preanspedion requesF Pre -inspection for required. .. to Building Inspector. (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ............... . .......... +� Owner -Builder Verification (Given to owner , Mail to owner _) ` 4 Recorded copy of Agricultural Acknowledgement Statement . ..........:....... t �' Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... . Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . Existing violations/expired permits. .• .................................... . Plan check list . ..................................................... When you issue the permit, process as follows: Mail to owner. V Mail to contractor. Telephone and hold for pickup at P er with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Copy of plans sent Health Dept. fire Dept. Other nv Date Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: By 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 y - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -'Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONKJG BUILDING PERMIT OWNER X70 �1 W le ICS 7- TELEPHONE SQ, Fr, OCC. BUILDING VALUATION OWNER'SMAILINC DRESS 13A 121W. S, o n o AcE 9 CONTRALTO S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS —3.9g.5— ox G //WZ 04,,Jot. za- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADOR 446 // / L PERMIT FEE $ r PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 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 SF1�I. Duplex O Mobilehome O Other X SPECIFY Gas piping system 1 - 5 outlets 15.00 ® 0 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK 1 1 New O Addition O Remodel O Utilities Installation O Other O i I A Describe Work: 942. d1Vzcer orw �+ � %b ✓B ow tL G'.t?e'o7CATL� !f% JQ 4 /`?QO.r/J' �cjf� PERMIT FEE g -0 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service OR LESS ( 200A OR LESS ) 23.00 r®_D t S� �A r 1 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) SO 3.5C FT. CONTRACTORS LICENSE LAW I deglare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and X Professions Code and my license is in full force and effect.Ex. LicenseNo,�-j(�S Classification G-/0 C-_36 O I, as the owner, 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 I am exempt under Sec. Business and Professions Code forthis reason NEW CONST.MULTI.OUTLET •NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET PIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 FIXED APPLNS. OR Occup. O UTLETS (RESID.) EA (. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 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. O 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 S 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, judgments, costs, and expenses which may in any way accrue against said County ' consequent the granting of this permit. X Date 8 Signature of ppl can Owner Contractor ❑Agent An OSHA permit is r quired for excavations over 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 $ (�(� HAZ. O. FEES I IMP I FLOOD I COF I PARCEL PD HO IssUE 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. By DateHITE-D.D.S.-B.D. PERMIT EXPIRES ON /Dere/ ceiptNo./5_55 `—� CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT F 30-182-04 - ,. }• 2674-8gE WRIGHT, GHT, Dora -, ¢` •r 1136 ; Contr12th'St, Oroville . Butte` Electric.' (elec ser ch/SF). Berry Creek t k w 0 COUNTY OF BUTTE - DEPARTMENT'OFPUBLIC WORKS y ! 7 Cou6ty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT PERMIT NO. , ASSESSOR PARC NUMBER ■ ' (//9 Z..• - 0` ZONIN + . , BUILDING PERMIT OWNER ��% •/'i 44 TELEPHONE SQ. FT: OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , sem-- CONTRACT'S NAMEt7• �� 1 UTr TELEPHONE CONTRACTOR'S MAILING ADDRESS d / A)V_ Z , G ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 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 ,ST 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 Water piping ,:45.00 Each pas water heater or.vent I` USPE OF STRUCTURE ' SF Dupl.ez0 Mobi lehome ❑,^ Other ' - '' SPECIFY Gas piping system 1 - 5 outlets :5.00 Building sewer -F 5.00, Mobile.Home S I G I W 10.00*4;,-- TYPE OF WORK P New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: (ZV I Ce C P A f.9C j Permlt Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS10010.00 1AMP OR LESS /t7 � 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 �a%nd effect. License No. `CA �� Classification /✓ 1:1I, 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) F -1I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. // DWELLING OCCUP.a` , OR ADDNS. ( ACC. BLDGS. / /20sgft NEW CONSTR. U TI.OUT LET NON-RESID .BRA CH CIRCU, ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES 5A 030 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )KEA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ S U Contractor 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. E'f I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the CountyotOCA 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 6 / Owner QConrracror Signature of Applicant — '�E]Agent El An on ofstructuresu mit is quire foie height. vtions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ .--- occuP. CONST.TYPE ISCHOOLIFLOO.IP.FICILI ;7 ND I 1190E� This permit is hereby issued under sions of the Butte County Code and/or indicated above for /which A /IDIRECTOR-OFrPUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date js Receipt No. 9 /a WHITE-D.P.W.. YELLOW-ASSE»aR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE*DER. RTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - APPLICATION AND PERMIT RMIT NO. ASSESSOR PARC NUMBER , ,5j0— S Z ^ 0 Zt1NIN G BUILDING PERMIT i OWNER /�' VV TELEPHONE SO. FT. OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 3'S CONTRACTNAME2 U TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 f 3 6 2 S'T 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 Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other 21-1—Permit Describe work: 115I�Ci Sr1ZV I CI✓ CN A OCI Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions �{Coodde and my license is in full force ,)a d effect. License No. �7/ / Classification C— 1v ❑ 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.1k , h2SQft OR ADDNS. ACC. BLDG -S. NEW CONSTR T' -OUTLET NON.RESID .BRA CH CIRCUITS2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20960t O ALO 30 FIXED Ex. OCCup. OUTLETS P(RESID )APNSREA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 e' g F-- Permit Fee $ S O 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 f Consent to Self -insure. LJ ' 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 Countyof 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 against sai County in se nce of the granting of this permit. Signature of Applicant — Owner Contractor ElAgent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ DO TOTAL PERMIT FEE $ �--- occuP. CONST.Tp PC JSCI100LJFL00T--1I:LJ PD F7. 1 1 U This permit is hereby issued under sions of the Butte Comy Code and/or work indicated abov for hich 1 CT UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS � r Date Receipt No. WHITE -D. P. W., •CLLOW-A7eL73011, PIH -IN9PCCTOR, GOLDENROD-AP►LICANT r ' COUNTY OF BUTTE - DEPAkT.M�.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIVATION DATA SHEET %�- - Permit No. OWNER /J72 ).0 A. P. No. 37 — of Proposed Building Use � Building Inspector lz_ Date )�-9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ........ ``.............�� 2. Plot plans in duplicate/triplicate, .signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate;-.'signed by preparer of\plans .. 4. Complete engineered plans and calcs,,Twith wet signature on plans .. 5. Energy Design Compliance and support,ing'documentation 1 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 $ ........................ 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. riveway permit (construction approval required prior to occupancy) ... �19. re-Inspection for C r �� - S QVt(� rtsc�t*(Q C�� Pre-Inspec. r ue t _r Building Inso c✓ (Date) ontractor's license information (No., Name Style, Classification) ...... . 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ......... 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: — ?V— Mail to owner. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by ,date Plans checked by Date Plans approved by Date ' Sets ofplans on hold in File cabinet AP folder Copy—DPW