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Home My WebLink About030-194-003030-19:Y4-003 --FREEMAN;'BRADFORD_,, _1227_.DODGE"AVE 'OROVILLE' r CONTR.;JOHNWHEELER ..1 I ✓� a.� r 2 PORCHES/SF 1' 030-19-4=003 .FREEMAN.,93-1986 , BRAD - 1227 DODGE AVE,OROVILLE/ CONTR: GEORGE,RFG- REROOF/SF / � 4 O 1� v ` w\ tif.:. ••Mb�.;.r.»'r ref L+. .r.. ;r�M��,,, .. _. .. .. ,. it 030-19-47003 FREEMAN, BRAD. 93-1986 B 1227 DODGE AVE,OROVILLE CONTR: GEORGE RFG REROOF/SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ^ PERMIT NO. 7 County Center Drive - Oroville, Californi- 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT OWNER'S MAILINP A DR..ESS �,,0 C9NTRACTOR'S NAME. i O :425ACTrbR MAILING DARE,S� ,, CONSTRUCTION i VENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILq�, AYRESS W V - /Z BUILDING PERMIT `LEPHONE 533-6709 SQ. FT. OCC. BUILDING VALUATION , 1 20.00 ' . Each qas water heater or vent 7.00 �1 `yam 5� ] 1-07 E/.3 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 Fireplace NKNOWN Total Valuation Is L/ K 410) Filing Fee $ 15.00 Permit Fee $ ICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ /� 5.00 ` i Penalty $ Ex. Occup(OUTLETS OR FIXTURES20 Permit fee $ LOT NO. SUBDIVISION NAME PARCEL MAP USE OF STRUCTURE SFr Duplex❑ Mobilehome❑ Other SPECIFY TYPE OF WORK New ` Addition _; Remodel ❑,I Utilities ❑ InstallationC Other, Describe work: 14, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo.Cin Classification e!�_� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. f have placed on file with the County of Butte Building Department } as 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. I certify that I have read this application and state that -the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against safd County in consequence of the granting f this permit. Date Signature of Applicant — Owner g pp ❑ Contractor ❑ Ager11,� An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. /_�3'7�2- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 Water piping 1 7.00 Each qas water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS200A OR LESS 1$•50 Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.&\ OR ADONS. ACC. BLDGS. // 3.6Q sq.ft. NEW CONSTR. ULTI.OUTLFT NON-RESID BRANCH CIRC ITS /� 5.00 ` i (POWER SINGLE OUTLETTCIR.e Ex. Occup(OUTLETS OR FIXTURES20 764 A Ex. Occup. OUTLETS ED AP(RESID )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 1 Misc. Wiring 15.00 I Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ L HAZ I D FEES I IMP I FLOOD I CDF I PARCEL I PD I HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. %f DIRECTOR OF PUBLIC WORKS By /d'i .-4 &;iG' ,�'k Date PERMIT EXPIRES Date COUNTY OF BUTTE - DEPAFftMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT \/ PERMIT NO. �� tA / ASSESSOR PARCEL NUMBER i � L ZONIN G / BUILDING PERMIT ow R TELEPHONE 3-6 09 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILIN A R 5S C NTRACTOR'S NAM , gS HONE^^ (f33 C N AC R'5 MAILING AD RES D Fireplace CONSTRUCTION NDER UNKNOWN C Total Valuation $ Filing Fee $, 15.00 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 $ BUILOLING ADDRESS a�7 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 919! ILI, Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other 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 AdditionjJ Remodel❑ Utilities❑ Installation❑ Other Describe work: _ / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force nd effect. License .JO. Classification U 1, 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.&\ 3.60 sq.ft. OR ADDNS. ACC. BLDGS. / NEW CONSTRMULTI-OUTLET @ 5 00 NON.RESID BRANCH CIRC ITS POWER APPARATUS & (SINGLE OUTLET CIR ExOccup( OR FIXTURES 20 761 . FIXED APPLN5. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have rtiplaced on file with the County of Butte Building Department a Ceficate of Workmen's Compensation Insurance or a Certificate o 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 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 Iiabi l it'es, judgments,, osts, and expenses whipmay in any way accrue against s d_County in c equence of the grand g this permit �./ Signature of Applicant - owner Contractor ❑ Age g pp ❑ 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 DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DI O PUB IC WORKSDa % PERMIT EXPIRES Date Receipt No. 3'7V WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT c RESIDENTIAL 030-19-4-003 93-1713 B FREEMAN, BRADFORD 1227 DODGE AVE, OROVILLE CONTR: JOHN WHEELER 2 PORCHES/SF JOB FINALED ( e Signature V= OK O=Not OK -=Not Applicable Not Ready MOBILE HOMES = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial E VERS, CARPORTS, GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs:Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. EleWRIf- .&O-Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Sung,-PTeiling-Veneer-Stucco-Mash 41. -Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK e , O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials _ FRAMING (Continued) 45. Hangers -Post Ceps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52..Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, CalifDrnia 95965 - Telephone: APPLICATI,0 AND PERMIT WORKS I PERMIT NO. 91 .'538-7 41 ASSESSOR PARCEL NUMBER —194-003 ZONING AR I BUILDING PERMIT OWN R Bradford Ereeman603 TELEPHONE SQ. FT. OCC. BUILDING VALUATION C 7,839.00 OWNER'S MAILING ADDRESS e Oroville5965 RSd CONTRACTMA John Wbpplpr Constr. TELEPHONE 534-5449 CONTRACTOR'S MAILING ADDRESS ville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 7,839.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 82.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 41.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $138.75 PLUMBING PERMIT Filing Fee 15.00 1227 Dodge Ave nroville Each Trap 5.00 , Solar or heat pump water heater 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 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 r Addition is Remodel E Utilities ❑ Installation❑ Other ❑ Describe work: 2 Porches Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and of ect. License No. M �&2 Classification 6o l 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.&) OR ADONS. ACC, BLDGS. 3.6Qsq.ft. NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS D (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 760 FIXED APLNS.lJ Ex. Occup. OUTLETS P(RESID.)REA.) I 3.00 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 FiIirig 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 liabilities, judgments, costs, and expenses which may in any way accrue ag]9,sa�idnty�eenceofhe granting of this permit. X Z_ 7 -" Date si nature of A licant — owner PP ❑ Contractor X Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TV PE I TOTAL F '$ 138.75 IP I FLoo COF PARCEL —•� P HD E This permit is hereby issued under the applicable provi- sions of the Butte C un Code and/or resolutions to do work indi o r which fees have been paid. R OF PUBLIC WORKS BY Date 2 y PERMIT EXPIRES Date G / Receipt No. 143955 WHITE-D.P.W., YELLOW -ASSESSOR, P{NK•INSPECTOR, GOLDENROD -APPLICANT I M r . . P .. Y 7' • . Y r . f �.COUNTY OF BUTTE -DEPARTMENT OF D�VE LOPMENTSERVIC - UILDINGDIVISION y Mt5. 7 COUNTY CENTER DRIVE - OROVILL�CALIFORNIA95965-TELEPHOE(916)538-7541 / PERMIT APPLICATION DATA /SHEET OWNER�DC�Ci /� A p j �' �1`%r l% G Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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)b Cat{fornia Engineer. . . 14. Sanitation and plot plan approval (5 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). ...area�apeotionrequ�- 20. Pre -inspection for required. .. to Building Inspector (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 e% 4 (J office. Deliver with inspector. Other Parcel Creation / 7 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). 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 COUNTY OF BUTTE - DEPARTMENT OF FUBLiC 11VORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916 538-7541 APPLICATION,AND PERMIT ASSESSOR PARCEL NUMBER 0730—/ Y -/& ZON7, BUILDING PERMIT OWNS TELEPHONE SO. FT. OCC. BUILDING VALUATION WNER'S MAILING AOD�.€S RAC TOR' NAME f TELE PHONE f-� L J O TRACTOR'S MAILING ADDRESS [CLENDER'S Fireplace ONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 MAILING AODR ESS Permit Fee $ .S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ODRESS b0 Z:)Permit fee $ ,15.00 PLUMBING PERMIT Filing Fee Each Trap 1 5.00 Solar or heat pump water heater 20.00 Water piping 7'00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 7.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Building sewer 15.00 SFX Duplex❑ Mobilehome❑ Other 615.00 SPECIFY Mobile Home S I G I W TYPE OF WORK New ❑ Additi n� Remodel' Utilities ❑ Installation❑ Other [I Permit Fee $ Contractor Describe wor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LEss 18.50 200A OR LESS Main service 20cATO IOOOA) - 37.50 CONTRACTORS LICENSE LAW NEW CONST.( DWELLING OCCUP'&) 3.54 sq.ft. OR ADONS. ACC. BLDGS. I declare under penalty of perjury (check one): NEW CONSTR. M ULTI.OUTLET @ 5 00 NON-RESID BRANCH CIRC ITS ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business (POWER APPARATUS eI SINGLE OUTLET CIR. 1 and Professions Code and my license is in full force and.effect. - 764 Ex. Occup( OUTLETS OR FIXTURES 20 4SA License No. Classification FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.� I 3.00 ❑ 1, 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 Temporary service 15.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 15.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. 6.50 ❑ I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ Energy Inspection Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot occ CONST TYPE TOTAL FEE $ 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 HAz 1 0HES I IMP I FLOOD CDf I PARCEL PO HD ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this perm+ permit is hereby issued under the applicable provi- 61'-_3This X Date67171 r ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date Receipt No. PERMIT EXPIRES Date WHITE-D.P.W.. YELLOW-ASe ESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT 4- A MC - 0 ALL UrRUqWRE13 AND EWWMENT MWIDINS, OVERKq= SHAW. BE CLEAR OF ALL LASEMEMI AISET BACK OF S FT. FROM THE $1011 ANO 6 F7. �IOM THE REM PROPERTY LIM AND T — . FOM THE ROAD CEWERUNI 81'1.83 OF STRUCTURES AND 119UPW FXN" FOR A'2 Fr. SAVE OVERHANG, Qtr - r r il �v i) -fa rd ji- P yrM d A 12-2-7 Ped a c AY Frd —/7 B UNTIE UTTE C 6 -NIDING DEPARTMEN Y!q- A P-PRO-VE-4- 5� 4(,24)Y . . . . . . . . . ...... .-•J . ....... ... C%U J U N 0 7 1993 k o ii t— k A;4�j PF1 0 J-�• C, ----LoeMion0t,SWMr9S&- ... ........ -equipmerit shag be as ShOV & I eAseffienlg., dear of a] .... ...... 2 41 /V( W -Z e APT 'this set: of plans and specif1cotlo" be kept on the job at all times and itis unla%YNI to ------- -- Pot P,F, make any changes or alterationt on soma W ... ...... out written permission from the Depomwt Of . , Public Works, County of 1108. - 44 wtf,4-(�e` 14-"-5)p� Materials & Workmanship Show Be in Floor with Recognized Good Practices Aa of a quality prescribed for theS ifi use in the mer ied Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. Y, W 4 1 q- PY it 0 .00 V 4 S, Y, W { •�.•�.w -y iii i•• }jj 'rte ��•4r` •2 •r LZ r; fi IN V. «:t t; l M M � ID a sti! � c t:: n ..Q •� A ¢ C M' r• CY a r ��•4r` •2 •r . M �• re ..Q •� A ¢ C M' r• CY Q