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HomeMy WebLinkAbout030-200-074\� A.P.30-20-74 30-20-74 365-91 WILBUR RIGGS _ _ _ I ' + y 172L, Oro Dam, Oroville VANCE,•. Eduardo R. �40�j��- '� Permit #5014-75P F�s� 7 1724 *Oro, Dam West, lle 3 (replace drain pipe in kitchen & bath) (new auto repair shop/comm) v -30-20-74 CLARENCE,C, HAMMER 1724 Oro Dam Blvd, Oroville ' Permit#3575-86B o r ' 030-200-074 Ct V KING, BONNIE 06-1985 v[ 1724 ORO • DAM BLVD, OROVILLE Cont: OWNER �n SIDING vexne� Z,�i�AJ�i�lt3i'JS '� FIS r'hE.r( SEf-I°f-II/.hnNCo G+sS .� �'� I r f r �k; -\ �J _ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. L3911117-IP11*1 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 08/17/2006 APN: 030-200-074-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 1724 W ORO DAM BLVD ORO Date: Contractor: Map Index: Description: REPLACE SIDING 30 FT p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: KING BONNIE J to its issuance, also requires the applicant for such permit to file a 1724 ORO DAM BLVD W signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95965-4142 she is exempt therefrom and the basis for the alleged exemption. Any 533-2323 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): _ 1, 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 (Sec. 7044, Business and Professions Applicant: BLALOCK, ALVA Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 493 MISSION OLIVE RD such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95966 year of completion, the owner -builder will have the burden of 589-1981 589-1982 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: WORKERS' COMPENSATION DECLARATION 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 Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any persons any manner so a become subject to the workers' compensation laws of California, C/•,, (`-/Y„ � [�V/ and agree that if I should become subject to the workers' fl/(/^ compensation provisions of Section 3700 of the Labor Code, I shall ith/t'h-ose provisions. forthwith omp760 l //J1 & l G O Uv Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is ereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending'agency for the Resolutio do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.)` WFQ Name: By Date: PERMIT EXPIRES ON: Address: ate) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purp s. Print Name: A' LyA Lotlt< Signature: AL2 Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 U ' _� � t �• ` r . "'4 t_ � • r y•. M, 'XJ�j— � • ' y �l � Jy '� - t — 3, 1 — C ` � r°` . • *•["t- rte: ;� ��.��! _ ,, _�_ a� '• �� � � � fitsol. 4 � `: ,^ � , _ _ 4- • - BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last me irst Name s _. Add9S z t 16 City�On _ 1 L. _ VS-13W3-� FaxSM _ /o/ State Zip 9�6� Phone 3a Date Approved: Fax --�' E-mail APPLICANT INFORMATION CONTRACTOR Name ::]� City I (. Address z t 16 City FaxSM _ /o/ State Zip Phone Date Approved: Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City I (. Address z t 16 City FaxSM _ /o/ State Zip Phone Date Approved: Fax E-mail State License Number APPLICANT INFORMATION Name &VA- L*1_0G'e_ Address , (q 3 44t s t� j � l V `�1 City I (. Stat eC 4 z t 16 Phone ` me FaxSM _ /o/ E-mail APPLICANT SIGNATURE FTY, ` �. For office use onI Zoning Flood Zone Property Address 0" b47— i SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BIN # PROJECT LOCATION API O� Property Address 0" b47— i City 61w/ U, Cross Street WORKER'S COMPENSATION Policy Number u Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Pade 1 of 2 Description or Scope of Work: A��i6 N 0'W1b E Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by *L Amount: Bldg SRA Receipt #: Oq% Sheriff Date: 611710 �P SMIP Other 110 (n Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. D %,6.,, Manufactured. (A) Installation manual, (B) Marriage line info, (C) Floo� Plan; (D),Tie down or fnd plans y all in duplicate')''' " iP"`+'" ` ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate;-(C)_Elevations in triplicate. (D) Floor_ plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate,'wet-stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license'approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form�� ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. t �S� �(:1 Fri ;,�� N % S -1p" %%,, .• I � t. -. O �= 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's'license information:.(Number,_�Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process,please contact a Permit Assistant at (530) 538-7541. 1) 1 �' ,� ►-v J� EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds,can-only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION . KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 OWNER -BUILDER VERIFICATION' Attention Property Owner: An "owner -builder" building pen -nit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the m * r labor and material for construction of this proposed property improvement: YES [ ] NO [ ]. 2. I HAVE [ ] HAVE NOT [signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: IJ/4- ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: 'lli/ 4, ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: /� — / /_ — NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performedby someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits"for which they. apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal sociahsecurity taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor,' only under limited conditions. .1 A frequent practice of unlicensed persons professing to be contractor is to secure an "owner-builder"'building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to -be signed by property owners unless they are performing their own work personally. Information about ' licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-32 1 -CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Manager, Building Divi NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. e C,9 t Idt �v2(drOL T, OL- kpzq �� 1 ,3 / �,7/ C// 10i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959E5 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 30-20-74 ZONING BUILDING PERMIT OWNER TE PHONE — 9163 OWrI $ N61LINb ADDOESS ll�� [� Uro am West, Oroville, CA 95965 SO. FT. OCC. BUILDING VALUATION @18 14,616 COyTRACTOR'S NAME TELEPHONE Wner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN. LENDER'S MAILING ADDRESS CC Total Valuation $ Filing Fee Permit Fee $ 10,00 $ ARCHITECT OR NGINE R IC o. Augustus Nevil e �C-4��LF0� ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ . $ $ B I ING ADDRESS `� JL4 Oro Dam West, Oroville Permit fee $ 175.75 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 1'SF ❑ Duplex❑ Mobilehome❑ Other auto repair shop SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S J G JW 1 10.00e TYPE OF WORK NewU Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OC CUP.& OR ACDNS. ACC. BLDGS. , /20sgft NEW CONSTNON-RESID R BRANCH CIRCTITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20®50C SAL®300 FIXED Ex. Occup. OUTLETS P(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 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 th'e County of Butte Building Department a Certificate of Workmen's Cknpensation 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 FiIingFee 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 Ordinanc9s 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 s (d County in co eq of the granting of this permit. %� ��V"� a-° ��'��� Date f 2-- Signature of Applicant:-- Owner X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ :)cc CONST TYPE AL TOTAL FEE 1 HAZ CUA PARK L PAJ P ISSUE This permit is herButte Co issued under sions of the Butte Co!mty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable to do resolutions to do have been paid. WORKS Date Receipt No. 83456-$65T.25// WHITE-D.P. W . . YEL 0A ZSQJ INN -INSPECTOR. GOLDENROD -APPLICANT to COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916-'538-7541 APPLICATION SND PERMIT ASSES O PAR y�-DUMB R V Z NG f C �L BUILDING PERMIT OW - TELE HANE SO. FT. OCC. BUILDING VALUATION OWN`ER.SMAI LI y, fAODOR E� mV Q fame) tj / CONTRACTOR'SNAME - ex f - TELEPHONE CONT ACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN- Total Valuation $ LENDER'S MAILING ADDRESS _ Filing Fee $ 10.00 Permit Fee $ AR ITECT OR ENGINE�/R'AAA`�//e CENSE NO. O a O Plan Checking Fee $ ' Energy Plan Checking Fee $ - AR CHI CT OR ENGINEER'S M'Av ING ADDRESS - Penalty $ BUILDING ADDR SS 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 STRUCT E e SF ❑ Duplex❑ Mobilehome❑ Other Zk�D EdIFY 1 1 JPI�N sPI Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.006 TYPE OF WORK NewX Addition [I RemodelUtilities El Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.OG 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 License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. /2¢sgft NEW CONSTFL ULTI.OUTLET NON.RESID, BRANCH CIRCUITS 2.SOea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 0@50t 20@SOQ FIXED APLNS EX. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 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. ❑ 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. ❑ l 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 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 _ Signature of Applicant — Owner ❑ Contractor G - Agent F-11work An OSHA permit is required for excavations over 5.0" deep and demolition or conitr„ct- ion of structures over 3 stories in heighLt. _ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONSTTYPE TOTAL FEE $ 77[HTAJPARK I SCHL I FLD I PAR PD HD ISSUE Th;s permit is nereby -issued under sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the appiicable provi- resolutions to do have been paid. WORKS Date ^^ Receipt No. — ! d WHITE-D.P.W., YELLOW AS R, GOLDENROD -APPLICANT '6�'f '.., � ��J7i��tT ':-�j'•!"^"r�4. rti _ '.: 'a ir�� 1r % � � 4 .. y..{� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET -.. Permit No. OWNER 4rJuct rt a n e A P. o. Proposed Building Use 0' 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 APPROVED 1. All items have been submitted. 2. Plot plans in duplicate iplicate 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 0 tre^ OA.WX.-14^ • . 6. Energy Design Compliancevand supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... '2-- Zo 2�- 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. Parks ees pal ..... . 13, (/ r0 1A vl ; 0 n 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 CITYoF��'Ol/� -19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required • 'Pre-Inrequest to p ' Buildinngg Innspector (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 4. Recorded coy�py of Agricultural Acknowledgment Statement ......... Lette�/ G e a t orio�� ........................... 7-0 6. Whe you issue the permit,roc ss as follows: Mail o owner. Mail to contractor. Telephone �� and hold for pickup at office. Deliver w/inspector. Other p �� Applicant ��o�/ �• /yzr-� .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: l i9 „ria Contractor, d sig r, wn , was advised of above required data by_phone r 5 all counter bk-j2t_..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date �COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE February 28, 1991 Neville Engineering 8111 Old N.C. 86 RE: proposed repair sloop Chapel Hill, KC 27516 A. P. # 30-20-74 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ 11().50 payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the -changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for parking Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. L Hazardous Materials Form /� School fees 7X/_ OTHER see attached list Should you have any questions concerning the above, please contact of this office. between 3-5 p.m. cc: Eduardo Vance 1724 Oro Dam Blvd. Oroville, CA 95965 JFG/aj John R. Henry Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector 30--20-74 Provide additonal information and/or make revisions as follows: 1. Provide complete design calculations for gravity and lateral loads per USC chapter 23. Design Is to include all connections and appropriate construction details to transfer loads to foundation. 2. Butte County lies within seismic zone 3 and has a designated windspeed of 75 mph. 3. Footings are to be a minimum of 12" into undisturbed soil per UBC sec. 2906. Revise plans accordingly. 4. Butte County allows 1500 psf soil bearing pressure without a soils report. Design accordingly. 5. Concrete design strength of 3000 psi requires special inspection per UBC sec. 306. Revise design strength or provide special Inspection note on plans. 6. Auto repair garages require exiting per UBC sec. 3303 and 3304, as well as handicap accessibility at the primary entrance. > <Provide at least one restroom which complies with handicap accessibility re— quirements, 8. Light and ventilation must comply with UBC sec. 905(x) and (c). 9.� Owner to contact City of Oroville for improvement requirements. and Butte County Public Works Dept, for drainage requirements. 10. See permit application dente sheet for other requirements. IVO PESTRdvms 1e6Q.1,11,e&D P6-/2 JAG' • ThIE X4Y1 t/675;S 15 0"6w 1/ .o D��� 7e,D BY U�/V(f 6- X/0 ardo A - Vance owher o� Vcol cft 14 v+o Sa1cs wcII QA o r y-Fa4APr EdwGrd 'A. Uamcc To .,tog n all dig. (IV cu on e r is p -et, +rzt');, "n t i- 40 6; e -he w �j v t l d i;., �C l Q v E s +/'o h S'Ih sere i y ; C414. I/- — NON-RESIDENTI�IL BUILDINGS ENERGY CONSERVATION STANDARDS Statement of Intent for Non -Heated and/or Non -Air Conditioned Buildings I, L al uoLeda A. 1/o -Pi cc , owner of the building to be constructed as a (please print) s o p under at / Z `/ O r o da m. k/; (bldg.permit no.) (location) Ora V i tle _ ('a_ ''S 9 6 6— , hereby certify that I do not intend to htat or cool this building in such a manner as to be subject to other than the mandatory sections of the State Energy Requirements. I understand that if.I do heat or cool this building in.the future, that I will be subject to the energy requirements in effect at that time. I understand that if.I change the use or occupancy of this building in the future, that I will be subject to the energy requirements in effect at that time for that specific occupancy. I also understand that if I become subject to the energy requirements in the future, it may `beYnecessary to redesign and/or alter (1) the building envelope, (2) the insulation requirements of the heating, ventilating, and air conditioning systems, (3) the heating, ventilating, and.air conditioning equipment, (4) the service water heating, and (5) the lighting of the building to comply with the regulations. I understand that any of the above changes will require me to obtain the necessary permits, inspections, and approvals from the Butte County Building Department. Signature of Building Owner,��„/Zv�.dL Mailing Address eo yr //c, C'Q, gS.9 5- Telephone No. 5'3 y I/ 4 3 THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 1724 Oro Dan R West Owner's Name: Cinrence Hnnzr. r Date: 12/1/1:6 Address: 666 Bird Strert Acct. No: 01073500 Clrovillr', CA j3VOD A. P. No.: 30 200 Ili Phone: No. Units: 1 Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ 20 ,,0 Arrearage Preliminary Review By: Date: CSA 26 550 -�o Remarks: SC -0 R '00 13 C1enn out up to grade at p ropvrty 1 inr : qui,r d. 1st mo. S.C. *reec dur nr-' pn7abl+ drill be thou Rpplicabl Pt Other tire of ronr- ctior, to th aystcr:. Total Fees 1,47( -Ci` Collected By:J 01 ` % Date: Field Review By: Date: �{ •=`- -� Remarks: /a: �'s'3 f.' - �`_�.�f3' Com/'-JOU'/-� '-%� "-��sf•�i cr� �•l - - MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY JR09NMENTALHEALTH Q Date of TID approval of completed building sewer,(early connection). APR 2 9 IV -81 ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever co es first ("existing construction", prior to Mar. 5, 1974). ^MMUE, CALIF ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID 86B P Permit.#35Y , c C Hammer �S 1724 Oro Dam W Address ice Op GAS Meter g P/ „ - Y` GAS Meter B" --CA Date E I C '' 1 COUNTY OF BUTTE - DEPAR-NEP,IT OF PUBLIC WORKS '= 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER • _ ; , - 117 // ZONING j ) BUILDING PERMIT OWNER I'iTELEPHONE 1 � OWNER'S MAILING ADDRESS SO. FT. OCC. BUILDING VALUATION J� ' .7 r �'`'"• I CONTRACTOR'S NAME TELEPHONE 1 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN) Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER tEner LICENSE NO. Plan Checking Fee $ Energy ecg Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 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 G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel❑Utilities ❑ Installation❑ Other 1Z Describe work: r..I -.-f .4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 1, r Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑. 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 con ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 , New CONSTR.( A ) �22sgft ULTI OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR . EO20050Q / OUTLETS OR FIXTURES x. ccup\eAL030 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00tract- Misc. Wiring 15.00 ", CI 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 FiIingFee 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 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. ��Y� /�r' )��, /^ - /_ C �6 X �• Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ { _ occu P. CONST.TYPc IFI-0001PARCELI PD ND 39UE r This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS f By i // Date �/-/y�� PERMIT EXPIRES Date ,f 4 Receipt No. f /, f -� 1 -- Gl WHITE-D.r.W.. YELLOW-ASSr3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE H A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, pr�need additional explanation, please contact this office immediately. 1 n IJ Inspector_ Date_( " �> 77 _ COUNTY OF BUTTE - DE-PARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE MIT NO. ASSESSOR PARCEL NUMBER ZONn BUILDING PERMIT OWN TELEPHONE 3 SQ. FT. OCC. BUILDING VALUATION ESS OWNER'S AI LINE9 V1 C T ACTOR'S N E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee LENDER'S MAILING ADDRESS $ 10.00 Permit Fee $ 7 ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ Energy Plan ARC TECT OR ENGINEER'S MAILING ADDRESS Checking Fee $ Penalty $ BUILDING ADDRESS _ P) � Permit fee $ 10 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 _ .6D 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 Gas piping system 1 - 5 outlets 5.00 SFX Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S G W 0.00ea TYPE OF WORK New❑ Addition❑ Remodel U'lities❑ )n§naiiation0 Other Permit Fee $ Describe work: _ Contractor C ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 j Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- + NEW CONST. DWELLING OCCUP.e S. I/zQsgft r OR ACDNS. ACC. r NEW CONST R. UL I -OUTLET I -OU' 1 NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occu 20 ® 50e Occup(OUTLETS OR FIXTURES eALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) EJ I, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Home Facilities 15.00 Misc. Wiring 15.00 5,00 ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ , for this reason Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ 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 of Consent to Self -Insure. Cooling g Hood 3,00 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. Ventilation Permit Fee $ 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE 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 conse ence of the granting of this permit. X Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ OcCUP. CONST.TYPEJ I I FLOOD PARCEL PD I HD, 1S8u 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. An OSHA permit is required for excavations over 5'0" deep and demolition Or construct -DIRECTOR ion of structures over.3 stories in height. OF PUBLIC WORKS s BY Date—�7 PERMIT EXPIRES ate_ /✓ a /__ I- Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) H>4 V� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security umber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. i COUNTY OF BUTTE — DEPIkRTMENT OF PUBLIC WORKS l c 7 County Center Drive - IOroville, California 95965 " Telephoned 534-4541 APPLICATION AND` PERMIT BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace I I Total Valuation Permit Fee P I an Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Ranqe, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirina ©.I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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. 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. X Date Signature of Permitee or Agent t+ Receipt No.,.., -_3-n 7(-" White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i Ventilation Hood Permit Fee $3.00 2.00 FEE TOTAL PERMIT FEE 1$ 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. IF IRECITOR OF PUBLIC WORKS By t 4- Date / � Bng permit expires Date 9 y. "� � Owner Mailing Address Telephone No. Contractor / „r Al -9. Mai I i ng Address Telephone No. Building Address A. P. No. 1 fl — n Zoning & Planning Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Bldg. Plans-Rec'd I Parcel Approval Plans Approval NEW ❑J ADDITION❑ UTILITIES ❑ OTHER Q Single FamilyE] Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace I I Total Valuation Permit Fee P I an Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Ranqe, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirina ©.I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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. 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. X Date Signature of Permitee or Agent t+ Receipt No.,.., -_3-n 7(-" White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Coo I i Ventilation Hood Permit Fee $3.00 2.00 FEE TOTAL PERMIT FEE 1$ 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. IF IRECITOR OF PUBLIC WORKS By t 4- Date / � Bng permit expires Date 9 y. "� � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 (� Telephone: 534-4541 APPLICATION AND PERMIT Owner (AI1LAvis V_/(;C Mai I i ng Address Z 2Z / c:�-, —e—c) Contractor Mai I i ng Address Building Address %%Z � A. P. No. Telephone No. Telephone No. Zoninq & Plannin F Saffi "ion I Fire Dept. I Fire Zone I Use Permit EQA I Parking I Parcel Parcel Ma 60' R/W I Improvements Plans Declaration P p ovements Bldg vrrr4ec'd I Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification exempt from the Contractors License Laws of the State of California. 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. rtify that in the performance of the work for which this permit .is issued 1 shall not employ any person in any manner so 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ,. X `L Date Signature of Permitee or Age Receipt No. /_YG /CO / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace I I . Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than l: Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap, cooler, gar. disp. or D.W. Air conditioner or heat pump Mobil Home Facilities Temp. Power Pole Misc. wirinq Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee $3.00 2.00 FEE TOTAL PERMIT FEE $ 4/ 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 h1ve been paid. IREC R OF UBLIC WORK Rv Da p rmit expires Date TO - FROM / - r- j Butte Co.Public Works -Permit Section 7 Countv Center Dr. Oroville CA 95965 malito Irrigation District 410 Grand Avenue Oroville, California 95965 SUBJECT Sewer Permits Date 1 20 82 MESSAGE The enclosed permits were revoked by Board action at a Regular Board Meeting, January 19, 1982. They are existing dwellings and both on septic. Signed Shirley Schenck REPLY T Si4ned Date SEND PARTS 1 AND 3 WITH CARBON INTACT -PART 3 WILL BE RETURNED WITH REPLY 04-E472 9 I _ 4 THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 0 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT. Service Address: Owner's Name: Date: Address: Acct. No: A. P. No.: -,;2eg Phone: - r No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -OR 1 st mo. S.C. .-"X'r)7r. r) tzv ren , nn �r�c+T�'� JA'1i A7,7 i,^ r R Other Total Fees Collected By: Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes I first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID