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HomeMy WebLinkAbout031-234-0294 02-9 1 -234 -I*'- M.L. HEMENWAY 'L.E... ot1 1780 6-T H -.--'S T;F h L L PERMIT 31-234-1:2 09 Permit #1090-78E (ele ser c1 31-234-X,9-9--" 825-91P .FARNSWORTH, Joe 1780 6th,St, -Oroville IF (gas test -new line)SF 031-234 029 PE #94=3254 MOORE, DARLENE. w, "Of 1780,6TH.ST. VILLE ADD COVE 9RC!i/SF ,0h0, ■� F: ���p(}�v+ra''�%"6�".''�r'7�'i+'1rsf7n'�'4''��."71"`'4�i'kvi3�7!`i�y��F�'t1^Tlv";"n'�-.�ji�r.rArw-'�r�-p�-�},«�q'wv1,ra�.evvs�w�i;.� •A�'�q!"�,��r Meter By — Date . COUNTY OF BUTTE - DEPARTM$NT OF PUBLIC WORKS MIS' Nab v' 7 County Center Drive - Orovllle, Celifornle`1i6685 - Telephone: 918/638.7541 �" �� APPLICATION AND-P911MIT ' BUILDING PERMITOWNKR 268—ONS A%ffA4 Ila JwN D 22754 id a Auburn 5603 3O. FT. OCC. BUILDING VALUATION C N Owner 6 M NK CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN "` $ Total ValuationNone- 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 oville 1780 6th St., Permit fee $ PLUMBING PERMIT FllingFee 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 SFK. Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities g Installation❑ Other ❑ Describe work: gas test—new line _ Permit Fee Minimum $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ACC'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. CIaSSIflCatlOn, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) OR ACDNS. l ACC. BLDGS. I , �Z�SQft NEW CONSTRESID. BRANCH NON -R ESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e (SINGLE OUTLET CIR. I Occup(OUTLETS OR FIXTURES Ex. Occu 20 a 50a aAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.I 2.00 Temporary service 10.00 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate t� of Consent to Self -Insure. IXI 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 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 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. 1 also agree to save, Ind mnify and keep harmless the County of Butte against all liabilities, judgme costs, and expenses which may in any way accrue against aid C my i `onsequence of the gra ing of this permit. X /� Date ` $ignatur�e of Appli " nt — Owner ,COp/RQ�tOr Agent ❑ An OSHA permit ireuared f r excavations over �0 ' ep and demolition or construct- ion of structures ove 3 sto in h 'ght.y Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE — TOTAL FEE $ 25.00 HAL CUA- PARK SCHL FLD CDF PAR PD I HD. ISSiE I/ Thi$ permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. p D RECTOR OF PUBLIC WORKS ByV12Date 7 PE MIT EXPIRES Date �j�77Z•-- Recei t . _ 33 WHITE-D.P.W., YELLOW-A3�Le9 ;<P.IMR-1 - R DENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OP PUBLIC WORKS MI NO 7 County Center Drive - Orovllle, Call4ornla 95965 - Telephone: 916/538-7541 __. APPLICATION AND PERMIT �SSE234-27 SSOR PARCEL NUMBER _ ZONING BUILDING PERMIT OWNER Joe Farnsworth TELEPHONE 268-1337 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 227 4 unset Ride Auburn 5603 C ONTRACTOR'5 NAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nnnp UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Nonp LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 17Rn 6th St, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each TrapWaesr 2.00 Solar or heat pump 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping5.00 Each qas water hea5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system15.00 5.00 Building sewer5.00 Mobile Home O.00ea I TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities n Installation❑ Other ❑ Describe work: gas test—new line Permit Fee Minimum $ 25.00 Contractor = ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 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- ontract- ors.(Sec. 7044) ors. I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.91 OR ACDNS. (ACC. BLDGS. ,/z2sgft NEW CONSTR U TI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. _ Ex. OCCUp(OUTLETS OR FIXTURES 20050C BAL03o FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 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. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 I Heating Cooling g r Hood I— 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, ind mnify and keep harmless the County of Butte against all liabilities, judgmer� costs, and expenses which may in any way accrue ag ns aid C my irt' onsequence of the gra ing of this permit. X., Date Signet We of Applicant — Owner Contractor Agent F]work An OSHA permit is required for ex c vations 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 TYPE TOTAL FEE $ 25.00 HAz. CUA- PARK scHL fLD cDF PAR PD I HD. IS_s. f✓ This permit is hereby issued under the sions of the Butte County.Code and/or indicated above for. which fees D TO OF PUBLIC J Z By l PE MIT EXPIR / Date %� applicable provi- resolutions to do have been paid. WORKS ate �2 Receipt No. 88233 WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlllq, Callfornle 95985 - Telephone: 916/538-7541 APPL'CATION AND PERMIT ASSES PARC L NUM ER /—!/ ZONING BUILDING PERMIT OWNER --J-0e lv S wo2Trf TE H E 7 SO. FT. OCC. BUILDING VALUATION - OWNER'S MAI �NG ADDRESS CON'T RACTOR'SSNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Perm;! Fce $ ARCHIT!_CT OR Ll",INEER - LICENSE NO. Plan Che:::(ng Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A�Q% 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 t*_ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 'Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK ❑ Addition ❑ Remodel ❑ Uti lities4!�J Installation❑ !her ❑ Describe work: &2 (J �t 11e 41New 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. F1 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 OCCUP..) OR ACDNS. ACC. BLDGS. ,/2ltSgft NEW NON-RESID R. BRANUrTCH CIRCTITS 2.50 ea _ POWER APPARATUS e �— (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES ezo®soe AL030¢ FIXED APLNS Ex. Occup. OUTLETS P(RESIO )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.4virin 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 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 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 in consequence of the granting of this permit. 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 $ occ CONST TYPE TOTAL FEE $ HALCUA PARK SCHL FLD CoF PAR PD i Ho. ISSUE This permit is hereby issued unaer 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 By Date PERMIT EXPIRES Date �^ Receipt No. J 8 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public. Works 7 County Center Drive, Oroville, CA 95.965 Phone: 916-538-7541 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 'aterials for construction of the proposed property improvement (yes or 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 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 01 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. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 RMI�to. ------- APPLICATION AND PERMIT ��-��=- ASSESSOR PARCEL NUMBER 031-234-029 AR ZONING BUILDING PERMIT OWNER DARLENE & DON MOORE TELEPHONE 533-8761 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS OWNER 143 1,859.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 43.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 27.95 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1780 6M ST PERMIT FEE $ 90.,5 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 .y SF l!' Duplex ❑ Mobilehome O Other t;PECIry Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 1 W @20.00 TYPE OF WORK New ❑ Addition &X Remodel ElUtilities ❑ Installation ❑ oth/e�E] Describe Work: COV • PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 \ Main Service ( 'OVOR LESS ) 200A 0R LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 OR ADDNS.T ( D LLIN&EACCGBLOS. ) 3.50 FT. - CONTRACTORS LICENSE LA I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, D• ision 3 of the Business and Professions Code and my license is in full force a d effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or ffered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting wit licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.00 Ex. Occup.FIXED APPLNS. OR (OUTLETS HRESID.I 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. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 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. 1 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 in consequence of the granting of this permit. X Date/ �( Signature of Applicant - Owner ❑ 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 $ 90.95 HAZ- D. FEES IMP ^— FLOOD COF PARCEL PD -- HD 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 i'` Date PERMIT EXPIRES ON lDetcl ReceiptNo. 170903 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O _ ^ 1 NING �/f BUILDING PERMIT OWNS TELEPHONE -y761 . SO. FT. OCC. BUILDING VALUATION OWNER'' /1AIUN DRESS ` �`®! 8 S 7 WTELEPHONE CONTRACTOR'S NAME 11 r-. i_ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .aa ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS � 11 _ v �� 7 y /% 6, /' S U PERMIT FEE $ � Gf PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'SNAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition Remodel ❑ Utilities O Installation O Other ❑ j 9 �_c�� �, � / Tam Describe Worl -�, , PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOOV OR LESS ( ZOOA OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLOS. ) 3.50 FgTO,. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) ❑ 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 POWINGLE OUTLET ER APPARATUS (8 SCIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPNS. OR (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. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 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 $ 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 enteH 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 conse uence of the granting of this permit. X Date 4A �p 5 Si nature of Applicant - Owner O Contractor O Agent An OSHA permit is requir d 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 $ (J . HAZ. I D. FEES I IMP I FLOOD CUF I PARCEL PD I HD 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 Date PERMIT EXPIRES ON (Dare) Receipt No. / ;?)-r �� � WHITE-D.D.S..B.D CANARY •ASS ISOR PINK -INSPECTOR GOLDENROD -APPLICANT I l^ Y 1 .ad�� ��.�-j9� P, L4N12Y co ,A I ,,1�14M� .1�,'.'•.'�'"+e`.�..raCa}t;.i.4+:1 bvt6w�iii3..iif!`e.�i°'�1�,'�+i COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE "OROVILLE,CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER i�Ld�2Y� P No. Proposed Building Use Building Inspector Date 14 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 chedule. .............................. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) b��lrf�rnia Engineer . ................. . 14. Sanitation and plot plan approval ((,,// Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Fre-Inspection requ�- 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 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 yo i sue the permit, process as follows:\Mail to owner. Mail to contractor. elephone and hold for pickup at office. Deliver with inspector. Other �jt%�/ [ 44 Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circe new item not the ked above). 1. Index permit for above items No. G(/ �t�'��2 2. Additional items required: V S ml 1 - -' �S 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 1! COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephan,e: 4t,34541 APPLICATION AID PERMIT Pr authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. L.) Signature of Permitee or Agent Receipt No. White-D.P.W. Date — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR OF PUBLIC WORKS By Date_ ,,Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address �'0 mac/ Fireplace Total Valuation Telephone No. Permit Fee Building Address � /�. ; /, f �, i � Plan Checking Fee&/or Penalty - Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 r Repair drainage or vent piping 1.50 A. P. No. Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ • ,�f- t 'I ELECTRICAL No. @ FEE J PERMIT FILING FEE $3.00 r Main service 600V OR LESS -- 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. AOD'L 100 AMP 1.00 NEW OR ADDNS. ( ACCLBL GSCCUP. 5) 20sgft 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: T NEW CO ID ( BRANCH CIRCUITS) 2.50ea NEW RESID, BRANCH CIRCUIT NEWCONSTR. (POWER APPARATUS 8 NON. RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES g * ,5 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring - 6.25 , ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ JO ' MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑1 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. L.) Signature of Permitee or Agent Receipt No. White-D.P.W. Date — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOR OF PUBLIC WORKS By Date_ ,,Building permit expires Date COUNTY OF BUTTE — D.EPARTMENT OF PUBLIC WORKS 7 County Center Drive 'S E''oville, California 95965 Telephone: 53'414541 r= APPLICATION AND PERMIT /090 7� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address_ Telephone 09. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 70 r Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 h- A. P. No. —' v -� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Foes W SarrFtatiarf Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bld9_P+wrr-RV" Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00,3,67 0 600V OR L Main service ESS too AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ ❑ � -L Main service E4. ADD100 AMP 2,50 Main service OVER e 25.00 100 AMP OO R LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP, B OR ADDNS. AGC. BLDGS. 2�sgft 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 st le of: %� NEW CONSTR BRANCH CIRCUITS) NON-RESID (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID. `SINGLE OUTLET CIR. 30 @ 259t EX. OCCUD(OUTLETS OR FIXTURES BAL@10Q Ex. QCCU FIXED APPLNS. OR Occup.(RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Ti I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 45 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of 'California. MECHANICAL lNO. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ / b authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. & I, e Signature Sof Permitee or Agent / Receipt No. _733F�Zy White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. �bIRECT(?B_QPUBLIC WORKS By Date Big permit expires Date _���� OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: n.L, H ADDRESS: 1780 4th 'St's CITY & STATE: OravIZl@, CA" 95363 IMPORTANT: DATE OF CLAIM: 9, SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Unable :to Ume ga=it at time of Application aim Mv Thexmal ,p 01:11, perfam In (Pe mit. x`702.766, Receipt ` -01 39. AP ' 1.• 94• : • - PloftbirLs.permit .w�r�a•+►r�a�wMYa��yp.+a�►�+•mar iran�s. r}.p'.:.►.�s.: 48.00 TOTAL $ OD I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. l9tih KAY7-6 ��ille Datedthis .................................. day of ..............;.............. 19......-, at...... ................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation[] or Specific Board Approval a (Check one) for the same. Dated this ...................... day of .......... ......... 19.. r et .............................. , Calif..................................................................................... • Department Head or Authorized Deputy Dept. - Exp. Code............................................ Code ................................................PAYABLE FROM................................................................................. FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. r s INSTRUCTIONS -to - CLAIMANTS All claims against the county must be itemuized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. / � , . - -L .'� -i ..:.--�-•; -+ate:.:;#. y;'��' �''•'�' `*"''•tx-.�'.�y •"" ;.� pRr;; t R: • - - V ` COUNTY OF BUTTE — .b DEPARTMENT_ OF PUBLIC WORKS • 7 County Center Drive.Ciroville, California 95965 / 'Telephone: 554-4541 74 : APPLICATION AND PERMIT` BUILDING Owner c, ( SO. FT. OCC. BUILDING VALUATION' Mailing Address - a • . Telephone No. y' �/ 03 Fireplace Contractor Total Valuation MailingAd-dress Permit Fee ,.Pl an Checking Fee &/or Penalty ' Telephone No. - Permit Fee PLUMBING No. @ FEE Building Address ` -�� PERMIT , FILING FEE $3.00 Each Trap 1.50 j Repair drainage or vent piping 1.50 '.Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. r Zoning & Planning Gas piping system 1 = 5 outlets 1.50 ,Each additional outlet 30 Fees W.C. Sanitation FireDept. Fite Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval- Plans Approval' Permit Fee $ $ "` NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE ,PERMIT FILING FEE $3.00 -600V ►� . OR LESS Main'service 100 AMP OR LESS 5.00 Main service EA; ADD'L 100 AMP 2.50 Single Family Duplex Mobil Home E] Others ❑ Main service OVER 600V too AMP OR LESS 25.00 Main service EA. -L 100 AMP 1.00 -+ - NEW CONST. DWELING OR ADDNS. ( ACCLBL GS. OCCUP, &) 2¢sgft - NEW CONSTR. MULTI -OUTLET NON.RESID, ( BRANCH CIRCUITS) '2.50ea - - _ - ' NEW (POWER APPARATUS & NON-RESID, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name, style of: , ,�- - , Ex. Occup(OUTLETS OR FIXTURES)50 @253 BAL@1 Ex. Occ�,L FIXED APPLNS, OR tyfr•(0 'TLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification 'Misc. Wiring 6.25 fUl I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION'INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. .. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 'm j I certify that in the performance of the work for which this permit is issued I shall not employ any person in 'any manner so as to become subject to the Workmen's Compensation Laws of California. .MECHANICAL- No• @ FEE - - PERMIT FILING FEE $3,00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read'this application and'state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and ,hereby TOTAL PERMIT FEE $ G •. ••- •••r ����•••-•�•�,+vvun.y v� uu uc iu alRol URUII UIC above-mentioned property for inspection purposes. .. a a Signature of Permitee or. -Agent 'Receipt No. EaK 3 _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF. -PUBLIC WORKS Building. permit expires Date Date 1 ksi Ll Naw -.ate J�!