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HomeMy WebLinkAbout031-252-005GLENN' RUSSELsA 1740 10th St., Oroville GLEN C. 31-252-05 �'ONTR: Ford Electric, Oroville 1740 lOt�R DOROTHY RUSSELL Permit #4713-75 E (service change St, Oroville Permit#1-90A(Agricultu Ef wire for dryer/SF) G �-2 greenhouse) = dg FxAm 31-252-5 Permit #1827-76P(building sewer install- ation/SF) .��' �� 2 Flo 031-252-005 04-3409 FELLS, LEWIS & MARIA L 1740 10TH ST, OROVILLE � �A�'(1 CONT: RICHARD HEATH REP EX GAS WALL HEATER s � f a V� �-Lp a 1 (� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 53877636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP043409 Y' LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 12/02/2004 APN: 031-252-005-000 the Business and Professions Code, and my license is in full force and effect. n 0 — License Class: rJ Licens umber: (gog Site Address: 1740 10TH ST ORO Date: ,'XContractor: Map Index: Description: REPLACE EXISTING GAS WALL HEATER 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 Owner: LEWIS AND MARIA FELLS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance,* also requires the applicant for such permit to file a 1740 10TH ST signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any 530-589-1531 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: RICHARD HEATH AND ASSOCIATES Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does t such work himself or herself or through his or her own employees, 1026 MANGROVE AVE provided that such improvements are not intended or offered for CHICO, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95926 proving that he or she did not build or improve for the purpose of 530-898-1323 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, and who contracts for such projects with a contractor(s) licensed Contractor: RICHARD HEATH AND ASSOCIATES pursuant to the Contractors' State License Law.). a _ 1026 MANGROVE AVE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA Date: Owner: 95926 - 530-898-1323 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 License #• 608302 workers' compensation, as provided for by Section 3700 of the L or Code, for the performance of the work for which this permit issued. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and p icy number are: Carrier: 5�1*447 !P ce Policy#: �� Total Square Ft: 0 S. F. - ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. Census Code' and agree that if I should become subject to the workers' 1,-2 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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. S! compensation, damages as provided for in Section_3706_.of the.Lab'or 'code,"irit`erest, and attorney's fees. P CONSTRUCTION LENDING AGENCY This permit is hereby ipsuqd andr the applicable provisions of the Butte County Coda anrt/Or I hereby affirm that there is a construction lending agency for the Resolutions to do wo i t above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) V Name: By: - Date: _ G PERMIT EXPIRES ON: Address: Date ❑ 1 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 8 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 her y authorize represrnt,s ofButte County to enter upon t e above mentioned property for inspection purposes. Print Na..- Signature: n Date: - ❑ Owner ❑ Contractor ❑ Agent for Owner Ate' gent for Contractor -< •�l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP043409 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: 12/02/2004 APN: 031-252-005-000 the Business and Professions Code, and my license is in full force and License Class: Q Lice n umber: V O O Site Address: 1740 10TH ST ORO 1 Date: oi6�Contractor. Map Index: Description: REPLACE EXISTING GAS WALL HEATER OWNER43UILDER 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 Owner: LEWIS AND MARIA FELLS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1740 10TH ST signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any 530-589-1531 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).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: RICHARD HEATH AND ASSOCIATES Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 1026 MANGROVE AVE provided that such improvements are not intended or offered for CHICO, CA sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 95926 proving that he or she did not build or improve for the purpose of 530-898-1323 sale.). ❑ 1, 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, and who contracts for such projects with a contractor(s) licensed Contractor: RICHARD HEATH AND ASSOCIATES pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code 1026 MANGROVE AVE CHICO, CA Date: Owner: 95926 530-898-1323 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #• 608302 workers' compensation, as provided for by Section 3700 of the orode, for the performance of the work for which this permit /1have Ys,sued. and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and p icy number are: Carrier: Total Square Ft: 0 S. F. Policy #:_ ❑ I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0 Date: Applicant: 4_;, 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 interest, fees. f ✓� _ — — code, and attorney's CONSTRUCTION LENDING AGENCY This permit is hereby i d un r the applicable provisions of the Biifte County Coda ?nrt/or affirm I hereby arm that there is a construction lending agency for the Resolutions to do wo ' i t above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ��� ' v Name: By Date: Address: PERMIT EXPIRES ON: Date ❑ 1 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 her authorize represents of Butte County to enter upon t e above mentioned property for inspection purposes. Print Name: (/.- Signature: Date: -12 �� ❑ Owner El Contractor ❑ Agent for Owner A� gent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CI -ICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION **PLEASE PRINT CLEARLY** F r7 -- / . OWNER Last Name irst a e Addres 1:2D O city State . Zio��9 // Phone p ' _ / o Fax— E-mail APPLICANT SIGNATURE For offs use only./ CONTRACTOR Name ✓476 D Address WORKER'S COMPENSATION Cityt�� Subdivision Name Zi -f'hon a E -mal Lic• 3C s APPLICANT SIGNATURE For offs use only./ ARCHITECT/ENGINEER Name ✓476 D Address WORKER'S COMPENSATION City Subdivision Name State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE For offs use only./ APPLICANT NAME Name- ✓476 D Address WORKER'S COMPENSATION City Subdivision Name State Zip Phone Lot # Fax E-mail Date Approved: APPLICANT SIGNATURE For offs use only./ AP# a . s Zoning Flood Zone SRA I Yes T No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name Nhiring anyone other than ficen contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. B-�°� BIN # LOCATION AP# a . s Property Address ity T Cross Street WORKER'S COMPENSATION Policy Number Carrier Nhiring anyone other than ficen contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -Name Address Description or Sco a of ork: 0 Sq. Footage ❑ 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 K:\FORMSWILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: Bldg SRA Receipt #: __,Sheriff q)t (3 SMTP DaterOther 6 �'— total REV 7-27-04 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 IN /NIC ❑ 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 faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 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. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). 13, Sadtion and�slt - plan mthe,-EmdronmentaLHealth.Depadment_ 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. ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. 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 KAFORMS\BUILDING F0RMSS1dgApp1SubRgmts.doc Page 2 of 2 RE/ 7.27.04 "/RHA '00000000 Richard Heath and Associates, Inc. 1026 Mangrove Avenue, Suite 20 Chico, California 95926 530-898-1323 • 530-898-1325 fax County of Butte Building Department 7 County Center Drive Oroville, CA Re: Building Permits George Selko, Neil Chapman, Calvin Dillon and John Brown are all Offices in authorized to sign for building permits on behalf of Richard Heath and Fresno Associates, Inc. Alameda Chico Thank you, Los Angeles Sacramento San Diego James Earl O'Bannon i President COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK 7 COUNTY CENTER DRIVE - OROVIL,LE, CALIFORNIA 95965 - TELEPHONE: (916) 53 -7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 7 F!M IW Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASSESSOR P RCEL NO FLOOD ZONING OWNERc/r a'On p© / K. t J e�)Q L)S&�jjj ROOFIN PHONE NO. OWNER'S ADDRE S D C �li Al. Cq- 959 LOCATION OF BUILDING _ /©M SA OQQ o 0/2 96-9 15 I USE OF BLULDIj- &AlAousE ®(\ V SIZE OF STRUCTURE I QOO ' SQ. FT. X TYPE OF CONSTRUCTION: WOOD FRAME Y STEEL CONCRETE OTHER (Specify) TYPE Oal ING ROOFC ING X,:SQ FLOOR TYPE S z s ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: �'` F t �` T(` FRONT . SIDES cJ :CLF:k REAR AG Buildings shall be.K a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 -feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date / 9i Signature of Owner (-DraAQ �' v�cfi 0 C— Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 7111:*i'6 Director of Public Works By Date -- — -'� White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant FLOOD ARCEL P.D. ROOFIN ISSUE I Director of Public Works By Date -- — -'� White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant 7+"VT"Y' T— f,.. f'p+a7r�rnr' „+"';si.r'`E'"' 'T�E"Y{t' pk.tr.."b}t �^p 'i'y• `` :�,�•✓T,. '�j"R ar .. COUNTY OF BUTTE -DEPARTMENT QF PUBLIC WORKS - BUILDING DIVI ION 7 COUNTY CENTER DRIVE - ORO\?fELE,`FORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION, DATA SHEET Permit No. OWNER JSC-� A. I Proposed Building Use Building Inspector Date At time of permit application, I wa advised the following data must be submitted prior to permit processing and/or issuance: � � DATE RECEIVED APPROVED All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ........................................ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 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. Park fees paid .................................................. 13. School District fees,,irai�d.............. 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 19. Driveway permit (construction approval, required prior to occupancy) ? 20. Pre -Inspection for requiredPre-Inspec.request to ' Building Inspector (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 ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. V. Telephone � and njold for pi up at r'� office. Deliver w/inspector. Other a Ce //!� -kn f C Applican��L�` Date w Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW - .Y.. PERMIT NO. 1$27-76P PERMIT EXPIRES OWNER Glen Russell CONTR. owner LOCATION (A.P. 31-252-5 1740 T 10th St., Oroville { 1 t a Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB -.7 Cf4 FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECaRD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS -<& ,Ile X4. (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO IRRIGATION DISTRICT j 410 GRAND AVENUE -- OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: ``7L-) 0 10711 11 j t Owner's Name: L ,t= rQ Lel 57, Date: Address: C�4 �D La N.^_nLK) F/L-Vo Acct. No: `�`' 110 A.P. No. 7-r1 757-.7 Phone: Ll5 3 No. Units: I Applicant/Agent: �il� Address: Agents Proof: �1 Fees: Phone: I Application $ Preliminary Review By 1= �N1u L Date: i1) —0 Remarks: (J Arrearage CSA 26 ' SC -0 R � 1st mo. S.C. Other Total Fees SlJDl�C Collected By: Date: Field Review By: -e � A Date: 2 9' Z Remarks: t C MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: 0 Date of TID approval of completed building sewer (early connection). f. ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive Orovi Ile, California 95965 ! Telephone: X34 -45l APPLICATION AND PERMIT Qu, V « icNiwcnrauvca uI a �uuniy of tsutte to enter upon the above-mentioned property fp in pection purposes. X / Date��J - 7� Signature of P'It itee or Agent Receipt No. 6�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 By�.`�� Date Sr ✓Z /'� Building permit expires Date.4 BUILDING OwnerSS LL SQ. FT. OCC. BUILDING VALUATION Mailing Address L"C-6LO LNC-6L8LVJ. L e No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee -- Building Address S'7-- PLUMBING PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ;j —��' _Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees N%C. SaaitaLivn I Fire Dept. Fire Zone Use Permit Building sewer 5.00 �e-Z EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ -D $ f!Z NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORLESS5.00 ^ --- Main service EA. ADD'L 100 AMP 2.50 Single Family Ll' Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service// EA. ADD•L 100 AMP 1.00 NEW CONS.DWELING OR ADONST % ACCLBLDGSCCUP. &) 22Sgft NEW CONSTFL MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONST(POWER APPARATUS & NON RES D. 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 @25Q SAL @1 (FIXED Ex. Occu FIXED APPLNS. OR (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 >L 91 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 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 $ � o'D Qu, V « icNiwcnrauvca uI a �uuniy of tsutte to enter upon the above-mentioned property fp in pection purposes. X / Date��J - 7� Signature of P'It itee or Agent Receipt No. 6�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 By�.`�� Date Sr ✓Z /'� Building permit expires Date.4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 ? Tel eph' ne: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 By / Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor r r, Total Valuation Mailing Address �, Permit Fee Plan Checking Fee &/or Penalty Telephone No. - - - • Permit Fee Building Address -' ; / • ( � ; PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & PI•anning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C.- Sanitation ,FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Flans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd" I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 t , - �� r �'' r • - Main service incl. 1 meter l_ .' Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures RP2 10 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring r' ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE 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. ❑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. 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ %I authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 By / Date Building permit expires Date 0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 47/3 --7J_ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature ofarrmitee 'or) Agent Receipt No. Zldz / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte ounty Code and/or resolutions to do work indicated Aforh fees have been paid. OF PUBLIC WORKSBDate S 9 permit expires Date lO BUILDING Owner A�� SQ. FT. OCC. BUILDING VALUATION '_zv&212� Mailing Address Telephone No. Fireplace Contractor �' Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �Q ® PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 (' A. P. No. .3/` a'S `OJ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 �� Fkbs S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITIO ❑ UTILITIES F1 OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE 1$3.00 U Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) — Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2U 2 Re c ps., switches & fix outlets + '� 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'„, I , _ ,r Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 g�� �_ �U License No. Classification. Misc. wiring Soo ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ , yt, 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. 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 $ $ 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 I TOTAL PERMIT FEE $ 7 ?ib authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature ofarrmitee 'or) Agent Receipt No. Zldz / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte ounty Code and/or resolutions to do work indicated Aforh fees have been paid. OF PUBLIC WORKSBDate S 9 permit expires Date lO