Loading...
HomeMy WebLinkAbout031-253-014�31-253-14 HUGH M. JONES �� 0,3 1024 �2lo 1024 THERMALIT AVE., OROV'ILLE PERMIT #623-76BLDG. SEW. INST)S 31-253-14 Contr: Waibel A/C ,,�Ofo�237 Permit #1714-76E,M nst. A/C) SF 31-2x-14. _ Contr: George Roofing j l�*rmit#608-85B(reroof/SF) 031-253-014 02-1617 SMITH, ANDREW 1024 THERMALITO, OROVILLE• �I1Zji CONT: PAUL'S ELECTRIC REPLACE ELCTRICAL SERVICE 031-253-014 02-3000 SMITH, NIKKI, 1024 THERMALITO AVE., ORO CONT: LON JONES CONST. RE -ROOF 031 -Z-3o- �f 13, 1 r �M L M Cn �a� NIS COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION $ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Revl12/96) APPLICATION AND PERMIT 0 9- LL -91 7 ASSESSOR PARCEL NUMBER U31-253—olla ZONING BUILDING PERMIT OWNER 19,171,14, TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS - -. - CONTRACTOR'S NAME — — eAUL"S ELiX1111C `TELEPHONE CONTRACTORS MAILING b2ESS 4 11ISSIUJ OLIVi:: RD., OROVILI L CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1024 11il ctL`:ALITO, OROVILLL Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: Ah, LACE hLLCIRICAL SERVICL, Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "00OR LES Main Service z°.A VORLESS 23.00 23 OU LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in full force and effect.PSING License Class R � (C2 Lic. No. �,""7 /�'� �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation �f one hundred dollars ($100) or less.) O" 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 workers' - compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall foAhwith comply with o_se provisions. ll// p 1 X 1 r,y ` v o �'-- Date (�t'` 1 0 �" SigrL toe of f Applicant ❑ •Owner Ctl*Contractor O Agent r An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 storiestin height. Main Service TO 46.00so WEE200A CCU000A NEW CONST. DWELLING Occup. ADDNS. ( ACC. 3.52F°; NOR EW CONST. MUAiCTIC. NON-RESID. 97.50 8 OUTLET OWELER APPARATUCIR.S 20 ®''0° Ex. Occup. OUTLET OR FIXTURES BAL @ .50 Ex. Occup. oFlxuTELE°�A RENS ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 rU lhipect.ion L . UG PERMIT FEE $ 417 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 6 G . pp FEES IMP I FLOOD I COF PARCEL I 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. Bye %%%%�% T.!`+)'/�%Date G-21-02 PERMIT EXPIRES ON 6-21-03 Date ReceiptNo. 3.5/40�j9 wLu.Un WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT !3 kA 031-253-014 1 02-1617 SMITH, ANDREW 1024 THE�RMALITO, OROVILLE CONT: PAUL'S ELECTRIC REPLACE ELCTRICAL SERVICE t : .t w OFFICE COPY ri Address GAS ` Meter By Date": ELECTRI Meter By Dalt�� `7Aw v 031-253-014 02-3600 SMITH, NIKKI 1024 THERMALITO AVE., OROVILLE CONT: LON JONES CONST. RE -ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541671 -(�Ih (Rev. 12/96) APPLICATION AND PERMIT CCii (L�IIL,1 ASSESSOR PARCEL NUMBER 031-253-014 ZONING 1 BUILDING PERMIT OWNER SI'IM TELEPHONE SO. FT. OCC. BUILDING VALUATION X60 1620 2710 OWNER'S MAILING DRESS IM AVE OR=LLE: CA 95965 7 CONTRACTOR'S NAME J TEIIEPHONE CONTRACTOR'S MAILING ADDRESS 712 W- HARDING MRI=K CA 95390 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $1,620 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE -ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service 20 A OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license ' in full force and effect. ( License Class Al • C Lic. No. S—O F � 16 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ii I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers`' compensatl'pll insu nce carrier and policy number are: Carrier 5i.,4;We �^� Policy Number / A 0 b 7 .1 c, o I (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo hwith comply with those rovisions. / X Date l) -/� - C��- Signature o pp cant - ❑ Owner ❑ Contractor [Dent An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height, Main Service To ,000A 46.00so YTL200A NEW CONST. DWEWNG UP. SO OR ADDNS. a Acc. stn S. 3.5¢FT: NOt}q�1p, MULTI-OUTLETcnS 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. zo (Pt 00 Ex. Occup. OUTLET OR FDRURES BAL @ .50 FIXED APPLNS. . OR Ex. Occup. 5.00 our. RESIDEA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 59.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat abo}% for whichLeeshave been paid. _ + !of eyJ___��ll I 1ate PERMIT EXPIRES ON Date Receipt No. '-7" 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 (530) 538-75416z_�MN�� ) (Rev. 12/96) APPLICATION AND PERMIT ((, ASSESSOR PARCEL NUMBER 031-253-014 ZONING BUILDING PERMIT OWNER TELEPHONE 534-5432 SO. FT. OCC. BUILDING VALUATION 27 @60 1;620 DSKKI OWNER'S MAILING RES CONTRACTOR'S NAME HONE CONTRACTORS MAILING ADDRESS 719 W- HARDING, PUMLOG.K) CA 95380 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1,620 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS .�GRW111E Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: RE—ROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LES Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license}* in full f0 ce and effect. �+ License Class �f i C Lic. No. 5-6 r/ J 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensatiPL insurance carrier and policy number are: Carrier 559& f LJ,0 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. SO 3.5¢FT. REOSD. ANCHOUTLETIRCUITS @7,50 WER APPARATUS 8 POSINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOLTURES 20 Q 1.00 BA0 .00 Ex. Occup. otm rlEls '(R 16.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number % W 00 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f hwith comply kh those rovisions. /D _/7 —®^ X Date ! of-- Signature O Applicant - ❑ Owner ❑Contractor went 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 $ 59.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD I HD I ISSUE, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic abo a or hich ees have been paid. By ate PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK INSPECTOR GOLDENROD -APPLICANT 5 ",;PERMIT NO. 623-76P P E t Y.: M MH UTIL. PERMIT NO. PERMIT EXPIRES" 2/10/77 (OWNER HUGH M. JONES !j ;CON T R. OWNER fM" LOCATION (A.P. 31-253-111) 1 1024 THERMALITO AVE., OROVILLE Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FI ALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Pipin Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ���—%/ Telephone: 534-4541 / (!J APPLICATION'. UD PERMIT X Z' `02� Date /O Signature of Peermmite r Agent Receipt No. _ 2 �5-g,6- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ADIRE �TORF PUBLIC WORKS B Date,-�Z-10-7(d permit expires Date _02 / dam% BUILDING Owner a C H [ '1 T& l=s SO. FT. OCC. BUILDING VALUATION Mailing Address /0 ��A4 Ak I I U E Telephone No. s ` &2 `{ Fireplace Contractor �} ez_-tZ Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 I Tc Each Trap 1.50 Repair drainage or vent piping 1.50 j( ® lea V l ` Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 3 , / <f Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fp's I %Z1 saAke4ien I Fire Dept. Fire Zone Use Permit Building sewer a. 5.00 S, 0(D EQAI ParkinPlans Declaration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 ec'd I Parcel Approval I Plons Approval Permit Fee $ a O � Of NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.001 _ //V _5,5 VJ5< 57-W4A 14 r ry Main service ioo AMP OR LOR ESSLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER Main service 00 AMP OR ESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDGS. 2�sgft NEW CONSTR. MULTI.OUTLET NON.RESID. (BRANCH CIRCUITS)2.50ea NEW CONSTR. (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) BAL SR Ex. Occup. (our ETSP(RESID )REA) 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 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 No.1 @ I FEEPERMIT 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 authorize representatives of the County of Butte to enter upon the above-mentinnerl nrnnerty fnr incnnrtinn n„mnono TOTAL PERMIT FEE is , 0E This permit is hereby issued under the applicable provisions of X Z' `02� Date /O Signature of Peermmite r Agent Receipt No. _ 2 �5-g,6- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ADIRE �TORF PUBLIC WORKS B Date,-�Z-10-7(d permit expires Date _02 / dam% } CSA 26 SEWER SERVICE APP'LICATI'ON AND CONNECTION PERMIT' •! .r,. 1 - . ., . }' r. e!e r ., +( wn!•... y: r , f i . .T.i . ` t" r Date: r ho ba..'' AddressAcct. Nod -✓C�. „ :Ile CWS'%fo5� +�. , .. Phone: i 33 :ZAO%�Y' •h. Applicant/Agent: Agents Proof: Address: , Fees: Phone: Application $ r Preliminary Review By 4 - �� Date: JJ/'a a/16 THERMALITO IRRIGATION DISTRICT Remarks:' f SC -OR .j. ` 1st mo. S.C., { 200 Other • 4t'0 GRAND, AVENUE' ' -Total Fees X) ' Collected B ' Date: ! . 0'ROVILLE:'CALIFORNIA.959'65 .•.i "' +. r • TELEPHONE 533-0740 It r ! a' I } CSA 26 SEWER SERVICE APP'LICATI'ON AND CONNECTION PERMIT' I'4 '. ,i,.' • f.. • i .:A•. '\ , 'r' . • ' ' ServiceAddress: J�� �/ :s r r i' {�, /, �r • I' f ' . Owner's Name: Z�(J 4 Date: r ho ba..'' AddressAcct. Nod -✓C�. „ :Ile CWS'%fo5� A:P. No:: Phone: i 33 :ZAO%�Y' No. Units: Applicant/Agent: Agents Proof: Address: , Fees: Phone: Application $ r Preliminary Review By 4 - �� Date: JJ/'a a/16 Arrearage, CSA 26 Remarks:' f SC -OR .j. ` 1st mo. S.C., . , . ,. F _ .:,.•' Other • ' -Total Fees X) ' Collected B ' Date: ! . Field'Review By: _ �` Date: _ 3 Remarks: • MONTHLY,SERVICE CHARGES` WILI COMMENCE. AUTOMATICALLY UPON: Date `of TID•approval'of completed building sewer (early connection)'.,:I ^` I • i'a. + �,� .. '.. r * � •i /• I, Q 30 days after date above, or on date,of D P.W: approval•'of completed building first ("existing construction" prior to Mar. 5, •1974). sewer;' which ever come's'- I18, 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): ,.: r y- r 'DISTRIBU ETION:• WHIT-TID,'Y,ELLOW ,CPPLICANT, PINK DPW, GOLDENROD -DPW to TID it �y,.y,:.... �.�?" , M•lY�'f� y - M1�.it � _ ... _��+ P _ �.,_ � I. fes• _ � .--_-.._ _... -�- r ..,. -♦ r a ,r 3 M, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT — nn — —p—acniauvaa UI mu IJUUIIIy UI DUlte IU enter upun the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. _/` �) '/!Z 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 Mailing Address Telephone No. Fireplace Contractor ;% 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.Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OROR LE SLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ OVR 60 Main service 10 EAMP oR LESS25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST. DWELING OR ADONS. ( ACC`BLDGS.CCUP. &) 22sgft NEW CONSTR. MULTI—OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS O & N-N-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)�� BALC1 Ex. Occu FIXED APPLNS, OR P• 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 $ $ 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 em P Io an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT 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 $ — nn — —p—acniauvaa UI mu IJUUIIIy UI DUlte IU enter upun the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. _/` �) '/!Z 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 -- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 171-11-76 Telephone: 534-4541 r APPLICATION AND PERMIT Zd BUILDING Owner a Mailing Address SQ. FT. OCC. BUILDING VALUATION Telephone No. Fireplace Contractor 4 Total Valuation Mailing Address y( /e t Permit Fee Plan Checking Fee&/or Penalty Q Telephone No. Permit Fee Building Address A ,PVw PLUMBING No.1 @ FEE RMIT 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. S3 '' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Smr )on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Prk sg Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 BI d I Parcel Approval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.01Y Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service R 600V 10 OEAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. ODWELING R ADDNS. ( ACCLBLDGS.CCUP, &) 22sgft NEW CONSTR. MULTI.OUTLET NON-RESID, BRANCH CIRCUITS) '2.50ea L/POWER APPARATUS &� 1 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 Sty of: /� �/i�cr� U0 AID i T/ O /V (Al C_ Z� c, BAL@2¢1 Ex. Occup(OUTLETS OR FIXTURES)@ Ex. Occup. AUTLETSPP LNS, OR (RESID.) EA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 License No Gi —2e) Classification Misc. Wiring 6.25 ❑ 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. 12 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. MECHANICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ G 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 P PERMIT FEE $ l -- — ��.r v. uua — —1-1 upull ulc above-mentioned property f r inspection purposes. X ' Date � r Signature of Permitee or//��gent Receipt No. %�/ `S-6- ` 41 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. DIRECT OF P BLIC WORKS By t Date permit expires Date Permit#608-85B ~ Clara Jones � o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Il ._ ZONING BUILDING PERMIT OWNERr "rru Jo •'�� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S,MAILING ADDRESSn CONTRACTOR'S NAME TELEPHONE CONTRACT Q R'S MAIL ING'.ADDRESS V: r,tt`Vd ^ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I GJWJ 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: r'.,A004 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sOov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 1 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. %� License No. 4!2r�, 21 ✓/ Classification C-59 ❑ 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 CONSTR ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS & NON-RESID, SINGLE OUTLET CIR. ( 20050e Ex. Occup(o TS OR FIXTURES DAL93O FIXED APP LNS. OR D Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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 Countyof 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. r _ r X Date - rU r' - 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 $ TOTAL PERMIT FEE $ "1 ' OCcuP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RST yo. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 C/ �/ APPLICATION AND PERMIT ASSESSOR A CEL U BEf� ^ `J{ _&O ZONING BUILDING PERMIT OWNER C.Q.QhCi. Jones TELEPHONE SO. F.T. OCC -A BUILDING VALUATION O WNER'J Iy�/�,I}.I�AQ � _F,. Uo Ave. ouv.i,?,e.e (/(,(„ CONTRACTOR'S NAME Gemge Roo .ing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 3923 Otive Hwy. Ouvitte Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 2 f PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system t - 5 outlets 5.00 USE OF STRUCTURE SF EY Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation❑ Other ❑ Describe work: RetCOa6 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q 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. 452266 Classification C-39 ❑ 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 CONSTR U TI -OUTLET 2,50 ea NO N.R ESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS &' NON-RESID. SINGLE OUTLET CIR. Ex. Occu / 2oes0a P\OUTLETS OR FIXTURES BAL®30 Ex. OCCU FIXED PLNS. OR P• OUTLETSTS (RESID.) EA.) 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 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. 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 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 sai County in con equence of the granting of this permit. X ��� MQhCGi 5, 1985 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent FA An OSHA permit is required for excavations over 5'0" deep and demolition or construct-IRECTO� ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which PU LIC /1, BY Yate PER T EXPIRES to the applicable provi- resolutions to do fees have been paid. WORKS Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT IV ;05111 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION I 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. a(Rev.12/96) APPLICATION AND PERMIT 1 17 ASSESSOR PARCEL NUMBER 031-253-014 ZONING AIR BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAILING ADDRESS CONTRACTOR'S NAME PAUL"S ELECTRIC NE CONTRACTORS MAILING 6 5 25MISSION OLIVE RD OROVILLE CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "LING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1024 THERMALITO OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE ELECTRICAL SERVICE Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 • 0 0 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is I UII force and effect. License Class Lic. No. �� (Q2 -7, OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLD S. sD 3.5¢FT. NOµREOMULTI- SID. OUTLET CIBCVITS @7,50 POWER APPARATUS a SINGLE OLJTLEf CIR. Ex. OCCU . OUTLET OR FIXTURES 20 Q 100 BAL- O .50 Ex. Occup. o E>:Drs a� DeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre Inspection 23.001 23.01 PERMIT FEE $ 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 is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) 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 workers' co pensation laws of California, and agree that if I should become subject to the w kers' compensation provisions of section 3700 of the Labor Code, I shall f hwith comply ithose provisions. s X Date (� t �' Sig t re of Applicant wrier Q<ontractor ❑ Agent An OSHA permit is requir for xcavations over 5'0" deep and demolition or construction of structures over 3 storie 'n eight. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD I COF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for wh' es have been paid. B Date 6-21-02 PERMIT EXPIRES ON 6-21-03 Date ReceiptNo. 354089 $66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �id•aw a vim+ �k �• C COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION +� I_ 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 t FERMIT APPLICATION DATA SHEET OWNER: 1.4 •+. ASSESSOR PARCEL NUMBER ©3 - ZS ^� + Proposed Building Use (�° +-�' ��C • ,S \ ► • r Counter Technician: U Date: 6 / y Items required in order to apply for a -permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the _preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with we signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts ir. duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b t�gineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ 0, 9. Plot plan and. -business license approval ftefrf the City of Biggs .................................... ❑ 10. Letter of intent for non-residential bu_Idings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other - Remaining items needed to issue�the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings .........................................:.... ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in .❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ improvements, ❑ Drainage ............................... ❑ ;,r. Encroachment Permit fo driveway from the Public Works Dept. (construction approval prior to occupancy). 22. Pre -Inspection for �T, S rr j LZ required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Folicy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization......_............................................................ ❑ 27. Recorded copy of Agricultural Acknowledgment Statement: ................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued .el one _ and hold for pickup. I hav een inform of the above items,and requirements for obtaining a building permit. Applicant: Date: C4_ ' 1. Index permit application for the ab U e items numbej�1red: 2. Additional items required > Contractor designer, owner, was advised of the above data by Contractor,*designer, owner, was advised of the above data by Plans reviewed by: ° ' ' Date: Structural reviewed by: Date: Note transfer by: Date: ❑ phone, ❑ mail, ❑ counter, by ❑ phone, ❑ mail, ❑ counter, by Plans approved by: _Structural approved by: Yellow: Building Division Plan Check Letter _Date: _Date: Date: _Date: (. PRE -INSPECTION REPORT '�k OWNER: f'(�1n7 'SM 1AVAA LOCATION: (02-'A 1 ?rM r, I 1 c� AJFf CONTRACTOR PCS vA L E(,��-+ric_ PRE-INSPETION DATE TO INSPECTOR: Building Description: Electric: Gas: Residential/# of U Currently Occupied Abandoned/Vacant Yes / No Condition of Electric NaturalPropane_ Obvious Problems: Sanitation: / Plumbing Working Well Working Obvious SewageProblems Comments: ra DATE: �,e ' Q F A.P. N. U3 I -2x3-01 y ZONING: '(Z - PERMIT PERMIT HISTORY:( ) NONE ( ) AS FOLLOWS: BUILDING INSPECTOR'S REPORT Electric currently On Off None Currently On—zolff Potable Water ACTION RECOMMENDED: ISSUE: / HOLD FOR Date DIN Sketch buildings on reverse and indicate location on property