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HomeMy WebLinkAbout031-272-001- ------T-AP 31-272-01 -- Werner Glauser � j��./ 5'1/aJ-76 1081 Sierra Ave., Oroville Permit 2264-76P (bldg. sewer instl.) -- ----- -- 31-272=1 contr:Cornelius Masonry, Magalia Pemnt#1% 2-77B(0 Clearance Fireplace SF) ° p o -7/ SHACKELFORD, GENEVIEVE 031-272-001 1081 SIERRA AVE., OROVILLE iPJ CONTR: ECONOMY BUILDERS PERMIT #93-1966 (NEW ELECTRIC SERVICE) O A/ 6"PV-INSPEC/0�C/ OWNER: DATE �O LOCATION: � % Q� �� 1912&jA . P . # &3 "' a27a - d� CONTRACTOR: �/C�,�f 7` �j�l ZONING of g fi --------------------- - ---- PERMIT HISTORY: NONE [Zl---A'S FOLLOWS .-77�' 7 /�1 % % -- F//Z,-4,� TYPE OF OCCUPANCY --------------------- FIELD - INKRMATION BUILDING USAGE: TENNANT: " OCCUPI - �AS ELECTRIC S GAS '. ANITATION FACILITIES EATED-COOLED ON CONTACTED OTHER COMMENTS: ACTI RECOMMENDED: ISSUE HOLD FOR OTHER: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telepnone 916 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCNUMi R/ ,...., ZON ;"f` BUILDING PERMIT OWNER r, TELEPHONE S0. FT. CCC. BUILDING VALUATION OWN R'S MAI ING ADDRESS C9,51-TRAC_TOR'S NAME TELEPHONE CACTOR'S MAILING ADDRESS O1C� X / G /� G" Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 7EN5E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFX Duplex❑ Mobiiehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 615.00 TYPE OF WORK New7—: Addition 77, Remodel�L Utilities Installation[ Other ❑ Describe work: ii' %2— G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 2OR LESS Main service 200A TO 1000AI 18.50 37.501 CONTRACTORS LICENSE LAW p ) y (check one): I declare under penaltyof perjury ) I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.p� OR ACDNS. \ ACC. BLDGS. 3.64sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 61 SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES 20 7iid EX. Occup. OUTLETS RESID )FIXED APPLNS. REA.) 1 .3.00 , Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /_5; G �I 2- f / (% r G ; Permit Fee Contractor $ 61A —5n — 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. r1 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 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes, I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueHAz against said County in consequence of the granting of this permit. p X O Signature of Applicant — Owner El Contractor [IAAgent g❑ An OSHAwork permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories In height. Mobile Home Installation Fee S Ener Inspection Fee $ 9y p ` occ CONST TYPE TOTAL FEE $ DFEES IMP FLOOD C6 PARCEL PD O ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No._4zzil Z WHITC-D.P.W.. TCLLOW-ASSC380R. PINK-INSPCCTOR. GOLD [NROD-APPLICANT GENEVIEVE SHACKELFORD 93-1966 DEP COUNTY OF BUTTE 7 County Center Drive - Oroville, Ci APPLICATU ,RTMENT OF PUBLIC WORKS ifornia 95965 - Telephone: 916,"538-7541 CAD,PERMIT PERMIT'NO." 93-1966 ASSESSORPARCEL NUMBER 031 272 - M _ ZONING "A BUILDING PERMIT OWNER _ITELF-VPHONE GERVIE". SHACKEIMIRD SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1081 SIMTU AVZ.,,0R0V1LM CA 95965. 1 ff6 S _rTELEPHONE liff R.N MAM EERS. _ I I I !M4038 CONTRACTOR'S MAILING ADDRESS P 0 BOX 150, OROVILLF. CA 95965 Fireplace ,qgUCTION LENDER CD�65 UNKNOWN Total Valuation is Fee Filing $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER T LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1081 SIMRA AVE., OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.001 USE OF STRUCTURE SF D6pIexF_J Mobilehome[71 Other SPECIFY I Gas piping system 1 - 5 outlets 5.00J Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New!❑I Addition E RemodelE ' Utilities.91' Installation E] Other F-1 Describe work: - - DOI ELESIC .SMICE.. (SPEE #93-1471 OM A.P. #31-272-602) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 99118 0 Main service 200A TO 1 OOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.` Classification A 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, 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.OR ACDNS. DWELLING OCCUP.& 3.64 sq.ft. ACC. BLDGS. OR( CONSTR. MULTI -OUTLET NON-RESIO. BRANCH CIRCUITS) @ 5.00 POWER APPARATUS IN SINGLE OUTLET CIR. ' Ex. Occup(OUTLETS OR FIXTURES 20 16❑ , FIXED APLNS. O Ex. Occup. OUTLETS P(RES1 D.)R EA 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring, 15.66 ' 13'0 00 )t10.00 FRE,1WV' Permit Fee $ 58.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (che6k one): '.- 0 The permit is for $100.00 (valuation) or less. E,,4j' 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. F-] 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 1 15.00 Heating Cool ing Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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/'s'aid'County in consequence of the granting of this permit. X Date -J Signature of Applicant Owner [:]Contractor Rr Agent El An OSHA permit is required for excavations over 5'6'"aeep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 53.50 HAZ I D FEES I IMP 1 11.0011 1 CDF I PARCEL PD HD I ISSUE, This permit is hereby issued under the applicable pr vi sions of the )Butte County Code and/or resolutions to do ,, A work indicated aJ ) which fees/Pave been paid. for w ic Irl I f / f DIRE0F PUBLIC WORKS 'A 1� ,411,,�1111 ' Date By /- 'y � ,Receipt PEkM(r'IEXPIRE9' l5ite— No. 143376 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OroviI le, CalifSrnia 95965 - Telephone: 916,538-7541 93-1966 APPLICATION AND PERMIT ASSESSORPARCEL NUMBER 031-272-001 ZONING AR BUILDING PERMIT OWNER GENEVIEVE SHACKELFORD TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1081 SIERRA AVE., OROVILLE CA 95965 CONTRACTOR' S NAME ECONOMY BUILDERS TELEPHONE 532-8038 CONTRACTOR'S MAILING ADDRESS P 0 BOX 150, OROVILLE CA 95965 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filin Fee g $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1081 SIERRA AVE., OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition [I Remodel❑ UtilitiesfY InstallationEj Other ❑ Describe work: NEW ELECTRIC SERVICE (SEE #93-1471 ON A.P. #31-272-002) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A ESS OR LESS 18.50 18.50 Main service 20GATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): r I1—y 1 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 � F-1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ADDNS, l ACC. BLOGS. 3.64 sq.ft. NEW CONSTR ULTI.OUTLET@ NON-RESID BRANCH CIRC ITS) 5 00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20S75 Ex. Occup. OUTLETS RESID .ED APPLNS.)OR ( 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.0 PRE—INSP 120.00 Permit Fee $ 58.50 Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. v� 1 have placed on file with the County of Butte Building Department I� 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 FiIirig Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agains i oun in co nce of the granting of this permit. // X Date _�7—5J Signature of Applicant — Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5' eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 58.50 HAz OFEES I IMP FLOOD I COF PARCEL PO I HD Iss This permit is hereby issued under the sions of Butte County Code and/or work 1 di ted ab f which a DI E F PUB By PE XPIRE ate applicable pr vi- resolutions to do ave been aid. RKS Dat Receipt No. 143378 WNITE-D.P.W., YELLOW-ASSE3SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916 538-7541 APPLICATION AND PERMIT � PERMITTNO / -3— `7�(; ASS ESSO.R PARC UMBER ���Q ZONI BUILDING PERMIT j OWNER / /�( r 7i 6&E 4IZZ) VC+ �i•�C�e_/��o TELEPHONE ; S0. FT. OCC. BUILDING VALUATION OWN R'S AI�IN �+D/ E;� ,C /Q�{�V�% CO-WArRA TOR'S NAME TELEPHONE CopAC R'S MAI LIN j DDRFSS vv//��// X '��'`••�/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ i Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSr�n n ^ 14 �� oh -0 permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G W 615.00 TYPE OF WORK New r Addition _RemodeI Utilities' Installation[ Other 7, Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 200A OR LESS 18.50 S Main service 20CATO1000A1 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License .JO. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OR AODNS. ACC. BLDGS. // OCCUP.&) 3.6asq.ft. ' NEW CONSTR. UL I -OUTLET NON -R ESID BRANCH CIRC I 5 ^ 5 00 /POWER APPARATUS el (SINGLE OUTLET CIR. I Ex. Occup( OUTLETS OR FIXTURES 20 76d 4619 FIXED APPLNS. OR Ex. OCCUp. OUTLETS 1RESI0.1 EA.) I 3.00 ; Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 010 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. ❑ 1 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 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ��77 X Date d�� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ onstruct- i n OSHA permit .s required for excavations over 5'0" deep and demolition or construct- on of structures over 3 stories in fight. ion Mobile Home Installation Fee $ ' Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 0FEES IMP I FLOOD I COF PARCEL PO o ssuE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Gi� l/A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing a d/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California 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. Gontact Land Development about (A) Improvements (B) Drainage. riveway permit (constru ion anoroval required prior to occupancy). e -inspection for �il� e-_ required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. + 23. Owner -Builder Verification (Given to owner , Mail to owner �. ` 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. �- 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to pwrier. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation 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. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one year 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 checking fees for work plan checked and other department costs are not refundable. Original - Applicant .. , - y.' .v �,.�,`�, -�_r �.� (•�, .F�. , �Y: tier^. .... -,,....rte �,,,,-,..,._.��R�.Y- � �t!''r"6i.!x "Z,�r14�.-..•,;/"`ti. y,,- �� ^ M, ,�, "1.,_.-..._. , . Y J .r. � .. , COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES - BUILDINGDIVISION { P" ry7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA95965 - TELEPHONE (916),538-7,541 PERMITAPPLICATION DATA SHEET OWNERC!/ Zle A. P. No. .Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing a d/or issuance: DATE RECEIVED BY 1, All items have been submitted. ......... ................ .......... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ....... . ....... .......................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........... ........................... . 11. Impact fees as shown on attached schedule. n ............................ 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California -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. ... •....... . /Driveway permit (construction approval required prior to occupancy). .. .. . - e -inspection for i��� required. .. ff- Bu.17 Date c 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 'Letter of intent on building use . ........... ............................ . 28. Mobilehome. utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ............................................. .... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at ZV4�0 office. Deliver with inspector. Other 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: (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 Contractor, designer, owner, was advised of above required data by phone _ mail Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Worics Counter by _ Date Counter by _ Date Date F�RMIT NO. 2264'-76P d PERMIT EXPIRES 5/4/77 ( OWNER Werner Glauser CONTR_ owner LOCATION (A.P. 31-272-01 1081 Sierra Ave., Oroville Temp. Power Pole XCalleG&E Te Te JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOR RECQRD BUILDING BUILDING (Cont'd) 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 Piping 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 Pi Ing & 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 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 eol;V 1"W5; r (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO IRRIGATION DISTRICT 410 GAAND,AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE. APPLICATION AND CONNECTION PERMIT Service Address: ��a A A Owner's Name: 4��6 Date: Address: s t Acct. No: 4-2 J Q A. P. No.: Phone: ' No. Units: Applicant/Agent: `, �t?" Agents Proof: Address: Fees: Phone: Application $ � Arrearage t Preliminary Review By:� Dater>/.� CSA 26 Remarks: SC -0 R 1st mo. S.C. Other Field Review By: Remarks: Date: Total Fees Collected By: Date: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes 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). pis i HItlOnON: WHITE-TID, YELLOW- APPLICANT, PINK -DPW, GOLDENROD -DPW to TID COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Isir7 County Center Drive — OroviIle, California 959657% Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / X ��/�' 'Trate � IOA2 Signature of Permitee or Ag/e�nt 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. DIRE TOR OF PUBLIC WORKS By Date Building permit expires DateY ,2&,2� BUILDING Owner�F' �t�, SQ. FT. OCC. BUILDING VALUATION Mailing Address elephone No Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee & /or Penalty Telephone No. Permit Fee Building Address �'/ PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 UD A ' 7` 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 _ ..O Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Serfii-tIrm Fire Dept. Fire Zone Use Permit Building sewer 5,00 , W EQA PP an s Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ ,On d'C NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �y�-, L ,�] 'VI O ! 1 (.tJeR, 001G. V { l 11V// 600V OR LESS Main service 100 AMP OR LESS 5•�� Main service EA. ADD -L 100 AMP 2,50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service// EA. ADD'L 100 AMP 1.00 OR ADONSNEW T % AGCLBL GLING OCCUP. &\ 2¢Sgft NEW CONSTR MULTI-OUTL T 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) 50 101 BA Ex. QCCUp. ( OFIXED UT ETS (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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. std! 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 @ FEEPERMIT FILING FEE J$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 $ d'� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / X ��/�' 'Trate � IOA2 Signature of Permitee or Ag/e�nt 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. DIRE TOR OF PUBLIC WORKS By Date Building permit expires DateY ,2&,2� ~ PE,'RMIT NO. 1792-77B r - PERMIT EXPIRES OWNER Werner Glauser CONTR. Cornelius Masonry, Magalia LOCATION (A.P. 31-272-1 1081 Sierra Ave., Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Tem0Gas Serv. Called PG&E /FINAL ED (Date (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTWN RECORD BUILDING B ILDING (Cont'd) PLUMBING Setback Firewall /l Soil Piping Forms / Parapets ,"" 1st Floor Main Bldg. Restroom FI sh 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents V Insulation Water Htr. Heaters Slab Carport Footings Prov. ;for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Tet Temp. as Slab Final Sanitation % Patio FIREPLACE Final Footings Pooling EL TRICAL Masonry Walls Throat �� Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRIN ERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh ME NICAL Grd. Fault Prot Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts UndergrounA Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------ Elec. Service Elec. Pedest I Water Piping Sewer Gas Piping A I N .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS { (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF B&TT•E — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 Tel epgone:, 5311-4541 / APPLICATION AND PERMIT Owner Mai I i ng Address Telephone No. —33--7GG Contractor C► '1, �,�a t 3 -,— Mai I Ing Address S Telephone No. Building Address 6 Al A. P. No. / — Zr7X Zoning & Planning Feear We. Sanitakbn Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Map 60' R/W Improvements Plans Declaration p p Bldg. s Recd I Parcel Approval Plans Approval NEW n ADDITION ❑ UTILITIES ❑ OTHER Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of- ln� License No. 4/13 9 Z 7 Classification4c 29 ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. NA I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and" State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ��/�-77 Signature of Permitte/e or Agent Receipt No. _ / 4 1f l — White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING -v SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 8011 OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER s 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / OR ACDNS, % DWELLING OCCUP. B ACC, BLDGS. NEW CONSTR. NON-RESID, (MULTI -OUTLET BRANCH CIRCUITS NEW CONSTR- NON-RESID- (POWER APPARATUS 8 SINGLE OUTLET CIR. '2S'Urod $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 Ex, OCCUp(OUTLETS OR FIXTURES TLS¢ BAL LD 109 Ex. Occup. ( OUTLETS P(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 Permit Fee MECHANICAL PERMIT FILING FEE Heating Coo I i Ventilation Hood Permit Fee $3.00 2.00 $ FEE FEE FEE , 77 TOTAL PERMIT FEE $ 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 F PUBLIC WORKS By Date -qr�y^ 72 Building permit expires Date rHERAfALIIU 1,1.9517Y.N.M. 717. 17 Lo. 46A 71F, m SIERRA ' lo� 60". t•: Tax Area Cade. *0 -� AVE !?2 J2! 124 !25 /26 127 17 ro p .15Ae.15Ac to D O JO �? 30 8U 5� -#0 50.50 ° 30 " Y O AVE:. e NEVADA - 0 To /Ob 1 h{ f I o O !41 �s 1'I1 . / 1I Z►.l *� �./ �/ 'I O�' VI1 /'7 E O �1i ,•/ECA! 1$ liI' l0�I01.r3 o4 J3d /43 /4J /44 O /49 147 145 /SD q/34 163 741m09 07' �/• .7S 60, 50 50 75 75 - 1{1 Baa :t /QO 745 75 AVE. a CORONA 74 JosAno h 34 F 15 14 W I �° 12 ' ' 275 i I I BL 80 BO' 423 4 v P0 OV` OXY O J `M AVE. O' ° FEA THER . n eo' CORONA TERRACE M O. R BK. 6 PG. 57 THERAdQ L / 70 AI. O. R. W.0 L L7 NG►S. 4 a 6 pK3o 1 Assessors wrap ivo• NOTE—ASSESSOR'S PARCEL BLOCK County G'BEJr: b LOT NUMBERS SHOWN aEvlsEo= 9-9�. � Mvrch,: 195.3'. Tom.