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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
1
ZONING
BUILDING PERMIT
OWNER
SUSAN STAIB 934-9240
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
GO . T(1 T_ DAD DT) /l (�
COW6tgME - -
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
0RU711 I F$
Energy Plan Checking Fee
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling 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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ITPC;RAnF. ELEMICAI
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200A OR LESS
23.00 2_1 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 is in full force and effect.P
License Class Lic. No.
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 ep
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLM OCCUP.
ACC. BLCDCr
OR A DNS
3.S¢F0
. M TI
NON•RESID.
@7.50
OWER APPARATUS
S SINGLE OLmFT CIR.
Ex. Occup. oLmETORFaTUREs
20
sA°'; 0
Ex. Occup. OUTIET3 REESS,6.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE -INSPECTION
2 3.00
PERMIT FEE
$ 66.00
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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of_a valuation
Xof one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shallTOTAL
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
forthwith comply with those provisions.
X bzt& Date ��
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for avations over 5'0" deep and demolition or construction
of structures t.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
FEE $ 66.00
HAZ. D. FEES IMP FL
HD
IS E
This ermit is hereby issued under the
of Butte County Code and/or
iridicat e 0 Issued
fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date' rO
IIMNI�*
Receipt No.
WHITE-D.D.S.-B. D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD•APPLICANT
-+•vim--_. "'.ter r"�*^�','.�a_r- ♦S�' -� � - .,�.. .__�•,+...-v ,.. a`-.yH'.5,...-.=.Y"."f,•.7' �.� .-M .s,4:: -
.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
R
MIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
�,it mY i .� c f� >�✓ f ve
r/ J
ems.,+• .............
Data ,ori ,L Inspectors �-'-;�—'
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/46) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
033-010-081 l
ZONING
BUILDING PERMIT
OWNER
SUSAN STAIB 934-9240
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
TP -NO U A,U TATI ()A
CO C�(QbtgME .. _ ..-..: -... ..• _
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDNelONS 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: _�(;RADF. FLET; ZEE
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
—±L@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
R LESS
Main Service 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 is in full force and effect.POWEPUS
License Class Lic. NO.
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
COFISLIUCt eP
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TG 1000A
46.00
NEW CONST. DWEWNG OCCUP.
EE
OR ADDNS. ( a ACC. BLDS.
SO
3.5¢FT_
NONN•RESINEW D. MULTI.OUTLET
@7.50
8 SINGLER AOUTLETPARATCIR.
EX. Occup. OUTLET OR FDRURES
20 O'•50
BAL @ .SO
Ex. Occup. ovrLEEDTSAR OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE -INSPECTION
123.00
PERMIT FEE
$ 66.00
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' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(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
forthwith comply with those provisions.
X Date Ali
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for avations over 5'0" deep and demolition or construction
of structures t.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ. D. FEES IMP FL
HD
IS E
This ermit is hereby issued under the
of Butte County Code and/or
Nao Awhiiiindi atees have .been
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
paid.
loll O
Date
Receipt No.
WHITE-D.D.S.-B EDY CANA Y-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT
.. ... w. .- . ..-.-.....t.. r - , -
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive; Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEI.ET
OWNER: �� `1 ASSESSOR PARCEL NUMBER U �3-3� G U�
Proposed Building Use: n`n C- Counter Technician: Date: lG�0-5
Items required in order to apply for a permik A(I bodes MUST be checked OR marked NA in orde apply.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer he plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
O 5. Energy compliance design and supporting documentation in duplicate.
❑ 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.
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
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 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 .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Fire Sprinklers............................................................................................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 15. Other
By
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 16. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 17. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 18. Sanitation and site plan approval from the Environmental Health Department in
❑ 19. City of Chico Plumbing permit........................................................................
❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 23APDES Form.............................................................................................
❑ �. Encroachment Permit for rive r , o the P blic Work Dept .................:..............
Ci
iJ'25. 'Pre=Inspection for �. required ................
❑ 26. Contractor's license informatio , (Nu er, Name Style, Classification) ......................
❑ 27. Worker's Compensation Carrier and Policy Number .............................................
❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 29. Letter of Signature authorization....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement .....................................
❑ 311 Manufactured home utility clearance...............................................................
❑ 32. Existing violations and/or expired permits.........................................................
❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 34. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: Date: /D 18 A3
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, O mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
:4k COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - O®®r11oviil�llaae,,ppCalifornia
* Telephone (530) 538-754
PE IT NO.
�� ��e959665
hi�iLlirF�Tl®i�9piiV® iEUl�919'T
NEw cD MULTI-0LmEr 7.50
NDNA6ID. C @
.12/96)
PERMIT
ZONING
BUILDING PERMIT
ESSORPARCELNUMBER
OUTLET OR FwruREs 20 @ I.�
Ex Occu eAL w
Fl%ED APPLNS. OR S.00
Ex. Occup. OUTLETS ESLD. E0.
SR'A
O NER T "a
SO. FT. OCC. BUILDING VALUATION
Moble Home Facilities 1 20.00
owN�AS�MAIUNG AD aESs
Mi tri 23.
RACTOa•S/F(AA�E TELEPFIONE
$
NTRACTORS MAWNG ADDRESS
NSTRUCTION LENDER
MECHANICAL PERMIT Fling Fee 20.00
Fireplace
$
LENDERS MAILING ADDRESS
Total Valuation $
ARCNRECT OR ENGINEER LICENSE NO.
Flip Fee
$ 20.00
Permit Fee
$
ARCMTECr OR ENGINEERS MAILING ADDRESS
Plan CheckingFee
$
13UILDING ADDRESS /
Y
Energy Plan Checking Fee
$
lJ
$
PERMIT FEE
$
LLT NO, SUBDNSIONS NAME PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
CONST. TYPE TOTAL FEE $
Each Trap
7.00
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
S Duplex ❑ Mobllehome ❑ Other
Water piping
15.00
SPECIFY
Each gas water heater or vent
15.00
TYPE OF ORK
Gas piping system 1 - 5 outlets
15.00
New ❑ Addition ❑ Remodel ❑ UtiB6es Installation ❑ Other ❑
Building sewer
1 1 15.00
�� `�
Mobile Home I S G
1 920.00
Describe Work:
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20,00
Main Service zo A OR IFSS
23.00
Main Service 200A TO 1000A
48.00
NEW CONST. DWELLING OCCUP.
3 S¢60.
ORADDNS. ( a ACC. SDS. FT•
FEE PAID
$
NEw cD MULTI-0LmEr 7.50
NDNA6ID. C @
POWETi APPARATUS
PERMIT
a SM.OUTLET G0.
OUTLET OR FwruREs 20 @ I.�
Ex Occu eAL w
Fl%ED APPLNS. OR S.00
Ex. Occup. OUTLETS ESLD. E0.
SR'A
$
Temporary Service 23.00
Moble Home Facilities 1 20.00
Mi tri 23.
SHERIFF
$
_
RRfliT FEE $
MECHANICAL PERMIT Fling Fee 20.00
OTHER
$
Heating
Cooling
Hood 6.50
$
Ventilation
PERMIT FES S
Mobile Home Installation Fee $
$
Energy Inspection Fee $
CCC
CONST. TYPE TOTAL FEE $
NAL
D. FEES IMP
FLOOD
CDF
PARCEL
PD
�
ISSUE
AMOUNT RECEIVED
��/
$
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
`
U
indicated above for which fees have been paid.
DATERECEIVED
C�j
By Date
RRECEIPT
PERMIT EXPIRES ON
(Date)
.. .. .., .. ; ....... ':.:`:.�::.:•�`>i'Y^�ii;::;,.:.iii?:T'::i:r:;•:3:;:;�.:: »; ::.�:•:�1` ;...;:.; :; ° ": `., :. .. .'� :: .. t. C ,_�,,. x.
s
PRE -INSPECTION REPORT
..:.:..::....:.:::
C�,h I�
OWNER: DATE:
LOCATION: V �� �� A P. #�� ' G� O r o ?
CONTRACTOR: ���- �cj"t,4 "C,ZONING:
r.
PRE-INSPETION FOR C: . +
DATE TO INSPECTO PERMIT HLSTORY:( ) NONE CX-,�SFOLLQ
WS: v
BUILDING INSPECTOR'S REPORT
Building Description: I
CommerciaWsage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Electric:
Yes No Electric currently On - Off r'
Condition of Electric =`
Gas:
Natural Propane None +x Currently On Off
Obvious Problems: '
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems '
Comments: �/ a� a• �. e�f n .� .�(` / s
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector. Date
Sketch buildings on, reverse and indicate location on property.
• ' _ � " • � w' .cif•" e .n ^. r� ` .. ,.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
4- 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-754j PE IT NO.
Rev.12/96)
APPLICATION AND PERMIT �
ZOMNG BUILDING PERMIT
ISSESSORPARCELNUMBER /` /1 J
V (J ;�E"E1 SQ. FT. I OCC. BUILDING VALUATION
CONTRACTORS
CONTRACTORS MAUNrd ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEERS MAILING ADDRESS
BUDDING ADDRESS 1 C'
LOT NO. I SUBDNISIONS NAME
USEOFSTRUCTURE
�uplex Mobilehome ❑ Other
TYPE OF ORK
New ❑ Addition ❑ Remodel ❑ U6G6es Instaliat
Describe Work:
.PERMIT FEE PAID
SRA
SHERIFF
OTHER
G
E C°C°
AMOUNT RECEIVED $
DATE RECEIVED
RECEIPT #
Fireplace
HAL @ .50
ELECTRICAL PERMIT
Filing Fee 20.00
Total Valuation $
'u'orv, on r,
23.00
Main Servile
ucENSE"°'
Filing Fee
$
20.00
0.
3.5¢
OR ADDNS.
Permit Fee
$
NEW ecroM (
-MULTI.OVTLET
Pian Checking Fee
$
Energy Plan Checking Fee
$
$
PERMIT FEE
$
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
SAIF''
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
xT ❑ Other E3Buifd'mg
sewer
15.00
l
Q J„� ;/ _
I Mobile Home I S I G I W
1 @20.00
E C°C°
AMOUNT RECEIVED $
DATE RECEIVED
RECEIPT #
Ex. Occup.
PERMIT FEE S
HAL @ .50
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service
'u'orv, on r,
23.00
Main Servile
20DA TO +000A
46.00
NEW CONST.
(
DWFLING OCCUP.
0.
3.5¢
OR ADDNS.
6 ACC. BLDS.
NEW ecroM (
-MULTI.OVTLET
@7.50
Ex. Occup.
OVTLET OR FDRVRES
HAL @ .50
Ex. oCCU .
u,>_ETs PLM. ORA
5.00
Temporary
Service
23.00
Mobile Home Facilities
20.00
FS'ERMIT FEE I $ (P LP IIS
I MECHANICAL PERMIT I Firing Fee 1 20.00'
Hood 6.501
PERMIT FEE S
Mobile Home installation Fee $
Energy inspection Fee $
=C CONST' TYPE TOTAL FEE $
HAZ 0. PEES IMP FLOOD CDF PARCEL PD I HD I MUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON