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'-.p 1"' -`41""' COUNTY OF BUTTE - DEPARTMENt.OF PUBLIC WORKS P q T N . 7 County Center Drive - Orovllle, Cellfornla 95985 - T®lephone: 916/536-7541 r". APPLICATION AND PERMIT 6!S -21R3 W L NUMBER ZON I ING RN BUILDING PERMIT OWNER Dorene Pr de TELEPHONE SO. FT. ;.00C. BUILDING VALUATION OWNER'S MAILING ADDRESS J 4596 Virginia Ave., Oroville •99566, CONTRACTOR'SNAMEELEPHONE Summit Electric T 589-4530 CONTRACTOR'S MAILING ADDRESS P.O. Box 394, Berry Creek Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER i LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 459 it inia Ave. Oroville Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities N Installation ❑ Other ❑ Describe work: New Serviw _ Permit Fee $ Contractors ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 1 10.00 10 00 • Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �1 ,y License No. J �ra t ..3 �� Classification. G I U ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or'offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP..) OR ADDNS. I ACC. BLDGS. yzltsgft NEW CONSTFL MULTI.OUTLET NON.RESID BRANCH CIRC ITS .2.50 ea POWER APPARATUS tr1 SINGLE OUTLET CIR. / Ex. Occup(O OR FIXTURES 20050c BALD 30 FIXED A PLNS K Ex. OCCUp. OUTLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pre—Inspection 1 15.6615.00 Permit Fee $ 35.00 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. Q{ 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 Filing Fee 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 3 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 I Butte to enter upon the above-mentioned property for inspection purposes. i`aiso agree to save, indemnify andekee harmless the Count of Butte against 9 Y . P Y g all liabilities, judgments, costs, -and expenses which may in any way accrue a ainst salid.C.oaunty in cons qu nce of the granting of this permit. X r�Y/ P.� Date �o /moi 1 q( ! Signature of Applicant — Owner ❑ Contractor 0 Agent ❑ An OSHA forexcavations t over 5'0" deep and demolition or construct- on ofstruc structures is required Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE ' 0 TOTAL.FEE $ 3AR HA2. CUA PARK SCHL FLD CDF PAR PD I P j HD. ISSU This permit is hereby issued unoer the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT R F UBLIC WORKS By Date PER 1EXPIRES -Date 7— /� G..- Receipt No. 94414 WHITE-D.P.W.. YELLOW -ASSESSOR, 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 i P R T NP, . v; s�113P��31 L NUMBYR ZONING RN BUILDING PERMIT OWNER Dorene Pr de TELEPHONE S0. FT. OCC. BUILDING VA UATION OWNER'S MAILING ADDRESS 4596 Vir inia Ave., Oroville 99566 CONTRACTOR'S NAME Summit Electric TELEPHONE 589-4530 CONTRACTOR'S MAILING ADDRESS P.O. Box 394 Berry Creek Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Filing Fee g $ 10.00 LENDER'S MAILING .ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 45 Vir inia Ave. Oroville Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[-] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea TYPE OF WORK New Addition El Remodel❑ Utilities[d Installation❑ Other EJ Describe work: New Service Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ,00 AMP OR01 LESS1 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): 6rLhJ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code Code and my license is in full force and effect. E tri R'3 [j '�.- ) U 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 OR ADDNS. CONST. ( ACC. BLDGS. DWELLING OCCUP.91 * , �20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050` BALI So FIXED APLINIS Ex. OCCUp. OUTLETS PR (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Pre—Inspection 11 15.0 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate i of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation - Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a ainst said County in cons qu ce of the granting of this permit. XDate 6 /a-7 / 9, Signature of Applicant — Owner ❑ Contractor V Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ E 35.00 HA2. CUA- PARK SCHL FLD PAR PD I HD. Issu This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F UBLIC WORKS By Date •�77-1—�yFJ PER XPIRES Date /��—[ Receipt No. 94414 WHITE-D.P.W.. YELLOW-ASSrSSOR, PINK -INSPECTOR. COLD ENROD-APPL I CANT Irli.-M'To{'�Y�t'k`-11�'YL'!'^` i t <�Y_.•i `�'�"YL`V1� h ^i +sr�. v Y "1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE='I•TROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Ve_ n%EG.I 52CtJ ; c� 2 Permit No. 5F• ¢" A. P. No. _ Building Inspector 3!�-2 3-- 3( Date L 7 5 At time of permit application, I was advised the following data must be submitted prior to permit processing an6r issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building. Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification.(Given to owner 13, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... L,- 26. _Pre'nts p 2/117 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other —)Applicant r Date /2i / 91 Copy of Hdz-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: e Contractor, designer, owner, was advised of above required data by_phone_Jnail_counter by ..date Contracto►, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date Lic. #452834 Mike Keefer Res. (916) 589-4530 I dAMIT ELECTRIC RESIDENTIAL & COMMERCIAL REMODEL P.O. Box 394 3 Town Hill Way Berry Creek CA 95916 Berry Creek CA 95916 t'v t r r • it � , . Lic. #452834 Mike Keefer Res. (916) 589-4530 I dAMIT ELECTRIC RESIDENTIAL & COMMERCIAL REMODEL P.O. Box 394 3 Town Hill Way Berry Creek CA 95916 Berry Creek CA 95916 t'v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe,.California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 03'5 Z(3 -Cr 31 ZONING BUILDING PERMIT - OWNER OreNg r de� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS CONTRACTOR'S NAME ( S v A41vk E l >�C -�' TELEPHONE S3� -#53a CONTRACTOR'S MAILING ADDRESS 1�v jL7® -]S9q •@ r- C(Z\ C4, Fireplace CONSTRUCTION LEN p E_R �(1VJ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ; Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[! Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I i�0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitie� Installation[]Other ❑ Describe work: 41z5-&_-) ..��'rj� c a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 QU Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. " M Classification. ❑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.e,` OR ADDNS. ACC. SLOGS. / ,/2Csgft NEW CONSTR. ULTI.OUTLET N .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P e0050AL030 S Ex. Occup. OUTLETS iRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /-tf- ,4j Permit Fee $ WORKMEN'S COMPENSATION INSUR '}VCE I declare under penalty of perjury (check one): ( ❑ The permit is for $100.00 (valuation) or less. ❑T I have placed••on-filewith• the -County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the -W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation pertnit 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.Q0 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X - Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 3S HAL. CUA PARK SCHL FLO COF I PAR I PD 1 HE). ISSUE This permit is hereby issued unser the applicable provi- sions or the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. gjW/Z/ 350 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROO-APPLICANT PRE -INSPECTION OWNER: _ ( RC1 re- /Ue, DATE 635 LOCATION:- CONTRACTOR: U A& �`t� `� �GZONING Jy PRE -INSPECTION FOR: / '7�`C . 5eY (j I'CC) DATE TO INSPECTOR PERMIT HISTORY: NONE El AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED HAS ELECTRIC HAS GAS n HAS SANITATION FACILITIES Q HEATED -COOLED .PERSON CONTACTED OTHER COMMENTS: ACTION ECOMMENDED: ISSUE = HOLD FOR OTHER: BY t")- A -W - a v DATE - Z J9'�'1rI