The URL can be used to link to this page

Home My WebLink About039-120-034i 039-I2-0-034 " 93-34.31 E ATTENBERGER, Vicky �j�� 3 z1107'Lone Pine Avenue, 'Chico '(elec ser�ch & add;-cirjSF Eagn Elec 039-12-0-034 93-3528 M ATTENBERGER, VICKY 11071 LONE PINE, CHICO - CONTR:; AIR -ART .H&AC -HVAC/SF = 3 jl��) Al I 1. 9 M Yl 039-12-0-034 03-3431 E� ATTENBERGER, Vicky 1107 Lobe Pine Averiue; Chico (elec ser ch.&,add cir)SF Eagn-Elec ��-26-9� OFFICE COPY Address i G AS r. Meter By Date ELECTRIC Date Meter By ,u a i' Y. COUNTY OF BUTTE - DEPARTMENT OF DEYELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �, PERMIT NO. APPLICATION AND PERMIT ''- ASSESSOR PARCEL NUMBER 039-120-034 ZONING A-10 BUILDING PERMIT OWNER Vicky Attenber er TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 11071 Lone Pine Ave. Chico 95926 CONTRACTOR'S NAME Egan Electric TELEPHONE 3451-7264 CONTRACTOR'S MAILING ADDRESS P.0.27 n BX 719311 Chico Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS . t E Filing Fee $ 20"00 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 $ 11071 Ttmp- Pine Ave., Chien` PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ! ( Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK yy New ❑ Addition 1:1 Remodel ❑ Utilities ❑ Installation ❑ Other'O Describe Work: Electrical Service Change & Add tireuits PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( e00vORLESS ) 200. OR LESS22, 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. ORADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT - CONTRACTORS LICENSE LAW I de�cJaTe under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de and m license is in full forceand effect. y License No. 1441 Classification r�/� Cl I, as the owner, or my employees with wages as` their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( 6 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 RAL. @ 1.50 Ex. Occu FIXED AP"S.OR p" ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20"00 Misc. Wiring 23"00 23.00 Pre Ins ction 1 23.00 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. 0 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Gf I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $89.00 Contractor MECHANICAL PERMIT Filing Fee 20.00-- 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 Butte County Ordinances and California 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 said County in consequence of the granting of this permit. X �� . �_: '— Date �� % Signal re of Applicant - O Owner CoQ,ntrac r ❑ Agent An OSHA permit is required for_axcada n er 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 $ 89.00 HAZ. I D. FEES IMP I FLOOD I CDF I PARCEL I I'D HD ISSUE r f This permit is hereby issued under of the Butte County Code and/or indicated above �r which fees have DIRECTOR'OF PUBLIC By �' .. �t, f PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. WORKS Date rDete) Receipt No. � �� / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT )7. JCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,'California'95965 - Telephone (916) 538-754,1-3r 3 PERMIT NO. �. APPLICATION AND PERMIT jj ASSESSOR PARCEL NUMBER 039-120-034 ZONING A-10 BUILDING PERMIT OWNER Vicky Attenber er TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 11071 Lone Pine Ave. Chico 5926 CONTRACTOR'S NAME Egan Electric TELEPHONE 345-7264 CONTRACTOR'S MAILING ADDRESS )30 Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 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 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFR Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition ElRemodel ❑ Utilities ❑ Installation O Other Describe Work: Electrical Service Change & Add Circuits PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( '20'AO LELESSSS ) ooOR 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. ORADDNS. I & ACC. OLDS. ) so. 3.50 IT. CONTRACTORS LICENSE LAW I djc1ete under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C de an m license is in full force nd effect. License No. �/� Z Classification FFFsss O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this reasonPre—Inspection NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occup.FIXEDAPPLNS.OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 1 23.00 23.00 11 23.00 123.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a �/ of Consent to Self -insure. %L I shall not employ any person in any manner so as to become subject to the Worker's _Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $89.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling oodCertificate H 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 Butte County Ordinances and California 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, ' gments, costs, and expenses which may in any way accrue against said County c nse uence f the anting of this permit. /� X �� Date /16) _16_f3 3 Sign tura of Ap is - O O er-01 ontractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00 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 above for which fees have been paid. DIRECTOR OF LIC WORKS BY Date 16 2 6 _r /0 z PERMIT EXPIRES ON [ ate) N� 8 Receipt No. l! v� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT VA l � ' f•� yx:.r. COUNTYOFBUTTE - DEPARTMENTCIFUEVELOPMENTSERVICES -BUILDING DIVISION 7COUNTY CENTER DRIVE - OROVILLE, CA I £ORNIA95965 - TELEP ONE(916)538-7541 PERMITAPPLICATIO}N DATASHEET fi OWNER I L �/� �✓� Proposed Building Use 5 G't/'%t�... Y, building Inspector A. P. No. `- Date 8 At time of permit application, I was advised :he following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3, .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted. Plot plans, 3/4 sets, signed `by preparer of plans . .......................... Complete plans, 3/4 sets, sgned by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ . Energy Design Compliance and supporting documentation . .................. Statement of IntenVor Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manefacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on a:tached schedule. .............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 wear flood) by California Engineer ................... Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit. ........................................ . Plot plan and business lice ise approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Developmen: about (A) Improvements (B) Drainage. ........... Driveway permit (construction 1pproval required prior to occupancy)....Pre4* * A requ� Pre -inspection for ,� GCt r L, -',O required. . to Bu.10 sp "1napector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner '��. , Mail to owner _). ..:....... . Recorded copy of AgricultL ral Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. . . Letter of intent on building use . .......................................... Mobilehome utility clearance. ........ .................................. Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... When you issue the permit, process as follows: Mail to owner. ail to contractor. Telephone and hole for pickup at office. Deliver with inspector. Other 42 Parcel Creation c1 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 Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works PRE -'INSPECTION OWNER: J G �y �r�'/d F3�� v E� Gd>A/ - DATE /Vt LOCATION: J o-71 L o jE ^.,ye Ale- Ckico A.P. ir 3 010 CONTRACTOR: �G �•✓ c_F_ e Diet c-. ZONING 14' PRE -INSPECTION FOR: S�� e le- c7R t L PERMIT HISTORY: NONE _�_1 AS FOLLOWS: TYPE OF OCCUPANCY �� 3 BUILDING USAGE: TENNANT: DATE TO INSPECTOR FIELD - INFORMATION &-j v q-,6 deo, or, -.-c4 e d 6� cms4 I/r✓v.✓o v../ EOCCUPIED HAS ELECTRIC AS GAS HAS SANITATION FACILITIES �HEATED-COOLED PERSON CONTACTED CtitiC� OTHER COMMENTS: /"o ® ✓c .rule /% J S 4?-. C-> A- r,p otlC t2, 3 ACTIO RECOMMENDED: ISSUE 0 HOLD FOR OTHER: BY 'D DATE /2- 3 S 3 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1. 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 0A<e s-3YJj PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please co tact this office immediately. Date /� l� Inspector REV 10192 X. 039-12-0-034 93=3528. M, ATTENBERCER, VICKY 11071 LONE PINE, CHICO CONTR: AIR -ART H&AC HVAC/SF • � I .. } ��'� ,moi t��'e-y � `_ COUNTY OF BUTTE - DEPARTMENT'OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �- ' n ASSESSOR PARCEL NUMBER I .19-12-34 ZONING A-101 BUILDING PERMIT OWNER VICKY ATTENBERGERq TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1071 10TE,PINE CHTCO qc;()I?lq CONTRACTOR'S NAME AIR—ART JRr & C* TELEPHONE '89 CONTRACTOR'S MAILING ADDRESS I CONSTRUCTION LENDER 1407 Y ST UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 11071 .LONE PINE CHICO PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF fl Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation) Other ❑ AA Describework: NEW HEATING & AIR CONDITIONING UNITS PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ELECTRICAL PERMIT Main Service (OR LL 200AORLESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLDS. ) So. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) 3 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. 3 T$3 G Z Classification C - ? U ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWERAPPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Ex. Occup.FIXED APPWS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23,00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 0 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 15.001 Cooling 25.00 Hood 6.50 Ventilation PERMIT FEE $ 60.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 said County in consequence bf/the granting of this permit. Date /0 • -2 i' cf Signature of Applicant - ❑ 'Owner 0 Contractor ❑ Agent 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 $ 60.00 HAz• I D. FEES I IMP FLOOD I COF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable o the Butte unty Coded/or d/or Resolutions Indicat ab a for wqc-- S �e been DIRECTOR/0F)P B C WORKS . PERYIT EXPIRES ON lDe te) provisions to do work paid. ate 1 Receipt No. 6A -C417 717 /-v a� /l o ` WHITE-D.D.S.-B.D.CENARY-7tESSOR PINK -INSPECTOR- GOLDENROD -APPLICANT IF 7 COUNTY OF BUTTE - DEPARTMENT OF DiVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT � Z& ASSESSOR PARCEL NUMBER 3 ZONING BUILDING PERMIT ✓' OWNER VI K T TELEPHONE SQ. FT. OCC. BUILDING VALUAT104- OWNER'S MAILING ADDRESS 11071 LONECHIC0 Q9098 CONTRACTOR'S NAME AIR—ART HTG & AIC I TELEPHONE 80,5-14.20 CONTRACTOR'S MAILING ADDRESS QFaQPR Fireplace CONSTRUCTION LENDER 1407 AMOND S1 CHIUU LfdKftWN Total Valuation $ Filing Fee $ 20.00 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 11071 LONE PINE CHICO PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF P Duplex ❑ Mobilehome O Other Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 `- 20'00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation Other O Describework: NEW HEATING & AIR CONDITIONING UNITS PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ELECTRICAL PERMIT Main Service ( ZOOA OR LES ) 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLOS. ) S 3.50 �O,. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) 0.1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No.33S3oZ Z Classification C—O ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 100 B20AL. . Ex. Occup' FIXED APPWS. OR ( ) OUTLETS IRESID.) EA. 5.00 Temporary T Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 15 00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 60 00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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, cos , and expenses which may in any way accrue against said County in uence f t granting of this permit. Date /0- _Z —91 Signature of Applicant - O 'Owner I& Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures o er 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 6O -OO HAZ• 1 O. FEES I IMP I FLOOD I COF PARCEL PO HO ISSUE This permit is hereby issued u der tte-'ounty C a d/o ab a for w c fe s av D RECT OF P Ric PIRESol the applicable provisions esolutions to do work been paid. IC WORKS]Q�cl✓ ate /� sib -.7 (Date) D �� 0��I Receipt No. U LWHITE-D.D.S.-B.D. C NARY -A SSOR PINK -INSPECTOR GOLDENROD -APPLICANT �, `+r,,.r•."..��x� +Y rr.y;�tsi-.+��'.+.,....+Mrn+ara.,....�a'x-raw,v�� r � 3hn �..-� �ryj �y�.,a,�.-.ti,,r.r....-t...,,vy,.� COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION ., 7 COUNTY CENTER DRIVE - OROVILLE, CALIFgRNIA95965 -TELEPHONE (916) 538-7541 of PERMIT APPLICATION DATA SHEET OWNER 1A [ Proposed Building Use -,)i/- Nj -e 4- Iding Inspector A. P. No. _ L. Date I v At time of it application, I was advised the following data must be submitted prior to permit processing and/or issuance: ? DATE RECEIVED BY 1, All itemsthave 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 datg9nd mansfacturer's installation instructions, 2 sets. . �/ 10. Fees of$ �� ' :... �y....p.X?�„�r, ... �o' �r iq��% 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Fcrestry plan approval/fees. ....................... . 13. Flood elevation letter (100 )rear flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing pernit.......................................... 16. Plot plan and business licerse approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements ' (B) Drainage. .......... . 19. Driveway permit (construction approval required prior 1:6 occupancy). . . Pre -Inspection re tof - f 20. Pre -inspection for required. .. to Bu;Ie;n9 InBpector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (3iven 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% subc ivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired psrmits....................................... 32. Plan check list . .................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. ail to contractor. Telephone and hold -or pickup at office. Deliver with inspector. Other 7 Parcel Creation - Z 7 - c/3 Acreage Applica Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Healtfi'Dept. Fire Dept. Other Date By The following data must be submitted prior tc permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Plans checked by Cate Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works