HomeMy WebLinkAbout039-190-030039L19-0-030 92-3009 B
BOWEN, Royce
10687 Lone Pine Ave, Chicor5-
3
reroof/sf
039-19-0-030 #98-2726
CHRISMAN, LARRY
10687 LONE PINE AVE. CIECO
Z1NKS REMODEL/�/J,VG /z�%/'-�g
ELEC SERVICE CHG
039'-i9-a-a�
15
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03949=0-030 #98-2726.
CHRISMAN, LARRY
10687 LONE PINE AVE. CHICO
ZINKS REMODEL
ELEC SERVICE CHG
0
1
' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� � P.ERMT`�O
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
01. 19=0=03n
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
7
SO. FT, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
30687 TONE PIKE 0ME, CHICO
CONTRACTOR'S NAME
7INKO
TELEP ONE
CONTRACTORS MAILING ADDRESS
9201,
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
$
BUILDINJbg §J 1..01E PINE AVE, CHICO
Ute
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑x 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: II'EC SER CH
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A OR LESS
23.00 3 •
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. t
License Class 5 Lic. No. 1506
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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby, affirm under penalty of perjury one of the following declarations:
dl'l 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.
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 StrAtx Co* -%rte k" G"V,e-I
Main Service TO
46.00
CCU000A
WEE200A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a Acc. BLDs.
SO
3.50'
NEW CONS MULTI.OUTLET
NO.FIESID. BRANC,
97.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET
Bn� � I;w
Ex. Occup. OFIxsRa O.R.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PKE
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number I. )y%. t 11?AICI
(The above sections' leted if the permd is for work of a valuation
t b completed p
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.
t
X ,.-.ice. Date - Z�% Cf _
Signature 61 App cant- ❑ Owner ❑ Contractor50 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $�
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
indicated above for which fees have been paid.
j� ' / Z - C�• f
By Date l
PERMIT EXPIRES ON�
Date
Receipt No. 251341
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 q8_
T N
(Rev, 12/96) APPLICATION AND PERMIT 7'
ASSESSOR PARCEL NUMBER
039-19-0-030
ZONING
BUILDING PERMIT
OWNER
LARRY QTHRISMAN
TELEPHONE
932-6464
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
10687 TONE PINE AVENTIE, C.14TC.0
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
P Q BOX 9281-1 CHICO CA 95998
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 $
BUILDIN�l�DjiS�S LONE PINE AVE, CHICO
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
X
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ELEC SER CH
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 Fling Fee 20.00
Main Service '*DA 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.POWER
License Class Lic. No. &5� �C�6
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200AWEE TO I000A 46.00
NEW CONST. OEWNGOCCUP. SO
OR AODNS. ( 8 A.C. BLDS. 3.5QFT.
" N'.RESD MULTI.OUTLETU. 97.50
APPARATUS
i SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FDCTURES fl4l .50
REA. 5.00
Ex. Occup. oFiITIFTs QS GE
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PRE INSP 23.00
PERMIT FEE s
66 00
WORKERS' COMPENSATION DECLARATION
1 her affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
jxerformance of the work for which this permit is issued.
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 Si0.JQ, Lo.N 7 1115c:
Policy Number'II 3 0j-1 - l Jvt I JF l tC
(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 co ply with those provisions.
X ��-��D11aate i ( -ZV b
Signature of App cant - ❑ Owner ❑ Contractors Agent
An OSHA permit is required for excavations over 5'0' dee . and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP I
FLOOD
I COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whic fees have been paid.
By Date Z _ 7 -
PERMIT EXPIRES ONi?--- T — f
(Date)
ReceiptNo. 251 341
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
A96ESS0 PARCEL NUMBER
03� - 1 - G30
ZONING
BUILDING PERMIT
OWNER
Lcxrr. Ch✓tsma.--\
TELEPHONE
532-(oe4
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
10 6 c6 —7 (_.a • p- Z Cj
CONTRACTOR'S NAME
Z t yN V - o P_1P VVI\ C)C"_a-1
TELEPHONE
'; -(o4 &e4CONTRACT�
ADDRESS c 0BOX �/C7U-
..I�
CONSTRUCTION LENDER
LENDER'S -MAILING ADDRESS
Fire lace
Total Valuation E
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
SUILDING ADDRESS/
IZ.A_Energy
Plan Checking Fee $
0 1-110
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
BPECFV
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 ❑ Utirfies ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home FKG W
Q20.00
PERMIT FEE _
ELECTRICAL PERMIT
Fling Fee 2 0. 00
Main Service porviAon,ss
23.00 ,06
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
License Class _ - ic. No. _ _ _ G15 3 Sa ✓
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project
❑ I am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
GI -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 ,S Zc _ CA Ali (3 1✓A �c CL v. cl
Policy Number "7 L 3 - 01 .7 y n A k- t g,S� 1
(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 tAseprovisions.
X Date, t ( Zd - Ct K
Signature of Applicant -�O Owner ❑ ContractorAgent
An OSHA permit is required for excavations over 60"d pnd demolition or construction
of structures over 3 stories in height
Main Service 100A TO t000A 46.00
NEw CONST. DwEuxao oxuP. 3,5¢sO.
OR ADDNS. ( 8 ACC. SLOS. FT.
NEW GUM .MULTI.O
NON-RESID. AlTLEr @7.50
POWER APPARATUS
a swoLE oun Et C.
Ex. Occup. OUTLET OR FIXTURES BAL 0 .50
LNIS
Ex. Occup. uTLETs PESID.°EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Miring 23.00
7-a
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= S
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST TYPE
TOTAL FEE $
f
D FEEs IMP
FLOOD
CDF
PARCEL
PD
HD
ssUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMIT EXPIRES ON
(Dafo
provisions
to do work
paid.
ReceiptNo. 'Z-S13Y4
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�Gl S PRE -INSPECTION
GWNER:
LOCATION: /b G of 7 /�O %,�•-�� �� o
DATE
A.P. # a3�-i9U��sa
CONTRACTOR: 6 s ,f ZONING
PRE -INSPECTION FOR : o r- - ,S �/� v/cam_ nit Q •-r� _�
DATE TO INSPECTOR
PERMIT HI STORY : NONE AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
OCCUPIED L] 'HAS ELECTRIC HAS GAS [::]HAS SANITATION FACILITIES,
[� HEATED -COOLED ED PERSON CONTACTED
OTHER COMMENTS:
ACTION RECOMMENDED: _
d ISSUE 0 HOLD FOR y
OTHER:
�• rpt. �,t.,fi.T'�Lfi •,i.'�, K.,��,'LA'�+,q�y��,yy�y A� jj��;�Fy�v�'���`p�t�wl.{1S-�'�L rte,, '3' , ppC - Ya�-p.�� � y(!�ryp �1, '�,�':;'�j� i"��fs•.>`,:a�• .�, i�" a �vr`�l�r'rµ��,ki.��'� :�..r' �a�,-.-•
4pA �',�y� `�Ai Th'^mi�fY�i�..sf .Ai��0.i}+�J���t"4'�r�N�F�`T ^,:f"����'�'°^. ✓c_2 %'S�b°�a61T'i� � Alx�. ����e � � 1y_ �J.
t1 41Re�J•'..a�'�,S,o �.`7 3!` o ., _ .. _. .. o o ,. � m � ., on _ �� _�'tihl x�1<` � a
F
-0-030 92-3009 B
Royce
one Pine Ave, Chico
/sf
0
e
COMPLAINANT:
ADDRESS:
PHONE NUMBER:
OTHER COMMENTS:
s
4
039-19-0-030. T 92-3009'B
BOWEN, Royce
10687 Lone Pine Ave, Chico
reroof/sf
Y"::: �; ?I ( — le� � F>
190-030
CC'UNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95885 - Telephone: 918.'538-7541,
APPLICATION AND PERMIT
Z 0 NIN
PERMIT NO.
Q
A-20 BUILDING PERMIT
WNan
Royce E. Bowen
t HONE
894-2001
SO. FT. OCC. BUILDING VALUATION
10 6nn-nn
WNER'3 MAILING AOORE33
918 Orient St., Chico 95926
I
�ONTRACTOR•3NAM
Owner
TELEPHONE
I
I '
ONTRACTOR•3 MAILING AOORE33
Fireplace
j
ON3TRUCTION LENOER
VNKNOWN
Total Valuation $ 600 00
Filing Fee
$ 15,00 j
,ENDER'3 MAI 41NG AOORESS _
o , . • I
Permit Fee
$ 16,50.
RCHITECT ORe;IENGINEER
`
LICENSE NO. =
Plan Checking Fee
$ 1
Energy Plan Checking Fee
$ING
•R CMITECT OR £NGINEER•3 MAILADDRESS '
• '
Penalty
S I
IUILOING AODRE33' - ..
Permit fee -
$31.50
PLUMBING PERMIT
Filing Fee 15.00 j
10687. Lone Pine, Chico
Each Trap
5.001
•
Solar or heat pump water heater
20.00 1
,OT NO.
SU601 SION NAME PARCEL MAP
t
Water piping
. 7.00 1
Each Qas water heater or vent
7.00
' USE OF STRUCTURE
F® Ouplex❑_'Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets
5,.00 j
Building sewer
15.001 i
Mobile Home S G W
@ 15.00
TYPE OF WORK ��ffFF'�
Vew ❑ Addition ❑ Remodel [i Utilities ❑ InstallationE] Other ❑
,escribe work: Reroof w/Comp.
Permit Fee
$
Contractor
!
ELECTRICAL PERMIT
Filing Fee 15.00
•
Main service 600v OR LESS
200A OR LESS
18.50
Main -service 20CATo 1000AI
37.501
CONTRACTORS LICENSE LAW
of perjury y (check one):
er ur
declare under penalty/
❑ 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
�- 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.&)
OR ADONS. ACC. SLOGS.
3.6t aq.ft.l
',EW CONSTR. '•UL7I.OU TLE?
VON.RE 510. BRANCH LK.Ts)
�@ 5.001
�PowER APPARATUS 6)
SINGLE: OUTLET CIR.
j
EX. OCcuo�oI;TLETS OR FIXTURES
20� 76d
PA a A
F''TEL APP LHS. OR
Ex. Occup. ourLSTs 1REs1o., EA.)
I 3.001
Temporary service
15.00
Mobile Home Facilities
1 15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
r- I have placed on file with the County of Butte Building Department
u a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shal I not employ any person in any manner so. as to become subject
to the W. C. laws of California.
datice to Applicant: If atter making this statement, should you become subjectpermit
o the W. C. provisions of the Labor Code, you must forthwith comply with such
Irovlsions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FilingFse 15.00
Heating
j
Cooling
j
Hood
1 6.501
Ventilation
j
Fee
$
Contractor
certify that I have read this application and state that the above information
s correct. I agree to comply to all County Ordinances and State Laws relating
o building construction, and hereby authorize representatives of the Countyot
3utte to enter upon the above-mentioned property,for inspection purposes.
also agree to save, indemnify and keep hermless'the County of Butte against
III liabilities, judgments, costs. and expenses which may in any way accrue
jgainst said County in conse�lence of the granting of this permit.
_n y,
Date
signature of Applicant — Owner C Contractor C Agent
Ln OSHA permit is requlrea For excavations over 5'0'• deep and demolition or construct•
an of structures over 3 stories in helgnt.
Receipt No. 1226Q3
Mobile Home Installation Fee S i
Energy Inspection Fee $
OCC I CONST TYPE
TOTAL FEE $ 31.50
I MAL 1 O FEES IMP L00D I CDf I PARCEL I PD I n0 I ISSUE
I I
This permit is hereby issued under the applicable provi-
sions of the Butte Cunty Code and/or resolutions to do
work moico a or which fees have been paid.
I O OF PUBLIC WORKS
By _ -` Date
PERMIT EXPIRES Gate 8' -2G -9S
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle,+'allfornie 95885 - Telephone: gle.'538-7541
APPS 600N AND PERMIT
ASSESSOR PAAC9L mUMSKR
039-190-030
ZONING
A-20
BUILDING PERMIT
OWNER
Royce E. Bowen
TELEPHONE
894-2001
SO. FT. OCC. BUILDING VALUATION
10 600 -no
OWNER'S MAILING ADORE33
918 Orient St., Chico 95926
CONTRACTOR'S NAM
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER .
UNKNOWN
Total Valuation $ 600.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$16,50.
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee -
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS. _ _ - ..
Permittee
$31.50
PLUMBING PERMIT
Filing Fee 15.00
10687.Lone Pine, Chico
Each Trap
I 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
SF® Duplex❑_ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK r -
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Li Other ❑
Describe work: Reroof w/Comp.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service OR SS
200A OR LESS
1 18.50 j
Main service 20CATO t000Ai
1 37.50
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 OCCUP.h
OR ADONS. ( ACC. SLOGS.
3641sglti
VEW CONSTR. -.ULTI.OUTr:I RC 'LE? ITS
VON.R E510. 9RANCH
^ 500
POWER APPARATUS &)
SINGLE OUTLET CIR. )
I
/
Ex. OCCUp\OUTLETS OR FIXTURES
120 75d
Pi(@ 46
F-XED APPLNS. OR
Ex. Occup. OUTLETS IRESIO., EA.)
1 3.001
Temporary service
15.00 I
Mobile Home Facilities
1
15.00 I
Misc. Wiring
g
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
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
FiIingFee 15.00
Heating
Cooling
g
'Hood
6.50 j
Ventilation.
permit Fee
S
LContractor
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 Countyor
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
_iPainst County in can ence of the granting of this permit.
Mobile Home Installation Fee $
Energy Inspection Fee $
-1
OCT CONST TYPE
TOTAL FEE $ 31.50
IAL .FEES IMP FLOOD CFF PAgCEL
PO MO SSUE
oats 9-
5ignature of Applicant — Owner Contractor E' Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
-on of structures over stories in height.
Receipt No. 1296QI
This permit is hereby issued under the applicable provi-
sions of the Butte C unty Code and/or resolutions to do
work indica or which fees have been paid.
I O OF PUBLIC WORKS
By _ • `— Date
PERMIT EXPIRES Gate
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
i -
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
r
PERMIT APPLICATION DATA SHEET
OWNER 2 O E. e- r�) o w -f . %J A. P. No.3 r -IF- 030
Proposed Building Use 5 +err UBuilding Inspector Date
At time time of eft -it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
OATS RECEIVED BY
1. All iterfls-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.•CiYr 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. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. Pre-In..spe. ction .. req.
e�s
u
20. Pre -inspection for required. .. to Building Inspector (Date)
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.
issue
Whe�gou issue thus i� grao�ess as follows: Mai tq owner. Mail to contractor.
! Telephone 771J`Y�'7 and hold for pickup at r1 ! e- y office. Deliver with inspector.
Other
Parcel Creation �-�L� � f��
Acreage Applicant �/" y 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
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle.°^allfornle 95885 - Telephone: 918.'538-7541
APPOCOON AND PERMIT
PERMIT NO.
A3si33 R FXAACKL NWM69A
D 3' p o p
ONIN
—.7--o
BUILDING PERMIT
Ow �� E`
T ,fi(, fi
SO. FT. OCC. BUILDING VALUATION
OWNF-SIMAIL.INf. AOOR633 t
CONTRACTOR'S NAME
�-^
V..r IBJ Q
T LEPMONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENOER
UNKNOWN
Total Valuation $
Filing Fee
$ 15,00
LENDER'S MAILING AOORE33
Permit Fee
$
ARCH I7 ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ,
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BU1�� /' ADDRESS L-0 A' e- e- ..
Permit fee
$ t p
PLUMBING PERMIT
Filing Fee 15.00
o
Each Trap
1 5.001
Solar or heat pump water heater
1 20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
.7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF -d Duplex❑ Mobilehome❑ Other
SPECt FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK �'J
New ❑ Addition Remodel ❑ Utilities ❑ Installationl�+ Other ❑
Describe work: �d Q'-1. �%
Permit Fee
$
Contractor
1
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200V OR LESS
001 OR LESS
18.50 1
Main service 20CATO 10o0At
37,501
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
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 OCCUP.EI�
OR ADDNS. ACC. BLDG.. I
3.6Csq.ft.l
•,Ew CON5TR ••ULT 1.OUTLET
NON.R�51D. BRANCH CIRC 'ITS
` 5.00
POWER APPARATUS 6
(SINGLE OUTLET CIR. )
I
Ex. Occup(OUTLETS OR FIXTURES
R 20 76d
F'XED APPLV5. OR
Ex. Occup. OUTLETS IRESIO.I EA.)
I 3.00 j
Temporary service
I 15.00
Mobile Home Facilities
15.00 I
Misc. Wiring
g
15.00
I
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
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
i
MECHANICAL PERMIT
Filing Fee 15.00
Heating
I I
Cooling
g
Hood
6.50
Ventilation.
Permit Fee
$
L.2ontractor
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 Iiabilittt�'es, judgments, costs, and expenses which may in any way accrue
against said County in cons uence of the granting of this permit.
X Date .�' -�5- f 2
Signature of pplicanr — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
-on of structures over J stories in height'.. / �
Receipt No. 1�/ 7 ! 1 5 (^J
Mobile Home Installation Fee $
Energy Inspection Fee $
a« I CONST TYPE TOTAL FEE $ S �7
1
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By _ Date
PERMIT EXPIRES Date
A
COUNTY OF BUTTE- = De"bartment of Public Works
7 County Center Drive,•Oroville, CA 95965 Phone: 916-53,9-7541
d
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
'unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the malpr labor and materials for construction of
the proposed property improvement yes or no) Y -e S
2. I hav /have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name IV
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name A/ 1A
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name _/ ^ Address Phone Type of Work
Signed:
Property Owner
Social Security Num a
Date f'--?_ 1=5 -1'Z_
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
N
r
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JOHN CROUCH SUB. M.O.R. Bk.6Pg.6/
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Assessor's Map No. 39- /9
County of Butte, Calif.
March, /953
Mi
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JOHN CROUCH SUB. M.O.R. Bk.6Pg.6/
U•,:
Assessor's Map No. 39- /9
County of Butte, Calif.
March, /953
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IAssessor's Map No. 39- /9
✓OHN oCROUCH SUB. N.O.R. Bk.6 Pg.B/
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County of :Butte, Calif.
Morch, /95.3