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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 '�T�•�•....:.n,-a .,�. ..,yam.•::.:efr.nr,.Y.,,Y.�i�F.�+�s•3tralva^1src�;�.e+awciwm,.--,,.«r �r�tt,t-"g'��'4�f�':":sib"�i11�!'-`•".�6':lE'iXi+`NN 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 `1 1 /5 \ (15 \ �64j 4 j911- i D BK PG a / ;3 �ir�JIa(2c ONROp � �911 E' J \ /•,:isi,-•' D ` SOAD .71 JOHN CROUCH SUB. M.O.R. Bk.6Pg.6/ U•,: Assessor's Map No. 39- /9 County of Butte, Calif. March, /953 Mi 3S '•! U.B4c ron N r `1 1 /5 \ (15 \ �64j 4 j911- i D BK PG a / ;3 �ir�JIa(2c ONROp � �911 E' J \ /•,:isi,-•' D ` SOAD .71 JOHN CROUCH SUB. M.O.R. Bk.6Pg.6/ U•,: Assessor's Map No. 39- /9 County of Butte, Calif. March, /953 r',MRJ V o� 0.84c m JFTI I b r7 V V V 11 ✓ V Lr. I L I IV. I got ` . IFI. 4.00 &Mr........ Vt , Tax Area Code 62- 03 :\ \ 64 0. BAC i 400' ��.4-19 4/ \ `O BK i P� b � 13' JQr 65 ROAD i 1911 N� aN00NE0 / 66 / \ 1811 1�2/ RpAp AB '} Sa l ? QIA C \ � \ 135 \ \\ .�•t 8 \� \ 6 \ 5603 A \\ 12 \ 196� 53.47Ac \ \ \ of \ \ \4. 8 �E 40 06. 0'90C,� V E \ ; �'S -. � •. z C� 0 51 E V E 19 3R \ 112 \\ •s9 e E Biu �-'' :� t,��: III \ i, V 7 i', r'•{"'��J2�, AC. ,- 43.51 ti 16AC. -: m u c% IAssessor's Map No. 39- /9 ✓OHN oCROUCH SUB. N.O.R. Bk.6 Pg.B/ 'r County of :Butte, Calif. Morch, /95.3