HomeMy WebLinkAbout039-360-046n
70
39=36-46
D IS BIRD BURNS, W. 10-69 B
121 rchard Way, Chico _
Permit 86-83B,E(new detached -private
shop)
- 1218 Orchard Way, Chico -36-
39-36-46 (close in qarjoirtt for storage) .,
Permit#274-85B st2nd renewals/2 -
83) A
l'
39-36-46
Permitk217 6B(3rd renewal/286-83)
Perm' 2813- -
t
039-360-046 03-2825
. BIRD, DENNIS `
1218 ORCHARD WAY; CHICO �NALE ,
INSTALL PELLET STOVE
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-741, Z U,?�R NO.
(Rev. 12/96) APPLICATION AND PERMIT C (dkj (JG.
ASSESSOR PARC0.NUMBER0 _O -�' r
ZONING
BUILDING PERMIT
OWNER '
►r. I t�r1r"1(
TE .NONE33
� i-1
So. FT. OCC. BUILDING VALUATION
OWNIS MAIU�/ 50RESS r,C/
rIR
CONT
gg R'SNAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
• v
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS ' i f r (.I. / / (' J r I /
1 t I
Energy Plan Checking Fee $
$
�l�J �l�
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP'
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: �`y —�7'�
� i//t_. i lf+- �fyyc ! o ` 1 I�-I t��)
' )�{
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
p B
C t S} `l ` rl '
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLOB.
SO
3.5¢FT.
ULT
=REO='_O.
SID. I.Q!IR.I
@7,50
APPARATUS
a SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES
j
20 00
BAL ®1. 0
Ex. Occup. DUTIEEDTS RaID,G�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
�F3 I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
�—
X? Date
Signature of Applicant7- `O Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
GCC
CONST. TYPE
TOTAL FEE $ �.
HAZ.
p. FEES
IMP
I FLOOD
I CDF
PARCEL
pp
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.
! r, ✓ • _/- a'l�
BY Date
PERMIT EXPIRES ON i
Bfa
Receipt No. �� i0I Z S S ��
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(0) 538-7 P No.
(Rev. 12/96) APPLICATION AND PERMITS ��
ASSESSOR PARCEL NUMBERO�J,p _�` _0 _04J(47
ZONING
BUILDING PERMIT
OWNER N(,61 ^Y�i
1/ 1d ,
'+iN�j /
[
SO. FT. OCC. BUILDING VALUATION
. OWNEFt'$-MP 1 DRE r_Cha�/
�
�� ��,'S
CONT ME / t
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
Total Valuation $ 75
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
.�
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
I 1
�f; /VIl �//1
BUILDINGADDRESS ^ y t rel,
U � `/-
Energy Plan Checking Fee $
Z
$
PERMIT FEE S
_
LOT NO.
SUBDIVISIONS NAME
PARCEL MAPJ
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Le—Ar
j�
()Sul I I ��" ` , 1 ,
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ELK— W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 'O.AORLESS
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.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
-.Law for the following reason:
` I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to 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:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
�® I 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 Rrovisions.
X`\n.� Date 1` ,
Signature of Applicant-- Owner ❑ Contractor ❑ Agent
An OSHA permit Is required for excavations over 60" deep and demolition or construction
of structures over stories in height.
Main Service To 46.00So
CCU000A
NEW coNsr. owEUING occuP. 3.5QsO.
DWE200ALLING
OR ( FT
NEW coNST. MuACC. �
NON-RESID, CIRCUITS @7.50
POWER APPARATUS
S SINGLE OUTLET CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FDRUREs BAL @ .so
Ex. Occup. OFIx�LE�DSA A o) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina
23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. nPE
TOTAL FEE $ - t
I
HA2.
I D. FEES IMP
I FLOOD
779
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indica bove for w ' fees ave been paid.
, n
By Date
2 111 ✓ s
PERMIT EXPIRES ON J�
Date
//3
Receipt No. 10 7, ,0Q
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
:: Y= utte Count
L A N D O F NATURAL WEALTH A N D B E A U T Y
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
September 11, 2003
Jett Financial Services, Inc.
2555 Camino Del Rio South Ste. 205
San Diego, CA 92108
ATTN: Devi Nelson
Re: 100% Rebuild -Burn -down letter for 1218 Orchard Way, Chico, CA, (APN 039-360-046).
Dear Mrs. Nelson;
The above referenced parcel is currently zoned SR -1 (Suburban Residential, 1 acre minimum). This
zone allows for a single-family dwelling.
This parcel is a.34 acre parcel,which was created before the SR -1 zone, and is considered a legal pre-
existing non -conforming parcel.
Should the dwelling be catastrophically destroyed it may be reconstructed, provided it will not be
placed within the required building setback areas and meets sanitation codes in effect at the time of
reconstruction.
The setback requirements for the SR -1 zoning are 50 feet from the center of the road and 10 feet side
and rear yard property lines.
Should you have any further questions, please contact this office between the hours of 8:00 a.m. and
4:00 p.m., Monday through Friday, at 530-538-7977.
Sincerely,
arry Painter
Planning Technician II
CC: Development Services, Building Division
Butte County Department of Development Services Planning Division
PERMIT NO.
Pi ., R SE�+d rc<.� �.�—> PERMIT EXPIRES lJY
orb
OWNER DENNIS BIRD
CONTR. Owner
�Lvp ASSESSOR PARCEL 1218 Orchard Way, Chico
3 a LOCATION 39-36-46 _
4Y
'w
q
k
Y
Temp. Power Pole
I Called PG&E
r
+ Temp. Elec. Service /
Called PG&E
3�
Temp. Gas Service -
r
Called PG&E 4-4
JOB FINALE[
Signature
I
I
J" = OK
0 = Not OK
Not Applicable
= Not Ready
MOBILEHOMES
{ MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s _
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. fPlans) OK except #'s
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch ,
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing__
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures -
6. Carports: Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except #'s V
1. Setbacks -Easements -
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
_
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Card B-1
Date Card -BI Date -
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
i
0 -_ Not Opt
- =
Not Applicable RESIDENTIAL (Single and Duplex)
Not Ready
Date
U D FLOOR Plans OK except N's
Date FRAMING (Continued)
V001-oning requirements -Setbacks -Easements
48 'Pe7ty Line Firewall & Openings
!±::Ztg., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth
4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- / /" Fig. Depth
. Stpoi'rs; Width -Headroom -Rise -Run -Landing -Fire Protection
..4r -Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth
5t/Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-4-StStemwalls, Main; Steel-Blockouts-Wrapped-Slab
'S. Stemwalls, Garage; Steel -Blockouts-Wrapped-S
idin :Naili'n -Veneer
ucco esh-Drip Screed-Fdn. Vents-Underflr. Access
T Piers -Fireplace Ftg.-Steel
54--U'Tazing Area -Glass Protection -Skylights -Plastic
-
-'8- D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
ear Walls; Nailing -Bolts
-9- Gas Pipe; Size -Anchors
-TU-Water Pipe; Test -Anchors -Regulator -Service Test
'Tr Electric; Underground
-T2- Plenums & Ducts; Clearance -Material -Support -Ins.
T3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card-Bl..96
Date? 4je Card -BI Date
Date FINA (Plans) OK except q's
Carte Date Card -BI Date
Date
_
PLUMBING (Permit) OK except k's
14. Water Ht.; Vent -Access -Combustion Air
5 Ext. Steps -Door & Sidelight Protection -Landings
57-6nmM-Detector
58r-Fu.Tiace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
M-ITIMom Exiting
17. Shower Pan; Test, First Floor -Tub Access
&__n:F"f. ath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
_ __19.
Gas Pipe; Size & Anchors
62 Sails
_
63i Ce -or Stove; Clearances -Hearth
_
64:-EM-0uilets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
_ 6 &-Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
666ntlets & Receptacles at Kit. Counter
Date
ELE , RICAL Permit OK except q's
Garage Fire Door; Swing -Landing -Closer
6&--A-U. Duct in Garage -Damper
---
2 Fixture & Transformer Clearance -Ins. Protection
ec. Receptacles Spacing -Lights &Switches at Doors
68.-W+F_Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
_
2 ize Boxes & No. of Conductors -Stapled
7g-y}y-_Elec. & Mech. Equip. Listed for Location
_
2 Installed Close to Edge of Studs & C.J.
7�eptacles in Garage; (G.F.I.)-Romex Protec.
--_
2 E Xip. ip. Ground made up w/Mech. Fasteners -Bond Gas &Water
l oam-Looked in Attic ❑Yes
25!-_ liance Circuits in Kitchen & Conductor Size
7a,-evard-f1e4s & Deck Construction -Post Caps
2V Subfeed Wire Size /:I.,/ ga. Cu or A A.C. Wire Size / / ga. Cu or AI
74,s_& Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
- -
—_
-
rirv?--Raug��irc. / / ga. Cu or Al -Oven Circ. / / ga. Cu or At,
n
Insulated Neutral _Yes ❑No
If SV'tee-Riser Conductors & Ground -Main Disconnect
75._FV"U vfig rrtsild.: Drive El Yes ❑ No; Walks E] Yes Yes No;
Planters ❑Yes ❑No
74.-6lae64,Brown-Finish
tip. Clearances; Panels-Motors-Mech. Equip.
77,-A-C--6LR4, Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
------
a9-tl"Mes Closet Light -Shower Light -_
78, vents n e Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
--
Card B -I
- - -----------
--------
Date Card -BI _ Date -_—
79. I Disconnect, Electrical, Plumbing
lec. Trim; G.F.I. Receptacle -Underground
9k--VSTfftlratron-throughout House
Card B -I
Date Card -BI Date
8s -Protection
Date
MECHANICAL (Permit) OK except #'s
83--e.,_ctions from Previous Inspections
84.--EasTest-Meters Tagged; Gas -Electric
31, A.C. Ducts: Insulation & Support -
85. -Wafer-& Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan: Exhaust above Insulation _
Condensate Drain _& Overilow; Size & Grade
8 rgY Compliance Certificate -Other Certificates
_____34.
Furnace-Vent;_Access-Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
-
Card -BI-
Card -BI
-- - - - ---- ------------------
Date -- Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except p's
Comments at Final:
_
_36. Sills; Proper Material &nc
--_
3 _ s; Studs -Nailing, Spacing & Bracing -Plates -Sound _
3 Rearing Walls over Girders & Floor Nailing___
------ --- — pro--- --
3 r t Stop in Walls (rat of)
4 tre stops; Furred Ceilings -Stairs -Chases -Tub
4V.Weader & Beam -Size & Bearing
W Hangers -Post Caps -Anchors -Connectors
i�.' Ing. Joist-Rftr. Ties-Purlin-Roof erac.- russ hthrig -Rfng.
F' eplace Ties or Type A Flue -Fireplace Throat
4 Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
�t6..-Bdrm. Windows or_Exiting Doors -Sill H_gL_& Dimensions___
arage Fire Protection Framing
(NOTE: Anentry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
�3,r
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
' r
IrVtA�,g!,
M jlG1/)-e1 All
' `r2
CST
Inspector�Date �! ��
COUNTY OF BUTTE - DEPART OF PUBLIC WORKS
-• 7 County Center Drive--Groville, California 95965 - Telephone 916/534-4541
APPLICATION AND 'PERMITAf
PERMIT NO.
ASSESSOR PARCEL NUMBER
W
ZONING
BUILDING PERMIT
Ow ff!;q£
T LEPHONE
SQ. FT. OCC. BUILDING VALUATION
0 vO
OWNER'S MAILI_lrNG ADDRESS /^ !
CONTRACT R'SNAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$2a too
-ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$' ,Vv
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS "
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
tC 14 tco
Water piping
5.00
LOT NO.
SUBDIVISION NAME
•
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system - 5 outlets
5.00
USE OF STRUCTVRE
SF ❑ Duplex ❑ Mobi lehome ❑ Other ZOd
STECI FY
-1
Building sewer
5.00
Mobile Home IS1G W
el
—10-00
TYPE OF WORK '
New[p' AdditionRemodel� Utilities❑ Installation❑ Other ❑
Describe work: ��/ Glg�� —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. C ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9; Div. 3 of the Business "20@s0
and Professions Code and m license is in full foe and effect.
y rc
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 CONSTR ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &
NON-RESID, SINGLE OUTLET CIR.
1
Ts OR FIXTURES BAL@30C
Ex. Occ20@50(:IXED
PLNS
D )EA.1 2.00 IF
Ex. Occup. ou LETS (RESIR
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
kw s��o
_
Permit F e / $
Contractor DLZ/Aad
MECHANICAL PERMIT
Filing Fee 10.00
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.
i
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 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
I to building construction, and hereby authorize representatives of the Countyot
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
against said County in conseq ce of the granting of this permit.
X Date A ' 3 V-)
Signature of Applicant — w Contractor ❑ 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 $
TOTAL PERMIT FEE $h1w.O
Occup. GROUP
M_/
TYPE k7T.
Tf—
-�-
PARCE
PD HD
ss0
This permit is hereby issued under
sions of the Butte Count Code and/or
work indicated above for which
DIREC PUBLIC
OR F
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DatevZ--r
Receipt No. 2/�9�
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY QF.BUTTE- -D'E70ARTMENT O ELIC WORKS - BUILDING DIVISION
a 7 COUNTY CENTER DRIVE 1'_'`dR6VILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
4 k" PERMIT APPLICATION DATA SHEET {'''
7
Permit No.
OWNER �2�c% S✓//LC/ A. P. No. �� .7l
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price l�PW Valuation
___,=,__�Other (Explain)
Building Inspector �. /ice X/Gq Date
At time of permit application,'[ was advised h allowing data must be submitted prior to permit processing
and/or ISSUance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . .
4. Complete engineered plans and calcs. . . • . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
9..-�Letter of signature authorization. . . . . . . . . .
(�. Sanitation approval from �i�%�� Health Dept.
��� ���11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13 --Contractor's License Information' (no., name style, classif.)
D,C //14, Owner -Builder Verification (Given to owner ail to owner El K=,E
15. Improvements may be required. . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . .". .
Pre-Inspec. request to
17. Pre -Inspection for Required, Building Inspector (pole)
18. Other
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 �.
pp t�ta�a• f� �f
' A l icant V, Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan check ing'•process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1.. Index permit for above Items`No. r
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone / Mail Other
By AZ Date
Plans checked b Date •'
Plans approved by Date'
P41 'r
Other.
Copy -DPW
TO: Building Department r:
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
ti
YI lZl 39
Owner Location AP#
Plan'approved for:A" sewage disposal -tom- water supply
Hold final for: water supply
Final clearance O.K. for: water supply
Clearance for bedroom mobile home. Others
Lb
Note***
Sanitarian
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has.been applied for in your nameand bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and m terials for construction
of the proposed property improvement (yes or no) .
2. I (have/have not) \ c S- AV signed an application for a building
permit for the propos4d work.
3. I have contracted with the
construction:
Name
Address
Phone
following person (firm) to provide the proposed
Contractors License No.
City,
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
.. -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 cam.
Social Security number -
Date73-3 - t-
i
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
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
`7'Cbunty Center -•Drive, Oroville, CA. 95965
Dennis Bird
1218 Orchard Way
Chico, CA 95926
With reference to the above subject:
Attached is:
Application for permit
Building Plans
Engr. Calcs
Labor Code Information
OTHER
DATE
PHONE: 916-534-4541
February 7, 1983
RE:. Building Permit Application for
Shop Building (#286-83)
A. P. #
Mobilehome Utilities Installation Sheet
Mobilehome Installation Information Sheet
Typical Plan Sheet
List of Codes Enforced
/ X/ We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption
/ X/
statement.
Contractors License Law information or check exemption statement.
Letter authorizing signature of
Complete plans in including plot plans.
Plot plans in y
Structural details in .
Complete plans in' prepared by registered civil engineer or
architect.
Engr. calcs.
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
.'Oroville, for
Copy of recorded parcel declaration.
Recorded copy of deed showing -
1st
what types of work may be done within the building.
The above letter is necessary to make a determination of how to plan check
Please be specific in your letter. Also your phone number may be -helpful if
further information is necessary.
Should you have•any questions concerning the above, please contact this office.
JFG:dd
Yours very truly,
Clay Castleberry
Director of Publi Works
Glan er
Chief Building Inspector,
COUNTY OF BUTTE- DEP'AI IWEr,T OF PUBLIC WORKS
7 County Center Drive'- Oroville, Ca')ifomia 95965 - Telephone 916/534-4541
APPLICATION AND,PERMIT
PERMIT N;4-
.A
ASSESSOR PARCEL NUMBER e.
39-36-46
ZONIN Z. '' •y
BUILDING PERMIT
OWNER - -
Dennis Bird
TELEPH NE `"
891-3391
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1218 Orchard Way, Chico
CONTRAC OR'S NAME
owner
TELEPHONE
1St &
2nd renewals
CONTRACTOR'S MAILI G ADDRESS '
•
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee 3- FEE X 2
$ 90.00
ARCHITECT OR ENGINEER
LICENSE 'N O:'
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Permit fee
$ 1
BUILDING ADDRESS < - �
"
PLUMBING PERMIT
Filing Fee 10.00
1218 Orchard Way
Each Trap
2.00
Solar Water Heater
20.00
ChiCO
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other det . Ori. shop
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
_10.00e4
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑
Describe work:
1st to 2nd renewals permit #286-83
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ACC. BLDGS.
I 2/20Sgft
-
CONTRACTORS LICENSE LAW
I declare under pen ty 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.
\ L' o. Classification
I as the owne or my employees with wages as their sole compen-
.atIon, wl o 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 thisea on
NEW CONSTR ULTI.OUT LET
NON•R ESBRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON RES D, SINGLE OUTLET CIR.
Ex. Occu 20®sae
P.OUTLE OR FIXTURES BALaso
FIXED A
Ex. OCCUp. OUTLETS PRESID )LNS REA.)
2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare undefroenalty 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.
MECHANICAL PERMIT
FiIingFee 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
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
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
ainst said County in consequepce f the granting of this permit.
`_`�^
Date
igna,ur. of Applicant — Owne;X Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or constrpct-
ion of structures ovestories inheight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 100-00
OCCUP, GROUP
I TYPE OF CONST.
PARCEL
PD
HD I
ISSUE
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.
RECTO UB IC WORKS
14 .1 1 44 A,
By ate
PERMIT EXPIRES o e_ 2/9/86
/3
Receipt No. -3,9-1 5 /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
•�� 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no).
2. I (have/have not) A4\) C 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 Al
Address. City
Phone Contractors License No.
4.• I plan.to provide portions of this work, but I have hired the following
person tocpp��ordinate, supervise, and provide the major work:
Name dJ A -A
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:r
Property Owner Z,4�. , ',A.
Social Security number
Date
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
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7,County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND -PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT r
Ow ER
TELEPHONE
1921=1 9/
SQ. FT. OCC. BUILDING VALUATION
O'WNER'S M ILIN ADDRE S
-CONTRACTOR'S NAME
HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking F&
$
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
Ce
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 [IDuplex❑ Mobilehome❑ Other,Ar'/Ueap- & ��*rl <
f SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation❑ OtheA
Describe work: _
6
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
Main service EA, ADD'L 100 AMP
2.50
ONTRACTORS LICENSE LAW
I declare under pen ty of perjury (check one :
)
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
and Professions Code and my license is in full force and effect.
\ Lill 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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.y
OR ACDNS. ACC. BLDGS. /zQsgft
`
NEW CONSTR.MULTI-OUTLET 2.SOea
NON.RESID BRANCH CIRC ITS '
(POWER APPARATUS e�
(SINGLE OUTLET CIR.
zo®soe
EX, Occup OUTLETS OR FIXTURES eAL030
Ex. Occup. OUTLETS ((RESID IREAJ 2.00 -
4
Temporary service 10.00 -,ti_"'_��,;�.
Mobile Home Facilities 15.00
Misc. INirin g 15.00
Permit Fee $
ORKMEN'S COMPENSATION INSURANCE
I declare and 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
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.
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
st sai�County in seq�u a of the granting of this permit.
(3,'z
X Date C` J � -3
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.T
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $®CJS
occu P.
CONST.TYP!
I
JFLOOoJPARCr1J
PD ND
ISSuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
OF PUBLIC
By 771
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /-3o-1?&
�_
Receipt No.
WHIT!-D.P.W., YELLOW-ASSCSSO R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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 major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not)4te_ _ 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
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
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
s
Signed:
Property Owner�>
Social•Security er
Date I_Q3o ti 16
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND -PERMIT
PERMIT NO
ASSESSOR PARCEL NUMBER
_39— 3 (a
ZONI G
BUILDING PERMIT
OWNER ((� 1 (� v
Q)42 "tS
TELEPHONE
339t
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS nn ,
r CAS l�V 1 U
CONTRACTOR'S NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
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
G
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 ll
SFDuplex❑ Mobilehome❑ Other \'. S 8 S r
SP Cl FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New❑ Addition❑ Remodel[] Utilities❑ Installation[] Other ❑
Describe work: -::IrV s4al/ S1..b A"a� a-+-
S
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FiIin9 Fee 10.00
V OR
Main service 100 AMP ORLESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El am licensed under provisions Of Chapt. 9, Div. 3 of the BuSIneSS
and Professions Code and my license is in full force and effect.
Icense 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)
F1 I,
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.tr CC. BLDGS. ,
New CONSTR.` A 1 h¢sgft
MULTI -OUTLET
NON.RESID BRANCH CIRCUITS)— 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occu 20050t
Occup(OUTLETS OR FIXTURES . eAL®30
FIXED APLNS.
Ex. Occup. OUTLETS PRESID )REA.) 2.00
Temporary service 10.00
Home Facilities 15.00
g Misc. Wiring 15.00 , U a
Permit Fee $ .0a
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 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 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
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
against said County in cons quence of the granting of this permit. i
%� Date 9'- / �_ 8
Signature of Applicant — Owner Contractor ❑ 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 $
TOTAL PERMIT FEE $ S'. v b
occu P.
CONST*TYPEJ
FLAOD
PARCEL
PD
ND
59UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IR F PUBLIC
BY
PERMIT EXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 9 7
Receipt No. (�, 3 a CTIT
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
p
���t,*�� ��. y',:.'ac � u..-y-"..t•sr 44x^„Wk ; r7_
Al
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5!
`7
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12X h I I T�
I •V&�*� me I■AAAA ====. 1.
■ & twooliew
§0Jv- its 134#- 9 -a*, 1330 i=377 AP 1 i 0 Z-17. 7-1. 30), •is •30*1 010L *.a w OR bl000 low
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i - 1. .. , . . 3 r
earvow CHM i I -
8. 134, To- 130, 12s, 3 Va. .6 To W—.. .
"VASERS 12" STANDUO STW GRAM HEM41K 24 Of NDI-M OR AS N=0 ON VEWN
214 3fAftOA40 04 3TU9 GUSUE NE84-FIR FOO w(e ptp&ER&a a".
3PAW-rd-Irr-A-rSPACED 24.00 o
2 PITCH .e
4.011L 4/3 CONFIGURATION.
LL*DL Oft ROOF a 23:0 P3F-'.:"'
WON CEILING 2' 10.0 P3F- 6"
TOTAL CE31GR LOAD z n.0 P3F 9
Off PANEL POINT SPL S P3F CEILING QEDUCTIOM.TAICEN,
94*014.5*1`44... ..TO'
AXIAL 3T4E33 ONLY:'
-VCRfA3E a
PEAR JOINT DETim LOAD DURATION 1. .25
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R-3/14/84 GD (j f Co
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COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
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 major labor and materials for construction of
the proposed property improvement (yes or no) gLaJ
2. I (have/have not) i signed an application for a building permit
. for the proposed work.
3. I haves
constru
Name _
Address
Phone
4.
ontracted with the following person (firm) to provide the proposed
tion:
I plan to provido
to coordinate, su
Name
Address
Phone
City
Contractors License No.
portions of this work, but I have hired the following person
'e,rvise, and provide the major work:
Contractors License No.
City
5. I will provide some of therk but I have contracted (hired) the following
persons to provide the work i icated:
Name Address Phone Type of Work
Signed:
Property Owner _
Social Security Number
Date f — lep— —P
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.
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Th;E—soo,,cof plans and spec liicai ons MUST ha
NQTE, All lvlaterials & °�l' kmanship Shall Be i" l; pt on +l it-, job at ill[ j'r vs and i 11s uttlav>{iO fc
R� Y
Accordance wl'.li 'Rcccogila ,&Qd Goo, tPractices an m�6, any air>�r, ,�� f rw a:r r 4;YR�ns r. 1 sama V�"110u'
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of a qut�lity prcwc,"no l .�, wrii�ten P �rrn.sslr�r� +.o.
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