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-39-36-102
ANDY "HOUSE
641 Dayton 'Rd", 'Chico" '� "«�•
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER /h�
G 'w C�
-3 q!
ZONING
BUILDING PERMIT
OWNER �,
vl
TELEPHONE
l
SQ. FT. OCC. BUILDING VALUATION
OWNE 'S MAILING ADDRESS
CONTRACT OR'S NAME !1
Jrx _r
TELEPHONE
CONTRACTOR' MAILING ADDRESS
A, ,r- 4-- In
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S M (LING ADDRESS
r
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
G 17k ^I CZ0
Each Trap
2.00
C htr
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
SFf 76�1 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
T_
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: GlPG� �ep f "re I l Iles n!1 Q-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1100V DR LESS
00 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50 S`cJ
CONTRACTORS LICENSE LAW
I declare under penalty
p y of perjury Iur y (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.
(
i.�1 L —14 C� IU
License No. --r 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.61)
OR ADONS, l ACC. BLDGS. yzQsgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPAA
RTUS .2
(SINGLE OUTLET CIR. )
EX, Occup(OUTLETS OR FIXTURES .2z00030
ALP30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Is. Ou
Permit Fee $ 5Z SO
Contractor
WORKMEN'S COMPENSATION INSURANCE I
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
6`—"'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
pernit 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
against said County in consequence of the granting of this permit.
X Date C� �f r' r
Signature of Applicant — Owner ❑ Contractor LJ Agent ❑
An OSHA permit isrequired 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 $ , SU
occuP.
CON5T.TYPFJ
I
I FLOOD
PARCEL
PD
I ND I
Issue.
v/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR`OF PUBLIC
By. -:' / i. (�_-___
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/
Receipt No. exn/O
WHITE-O.P.W.. YELLOW-ASG[SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
%Gs•.: ;'K'1� COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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.
Inspector �� �6�� Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle— Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
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.
Inspector
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT Np.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �Y
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
_.<a _.
ZONI G
BUILDING PERMIT
OWNER AIV
v
TELEPH NE
"' C%%
SO. FT. OCC, BUILDING'VALUATION
OWNER//'$-XILI1f ADDR SS
rj QA
CONTRTOR'S NAME
T E-1—le-A,
TELEPHONE
-
CONTRACTOR' AI ING ADDRESS c
19 Awl 6V r- ,
Fireplace
CONSTRUCTIO LENDER
44
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S M ILING ADDRESS
Permit Fee
$
ARCHITECT R ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITENC71 OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
GJ bt, hi
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
r C. 04
Each Trap
2.00
Ght[ J
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
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: ��P.[i� S� Ir.,Lc e �.LcAn
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BDOV OR LESS
100 AMP OR LESS
10.00 le'), uta
Main Service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check -one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess' •ns Code d my license is in full force and effect.
4f—lo
License No. Classification C'�o
❑ 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.(M
NEW CONSTR.( A t
'TB
U OUTLET .500
NON -RE BRANCH BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Occup(z0050t
Ex. Occu p(OUTLETS OR FIXTURES DAL&30
FIXED PR
Ex. Occup. OUT LETS (RESID 1EA.7 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00 , d0
r S% dt�
Permit Fee $ D
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
E:]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.
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
ag nst said County in consequence f the ranting of this permit.
X,Me I (� � g� �-
S ���ttt��4d(h�l Date
Signature of Applicant — Owner ❑ Contractor i Agent ❑
An OSHA permit is required for excavations over S'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
CONST.TYPE
I FLOOD
PARCEL
PD
HD
S9UE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTO F PUBLIC
BY
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Z— r O
Receipt No. dy:5%b
WHITE-O.P.W., YELLOW-ASBC890R. PINK -INSPECTOR. GOLDENROD -APPLICANT
I
.. •-I, -f" ��� �f t.J,.�.� �r, iii„• .i+-'�+jRt•?l7yiE, '�;y.+e'��y7;:�+ t !'��`��+r. `-� •� 1`
�4•I Yj 7 _ -1• 4 ` stl r
COUNTY OF BUTTE - DEPARTMENTi.OF PUBLIC WORKS - BUIL-DING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, C#1LiF.QftNZ- 95965 -TELEPHONE: 916/538-75411
PERMIT APPLICATION -DATA SHEET
Permit No.
OWNER �^'a�/ �yvS� A. P. 114 o. =R 62 -Z0
Proposed Building Use EI-eJ S L Building Inspector Dat
At time of permit application, I was advised the following 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, signed by preparer of plans. _
3. Complete plans in duplicate/triplicate," signed by'preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for. Non -Heated. and AC Bu Idings.
8. Fees of. $ . . . . . . . .
9. L.e,t`te'r�o.f=signature authorization. . . . . . . . . .
10. San-iaati.on`'approvaI from _ 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.)
-,14. .Owner -Builder Verification (Given to owner❑, Mail to owner ❑) —
15. Improvements may be required. . . . . . . . .~ . . .
Mobi lehome Installation Data. . . . . . . . .
17. Pre -Inspection for G�-i __ �- Required, P.e-Inspen request to 3 _(Date)
p � - --- - ---- q Building Inspector
8. Recorded copy of Agricultural Acknowledgment Statement. r
19. Driveway Permit. —
20. Plot plan approval from city of _
21.
r
—22. — --
Whe you issue the permit, process as follows: Mail to owner; MaiI to contractor.
Telephone �93-RSSS� and hold for pickupg.b,,.n office, Deliver w/'inspector.
Other _ --
Applicant?���� �.ne
Copy of plans sent Health Dept.; Fire Dept., Other Date
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 --- nail—counter by date —
Contractor, designer, owner, was advised c' 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 -DPW
A/
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cafiforrda 95965 - Telephone: 916/538-7541
l
APPLICATION AND PERMIT
PERMIT NO.
ASSE55OH PARCEL UMB p
_ �, --
ZONI G
BUILDING PERMIT
OWNER
'N
TELEPH NE
3`% Ui
S0. FT. OCC.
BUILDING VALUATION
,'
OWNER'SM ILIN. ADD SS
J (7 N
CONTR TOR'S ME
T le C.
TELEPHONE
-
CONTRACTOR'S -MAI ING ADDRESS
_ T�'C� , 1 40
Firep ce
CONSTRUCTIO LENDER
UNKNOWN
Total al n
$
LENDER'S M (LING ADDRESS
Filing Fee 10. 997
Permit Fee $
ARCHITECT R ENGINEER
az
LICENSE No.
Plan Checking Fee $
AR CHIT C OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
Penalty
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT iii
Each Trap 2.
Chic J
Solar or heat pump water heater 2 .00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping 5,00
Each qas water heater or vent 5,00
USE OF STRUCTURE
SFX Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S G W 10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: %1r -C4- C h InrQ! Z _
43
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100V OR 0 AMP ORLESS10.00
_
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 Profess ns Code d my license is in full force and effect.
License No. Classification (f—ICO
EJFIXED
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)
ElI, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
EJI am exempt under Sec. , Business and Professions Code
for this reason
Main service EA, ADD•L 100 AMP 2,550
NEW CONST. ( DWELLING OCCUP.&
OR ADONS. ( ACC. BLDGS. 2/20sgft
NEW CONSTR U TI -OUTLET
NON.RESID BRANCH CIRCUITS) 2.50 ea
/ POWER APPARATUS 8,
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES 200 0—t
o ALO 30
APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2,00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00t10
11,
Permit Fee $ ! C7
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.
11 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
Hood 300
Ventilation
rmit F
peee $
Contractor
I certify that I have read this application and state that the above information
is correct. 1 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.
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
ey nst said County in consequence f the ranting of this permit.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $jj
OCCUP,
CON]T.TYPE
FLOOD
PAPrEL
Po
,�l39UE
XGi7't�i�� Date
Signature of Applicant — Owner ❑ Contractor R Agent ❑
An OSHA deiFfiit is r quir6d for excavations over 5'0" deep and demolition or construct-
ion 3.j; t'riyctJ[i!S bwat a� st'aries in held•:.
Rec'e-iol Nb.
_-
[^O. P. 19., TCL Low. A35FSSOR. P• •_ -- - —
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
p irn)tt7 CY01117cle rn...
Date