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HomeMy WebLinkAbout039-380-012' � ^ ~_� � 7-f n ' } / -----_—_ --__ _ . � ) | � |' | � ' � ^ ~_� � 7-f n ' } / ' � ^ ~_� � 7-f n 4 Mar, 7yc..T...ATjr Ij�1�F. JO6,jMP'r,,,y .r�, j. y. COUNTY OF BUTTE -'DEPA NT OF PUBLIC WORKS PERMIT NO. 1 7 County Center Drive'- Oroville, Cali 95965 - Telephone: 9,16/538-7541 1 APPLICATION N .PERMIT ASSESSOR P R EL NiJMBER ZONING SR -1 BUILDING PERMIT owNEq a {{dri `­>Mmiorie Freese - Estate of TELEPHONE 345-9583 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2176 Mulberry St. CHico 95926 CONTRACTOR'SNAME Owners Estate 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 1194 M Tian Ave., Chico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFU. Duplex❑ Mobilehome❑ Other i I :t 1 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: Electric Service Upgrade j Permit Fee $ Contractor ELECTRICAL PERMIT Filing.Fee 10.00 00V OR Main service 100 AMP ORSLESS 1 10.00 10.00 Main service EA. ADO'L too AMP 2.50 CONTRACTORS LICENSE LAW I 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 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.E OR ADDNS. ( ACC. BLDGS. 2,/h¢Sgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 120 0 50C eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 1 2.00 Temporary service 10:00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15.00 Pre -Inspection 1 15.00 15.00 Permit Fee $ 50.00 Contractor 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. MECHANICAL PERMIT Filing Fee 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. 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 agalns ai Count n con quence ¢f�Jhe gra .,g of this permit. /� c�c�e. tI 1, 4 9l'/ X / Date / (/ 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. 9 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 50.00 HAz CUA PARK SCHL FLD PAR PD HD Is This permit is hereby issued under sions of the Butte County Code and/or ve for which fees TOR OF �UBLIC woi7t! By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS / Dat 2rJ/�i ReceiptNo. 3 SS WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT FA PRE -INSPECTION ,s > _ "uWN r R :�rr��'� O l "(/dRJ ' i4il /a S �, DATE 3 Ste, LOCATION: c% !/ 0* -^f I!2 p Cali �-� A. P. # CONTRACTOR: - ® Li rJ� � ZONING S , PRE -INSPECTION FOR: �4rA d C S AI v/ DATE TO INSPECTOR PERMIT HISTORY: NONE Ej AS FOLLOWS: t TYPE OF OCCUPANCY --� FIELD - INFORMATION BUILDING USAGE:—s S 1r4G uo, FAmcc q w if -u 1, fG TENNANT: C�l 0 -6 [� OCCUPIED HAS ELECTRIC -HAS GAS HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: e4,v cJ UE.2r¢� 61,1 A 0 01A 11 - AC ON RECOMMENDED: ISSUE OTHER: BY /1 tiJL HOLD FOR DATE - I - Z9 -90 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLIGr�TION AND PERMIT PERMIT NO. �1 ASSESSOR PARCEL NUMBER 3Q_3R_1 ZONING SR -1 BUILDING PERMIT OWNEmarlone 7Ma 'o ie Freese —Estate of ,TELEPHONE 345-9583 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 2176 Mulberry St., CHico 95926 CONTRACTOR'SNAME Owners TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 1194 Marian Ave., Chico Each Trap 1., 2.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF KI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: F1 Prtri r SPrvi re 111).2rgdp _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 1 10.00 10,00 Main service EA. ADD'L 100 AMP 2.50 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 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.t! OR ADDNS. ACC. . , h¢sgft MULTI -OUTLET NEW CONST R. RANCH CIRCUITS) NON-RESID BRANCH CIRC ITS 2.50ea (POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20030t SAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 15.00 Pre—Inspection .0 15.00 Permit Fee $ 50.00 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation penult 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 )aid Count con uenc he gra this permit. (�(—� ?J.. — 9C) X Date ( Si natur of Applicant — Owner' g pp Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL $ E FEE 50.00 HAz CLIA PARK E I PAR JP0JHDJ Is " This permit is hereby issued under sions or the Butte County Code and/or work Indic ted above for which fees D RE OR 0 UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date r✓- Receipt No. ✓ �S g WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - D PARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orly ifle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 5 3 Q. `O"R_ j BUILDING PERMIT + OWNER �A T.LEPHONE SO. FT. OCC. BUILDING VALUATION Y11- 5SV& OW E �LING� D%ORE �S /D 72 CONTRACTOR'S NAME 1 > -t V /e&,.S rYI %� � -ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSRUCTION LENDER T 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 L/A/yft-z'J 1 'V Each Trap 2.00 J G Solar. or heat pump water heater 20.00 Water piping 5.00 LOT I, fl SION NAMES.` ' PARCEL MAP SU S `y Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Building sewer 5.00 Duplex❑ Mobilehome❑ Other SF SPECIFY Mobile Home S G W 0.00e TYPE OF WORK New Addition ❑ Remodel❑ Utilities(] Installation❑ Other(fSr Permit Fee $ L- G�y� 3-C4Jf C'e— �, r_4AgLe Contractor Describe work: ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW Main service EA. ADD'L 100 AMP NEW CONST. DWELLING OCCUR -8i) OR ADONS. ACC. SLOGS. 2.50 2yz¢sgft I declare under penalty of perjury (Check One): NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea ❑ I am. licensed under provisions of Chapt. 9, Div. 3 of the Business SINGLE OUTLETTCIR.US e) and Professions Code and my license is in full force and effect. Ex. OCC�OUTLETS OR FIXTURES Up z00aoe eAL9300 License -No. Classification FIXED APP LNS. Ex. Occup. OUTLETS IRESIDOR.1 EA.) 2.00 1, as the owner, or my employees with wages as their sole compen- 10,00 sation, will do the work, and the structure Is not intended or offered Temporary service for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) Re /..IS' G� / �� ! ❑I am exempt under Sec. Business and Professions Code � a� Fee $ or this reason for Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating ❑I have placed on file with the County of Butte Building Department Certificate a Certificate of Workmen's Compensation Insurance or a Cooling of. Consent to Self -insure. 1 shall not employ any person in any manner sous to become subject Hood 300 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor provisions or this permit shall be deemed revoked. Mobile Home Installation Fee $ I certify that I have read this application and state that the above information Energy Inspection Fee S 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 occ I CONST TYPE I - Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE S I also agree, to save, indemnify and keep harmless the County of Butte against HAz CUA PARK SCHL FLD PAR Po HD ISSUE all liabilities, judgments, gosts, and expenses which may in any way accrue I I I agatns said Cou i c0dequence of the granting of this permit. Th;s permit is nereoy issuea under the applicable provi- l Date _��—�� stone or the Butte County Code and/or resolutions to do X I Contractor Agent [ ❑ ❑ work indicated above for which fees have been paid. Signat to of Applicant — Owner 9 An OSHA permit is required for excavations over S'0" deep and demolition or construct— ion of structures over 3 stories in height. By Date COUNTY OF BUTTE - ,-Partpent of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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. Z. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �S J 2. I (have/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 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 Signed: =�X� Property Owner Socia l ecurity N ber Date 2 3 - Po 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 per- mitted to issue the permit. DECEDENT 'roa cover usirwir - .. 'T MAR 5 1990 CANDACB J. GRUBBS, Butte Co. Clerk By EA PRATFR Deputy • LETTERS CASE NUM[1CR: I TESTAMENTARY r_� OF ADMINISTRATION U OF ADMINISTRATION WITH WILL ANNEXED SPECIAL ADMINISTRATION 28871 LETTERS AFFIRMATION 1. I The last will of the decedent named above having ' 1. PU n l BLIC ADMINISTRATOR: No affirmation required been proved, the court appoints (name): (Prob. Code, § 1140(b)). "a,F'RF� FREESE a. Executor r b. Administrator with will annexed 2. a The court appoints (name): a. [� Administrator of the decedent's estate b. Cj Special administrator of decedent's estate with the special powers specified ' in the Order for Probate (2) ;) with the powers of a general administrator 3. The personal representative is authorized to admin- -' — ister the estate under the Independent Administra- tion of Estates Act M with full authority with limited authority (no authority, without ^` court supervision, to (1) sell or exchange real proper- ty or (2) grant an option to purchase real property or (3) borrow money with the loan secured by an encumbrance upon real property). WITNESS, clerk of the court, with seal of the court affixed. MAR 5 "1990 Date: Clerk, by - M. PRATER --- Deputy (SEAL) Form Ar-umved tri the Ja(hG'1 Cc-"" ,-,t Ch"O" ,;, DE 150 !Rev. ju:y 1, 138Eil I 2. FX INDIVIDUAL: I solemnly affirm that I will perform III. duties of personal representative according to law. 3. Q INSTITUTIONAL FIDUCIARY (name): I solemnly affirm that the institution will perforin duties of personal representative according to law. I make this affirmation for myself as an individual a: on behalf of the institution as an officer. (Name and title) : ALFRED FREESE, Executor 4, Executed on (date): February 23, 1990 at (place): Chico . , Califcr:- / ISIGNAWIlE1 CERTIFICATION I certify that this document is a correct copy of the orird`.na file in my office and the letters issued the personal reprE'sent; appointed above have not been revoked, anrtullad, or set a.' and arc sti!I in full force and effect. I(SEAL) — j Date: MAR 5 1990 Clerk, by Q—f4j-Aj dzL- IDEI'1;1 fl LETTERS (Probate) Nobeto Code. 11 �G.l. 45'.. Sol. f,o: CoA,: 0 C-1 P,Gt^.L'nc. 1 2' :�:;_.._; ,., .6)893-01C �:-"'— ;�•;r;t, nN1 'A(1(111prr Illi PPI \ N' Matthew E. a - ,H j„ � vC..?E & MOLIN MAR'z / g zanita Court ,.: t Chico, C.7h0 i � � 9 5926 ...- - _p :%. y tiorer AI TCp•N('r fr'fh 14',•: mi!_ �kl:� ._. -_ ... ._—... _ _..-. .. .. _ — -\- -- OR COURT OF CALIFORNIA, COUNTY OF BUrI'E ERI ,. SUF ;-REET ArORES'. one court Street .. ._ MAILING A(,UnESS* 25 County Center Drive CITY ANU ZIP CODE: Oroville, CA 95965 E-RANC» NAME: ESTATE OF (NAME.): MARJORIE FREESE DECEDENT 'roa cover usirwir - .. 'T MAR 5 1990 CANDACB J. GRUBBS, Butte Co. Clerk By EA PRATFR Deputy • LETTERS CASE NUM[1CR: I TESTAMENTARY r_� OF ADMINISTRATION U OF ADMINISTRATION WITH WILL ANNEXED SPECIAL ADMINISTRATION 28871 LETTERS AFFIRMATION 1. I The last will of the decedent named above having ' 1. PU n l BLIC ADMINISTRATOR: No affirmation required been proved, the court appoints (name): (Prob. Code, § 1140(b)). "a,F'RF� FREESE a. Executor r b. Administrator with will annexed 2. a The court appoints (name): a. [� Administrator of the decedent's estate b. Cj Special administrator of decedent's estate with the special powers specified ' in the Order for Probate (2) ;) with the powers of a general administrator 3. The personal representative is authorized to admin- -' — ister the estate under the Independent Administra- tion of Estates Act M with full authority with limited authority (no authority, without ^` court supervision, to (1) sell or exchange real proper- ty or (2) grant an option to purchase real property or (3) borrow money with the loan secured by an encumbrance upon real property). WITNESS, clerk of the court, with seal of the court affixed. MAR 5 "1990 Date: Clerk, by - M. PRATER --- Deputy (SEAL) Form Ar-umved tri the Ja(hG'1 Cc-"" ,-,t Ch"O" ,;, DE 150 !Rev. ju:y 1, 138Eil I 2. FX INDIVIDUAL: I solemnly affirm that I will perform III. duties of personal representative according to law. 3. Q INSTITUTIONAL FIDUCIARY (name): I solemnly affirm that the institution will perforin duties of personal representative according to law. I make this affirmation for myself as an individual a: on behalf of the institution as an officer. (Name and title) : ALFRED FREESE, Executor 4, Executed on (date): February 23, 1990 at (place): Chico . , Califcr:- / ISIGNAWIlE1 CERTIFICATION I certify that this document is a correct copy of the orird`.na file in my office and the letters issued the personal reprE'sent; appointed above have not been revoked, anrtullad, or set a.' and arc sti!I in full force and effect. I(SEAL) — j Date: MAR 5 1990 Clerk, by Q—f4j-Aj dzL- IDEI'1;1 fl LETTERS (Probate) Nobeto Code. 11 �G.l. 45'.. Sol. f,o: CoA,: 0 C-1 P,Gt^.L'nc. 1 2' '""y-'C`Y`1rM�.../i��.k►'�.3 :v'..:�.'r :r�"7 .�' ���il.�jb�.; 'y%��,''Jyi"4.fi'�l�'» y`; `E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORdVILLIt, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ,.t : PERMIT APPLICATION DATA.SHEET 1 Permit No. OWNER f.Sr*r.-f_ IDP /174410A/E FXCFSA. P. No. 3 5 - 3 0%Z - ) Z - Proposed Building Use s/,L ���cr'�tr� 5��� ��Buil�ing Inspector CS'`f - Date -&2)/ s'� 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........ s ' 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees'paid........................................ 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW riveway permit (constructs n apeproval required prior to occupancy) Pre -Inspection for �C ICOR ll . required . Pre-I"Spec. request to Building Inspector (D te) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................................. . 26. 27. When y f issue the permit, process as follows: Mail t owner. Mail to contractor. Telephone Ry '- CiSgSand hold for pickup at �H�*'%ffice. Deliver w/inspector. Other /� 9,1 Applicant Date �` _� 3—(v 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 of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' ' . 196 Memorial Way, Chico — Phone: 891-2751 ;p 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNS--` 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. h�sT-pt x1bfL Ihi�k !�WA- , oN Date 3- t o - 90 Inspector /I� w'. ' LdZ�{'CY'!ti�[c"ftT�r'� ~tJe`��fi�td�'��ys+A`>,'4i ,�:i�+r.--,F'Ya'�r�ii+�'�'�!'-',j��•'e•`�°�",;,y��3a'�"*t.;Lt'�'�' t °->. 39-38-12 1.402=90p;. FREESE, Marjorie 1(Estccfe off) 194 � Marian Ave, Chico (new heat & ac/SFJ" Vs i LdZ�{'CY'!ti�[c"ftT�r'� ~tJe`��fi�td�'��ys+A`>,'4i ,�:i�+r.--,F'Ya'�r�ii+�'�'�!'-',j��•'e•`�°�",;,y��3a'�"*t.;Lt'�'�' t °->. 39-38-12 1.402=90p;. FREESE, Marjorie 1(Estccfe off) 194 � Marian Ave, Chico (new heat & ac/SFJ" Vs �•• i!I ....nvf4i..r-,r, a."" -1-i. nrT,,,.r �..-:�wwr ,�, ?Y".3,4. '� r'. ,t2t�- I '.4C .�'r��:1,..r- w�• ,:giG1 . COUNTY OFt BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO. Iif 7 County Center Drive - Oroville, C0fornie•3.5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT T� 77i J ASSESSOR PARCEL NUMBER 39-38-12-- '`��' ZONING SR -1 BUILDING PERMIT OWNER Estate of Mar ozie Free e { TELEPHONE 345-9583 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRES 2176 Mulberry St. dlico 928' CONTRACTOR'S NAME TELEPHONE of Decease - I 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 FiIingFee 10.00 1194 Marian Ave. Chico Each Trap 2.00 Solar or heat pump water heater 20.OQ LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent .6.00 USE OF STRUCTURE SF I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets X 5.00 5.00 Building sewer 5.00 Mobile Home I S I G JWT- ea TYPE OF WORK New Addition [I Remodel❑Utilitie Installation❑ Other ® Describe work: New H—Vac _ RE: B.P. 219-90 _10-00 Permit Fee $ 15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'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 BuslneS$ 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 OCCUPM OR ACDNS. l ACC. BLDGS. +h¢sgft NEW CONSTR. ULT' -OUT LE"2.50 NON-RESID BRANCH CIRCITS) ea (POWER APPARATUS &) SINGLE OUTLET CIR. / EX. Occup(OUTLETS OR FIXTURES i0®s0e SAL@30 Ex. Occup. OUTLETS FIXED P(RESIO.)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 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 supject 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 80K BTU X 11.00 11.00 Cooling 3 Ton X 6.00 6.00 Hood 3.00 Ventilation ^ _ permit Fee $27 OG 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. 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 againstpaid County i c equence of the granting of this permit. 1Th;s X / Date !�� SignatupE 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 $ occ CONST TYPE [TOTAL FEE $ 42.00 HAz CLIAPARK scHL FLD PAR PD HD IssuE permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC By� PERM EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,fQ-alifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 39-38-12 ZONING SR -1 BUILDING PERMI OWNER Estate TELEPHONE 4 - 9583 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADORES 2176 i4_ err S 2 CONTRACTOR' S NAM E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 1194 Marian Ave. Chico Each Trap 2.00 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 ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets X 5.00 1 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition El Remodel❑ Utilities❑ Installation[] Other Describe work: New H—Vac _ RE: B.P. #1219-90 Permit Fee $ 15,00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'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 Professions Code and my license is in full force and effect. License No. Classification 1741 �J 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 ACDNS. ( ACC. BLDGS. , It 2/xQsga R. NON.RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) (-SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES S AL@ 30AL0 30 EX. OCCUp. OUTLETS PFIXED AP (RESI'D.) LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. j� I shall not employ any person in any manner so as to become subject C— 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 80K BTU X111.00 11.00 lin Cooling 3 Ton X 6.00 6.00 Hood 3.00 Ventilation 127.00 - Permit Fee $27,00 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 against aid Count i Kequence of the granting of this permit. X Date ��? --�0 Signatu 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 $ occ CONST TYPE TOTAL FEE 42.00 HAZ I CUA PARK I SCHL I FLD PAR I 7D ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC BY PER EXPIRES Date _ the applicable provi- resolutions to do have been paid. WORKS Date S� f .) � f/rn— ( f `� y Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OFjO� IEL�E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET lPermit No. OWNER Sr 0 ` eE S� A. P. No. Proposed Building Use 's ILI-V C-. Building Inspector G-s'—J Date 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;§igned 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .......... .. . 8. Engineered truss details and layout in duplicate (required prior to plan ch1eck) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) , 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Ck'606_ffice. Mail to contractor. Telephone 3 Y;' — 9' VS and hold for pickup at Deliver w/inspector. Other Applicant Date 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). I 1. Index permit for above items No. 2. Additional items required: / Contractor, designer, owner, was advised of above required data by—phone---Mail Contractor, designer, owner, was advised of above required data by—phone—mall Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder nter by .date nter by date Date COUNTY OF BUTTS;- DL*partLment of Public Works 7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541 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) 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 Signed: / 46 �- ,e �e 5 Q Property Owner Social Security umber Date S Yo y 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 PERMIT NO. 7 County Center Drive - Oroville„^,alifornia 95965 - Telephone: 916/538-7541 AP -PLICATION AND PERMIT ASSESSOR PARCELUMBER 5 ^ 3cb --/ z ZONING lswjBUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2 / 71- /yl v i- 5_192 (e3 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 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 r Solar or heat pump water heater 20.00 LOT NO. I SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFt5/"'Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 r Building sewer 5.00 Mobile Home I S I G JW I 110-00e4 TYPE OF WORK New❑ Addition[:1/ Remode�l4 Utilities[]Installation[]Other[( Describe work: / &VI /7 _y�G _ Xe %2151-Y--,- Permit Fee $ 15 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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) ontract- ❑ I, as the owner, am exclusively contracting with licensed contract- ors. ors.(Sec. 7044) . ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLINGoCCUP.ai) OR ADDNS. ACC. BLDGS. / ,�2¢SQ ft NEW CONSTR. ULTI.OUTLET2.50 NON.RESID BRANCH CIRCU, TS ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030t eAL03o FIXED A PP LNS. OR EX. Occup. OUTLETS (RESIO.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating IJ Cooling o i Hood 3.00 Ventilation Z %” 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 against id ounty in consequence of the granting of this permit. y X Date ✓ PC Signatureof Applicant — Owner 5Z Contractor ❑ Agent F1 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 $ occ CONST TYPE n �� FEE TOTAL $L ALSCHE HAZ CUA PARK PAR PD RD ISSUE Thi's permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 3 15 cJ 5, FReceipt No. ___ - W .�, , ........